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HomeMy WebLinkAbout040-240-009a FHORR, William M. 4529B 259 Florida Lane, Durham (addition) „- . 4315-90P , M �,. E .-_ OSBON gRo er &Dolores q p 2363 Florida Ln, Durham I O (gas piping &, wall heater/sf) _ 40=24-09 1126-91B,P,E _ STANFIELD, James 2363 Florida Ln, Durham (addition/sf) 40-24-09 92-1318B +AN STANFIELD, JamesL-2363 Florida ri;:.�.urham11 woodstove/sf G -24-0-009 93-2014 B� J STANFIELD, JAMES 2363 FLORIDA LN, DURHAM WOODSTOVE/SF I I, y 41 P -,O P- M.�:.�.._.., S cid,--C��B 040-24-0-009 93-2014 B STANFIELD, JAMES 2363 FLORIDA LN, DURHAM,+ WOODSTOVE/SF i m k r ,, . S cid,--C��B 040-24-0-009 93-2014 B STANFIELD, JAMES 2363 FLORIDA LN, DURHAM,+ WOODSTOVE/SF i m k CONT,Y OF BUTTE - DEPARTMENT OF PUBLIC WO r 7�Cou y Center Drive - Oroville, California 95965 - Telephone: 916. ,�•- ;� i APPLICATION ARID PERMIT K5 PERMIT NO. 18-75.19 -> O I.. ASSESSOR PARCEL NUMBER 040-240-009 ZONING R-3 B WLD I NG PE RMI T OWNERJames Stanf •e ld TELEPHONE 1 89 --4737 S0. FT. OCC. BUILDING VALUATION ft OWNER'S MAILING ADDRESS 2363 Florida Lane, Durham 95938 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace /� 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 1,.500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $45.00 PLUMBING PERMIT Filing Fee 15.00 2363 Florida Lane Derham Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF A, Duplex❑ Mobilehome❑ Other SPECIFY _ Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New Addition _ Remodel E] Utilities❑ InstallationC Other Describe: V"tJ n£'-r'� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 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 Ao. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&) 3.64sq.ft. OR ADDNS. ( ACC. BLDGS. NEW CONSTR.MULTI-OUTLET 5.00 NON•RESID BRANCH CIRC ITS POWER APPARATUS e ( SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES A20 Q 76d FIXED PR EX. Occup. OUTLETS IRESID IEA.) j 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 Filing Fee 15.00 Heating 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 way accrue agai st said Count ULcons qu nc oI the granting of this permit X �iL Date In " ^sad -C, Si nbture of Applicant — weer Conrroctor ❑ Agent ❑ Si OSHA permit is require or excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45• OO HAz 1 0FEES I IMP I FLOOD CDF PARCEL PO HD ISSUE i This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D CT R !;_-m WORKS g7 PERMIT EXPIRES D to — `J N /`` Receipt o. E ` WHITE.O. P. W.,ELLO V;-ASSE530R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUB IC ORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Teleph 91 .'538-7541 G} 3 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-240-009 ZONING R-3 BUILDING PERMIT OWNER James Stanfield TELEPHONE 891-4737 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2363 Florida Lane, Durham 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,500,00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $45.00 PLUMBING PERMIT Filing Fee 15.00 2363 Florida Lane Durham 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 � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK Nev Addition Remodel❑�QU.tilities❑ InstallationO Other Describe work: fl-C�U�C. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO I000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of : P Y perjury Y (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 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 ACDNS. (ACC. BLDGS. 3.60 sq.ft. NEW CONSTR. ULT' -OUT LET NO N.R ESID BRANCH CIRC ITS /�1 ` 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED APLNS OR Ex. Occup. OUTLETS P(RESID ) F -A.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin 9 '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 FiIingFee 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 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 agai st said Count i consUqucthe granting of this p rmit. X Date Si ture of Applicant —P -n:, Contractor ❑ Agent ❑sions An SHA permit is requirer ecavations over 5'0" deep and demolition or construct- ion of structures over3 storiessiinn height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 45.00 HAz 1 DFEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees D CTQR By - PERMIT EXPIREST applicable provi- resolutions to do have beenpaid. ORKS Da FRcei t No.G p lr �l E-D.P.W.,L'(.tLWA;SES90R, PINK -INSPECTOR, GOLDENROD -APPLICANT >t. COUNTYOF BUTTE - DEPARTMENTOF I)EVEL-OPMENTSE 1C S_ BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - LEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER _ �A Yi1P� t'A1e'1 Proposed Building Use 7�tttA�tL `J Building Inspector A. P. No. �,A'-,-4"0,-q Date 6 - )- 3 At time of permit 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). . . 