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039-460-035
A.P. 39-46-24 35 --`Gus Gore s/w corner Durham Dayton Hwy, N Durham Permit 1159-70B (new single family) A. P. 39-46-2t-BETTRAMO;�Donald H. ' • 607-73B Gus Gore j J _ 305 Durha,a Hwy.Il�uru h m) � CONTR: Hol y Pools, Chico Permit 161-72B (new swimming pool) w/s Nelson --Durham Rd. 3rd hse. so. of Durham_ Dayton Rd,., Durham CONTR: Denco Awning Su ply, Chico �39-46-35 (awning for residence) . gra 73 Permit #4948-80B;E(inst.skylight & attic fan./S.F_) 039-46-0-035 91-3804 GORE, GUS, CONTR: MCHAT,TON ELEC Z�fZ91'��cfGb�rt (paK`.i�� DURHAM U N DRGR-NE'L1= C 1� -039-46-0=035 -- -92_0384.. GORE,' GUS . ,. CONTR_i OWNER_ w�., ��DURHAM Q R V'= ST"ORA—de' P f� .. 039-46-0-035 93-3711-B GORE, GUS & ANITA 2429 DURHAM DAYTON, DURHAM A I I � RER90F/SF rcn Y c�i i et cfli COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916;'538-7541 2 - APPLICATION AND PERMIT ASSESSOR PARCUL NUM16ER 39-460-35 vl Q i ZONING R 1 BUILDING PERMIT OWNER GUS GORE TELEPHONE 342-9258 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 360 DURHAM 231 M 4,158 -._ CONTRACTOR'S NAME SAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 4,158 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 30.00 ARCHITECT OR ENGINEEP.'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9383 HOLLAND AVE DURHA Permit fee $ 1i. ,,PLUMBING PERMIT Filing Fee 1 15.00 E ch Trap 5.00 lar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other � SPE r Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ ther ❑ Des ribe work: Perm Fee $ Contract ELECT CAL PERMIT Filing Fee 15.00 Main service 200vORLESS 18.50 Main service 200A o IOOOA, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 bf the BusinessPOWER and Professions Code and my license is in full force and effect. License No�,J' �/� .�% 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.9 OR ADDNS. ACC. BLDGS. // _37.50 3.64 sq.ft. New CONSTR ULTI.OUTLET NON•RE". BRANCH CIRC ITS @ 5.00 APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS ((RESID Fr A.J I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (-jTpermit is for $100.00 (valuation) or less. Ute//I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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.o I also agree to save,,_i.ndemni,fy and keep harml s the County of Butte against all liabilities d'gments, costs, and a en which may in any way accrue a ounty in co eq a ng of this permit. X Date 1-t;?- 19Z Signature of Appli nt — Owner ❑ ontractor ❑ Agent ❑ An OSHA per t is required for excova Ions over 5'0" deep and demolition or Construct- ion of struct res over 3 stories in height. Mobile Home Installation Fee S Energy Inspection e $ CSTTY ONE TOTAL F $ 105.00 HAz11 FEES IMP FLO CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date _. Receipt No.chelafp tg9�07 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION . t 7 COUNTY CENTER DRIVE - OROVILLE, CA', IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER T UJr YGQf �`" A. P. No.,3"1 ` %go—�� Proposed Building Use 51�0/lfKrL� w Building Inspector � Date ZbZ Z_ 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 ..................................................... 3 School District fees paid .............. 14. Sanitation approval from Ctia:a 'Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of T (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 ......... 5. Letter of signature authorization ..... . 26. 27. When you issue the permit, process as follows: Mail to oww Mail to contractor. �I Telephone a4Z-- 9456and hold for pickup at 046'office. Deliver w/inspector. Other •/% Z Applicant_ Date Copy of,,Hdz-Mat form sent Health Dept. Fir, Air Pollution Date Copy of plans sent Health Dept. Fire De Other Date By The following data must. -submitted prior to permit iss 1. Index permit for above items No. 2. Additional items required: (Circle new -item .not_.check .d above). ;Z(, . 1�' i�.l 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 _maII—counter by date Plans checked by Dynte Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW - 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.538-7541 APPLICATI.4N 'AND PERMIT ASSESSOR PARCEL NUMBER 35 ZONING BUILDING PERMIT OWNERTP US fiCC E EELEEE HW0 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS loo 3 'cry vG��R�-t CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is S Filing Fee $ 15,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 956-S a U � r Penalty $ Permit fee $ J05.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE t SF ❑ Duplex F-1 Mobilehome❑ Other 5rMA&Z5 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 115.00 Main service soov OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 DWELLING Occup. f\ NEW CONST.( ACC. BLDGS. I OR AODNS. 