HomeMy WebLinkAbout040-211-00240- 11-02
LUCIAN KNIGHT
' / t
2105 Putney Dr., D
Permit #1616-76E r . C
i plug) SF
40-211-02
2986-89B
GORE & SON
9407 Putney Dr, Durham4'\ kd
C (reroof/SF).
040-21-1-002 (�fV/ 41
GORE, GUS 91-3806
CONTR: MCHATTON ELEC
9407 PUTNEY AVE, DURHAM
f UNDRGRND ELEC/SF
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. <.
7 County Center Delve - Orovlllet Callfornla'.96965 - Telephone: 916/535.7541
APPLICATION AND`PERMIT
ASSESSOR PARCEL NUMBER
40-211-02
ZONING
,
BUILDING PERMIT
OWNER
GUS GORE
TELEPHONE
342-9258
S0. FT. OCC. BUILDING VALUATION
\,
OWNER'S MAILING ADDRESS
P.O. BOX 360 DURHAM 95938
CONTRACTOR'S NAME .
MCHATMN MECTRIC
TELEPHONE
893-3616
CONTRACTOR'S MAILING ADDRESS
9 ARBOR DRIVE (MCO 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9407 PUTNEY AVENUE DURHAM 95938
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00
i�I USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home JSJGJWJ
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑
Describe work: i).i?;t1.7?. _
`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
�� .50
Main service 200A TO 1000A)
`'
CONTRACTORS LICENSE LAW I
I declare under penalty of perjury (check one): tl
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession ode and y license is in full for a and effect.
License ,Jo. Classification
❑ 1, as the owner, or my employees with wages as t eir soleicompen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ orsa the owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.S
OR ADDNS. ( ACC. BLDGS.
_37.50
3.64 sq.ft.
NEW CONsTR. ULT' -OUTLET
NON-RES10 BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(ouTLETS OR FIXTURESA20
76d
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESIO.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 =+
Permit Fee
$ 4-8 •O
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
I Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Lawsjrelating
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 consequenceofthe granting of this permit.
4� C -C--
X t Ly� �. "� T �� Z �' �'� Date77—
Signature of Applicant — Owner
9 PP ❑ Contractor � Agent ❑
An OSHA permit is required for. excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories 'in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 1
HAz
1 0FEES I
IMP
I FLOOD
CDTTi37
PD
HD
ISSUE i
This permit is hereby issued under the
cions of the Butte County Code and/or
work indicated above for which fees
DIRECT OF PUBLIC
BY E/ Y //
PERIIIA T EXPIR e;""``�•....,
applicable provi
resolutions to do
have been paid.
WORKS
Date/*-'
lam- :1 --Jo 2
Receipt No. 100977
WHITE-O.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
-% COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
G 09'6_ 9U0-7 PUr,%ey
OWNER PERMIT NO.
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
natter, or need additional explanation, please contact this office immediately.
Date \ () -- 2 a -,g ) Inspector %J
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS
/ 7 County Center Drive - Orovllle, Callfolinla 95965 • Telephone: 916.'538-7541
/ APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
40-211-02
ZONING
U141%$
BUILDING PERMIT
OWNER
GUS GORE
TELEPHONE
342-9258
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 360 DURHAM 95938
CONTRACTOR'S NAME
McHATTON ELECTRIC
TELEPHONE
893-3616
CONTRACTOR'S MAILING ADDRESS
9 ARBOR DRIVE CHICO 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9407 PUTNEY AVENUE DURHAM 95938
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF X❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W=
@ 15.00
TYPE OF WORK
New l 1 Addition ❑ Remodel ❑ Utilities n Installation❑ Other ❑
Describe work: D
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS
18.50
Main service 200A TO 10o0AI
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 Profess i odea d y license is in f II for a and effect.
License ;Jo. Classification C— O
FlI, as the owner, or my employees with wages as t eir sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM
OR ADDN5. ACC. BLDGS. /
3.6p sq.ft.
NEW CONSTR ULTI-
NON-RE51U BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURESFIXED
20 76
APPLNS.