20. Pre lesr- -inspection for required. .. e "fl ��.. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . ...................................... . . 28. Mobilehome utility clearance ................ . 29. Documentation of legal access. ..................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ........................................ 32. Plan check list . ................................................. . 33. .34. When you issue the permit, process as follows: _ K Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. v Air Pollutioi ate Copy of plans sent Health Dept. Fire Dept. Other 1p to By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone'_ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder } - Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 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. 1 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) S 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 -S Social Security Number Date 5-1- 22, 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- mitt d to issue the permit. 'r71°:»t1":' sd.:. �;'-�'•-rr�5fj;>"eL4:s;ist,:r'�»;.,;s'�€r*'7✓::<;<``T�y.a.. � t� F`#.`.. �1 � � : � � 1. �f �,' � .• 4 «� _ 92-1318B' s : 40-24-09 ' STANFIELD, James, 2363 Florida Ln, Durham" woodstove/sf a 9-`73 r _ s COUNTY OF BUTTE - DE•PRRTMENT•OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 ,r _�.. APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R ZONING BUILDING PERMIT ow E TELEPHONE 891-4-717 SQ. FT. OCG. j BUILDING VALUATION OWNER'S MAILING ADDRESS 2363 w r CONTRACTOR'SNAME Owniar TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1A 1 500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $30, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45.00 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[2 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 ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation❑ Other ] Describe work: WOOdst09C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW 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 No. 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM 3.6d sq.ft. oR ADDNS. l ACC. / BLDGI NEW CONSTR ULTI.OLII.OUT LET NON•RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS (SINGLE OUTLET CIR.e Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLN S. OR \ EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 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 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 anyway accrue against said Cour in c u de% the granting of this permit. X 1! iS, r. 'I Date I ' / nsions Signature of Applicant — caner Contractor ❑ Agent ❑ q ' U An 5HA permit is requirejfi for excavations over 5'0" deep and demolition or construct-/ ion of structures over 3 storre's in height. I Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEES -00 HAz DFEES IMP FLOOD CDF PARCEL PD 13 ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do t work indicated above for which fees have been paid. (RECTOR OF PUBLIC WORKS By „` �._ Date PERMIT EXPIRES Date I—.� � — I Receipt No. �+.�% WNITE-D.P.W.• YELLOW-AS3t330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT _PERMIT NO. � ASSESSOR PARCEL NUMBER _ _ _009 ZONING BUILDING PERMI ow E .old TELEPHONE _ SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME nian P TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $30.00 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 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 U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: WOodstove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200ATOl000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.eI+\ 3.64 sq.ft. NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. / 1 NEW CONSTR. MULTI -OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CI6R. Ex. Occup(OUTLETS OR FIXTURES 20 76ri Ex. Occup. OUTLETS IIRESID )REA.) 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult 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 Countyoi 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 agai St said Cou in c e the granting of this permit. X Date v All Sig tore of Applicant — caner Contractor ❑ Agent An SHA permit is requir or excavations over 5'0" deep and demolition or construct- ion of structures over 3 star s in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $45. 00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE j This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic ab a which fees have been paid. IR OF PUBLIC WORKS By Dat 21 fZ PERMIT EXPIRES Date? ' Receipt No. ' I1 -7 WNITE-D.P.W., YELLOW-A53CS30R, PINK -INSPECTOR. GOLDENROD -APPLICANT } _, _ - .. ._ ,,til I.y{.� {. a✓.251a�u • Y' •/ 4 t.