HomeMy WebLinkAbout040-170-131AP 40-17-1-91/-S/
h,y ,..Bertha;:
s/sande Reed,
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/77 3 1
•Lane 400' e of Cummino
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Rd, , Durham
r J -P ermit-#-241p E ute, 1H) �-��-�-a13-AP17-
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B3 R MEYER
--400_ ::o f h
e� i�ngs =Rd: ,=Dur "
F.
contr: Ancel Ballard, Paradise
'
Permit# •366-75B,P,E,M(new SF)
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:040-1:7=p-131•. � � �, ,..
-WOOD, MIKE r&','VAL$RIE 93=1675'jBEMt
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�J�!
- 1971., REED 'LN; DURH 1 "�V�
-
- ADDITION/SF
040=170 `131
WOOD; VALERIE""'OS-3039.
1971 REED L1V, .D URHAM ',
,
Cont: OWNER
ELEC C/O'
'
I
,
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
1?.F,RMIT 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
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.
ZONING
040 — -70-131
-
OWNER1
PHONE NO.
'
_V.%,LS M. l,W ooO dv,& V2101L4 6 t... WOOD
E
916) bq b—?611
OWNER'S ADDRESS
(R-71 Qe,-o L *jC -0.-W-,, CA Ci S615 2
LOCATION OF BUILDING
T
19.11 RfrO 1�►.rF .`.LLQ.Nse+, Ci+r 45Fi38
USE OF BUILDING
''
r+la-PJ
moi"
o�F 3Ai+J , 5.6 e I Acke- 12 --
SIZE OF STRUCTURE
A X -.L+--' t"� /� SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF
ROOF COVERING
FLOOR TYPE
�CS�I/DIING
&+ -L¢tr' I
11
ESTIMATED COST OF CONSTRUCTION
$ 11 <v t' I -
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows -1 r
�5 �� l0
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.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 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 159: 56
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 with the requirements in effect at that time and before
occupancy.
Date 134 Signature of Owner
Permit Fee - $60.00 The above described AG Building is exoqpatom a building permit.
r�✓ � q / FL PARC P. ROOF G S U
Receipt No. -C
Manager Building Division
By % Date .�
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTMENTOF.DEVELOPMENTSERVICES -BUILDING DIVISION
`
7 COUNTY CENTER DRIVE - OROVILL-E, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT.APPOCATION DATASHEET
OWNER �/d �. G1 U ob t' A. P. No. %O % 3/
Proposed Building Use A (dam, e'w- Building Inspector Date
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED 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/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). Fre-!ns sa o; reqs
20. Pre -inspection for. required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
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. Plaeck ist.
33.f-100 e_e .......5�) ��l .....j1� ) .......... . 8 9�
34. �-�
When youi e er it pr Gess as follows: _� wrier. Mail to contractor.
e.Jtpl�� 179✓ �3 LAd hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant 'Nr!.", _U Date ��� 3�`r3
Copy of Haz-Mat form sent Health Dept. Fire Dept. `-Air Pollution Date
Copy of plans sent Healthbept. 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 `'a 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 4 AP folder
Copy - Department of Public Works j
COUNTY OF BUTTE -`DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
JAMES & VALERIE WOOD
1971 REED LANE
DURHAM CA 95938
DEAR MR. & MRS. WOOD:
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
DATE 8-26-93
RE: AGRICULTURAL BUILDING EXEMPTION PERMIT
APPLICATION
A.P. # 040-170-131
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and talcs in by registered engineer or -:architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section
sets_of.plans in accordance with.the changes -marked in red.
Sanitation approval from Butte County Health Department at:
1469 Humboldt Road, Chico
7 County Center Dr., Oroville
Skyway' & Elliott -Rd. ,-Paradise
(DPW).
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded-copy.of.-agricultural-acknowledgement statement.
XXX OTHER PROPERTY SHOWN
FINISH FLOOR EI
BE DETERMINED BY RCE WITH A FIELD REFERENCE ESTABLISHED AND SUBMITTED TO -US FOR
APPROVAL.PRIOR TO CONSTRUCTION AND PERMIT ISSUANCE.
Should you have any questions concerning the above, please contact SCOTT RUTHERFORD
of this office.
