HomeMy WebLinkAbout039-470-009Dennis Jacobs .. -- -----_ .
n/s.Cosby Ave at east end, Chico
4
Permit 171-70B • �- ,. .. -
(new single family)
039-470-009 •' PERMIT#98=0652.-
JACOBS;° Derinis;..: r;,;� "#' fir_ `~ i 039-�47-0-009
"� DENNIS *M JACOBS �
3654.' Cosbyhico 124,' '
Ave.• � ►.
Cont� Valley=Electric. ���r, ti 3654 Cosby Avenue, rChico. ��•.--� _
Eie Ser;'.Cti/SF +� , �, "' u Permit#93-124A A ric_ultural ~ Bldg . E•xP_
machinery storage and maint—
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039-470=009 PERMIT08-0652• *�
JACOBS; Dennis.
3654 Cosby Aver. Chico
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT q � - o ('5a..
As 1377 Hell—Wy
-L'
ZONINGU.J
BUILDING PERMIT
OWNER`/•
aennis Jacobs
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Dw30W'06"'Ns AVE, CICO
COUM "Umic
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
•
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee $
%j �(J �qjp,
BU116SZDREWSBY AVE, CHICO
366
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF}(❑ Duplex ❑ Mobilehome ❑ Other
sPECIr
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.001
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)b
Describe Work: ELFC, SER CH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home. ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
a00V OR LESS
Main Service 2ooA OR LESS
23.00 3.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class %qa y 24P-3
—�® Lic. No.
OWNER -BUILDER D CLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200ATO I000A
46.00
NEW CONST. DWELLINGOCCUP.
EL
OR ADDNS. ( d ACC. BLOS.
SO
3.50FT.
NEW N
NON-RESCOID.SMULTI I-OUTLETTS
@7.50
EL APPARATus
a SINGLE OUTLET CSI R.
Ex. Occup. OUTLET OR FIXTURES
®I.00
BAL 50
Ex. Occup. O`FtITXE T. R SISIp OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSP
t3.00
PERMIT FEE $
06.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier-sTi}T� f� N 3)PERMIT
Policy Number Coll -y P 3* X72 L, IV I T t- Y7) ^ _S 94FJJ
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith complvwith those provisions.
X; i % L Date
Sig a e of Applicant - ❑ Owner ;I Contractor XI Agen--
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
FEE $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE 65.00❑
TOTAL FEE $
�.
HAZ.
p -FEES IMP
I FLOOD
I CDF
PARCEL PD
I HD
IS
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.
i
�/ y
By / "" pate
PERMIT EXPIRES ON
Date
Receipt No. `
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Tran
smittal Sheet
1
Owner's Name: �Qf7/7�.5 �?% �D�.S _ Date: 5�
A. P. #: DJa�/ , �%� �� Permit #:
Transmitted Documents:
❑ Approved Plans
❑ Approved Plans with remaining items on Permit Application Data Sheet.
❑ Plans to pickup for corrections and revisions.
❑ Building Division A.P. File. Please return to the ,Oroville office within three (3) business days.
❑ Other:
Process as Follows:
❑ Call and hold for pickup at the ❑ Chico Office
❑ Permit applicant has been called. Hold for pickup at the ❑ Chico Office
❑ Deliver with next inspection.
Remarks:
' ,COUNTX OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
NOTICE
Post this job card In a safe conspicuous place. Do not
remove until all required inspections are made and
building is approved for occupancy. Plans must be
available on the job site.
X -F06-470-00 9, PERMIT# 98=0653 2
04,4ACOBS; Derinisf,
CYC6fit--,.Valley—Elbctric
P I ,EleiSer Ch/SF. 2,'
PERMITTEE MUST CALL
FOR INSPECTIONS
Footings
Piers
Underground Conduit
Pre-Gunite
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
Rough Plumbing
Rough Electrical
'Rough Mechanical
Framing
Shower Pan
.. .. .... ..
...........
