HomeMy WebLinkAbout040-214-014040-214-014
Keeping livestock in Residential
zone 7-25-00 (30 day)
G
i
A.P. 40-214-14
DORIS HIATT WATT, Doris
264 Durham Street, ,,Durham
Permit 288 -
(awning)
40-214-14
Sherman Hiatt 264 Durham St., Durham
NIS Durham St., app.15 'E..of Durham (awning) ►-�/�-�y
Nelson Rd., Durham
contra Butte RoofioChico
Permit #451-80B(rer�oI VSF)
I
040-214-014 02-2798
RYAN, JANIS
2410 DURHAM ST., DURHAM
CONT: P.F. REILLY
REMODEL -WINDOWS rase DOOR
040-214-014
RYAN, JANIS 04'2682
2410 DURHAM ST, DURHAM
CONT: FOUWSEASONS ROOFING
,REROOF
r
i
040-214-014
Keeping livestock in Residential
zone 7-25-00 (30 day)
G
i
A.P. 40-214-14
DORIS HIATT WATT, Doris
264 Durham Street, ,,Durham
Permit 288 -
(awning)
40-214-14
Sherman Hiatt 264 Durham St., Durham
NIS Durham St., app.15 'E..of Durham (awning) ►-�/�-�y
Nelson Rd., Durham
contra Butte RoofioChico
Permit #451-80B(rer�oI VSF)
I
040-214-014 02-2798
RYAN, JANIS
2410 DURHAM ST., DURHAM
CONT: P.F. REILLY
REMODEL -WINDOWS rase DOOR
040-214-014
RYAN, JANIS 04'2682
2410 DURHAM ST, DURHAM
CONT: FOUWSEASONS ROOFING
,REROOF
r
1�
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.netWds
PERMIT NO.
BP042682
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: 09/10/2004 APN: 040-214-014-000
the Business and Professions Code, and my license is in full force and
^f' 10
effect. Z C / c
License Class: C 3 1 License Number:
Site Address: 284 DURHAM ST DUR
Date: (G Contractor. (-mi -,bt,,Z-S ?Lr&tjS
Map Index:
Description: REOOF(30 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: RYAN JANIS
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
C/O FERRIS DALE
signed statement that he or she is licensed pursuant to the provisions of
3549 ESPLANADE SP 431
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
CHICO, CA 95973-0241
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).):
❑ 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 (Sec. 7044, Business and Professions
Applicant: FOUR SEASONS ROOFING
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
#11 COMMERCE COURT
provided that such improvements are not intended or offered for
SUITE #1 95928
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-895-0418
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
Contractor; FOUR SEASONS ROOFING
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
#11 COMMERCE COURT
❑ 1 am Exempt under Article 3 of the Business and Professions Code
SUITE #1 95928
530-895-0418
Date: Owner:
License #: 659073
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of pequry 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.
Engineer:
Q ---T have and will maintain workers' compensation insurance, as
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:
Carver: �P3 5�- �/
Total Square Ft: 0 S. F.
(1,
Policy 7i: Zz �/
Valuation: $0.00
Census Code:
❑ I certify that in the performance of the work for which this permit is
issued. I shall not employ any persons any manner so a
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.
/
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
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 is hereby issued under the applicable -provisions -of -the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resoluti#sA dmwork ind' ted a for hich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
B Date:
PERMIT EXPIRES - (J
Address:
ON: V
Dat
❑ I 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 8 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 the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official t�i or document of Butte County. I hereby
authorize representatives of Bu a County to enter upon the above mentioned property for inspection purposes.)
"&--S �
Print Name: t Signature:
�V
j
Date: ` lG 0
❑ Owner 0 Contractor ❑ Agent for Owner Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY" _
CONTRACTOR
OWNER
Last Name�r4l
City
first Name Rry
Address
Zip 961c-!?_
CityP _
Fax � r s_ l Z� �
State
Trp q (3C&
1
Phone
Fax
FaaAq
x
E-mail
State License Number
CONTRACTOR
Name
Address l coV«
City
City a(�
Statt4_
Zip 961c-!?_
Phone els-O q/&
Fax � r s_ l Z� �
E-mail
Lic. #6
Clash S_7
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zp
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPL1jPAy4S1RNATURE
X
For office use only:
Zoning
Property AddressCity
2`f t'� Duel
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERART
NO.
BP
BIN #
LOCATION
Property AddressCity
2`f t'� Duel
Cross Street
SRA
WORKER'S COMPENSATION
Policy Number pp
Carrier z
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
Address
Description or Scope of Work:
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.
KAFORMSOUILDING FORMS1BldgADDISubRgmts.doc Paqe 1 of 2
RFV 7-97-na
Received by-
Amount: OD Bldg
SRA
Receipt #:
Sheriff
SMTP
ther
Other
Total
KAFORMSOUILDING FORMS1BldgADDISubRgmts.doc Paqe 1 of 2
RFV 7-97-na
t'
SUBMITTAL & PERMIT 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,
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes`.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 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-siqned by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 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 (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only). —
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Ketunos can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSOUILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� - Pfd �✓
(Rev.12/96) APPLICATION AND PERMIT S jjjj
ASSES ; CF;NUM
ZONING
BUILDING PERMIT
OWNEQ
T E
SO. FT. OCC. BUILDING VALUATION
.OWN IU 1 ESS
11�
CONI OR'S ME
-�(•j�
Tr?
CO oT0 5 U ESS `
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee $ 20.00
Permit Fee $ .0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGAD S D ���Y_•, / 1 > �/
II. �Vll
Energy Plan Checking Fee $
$
PERMIT FEE $ -00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation/ ❑ Otherl❑
Describe Work: )6C e-- t,a.i 1, 0��
4— \ 00 eo"— -51 (J'tr
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
800V OR LESS
Main Service 200" 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 ' ull force and effect.d�
License Class Lic. NO. ) % /C -0-?2:78
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
Main Service 200A TO 1000A 46.00NEW
CONST. DWEwNG 0CS. so
OR ADDNS. ( 8 ACC. BLD S. 3.5¢x;
NEW T.
NON -REBID. .1 CRR UT
ITS MULT@7.50
POWER APPARATUS
SINGLE OUTLET CIS.
OUTLET OR FDCRIRES 20 Q 1.00
Ex. Occup.BAL p .so
Ex. Occup. ounFrs RF�slp,oEn 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
ormance of the work for which this permit is issued.
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 ins 9ce 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.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X C_e— Date
Signature of pplicant - qlTner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HA2.
p. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate b ve for whi ees have been paid.
r
/��_
By /Date ( v�
PERMIT EXPIR ON
Date
ReceiptNo. (o
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
• P
- i
PERMIT NUMBER - B 288R-7311
P
i.
�r
t E
2
J PERMIT EXPIRES _ ®-g+
`OWNER Doris Hiatt
�i
CONTR: owner
LOCATION (A.P. 40-214-14
264 Durham St., Durham
�(CG�V///'/
�- z -79
COUNTY OF BUTTE
Department o}s Public Works
BUILDING INSPECTION RECORD r
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas }Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS
OR CORRECTIONS
A101. vd�yH�j S �l�( ��
600-05 pu �id
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive broville, California 95965
r Telephone: 534-4541
APPLICATION AND PERMIT
5
BUILDING
Owner
SQ. FT. OCC. BUILDING VA U
ION
29 n
Mailing Address �� o
Te ephone No.
e
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address y / -r
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent j 1.50
j
A. P. No. �- /
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im provements
Lawn sprinkler system 2.00
��~J _'ar
Bldg. s ec'd
ParcTi�proval
P pproval
Permit Fee
$
$
W ❑ ADDITION ❑ UTILITIES ❑ OTHERrill
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE 1 $3.00
"
Main service incl. 1 meter
/
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbal_L10
Receps., switches & fix outlets 200 225
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
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
59 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.