Yours very truly,
William Cheff
Director of Public Works
..J.F. Glander
JFG/aj
August 30, 1993
Butte County Department of Public Works
7 County Center Drive RE: Flood Plain Elevation
Oroville, California 95965 James Wood Building Permit
APN: 40-17-131
A cross section taken from the F.E.M.A. Flood Plain Map, through
the Wood property indicates the elevation of the 100 year flood plain
to be 159.50 feet (U.S.G.S. Datum).
There is a U.S.G.S. Datum bench mark, a P.K. nail in the base of
a 6" (six inch) Round Gate Post 15'+ Southwest of the Southwest corner
of the proposed building pad, elevation 159.98.
A finish
floor elevation
protect-l.i.f.e..„and
property.
Expires 12-31-96
083093.1tr
at or above 159.50 will be adequate to
A. C. 1Br`uhn$ .
R.C.E. 10531
FEMA FLOOD PROGRAM !
Residential Garages, Residential Storage Buildings, Agricultural Buildings
and Residential Crawlspaces
Buildings located in designated flood areas generally must have the lowest
floor elevated at or above the 100 year flood elevation.'
"Lowest Floor" means the lowest floor of the lowest enclosed area (including
basement). An unfinished or flood resistant enclosure, usable solely for -
parking of vehicles, building access or storage in an area other than a base-
ment area is not considered a'buildings lowest floor; provided that such enclo-
sure is not built so as to'render the structure in violation of the applicable
non -elevation design requirements.
If the floor is not elevated and the structure is exempt from the "lowest -
floor requirement," (see above), then the following must be done:
(a) building designed and anchored'to prevent floatation, collapse or
lateral movement. (b) building is constructed with materials resistant
to flood damage. (c) building constructed by methods and practices
that minimize flood damage. (d) electric, heating, ventilation, plumbing
and air conditioning equipment and other service facilities shall be
designed and/or located so as to prevent water from entering or accumul-
ating with the components during conditions of flooding.
Note: We will normally accept the following as compliance with the above
conditions:
1) Building is anchored to concrete stemwall system with conventional
anchor bolts. -
2) Building plate on top of stemwall to be at or above the 100 year
flood elevation,. (Plate height less than 24" above grade or engi-
neered design required.)
N
3) Electrical, heating, ventilation, plumbing and AC equipment and facil-
ities located above;the plate, (100 year flood elevation).
4) At least 2'openings in exterior walls, located on opposite or adjacent
walls with a total net area of not less than 1 sq. .inch for every
sq. ft. of enclosed area.
5) The bottom of 'the openings shall be no higher than 1 foot' above grade.
6) The openings may be screened or covered with other devices that will
permit automatic entry and exit of flood water.
7) Lowest Floor Declaration form signed by property owner.
On residential buildings where the "lowest floor" is elevated at or above
the 100 year flood elevation, the crawlspace must comply with items 3, 4, 5 and
6 above.
J: F. Glander
October 13, 1989 Chief Building Inspector
Butte Countv De:oartment of Public Wor'ko
Lowest Floor Declaration
I declare that the proposed construction of the. A01
under Building Permit Ap
cation. - 3
at tR ( A.P.
will be used as indicated so it will not be -considered a buildings "lowest
floor."#
I am aware that the floor level is below the 100 year, flood elevation and
will advise prospective buyers of this condition.
Property Owner �t-(t e. W60J.
Address
Phone No. i f (p
Dat - Z
*"Lowest Floor" means the lowest floor of the lowest enclosed area (includ—
ing basement). An unfinished or flood resistant enclosure, usable soley
for parking of vehicles, building access or storage in an area other than
a basement area is not considered a buildings lowest floor; provided that
such enclosure is not built so as to render the structure in violation of
the applicable non—elevation design requirements.
1
II0
j`•' COUNTY OF BUTTE - 6EPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oros ille, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT LIlJ 1
ASSESSOR PARCEL NUMBER
040-170-131
ZONING
A-10
BUILDING PERMIT
OWNER
Mike & Valerie Wood
TELEPHONE
893-8520
S0. FT. OCC. BUILDING VALUATION
698 R 37,692.00
OWNER'S MAILING ADDRESS
1971 Reed Lane Durham 95938
Est. 800.00
CONTRACTOR'S NAME
Owner
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace I A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 39,992.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 307.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 153.75
Energy Plan Checking Fee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit tee $ 496.25
PLUMBING PERMIT Filing Fee 15.00
1971 Rppd LanL-, Durham
Each Trap 5.00 /5-_00
Solar or heat pump water heater 20.00
LOT NO.,SUBDIVISION
NAME
7Each
PARCEL MAP
Water piping 7.00 7. O'er
qas water heater or vent 7.00
USE OF STRUCTURE
SF F� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00 o->
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition L_J Remodel❑ Utilities ❑ Installation El Other ❑
Describe work: Add New Family Room, Master Bedroom, _
Add Bay Window in Existing Bedroom and Relocate
Permit Fee $ p
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Cl osetr. �
Main service 600V OR LESS 18.50
200A OR LESS
Main service 20CA TO 1000A1 37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSSPOWER
and Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compen-
X -( sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
EJI, 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.& 3.66sq.ft.
OR ADDNS. ACC. BLDGS. 24.45
NEW CONSTR.ULTI.OUTLET @ 5 00
NON•RESID BRANCH CIRC ITS
ifAPPARATUS &)
OUTLET cIR.
Ex. Occup(OUTLETS OR FIXTURES 20 760
FIXED APP LNS. OR
Ex. Occup. OUTLETS IRESIO.I EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $
Contractor
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
/of Consent to Self -Insure.
1 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 15.00
Heating
Duct E t. 1 6.00 6.00
Cooling
Hood 6.50
Ventilation
Permit Fee $ 21.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County'in consseequence of the granting of this permit.
Date (0-41-9s
Sign re of Applicant - Owner JE 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 $ 40.00
OCC
CONST TYPE
TOTAL FEE
FEES IMP
-'
FLOOD
DF
I PARCEL
---�
P
HD
ISSUE
This permit is hereby issued under the applicab a provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 143184
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
s oJ eed L V \
Owner (�a J"� Location
Plan Approved for: Sewage Disposal Water Supply: Public
Clearance for bedroom mobile home. Other
- Hold final for:
Final clearance O.K. for:
NOTE
J,
En ironmental Health Specialist
8/92 0
F.H. USE ONLY
AP#
Private Well
Date
t
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location APS
Plan Approved for: Sewage Disposal Water SLI Public Private Well
r
Clearance for bedroom mobile home. Other
Hold final
Final clearance O.K. for:
NOTE
jEnvinmental Health pecialist
8/92
Date
F.H. USE ONLY
v
1'1l)()f Tl:i AlI:1dli'd
11
Sall to B.D. --c
Owner Location APS
Plan Approved for: Sewage Disposal Water SLI Public Private Well
r
Clearance for bedroom mobile home. Other
Hold final
Final clearance O.K. for:
NOTE
jEnvinmental Health pecialist
8/92
Date
•• "`�t�('tr''1-.�4d1y.�. ,.r-,:.. •�'Y' "hr'.-T}•y .,. �•• i, •n r�w'''�+1:-f{`.�t:rrN�.ti�..}••,nfi.•�,•..�r•+. ..
dam. •
COUNTYOF BUTTE - DEPARTMENTQFpEEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
Oya-i7a- i3�
OWNEReke A. P. No.
Proposed Building Use ,j%r%Di�`�fl Building Inspector 70 Date i3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All it ms have been submitted.'........................................
Plot plans, 3/4 sets, signed by preparer of plans . ........................ /2—
Complete plans, 3/4 sets, signed by preparer of plans. 11�L
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). ... .
31CalMobilehom.e date and manufacturer'sstallationn��instr4�t{Rns, 2 set
Fees of $' �a �ttl4D !K%/Q.' .(.�(51:d1V_./ =11 `[BQ�- ............. .
ifornia
Impact fees -as -shown on attached schedule. Department of Forestry plan approval/fees. .................
Flood elevation letter (100 year floo . by California Engineer . ................. .
Sanitation and plot plan approval 4G0 Health Department . ............
15. of Chico plumbing permit . .......................
16. P14 plan and business license approval from City of Biggs/Gdley.
17. Planning approval for (A) Use: (B) Parking: .........
18. Contact Land Ddvelopment.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ..
20. Pre -inspection for P`ea"sPeC�°"'�4"—
required- . . to euiIding Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . .............. t
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. Pim chert lit.
33. T/ooc�' •Dec���f�a:✓
34.- we
When 6u issue the_permit rocess as follows: Mail to owner. Mail to contractor.
Telephone Y9.3'o and hold for pickup at 01A�9 office. Deliver with inspector.
Other
Parcel Creation j
Acreage Applicap Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to r uance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advi ed above requ'irI%4 datWthine
j _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by%! ; _ mail counter by _ Date
Plans checked by Date Plans approved by Date 2
OR
Sets of plans on h9l w / �// File cabinet AP folder
Copy - Department of Public Works 7ZiT
I
COUNTY OF BUTTE - Department of Public Works,.t
7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)'
2. I (have/have not)_ signed an application for a building permit
for the proposed work. ,.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4: I plan to provide' portions. of - this work, .but I .have hired -the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone" Contractors'License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide .the work indicated
Name Address Phone Type of Work
Signed:
Property Owner
Social Secur"tyNuber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
FLOOD PLAIN DECLARATION
I declare the actual value of the proposedp constructs n//work under build=
ing permit application at / ? �e&FhA) 0,9r114y1
A. P. # bqQ -/70-/3/
for AivA,,/Qv� does
not equal or exceed the definition of "Substantial Improvement."*
I am aware the building site is in a flood -plain .area, even though I
am not required to comply with the flood plain management criteria.
PROPERTY OWNER ,6k
ADDRESS C-1),
/ / WeedlA) eO /yA-U
PHONE NO. 8 9 3 - B51-1 b
DATE
*Substantial improvement is'defined as follows: Any repair, reconstruc—
tion, or improvement of a structure, the cost of which equals or exceeds
50% of the market value of the structure either, (a) before the improvement
or repair is started, or (b) if the structure has been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'NORKS
Fe 7 County Center Drive - Oroville. California 95965 - Telephone: 916.538-7541
10 APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
i /70 -/3/
ZON.
-/I)
BUILDING PERMIT
OWNER /
eY%E. Do
�'iG )040/
TELEPHONE
�
�-sv0
SO.FT. OCC. BUILDING VALUATION
OWNER'S MA LIADESS
go (D
CONTRACTOR' NAME
wive
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuati n $ 3
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ,30'7..50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ �.�L3 . 7.51
Energy Plan Checking Fee
$ 2 0. Cu>
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
l 9 `7 l ee
Permit fee
$ Al 9 6. j7,
PLUMBING PERMIT
FiIingFee 15.00
Each p
5.00
Solar or he mp water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or ve
7.00
USE OF STRUCTURE
SF�Z Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G TW
@ 15.00
A , TYPE OF WORK 1
New r_; Addition ilk Remodel',F_, Utilities ❑ Installation E] Ot/jyer ❑
Describe work: Axv4- C, h, -e, M,
17 1 ND A r3 it D iN g I`S%" �,t,t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
�S -
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20CATO 1000A>
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
l_J I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING oCCUP.&\
OR ADDNS. 1 ACG. BLDGS. II
3.6Qsq.ft. 2 yS`
r
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76d
FIXED
Ex. Occup. OUTLETS (RESID.)REA.1
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 15.00
Heating
6.00
Cooling
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any waya crue
against said County in consequence of the granting of this permit.
X Date 5J
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 11
permit is required for excavations over 5'0" deep and demolition or construct.
An OSHA a
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $ 70
HAz
DFEES
IMP
FL OD
FDF
PARCEL
P
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
/�3 -7
Receipt No. -7 D
WHITE-O.P.W.. YELLOW-A33E33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
L.l.'ll1V 1 Z .jr ou 1 1 L' LL.CL�L[ jP' ,lV 1 vl uL. v L.uvri-u;.t7 1 .7L' M V 11.x..7 , zu 1 L la" Ll V 1
7 County Center Drive, Oroville CA 95965
Phone: 916-538-7541
RE: Building Permit Application #93-1675 DATE: Angus 91'. 1991
A.P. # 040-170-131
With reference to the above subject:
FlAttached is:
Application for permit Mobilehone Utilities Installation Sheet
Building Plans _ Iobilehcme Installation Information Sheet
Engineered Calculations Typical Plan Sheet
Owner -Builder Verification Fm List of Codes Enforced
We need the following information prior to permit processing and/or issuance
Permit application signed and completed where indicated with all copies returned.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehane data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval fran City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b) Drainage.