• . •r' -Uy •.. .... .... M ti V V COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION ►�i.. -� �' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �}- Permit No. �/ !� OWNER /�� �� �� A. P1N� a `Tr 7�7 i Proposed Building Use-!��S���L Bui.lding Inspector Date At time �ofermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED APPROVED '11. 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 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. r 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 ... ,Q(22. Certificate of Workmans Compensation Insurance ........:.... ... . Owner -Builder Verification (Given to owner o, Mail to owner' .... 5 -/ 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Othe Ii Applicant Date Copy of Haz-Mat form sent Health Dept.' 'lire Dept. _-L'Ar 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—ph ' T counter Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date Z +J I' R ENTIAL - ----------- 40-24-09 1126-91B,P,E STANFIELD, James 2363 Florida Ln, Durham (addition/sf) _ a 9 - 9.2- JOB FINALE Signature rorn,V&A7-fog% At 6T J=OK - , O a Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except irs 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fail -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity: Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / ) L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 1. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (PlansjOK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs: Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test DateCard B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 'A OK `O = Not OK - = Not Applicable Not Ready RESIDENTIAL(! = Date UNDERFLOOR (Plans) OK except #'s Zo 'ng -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grp/Z" Ftg. Depth ti ,3_Etg_rGarage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4 -RI., -Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped a 6a. Hold Downs and Special Anchors Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date-15-0jI Card B-1 Gre,,,, Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s _ 1'&.. -Water Htr.; Vent -Access -Combustion Air -Baffle 1.y Water Pipe: Test & Anchor -Nail Protection ' .W.V. T ittings & Anchor -Nail Protection ower Pan; Test, First Floor -Tub Access 20. -"fest Tub & Shower, Second Floor -Tub Access 2T -'Gas Pipe; Size & Anchors Date �Q �2 �' Card B-1 Date Card B-1 Date Card B-1 (�� Date Card B-1 Date F ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ZeElec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled mex Installed Close to Edge of Stes & C.J. Equip. Ground made up AMec astners- and Gas & Water 2q -*Appliance Circuts in Kitchen & Conductor Size/GFI _ ZB..Stnbfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30 -Sts -Riser Conductors & Ground -Main Disconnect 34 --Equip. Clearances Panels-Motors-Mech. Equip. 3 then Closet Light -Shower Light -Spa Light doSmoke Detector Date (g -]?_N Card B-1 ('� Date Card B-1 Date (ro -(11 Card B-t'„C Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34 C. DuctsInsul n & Support 35. Vent n:.9xKaust above insulation 36. Co 5e2islorain & Overflow: Size & Grade 37 yrnance-Vent, cess -Comb. Air -Return Air Vent -115 outlet 8. Attic Access & Platfo m if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #•s . Sils. Proper Material & Anchors 41d.' Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4/Bearing Walls over Girders & Floor Nailing 42/ Draft Stop in Walls (rat proof) 04. Fire Stops: Furred Ceilings -Stairs -Chases -Tub AA. Headers & Beam -Size & Bearing Hngle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors }§e,eing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4& -.Fireplace Ties or Type A Flue -Fireplace Throat clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5e --Garage Fire Protection Framing 50r.Property Line Firewall & Openings 81. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 64 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 56.-6#acco Mesh -Drip Screed -Fd. Vents-Underflr. Access V'' Glazing Area -Glass Protection -Skylights -Plastic. 59.$Near Walls; Nailing -Bolts . 5tsulation-Walls-Ceilings Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 �-^(? Date Card B-1 Date FINAL (Plans) OK except #'s WExt. Steps -Door & Sidelight Protection -Landings Oe Smoke Detector W-FCrnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel; Breaker Sizes & Labels 9Z&airs & Rails 4& -.Fireplace or Stove; Clearances -Hearth 69:-Efec. Outlets at Wood Panel; Int. & Ext. .Fixt. & Appliance; Grnd.-Air Gap Cooking Clearance 71,-Elec. Outlets & Receptacles at Kit. Counter 72 -Garage Fire Door; Swing -Landing -Closer 73-A� Duct in Garage -Damper 74-*Af- Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7�lPlb_ Elec. & Mech. Equip. Listed for Location 7,6 .64ec. Receptacles in Garage; (G.F.I.)