Ex. Occup. OUT ETS ((RESIO IREA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. lyirin g
15.00 15 70T_
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
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
againstsaid County/din consequence /of�the
grgranting of this permit.
X l �A/ ,l T h'��lJl Date �,�� 0 n�"—� i
9 PP ❑ Contractor Agent ❑
si nature of Applicant — owner56_
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 $
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE $
I
HAz
DFEES
IMP
I FLOOD
CDF
PARCEL
PD
HO
IssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
CT OF PUBLIC
B
P �fMITEXPIR
applicable provi-
resolutions to do
have been paid.
WORKS
Date��-
Receipt No. I�Co77
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS
7 County Center Drive - Oroville, Califor is 95965 - Telephone: 916 '538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER -rgNING
BUILDING PERMIT
O NE `- TELEPHONE
r O'7
SO. FT. OCC. BUILDING VALUATION
OWN RL`G ADOR —'—"—
CONTRAq.4S N4 E TELEPHONE
CONTRA �fN _ M ING ADDRESS
,,/M//'
Fireplace
CON TRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING A DRESS �
/(/y—
(/
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
/
Each Trap
I 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
J
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
`�. USE OF STRUCTURE
SFJ�J Duplex❑ Mobilehome❑ Other
\ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New r- Addition u Remodel ❑ Utilities* Installation[] Other E]
Describe work: TTTTT
Permit Fee
$
Contractor
ELEC-fRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 20CATO1000At
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. Classification
jJ 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 OCCUR.&)
OR ADDNS. l AGC. SLOGS.
3.66sy.f[.
NEw CONSTR ULT1-OUTLET
NON-RESIDP BRANCH CIRC ITS
@ S.00
POWER APPARATUS tr
SINGLE OUTLET CIR. )
EX. OCcup(OUTLETS OR FIXTURES
20 76d
RAL 4F;J4
Ex. Occup. OUTLETS (RESID )KEA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig Fee 15.00
Heating
Conlin g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST TYPE TOTAL FEE
HAz
I
1 0FEES
I IMP
I FLOOD I CDF
PARCEL
PO
HD
SSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
Work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 7
06
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD ENROO-APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
y
Permit No.
A. P
Z /_ a—
Proposed Building Use �/ ,/ ^
Building Inspector Date
At tirrae of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
_ 1. All items have been submitted . .................................... DATE RECEIVED APPROVED
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form .......................................... .
6. Energy Design Compliance and supporting documentation ........y,t`
7. Statement of Intent for Non -Heated and AC Buildings ........
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. M to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other /
Applicantiu� Datec�
f
Copy of Raz -Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date
Contractor, designer, owner, was advised of above required data by_phone—mai l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
.. �..-n°ti.......�y':rfi""�' ^' ' ., r��.....r•.�� ,.,nom.." �•� r y;� fi y.- ..r .r._ } <r*...t' .rw't �` ��'y!'•�?". - L.;."- "` � L,"-.•i: �. '`„' _i:'tY -� j�.
40-211-02
' - 2986-89B
GORE & SON
' � ; • � �. ��;`� ��': . � . 9407 P •
utney Dr, Durham.
_'. (reroof/SF)
,. '.. �� � �•C, ���� �� /GGA �� ,��� y 0�
}
/L '
COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS ��MITPERNO7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541APPLICATION,AND PERMIT r !l/111
ASSESSOR PARCEL NUMBER
. 4 —1-1 I _ 0
ZONING
Aa
BUILDING PERMIT
OWNER._.._.. ..._�.
TELEPHONE
Z.• �S�
SO. FT. OCC. BUILDING VALUATION
O WNE 'S MAILING ADDRESS
p. c
CONT.R.A( TO 'S NAME
j/V104c S L -J
TELEPHONE
y2
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
l 00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 'f
ARCHITECT OR ENGINEER
LICEI` SE NO.
Plan Checking Fee
$
Energy Plan Checking .Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS I
Penalty
$
BUILDING ADDRESS
.. AA
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
,e0.� t�uq'Nc 4, I ver
Each Trap
2.00
t J�
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
SFY Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remoodel-❑ Utilities ❑ Installation❑ Other
Describe work: �G- k�i� w rh wl�i i,�L tiZV I�
C aAA1LA lCc) ,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
lam licensed under provisions of Chapt. 9, Div. 3 Of the BuSIneSS
and Professions Code and qmy license is in full force and effect.
