HomeMy WebLinkAbout040-250-002ra
40-25-2
James Miller
9263 Midway, Durham
Permit #3371-80B P,E.Y-f-' 639 bath,2
" bedrooms, ki.tcb��J �03�2 •\SFS
50
I,IJ�ROG s ,'OJO
ZA63 MID`j'1 PORE TD
CD�v CA
IS
2
r
_Fv /02 / 903
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Greq Zaller
ADDRESS: 12734 Lookout Circle
CITY & STATE: Nevada City, CA 95959
DATE nP r l AIM- 11 /ng;/r1Z
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY
AMOUNT
INV NO.
Refund Claim - See attached calculation sheet
WILT
ENCUMB.
GROSS AMT.
Permit N0.; 03-2639
PAID
RETAINED
REFUND
Development Services
$ 182.95
$ 105.31
$ 77.64
SRA
$ _
$
$
Sheriff
$ _
$
$ _
Other:
$
$ _
$ _
TOTAL
$ 182.95
$ 105.31
$ 77.64
::::::::::::::::::...............................BLDG.......�iCCOTJ
.... .:.:..:..
TT....AMOIRN-T;.
DevelopmentServices
440-001
421osoo
$ 77.64
SRA
0100
4617240
$ -
Sheriff
280
1011811
$ -
Other
$ _
TOTAL
1 thn
$ 77.64
$ 77.64
. - -• •••- _-• • •w� �. a. •...�� ............aro uocn yenurineu or ueiiverea, and that this
claim is true and correct as stated.
Dated this � da �, W
y of �ytn7 2003, at , "slif. ' �Siqh.t.re
t
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Checkon the
�� samtye.
Dated this , 2003, at Oroville Calif. ,i (y,
Depa HIen Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
rlA \IAT \..rrf\Tr n
DEPT & SUB
PROJ
SUB. OBJ
CLAIM NO.
INV NO.
\ Vr% J UJC
INV. DATE
WILT
ENCUMB.
GROSS AMT.
-m'juj
COPY
CLAIMANT:
ADDRESS:
County of Butte
Oroville, California
GENERAL CLAIM
Greg Zaller
12734 Lookout Circle
CITY & STATE: Nevada City, CA 95959
DATE OF CI AIM- 11/ns/fly
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT
PROJ
Refund Claim - See attached calculation sheet
CLAIM NO.
MULPI
INV NO.
Permit No.; 03-2639
PAID
RETAINED
REFUND
Development Services
$ 182.95
$ 105.31
$ 77.64
SRA
$
$ _
$
Sheriff
$ _
$
$
Other:
$ -
$ -
$ -
TOTAL
$ 182.95
$ 105.31
$ 77.64
::: ►-c :•:•:::•
........
:::::::::::
:.:.:.:BP.EA
.�iC.' ::' —::::;.
:'P�' ':'
ISGQTJ�T
AMO
Development Services
440-001
4210500
$ 77.64
SRA
0100
4617240
$ _
Sheriff
280
1011811
$ _
Other
$ _
TOTAL
I_ fhw
$ 77.64
$ 77.64
- -- -••, -• r-•,-', •„ • ' Owl., VI dRIc195 maimea nave peen performed or delivered, and that this
claim Is true and correct as stated.
Dated this day of , 2003, at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same.
Dated this day of , 2003, at Oroville Calif.
Dept. SEE Exp. Department Head or Authorized Deputy
Code BREAKDOWN Code PAYABLE FROM FUND
r•1A AIAT \111 ['flTr n
DEPT & SUB
PROJ
SUB. OBJ
CLAIM NO.
MULPI
INV NO.
r VK 0 ust ONLY
INV. DATE
ENCUMB.
GROSS AMT.
I REFUND CALCULATION SHEET I
CLAIMANT:
ADDRESS:
CITY & STATE:
DATE OF CLAIM:
Greg Zaller
12734 Lookout Circle
Nevada City, CA 95959
1.0/03/03 APN: 040-2
RECEIPT INFORMATION
NUMBER:1385432
DATE: � __J
ISSUED TO: Greg Zaller
CHECK #: 6902
AMOUNT: $182.95
PERMIT M 03-2639
Yes
t REFUNDS:
VERIFIED X
No
03
No I Yes
CHECK: $77.64
DIFFERENCE:
(Should be blank)
APPROVAL
Date Reviewed 11
Michael Vieira
Building Manager ��(/�
REFUND
BREAKDOWN
BLDG
SRA
SHERIFF
DETAIL
PAID
RETAIN
REFUND
440-001
0100
280
4210500
4617240
1011811
BLDG
FILING FEES
Building
20.00
20.00
Plumbing
Electric
20.00
20.00
Mechanical
PLAN CHECK
;
Plan Check
52.651
23.001
29.651
29.65
Ener
INSPECTION
Energy
SRA -BLDG
Building $46
PERMIT FEES
Building
81.00
33.00
48.00
48.00::"***"**'.""""""""::
.:.:::.:: ::::::::::::::::
: : :::::::: :
Plumbing
Electric
9.30
9.31
0.01
-0.01 ............................
'.....::::...... .
Mechanical
OTHER BLDG
Overcharge
REFUND PROCESS FEE
BUILDING TOTAL
182.95
105.31
77.64
77.64 ::::::::::::::::::::::::::::
::::::::::::
SRA -FIRE
..............
SRA - FIRE
..........................
Fire $43
SHERIFF - $360
::
SHERIFF
Sheriff
OTHER NON -BLDG
OTHER
$
182.95
$ 105.31
$ 77.64
$ -
$ -
$ -
Q
.p
77.64
BLDG
SRA
SHERIFF
440-001
0100
280
4210500
4617240
1011811
CHECK: $77.64
DIFFERENCE:
(Should be blank)
APPROVAL
Date Reviewed 11
Michael Vieira
Building Manager ��(/�
I REFUND CALCULATION SHEET I
CLAIMANT:
ADDRESS:
CITY & STATE:
DATE OF CLAIM:
Greg Zaller
12734 Lookout Circle
Nevada City, CA 95959
11/05/03 APN: 040-250-002
RECEIPT INFORMATION
NUMBER: 385432
DATE: 8/29/2003
ISSUED TO: Greg Zaller
CHECK #: 6902
AMOUNT: $182.95
PERMIT #: 03-2639
Yes
PRIOR REFUNDS:
FEES VERIFIED x
No
Yes I No
CHECK: $77.64
DIFFERENCE:
(Should be blank)
APPROVAL
Date Reviewed 11/3/2003 4F
Michael Vieira
Building Manager
REFUND
BREAKDOWN
BLDG
SRA
SHERIFF
DETAIL
��AID
RETAIN
REFUND
440-001
0100
280
4210500
4617240
1011811
BLDG
..............
..............
..............
..............
............................
............................
....... I ...................
..........................
..........................
............
....
............
FILING FEES
. ..............
..............
............................
............................
................
..........................
...........
...........
...........
Building
20.00
20.00
..............
..............
............................
..........................
..........................
...........
Plumbing
...
..............
...............
...........
.... ............
- * * * ........................
............
..................
..........................
...........
...........
...........
Electric
20.00
20.00
..............
..............
............................
..........................
..........................
...........
Mechanical
..............
..............
............................
....................................
............................
..................
..........................
...........
...........
...........
PLAN CHECK
. ..............
..............
............................
..........................
..........................
...........
Plan Check
52.651
23.001
29.651
..............
29.65
............................
..........................
.......
............
............
Energ
..............
..............
...............................
............................
..............
..............
...........
............
...........
INSPECTION
..............
............................
..............
...........
............
Energy
..............
..............
............................
............................
..............
..............
...........
............
...........
............
SRA -BLDG
..............
..............
............................
..............
...........
............
Building $46
..............
............................
............................
..............
..............
...........
............
...........
. ...
PERMIT FEES
..............
..............
...............
............................
......
.....................
..............
............
...........
............
Building
81.00
33.00
48.00
48.00 ...............
. ...........
................
...........
.
......
................
Plumbing
..............
..............
..............
............................
............................
..............
..............
.. * ...........
...........
. ....
..................
............
...........
Electric
9.30
9.31
-0.01
-0.01
............................
............
Mechanical
..............
............................
..............
............
...........
OTHER BLDG
..............
..............
......................
....................................
............................
......
..............
............
...........
............
...........
............
Overcharge
...............
..............
............................
............................
............................
..............
........ I .....
..............
...........
............
...........
............
...........
............
... ..............
REFUND PROCESS FEE
..............
............................
...............
............................
..............
..............
...........
............
...........
............
BUILDING TOTAL
182.95
105.31
77.64
77.64 .....
..............
............
.............
........................
........
. .....
............
............
.........
.
SRA - FIRE
....
.....
....
SRA - FIRE
..............
......... ...
.............
..............
............
..........
............
...........
Fire $43
......
............
SHERIFF - $360
SHERIFF
Sheriff
.............................
........
...............
......................
:
.... .......
............
............
OTHER,NON-BLDG
F
......... . -
....................................
......................................
.......................
..... .......
........
. .........
.......
......
........
OTHER
$
182.95
105.31
$ 77.64
$
$
$ -
$
77.64
BLDG
SRA
SHERIFF
440-001
0100
280
4210500
4617240
1011811
CHECK: $77.64
DIFFERENCE:
(Should be blank)
APPROVAL
Date Reviewed 11/3/2003 4F
Michael Vieira
Building Manager
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oeoville, California 95965 • Telephone (530) 538-7 ER IT No.
(Rev. 12/66) APPLICATION AND PERMIT-�9
ASSESSOR PARCEL NUMBER
040-950-009
ZONING
R-3
BUILDING PERMIT
OWNER GREG ZALLER
TE��NE2345
L
SO. FT. OCC. BUILDING VALUATION
266 C -U
1330.00
OWNERS MAILING ADDRESS
12734 LOOKOUT CIRCLE NEVADA CITY 95959
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
Energy Plan Checking Fee9263
$
BUILDING ADDRESS
MIDWAY, THIRIJAM
PERMIT FEE
$ 76.00
LOT NO.
SUBDIVISIONS 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 ❑ Other ❑
Describe Work: CONY. CARPORT TO GARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service A 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 in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
affirm under penalty of perjury that I am exempt from the Contractors License
Lathe following reason:
I h711as 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
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
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. ( DWEWNG UP.
N AD
.3.5¢SO. n • 3
FT. 7
NST. MULTICOUTLS.
NON REslo.
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @''00
BAL @ .so
F XED APPLNS. OR
Ex. Occup. ovTLETs RESID. EA
5.00
Tem orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S 29, 30
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Pol'cy Number
e above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
wor ers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with those pr i s.
X _ Date ' % a
Si atu Zf- caner b Contractor ❑ Agent
n OSHA pr excavations over 5'0"deep and demolition or constructionof structurees in hepht.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNST. PE
V TOTAL FEE $ 1G6. 3t
HAZ. D. FEES IMP/ FLOOD COF PA�iCFJ PO HD ISSUE
1•// ✓
r'
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
D to
113
/ D
Date
//��
Receipt No. 0["7
WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
03 -3
COUNTY OF,BUT4_DEP��NT OF DEVELOPMENT SERVICES BUILDING DIVISION
7 County Center Drive'
'0i61 c'', CA 9596"5 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER. `[N ASSESSOR PARCEL NUMBER, ll,� O ?50
Proposed Building Use: vCounter Technician: Date: V
Items required in order to apply fora perm4141boxes bM T be ecked OR marked NA in order o apply.