3.64 sq.ft. j NEW CONSTR ULT' -OUTLET NON -RES' - BRANCH CIRCUITS) @ 5.00 POWER APPARATUS a' (SINGLEOUTLETCIR. ) i I Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED APLNb. EX. DCCUp. OUTLETS PR (RESID IEA.� 3.00 + Temporary service 15.00 I 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation i 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 said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ,on of structures tover 3gstoriesoinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE _ TOTAL FEES f�J f ' HAz 1 0FEES I IMP I FLOOD I COF I PARCEL 1 PD 1 HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. NHITE-D.P.W.. YELLOW- ASSESSOR. PINK -INSPECTOR. ---.-App, —A., eount* of ✓JLda OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ' GUS GORE ADDRESS: P.-0.' BOX -360- CITY & STATE: DURHAM, 'CA 95938. _ IMPORTANT: 11/29/93 SEE INSTRUCTIONS DATE OF -CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING . GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO -AVOID DELAY) AMOUNT OWNER DECIDED NOT TO DO WORK. (BLDG. PERMIT -APPL. #92-384, A.P. #39-460-35 RECEIPT #109676 DATED 2/12/92, OWNER: GUS GORE). TOTAL FEES PAID................................$105.00 RETAIN REFUND PROCESSING FEE ......... $25.00 RETAIN BUILDING PERMIT FILING FEE .... $15.00 - RETAIN BUILDING PERMIT PLAN CHECK FEE$30.00 AMOUNT RETAINED .............:....$70.00 TOTAL REFUND DUE ...............................$ 35.00 ]3500 TOTAL 35 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been perfo or delivered, and that claim is true and correct as stated. / Dated this .........(...: 1.. ....... day of ...`/.l: m ::... 1 at , //.�%/::� lCalif. .......... ... ` .... .� Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s ied ove v be `performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval ❑ (Check one) fo of ' Dated this,,,,,,, 29TH day or ,,,,NOVEMBER 19 93 at OROVILLE , Calif . , ..... ......... ` DDparrttmeen�teH d or Authorized Deputy Code 440-002 ;code 4210500 PAYABLE FROMQQN�,r,JL.Fix\4:l,Fh.yt.FUND ............................ DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ.. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. * PERMIT NUMBER - B 161-72 P 128-72 E 133-72 PERMIT EXPIRES C>? OWNER Gus Gore CONTR:. Holiday Pools, Chico LOCATION (A.P. 39-46-22 . J 305 Durham -Dayton Hwy.,, D'arharn . z V i. COUNTY OF"BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning _. Setback -:?; % -? 2- 1!4� Forms a Foundation Piers & Girders Fireplace Rgh. Plumbing /mac Bond Beam Lath & Plaster Rein. Steel_ ' Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace' Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS PiOill N./e �lasgCl. •"5 f /� bt, CeT/� j��cs dl<� —/ — COUNTY OF�BUTTEa DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 A P P L ICATION AND PLUMBING P E R M I T 2 Permittee Owner (-�•-�p !_.! .$ ° �0 l' �.- A.P. No.. 3S -�." Z. Mailing Address Contractor Mailing Add BLDG. Add; DESCRIPTION OF WORK No. @ Fee NEW ADDITION REPAIRS Ej PERMIT FILING FEE $2.00 lid Each fixture or trap or set of fixtures on one trap 1.50 OTHERS: Repair or alteration drainage or vent piping 1.50 Remarks: Installation or repair water piping ' 1.50 Each gas water heater or USE OF STRUCTURE gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Single Multi RESIDENTIAL Family E Duplex [D:- .Dwelling Gas piping 6 or more - Each .30 r / House Sewer 5.00 OTHERS: (told/�////� 1 �Od Lawn Sprinkler system 2.00 Remarks: 1 TOTAL FEE E CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of ......pL/�/��/�OvL ................. ............................................................................................. License Noy%Y„3,7 Z „Classification ,,,C5�� and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). Q I am the owner of the' above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec.` 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................: WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. t4. 1 certify that I have read this application and state that the above information is correct. I agree to comply with 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. �j XI6��.�L� :...r :................. Date�...r..w. ..�Z-r:.. SIGNATURE OF PERMITTEE OR AGENT Receipt No., ...................... � / C) ................................................................ This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By.........:/..,.;r'r,.?r: �,._.r�.rr Dote ../,,�!»:.. y j COURTY PF BUTTE it DEPARTMENT OF'TUBLIC WORKS 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT A -1 Permittee Owner r G/ 'S i w n_ / A. P. No. 31' -4 iling Address 1 rj Contractor d a CY rl 1 � j'' L� C� � S Mailing Address Z 4 -.5 BLDG. Address 0 DESCRIPTION OF WORK NEW 0 ADDITION r__j METER SERVICE 0 OTHERS: Remarks: PERMIT FILING FEE No. Fee 62.00 Supplementary Filing Fee 1.00 Main Service (12 or (more than Sub -Panel less) 12) ' Each Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each Light Fixtures g First 20 .20 Each Additional 10 USE OF STRUCTURE Single Multi Family Q Duplex Q Dwelling Q r OTHERS: r Receptacles., Switches & Fixture Outlets First 20 .20 Each Additional .10 2. 