Do:Nat.Insulate: Until
Insulation
Footing
Throat
.P::.Fire*p 1a;*::.U.
bTUCCO Lain
Scratch and Brown
. . . ......... ..Do
Cdv6r;Uhtil*Abov'e***:Signed
",":::-.:;::":,,*,::":"'*'::':":"::'
Sewer Service
Water Service
Pool Final
Plumbing Final
Electrical Final
Mechanical Final
Buildinq or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILE HOME
IS APPROVED FOR OCCUPANCY
Addresses Information'
Oroville 7 County Center Dr. 538-7541 538-7636
Chico 1469 Humboldt Rd. 891-2751 891-2834
Revised 7/94
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
FOR YOUR CONVENIENCE
USE THIS CARD WHEN CALLING FOR INSPECTION
24 HOUR INSPECTION REQUEST SERVICE
PHONE NUMBERS: Oroville Office: 538-7636
Chico Office: 891-2834
(Lines will be out of service 7:30 A.M. to 8:00 A.M.)
Please write down your information prior to calling this number. Speak slowly and
clearly. Sequence of information required to make inspection request:
Building Permit #9g'—'Q�
Owner's Nam
Job Location
• Type of Inspection Wanted
tom, Date Inspection Wanted
PLEASE USE THIS SERVICE FOR ALL INSPECTION REQUESTS
For other business contact: Oroville Office - 538-7541 (Mon-Thurs, 8:00-4:00)
Chico Office - 891-2751 (Mon-Thurs, 8:00-12:00 & 1:00-4:00)
NAME
ADDRESS
BUTTE
'3��'-� &15010
a
COUNTY
—;5�4 � If— e � /lf /9,!!
PLEASE POST THIS IDENTIFICATION CARD IN A
CONSPICUOUS PLACE AND VISIBLE FROM THE ROAD
12/2/90 A.P.N. z 3 9-- 1' - e -/)D 2
� 1
COUNTY OF BUTTE- DEPARTMENT OF OEVELOPM ENT SERVICES - BUILDING DIVISION
o, . 7, County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT . "Mins -
/SS630, 74L MgER_ _
u CLA-�_YVS�_`�fN"9A7
ZONING
BUILDING PERMIT
OWIJ€���9 ���'rQ�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW(.�7ER'��IUNW`7iJi SAVE. CHICO
COV�OW&MRI `
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
eul�D��AsDR sF�5MY AVE, CHICa
..33����ii tt,,VV��lISS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFX❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other]
Describe Work: EL>E;C SER CH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
000vOR LESS
Main Service 2ooAORLEss
23.00 3.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class e' — j'> Lic. No. y/,Z U 7 61
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
] I have and will maintain workers' compensation insurance, as required by Section
f 3700 of the Labor Code, for the performance of work for which this permit is issued.
t( My workers' compensation insurance carrier and policy number are:
Carrier "-"]3} r ft-; rl 3!)—
1 Policy Number 4ri P 1t /">j{ — 9y�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Xy l % _ Date _ 1VAIR
tiSig natGe of Applicant - ❑ Owner A Contractor R Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR SO
OR ADDNS. ( 8 ACC. BLDS. 3.52FT.
NEW S.
NON -R SIIDT MULTI -OUTLET @7,50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FI TURES
214 1.00
BAu @ .so
P
Ex. Occup. p„TEI gES,15.) EA. 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PRE jNSp 23.00
PERMIT FEE _ ���
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE W
TOTAL FEE $ O6V,00
HAz.
D FEES IMP
I FLOOD
I CDF
PARCEL
PD
This permit is hereby issued under
of the Butte County Code and/or
indicated.above for which fees have
lwDate
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
!j
(Date)+
Receipt No.