License N ---R-2 `�- / Classification'_
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do e work,and the structure is not intended or offered
th
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 OCCUR.tr
OR ADDNS. ( ACC. BLDGS.
,
2h0sgft
NEW CONSTFMULTI-OUTLET
NON.RESID C
BRANCIRC ITS
2,50 ea
POWER APHPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20030t
FIXED APLNSeAL03o
Ex. OCCUp. OUTLETS PI RESID IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (`check one):
F— Tae°permit is for $100.00 (valuation) or less.
/1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 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 conseque of'the granting of this permit. Q
X ��� /y ,�/
Date
Signature of Applicant - Owner,E Contractor E]Agent El
An OSHA q
permit is re wired 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 $
CONST TYPE
vi
TOTAL FEE $
Icc
HAz
I CUA
PARK
I SCHL
I FLo
I PAR
Po
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIFItCTORIOF LBLIC
B y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS (x�%^
Date /' V Y
Receipt No. 4
WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE-`1DEPATMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIPHN-AND PERMIT
P RrMIITT NO.
d (o
A'
ASSESSOR PARCEL NUMBER
W °LI I -. 0-1—
ZONING
BUILDING PERMIT
OWNERc_ '
C 6�4� 5.
TELEPHONE
2— 23`e
SQ. FT. OCC. BUILDING VAYOAVION
I 1 co
OW ER'SMAI LING ADDRESS
CONTRACTOR'S NAME
VS C I S "../
TELEPHONE
yl-.
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
1900 1�
Filing Fee
$ 1000
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
g110 •� �t�p-N,�, �t ��
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
SFY Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
New ❑ Addition❑ Remodel❑ Utilities ❑ Installation[] Other
Describe work: �� &,or W / r4
Co/VtL,aje�,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare u der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and Qmy license is in full force and effect.
License No �3�C� �' / Classification
❑ 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)
❑ o(as Sec. 7044)r, am exclusively contracting with licensed contract-
rs. (S
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.yd`
OR ADDNS. ACC. BLDGS. /
, /Z 2sq ft
NEW CONSTR. M ULTI.OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
120 @ 50C
BAL030
DAL080
Ex. Occup. OUTLETS ED P(RESID,)REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ T permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 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 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, jud nts, costs, and a ses which may in any way accrue
against said C y ' conseque q granting of this permit.
X Date
Signature of plicant — Owner Contractor ❑ Agent ❑
An OSHA _ermit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
L�/
TOTAL FEE $ 9�
HAZ
CUA
PARK
scHl
FLD
PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
D CTO OF BLIC-WORKS
By
PERMIT .RE Date
the applicable provi-
resolutions to do
have been a'
paid.
Date Qx �//
Receipt No. 6 lam.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ��'+-� A. P. No.
✓e
Proposed Building Use F �X'm0�` Building Inspector C-5 r%/Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans. -
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on .plans.
5. Energy Design Compliance and supporting documentation.
6. Statement of Intent for Non -Heated and AC Buildings.
7. Engineered truss details and layout in duplicate (required prior to plan check).
8. Mobilehome installation data including manufacturer's installation
instructions.
9. Fees of $
10. Chico Urban Area fees paid.
11. Park fees paid.
12• School District fees paid.
13. Sanitation approval from Health Department.
14. City of Chico plumbing permit.
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required. Contact Land Development Section of DPW.
18. Driveway permit (construction approval required prior to occupancy).
19. Pre -Inspection for required.
20. Contractor's license information (No., Name Style, Classification).
21. Certificate of Workmans Compensation Insurance.
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑).
23. Recorded copy of Agricultural Acknowledgment Statement.
24. Letter of signature authorization.
25.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES
Chico . . . . 196 Memorial Way
Phone: 891-2751
Hours: 8:00 a.m. - 10:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 538-7541
Hours: 8:00 a.m. - 5:00 p.m.