-Romex Protection 7Y Insulation -Foam -Looked in Attic ❑ Yes 70.L-43uard Rails & Deck Construction -Post Caps 797#41M Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes tW Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No .8?-Stncco: Brown -Finish 82 AX. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to 1 Openings 84 -Water Well; Disconnect, Electrical, Plumbing Exterior Elec ri • G.F.I. Receptacle -Underground 8,6e Ventilation Throughout House V. Glass Protection 8$ Corrections from Previous Inspections 89?-49es Test -Meters Tagged; Gas -Electric 9 . ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date 2,,PA4ZCard B-1 C{x Date Card B-1 Date ZCard B-1 Ga Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit iob site) owner: Permit No. E N E R G Y CERTIF ICAT ION 2363 Florida Lane DOuTh:m C LOCATION A.P. No. ROOF Material Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value)_____^ EXTERIOR WALL Material _ _ -- Brand Name Thickness(inches) Thermal ReeistanFe(R Value)„______, CEILING Batt or Blanket Type Brand Name Thickness(inclies) Thermal Resistance(R Value)-- .Loose alue)--.Loose Fill Type FIBERGLASS Brand NameOWENS-CQBNTNG Minimum Thicknes (Inches) 12 3/4" Number of Bags 5 Wt. per bag lb. Area covered(ft. ) 320 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness (inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)_ FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Reai*tspae R Value)_, i I hereby certify that the above insulation Was installed iq the'.abovp building In conformance With the State of Californ14 EgergY NegUtV"61AtP• r LOERKE IN51Jj ATION C0 INC. 49915(1 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. February 21 1992 ,� w SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required item as ehoVi OR the Building Department approved plans and attachments have been installed ae required by the State of California Energy Requirements, All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. h TATE CONTRACTOR Is LICENSE NO'. ' - 2 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING, January 1984 U COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE =Y' a S«►.teN<'06 I2(-91 x 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 matter, or need additional explanation, please contact this office immediately. ;g e C1- ct S2P(-(CL . J V.%N4vQn �'2,nG Gvcac>,.O enu'r,2 Di= R4,rGrlra•c6 " '.4 'c t -cam 'f �i b Date Z Inspector : lam_ ,r '• i COUNTY OF BUTTIr. ..�� DEPARTMENT -OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 > 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE <0P.1 OWNER PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ai n_f1� inn )C ca, Date(� - 1 e -Cl 1 Inspector .13 ' .h COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT •il��_ t��ll� - •'4 ASSESSOR PARCEL NUMBER 040-240-009 ZONING R-3 BUILDING PERMIT OWNER James Stanfield TELEPHONE 891-4737 ,SQA FT. OCC, BUILDING VALUATION 308 R 12 720.00 OWNER'S MAILING ADDRESS 2363 Florida Ln., Durham 95938 CONTRACTOR'S NAME James Stanfield TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 12.32-0.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $98.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $49.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee 172.75 PLUMBING PERMIT Filing Fee 10.00 2363 Florida Ln. , Durham Each Trap 31 2.00 6.00 Solar or heat pump water heater 20.00 LOT NO. 11 SUBDIVISION NAME McAnar lin Tract- Franklin Sub. PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [T Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New❑ Addition[o Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Enlarging Bedroom & Adding Bathroom Permit Fee $26.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS_10.00 Main Service EA. ADD'L 100 AMP 2.50 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. 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) ❑ 1, 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. OR AODNS. ACC. BLDGS. DWELLING OCCUP.ad `/zQsgft 7.70 NEW CONSTR U TI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES z 0@50t eAL@30 30 Ex. Occup. OUTLETS FIXED P(RESID )LNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $17.70 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. 