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HomeMy WebLinkAbout039-440-00739-44-7 DALE SWIRE O �� «■■ - /S Cessna., 40.0.'.S. Hegan Lqj CCh'4h. 31��ontr:Brandt Constpar ermit�1761 84B(reroof/ /SF) 39-44-07 -3-Q �-E "390B,P,E MILLER, Merle 737 Cessn'a`,Ave; iChiao Sqi (elec -ser/SF) tWall'ys `Electr' Ras line, spa elec &new oo Io�aSl�I 039-440-007 04-1104 BIRTCIL, CHARLES 737 CESSNA AVE, CHICO ! AL D AIR CO NEW HVACELLAND Y�3O/D � � � � _� C:, i BUTTE} COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP041104 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds /7�i)-3 LICENSED CONTRACTORS 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 Issued Date: 04/20/2004 APN• 039-440-007-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: LO License Number: ?�y S '( ��1 Site Address' 737 CESSNA AVE CHI Date: 1-1 --w- l� Contractor. o 44:kA n Map Index: Description: NEW HVAC p - OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business -and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BIRTCIL CHARLES & JUDITH J to its Issuance, also requires the applicant for such permit to file a 737 CESSNA AVE signed statement that he or she is licensed pursuant to the provisions of CHICO, the Contractor's State License Law (Chapter 9 commencing with Section CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: BIRTCIL CHARLES &JUDITH J pp Code: The Contractors' State License Law does not apply to an 1 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are' not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: MCCLELLAND AIR CONDITIONING, INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 690 THUNDERBOLT STREET CHICO, CA 95973 Date: owner: (530) 891-6202 ` WORKERS' COMPENSATION DECLARATION I horebb ffinn under penalty of perjury one of the following declarations: License M 345121 ' la/I have and will maintain a certificate of consent to self -insure for ( workers' compensation, as provided for by Section 3700 of the f Labor Code, for the performance of the work for which this permit r is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Architect: / Engineer: insurance carrier and policy number are: Carrier: Policy #: "7 j � Total' Square Ft: 0 S. F. � I Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the 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 .�///,//1/ forthwith comply with those provisions. •�jr�J -o `'/ i ` ✓ ow Dale: -4-;ie 7 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This rmi• s her y • s e r t ap It bl rovisions of the Butte County ode and/yr Res to d v r is fae h e been paid. I hereby affirm that there is a construction lending agency for the s w n X performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY — Datp: ZZ PERMIT EXPIRES ON: lj(/%► Address: afe ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the any official fo r document of Butte County. I hereby authorize repjr�esentatives of Butte County to enter the above mentioned property for inspecti. 1upon 4purpo Print Name: 1 �s ��-��� ^ Signalu Date: 0 Owner ❑ Contractor 13 Agent for Owner gent for Contractor r .-�-'^P/.4'*^"'F?`a/�•,��� itr�'°PPR�Ai1�iyWw1'N'Y"r.,'..._� .- . .•-��•��_1��"-".6R,„ 4r�'1.,�'M'7;,'v'Y''+,.+t>-.i�rt:4�'� ' ; COUNTY OF BUTTE - DEPARTMENT OF PUBL�IG WORKS +r' PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone:*916/538,75,41' APPLICATION AND PERMIT9-10 * ASS,ES$O R.OPARCEL NUMBER ZONINfiaR� :r BUILDING PERMIT DwN, W"WINIX MERLE MILLER TELEPHONE S0. FT. OCC.,. BUILDING VALUATION OWNER'S MAILING ADDRESS 737 Cessna Chico 95928 I , CONTRACTOR'S NAME t TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ " r LENDER'S MAILING ADDRESS �---'" Filing Fee $ 1 10.00 Permit Fee $ 10. W ARCHITECT OR ENGINEER 1 I LICENSE No. Plari-Checking Fee' Eriergy Plan Checking Fee $ A CHITECT OR ENGINEER'S MAILING ADDRESS Penalty Bu�172W7 UAesREs We, �� ..SN! ttii Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 r r Each Trap ; ! 