❑ 1 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.
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
State Laws relating to building construction, and hereby
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
04and
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 9I Date&I4 J923
Signature of ermitee or Agent
Receipt No. zl J z�C911 9
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 Date_,��1
Building perrnit expires Date �0�4
451-60B r`
PERMIT N0.
PERMIT EXPIRES 1/31/81
OWNER- SHERMAN HIATT
CONTR. Butte Roofing, rh i cn
LOCATION (A.P. 40-214-14 )
NIS Durham St, app 150'E of Durham
Nelson Rd, Durham
Temp. Power Pole,'
Called PG8z
Temp. Elec Serv.
Calle PG&E
/TeasServ.
d'PG&E
FINALED
(Da
(Signature)
rootln s
Footina
f
Masonry Walls
COUNTY OF BUTTE .— DEPARTMENT OF PUBLIC
WORKS r E
Reinf. Steel
• BUILDING INSPECTION RECORD
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
BUILDING BUILDING (Cont'd)
1 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 I — 2 �-$�
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab
Prov. for phsically
Appliances
Carport
Po
handica ed
Conformance of ex.
Gas Piping& Test
Footings
structure
Temp. Gas
Slab
Final /- - ''l
Sanitation
Patio
FIREPLACE
Final
rootln s
Footina
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec" Pedestal
Water Piping
Sewer
Gas Piping
OBILEH IME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 �61
Telephoeie: 534+3541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned y for ins ction purposes.
X to D
Si iature o ermite�e or Agent
Receipt No. 3lv' `2.0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit 'hereby issued under the applicable provisions of
the Butte,Coun Code and/or resolutions to do work indicated
above fowhich fees have been paid.
C OR OF PUBLIC WORKS g
ByWUeDate 7 Fo
Building permit expires Date 3O
BUILDING
Owner -Y\At,) 1414TT
SQ. FT. OCC. BUILDING VALUAT
N 2t IS c)
Mailing Address
®u 2a1^�ji�-`i_
Telephone No.
Contractor PwTTe: co,
Mailing Address �,o. Pw
Fireplace
Total Valuation
C�(ft CO,
T.qlephone No.
3�2--(oss
Permit Fee / 5. 00
Building Address VIS D(J!Z!4 ST Dp
Plan CheckingFee&/or Penalty
Permit Fee % QU
%
P50' OF ®01444m 0ZL_J,ON RD,
,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
pV
Repair drainage or vent piping 1.50
A. P No. —"11 O ' 2� �P —I u
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Wes I
A/c.
I Sew�
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel ApErovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER l
Permit Fee $
$
-'�
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 100 AMP LOR ESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ACCLBLDGS.CCUP. Y) 20sgft
CONTRACTORS LICENSE LAW
I am licensed der the provi s of apt 9, Div. 3, of the
State of Calif is B ss rofess' nsde unde the name
style of:
9
T
NEW CONSTR. BRANCH CIRCUITS)
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&
NON -RESID. SINGLE OUTLET CIR.
Ex. Occup (OUTLETS OR FIXTI-RES) g L
Ex. Occup. ( OUTLETS FIXED P(RESID IKEA) 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 St to 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 Work s Compensation.
ave 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
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
Land Development Fee
$
I TOTAL PERMIT FEE
Is �5•
authorize representatives of the County of Butte to enter upon the
above-mentioned y for ins ction purposes.
X to D
Si iature o ermite�e or Agent
Receipt No. 3lv' `2.0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit 'hereby issued under the applicable provisions of
the Butte,Coun Code and/or resolutions to do work indicated
above fowhich fees have been paid.
C OR OF PUBLIC WORKS g
ByWUeDate 7 Fo
Building permit expires Date 3O