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040-270-016
40-27-16"-- EILEEN LOOFBOURROW-02 V e % P -/(Z Stanford Ln,. a0q0 pp 700' S of � ro .Durham Hwy,- Durham --- ontr: McClelland AC, Chico ermit #37 8-78P,M(install uo pac) SF i�1Q %I/DI 4 0-.2 7-16 Contr: D A Dutchler Const. Permit #3835-78E(ele for AC) SF 40-27-16 GREG SOHNREY 9238 Stanford, Durham ontR: Bangor.Electric ermit#3042-88E(eleserch/SF) 040-27-0-016 93-2519 BPEM SOHNREY, GREG 9238 STANFORD LN, DURHAM GARAGE CONV, DECK, WDSTV, PLB.G, SPRNKLR --2-, ' / ve 7 a Ss a- 040-270-016 03-0595 HUNTER-SHIPPEN, HOLLY 9238,STANFORD, DURHAM. ,1 Cont: JONATHAN BRYAN REMODEL -KITCHEN:'- a ori O N ��'� � f - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION COUNTY OF BUTTE 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M�K (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-270-016 ZONING BUILDING PERMIT OWNER HUNTER SHIPPEN HOLLY TELEPHONE 899-3333 SO. FT. OCC. BUILDING VALUATION CONT- T . OWNERS MAILING ADDRESS 9238 STANFORD. DURHAM CONTRACTOR'S NAME JONATHAN, BRYAN TELEPHONE Vr 1131$365-72 CONTRACTORS MAILING ADDRESS 6556 RD- 24, ORLAND (A- 95963 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 30 6� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 349,50 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 9238 STANFORD DURHAM CA. Energy Plan Checking Fee $ $ PERMIT FEE $ 369.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 41 7.00 8.00 Solar or heat pump water heater 23.00 Water piping 15.00 5. OO Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NET^7 TILE I14 KITCHE14 & ISLAND Yn D counter tops,ADDITIOV IN FILL Gas piping system 1 - 5 outlets 15.001 S 1.00 Building sewer 15.00 Mobile Home I s I G w @20.00 PERMIT FEE $ 58.00 ELECTRICAL PERMIT Fling Fee 20.00 R LE Main Service 2o0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 �Ifo��force and effect. U License Class R—C Lic. No. /(O 7 DS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: AfI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason c' M o ee WORKERS' CO PEN ATION DECLARATION I 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a Acc. BLos. 3.5¢Fr: NOµH6IIDDT' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FOCTURES SAL @ I:50 Ex. Occup. DUTLEEDTS p�D°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0Q.3. OO PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4.50 4.50 PERMIT FEE $ 24,5 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) j� 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forth 'th comply it ose rovisions. X Date 8 Signatu of Applicant - ner Contractor ❑ Agent An QVA permit is requir f cavatlons over 60" deep and defnoli Zn or construction of qKctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 495.00 . H/ D. ria IM� / FL7D / CQF � PAROL / PD/ HD IS UE This permit is hereby is s under the applicable provisions of the Butte County ode a d/or Resolutions to do work indicated ove for hich fee have been paid. By Date PERMIT EXPIRES ON 6 ' Date Receipt No. 370243 Dail )495.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT %'- COON TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive ► Oroville, California 95965 • Telephone (530) 538.15P�W AT NO. mime) APPLICA IONANDPERMITi ()) SBSSORPARC0.N175am2o,", '02 f76_ BUILDING PERMIT (0 A10A ^. ai FT. Oce. SUWING VALUATION ti F=Hn= OR etmr=ss MUM A= USEOFS—MUCTURE 3F 0 Dupla 0 Nbbilehorns O Other saE=W TYPE OF WORK Nei O Addition 0 Rsucdd 0 Uig 0 0 01hgr 0 /J �p Describe Work )Q Q) FIrf, (VI Kl _ � m 69 �s Li4`r i . lL,Irr � *?EPArT FEE ?ASD SRS OTMSE�.IFF . . MoWr Ppb Zl� . a TO"K" zwo COIMMi - �J S S 20.00 $, SO 5 Fee s s kmrT FE'e PLUMBING PERMIT Each Trap Soler w hest ompwstea hem _ Filing Fee 7.00 23.00 20.00 ,1 _ Wdw 00bg 15.00 �v Each gm wmbr heir er vent 15.00 Gss 1 -5 outlets 15.00 oe =W13r 15.00 Mobb Home S G W CW20.00 POOST Fms E ICAL P MRll�F:Mwa#Famaf20.00 am -A= I rim► 70 levo► av= oft FOURM PERUff Fa s 3•�'' Fee 120.00 6.50 Mobile Home Instslfa5on Fee is Energy edon Fee Is ox '--� „PE TOTAL FEE $ o !KL L FMDV I Pio I =P I PARS Po s This perm@ is hereby bssved under the appfi=bl® provisions of the Suge County Code andku Flesohffi= to do wade h&=ded above for which fees have been paid BY . Date R�iptNc. PERMIT EXPIRES ON INMISE.n��.�o GLN6AT-kS-.�SSOA P1HK-UuKPcC�OR GO�_AIRD0.APPL�ANf �ah,l February 7, 2002 Holly Hunter 9238 Stanford Ln Durham CA 95938 r utte ount LAND O F NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Re: Burn down letter for 9238 Stanford Ln., Durham, CA, (APN 040-270-016). Escrow # 206735 Dear Mrs. Hunter: The above referenced parcel is currently zoned A-5 (Agricultural, 5 acre minimum). This zone allows for a single-family dwelling. Should the dwelling be catastrophically destroyed it may be reconstructed to the same exact footprint, provided it will not be placed within the required building setback areas and meets sanitation codes in effect at the time of reconstruction. The setback requirements for the A-5 zoning are 50 feet from the center of the road and 5 feet side and rear yard property lines. Should you have any further questions, please contact this office between the hours of 8:00 am. and 4:00 p.m., Monday through Friday, at 530-538-7977. r Sincerely, ' arry Painter Planning Technician H. CC: Building Division /Butte County /Department of Development Services /Planning Division AV RESIDENTIAL 040-27-0- 10 - -- SOHNREY, GREG 93-2519 BPEM '. 9238 STANFORD LN, DURHAM GARAGE CONV, DECK, WDSTV, PLBG, SPRNKLRE Y V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL'(Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation _Date/initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip: Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 13 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42.Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width-Headroom-Rise-Run-Landing-Flre Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protectlon-Skylights-Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68rFireplace or Stove; Clearances -Hearth 42-Elec. Outlets at Wood Panel; Int. & Ext. -F9.- W.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance �-a r-EMec. Outlets & Receptacles at Kit. Counter -;2_ wrpge Fire Door, Swing -Landing -Closer -Z".C. Duct in Garage -Damper +..7A_W1r,. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection M -111b., Elec. & Mach. Equip. Listed for Location -.3G-41ec. Receptacles in Garage; (G.F.I.)-Romex Protection J,; -Foam -Looked in Attic 0468 -44"uard Rails & Deck Construction -Post Caps %40-Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth .Clearance Looked under Floor O Yes -.An Following instid.; Drive 0 Yes O No; Walks 13 Yes O No; Planters 0 Yes ❑ No - +-",4ucco; Brown -Finish r82-". Unit; Disconnect, Electrical, Plumbing .-dents Above Roof; PIbg-Appliance-Fireplace-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing AvExterlor Elec. Trim; G.F.I. Receptacle -Underground 0"Ventilation Throughout House Glass Protection -411.8-Corrections from Previous Inspections -09. as Test -Meters Tagged; Gas-Electric --@@riNater & Sewer Connected -C/O to Grade -HD Approval 4 -41 -Energy Compliance Certificate -Other Certificates Comments at Final, Oui r o V=OK O = Not OK =No Ready ble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect B. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy j - . MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Frmg; Sils-Anchors-Studs-Rftrs-Trueses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER NO. •- APPLIC=ATION, AND- PERMIT ASSESSOR PARCEL NUMBER 040-27-0-016 ZONING A-5 BUILDING PERMIT OWNER GREG SOHNERY TELEPHONE 893-9517 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 240 M -IR 4.800 CONTRACTOR'S NAME owner TELEPHONE 210 0 1,470 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9938 Stanford Lane, Durham PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE J SFO Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑Y, Describe Work: Convert garage t0 living, open deck, wood backflow d,,,i,j PERM $ 0-0 Contractor ELECTRICAL PERMIT Filing Fee 20.00 burning stove, plbg in kitchen, wtr sprinklers Main ServiceOOOV OR LESS ( 2OOAORLESS ) 23.00 work done without ermits p Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. I S0. 3.50 FT. 8.40 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification !G I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS I @7.50 POWER. I 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES I BADL. @ 1.00 Ex. Occu FIXED APPLNS. OR p' (OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a tlficate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 28.40 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating duct ext 6.50 Cooling Hood 6.50 Ventilation PERMIT FEE $ 26.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of Ing of this permit. X Date 7—,k-4 3 Sig natur Applicant ❑ Contractor Cl Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ ' HAZ. V/ FLOOD I cDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIR OLEWLILLC, WORKS �Q9 BY Date �+ 2 41,/ PERMITEXPIRESON Z (bate) Receipt No. 148045 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT K. �ti.ry�-r :;*+•.,.J ,,.. •.-,. },,.._.nx•a- �.. +.. :,lr<.'L..,. rM' f'•^n...-,�r�J'rY'�r",..��'�"'�^t'.«r�...Fb74-.:.rr�r--�,.� .. .vr«.x ��ay 'y'•:a. I.r.. v COUNTYOF BUTTE -. DEPARTMENT OF�DEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OkOVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 � r PERMIT APPLICATION DATA SHEET Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............................ ......... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ......... ...................... .......... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. 11. Fees of $ .......................................... Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees.......................... 13. 14., Flood elevation letter (100 year flood) by California Engineer.. . Sanitation and plot plan approval Health Department . ............' -/�Z�� 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Preanspedion request Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner r 24. _)........... Recorded copy of Agricultural Acknowledgement Statement .ti .................. 25. Letter of signature authorization . ........................................ V ` 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... t._'4 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. ....................................... _ 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed I and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. '34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone q9,3 -25/7 and hold for pickup at 0_44k,1114- office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date % ;Ecz>: ' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll on Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permitior above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by phone -mail Counter by OVDate Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy - Department of Public Works File cabinet AP folder 6 -V *4 -11 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F . H. USE OM Y v....�r� .] 19u,�r PL•m Au • hcd S.1 E Owner Location AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for. NOTE:,_ Environmenta . Health Specialist 8/92 6 -// J/ Date i 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. IISE ONLY Hot Plan Auach.d Floor Plan Attac6cd Scat to IS.U. 50 All Ke. y 9 2 35-h9h cd),J 2 Owner Location APIA Plan Approved for: Sewage Disposal Water SLIpply: Public 1 Private Well Clearance for bedroom mobile home. Other r17A Ile Yh?/3l Hold final for: Final clearance O.K. for: NOTE: / Environmental Health Specialist 8/92 Date 18-B County Center Drive 1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916) 538-7282 (916) 891-2727 FAX (916) 538-2165 FAX (916) 895-6512 August 10, 1993 Greg Sohnrey 9238 Stanford Ln. Durham, CA 95938 Dear Mr. Sohnrey: r7 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 ED 747 Elliott Road Paradise, CA 95969 (916) 872-6308 RE: Clearance Request 9238 Stanford Ln., Durham AP# 40-27-16 The request for a clearance for the as built deck and "office" has been reviewed. As the "office" meets this department's criteria for a bedroom, it must be reviewed as a bedroom. Residential septic systems are sized according to number of bedrooms. As there is not adequate area on the lot for the additional leachlines and replacement area required for a three- bedroom home, the addition cannot be approved. A clearance approval will be issued for the deck. If.you have any questions, please contact me at the Chico office between 8:00am and 9:00am weekdays (except Wednesday). Sincerely, Frieda White, R.E.H.S. Division of Environmental Health FLW/gl _ LA IND OF i\AT•U RAL UVEAL TH ANLl SEAU Y A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 18-B County Center Drive 1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916) 538-7282 (916) 891-2727 FAX (916) 538-2165 FAX (916) 895-6512 August 10, 1993 Greg Sohnrey 9238 Stanford Ln. Durham, CA 95938 Dear Mr. Sohnrey: r7 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 ED 747 Elliott Road Paradise, CA 95969 (916) 872-6308 RE: Clearance Request 9238 Stanford Ln., Durham AP# 40-27-16 The request for a clearance for the as built deck and "office" has been reviewed. As the "office" meets this department's criteria for a bedroom, it must be reviewed as a bedroom. Residential septic systems are sized according to number of bedrooms. As there is not adequate area on the lot for the additional leachlines and replacement area required for a three- bedroom home, the addition cannot be approved. A clearance approval will be issued for the deck. If.you have any questions, please contact me at the Chico office between 8:00am and 9:00am weekdays (except Wednesday). Sincerely, Frieda White, R.E.H.S. Division of Environmental Health FLW/gl f.lIt. l.lslY Hot Plan Attnchcd Floor Plan Auachcd sent to B. D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -, o<--7—Al. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Hold, final for: Final clearance O.K. for: NOTE: Enviro »enta Health Special' t 8/92 Date Elmo loomommomimml EMEMM ■ 'MIMEN111111 IN EES moi" a�omm M H 0 NMI w ENO ON ON ON ONE EENNOMM ii�iiMii� =:.�E�-����... ga�_,�, S ;� .._ moo 4 wo M1MMMMm1MMMMMl1 MNMMMMIIIMM1MM �■■■m a NMMMM �N. 11 NJ . IN NMI N No i■a■ MEN i 01 lmmomommi mommoom 111111111milmom Nommooll mommomm No I viii � 9�' cmc:: COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name* Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following-eer_son to coordinate, -supervise, -and provide the major work: Name - Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Nu r Date NOTE: This Owner --Builder Verification is sent to you as.required by Sections -1983.1 and 19832 of the California Health and Safety Code.% This verification must be completed and returned to our office before we are per- mitted to issue the permit. • 4 � 7 � (A� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,,California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /�/JD'��D' (�V( ZONW6 is BUILDING PERMIT OWNER �sce So TELEPHONE - ". 893 Z.5:17" --= SO FT.' OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS CONTRACTQfYS_NAME TELEPHONE4Fireplace CONTRACTTTTOOOR''SSMAIING ADDRREESS Total Valuation Filing Fee Permit Fee .' $- % 20.00 $ /09.00. CONSTRUCTION LENDER UNKNOWN�� LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ 70,24 $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ - _1 BUILDING ADDRESS O PERMIT FEE PLUMBING PERMIT $ . ' ti Z ! • FL. azu.vu Each Trap 7.00- .00-Solar Solaror heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ' SF Duplex O Mobilehome O Other SPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK Other New O Addition ❑ Remodel ElUtilities O Installation C11 Other ` Describe Work: Coin e✓ -T Ilgrn-,�5c n_ L (iJi /� U N C O 'o 3ACK'QCW FEE Contractor $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( �AORLESS ) 23.00 Main Service ( 2O0A TO IOOOA ) R AOONSNEW ? DWELLING ( BACOLDS. ) 46.00 _ 3.5C FT •. p�J/ '' I n y-- /- ' , ` t/ ^_ W /T "�e1 '� / I L�/k/e�2 ', W Q �/� lR1 G��'I M L, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET .NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CTR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 BAL. .so FIXED APPLNS. OR ( . ) Ex. Occup• OUTLETS IRESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 2g„ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating -0 Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 gains said County in consequence of the granting of this permit. 9 X Date /� Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and derr^lition or construction of structures over 3 stories in height. ReceiptNo. / O �ys ~� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR. GOLDENr _0 -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee " $ OCC CONST. TrPE - TOTAL FE 1p yam_ HAZ• 1, D. FEES I IMP I FLOOD .RCEL I PO nu ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By —Date— ateReceipt PERMIT EXPIRES ON (Date) r All�UCTURES AND' EQUIPMENTINCLUPINq. b-vRRHANdS 6HALL K CLEAR OF At I- EASEMENTS. �A ACK IF FR6M T4 S16E "ANO i A 1 1 AND R �PR15PEI FT.tFRb- M HWral R ;TY UNES THE! HE! ROAD CENTEALMIE SHALL BE V^ Fl;#ARinF:.ISTRUd-TURESIANi)E�)U M Wilr=.^%o PT U )Vi> RH ANC, - it {!to �, 0 d'N W L Li J Cf)v ul ul Cie j— in aj U.-COUNTy T 130ILD ING jE PARTMEI �. 4RV Apr. ED E YTWCO TTUE` t WBM v(��-jN .Ci a Li5is93?A-3 .� tri e flIL�A1 Muir: :;Ai3 A G:ir�i vasil.; f IY7�"2�3.i� lJi•....: a•. a i>cilili � . i �Y if1;J, t Y~P�p l�>� a f1..: i ii d tiaiffii • t "i 4'� 3 S�iti�s:a ONt'4 ? `F'i7e' A i ama D.W. 1f7T. S06i KITCHEN RUM favu S8 DD a" LAUNDRY G L 0.Q2[7 2161 l a3noa de LN31Nlki!¢d3a •JNI011f19 A1Nf100 3L1f19 671 aWNl a0 VIfN LIVL 1 b m DINING ROOM BATH A z O �� 'a 'v Ob C:FW E CLUCT amn SO SIdY t p= Omf t P= l� c- (gyp6\20% P c p 1 n !\6 ti � LIVING ROOM BED— ---9&oQ�— c�0 14' blilo e��d rYTv� i/7 /�-Tluv if 8C PL❑❑RPLAN 1726 SQ. FT. 1/4' = 1' 4' E.—W lit' -7' 671 aWNl a0 VIfN LIVL 1 b m DINING ROOM BATH A z O �� 'a 'v Ob C:FW E CLUCT amn SO SIdY t p= Omf t P= l� c- (gyp6\20% P c p 1 n !\6 ti � LIVING ROOM BED— ---9&oQ�— c�0 14' blilo e��d rYTv� i/7 /�-Tluv if 8C PL❑❑RPLAN 1726 SQ. FT. 1/4' = 1' F �„�,� � + Y{Vii t..�LF/�•�YaVFR.� s, Y a Mcr - (3 c cr err,>s C, "'d A s, Y M 51 W, It 1w Max, Ri Min. Auii- - Pun InGasUflbd too- t-0 roe.:: Mu tolerahce betwL*eil fig�e/iun. DOW ro L11 . ......... jLL: 2-0 l:L IT J�_ A U It I It - EIC. C m c m - . � -- ' ------- ------ --r-�---' ^--- \----����-----------��--�� --- � _ ' VTT . -''---�----'�--�--�--'�-�--- �------— � . T~r~"al���w 2��_~ �� ,, .~- _ —^=~mm�8�� ' . w-rz,�-� zC;) '' ^'er~' _, _ �'_� � � Z, .� t#�+'"�'� ".�' ��.T-.ti-;:r�*r"�"r*�ci�rxr ,� ,.—..•,�•,;. c BUTTE COUNTY SCHOOLS IMACT FEE CERTIFICATION FORM (One Form Per Building) School Districts A.P. Number Jurisdiction., 0 Property Owner 6—re"I So I N Ci' y Property Location/Address 4 Subdivison Residential Development Commercial/Industrial City Building Department No. 0 County No. of Living MHI Units :1 New Lot -No. [7] Sq. Footage Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) 4 Date r (Floor Plans reviewed by School, District Personnel) �- -J' District Identification No. -%o P 1211 a m l% 7 + � � U� School District. certifies that � c� .So \ 4 A i (Applicant) r' a/4 X9.3 -.2S/ `7 (Street Address) (Phone Number) �vr�,�m y ` X19 95 93�r (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing o2 `�y square feet. District Representative by payment of $ " `0 - x/93 Date Paid by Check Number -3-- Remarks: '1` C-ee &1a, ✓e CJ a -- Bank Number` ��� �/P SDO Sn ✓ Paid by Cash If, subsequent to the School District Representative. signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. Whfte (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) 'i --'-- -- ' -- --- -~ ' ------ -r-' ----- ,x. -a a l } �.,..-.,'ten• )ter ,L.. ,�'r..—.%.-''.. ��-,. COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS f PERMIT NO. • -' y p 7 Count Center Drive - Oroville, California 95965 •Tele hone: 916/538-7541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER 4/6 i ZO��! NG BUILDING PERMIT OWNER r TELEPHONE 1 $Q, FT. OCC. BUILDING VALUATION OWNER'S MAIL NG ADDRESS � 3 5-ta � ��� '►�� � 1-► v" 3 � CONTRACTOR'SNAME TELEPHONE - CONTRACTORg MAILING ADDRESS 1 n _ �i a St4 n v d 7�1 h a ti "I , Fireplace CONSTRUCTION LENDER • + j UNKNOWNI Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 _ 11 k S,t0l k Each Trap 2.00 • �v. r �o. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME •'� PARCEL MAP 1 Water -pi :ing 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF�l` gf Duplex❑ Mob ilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK ' New ❑ Addition ❑,n Remodel ❑ pUtilities ❑ �tInstal lation❑ btherX Describe work: /00 At 'Ia Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 N 001 OR LMain service 100 AMP ORSLESS 10.00 / Or. Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check -one): e -'l 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. qr 40 2 Classification �% 1 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044)�` . c.. ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)x;: ❑ I am exempt under Sec. fL., �� Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR A.D.S. ACC. BLDGS. +/zQsgft,- NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS &) SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES .220®50a 0@030 FIXED P EX. Occup. OUTLETS (RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 06 ore : kN 54L'k-. 5 Permit Fee s.' . $ Contractor-, ✓- o , °O WORKMEN'S COMPENSATIdN';INSURANCE' I declare under penalty of perjury (check one)` ;v ❑ The permit is,for $100.00 (valuation) orK-less. Q 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 maki.ng this (statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply withJsuch provisions or this permit shall beadeemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating), 11 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, land hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify an`d keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X% i)-.-_ ►-.�-�'� t�s� y� ' �' Date / ` �E ` ( e!s Signature of Applicant — OwneP `Contrcctor Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , U� occUP. CONST.TTPE I IFLOODIPARCEL.1 PD ND 19 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR O, PUBLIC By / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS' Date f (�r/ � '.i�`Kr7T Receipt No. ' //%� WNIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ V APPLICATIQN,AND PERMIT O ASSESSOR PARCEL NUMBER ZONING BUILDING PE MIT OWNER P TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 013 51 a. n 0 rJ 7�� v" 3 CONTRACTOR'S NAME 4 E TELEPHONE CONTRACTOR' MAILING ADDRESS) �! Iq J SS+011 ti �u t Ls t, `1 S Fireplace CONSTAUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 �3 SfPLUMBING 0 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF�e Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -TWT- 5.00 Mobile Home I S FG 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ilnstallation❑ Othery Describe work: C-k&n-rf 4 C_ S t d /00 A f n hrec� �Ce r" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 qG Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check.One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business my license is in full force and effect. and Professio(n��s� Code C) Classification License No. �Qy(. & Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) . ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.Et ( �2¢Sgft OR ACDNS. ACC. BLDGS. , NEW CONSTF;L MULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OccupOUTLETS OR FIXTURES eAL@ (eAL030 FIXED Ex. OCCup. OUTLETS PRESINSR D )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 „06 1 /S Permit Fee $ Contractor 0,09 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Co ty in nsequence of the granting of this permit. (6_ (% X Date / a Signature of 4pplicant — Own P `•contractor [� Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST,TYPrJ I I FLOOD PARCEL PD NO I I -Som V/ This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRE ORO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 1-11 Date 9 Q -o — Receipt No. ' / /lin WHITE-D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT .z _ _ �- _. .. ,.�,�, .{ _.,�.,r ylry qty„Fv�"�ViS�.j;f'�#t���'7''�''1r,�}.t„r�ri`t'•Te`�;+� '��.r.