54 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and xpenses which may in any way accrue agai st said County •n A�onseen f e granting of this permit. Date 4'-) rJ'!GG Si tune of Applicant - 0 er� Contractor E]Agent❑ An OSHA permit is required fo xcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 occ CONST TYPE - TOTAL F E 46.45 HAz. cuA PARK SCHL PAR P IssyE. This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O PUBLIC WORKS BY Date 7 21�-Fry�J P IT EXPIRES Date^��w Receipt No. 88371 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 75 COUNTY OF BUTTE - DEPARTMENTF PUBLIC WORKS - BUILDING DIVISION W NTY CENTER DRIVE - OROVIL `E, CAWFORNIA 95965 - TELEPHONE: 916/538-7541 ` PERMIT APPLICATION DATA SHEE ' T Permit �o. F OWNER J IIIA��� 4S7A -F�5L- � A. P CF N Proposed Building Use �%��Building Inspector 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. II items have been submitted . ............................ Plot plans in duplicate/triplicate, signed by preparer of plans . Complete plans in duplicate/triplicate, signed by preparer of pla s .. 4. Complete engineered plans and'calcs, with wet signature on plans .. 5. Hazardous Material Form ................... 6. Energy Design Compliance and supporting documentation ......... 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 ...... ` School i ict fees paid .............. �— 3-J?/ a _ 4 Sanitation approval from r 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* _-;_n Mail to owner. Mail to contractor. Telephone and hold for pickup at-, office. Deliver w/inspector. Other `-, ..n A �1 It i Copy of Haz-Mat form sent Health Dept. Fire Dept. I Pollution `°Date Copy of plans sent Health Dept. Fire Dept. Other Date_ y By '1 The following data must be submitted to to pe mit is�-uance: (Circle new tem not checked above) 1. Index permit for above items No. ��� 2. Additional items required: Contractor, designer, owner, Contractor, designer, owner, Plans checked by Copy—DPW was advised of above required data by—phone --nail_cou er by .date was advised of above required data by_phone_mall_c nter by date _,Rate Plans approved by Date V/� )_ Sets of plans on hold in File cabinet AP folder r� TO Buildina Reptment FROM: Environmental Health SUBJECT: Sanitation Clearance STrMI, t= D 2-363 Flan" Lam-• 4® --L4 9 -' Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply ?old final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** Date Sanitarian RESIDENTIAL PLAN CHECKING. GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER �J�C.l� A. P. # Plan Checker :GENE Zoning requirements: (sideyards and number of permitted living units). /valuation. 8! Plans signed by designer.. li�Proper description of work on application. Existing violations on .property. Items on data sheet. (W.C.., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. �ther buildings or structures. + Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). �FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across. lot lines (Record form). FLOOR PLAN 11-�Complete to scale plan with dimensions. j,2. Required windows for light and ventilation (Sec. 1205). V Required windows for second exit (Sec. 1204). -kylights (Chapter 34 & Sec. 5207). ., Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or. gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). V1 - 3'0" exterior exit door (sec. 3304 (f). A2� Fireplace and wood stove location, alcoves, and clearance. 1✓3 Smoke detectors (Sec. 1210). N� Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS i,,,�Standard bracing or engineered design (Table 25V) 4nusual shape, size, or split level house requiring lateral design. F oundation plan complete enough to construct building. t!.,: Floor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. �6! Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. 4 Garage door or porch header sizes. Stud heights. dobe soils - special foundation design. S1#2/ etaining walls requiring design. pecial Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS,.ITEMS TO LOOK OUT FOR Stairway details: 'landings, rise and run, head clearance, handrails + . (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). - /Exterior plaster - weep screeds (Sec. 4706). • I Pr6per roof pitch for roof convering (Chapter 32). - .,/Roof covering type - (fire hazard). P:_..,Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).- .- A1ttic access and ventilation (Sec. 3205). O?Cnderfloor access and ventilation (Sec. 2516).ombustion air for fuel burning appliances - L.P.G. requirements.- oise requirements on duplexes. ,, yEnergy design. lashing at all exterior openings. CDF responsible area requirements. COUNTY OF BUTTE - Deoar-tment of Public Works . M 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. �. I personally plan to provide the m labor and materials for construction of the proposed property imp roveme (yes or no) l2. (hve ave not) signed an application for a building permit / for aa 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 y�:a persons to provide the work indicated: - Name Address _. Phone Type of Work Signed: Property Owner C i' Social Security ber ! — - --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_ BUTTE;COUNTY'SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ,,. (One Form' per Building) A.P. Number Building Department No. School,District City County Jurisdiction Property Owner Project Location/AddressOA r f Subdivision Lot Number Residential Development:F�'T13q Sq. Footage # of Living MHI Addition (Group R) J. Units ,x `Commercial/Industrial: �f 0 New resentative OSq. Footage Addition (Including Exterior Roofed Areas) D apt e I .