2.00 Solar or -heat pump watek-hea et` , :00 • LOT N S' IVISION N ME fit, _ Z�`� i3 PARCEL MAP"-" }� I -- Water"piping , x.5.00_ Each gas water heater or vent j 5,00, USE OF STRUCTU \ 1 v SF 7C' Duplex.Mobilehome❑ Other SPECIFY_*„ G.as;piping system 1 - 5 outlets 5.00 r� Building sewer 5.00 Mobile Hom S I G I W 1 110-00e f , TYPE OF WORKa �-;-�• 4 C) t �Ne1�,tQJ `A p.it nn t b�delti>liti❑C Installation❑ ;Other ❑ t Z. 8"He41 �\ Describe work: _ new,, o�/k-306'- 3'N 't,�;w q � � e Permit Fee CpntCa or'�'`' 'j,;ELECTRI.CAL. PERMIT Filing Fee, 10.00 1 Main service Boo V'OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 �..R.. FtCONTR&CTOR;S LICENSE LAW //�� vI \ I declare under. penalty of perj, rry -(check one : �' +`. 1, •'d. i ❑ 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 NoI. J,U Classification _ 1 tl as the:owner,_>jr_my_employees with wages as their sole•rcompen- ',3tt- satio,ilt do tbe,°work, and the structure is not intended.or offered i% for' salE. (S� a: 7044) I,-`'- . ^ ❑ I,. as the owner, am ezclusi,vel'q contracting with licensed contract- ' J \,ors. (Sec. 7044) ^"� ��—! \ ' t4z ❑ I am exempt under Sec. Business and Professions Code for this reason (;1) �.^-- R NEW CONST. DWFLLING OCCUP.& , OR AODNS. ( AGC• BLDGS. 2/20sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID 'BRANCH CIRC ITS POWER APPARATUS tr ' (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES S20050tLiUYse AL@3o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities I 15.00 Misc. Wiring 15.00 ,iD.UU spa a ec Permit Fee.$ 25.00 WORKME'W"t�"COMPENSAT40N INSURANCE I declare under penalty of per1''ryt (check onej�l h� _-, . ❑'The permit is for $10000 (valuation) o�+.,1'ess:�> ❑ I have placed on file with-the-Cbuntoof 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.G. provisions of the Labor Code, you must forthwith comply with such proyLsrons or this permit shall be deemed revoked. Contractor t.. MECHANICAL PERMIT Filing Fee 10.00 F4eating Cooling 9 _Hood- 3,00 Venii'lation�,;r + Permit it Fee $ • ..- Contractor r , 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„said"Co nty.in con quence of, the granting of this permit. X ���(, Date Signature of Applicant — Own Cantr tor, .g\ An OSHA permit is required For excavations over 5'0” deep an demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 60.00 HAZ CLIA PARK J'SCHL FLD PAR PD HD Issue This permit is hereby -issued under the applicable provi- sions of, the .Butte County Code and/or resolutions to do 'work Jin`tlicated aboy,'e�foi which fees have been paid. ♦ DIRECTOR F �BLIC WORKS � � / cf••� I , By �r xJJ // Date , PERMIT EXPIRES Date , ' 73417 Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,.Califorpia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-44-07 ZONIN �R1 BUILDING PERMIT TXXBAXXHX MERLE MILLER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 737 Cessna Chico 95928 CONTRACT OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 737 Cessna Ave. Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Chico Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 nn Building sewer 5.00 Mobile Home S I G W ' 10.006 TYPE OF WORK New ❑ Addition ❑ Remodel XX Utilities ❑ Installation❑ Other ❑ Describe work: gas line, spa elec _ new door/RE 3065-90 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 Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& oR ACDNS. (ACC. BLDGS. , 2/z¢sgft NEW CONST"ES'., BRANCH NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®SOt BAL®3o FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 spa elec 1 15.00 Permit Fee $ 25.00 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 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, an expenses which may in any way accrue againstaid I o ty in co q nce the granting of this permit. X - Date Signatu of Applicant — Owner ❑ ContractorX Agent Elwork 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 $ 