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Certificate of Workmans Compensation Insurance.
Owner -Builder Verification Form.
Recorded copy of Agricultural Acknowledgement Statement.
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50% subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
0 Other: School Fees are due.
Should you have any questions concerning the above, please contact Bart League
of this office., between 3:00 and 5:00 pm weekdays.
Yours v ,
DP:ahb
David Purvis
Manager, Building Inspection
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
- OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Name
Address
Last Name
City
irst Name /I
V
Address
Zip
t
City
Fax
State
C/V i
Zip .75"7�
Phone
<�3 , ?�-20
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
Address
�J '
City
N
State
Zip
Phone
Zip
Fax
E-mail
Fax
l.ic. #
Class
State License Number
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
N
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
AP LICANT SIGNAT RE
X JL4�
For office use only:
Zoning
Property Address
(�
Flood Zone
I
SRA
Policy Number
No
Occ.
Type Const.
Subdivision Name
Map Book
Page7_07
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:WORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
PERMIT
NO.
BIN #
LOCATION
)
AN /-70— / 1
Property Address
(�
Cross Street
C't'w �N
WORKER'S COMPENSATION
Policy Number
Carrier F /
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
dre
Description or Scope of Work:
�-e-- AWry f /l JOD AMA< -0 1.11 c f
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
G�
SRA
2
Receipt( #: ((`�� Sheriff
L1
/ SMIP
• ��`�
DatOther
Date: � I V Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile ormodular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (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.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1.. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (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.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS161dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP053039
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of.Division 3 of Issued Date: 11/10/2005 APN: 040-170-131-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: Site Address: 1971 REED LN DUR
Date: Contractor. Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Description: change elec service, 200 amp
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WOOD VALERIE L
to its issuance, also requires the applicant for such permit to file a 1971 REED LN
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA
7000) of Division 3 of the Business and Professions Code) or that he or 95938-9628
she is exempt therefrom -and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of'not more than five hundred dollars ($500).):
1p I, as owner of the property, or my employees with wages as their
9 sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions Applicant: WOOD VALERIE L
Code: The Contractors' State License Law does not apply to an pp
owner of property who builds or improves thereon, and who does 1971 REED LN
such work himself or herself or through his or her own employees, DURHAM, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one 95938-9628
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044• Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon, Contractor: .
and who contracts for such projects with a contractovN licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 f he Business and rofe io s Code
Date. Owner.
WORKERS' COMPENSATION DECLARATION License #:
I 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 Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: V/
Carder: Total Square Ft: 0 S. F.
Policy #: Valuation: $0.0.0
I certify that in the performance of the work for which this permit is Census Code:
'\ issued. 1 shall not employ any person in any manner so as to `.
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers' /
compensation provisions of Section 3700 of the Labor Code, I shall (/
forthwith comply with those provisions. l r^
Date: D ox -
Applicant:
Applicant: Lk
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one I
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY This permit i ereby issueg u he a p icbble provisions of the BiMe County Coda ?nrVor
I hereby affirm that there is a construction lending agency for the Resolution to do work i scat aboveJr whi fees have been paid. /�'
performance of the work for which this permit is issued (Sec 3097 Civ.) /�—/v e—
Name: By: /Date: /�
Address: PERMIT RE N: �/ —6
Address:
( 7
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application• that the above information is correct, and that I am the owner or a duly authorized a ent of th o ner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o any official for or do mento Bu to County. I hereby
authorize repres nt ives of Butte Co myLenter pon the above mentioned property for inspection purpos .
Print Name: ��r �t' C. C� \ Signature:
Date: �y S
Owner 0 Contractor EJAgent for Owner 0 Agent for Contractor
PERMIT NO.
P
E
M
MH UTIL.
PERMIT NO. 9410-74P E
PERMIT EXPIRES
w 90
7-
-OWNER RPrtha MPVPr
CONTR.