(Floor Plans reviewed by School District Personnel) District Id No. ��� Q,,,, //qui,► ,,( School District certifies that Applicant Name 56& Z el (Street Address) Phone Number (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing /square/feet. Q44 -al 1�� y---1?- .57/ oo.i uistrict Representative PAID BY CHECK NO. BANK NO A/ PAID BY CASH /ya REMARKS: zq Date white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AS ESSOR PARCEL NUMBER 040 -2140-OCA( ZONING 3 BUILDING PERMIT OWNER Am N 1 TELEPHONE -47.37 SO. FT. OC BUILDING VALUATION OWNER* ,Al1.,ING, DOR W ER'S "^4;( ^d (��J(, (/�rI vk Ayy-1, CA, q Sell % CONTRACTUH*5 NAME tp,mes TELEPHONE CONTRACTOR'S MAILING ADDRESS 16, n1 Fireplace CONSTRU TION LENDER N VNKNOWN Total Valuation J LENDE 'S M (LING ADDRESS N A ARCFN'--T OR ��:-:�:�'s r-.� LICE.•:sE No. ^� Filing Fee _ $ 10.00 Perm; t F --e Plan Che�ia ng Fee $ $ ARCHU ECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty $ BUILDING ADDRESS }�l`►Pr Permit fee. S PLUMBING PERMIT Filing Fee 10.00 Each Trap 3 2,00 d Solar or heat pump water heater 20.00 LOT NO. 1 SUBOI VISION NAME �rjg4 H V 1 4w TPd, - P % 64 Loil 711 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF5? Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 i Mobile Home FS7 G W 10.O eea TYPE OF WORK New ❑ Addition S Remodel [S Utilities ❑ Installation`❑I Other ❑ Describe work: Lt-tiw1. Be dre,6 M. G r,i t, lt�t, ac,A kroOt"ti Permit Fee $ Contractor ELECTRICAL PERMJX Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 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 No. Classification. Rr 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING Occu P.ai OR AODNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. U TI.OUTLET _ NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS et l SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES P .0050 2ALI 30 ED APLNS. Ex. Occup. ou LETS (RESIO OR EA.) 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): ❑ 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. lv1 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 1.0.00 Heating Cooling Hood 3,00 r 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 i 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 cons ce of the granting of this permit. XThis Date S19414 'a lg ure of Applicant — Ownerto Contractor 1:1Agent ❑ An OSHA permit is requi for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE $ !� • �S HAZ. I CUA I PARK scHL FLD cpF PAR IPO HO. ISSUE permit is hereby issued under the applicable 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. `__!!!LTE-O.P.WWHITE-O.P.W.. YELLOW-ASSCSSOR. PINK-INSPECTOH. GOLOENROO•APPLICANT Y i._Y$�e •.,-W�r{a� r. -.. -�-...sem'-i-1'!L„e�/KhkJ '{� )f�,r .,4r#,.-�.�..�,f„-.rte,..- v,.T � .,.•.-r s.--. .....- Fr-w.....`.'^�i�°���ir+o=�#'�+`Mp-w'af�ij�fTP.�f"�=;Y►P;.....:�..�yS��..r�y,�;•+ r,.�..-� 4 40-24-09 . .•�; __ 4315790P,M OSBON, Roger & Dolores 2363 Florida Ln, Durham (gas piping & wall heater/sf) t /1COUWTY OF BUTTE - Dr EPARTMENT OF PUBLIC WORKS- PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ �!3/_�"`�o .� APPLICATION -WO -PERMIT A59SSOR PARCEL NUMBER 40-24-9 ZONING '- R-3 BUILDING PERMIT OWNER Roger R. & Osbo TELEPHONE 343-0426 SQ. FT. OCC, BUILDING VALUATION ADDRDolores OWNER'S MAILING ESS 2363 Florida Dn., Durham 95938 CONTRACTOR'S NAME (hmer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 2163 Florida TAnp. Nirligm Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY t Gas piping system 1 - 5 outlets j 5.00 5.00 Building sewer 5.00 Mobile Home S G W 10.00e / TYPE OF WORK 4 New ❑ Addition ❑ Remodel ❑ Utilities & Installation ❑Other ❑ Describe work: GAS Piping q-ke,&g — _ 1 Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW, t I declare under penalty of perjury (check one): '1 i ❑ I am licensed under provisions of Chapt. 9, Diva 3 of the,Business and Professions Code and my license Is In full force and effect. License No. Classification 1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensedcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. I /2 Qsq f NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex, Occup(20@50e OUTLETS OR FIXTURES DAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities, 15.00 Misc. �Virin 9 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. t Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Wall Htr. 116.00 6.00 Cooling Hood 3.00 Ventilation Permit Fee $ 16.