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 - Orwille, California 95965 - Telephone (916) 538-7541Q PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 1 9_o,L—a
ASSV!ffl19C ."�"'8�09 ,
L� / U U
ZON1N°
BUILDINGPERMIT 0
OWNAR
c�ennis jacobs
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Ow'
TOTMAT AVE, CHICO
CO VALLEY ELECTRIC
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
3654 COSBY AVE, CHICO
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFk3 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )p
Describe Work: FT.Fr RF.R CH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoonoa'ss
23-0023.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
�L.,% /� s
License Class Lic. No. �- 7 !
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING .OUDS.
OR ADDNS. ( a ACC. BUDS.
So
3.50 so
NEW CONST. MULTI -OUTLET
NON-RESID. C C',
I cul
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES
zo p 1.00
sAL p .50
Ex. Occu . ouxTLEEDTS 1.Eso�eA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier i T eu N\
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number :2, )? L)tq 13 (Ya/7 --
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' pe ation provisions of section 3700 of the Labor Code, I shall
fort Ith comply ith those provisions.
X Date _
of Applicant - ❑ Owner � Contractor V Agen
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
CONST. TYPE
TOTAL FEE $ 66.00
HA2.
D. FEES IMP
I FLOOD
CDF
PARCEL
PO
I HD
ISS
This permit is hereby issued under the applicable provisions
of theutte County IFode and/or Resolutions to do work
indi tWbo ich fees have been paid.
/� r�An
` � �� 9 2r
By ate/
PERMIT EXPIRES ON
Date
Receipt No. 236491
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 - OR:LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: A ' S I ASSESSOR PARC ER:
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advis d the following data must be submitted prior to permit p cess g and/or issuance:
111. All items have been submitted.
02. Plot plans, 3/4 sets, signed by the preparer of plans.
03. Complete plans, 3/4 sets, signed by the preparer of plans.
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
❑ 6. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form.
1:19. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $
❑ 11. Impact fees as shown on the attached schedule.
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, Cl Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for dri w_ay (construction ap oval prior to occupancy).
6720. Pre -inspection for ��, / ,d,Lr, �� required.
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number.
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑24. Letter of signature authorization.
025. Recorded copy of Agricultural Acknowledgment Statement.
1126. Letter of intent on building use.
1127. Manufactured Home utility clearance.
028. Existing violations and/or expired permits.
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor.
Telephone � W and hold for pickup at ft. 0t uce. ❑ Deliver with inspector.
Applicant: Date:
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year'after date of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
CO- ` T` .,, OF BUTTE- DEPARTMENT OF VELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROSLE, &ALIFORNIA 95965 - TELEPHONE (916) 538-7541 .
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSORPARC ER:
Proposed Building Use: Building Inspector: Date: G'
At time -of permit application, I was advis t e following datamust be submitted prior to permit p ess g and/or issuance:
—.0950 � Date Received By
❑ 1. All items have been submitted .-------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans, --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings, ---------------------------------------------------------
08. Hazardous Material Form- ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees, ----------------------------------------- =---------------
1113.
--------------
❑13. Flood elevation certificate. ----------------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
{ ❑ 16. Plot plan and business license approval from the City of Biggs, ----------------------------------------------
❑ 17.,Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driv w/�f.�ay (construction app oval prior to occupancy). ---------=
�------------------
Pre -inspection for �% �/ /C - �'required Request to Building Inspector on `� �' (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------,------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑ 26. Letter of intent on building use, -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
E130.
--------------
❑30. Other: -----
Wh you issue the ermit, process as follows ❑ Mail to owner, ❑Mail to contractor'
l,
1nAand hold for pickup at �� f9y �`�ce. ❑ Deliver with inspector.
Applicant: Date: ,
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: 11 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail,❑ Building Division counter, by Date: t
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building`Division'counter; by Date:"
Plans reviewed by: Date: Plans approved by: Date: '..
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. N&& -transfer by: Date:
Yellow Copy - Department of Development Services, Building Divisi'bii ,:
1'
a.