Paradise. . . 747 Elliott Road
Phone: 872-6307
Hours: 8:00 a.m. - 9:00 a.m.
Date
HEALTH DEPARTMENT OFFICES
Chico . . . . 196 Memorial Way
Phone: 891-2727
Hours: 8:00 a.m. - 9:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 538-7281
Hours: 8:00 a.m. - 10:00 a.m.
Paradise. 747 E I I i ott Road
Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT – 7 County Center Drive, Oroville – Phone: 538-7601
– Hours: 10:00 a.m. - 3:00 p.m.
Original —Applicant
COUNTY OF,BUTTE,, DEPARTMENT OF 'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
p ,. • PERMIT APPLICATION
LICATION DATA SHEET
OWNER
Proposed Building Use
Permit No,
A. P. No. _
_ FBuilding Inspector C
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing. permit ......................................
15. Plot plan and business license approval from.City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ..... Pre-Inspec. request to
Building Inspector (Da
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ...
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ...................................... �
25.
26.
When you issue the permit, process as follows:_ Mail to owner,/
Telephone and hold for pickup ait office.
Other _
Copy of plans sent
Mail to contractor.
_Deliver w/inspector.
Date /i- .rl •
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---- inail_counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date
Copy—DPW
Sets of plans on hold in File cabinet AP folder I.
f
COUNTY OF BUTTE — DEPARTMEN-T OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICA710N AND PERMIT
icNicacn iauvca U� uic VVW Ry vi OU UG III V,1.11:1 UIJVII UIC
above-mentioned property for inspection purposes.
`.l
Date
Signature of Permitee or Agent
Receipt No. -"
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.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date '
BUILDING
Owner
SQ. FT. OCC.
BUILDING VALUATION
Mailing Address,
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe6s
W'. C.
Sanitation
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00 L
Main service 100 AMP OPESLESS 5.00
Main service EA. AOD'Lf100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER soov 25.00
100 AMP OR LESS
Main service EA. ADC"L 100 AMF 1.00
NEW CONST. LING
OR ADDNS. ( ACCLBLDGS.CCUP. &� 20 sq ft
NEN CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTP- (POWER APPARATUS .&)
NON -RES,D. SINGLE OUTLET CIR.
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
le Of:
-
Ex. Occup(OUTLETS OR FIXTURES) BqL (I 1C
(FIXED APPLNSSt
Ex. Occup. OUTLETS (RESI.DO.) REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $,
$
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.
t 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 $
$
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
icNicacn iauvca U� uic VVW Ry vi OU UG III V,1.11:1 UIJVII UIC
above-mentioned property for inspection purposes.
`.l
Date
Signature of Permitee or Agent
Receipt No. -"
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.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date '
COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel erhone: 5'34-4541
APPLICATION AND PERMIT (,(�
ate
Signature of P�ermitee or Agent
Receipt No. �/ ?l r�
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
ine buite county (;ode and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date ' G
Building permit expires Date
BUILDING
Owner IJCZ'Nb �! /
SQ. FT. OCC. BUILDING VALUATION
Mailing Addres Q ox --5 S— (1-1
V
Tele hone �S
Fireplace
Contractor co CASA1,&1?_)Total
Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ I FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. < eo/ —' Q
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5,00
EQA
Parking
Plans IBldg.
DePa a ion
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Pans ec'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER fj�,
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 , 60
/C_ 1119 IVC C_ IQ 2
Main service io°o AMP ORLESS5.00 .
Pb) 6
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW
OR ADONST ( ACCLBLDGLING OCCUP. &) 2(tsgft
NEW CONSTR. MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR.POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) / 50 P BAL 25,
Ex. Occup. (OUTLETS (RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
x I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
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.
S' �j I certify that in the performance of the work for which this
\23 ermit 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. @ FEEPERMIT
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
authorize representatives of the County of Butte to enter upon the
ahove-nnPntinnpri nrnnprty fnr inen—tion n
TOTAL PERMIT FEE
This ermit is hereb
P y issued under the applicable provisions
of
ate
Signature of P�ermitee or Agent
Receipt No. �/ ?l r�
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
ine buite county (;ode and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date ' G
Building permit expires Date