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 againt sad County in consequence of the granting of this permit. X F i Date 4ti-X"ations Signature of Applicant — OwneContractor❑ Agent❑ An OSHA permit is required for ex 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 $36 00 FEE ALSCHE F{qZ CUA PARK PAR PD HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do rk indicated above for whih fees have been paid. /�- OIREQJTOR OF PUBLIC WORKS r( Ali? By . � �/� Date - � - ��� � � � IQ_ � PERMIT EXPIRES Date . 84371 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi7le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - 40-24-9 ZONING R-3 BUILDING PERMIT OWNER - Ro er R. & Dolores Osbon TELEPHONE 343-0426 SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS 2363 Florida Ln., Durham 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK ry� New ❑ Addition ❑ Remodel ❑ Utilities u Installation❑ Other ❑ Describe work: GAs Piping-� _ Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main Service EA. ADD'L 100 AMP 2.50 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ADDNS. ( ACC. BLDGS. , h¢sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e AL@ ALa 0 3 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 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): ❑ 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. shall not employ any person in any manner so as to become subject o the W. C. laws of California. (t,Applicant: Not ce 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 'Wall Htr. 116.00 6.00 Cooling g Hood 3.00 Ventilation. permit Fee $ 16.00 Contractor I certify that 1 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 C6untyot 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 agai sa' County in c seq nce of the granting of this p rmit. X Date Signature of Applicant — Owner ' Contractor ElAgentE:1work An OSHA permit is required for ex av ions 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 $36.00 ALSCHL HAz CUA PARK I FLD I PAR I PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or ated above for which D C R OYRB PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS —^ pa Receipt No. 84371 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE • DEPARTME �t;,F PUBLIC WORKS - BUILDINQ DIVISION r �©UN�1Y ��NTpR dFilVl = dFl()VILLE; C�ALIFCfaNIA 8�8Hfi = 7�l.EPFI®NE; ®1®/b3®='i�bi 01 4,: PERMIT APPLI�ATTON DATA SHEET Permit No. OWNER (/OLU /Z, t-�, .-- n /'f , . ) n J- A- 4 Proposed Building Use ng Inspector Date 2// 71gd 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 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, Classification) ... 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. Whyy issue the per it pro s as follows: Mail er. Mail to contractor. y Telephone �hand hold for pickup at w�office. Deliver w/inspector. Other Applicant&&&"te 7 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 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 --jnaII—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works .7 CoLfnty 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. I personally plan to provide the ma r labor and materials for construction of the proposed property improvement(ye or no) /2. IQte—proposed /have not). signed an application for a building permit fowork. 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: 19 Property Owner Socialcurity 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. COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE -- — ZON NG BUILDING PERMIT ROr J, �� Dqpp,r (� TELJ)E`O N SQ. FT. OCC. BUILDING VALUATION WN MAILIN ADDRESS 3 F���i S-7 S CO R 5 M TELEPHONE CO TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 23fv1 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 "^ Q Each qas water heater or vent 5.00 USE OF STRUCTURE SF,k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilities,A Installation[] Other ❑ Describe work: % Permit Fee $ 9 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 1 OR SS AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.aq OR ADDNS. l AGC. BLDGS. / , /:2sgft NEW CONSTR. U TI_OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu Occup(OUTLETS UTLETS OR FIXTURES z0eoo¢ eAL030¢ Ex. Occup. ou LETS ED (RESID )REA.) 1 2.00 Temporary service 10.00 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 Filing Fee 10.00 Heating I Dal I r,,o O Cooling g Hood 3.00 Ventilation Permit it Fee S r 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 CUA FTARK SCHL I FLO PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRFS n;;tP the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. -------- _..._ ..._ ---__ __. _..___ ......._