60.00 HAz I CVA PARK I sCHL I FLD I PAR . I PD I Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated abo a for which fees OR ' F BLIC PERMIT EXPIRE Date '� the applicable provi- resolutions to do have been paid. WORKS t %0 DateTE-D.P.W., �Receipt No. 73417BY -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ASSES OWNE COUNTY OF BUTT; DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillef cCahfcirnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �OORr CONTRACTOR't NAME CONTRACTOR'S MAILING ADDRESS CONSTRUCTION: LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING AD BUILDING ADD`/17 Cts TELEPHONE SQ. FT. TE EPHONE PERMIT NO. BUILDING PERMIT OCC. I BUILDINGS Fireplace UNKNOWN Total Valuation Is Filing Fee Permit Fee LICENSE NO. Plan Checking Fee Energy Plan Checking Fee Penalty I /T— Permit fee LOT NO. SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF Duplex Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addit on ❑ Remodel Utilities ❑ Installation[] Other ❑ Describe work' _ 3 6 ��7 CZ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am li:ensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as tre 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. 7944) ❑ I a th owe a e l' I t t" h I" ALUATION $ 10.00 1 $ $ 1 $ 1 $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent a Certificate of Workmen's Compensation Insurance or a Certificate Gas piping system 1 - 5 outlets of Consent to Self -Insure. Building sewer Mobile Home S G IN 010.00ea Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee I Contractor provisions or this permit shall be deemed revoked. ELECTRICAL PERMIT Filing Fee 10.00 OOV OR Main service 100 AMP ORLESS10.00 is correct. I agree to comply to all County Ordinances and State Laws relating Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUR.&\ OR AODNS. ACC. BLDGS. // 'h2sgft NEW CONSTR. ULT'.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2a9Sot e ALS 30 FIXED Ex. Occup. OUTLETS (RESIO )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i s le n r, m xc — — y con rac Ing wlt Icensed contract- Misc. lyirin ors. (Se:. 7044) 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code , O for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 i ❑ The pernit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 a to the W C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ CONST TYPE ; Butte to enter upon the above-mentioned property for inspection purposes. TOTAL $ ALS FEE 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 HAZ CUA PARK Flo PAR [P� Issue against said County in consequence of the granting of this permit. I X This permit is nereby issued under the applicable provi- I Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. ' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories ;n height. Receipt No. _/ �9�_//z By Date WHITE-O.P.W.. YELLO'Y-ASSCSSOR, PINR•IHSPECTON, GOLOEHROD-APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - Depa"rt)nent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION d 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) X2. 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:II Property Owner Social',. Seff.,,urit Numb r 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 7 ����DIC� A. P 561 Proposed Building Use ������� Building Inspector Date / _�`/ 7 `4570� 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. 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 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 issue theermi rocess follows: Telephone and hold for pickup Other Mai I t Mail to contractor. _Deliver w. /inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone _mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date �i C n � -S r , j L r i f•' ? �-' a� IBJ -.�' .M! ,7/ f .lt, s°r.:. •' !. .. .,. _ COUNTY.0F.BUTITEr DEPARTMENT OF"PUBL'IC`WORKS . + - s �'�. 'PERMIT NO } 7 County Center'Drive..-proviIIe.