PERMIT NUMBER _ B 171-70
q
P 139-70
y
E
PERMIT EXPIRES
OWNER Dennis Jacobs
# CONTR: owner
1
LOCATION (A.P. 39-17-32 ,
n/s Cosby Ave. at east end; Chico
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COUNTY OF BUTTE'
Department of Public. Works
BUILDING INSPECTION RECORD
Zoning — "/ y Setback C7 Cy-� �%� Forms 40X"' V-._/ !;�'' -7 0
Foundation og-& i% - -6 Piers & Girders 04C E- -'`/ Fireplace
Rgh. Plumbing ?6 Bond Beam Lath & Plaster,
0,4Z<-1-17
Rein. Steel --�2 d) Gas Piping & Test Found. Vents
Framing Pimg. Topout AAgC 7-S, — ? > Rough Elea A94e % n
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary �'-�S�" % Ci 6�yTemporary Cert. of Occup..
Final Final Final
DATE REMARKS OR CORRECTIONS
41
0OUNrY OF BUTTE --_---_- -- _�_!-'
DEPARTMENT OF PUBLIC WORKS fL ,'
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
A P PLICATION AND BUILDING PERMIT
j
Permittee Owner '!r.' •' M' " ' �' A. P._ No. r / _
Mailing Address 'l��f ms's:- ;'r % 4r _� t: t" �- "' Zoning '^-� Sanicacion� 1r
Contractor _-r'� �-�-✓� Plans Fees'' IW.,C.
Mailing Address Planning, r ID.P.W.
BLDG. Address i�-~ L t• .✓' t� .. �<✓, .� �,.C: 'f r.
NEWE''_' ADDITION REPAIRS OTHER
Others
SingleMulti
USE OF STRUCTURE Family"''.- Duplex Dwelling
Others
SQ. FT. OCC.
f
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
BUILDING
MATERIAL
Width at Top
Width at Bottom
Depth in Ground
R.W. PLATE (Sill)
Girders
C 0
joists- 1st Floor
Joists- 2nd Floor
Joists -Ceiling
Exterior Studs
Interior Studs
Roof Rafters
FOUNDATION
EXTERIOR PIERS
SIZE I SPACING I SPAN
Total Permit Fee I �% U 3 I Bearing Walls
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
styleof .......................................................... :.............................................................................................................................................................. :......................
License No . ........................... Classification,,,,,,,,,,,,,,,,,,,„,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
1 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).
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 to all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes. 1
... .:1. r;r f.. :.. ate ” ......... �..... %r7
. . ...... ...... ..... ......
SIGNATURE OF PERMITTEE OR AGENT
LZ
Receipt No..... .`1....:...::�..�:'.................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
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By .............................t.— Date
Permit Expires Date ,,,,,,,J,,,,•,;,;;,,,,,,,,,,,, ,
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COUNTY OF BUTTE
�,- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
A P P L ICATION AND PLUMB I N G P E R M I T
lx
Permittee Owner A.P. No
Mailing Address
Contractor
Mailing Address
BLDG. Address ' fid'
DESCRIPTION OF WORK No, @ Fee
NEW �� ADDITION REPAIRS PERMIT FILING FEE 62.00
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 Duplex Dwelling ED Gas piping 6 or more - Each .30
House Sewer 5.00
OTHERS: Lawn Sprinkler system 2.00
Remarks:
TOTAL FEE b
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
styleof................................................................................................................................................................................................................................................ f
License No. 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):
°F-� I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
Q�( 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).
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 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.... �y{�✓%(Z;TY�� Date
.... .................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo. ................. .! zh. ..............................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
BY. Date.a.
`'>
.....:... ......... ... ..............................................
COdJNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS �v
7 County Center Drive - Oroville, California 95965
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT 7�-- `lo J
Permittee Owner `!C [�� v��Q / �=�C� V—�.c✓ A
Mailing Address 1411,1
Contractor
Mailin¢ Address
BLDG. Address
DESCRIPTION OF WORK
NEW F --j ADDITION F-1 METER SERVICE
OTHERS: / �� /
/
Remarks:
PERMIT FILING FEE
No.