0 Hood, Exhaust Fan or F.A. Fuca Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pump Water Pum / /Y )� / Misc. Wiring Remarks: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div: 3, of the State of California Business & Professions Code under the name style of.........:/v/ r %%Vl V 4 5....... .......................................................................................................................................................-.................................................__ . License No.)C.XClassification ! 7 —! _ _ and certify that the aforesaid license is in full force and effect. ...........G...�'.......n. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). F—] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the ` impements. (Sec, 7044). QBasisrov, if any, fot,other statutory exemption....................................................................................................._.._...._..............._........_................ .. .WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. -� X.................... �` `"`z '"" ��'�'t Date �U 1 DIRECTOR OF PUBLIC WORKS / .............. .................................... .......... ........................ ........... SIGNATURE OF PERMITTEE OR AGENT - B r ....................... Date �... i '2' ( y ......................!.. �....................... .... _.... Receipt No. y r r .w I PERMIT NO. 4948-80B,E i- PERMIT EXPIRES - h I OWNER Gus Gore t CONTR. Gus Gore & Sons, Inc., Durham !, e 39-46-35 ASSESSOR PARCEL LOCATION 2429 Durham Dayton Rd., Durham !!f 7 f S Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Servi,7cceewe_ 1'�I I 11 • JOB J I E[ Signature V = OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (.Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3, Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6, Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2, Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3, Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAIL (Single and Duplex) Date UNDERFLOOR Plans OK exce tN"s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. §Jacbo Mesh -Drip Screed-Fdn. VentS7UD6rflr. Access 7. Piers -Fireplace Ftg.-Steel . Glazing Area -Glass Protect ion-Sky l ts-Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G .1. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & $tel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. E Receptacles Spacing -Lights &Switches at Doors 70, Plb., Elec. & Mech. Equip. Listed for Location Siz Boxes & No. of Conductors -Stapled 71, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. o ex Installed Close to Edge of Studs & C.J. quip. Ground *made up w/Mech. Fasteners -Bond Gas & Water 7 733..2. Guard Rails &Deck Construction -Post Caps 25. 2ppliance Circuits i Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Subfeed Wire Size //j(7 ga or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exte for Elec. Trim; G.F.I. Receptacle -Underground Card B -I DateCard-BI Date 81, ntilation throughout House Card B -I Dale I Card -BI Date 83. Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Perrrit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, •Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Ws; Proper Material & Anchors Comments at Final: _ , "Walls; 38. Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 4 44. H ers-Post Caps -Anchors -Connectors_ Cing. Joist-Rftr. Ties-Purlin - Roof erac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire ion Framing -Protect (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTUENT OF PUBLIC WORKS E T N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIiT - AA ; _ ASSESSOR PRCE UMBER ZON NG r(L(/l% BUILDING PERT / (� O NE y� TELEPHONE SQ. FT. OCC. BUILDING VALUATION 7' OWNER'S MAILING ADDRESS C NTR AC TO R; OSN,—\d 0IJ5 N / C— US � TEL�PHO TRACTO 'S MA LIN DDRESS -O, ,S _ DUB �� CONSTRUCTION LEND UNKNOWN Fireplace Total Valuation $ `Vd LENDER'S MAILING ADDRESS Permit Fee $ /0-00 ARCHITECT OR ENGIWR LICENSE NO. Plan Checking Fee $ 0000 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permlt fee $ 90,00 Bu�rD RE251/ Cv �T f//5 /7 U�;`^ PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 �/ �VONAJ10 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ,—� SF l �,Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYVWORK New Addition ❑�� Remodellities Installation❑ kther❑ Describe work: ��t/�L44 //7" s - _ �G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee ��oo V OR Main service 80000 AMP ORSLESS 5.00 Main service EA. ADC -L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONIS. ( ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):. ©NON.RESID. I am licensee under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. end �j License No_32(L!/ Ll / Classification - v ❑ I, as the owner, or my employees with wages as their sole compen- sation, will co 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 NEWCONSTNON-RESIT R BRANCH CIRCTITS) 2.50 ea NEW CONST R. (POWER APPARATUS &) SINGLE OUTLET CIR. / 50 @ 250 Ex. Occup(OUTLETS OR FIXTURES BqL@10C FIXED APPLNS, OR 0 Ex. Occup.(0UTLETS (RESID,) EA.) 2.00 4`�i® Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n I have placed on file with the County of Butte Building Department 48� 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 becomesubject 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 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify andVkeeprmless the County of Butte against all liabilities,' gments, costs, ases which may in any way ac rue agai st said u ty in onsequ ceranting of this permit. X Date ,� licant - Owner ❑ Contractor N' Agent Signature ermp.p,01S An OSHA required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 tories in height. Mobile Home Installation Fee $ .Land Development Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP -?) TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE2T EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS /o --I —F /c-! — 8/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PiIK-INSPECTOR, GOLDENROD -APPLICANT Z.4-M,1t7.. . • +tr . �l•�F.046-0-035 91-3804 , GUS, R: MCHATTON ELEC 3 HOLLAND AVE, DURHAM GRND•ELEC/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATION :ANP PERMIT ASSESSOR PARCEL NUMBER 39:4645 ZONING BUILDING PERMIT OWNER GUS GORE .TELEPHONE 342-9258 SO: FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 6 DURHAM 95938 CONTRACTOORR'SA tNAAMM �E�,r /'� TELEPHONE CONTRACTOR'S MAILING ADDRESS 9 ARBOR DRIVE (SCO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9383HIOWND AVE DURHAM 95938 Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 i Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 4 Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [j Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I WE4 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiest] Installation ❑ Other ❑ Describe work: D.U.U.D. x Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 " Main service 600v OR LESS 200A OR LESS 18.50 Main service 20CATO 1000AI 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 Profession o e a'n�,�Tf}� license is in full f ce andAeffect. License .JO. Classification �V ❑ I, as the owner, or my employees with wages as heir 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 AD DNS. (ACC. BLDGS. / _37.50 3.64 sq.f[. NEWC CONSTR MULTI -OUTLET NON-RESIP BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 Ex. Occup. OUTLETS FIXED P(RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ (� — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating ` Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County/in consequence of the granting of this permit. X t`C Ln (tet `t Date 7 QC__f Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D RECTOR OF PUBLIC By PERMIT EXPIRES ate applicable provi- resolutions to do have been paid. WORKS Dat ele- L/:i:I /..- L r- S tt_ Receipt No. 100977 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-46'35 ZONING BUILDING PERMIT + OWNER GUS GORE TELEPHONE r% 342-9258 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 6 DURHAM 95938 CONTRACTOR'S NAME McHATTON ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS 9 ARBOR DRIVE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9383DURHAM 95938 Permit fee PermitAVE $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF q Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JWF @ 15.00 TYPE OF WORK New F, Addition El Remodel❑ Utilities Installation❑ Other ❑ Describe work: ' T1 11 _ IT _ 7 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession o e n license is in it f ce and effect. License .Jo. Classification 40 ❑ I, as the owner, or my employees with wages as heir 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 ADDNS. t ACC. BLDGS. 3.60sq.ft. NEW CONSTR. ULTI-OUTLET NO D• BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120976 qAL- 00 46 Ex. Occup. our OUTLETS PIRESI DIRE 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 15.00 E I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rr I have placed on file with the County of Butte Building Department �l 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 15.00 Heating Cooling g LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X' +( �� t = _ Z�� Date Signotura of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee Energy P $ occ CONST TYPE TOTAL FEE $ 30.00 I+Az OFEES IMP I FLOOD CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DJRECT OF PUBLIC By PE)PM XPIRE ate applicable provi- � resolutions to do have been paid. WORKS Datg/�-21 Receipt No. I nQ977 WNITE-D.P.W.. YELLOW-ASS(SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT - I . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PCE'_ NUMB R—r ZONING �i BUILDING PERMIT OWNER ELEPH0 E SO. FT. OCC. BUILDING VALUATION OWNER'S MAI SS CONTR CT 'S ME V TELEPHONE CO T AIT R'S MAILI G DDRES / �– v '� Fireplace CONSTRUCTION LENDER U KNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS` L Permit fee � PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK 77 New ❑ Addition LJ Remodel L' Utilitie Installation❑ Other ❑ Describe work: ���� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATOI000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑.RES 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 .Jo. Classification 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, I DWELLING OCCUP.9 OR ADONS. ACC. BLOCS. ) 3.6Q sq.ft. NEWCONSTR. ULTI.OUTLET NON I D-. BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) ISINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76d RA FIXED APLNS.I, Ex. Occup. OUTLETS (RESI D.)RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.00 6i z5r Permit Fee $ e22 I — 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 15.00 Heating Cooling Hood 6.50 I Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting,of this permit. X Date Slgnature of Applicant – Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr39sttories ineheightIons over 5'0" deep and demolition or construct• Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HA2 1 0FEES IMP I FLOOD I CDF PARCEL PD HD SSUE This permit is hereby issued under the si ons of the Butte County Code and/or work indicated above.for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �� - I �� WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION OAT& SHEET �' Permit No. OWNER t/C/�/�, ��% A. P. No. — h Proposed Building Usei Building Inspector Date At tirrxe of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. DATE RECEIVED APPROVED 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. Contractors license information (No., Name Style, Classifications .. . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner a, 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. M' ' to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other / 17 Applicant -LA Copy of Hdz-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---rnail_counter by .date Contractor, designer, owner, was advised of above required data by—phone—mail—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW h PERMIT NUMBER — B 1159-70 ?7: P 967-70 .i 1060-70 E l PERMIT EXPIRES � C2 — Gus Gore 14 4 OWNER owner ft CONTR: ,s LOCATION (A. P. 39-46-22 � ' s1w corner Durham Dayton Hwy. & Durham Nelson Rd., Durham t COUNTY OF'BUTTE _ t Department of Public Works BUILDING INSPECTION RECORD Zoning Setback _�r���o� �(o % Forms Foundation Piers & Girders Fireplace /� s 7 f Rgh. Plumbing , r 7,) Bond Beam �' '�� Lath & Plaster Rein. Steel Gas Piping & Test /l 7/ Found. Vents Framing 'pimg. Topout ^:7e Rough Elec. — "% Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents- /"'20 %Z• /C Sanitation & Water ELECTRIC GAS BUILDING Temporary 6� .�� �% TemporaryCert. of Occup.. Final Final Final DATE�/ REMARKS OR CORRECTIONS s� Y, j-Btsl / ah� Q�a ore i ,o'C a -'° COMN.TY MF BUTTE f DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phones 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner /`�/ ---+p-�r-'1--- '— Mailing Address r _ _ A. P. No. Fire Zone _ Zoning Contractor / Sanitation f, Plannin Mailing Address . Plans -N Fees r W.C. BLDG. Address R W Encroachment NEW Q ADDITION REPAIRS D OTHER D Others Single Multi USE OF STRUCTURE Family [] Duplex � Dwelling Others F O U N D A T 10 N MATERIAL EXTERIOR PIERS Width at Top _ Width at Bottom Depth in Ground J S0. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN C Girders ' - T 'joists - 1st Floor Joists- 2nd Floor Fireplace r_ G J Joists - Ceiling Total Valuation / Exterior Sttids Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee =_ Bearing Walls tiUR I RAGTOR5 LICENSE LAW " A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name style of........... -4 ./61-f E1I `'0. . ...... .. .................................................................................... License No. ��� „x Classification .PJ. ......I and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Q Basis, if any, for other statutory exemption ...................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. . 11 X.........................'..... ...........:........................ Date ...... .................,�. SIGNATURE OF PERMITTEE OR AGENT Receipt No,,,,,,,,,,,,,, •' r ..............'............................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date .... Permit Expires Date,,,,,,,,,,,,,,,,,, MINTY'OF BUTTE / J DEPARTMENT OF' PUBLIC WORKS r;6 7 County Center Drive - Oroville, California 95965 Phones 533-1230, Ext. 259 APPLICATION AND PLUMBING PERMIT Permittee Owner r-' A.P. No. Mailing Address +� �% ._� // i✓ �,,.�' ,C't�rr�...-✓ Contractor Mailing Address BLDG. Address +%/ —�/,� _ �_�c.• �r /rx���.�_„o,r�, i CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed � under the .�prrooviisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof ...l:i�" _....::! .`.............�..�.�x�.............................................................................................................................................................. j License No.��,�„�„51 � .J3..., Classification..... R... / and certify that the aforesaid license is in full force and effect. S. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption .......................... _.................................................................................................................................... .: ................................................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. x ,Q, _ J� �"C Date .C,� �/J ...... ..... SIGNATURE OF PERMITTEE OR AGENT Receipt No. ..... ."i`"/ 1.. ... .....�.......................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS t y� BY.................................... /.�. �,/ Date .. T....................... V DESCRIPTION OF WORK NEW ADDITION REPAIRS OTHERS: Remarks: PERMIT FILING FEE No. @ Fee $2.00 Each fixture or trap or set of fixtures on one trap 1.50 } Repair or alteration drainage or vent piping 1.50 Installation or repair water piping v 1.50 Each gas water heater or gas heater vent` �r 1.50 ? USE OF STRUCTURE Single Multi RESIDENTIAL Family �� Duplex [D Dwelling ED OTHERS: Remarks: Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE $ �,:' s� ��'J CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed � under the .�prrooviisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof ...l:i�" _....::! .`.............�..�.�x�.............................................................................................................................................................. j License No.��,�„�„51 � .J3..., Classification..... R... / and certify that the aforesaid license is in full force and effect. S. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption .......................... _.................................................................................................................................... .: ................................................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. x ,Q, _ J� �"C Date .C,� �/J ...... ..... SIGNATURE OF PERMITTEE OR AGENT Receipt No. ..... ."i`"/ 1.. ... .....�.......................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS t y� BY.................................... /.�. �,/ Date .. T....................... V 71 • -r �tN�KA W�t"�rs.4µ b! , t COUNSY . OF, BUTTE 0 DEPART�,ALN'T 70F PUBLIC WORKS 7 `U/r1 U � / 7 County Center Drive - Oroville, California 95%5 / lJ PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT (� Permittee Owner I"—�L+r�te r �•^'� _ A. P. No. 3 / ..'. Mailing Address -Contractor Mailine Address BLDG. Addre/ss/J-' / /_,%,/�//. DESCRIPTION OF WORK NEW �� ADDITION F-1 METER SERVICE 4 OTHERS: Remarks: = PERMIT FILING FEE No. Fee .- $2.00 -61_ `a) Supplementary Filing Fee 1.00 Main Service O� `— (12 Sub -panel less) (more than a.. Each Range, Dr Water Heater.. Each L00 a Zj Oven, Cook -Top or Space Heater Each ,..50 Light Futures g First 2D 20 Each Additional .10 60 USE OF STRUCTURE Single Multi Family �� Duplex 0 Dwelling 0 OTHERS: Remarks: -7 /_2, /� Rece tacles„ Switches & Fixture'Outlets /41-/ First 20 .20 Each Additional .10 4"0 — Hb�o`d, Exhaust Fan or F.A. Furn. Motor i Each .50 Ate.• s- Evap. Cooler, Gar. Disp. or Dishwasher Z Each .50 Ai�Conditione�or Heat Pump `__ --- Water Pum Misc. Wiring " iJ (J' O 0 TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensedounder the provisions of Chapter 9, Div. 3, of the State of California Business tit Professions Code under the name styleof..........................................................................._`:5............................................................... .. . ........................... License No. A -3 , Classification , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} 0 I am, the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, foLother statutory exemption....................................................................................................._........_............._ ........._.. ........».. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. DIRECTOR OF PUBLIC WORKS K .... ......................................... ................ Date70 � SIGNATURE OF PERMITTEE OR AGENT �j 157, B....................�".............................-::`.. Date .................................. Receipt No ............................. 039-46=0-035 ° 93-3711 B rGORE, GUS & 'ANITA `2429 DURHAM DAYTON, + DURHAM REROOF/SF I� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION / )7 County Center Drive - Oroville;, California 95965 - Telephone (916Y 538-7541 PERMIT NO. APPLICAT N AND PERMIT ASSESSOR PARCEL NUMBER 039-460-035 ZONING R-1 BUILDING PERMIT OWNER =. Gus & Anitare TELEPHONE 342-9258 SQ. FT. OCC. BUILDING VALUATION 45 @60 2,700.00 OWNER'S MAILING ADDRESS P.O. 360, Durham 95938 CONTRACTOR'S NAME Gus Gore & Sons TELEPHONE 342-9258 CONTRACTOR'S MAILING ADDRESS n Nrham 95)(11 -IR Fireplace NS7.. GTAO - UNKNOWN Total Valuation $ 2,700.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 74.44 2429 Durham Dayton Rd., Durham PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF417 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Cy' Describe Work: Reroof W/ Metal PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 610VORLESS 23.00 2o0A OR LESS Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SQ. ORADONS. ( 8 ACC. BLDS. 3.50 FT. CONTRACTORS LICENSE LAW ecTLET I dare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No'��/./ ' j Classification .� - I ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I 7.50 ( POWER APPARATUS ' & SINGLE OU CIR. Ex. Occup. ( OUTLET OR FIXTURES' BA20 @ 1.000 Ex. Occu FIXED APPLNS. OR p- (OUTLETS IRESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): �❑ This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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,�osts, and expenses which may in any way accrue against said Countyyconsequ rSce of the gran m/g,00 this permit. X/�� `, Date �� ��~'� Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC c"" TYPE TOTAL FEE $ -14.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC y WORKS/ B /l`f� Y ' Date ftIl6'l I /q — / / ' PERMIT EXPIRES ON 4"I`, /T ' (Dare) Receipt No. 153709 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION -PERMIT ASSESSOR PARCEL NUMBER 039-460-035 ZONING BUILDING PERMIT OWNER Gus & Anita Gore TELEPHONE 342-9258 SO, Fr. OCC. BUILDING VALUATI N - OWNER'S MAILING ADDRESS P-0. 130x 360, Thirham 95938 45 @60 2,700.00 CONTRACTOR'S NAME Gus Gore & Sons TELEPHONE 342-9258 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2,700.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 74.00 2429 Durham Dayton Rd., Durham PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF XK Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ClInstallation 1:1Other CK Describe Work: Reroof w/ Metal PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) so. 3.50 FT. CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. / - License NQ— i Classification .� — ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .60 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Oe ❑phis permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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, judgm , osts, and expenses hich may in any way accrue against said County i sequ ce c the gra this permit. X Date 1�- �� Jr� Signature Applicant - ❑ Own Cr Contractor ❑ Agent An OfA permit is requir for excavations over 5"0" deep and demolition or cons ruction of structures orwer 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORK;,,tll Date Ar / / (Da re)' Receipt No. ; 5'17()A WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT #[,'1"'[.""'KL'--\'1.'1-'-,yt"Y�.y..•.��v.+l�+l"(1+�r1'�.; �..r,. COUNTYOF BUTTE - DfPAIRTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C✓IFA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. -3 Proposed Building Used, v - 0a Inspector Date At time 71711 plication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY tems have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . to Bui ding Ins re for ' 20. Pre -inspection for required. .. t� Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. ...:..................................... 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ..................... 1 .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. .... ................................. . 32. Plan check list . ..................................................... T 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. r Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other - Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ,3Z, -J' A. )Xtc� ArAlio 73