-Calif�or ia:95965r- Telephone 916/534-4541 "APPL'ICATI(3N AND( PERMIT OWNER'S -MAI LING ADDRESS - / r TELE PHONE <, �' � � � t A'SSESSOR:P'ARC'EL NUMBER '" « ,�J• •! '• >,` ZONI�NG 7•(1., Y. ,' "''•, '�- ' " �• .BUILDING ,ERMIT` CONSTRUCTION -' - - UNKNOWN • ,OWNER • , TEL•'E PHONE •- S(� FT.�- OCC. ^`' 'BUIL'DING VALUATION:",, Permit Fee' $ k - it •�^ J. OWNER'S -MAI LING ADDRESS - l CONTRACTOR'S NAME. ;'. ` t � r l • TELE PHONE <, �' � � � •� - ? "� z y '"' 'y '?'. r -y _ , r .� f11�+�'..�.i��Y�%s-.'in s ` \'� � CONTRACTOR'S MAILING"'ADDREISS a u£';v( �3 •LENDER F i re01, p CONSTRUCTION -' - - UNKNOWN • -TOtal_Valuatl0n. • - $, )4()�' Tff1' =x f Fee�:?,� .' $ • - 10.00' :LENDER'S MAILING ADDRESS- x� _Filing e „r t' Permit Fee' $ k - it v r ti ••ARCHITECT. OR -ENGINEER - `'r•_,y; -LICENSE'N O: Plan'Checking Fee•f '" ` ,�-•' Penalty,` $ A-RCHITECT.OR ENGINEER'S MAILING ADDRESS 4' fee, $ �` �/' e, r; Permit .' 't71 (3") BUILDING, ADDRESS y° ., ;, j " rt,�IL is17y .�,' •�.. r rin�i� nr " Filir Fee 10.00. = PLUMBING.PERMIT.^ 9 . .... Each Trap..2.004.1 Solar Wate�,HeaterJ 120.00 .r ! WaterIr` ' ..piping. •5:00, - LOT. NO. SUBDIVISION NAME �'+ t ,•. , *In PARCEL MAP" Each qas water -.heater or vent ` :5.00"J ` - ' I Gas, piping system;t - 5 outlets 5.00 t USE OF STRU,CTURE16 1' Building sewers ., 5'.00 •- Mobile Home S G W 10.00'e •P �2" Duplex ❑ Mcbi lehome[] ,_Other 4 a r r SF -} • •� 1 + . sr . ♦ .5, SPECIFY - TYPE OF, WORK / °: ; : , ` , Permit Fee . ,; $ New ❑ Addition ❑•r Remodel ❑ :�Ultilitigs.❑ �' Installation❑' Contractor,, ,Other',Q i /✓A%� L ^ ml I7 A1'G / . der BAi�.!/ L: Describe Work:` � � °�' -' -_; ELECTRICAL' PERMIT, Filing Fee � 10.00 ' /'+ •� (� y " <! Main, service' eoov OR LESS 10:00 ,;. • 100 AMP OR LESS t; Main. service EA, dADO'L 100 AMP .2.,50^ •.' • ,• •. .i •, NE.W CbNST. (.DW.EL,L.,ING OCCUP.& \\� 2y2¢$Qft OR ADDNS.. ACC.,BLDGS. `� .r�"'1 tt + �''• •CONTRACTORS LICENSE;LAW ' ' r ' ' t LETT, 2:50 ea- NOEW N.RES,S R,. .BRAN CLT , `I`deClare.under penalty of perjury ,(check one); l k ,7,_ ; I -' R NEW CONST R'/POWER APPARATUS &'1, NON-RESID, SINGLE -OUTLET CIR: ` f , I .am.licensed under provisions of Chapt.-9, Div' 3 of the Business' +, =' • ioesoe r EX- OCCUp�OU T.LETS•OR FIXTURES BAL®30 ` and. Professions Code and my license. Is in':full;force'an/d effect. FIXE,D:APPLNS: OR License No.y'� �- ik '' Classificatlon % ��^ f• EX: Occup LETS (R ESID.),EA.� .2.00 Temporary service 10'00` } E;1 I as the owner, or my employees. With wages as their. solecompen Mobile Home -Facilities. •: r. 45:00 y sation, Will do'tbe work,and the structurenot intended,�or offered. lis 'for:sale.'(Sec. 7044) �'� • 4 3 , 1. � > . ' : y) > ' Misc Wiring 15.00 / ,.s . -, �❑ as the owneram exclusively contracting, wilt h''licensed'4contract-' .I, ' ors:" (Sec 7044) ,3 , ,-_ Permit Fee; ` $ `'.a �`❑ f am exempt Under Sec. r Business and Professions Code Contractor• ' n for his reason""" -• 'I - ` r MECHANICAL PERMIT FiIin'gFee 10.00 r+. �,,WORKMEN'S COMPENSATION.INSURANCE°• "*. Heating., :I'-declare'under penalt'of perjury -(che6k one ,,� -.;The permit is for.,$100.00(valruation) or less. Cooling "•f. .,- s I have placed�on.yfile with the,`County.of,Butte BuiidinglDepartment "1 ❑` a-eertificate'of Workmen's Compensation ,Insu•rance or a Certificate •� of Consent to Self -Insure.- t• _' :Hood *,t _ 3 00 r r Ventilation �•rfi I shall riot employ any person ,in anyfmanner.so as fo become subject -r . to`the W C. laws of California r x . z , 'q:- "statement Notice to Applicant:'- bf'affer making this !should you become subject, •Permit ,Fee r. t' ' ' $•'<'~ :to the W.' C. provlsions,of the Labor Code, you musr,;fortliwith complly with such ,Contractorzr „ provi{sions or this.permit;shall be deemed revoked: �� ,f �. �, _ Certify ave read this application and sta4e above l r Mobile Home lnsfallatiori''Fee. $•� ti;,J r .� ` isccor ecthatal ee to, corn I t6all Count OrdinanC•that d S si elation 9 P Y Y es and State.Lawslrelatingconstr- '` r� t f .', it :''; . '`' s ;� * �*' _•a r ;�: -Bute jtof upon thenabove-menti and ioned nnspecteonpurpo County of -TOTAL- PERMIT; FEE enter ed propertypfois I,'.also'agreeao save', -i ndemnify,•and�keep harmless fhe County of.Butfe'against occoP. �Rou,P TrPE-,oF coNST. PARCEL ,Po-. .{HD ISSOE .-all..Iiabilities,-jfudgnients,: costs and,expenses which',may' in anyway_'accrue,'• ;`, against said County--in:consequenceaef' the granting of",this permit ,' x . •,X t / } * "1�' " .'( tt 1 �" " •"" This. is hereby`issued';under theapplicable provi'` 7,;t _s Date - ', ., fi permit sions of,,the Butte:County Code -and/or resolutions to do,. �� L •1 ' f' -' `� 'il Signature of Applicant —.• Owner❑o Contra�Ctor.❑, Agent k "'indi 'for which fees, have been .pard. wor cated�,above { Ah" O.SHA'perrn' istrequired for,excavations over Y,0 deep and demo lltlonor construct t +� DIRECTOR'OF'PUBLIC WORKS' Sion of structures over 3.stones in height.,;�'7y ` "•,�.% ✓ ,;i, .,*� •`s �.' ,1 �/ ` ,N �}° t l �': - �' .~ ; � �' ' ' By.; vYi w ; ,(' %`Date Receipt'N0 , ��,`7. + r . r •'' x.'' r - . . I D:P.W-, YELLOW ASSESSOR,vPINK-INSPECTOR wGOLDEN ROD -APPLICANT �• i.'.:1+ �'f•f} . . � r PERMIT EXPIRES'1"Date' i/.•+T SWHITE 1 .�� COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS •�� 7 County Center Drive - Oroville, 'kli,fornW 95965 - Telephone 916/534-4541 APPLICAON ASID PERMIT PERMIT NO. ASSESSOR -R1CEL NUMBER i '/I'r� ZON - P2_ BUILDING PERMIT OWNER EL PHONE (0�f S0. FT. OCC. BUILDING VAL ATION 150. 1 OWNER'S GMAILING ADDRESS_ CONTRAC OR•S NA E TELEPHQNNEE��, 3g3S—�03 f CONTRA C OR'S MAILING DDR 5 ��"""W '/-[ Fireplace CONSTRUCTION LENDER LA - UNKNOWN Total Valuation is f5 O, ff Filing Fee $ 10.00 LENDER'S aAILING ADDRESS Permit Fee $ UO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �5, 00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 C 400,� I `�' a S Each Trap 2.00 Solar Water Heater 20.00 lib 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[O Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00E TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describework: �/Lb�% /t,[i1Q�INL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OGOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 220sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business(zo®e0e and Professions Code and my license is in full force an effect. License No. ��sl� V� 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 CON5TR (MULTI -OUTLET 2.50 ea NON•RESID BRANCH CIRC TS. NEW CONSTR. (POWER APPARATUS &) NON•RESID. 1 SINGLE OUTLET CIR. Ex. Occupo OR FIXTURES SAL®30 FIXED A Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 o 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 shal I be deemed revoked. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, lVdgments, costs, and a penses which may in any way accrue against d n n consequenc g of this permit. _ 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. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ '25A OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR OF UBLIC BY f the applicable provi- resolutions to do fees have been paid. WORKS Date'— Receipt No. ! ! 1 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date •� - . In :.. ,,�"�.�.'+....}�x�v��v�,,!''Far+r�..::�a,..;•K'F"'Y'�'�`�''+�Sy+-�i'F*-''�j�.;�. �� f. �j s' � tr.. _��+[ �./:+'7r'rH''�'^. •�..� rf •:�•, �• '�•�,,y�',•• . `�'1-od �"'� �rt"��9•^,.,7:r�'�i'.t�'t�''� .;y�,.r'Yrs'4�`w�ifti.:.r��+rr�`"���.e-..s �' sir'=I,+� +C.Li Y':'�' 4� � � �� . �,�. e ,. /tel �! - '� . y ' �'•e � ' ' � �. .�e."'�; ' � i� ,M', 's Pte. i � , ,� � � � t '. ., , ' ' �r ` ' ^ .K .I'4',.�•t... ,;- . •.