1. Site plans 3� 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3,or 4 sets, signed by the preparer of the plans.
3.
0'Engineered planZD 4 sets, with wet signature on plans AND 2 sets of stamped and signed ;calculations
❑ 4. Engineered truss -details, and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate. �. A. VV%
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D),Q&.clownor°fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate.(D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer. `
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit willbeindexed and
returned to the plan review line-up when required items are received. r ,,
,,(Date Received ., By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.....,.:,<
❑ 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 ....................................
❑ 12. Hazardous Material Form..............................................................::...............
❑ 13. Fire Sprinklers............................................................:...............................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other t
I
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 17. Statement of Intent for Non -heated and A/C Buildings...................1.........................
❑ 18. Sanitation and site plan approval from the Environmental Health Department in
❑ 19. City of Chico Plumbing permit........................................................................
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Plan ning'approval for (A) Use: C> K (B)Parking: (C) Parcel Check:
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form....................................................................:.........................
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
❑ 25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance ................... .................. :.,........................
❑ 32. Existing violations and/or expired permits............)............................................
3. ❑ Grant Deed,H. Title/ tatement of F ts, ❑ LOwner, El Check to H.C.D. $
AWh
o a
. Other: etter om Le 17 - Ile S r
issued Teleph` and hold for pickup.
I have been informed of the above iteeT 9d requirements for obtaining a building permit.
Applicant: Date:
1. Index permit applicat' n f the bove items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ count r, bq Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
OB. -I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued until this
verification is received.
1. I personally plan to provide theAor labor and materials for construction of the proposed
property imtement : YES 15 NO 132. 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:
PHONE:
CONTRACTOR'S 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:
PHONE: CONTRACTOR'S 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: .
PROPERTYOWNER:
DATE:
-6
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Codes This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUDDER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work If your work is being performed by someone other than yourself; you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. \
If you plan to do your own work; with the exception of various trades that you plan to subconti act, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is -$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ . There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific infom ation about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
* eiy,
Mc 1 C. Vi ira, C.B.O.
er, Building Inspection
NOTE. This Ownff Builder Information is required by Section 19830 of the California Health and Safety Code -
1111A .:A
ode.
G1+A.:A N
C7
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- "1 ,
(Rev.12/96) R APPLICATION AND PERMIT ^�
ASSESSOR PARCEL NUMBER D �O /1 C'OE`D jt�� ZONING /Z —3 BUILDING PERMIT
t r`
OWNER �rh TELEPHONE SQ. FT. I OCC. BUILDING VALUATION
.OWNERS MOILING ADDRE / 1 n.. _ J/_ P.
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
LOT NO. I SUBDNISIONSNAME
USEOFSTRUCTURE
SF )( Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other
Describe Work:
ca A nQ
• �Lor�-b� �� C�2.� L
.PERMIT FEE PAID
SRA
SHERIFF
OTHER
NO.
;J
AMOUNT RECEIVED $
DATE RECEIVED. g a°/�� 3 �
flm
RECEIPT # 3vi5q3 � � B
Mel
Total Valuation $
PERMIT FEE S
FIXED APPLNS. OR
EX. Occup. OUTLETS RNID. EA
Filing Fee
Permit Fee
Fling Fee 20.00
40.00
Plan Checking Feer
$
5L.
Energy Plan Checking Fee
PERMIT FEE
$
$
$
70
PLUMBING PERMN
SO
3.50FT. G
Fling Fee 20.00
Each Trap N
1
7.00
Solar or heat pump water he
7.50
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
1 0
Mobile Home I S G W
@20.00
EX. OCCU . OUTLET OR FIXTURES
PERMIT FEE S
FIXED APPLNS. OR
EX. Occup. OUTLETS RNID. EA
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
zoos oa mss
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
(
DWElLNG OCCUP.
SO
3.50FT. G
OR ADDNS.
b ACC. BIDS.
NEW CONST
NON-RES10.
MULTI -OUTLET
meuru noxi �rtc
7.50
EX. OCCU . OUTLET OR FIXTURES
BZ 3 .�
FIXED APPLNS. OR
EX. Occup. OUTLETS RNID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I PERMIT FEE $ o2Gr 3 O
MECHANICAL PERMLT Fling Fee 1 20.00
Hood 6.50
Ventilation
PERMIT FEP $ ALH.1
Mobile Home Installation Fee $
Energy Inspection FeeCO T' °E TO AL FEE $
HAZ. D. FEES FLOOD CDF EL
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.
By Date
PERMIT EXPIRES ON
DATE:
PERMIT r: 7
ASSESSOR PARCEL 1: (% Q � 2 %]� '
OWNER'S NAME:
FEES (Amount and Purpose): J —
REVISED PLAN CHECK: S
BALANCE OF FEES: �
ADD S
"--RHEM-SPECTION FEE;
ERIFF FEE:
CUA FEE:
TVA FEE:
S
S
CSA 87 TRAFFIC FEE: $ 2500.00
WATER TENDER FEE: S 200.00 BATTALION I
THERM DRAINAGE FEE, S
IF BALANCE OF FEES OR ADDITIONAL VALUATION:
VALUATION: S
ADDITIONAL VAL: S
(Check, One) COUNTY
CITY OF BIGGS
(Check One) RESIDENTIAL
COMMERCIAL
RECEIPT NUMBER.: e;%t--v) �!)�
di
1 r robert show engineering
,t
STRUCTURAL CALCULATIONS
i
FOR
_E.
t
1. These calculations and plans were performed -without the benefit of
a:-.soils/geologic investigation. Values used for soil_:bearing,etc.
are values assumed to be valid for soils in the area of the project.
Any iinusual or unstable conditions encountered in the field should
;;;,be brought to the attention of the engineer, The design engineer
,is not responsiblez for any conditions that may affect the proposed
�r structure that are not known to the engineer.
2. Any deviation from these calculations and approved plans not approved
by the engineer effectively removes the engineer from any liability
from such deviations/changes.
A CONSULTING ENGINEERING FIRM • 547 UREN ST., SUITE B, NEVADA CITY, CALIFORNIA 95959 9 (530) 265-3681
JOB NAME JOB #
DESIGNED BY DATE SHEET OF
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- _ LAND OF NATURAL WEALTH AND BEAUTY
W5°• L� DEPARTMENT OF PUBLIC WORKS
_c +Z":,; CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
4' Teleohone: (916) 534-4541
H: W. McDONALD
Deputy Director
October 16i 1981
James Miller RE: Building Permit -No. 33 .80 (addition)
1918 Sycamore Ln. ..Expired n/g1
Chioo, CA 95926 (A.P..No. 40a25=o2 )
With reference to the above subject, our records indicate.that your building permit
has expired. Building permits are valid for one year and should construction not be
completed at the expiration date of the permit, the permit shall be renewed for 1/2
the original fee.
Kindly contact this office within ten (10) days to renew your permit. Should our
records be in error or should your construction be completed, please advise this
office immediately. ,
Thank you in advance for your prompt.attention concerning this matter.
Yours very truly,
Clay Castleberry
Director of Public Works
F, Gl nder
JFG:dd Chief Building Inspector
Attachments
P.S. For your convenience, we are attaching a renewal application form which may
be completed and signed by you where indicated and returned to this off'ce
together with the fee shown. Fie are also attaching an Owner -Builder Information
Sheet and an Owner -Builder Verification Form. Please complete the Owner-Bui4der
Verification Form and return it with the renewal application and fees.
cc: Building Inspector , Chico
i<< .
-COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-454
APPLICATION AND PERMIT
A SSOR PARCEL NUMBER z 'G
BUILDING PE
M
.J�GR✓�lEs I ELEPAerHONE13
SQ. FT. OCC. BUIL
NG VALUATION
1op
OWNER'S MAILING ADDRESS
19.)&Mare — Dv
CONTRACTORS NAME
TEMEPHONE
CONTRACTOR'S MAILING ADDRESS
1� 1
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
,.t
LENDER'S MAILING ADDRESS
Permit Fee
$ L 0-6
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
Bul I G ADD ESSJS
PLUMBING PERMIT
Filing Fee 3.00
C—
Each Trap2.00
,0-0
Repair drainage or vent piping
2.00
'i2kj6n.
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
d
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Additionfl?' imodel ❑ Utilities ❑ Inst lation❑ Other ❑
Describe work: t TI ]J
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR1 OR LESS5.00
'
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLIN &
OR ADDNS. (AC,. BLD 22 sq ft
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
RI -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
NE W NON-RESID R BRANCH CTLETITS 2.50 ea
NEw CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@ios
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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
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 3.00
—
Heating yJ b.00
Cooling
®b
Hood
2.00
Ventilation
Permit Fee
$ J3.
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 expe es which may in any way accrue
agai id County in sequenc f he a ing of this permit.
- M r%
X Date v
S gnat of Applicant — Owner [�Controctor ❑ 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 $
Land Development Fee $
A ��
TOTAL PERMIT FEE $ o�L
OC,�OP`GROUP
��(�GJ�\) 3
T✓ OF CON
PARCEL
ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By -Date?
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
3-91
— —
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Miller Construction Co.
1918 Sycamore Lane
Durham, CA 95938
Attn: James G. Miller
Gentlemen:
a
LAND OF INATURAI .NFAI.T`i AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teleohone: (916) 534-4541
H. W. McDONALD
Deputy Director
April 19, 1982
RE: Final Inspections and Approvals
4t ZL
With reference to the above subject, this office has been attempting for some time
to have you obtain finals or renew building permits on the following jobs:
(1), Permit #768 -76 -AP 39 -27 -20 -single family on Yocum Street in Dayton.
(2) Permit#3788-76-AP 39 -27 -61 -single family on Front Street in Dayton.
(3) Permit #3956 -76 -AP 39 -27 -63 -single family on Front Street in Dayton.
(4) Permit #1266-777AP 39 -27 -44 -single family on Yocum Street in Dayton.
(5) Permit #4511-77 & 6334 -77 -AP 63 -15 -9 -single family.and garage conversion
for Robert E. Lee Drive, Forest Ranch.
(6) Permit #6333 -77 -AP 39 -26746 -single family for Tom Pyle on Chico -Butte
City Hwy., Chico.
(7) Permit#3256-79-AP 40 -04 -43 -addition to single family on Entler Avenue,
Durham.
(8) Permit#3371-80-A '40-25-2- ddition to single family at 9263 Midway, Durham.
Since most of these jobs are quite old, if you would contact our Chico office within
ten (10) days of the date you receive this letter and have the jobs finaled in one
(1) trip each, we will not require additional fees or permits. If we must re -inspect
a second time, a new permit to finish will be required.
Your cooperation in resolving these jobs would greatly be appreciated.
Yours very truly,
Clay Castleberry
Director of Public Works
PINK m �
WN 12 E.-
JFG:ds dtiief Building Inspector
cc: Chico Office
Contractors State. License Board, 2400 Washingtoh Ave., #111, Redding, CA 96001
TO:
F R M:�JerP1
SUB ECT: I/In
DATE:
}
/ -1
Inter -Depart&Lnt�I oMemorandum
o,u
X'e /,/-k
A P - VD - 2-r- z
Inter-Departmeontal^�,,Memorandum
�t0 t —
S�UBJeCT:
DATE: �
James Miller
1918 .Sycamore 'Lrn.
Durham,; -,CA 95938
Dear Mrr .: Mil er :
�' quite C
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM( SII) CHEFF
Nrector
December 12, 1984•
RE: Building Permit .No. 3371-80
Expires 7./3/81
(A.P. No. 4-=25-02,. )
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started -but not completed by the expiration date of
the permit, the permit shall be renewed for 1/2 the original Building Permit'
Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building.
Permit for an additional year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit is issued.
If your construction is completed or.should you have any question concerning
this matter, please contact the _ ch idn office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned'to
this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
.Direc.tor*of Public Works
.F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Ch ko
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
James Miller
191.8 Sycamore Ln.
Durham, CA 95938
Dear. Mr . Miller:
��� --.
Eatte Count
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916)
WILLIAM (till) CHEFF
Acting' Director
April 18, 1984
RE: Building Permit No. 3371-80
Expires 7/3/81
(A.P. No. 40-25-02 )
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date of
the permit, the permit shall be renewed for 1/2 the original Building Permit
Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building
Permit for an additional year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit is issued.
If your construction is completed or should you have any question concerning
this matter, please contact the Chico office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to
this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Acting Director of Public Works
F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Chico
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961,;Ext: 57
,butte C
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
H. W. McDONALD
Deputy Director
October 16t 1981 .
James Miller RE:' Building Permit No. 33M.20(additioa)
1918 Sycamore Lne Expired
Chico $ CA 95926 (A . P . No. )
With reference.to the above subject, our records indicate that your building permit
has expired Building permits are valid for one year and should construction not be
completed at the.expiration date of the permit, the permit shall be renewed for 1/2
the original fee.
Kindly -contact this office within ten (10) days to renew your permit. Should our
records be in error or should your construction be completed, please advise this
office immediately.
Thank you in advance for your prompt.attention concerning this matter.
Yours very truly,
Clay Castleberry
Director of Public -Works
Fnder
. G1
dd Chief Building Inspector
P.S. For your convenience, we are attaching a renewal application form which may
be completed and signed by yotWe are
ee 'socaa �do�a�td_rean 696t j®ro"D&a ion
8heeteand with
Dime Bufee ild r Verification Po=* j Please �cvomlplete the 0vMeza•BuiJder
Verification Form and return it with the renec7$1 application and fees.
cc: Building Inspector 9 Chico
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
40-25-02
OWNER
ZONING
BUILDING PERMIT
James Miller
TELEPHONE
342-1383
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1 18 c m r
CONTRAC TO 'S NAME
OlAmer
TELEPHONE
1st to 4th Renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
none
Filing Fee
$ 10.00
Permit Fee 3
Plan Checking Fee
$ 1 00
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Penalty
$
Permit fee
$ 22
PLUMBING PERMIT
Filing Fee 10.00-
0.009263
9263Midway
Each Trap
2.00
Durham
LOT NO. SUBDIVISION NAME PARCEL MAP
Solar Water Heater
20.00
Water piping
Each qas water heater or vent
5.00
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF-K]SGW10.00e
Duplex ❑ Mobi lehome ❑ Other_ add-
SPECIFY
Building sewer
5.00
Mobile Home-1--FT--F-
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: —
1st to 44th Renewal Permit # 3371-80
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;000 AMP OR LESSLESS
10,00
CONTRACTORS LICENSE LAW
I declare under PeAlk 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)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for thi reason
WORKMEN'S COMPENSATION INSURANCE
I declare and enalty 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. f
Main service EA. ADD'L 100 AMP 2.50
NEW CONST, DWELLING OCCUP.& I
OR ADDNS. ( ACC. SLOGS. 2h Qsq ft
NEW CONSTR U TI.OUT LET
NON-RESID BRANCH CIRCUITS) 2.50 ea
NEW CONSTR. (POWER APPARATUS &)
NO ESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 20@50t
aAL@ 300
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID,) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERTIFFilingFee 10.00
Heating
Cooling
Hood
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
)ains, said County in consequence of the granting of this permit.
Date
nature of Applicont — Owner❑ Con rector❑ 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 $
TOTAL PERMIT FEE $ 226.00E
OCCUP. GROUP
TYPE of CONST,
PARCEL
Pp
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 OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date_. 7/3/85
Receipt No.
`WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC; RKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NQ.
ASSESSOR PARCEL NUMBER
— j -0a
ZONING
/?— 5
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
! �
I
OWNER'S A LING ADDRESS
67 Ln, Dql-hgon '15
CONTRACTOR'SN E
TELEPHONE
"y
CONTRACTOR'S MAILING ADDRESS
Fireplace
O TR UC TION LENDER
i
UNKNOWN
@ $
Total Valuation
LEN'DER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee Co X r,2
$ ,
A�rR1CHITECT OR ENGINEER
' L ��—`
LICENSE NO.
Plan Checking Fee
$
Penalty
y
$ '
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each pas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCT R
fi J1 /
SF Duplex❑ Mobilehome❑ Other I�(f r/L�%
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New ❑ Addition [�, moo I r l�ti lities ❑_ Installation❑ Other ❑
Des 'be work:
7/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.g
OR ADDNS. ( ACC. BLDGS.
ZIh¢Sgft
CONTRACTORS LICENSE LAW
I declare under p alty of perjury (check one): ;
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 43iness
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
fori reason
NEW CONSTR TI.OUTLET 2.50 ea
NON.R ESID BRA CH CIRC TS
NEW CONSTR. POWER APPARATUS e'
NON.RESI D. ( SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 90@090
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESIO.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
W. WORKMEN'S COMPENSATION INSURANCE
I declare uncrer 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 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 Countyof
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
a ainst said County in consequence of the granting of this permit.
Date
ignature of Applicant — Owner❑ Cantracta, ❑ 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PO
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
L�
Receipt No.
WHITE-D.P.W., YELLOW-A9D93SOR• PINK-INePECTOR. GOLDENROD -APPLICANT
PLANNING DIVISION - BUILDING PLAN APPROVAL
Use: _ e, Date: ��' S'_ &-
Parldng: Landscaping:
Other
Signature: V
pAr- KING
bEE peo O
- S M5- Pmtiy___
I
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12 mN'TiNv��
je IiA4 S1g11V-6 Kt.ft '�D I TE
030...E sum
�4E w 20A .NO 4 F4
-75
C-AG'2- . ��SYWA Lf-- 0162 306
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structures or equipment en*Pt
for a 2 ft. eave overhang.
NO*rE-- RAIZ M +rials Workmanship SNnII 8e 10
Accord �+ a W*A R00-rim"eyed Cr, Pr-,!FCes and
o �► p�ubtli r presers&,h4 4& +he Seel ,,PeA use 10
Bu-II&n , lalumbing tvi l e �titt�
Uni��rm 9
+elatienalI+�ctrie�! t►
B PTTT 0UN P `I
1n
a y r
Cl
' Provide 1/s' x, ,i O[ anchor
bolts
{t2@ 6' O.C. max. and within
12" of joints. j
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?EM.O� D3� _._.._ _71 _
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7S for this building
The minimum STATE RESIDENTIAL ENERGY REQUI�MEN
4 Design E ays
of •.��
t�L. ��� Degree D , and
p Temp
ir►sUlatlon: �-
�o R Single-a{lowed;
_
:r 7 Slab edge - - - sq, ft.,
Fdn Walls - - - - .
R $mgle-actual;
Floors - D O S ecial-ac}ual; sq.—
>t
Walls - - - - • - . ' p not required
- . Vapor Barrier &labeled
5
_C .1. - P,tirg Vwc3s. & Drs. cert,
r '`> a pipes PElr wea+herstrip
Q - Swinging Doors _
6 --circulating p'pe
s .t4 M
Ducts fable tO-D i}.1�•.
bac damps •
Ntg. & A.C.: Gas P to+s n intermittent �gnit�on
8TU J All Appliances
- tt: PROVIDE APPROVED VENT _- ___h Max. Other:
AND ADEQUATE COMBUSTIONW+r. H+r. Type
Aik x
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