LOCATION (A.P. 40-17-1.21 )
6
i• .'
s/side Reed Lane, 400' e/ Cummings Rd.
Durham
�f
'. tJ
Uj
. S
d •
:L
f Temp. Power Pole
Called PG&E
.gyp. EIec. Serv.
Called PG&E r 2 7
Imp Gas Serv.
Called PG&E
JOB
FINALED� '
'(Date)
(Signal re)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
I ThroatRou
h
Reinf. Steel
I Final
Fixtures
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
FIRE SPRINKLERS
Test
Final
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground.
Permanent
Final
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 S ✓
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMITS
ff/4*7 �D
BUILDI G
OwnerSQ.
— E
FT. OCC. BUILDING VALUATION
Mailing Address '76—
Tel
Tele hone �g
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@
I FEE
PERMIT FILING FEE $2.00
�® / /J�/ S
Each Trap 1.50
V
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
A I�i �n g
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
W. . SAY Fire Dept.
Fire Zone
s
Use Permit
Building sewer 5. 00
EQA I Parking
Plans
Parcel Parcel Ma
Declarat' n P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
PRecd
&,
or rova ` Plan rovaI
Permit Fee
$
c
$ t3C
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3" 00
Main service incl. 1 meter OQ
5, O
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
.4-d > /
Water Heater or Space Heater
1.00
202
Light fixtures ba1%10
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
T od
$ Q(
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
K 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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ O(
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
x" X Date - - % DIRECTOR OF 7PLIC WORKS
Signature of itee or Agen B 7��
/ r� y Date
Receipt No. ,, o_
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ding permit expires Date..............7...-�. `.......
FILE NO.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information✓)
Director
Dep. Dir,
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits
Sub. Checking
Right of Way
4;k.
-L4 A
.;PERMIT NO. nft= 366-75'B$P'E.M
P
E
M
,'�MH UTIL.
d,PERMIT NO.
PERMIT EXPIRES
-Bertha Meyer
1c
t ONTR. Ancel Ball1ard, Paradise
LOCATION (A.P. 40-17-121&123
4001, off e/s Cummings Rd., Durham
Q( o CJD SAN
ql
fifi
o Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv. G, -2
Called PG&E 7&ZX?
/JOB
I/ FINALED
(Date)
(Signature)
r
r' `
• r
S
r
r' `
COUNTY OF BUTTE — DEPART,MFNT OF PUBLIC WO
`7 County Center Drive — Oroville, California 95965
Tel epho ie:,534x1541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x /!J'q Date
Signature of Permiiteeeeo�Agent
Receipt No. � Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
(RECTOR F PUBLIC WORKS
By DateZ'—
L__
Building permit expires Date ............................................
BUILDING
Owner nM
SO. FT. OCC. BUILDING VALUATION
OU
Mailing Address
Telephone No.
Fireplace
Q O
Contractor
Total Valuation 7 Z
Q
Mai I i ng Address CPermit
Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
s Q
Building Address'* 4^
S $'
PLUMBING
No.
@
FEE
PERMIT FILING FEE 900
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
IOV~
Each gas vtyeter heater or vent 1.50
,
A. P. No.
z
of8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
Vere'
Ski tion Fire Dept.
Fire Zone
:1V15—
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W Improv
prove ents
Lawn sprinkler system
2.00
Bldg. Pla R c'd
Parcel Approval
Plans Approval
Permit Fee
$
NEW 2r ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (mor 12)
01
RaLgeCook-top or Oven 1.00
Q
Water Heater or Space Heater
1.00
Light fixturesbal dio
Q
7c ., swi & fix/ ets
010
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
f'Jr q_ -e-- ��/�r�
HoodL5-3f-Fancrl�Furn.Motor
2
1.00
Q
Evap. cooler, gar. d' r 1.00
Q o
Air conditioner or heat pu I,—
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. 26 127 Classification_ /
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
NI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Q
Heating0
Cooling
I;
Q
Ventilation
Hood 2.00
�, Q
Permit Fee $
$�3 (3(
1 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
TOTAL PERMIT FEE
CO S
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x /!J'q Date
Signature of Permiiteeeeo�Agent
Receipt No. � Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
(RECTOR F PUBLIC WORKS
By DateZ'—
L__
Building permit expires Date ............................................