� • ,�.. A .. ^i. ���i^. ,j-:y--:�: -.i-r '%'�i.i£r "�, r'��Y+.y l,�.' - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. I County Center Drive - Oroville, California 95965 - Telephone: 916/538=7541 APPLICATION AND, PERMIT ASSESSOR PARCEL NUMBER '39-44-007 ZONING SR -1 BUILDING PERMIT OWNER T Ta for TELEPHONE J45-5015 SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 737 Cessna Ave. Chico CONTRACTOR'S NAME Wally' TELEPHONE -4242 CONTRACT R'S MAILING ADDRESS 1086 Vallombrosa. Chico 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 10.00 717 P 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 F1P_CtTic SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑ Describe work: Upgrade Electrical Service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1 10.00 10 . 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 /cam_ El 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.& OR ACDNS. (ACC. BLDGs. ) 2/z¢sgft NEW CONSTR. BRANCH NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS (SINGLE OUTLET CIR.a Ex. Occup( OUTLETS OR FIXTURES eAL@30 FIXED APLNS. Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 15.00 Pre -Inspection 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 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 CountyotCONST 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 IiabiIities,,judgments, costs, /and expenses which may in any way accrue against said County in'Consequence of the granting of this permit. %� " �/ �l �' `v r�� Date x 5 Signature of Applicant — Ow`ner LJ Contractor E]AgentF-1work 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 $ TYPE -- occ TOTAL FEE $50.00 T HAZ CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated ove for which fees DIR CTOR OF PUBLIC By zt, 1, PERMIT EXPIRES/ Date± ?' the applicable provi- resolutions to do have been paid. WORKS �i Date 7 Receipt No. 70781 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLID 110WAND PERMIT PERMIT NO. _3a6_,5 --an ASSESSOR PARCEL NUMBER 39-44-007 �/�NING SR -1 BUILDING PERMIT OWNER "d TELEPHONE 345-5015R'S SQ. FT. OCC. BUILDING V AT ON OWNEr MAILING ADDR SS 737 Cessna Ave. Chico CONTRACTOR'S NAME Wal 12 TELEPHONE CONTRACT R'S MAILING ADDRESS 1086 sa. Chico 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 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 El ertri CBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑ Describe work: Upgrade Electrical Service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 0V OR LE 1000 AMP ORSLESS 11 10.00 10.00 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 Professions Code and my license is in full force and effect.SINGLE License No. ' Classification' / ^T ❑ 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 ADDNS. ACC. BLDGS. , 2/z¢sgft NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SALO 30 200530 Ex. Occup. OUTLETS 1FIXED PESID ) EA.) R 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 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. ❑ 1 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 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 ree to save, indemnify and keep harmless the County of Butte against all ab-lities, judgments, cos ,and expenses which may in any way accrue ag ns said ou t in c nse ce of the granting of this permit. Date / S' nature of Applicant — 0 %7 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 $50. 00 HAZ CLIA PARK scHL FLD PAR PD HD IssuE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated ove for which fees R CT OF PUBLIC By CU ILReceipt PER IT EXPIRES/Date the applicable provi- resolutions to do have been paid. WORKS Date No. 70781 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2%7,'t1 7 County Center Drive, Orovi'lle — Phone:,538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE / c y - 7A wvrvtrt PERMIT NO. A rout* a inspection indicates that the following violations of County Ordinance exist t the above address and should be corrected. Please notify this office wh correction of work is completed. If you have -any -question pertaining to this Iter, or need additional explanation, please contact this office'immediately. LC /11_ S_ Date / �� 7 O Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLI.,ATIdN AND PERMIT -mazu" I•'ARL:tL NUM tR - —O OWNER ZON 5/- / BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION / d TELEPHONESOi [— OWNER' MAIG AD LINDRESS CONT T RM/ � � EPµ NE CONT ACTOR' MAILING ADDRESS I/ LI-� ��� l� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER Filing Fee $ 10.00 Permit Fee $ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS � / Energy Plan Checking Fee $ Penalty Permit fee $ $ r PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap 2.00 Solar or heat pump water heater Water piping 20.00 500 Each qas water heater or vent 5,00 USE OF STRUCTURE / S Duplex Mobilehome❑ Other ��'y C� . SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New Addition ❑ Remodel❑ Utiliti Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 M00V OR LES ain service 100 AMP ORS SLESS 10.00 D. OZ) CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑I am licensed under P pfOVISIOnS Of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑EX. 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)El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ •1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING occuP.s OR AODNS. ( ACC. BLDGS. r�ZdSgIt NEW CO—I ULTI.OUTLET NON, RESI 0 BRANCH CIRC ITS 2.50 ea (POWER APPARATUS til SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 200300 eALO 30 OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 - Mobile Home Facilities 15.00 Misc. Wiring 15.00 / "00 Q Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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. I also agree to save, indemnify and keep harmless the County of Butte againstall liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis 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 $ occ CONSTTYPE HAz CUA PR 77� PD HD IssuE permit is nereby issued under sions of 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 Receipt No. �%� D WNITE-a.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION OWNER: 7 / /g'� LDATE 7 % LOCATION:- -3 7 C ��� /y V� • A.P. # -4/ 7 -Od `% JJ CONTRACTOR: l/'�/�- �� �li ZONING PRE -INSPECTION FOR:' DATE TO INSPECTOR - 3 - 9 PERMIT HISTORY: NONE [j AS FOLLOWS: TYPE OF OCCUPANCY FIELD - I14FORMATION BUILDING USAGE: S I t J 6 �ANJ , QZ-CS TENNANT: OCCUPIED HAS ELECTRICE-ErHAS GAS. HAS SANITATION•FACILITIES ['HEATED -COOLED I/ :PERSON CONTACTED T% 7,4 )ILO 2-- ' OTHER COMMENTS: .. ;:. 46.rrQ.� ' .. _ �% ! - ♦ / /'1 e.w . 4 1 I *2AiA— OWNER r. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL(_E CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION -DATA SHEET } Permit No. . Py.No. Proposed Building Use e, Building Inspector 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, signed by preparer of plans ......... 3. Complete plans in duplicate/triplicate,-,signed by preparer. of plans . . 4. Complete engineered plans and calcs with wet signatdre 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,in'stallationI data including manufacturer's installation instructions�...................................................... 10. Fees of $'1 ........................ 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,.(constr tion approval required prior to occupancy) = 1 p required , Pre-Inspec. request to 0. Pre -inspection for " Building Inspector (Date) fes` 21. Contractor's license information (No., Name Style, Classification) .... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When yo ssue the permit, process as follows: Mai w er. Mail to contractor. Telephone znd hold for pickup at office. Deliver w./inspector. Other 2�1�01YICI�11� RUM Copy of Haz-Mat form sent Health Dept/ Fire Dept. fir Pollution Date Copy of plans sent Health Dept. Fir ept. Other Date By The following data must be submitted prior Vpermit 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 _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW