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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 It L - T- Wt14 , T, 17 -1- if 1.11- 1 :i I TH 7-7- � F 7, 7 2L J., ty �Z 14 T ---i+ 111!1, fill F --,-F —ii/%) 1 �-, -1 - I If It f 4 t%7 --171 1 1 1,-:- 11 1 7-77i 41- _77, T -,----'-f7- T I T I 4 FT' 1 1— +! .777 7�7- �xo Z lot L It v L 7 i �oial- I -T f; v v ' .,,� JOB NAME JOB # DESIGNED BY DATE �� SHEET Z OF ITJ 77-11 1 I� 1--_T_"' i _ T _ 1 .{ �, � , fE I i - , � i t :_1.-.i —�._ i—` —•-tea �y_ t 1�_ • k-�! i 1 I t l t i!! 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I �" _L=�.._�-:.— - I-'-,L_S' •�- I_ _:- . 1-..r 1 �-� VVIT i 0.1 ILL f ! ! ! 1 f 1 1 1 I' fA /- II I i }^*T+_•� , 1}yyy�o�nn-.%_��_, {/I�� i_ , �j,(/Al4' � _ � ��.1�"�✓ T� - j:_ P 4'�""'6 It!! 11 ,! i I i i i t I� �'- i i _i , I t I 1� t I t}(.�/."-.�'--t�`. � t f � I '���-•--�--_'':. [[^^���' "'-. , ,,, ! : 1 I I I /� �.w� A /1�` .{j'/� .7�/� 'y/A'Y`}rI//0 �/�//�� ��j�/�/�,,��7y((►{���{l'"_.'/L.S�/��//� t. . a_I 1_� I —i t! it 1 t 1 a l w i t ' --- I I ! i�� i t a i ' I I t �� �' i1 -� i 1 1 i' 1 ��, I i i '-i t �-i I• --�- • I 1 �, 1 :��� � ! a i I ! 1�1 ! i + l T � 1 a ! 1 I ;_I ! 1 �—T � _'�—^ ! � � ! ; i 1 � I � i i_1�—� i } 1_ _! _1�( .__,._f _! ! ;"('y j 1 I + Lim+ 1 l I I _ — ! • 11' i- ! i I 1 1 1 I I � I i I i 1 I I i i! (— i 1(—• 1--� I �T} i l 1+ 5� a f i! hy� tte county - _ 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 � `�z 1 Fo_o-r Gl2C� MIDWAY__, 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 _._.._x.1..7.1._ .. _ fly -Hoje. {p ►N6 WAIL L9 D•C. o -� --- _ 2xy 24"D.C. C3 t k j S j i rroviae aueyua l- t rV{{RV{{6.{Ri R-4, MV VIVYR VR 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 ,} V f , yfi ?EM.O� D3� _._.._ _71 _ _ !6..nyH'_'C^h ;.ts... ?Pwt:q'P•yyK"Yya'is�,'.a''".t=: .::�++F ».,J.. _......- .,.«.--....;i4%�i2 §:'d5r Ai. _af E lk e - w t 1 5p �1 tltl6� o�" a ,x� # w✓ N. ^ w '> 611 smoke d'Forcode. > ` r � ..._ .. Per cod v �. 0� J �d d 4 e,a b +x quate acro o. e r A ov b 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 - . 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