� "�,,,.t,/. �►-r: +.: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVEi-_OROVILL6,, CF I,FO�ANIA 95965 -TELEPHONE: 916/538-7541 1 ' ro++.., tr i PERMIT APPLICATION DATA SHEET Permit No. OWNER �� w n re, A. P. No. C/o- a7— Proposed Building Use 61ect �(��c� Building Inspector Z. t Date At time of permit application, I was advised the following data must be submitted prior to permit processing and issuance: t DATE RECEIVED APPROVED 1. All'items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate; signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. 6. School District "Fees Paid" Stamp on Floor Plan.\ 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept, . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot.plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Al to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other c _ Applicant �> �-�� -06 Copy of plans sent Health Dept., Fire Dept., Other Date, The following data must be submitted prior to permit issuance: (Circle new item not,Ehecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail_counter by date Contractor, designer, owner, was advised of above required data by—phone _�II—counter by date .Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ,� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITINO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 ' APPLICATION AND"PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE r SO. FT. • OCC. BUILDING VALUATION OWNER'S MAI NG A�aE3$ o^ 5 rA1 k 3 K CONT C R•S NAME TELEPHONE, CONTRACTOR • MAILING ADDRESS ♦ d /Dwt Le. sos Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDHR's MAILING ADORERS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT CT 0G 'S MA ING DRESS Penalty $ BUILDING AOOR Ss Permit fee $ PLUMBING PERMIT Filing Fee 10.00 a- Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE a Sre Duplex[]Mobilehome❑ Other sPECI arMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation❑ Otherk Describe work: C_k& �'KS= S tt) _ 100 A n, n Permit Fee $ Contractor ELECTRICAL PERMIT, Filing Fee 10.00 Main service 60oV OR LESS 100 AMP OR LESS 10.00 M Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAN I declare under penalty of perjury (check.ona): I am licensed under provisions of Chapt. 8, Div. 3 of the Business Professions q Code and my license is in full force and effect. lOqu (� License No. Z Classification Cab ❑ I. as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. . Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tt\ Y:2SQft OR AODNS. ACC. BLOGS. /I NEW CONSTR. I.OUTLET2,50 ea NON-RESID BRA C IRC ITS (POWER APPARATUS e% l SINGLE OUTLET CIR. and Ex. OCcup(OUTLETS OR FIXTURES 70e90t DAL930 Ex. Occup. OUTLETS RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,46 Pi -e Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �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. ❑ ,1 shall not employ any •person in any manner k 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 Cling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above informationMobile is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments. costs, and expenses which may in any way accrue againsts Co ty In asequence of the granting of this permit. y_16_ �X X Date 3 Signature of pplieont — Own s�7 -eontroctor Agent ❑ An OSHA permit is required for excovations over 5'0" deep and demolition or construct- ion of structures over 3 stories 1n height. Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ . V� OCCUP. CONST.TVP[ IFLOODIPARCELI PD NO Is;uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ear nouw ,e w,ri,Aec,• r...,•.. the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ' /g/ ln/ In x PW COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS s 7 County Center Driver,-- Orpvi lie, California 95965 ev�� Telephone: 534-4541 r ,APPLICATION AND PERMIT - - BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addressn/ ���- ►,7.�/L,(/dt/, o31�riL '—+ •Telephone No. Contractor r/9L/drL t .�LG•L .1,,,1[ �,{ Mai Iing Address,. --5. Fireplace Total Valuation / , fI /i /IJfJZt �%l -al ,' � /A e_'J �.A 6 Telephne No., 5(/ o 0 1� �J Permit Fee - / / Building Address 0144 t` 6-,v f1 1 PI anCheckingFee&/or Penalty - Permit Fee ((//LL L�� / ISfih \' ,.� I'.a ,. r. �fi si*n .