Fee
52.00
2 •
SCJ
Supplementary Filing Fee
1.00
Main Service
S
Sub Panel (12 or (more an
less) )
Each
J Q
Range, Dryer or Watet,Heater_
Each L00
/
00
Oven, Cook -Top or Space Heater
Each :_.50
Light Fixtures
First 20 .20
Each Additional .10
_
Single
Family
OTHERS:
USE OF STRUCTURE"
' Multi
Q Duplex Dwelling Q
Receptacles., Switches & Fixture Outlets
First 20
Each Additional
20
.10
Q Q
Hood, Exhaust Fan or F.A. Furor Motor
Each .50
Evap. Cooler, Gar. Disp. or Dishwasher
Each .50
Air Conditioner or Heat Pump
Water Pum
Misc. Wiring
O
Remarks:
TOTAL FEE 1,/ /Z
00
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
styleof............................................................................... _......................................................................................................._..................................................
License No. Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER 8r 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.
ti 0' (Sec. 7044).
Fe --,I, 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).
0 Basis, if any, fosother 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-
sentetives 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
7{....^ .:. /i� ✓1:......��................/............t......v......... Date /
SIGNATURE OF PERMITTEE OR AGENT r/Q Q
By��.....�G.............................................. Date �..............,...........
Receipt No. . J A�% v,
Pt0/�/�'fi9�lC'� 07` T�/e Gf/OG�.E
TO 4Ge�WeZh
fid% Pc
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BUILDING DIVISION= .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural'building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock,.or other horticultural products. This structure shall not be a place of human , `p
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a -
place used by the public.
ASSESSOR PARCEL NO. �� _
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7� '1
ZONING
OWNER
�e.��vrs Jas
PHONE NO. ,
OWNER'S ADDRESS
LOCATION OF BUILDING s
�S
USE OF BUILDING
SIZE OF STRUCTURE ,
v
X
SO. FT.
TYPE OF CONSTRUCTION:
.
WOOD FRAME STEEL
CONCRETE
OTHER (Specify)
TYPE OF S ING
" -
ROOF C VE ING
-5
FLOOR TYPE
Do v
ESTIMATED COST OF CONSTRUCTION
$ °
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as.follows:"'
S
FRONT
SIDES
REAR
AG Buildings'shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from •a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building. r .
AG Buildings greater than 1000 sgAt. in floor area shall be located a minimum of 2.3 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply ith the requirements in effec at that b a and before
occupancy. '
Date 7^ Signature of Owner
Permit Fee - $60.00 The above described AG Building is exempt from a�/ilding permit.
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7 p / FLOOD PARC P.D ROOF) G ISSN
Receipt No. %✓ C3 f/ �/
,i Manager Building Division
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —'Applicant
'.vr"('l"�.-r��""'v-`""'('`�"�`'"'i"a��'�'�'`'ti'4� ��r's"y-A'�s1.5(L^�=-�'r1.e�aFei�.�`1F7ftii'� Jjk"F'� . ��lJ•^�"'�•ti�v�C.,""`!""rt".M1''-., .: ,�v--'S-o-.-s . y
x COUNTYOF BUTTE - DEPARTMENT?OF DEVELOP �N§SERVICES - BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER �N r�/ i I / ", �G�4S W.P.
No. J %c Y7
� /,Sc ciG�5
Proposed Building Use s �► e g ' Building Inspector � Date -2 Z � �
At timeof peit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1, All items 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/fee's. ....................... .
13. Flood elevation letter (100 year flood) by California;Engineer. ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .............. r. M .... i
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). .. .. .
20. Pre -inspection for required. .. o s�°� �9 �aveaa� (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 . .....................:........... ........
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 . .....................................................
33.
34.
When you issue the permit, process as follows: . Mail to owner. Mail to contractor.
Telephone and hold for pickup at t office. Deliver with inspector.
Other ,
Parcel Creation 7 `
Acreage Applicant / Date /
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution DAW
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
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