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40-24-37 3385 -00E -'r...
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RINES, Russell,.
2375 Serviss St,•Durham y 'N
Contr: Durham Electric
(elec sery/sf)
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-24-37 '3385-90E
BRINES, Russell
.2375 Serviss St, Durham Q
Contr: Durham Electric
(elec sery/sf)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
'7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
A�?-,s-- 9
ASS"x140NG
- 4-37 NUMBER
1
Z RLL +
BUILDING PERMIT
OWNER
Russell Brines
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 3081, Chico 95927
CONTRACTOR'S NAME
Durham Electric
TELEPHONE
-''
CONTRACTOR'S MAILING ADDRESS
110 C Orange St., CHico 95926
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
2375 Serviss Durham
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JS=EJ
10.00 e
TYPE OF WORK
r��1
New ❑ Addition [:1Remodel ❑ L3
Utilities Installation❑ Other ❑
Describe work: Service Change _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0 AMP ORSLESS
1 10.00 10.00
Main service EA. ADD'L too 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. q27rJ lOJ Classification l_.-0
❑ 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
GOCCUP.&�
OR ADDNST ( DWEACCLLING
/
21/2¢sgft
NEW CONSTULT'.OUTLET
NON -R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES
MAL@30
FIXED
EX. Occup. OUTLETS P(R ESID )RE A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
1 15.00 15.00
Pre—Inspection
1 15.00 15.00
Permit Fee
$50.00
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.
,5;rI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyor
Butte to enterr on the above-mentioned property for inspection purposes.---
I also agre ,fo ve, indemnify and keep harmless the County of Butte against
all liabilities f, dncost d expenses which may in any way accrue
against id ountof the granting of this permit
X Date %
Signature. Of licant — Owner
g pp ❑ Contractor, :f 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
NOTAL FEE $
ALSCHL E
0
50.00
HAZ
CUA
PARK
PAR
HD
'esu
Th's permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR F PUBLIC
By ZF _0____
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date"- �q�'
�� �_
.Receipt No. 73482
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
PRE -INSPECTION
Q NER : l/ �`� �(� � N S DATE
LOCATION:— % V/ `S A.P.
CONTRACTORS ��� ���I /1/1 F L � ZONING
PRE—INSPECTION FOR :
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS HOLLOWS:
i
'HYPE OF OCCUPANCY
FIELD — P.FORMATION
BUILDING USAGE: �� �fC,r✓� Fktm�c,H
TENANT:
OCCUPIED • FYI HAS ELECTRIC FX] HAS GAS
=)d HEATED—COOLED
:. OTHER COMMENTS:.
ACTION RECOMMENDED:
ISSUE Q
PERSON CONTACTED
HOLD FOR
HAS SANITATION FACILITIES
F'
OTHER:
BY DATE
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
qo
ASSESSORARCEL NUMBER
40-24-37
ZONING
R=3
BUILDING PERMIT
OWNER
Russell Brines
TELEPHONE
SO. FT. DCC. BUILDING VALUA, ION
OWNER'S MAILING ADDRESS
P.O. Box 3081 Chico 95927
CONTRACTOR'S NAME
Durham Electric
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
110 C Orange St. CHico 95926
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
2375 Serviss Durham
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
71
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00e
TYPE OF WORK
New ❑ Addition ❑ Remodei ❑ Utilities g Installation❑ Other ❑
Describe work: Service Change
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORRV OR SLESS
1 10.00 10.00
Main service EA. ADD -L too 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. 427&10! Classification G—t�
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP:&
OR ADDNS. ( ACC. BLDGS.
h4Sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APP ARATUS 6
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
eA 030
FIXED APLNS.
EX. OCCUp. OUTLETS PIRESID,IREA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
1 15.00 15.00
tion
1 15.0 15.00
Permit Fee
$50.00
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.
,§R--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. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
n the above-mentioned property for inspection purposes.
Butte 4es
I also ve, indemnify and keep harmless the County of Butte against
all liadgme cost , d expenses which may in any way accrue
' of the granting of this permit
X Date 7 `Q
Signature of/Applicant — Owner ❑ Contractors Agent ET
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 $
50.00
HAZ
CUA
PARK
scHL
FLD
PAR
PD
HDagainsy
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTORF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 73482
WHITE-D.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION G
7 COUNTY CENTER DRIVE - ORO}I}L E.(%LIFORNIA 95965 - TELEPHONE: 91e/63e-7641
PERMIT AgP4CATION DATA SHEET
Permit No. �/J Z
OWNER / (/ A. o. �L/
Proposed Building Use �� �-/� Building Inspector DateZ��:ZA?o
At time of per't 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)
0,e20. Pre -inspection for required Pre-Inspec.request —����� W
p q Building Inspector nate)
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 ❑) .....
t 24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w./inspector.
Other
Applicant Date Z
Copy of Hazy 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--jnall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—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 PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLUTION AND PERMIT
ASSESSOR P CEL NUMBER3�2-
ZONIN
BUILDING PERMIT
OWNER �Sl7G //n/���
-
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORE55 `/c
(xJ
CO T AC OR' AME
T LEPHO E
C TCTOR'S MAI IN A RE55
f✓ 2
Fireplace
CONSTRUCTION LENDER
644 KNOWN
Total Valuation Is
Filing Fee _.
$ 10.00 !
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ `
I
E=nergy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS D
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 i
Each gas water heater or vent
5.00
USE OF STRUCTURE
SFk Duplex❑ Mobilehome❑ Other
T� SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
Mobile Home S G WE4
t
TYPE OF WORK
New❑ Addition ❑ Rem del Utilitie Installation[] Other ❑
Describe work: 6LZ V l C G.
Permit Fee
$ f
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 j
Main service 110v OR LESS
100 AMP OR LESS
10.00 a i
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
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. 7944)
El I,
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 OCCUP.&
OR ACDNS. ACC. BLDGS.
, qft
h2sea i
NEW CONSTRESID. BRANCH
BRANCH CIRC ITS
2.50 ea j
POWER APPARATUS
SINGLE OUTLET CIR.e )
I
/
EX. OCCUp\OUTLETS OR FIXTURESeA
0330
FIXED APLNS!
EX. Occup. OUTLETS P(RESID )REA.)
1 2.00
Temporary service
10.00
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 S100.00 (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
Cooling
g
Hood
3.00 A"
Ventilation
Permit Fee
$
Contractor
I
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 Countyotocc
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
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 $
CONST TYPE
TOTAL FE $
E
E �cL�
HA2
CUA
PARK
SCHL
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 EXPIRES Date
the applicable provi-
resolutions to do ,
have been paid. i
WORKS
Date i
1!
Receipt No.
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT