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HomeMy WebLinkAbout039-560-002059-5Co0-- EDMUND LEICHTER NIS pri rd, 15001W Rose, Chico I Permit#1757-86E(ele ser ch)SF 39-56-02 92=1209B LEICHTER, Ed, 2295 Santa Clara Ave, Chico cont: Nelsen Const new windows/sfs 93 039-560-002 03- 4"r- LEICHTER, 3" LEICHTER, RUTH ANAL 2291 SANTA CLARA AVE, CHI Cont: ROLAND FLETCHER C/O ELECTRIC SERVICE 039-560-002 03-3073 LEICHTER, RUTH 2291 SANTA CLARA AVE, CHICO CONT: N/A REPLACEWTRHEATER&FURN s 'tA -1 v �39-5 3-3073 LEICHTEk, RUTH V, 2291 SANTA CLARA AVE, CHICO CONT: N/A REPLACEWTRHEATER&FURN 4 • - '° COUNTY 60 BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONS 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 , /E IIT NO. (Rev. 12/96) APPLICATION AND PERMIT Jfl✓✓ ASS ESSO R PARCEL NUMBER 21 ' �, " - I 1r- _ - "- r) ZONING BUILDING PERMIT OWNER . TELEPHONE 1 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' CO RA OR'S 'NAME 7HO CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ - ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2291 SNaA Q" AVE, all,100 Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WATER HEATER & WALL FUMCE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ i ELECTRICAL PERMIT Fling Fee 20.00 a00OR LE Main Service 20.A VOR LESS 23.00 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 460-a License Class Lic. No. OWNER -BUILDER DECLARATION 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. Q, 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELIJNG OCS. SO OR ADDNS. ( a Acc. BIDS. 3.5¢Fr. 1Npµq�lp. MULTBRANCI.OUTLET 97.50 APPARATUs SINGLE OUTLET cIR. su @ ,.50 EX. OCCU OUTLET ORFDRURES B20 00 Ex. Occup. Dunces aslD °Ew1 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation W FUMCE 15.00 PERMIT FEE s 35 00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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. X %. *` i ^� Date / ... (Li Signature of Ap licant - ❑Owner ❑ Contra`cto AgentAn OSHA permit is required for excavations 5'0"dee and de n or construction of structurs vvet'3 ss �I e�igh + p - Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP FLOOD _CD_ F HD ISS - THIS permit is hereby issued under the applicable provisions of the'Butte�County Cod and/or Resolutions to do work Indic te'd a +off which fees have been pa' l / l By r �b to PERMIT EXPIRES ON \ i Dete Receipt No. 1 �_) �. f� 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, Galifornia 95965 • Telephone (530) 538-754103,30,73 (Rev.12/96) APPLICATION AND PERMIT ASSESS RPARC NUMB ZONING BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILrht AD RESS CO CTORS 44AVE HOW 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 $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15-66 1 9 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WATER HEATER & WALL FURNACE Gas piping syste!2 1 - 5 outlets -no 15.00 Building sewer 15.00 Mobile Home IS I GI @20.00 PERMIT FEES ELECTRICAL PERMIT Fling Fee 20.00 OR LE Main Service . OR LESS 23.00 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 Lic. No. OWNER -BUILDER DECLARATION 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 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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. �/ 4 ,(") .� Date J y v� Ap licant - ❑ ner ❑ Cotrad-Ror AgentSHA permit is required for excavation60" deep and de n or construction ructures I t Receipt No. Main Service TO 46.00 CU00A NEW CONST. DWELLING OCCUP. SO W: OR ADONIS. ( a ACC. BLDS. 3.50FT. Ip"q�,p MULTI.OUTLETU. @7.50 POWER APPARATUS a SINGLE OUREr CIR. Ex. OCCu OUTLET OR FIXTURES j 20 @ I'50 SAL @ .30 Ex. Occup. ..E' B,=-.DERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation GAS FURNACE 119.00 PERMIT FEE S Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 70.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD I HD I ISS yt ermR is reby issued under the applicable provisions of the uttunty Cod and/or Resolutions to do work indic to ov ch ees have been paj'� ( L O By to PERMIT EXPIRES ON Date WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permii' will be issued until this verification is received. ('11), personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO RL HAVE W HAVE NOT ❑ signed an application for a building permit for the proposed work, I have contracted with the following person (firm) to provide the proposed construction. NAME: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portionsof this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE. Thu Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER M OWNER BUILDER INFORMATION i Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply If you plan to do your own work; with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wodcers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific khmration about your obligations Tinder Federal Law, contact the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retmmed. �� py j C. v n a, C.B.O. BTnldng Inspection NOTE. ?leis Owner -Builder rnformadon is required by Seddon 19830 of the California Health mrd Safely Code. PRE -INSPECTION REPORT OWNER LOCATION: 1? 91 CONTR.ACTOR:--?,,4A PRE-11METION DATE TO BuDding Descrlpdon: c mmaysaWsage: ResidmdW# of Units:__. C=Mtly Oxupied Electric: G&s: AbandonedNa=t Yes_ � N Condition of Electric l . PERMIT HISTORY:( )NONE K) AS BUMDMG WSPECIOR'S REPORT Electric currently, Oa Off DATE: �L-(3- j A.P. Xj ZONING: Natural � Propane None___ Currently Oa /Off Obvious Problems. Ssnkstion: Plumbing Working( Well Wori iaA Potable Water T GS Obvious SewageProblems _ ►� o^ic ACTION RECOMMENDED: ISSUE: HOLD FORy 9 C?A. "-, 1 -mac --G �-..) Inspector: Date Sketch buildings on reverse and indicate location on proper IWO. Od . f Lo /1) COUNTY OF BUTTE BUILDING DIVISION Ij DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street- Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 4 OWNER PERMIT NO. r ,d �nl 39- S60 - oo . i k A routine inspection indicates that the following violations of butte county Ordinances exist at the r above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. S I I ft.) 2J,& f' L -LA ) L/ -� r roe eded f Date i, REV 10/92 �r �:• f W— .f 2' 'V2) ] 2) Inspector - a r 39-56-02 92-1209B LEICHTER, Ed 2295 Santa Clara Ave, Chico cont: Nelsen Const new windows/sf i Twar 1 I l v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N Vv J 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .t ASSESSOR PARCEL 4( 00, ��,yq� .) � 9 -S l/.� V(/ ZONIKt(a}„' BUILDING PERMIT _ OWNER - dt Ve , , , Thi EPHON SQ. FT. OCC. BUILDING VALUATION I OW �,E Rp'S�M�",�1I LING � �7.���� . µ=T.1�RA t6C('R' TELEPHONE 'Va C N�[JT I TOR'S (LING AD RES - 0- Fireplace CONSTRUCT N `LENDER �° � 1 UNKNOWN Total Valuation $ V I L Filing 9 Fee $ IU *&.m LENDER'S MAID IgDD S �1 1 Permit Fee $ l ARCHITECT OR ENGINEER LICENSE NO. f Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j /� y 1 r Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap, ! 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE iGas SFn Duplex❑ Mobilehome❑ Other SPECIFY piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W M.00 ea TYPE OF WORK NeW Addition[:] Remodel[] Utilities[] Installation❑ Other Describe work: r _ (,1A �/L ------ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ I Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): a 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 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a) yzQsgft OR ADONS. ACC. BLDGS. NEW CONSTR. U TI.OUTLET 2,50 ea NO N.RESID .BRA C CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 0030 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ( Misc. Wiring 15.00 g I I Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a-1 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 shal I be deemed revoked. MECHANICAL PE MIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also 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__ Crl� �y.7 �✓' =-- Date J <i — & Signature of Applicant — Owner❑✓ Controctor ❑ '-Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ C U 1 OCCUP, CONST.TYP! SCHOOL FLOOD PARCEL PV ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTOR-OV PUBLIC/WORKS / BY k,4'11 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 41 Receipt No. ,41� WHIT!-D.P.W., TLLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT MW �' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AS O ARCEL NU R -D zoNIN i BUILDING PERMIT OWNER UAIRE i�EP±j�! ^ 110 _j lU SO. FT. OCC. BUILDING VALUATION' O WJQE�'$�M ILI R SS ^. 't%1r' •/� �(/J�1 �(R,/J-`/'act `ljL.r v � T L Pi N E S 11 {�T, F�. TO NG AO S (vJt1f"yt Fireplace CONSTRUCT N ENDER UNKNOWN Total Valuation 1 $ / Filing Fee $ ,%+e-00Permit LENDER'S AIL S Fee $ L "6 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK Ne Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 1/21- j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Maln service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EQ -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. �S C(n ` Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ADDNS. ACC. BLDGS. /2¢sq ft NEW CONSTR TI.OU LET 2.50 ea NON-RESID .BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. zoesoe EX. Occup OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETSPIRESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Yirin 15.00 9 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. gj,-rshall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in consequence of the granting of this permit. X Date � Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL I PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi d above for which IREC PUBL By PE EXPIRES Date the applicable provi- resolutions to do fee have been paid. ORKS Q Date 6 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I�. 7 _ -✓'_!' .. . r' � ,� . 1' •4.: , � ..�'��;,rCry. r t * . z..F .. � '� ;,�' r �l�.f.-. � .;fit `,at" 'r r aj DC 5a w rt I s i OFFICE COPY ]]]' Addresses �. O . i � GAS Meter By Date ELECTRIC Meter ByDate�j�/ .y y OFFICE COPY t Address t GAS Meter By Date ELECTRI Meter By Date r• -' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. " 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / i ';� f. /;/ '/x APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER --, a_. �j--. ZONING /0 BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r. C CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S' MAILING ADDRESS Fireplace CONSTRUCTION LENDER i "4p UNKNOWN d Total Valuation $ FilingFee $ 10.00 LENDER'S -MAI LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER `v' 'r -It? LICENSE NO. Plan Checking Fee $ } Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - �� �►. r'..,. I,►e-1 < Permit fee $ PLUMBING PERMIT Filing Fee 10.00 <— o / Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,Z-- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 i Building sewer 5.00 Mobile Home S I G I W10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: I , i�=•f>. �..� C 1—r, ..,, I~,r.. 1., ,c, f-►l1r� c��e��l (7, ��,i����r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ...� t ^ � (_� � �'� C}��—� A Main service e101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.. ,zQsgft A 2/ New CONSTR� U TI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eZOesot AL@30 FIXED PR EX. Occup. OUTLETS IRESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g / L79 Dr, P. f4, Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against -said County in consequence of"the granting of this permit. X- Date - �^ r^ Signature of Appl.icant — Owner y Contracfor ❑ Agent ❑ An'OSHA permit is required for ex ovations over. 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ sa,;5(� Occup. CON5T.T7P_FJ I IFLOODIPARCELI PD NO I ISSUED r This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date 4_ _�/��/} ('(J J"� ` Receipt No. -$'C>0 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-AP►LI CANT COUNTY OF BUTTE G DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Orovi Ile - Phone: 5344541 Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57 CORRECTION NOTICE M A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Nd ALr 4-f-� n r - f ,u'Ikc N ,X ti e-% P/Jr�iU Q. 0 / Gt M sC'C6'VI hip. b�NCC w�tc- SCA f -7A A� Inspector ��:> Date - i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .--.: O ZON NG -`d BUILDING PERMIT OWNER i TELEPHONE e C OWNER'S MAILING ADDRESS SQ. FT. OCC. BUILDING VALU TION CONT AC TOR'S NAME TELEPHONE CONTR TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 n RA r` A6, Vo / Ras Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFW�-Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: FI es,, - c`c, Q ,t��t�,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - �Main service 1 100V OR LESS 100 AMP OR LESS 10.00 f� ytd9 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' T]I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their SOIe 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 LIN OCCUP.e\ oR ADDNS,CONSTWEACCLG+/zQsgft / NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. 20 0 sot EX. QCCUp OUTLETS OR FIXTURES eAL030 FIXED APPLES. OR EX. Occup. OUTLETS (REST D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 (� Z , �Uc� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. t�1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, ' demnify and keep harmless the County of Butte against all liabiliti , jud nts, costs, an ex enses which may in any way accrue agai a' ou in consequ ce o the granting of this permit. ZI �6 �� r ❑ Agent ❑ ignor of App cant — Owner�tionsnovecr OSHA permit is required for exc'0" deep and demolition or construct- ion of structures/a—over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $,,5'l� OCCUP. CONST.TYPEJ JFLOODJPARrELJ PO ND slue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.J 5 0 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT lu COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDINGD��VISION 7 COUNTY CENTER DRIVE - OROVILLEVwCAkIF*RdhA 95965 - TELEPHONE: 9T34k4 541 PERMIT APPLICATION DATA SHEET Permit No. 4 •', i r OWNER �arh�rvc� etc -r-e,r- A. P. No. ��-�C_ Proposed Building Use S �' Permit Fee Based Upon: Complete Contract Price CIZ DPW Valuation _ Other (Explain) Building Inspector IG Y/'-�/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. A"' w 5. Plans with Energy Design Compliance Statement,.,. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . .' . �'. . . . ' 7 Statement of Intent for Non -Heated and AC Buildings./*'1 8. Fees of $ . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . - 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .Pre- . • 17. Pre -Ins ection for i��e�-��� S,2 G Ired. luilInspec. request to (Date) p �"� Building Inspector 1 . Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Dritewav permit const approval re - 'red prior to ccc pa c_ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offi �e. Deliver w/inspector. Other % A p p I is _ Date Copy of plans sent Health Dept., Fire . ept., her Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _, 0. Z. NG -gyp BUILDING PERMIT OWNER • r TELEPHONE & SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONT ACTOR'S NAME 7 G TELEPHONE CONTR TO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER L I Cij�NSE No.• • Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 PA r<,c4, J 19-L o kJy4— Each Trap 2.00 V Solar Of het ump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water p p 5.00 Eacyqa water heater or vent 5.00 USE OF STRUCTURE SF J4-- Duplex ❑ Mobilehome❑ Other SPECIFY pi system 1 - 5 outlets 5.00 u• ing sewer 5.00 fv bile Home S G W 10-00 ea'. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ r Describe work: Inc r t; C trtL ,��it�a Permit Fee $ ontractor LECTRICAL PERMIT Filing Fee 10.00 - Ap ain service e00v OR LESS 100 AMP OR LESS 10.00 0 Co y 'n se I EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LA I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, I 3 of the Ysiness and Professions Code and my license IS In ull 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)0_JMisc. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW. 5 DWELLING occuP.a OR D S. ACC. BLDGS. 2/zesgft NE C STR ULT1.0UTLET 2,50 ea .RE ID BRANCH CIR ITS POWER APPARATUS S1 SINGLE OUTLET CIR. / 200300 Ex. OCCLI) OUTLETS OR FIXTURES aAL030 FIXED APPLES. OR Ex. C p. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring 15.00 V Permit•Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, • demnify and keep harmless the County of Butte against all liabiliti jud nts, costs, an expenses which may in any way accrue agai a' ou in consequ ce o the granting of this permit. �� �/ Date�� / ignot of App Cont - Owner Con octor ❑ Agent ❑ OSHA permit is required for e><covetions over 5'0" deer •I demolition or construct- ion of structures ov*r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE JVL000JPARCrLJ PD RD 1l9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Ct! 1 `3i�:Rr13T :=XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. fro WHITE -D. r. W., TELLO W-Aw eC3 SOR, PIN K•IN:.�!C'^iF C.., CLr /"' Al 1•l 'CA•" RANCH SUS NO. 2, FFIE 4 1 140 00 50 51' .42: 4.311-1c 746.3 Is D7 -c le WXV e 300- �39i 70 69 67 15AC j A( 66, ;6 91 .575, I 4C )AC 6 5-oc 2 0. ood 4 401 6 IS 71 OU �4 c - 5.00,4C. :72 20.()()A C - 5. 74 75 300- -100 Tc. Area Code 62- 06 T300 5,' Q; 7 ,7 .,50,4 c. 53 1 �---.5 4 24 /T U."u VE -Ti�4j 1; - e-4 3-9 42-22 F7q III kL E OFFICE OPY• Address GAS Date Meter By ELECTRI Datell Meter By 03-2436 -- 11 160 AVE,�H E 039-560-002 LEICHTER, RUTH SANTA CLARA VE, CIUCO 2291 L Cont: LANDFL TCHER Cont: ROLAND FLE C/o ELECTRIC SERVICE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 f 1 RMI N . (Rev. 12/96) APPLICATION AND PERMIT Z J�%i ASSESSOR PARCEL NUMBER n20-5150-002 ZONING BUILDING PERMIT OWNER R1n14 TFUTM LIVING TRUST TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Qi CONTRACTOR'S NAME ROLD FLE'TCHER 1`7F M' S AN TELEPHONE 343-3412 CONTRACTORS MAILING ADDRESS PO Pox 1 95927 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2291 &AEA CIARA AVEPERMIT Energy Plan Checking Fee $ FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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: C/O = SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "'ORLESS Main Service zo.A OR LESS 23.00 23.00 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 •S I full force and effect. ///'''��� -7-7 % -7 q / b License Class f � Lic. No. ! 2,qt 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. ❑ 1, 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ' I 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall .forthwith comply with those provisions. 011.0 X )( �1 — Date 0' / �� _ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavati ns over 5'0"deep and demolition or construction of structures covey 3 odes �n ig'ht1 ��� .. Main Service 200A TO IOooA 46.00 NEW CONST.DWELLING OCCUP. SG OR ADDNS. a ACC, BLDS. 3.52 pr: == .T- MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIS. E7(, OCCU ounEr OR FocruREs �,� ®': o Ex. Occup. OUTLETSRM D.D.'A, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PRE INSP 23.001 PERMIT FEE $ 89.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP FLOOD CDF PARCEL pD HO 77 ISS This permit is hereby Issued under the applicable provisions of'the ButteiCounty Code and/or Resolutions to do work indicated abrove Jol whi fees have beenp aid. % B I ` U Date PERMIT EXPIRES ON 7r V 08 hi Receipt No. % J �J C • i 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 (530) 538-75410 7,. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9995 SANIA CLARA AVE, M1120 9_5928 CONTRACTOR'S NAME TELEPHONE ROLAND FLE'TCHER DYER'S 342-3412 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 99ql SANTA Q ARA AVE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um 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: C/O ELEC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service zoOA OR LESS 23.00 23.0 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 ' i UI1 f rce and effect. ^-� n License Class Lic. No. ! 7 Zi`1 '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. ❑ 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 Policy Number (The above sections need not be completed I the permit is for work of a valuation - n of one hundred dollars ($100) or less.) I 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 ith comply with those provisions. X Date 8-' / Z- 0 ) Ulf/2-0) Signature of Applicant - ❑ Owner ontractor ❑Agent An OSHA permit is required for excava ' ns over 5'0" deep and demolition or construction of structures i !Ah h' ?i Receipt No. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ADC. BLDs. 3.5¢FT: * OUTLET NON.RE ,D. MULTI. 97,50 F.10, APPARATUS a swGLE ourLFT arL Ex. Occup. OUTLEr OR FIXTURES BAIL 0 .50 Ex. Occup. our FIXEis qo °eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 89.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 89.00 D �� IMP FLooD CDF pgRCEL pp HD ISS is permit is hereby issued under the of a Butte unty Co and indic ted a o w is fees have By 1 PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. v Date z �O cJ (D, f WHITE-D.D.S.-B.D.CANARY-ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT �...Yr'=-�-`;�-r..r_,^,�v..ti� e,.- -' �.`*. .. �J .r ;. "�,_.';tiit; e`�,�•"t: +SY'R7�: �'+iL.}^.:6rrti.�re=_i1�r r,,.��'.......-. �=e••': .l: �.-•-•^•. ,. ri .. t' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: _) ASSESSOR PARCEL NUMBER i Proposed Building Use: L / C/ Counter Technician: Date: ) G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order Wapply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _ ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in _ ❑ 19. City of Chico Plumbing permit........................................................... • ............ _ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _ ❑ 23. NPDES Form............................................................................................ _ El 2k Encroachment Permit f driveway fro th Publjc Works Dept ................................. _ 25. Pre -Inspection for U required ................ _ ❑ 26. Contractor's license nformation. (Number, Name Style, Classification) ...................... _ ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. _ ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 29. Letter of Signature authorization.................................................................... _ ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 31. Manufactured home utility clearance............................................................... _ ❑ 32. Existing violations and/or expired permits......................................................... _ ❑ 33. ❑ Grant Deed, ❑ M. itle/Statement of Facts, ❑ Letter from egal Owner, ❑ heck to H.C.D. $ ❑ 34. Other. t When issued Telephone _ and hold or peck p. I have been the above items and requ obtaining a building permit. Applicant: Date: U o, . `-' 1 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division A w,V:,(�+ i*