- . /Q i 12AY.',-A-K PLUMBING No. @ FEE V PERMIT FILING FEE $3.00 3.DO I Each Trap 1.50 .Repair drainage or vent piping = - 1:50 - - A. P. No. /J� ^ � � � / � 7 Zoning & Planning Water piping 1.50 ' Each gas water heater or vent 1.50 Fees W.C. I Sanitation I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA - Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements,. additional outlet .30 Building sewer ( 5.00 Bldg: -Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITIONE]! \-UTILITIES ❑ OTHER S Permit Fee $ $ 4,f SL ELECTRICAL No. ' @ FEE r- \-\ PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L too AMP 2.50 / / - A ��.�/� �� / -. OVER 600V Main service 100 AMP OR LESS 25.00 ' Main service EA. ADD•L 100 AMP A1.00J 1 A NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP. B) ' 20 Sq ft A_1 V CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name_, styleof���r �r J ti %h �xt/'�l�l!', �.i /gll�'lJ'�.I':11/ A(,a X•iJ rNON RESID R (BRANCH CIRCUITS) L J2.50E7a NEW CONST. POWER APPARATUS a NON- RRESID. SINGLE OUTLET CIR. { \_1 Ex. OCCUD(OUTLETS OR FIXrl�PES J B L01' FIXED APPLNS: .) / Ex. Occup.(OUTLETS,(RESIo.11EA) / 2.00 Temporary service / V / J,/ 10.00 '� Mobile Home Facilities X 15.00 Misc.Wiring License No.�l(/rJ'' / _Classification t %� r r -- -- I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE at I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be,insured against liability for Workmen's Compensation. �❑ I have placed on file with the County of Butte a certificate of - Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00.f1� Heating /,0,41%j ea Cooling _T11,1,t/ yQ(J Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State .Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 7and autnonze representatives or ine Lounty at tsutte to enter upon the above=jmeentionf ed property for inspection purposes. J X )( --Date ��L 1 Signature of Permitee or Agent / Receipt No. /-2 9 3 Ll 1-1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS D ate ell --75 17, Building permit expires Date r I COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, ; Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the Lounty of tsutte to enter upon the above-mentioned property for inspection puurrpos�es. BUILDING V Owner 1SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor DJ- T)t f t- n t Q r (11) Hi_- Mailing Address (� RA 4 y a3 Y Fireplace Total Valuation /r Telephone No. ^ fJ Permit Fee Building Address ld _0 -L � 11� r � Plan Checking Fee&/or Penalty Permit Fee . PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 r^ '7 /6 A. P. No. a( / / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FeesWC� +Parking Sanitation, Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Plans ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 .Bldg: Plans'Rec'd— I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� Permit Fee $ $ I Ci. C�,, F 7 ELECTRICAL No. @ FEE r v PERMIT FILING FEE $3.00 'RQ0 00V OR LS Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER 25.00 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST,( DWELINC OR ADDNS. ACCLBLDGS.CCUP. 4\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ ^� A 7 / C� N l �A, NEW CONSTR BRANCHCIR-OUTLET NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI,RES g � , FIXED APPLNS. OR ^'yy Ex. Occup. (OUTLETS (RESID.) EA) 2.00 I CJv Temporary service 10.00 •- 3il rcc) CA Mobile Home Facilities 15.00 1`%1/7-< �' T J /C `?,C License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2,52 $ 7 NE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 111PI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. © I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above .information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives of the Lounty of tsutte to enter upon the above-mentioned property for inspection puurrpos�es. ���; X �' r Date V Signature of Permitee or Agent 17c,--« Receipt No. 1�I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECCTOR OFF PUBLIC WORKS B Y Building permit expires Date 4 49/-2 9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK � 7 County Center Drive OrWille, California 95965 _ 2 i!/ Telephone: 534-4541 p J UUU APPLICATION AND'PERMIT BUILDING SQ. FT. OCC. BUILDING VALUATION Owner ` `� ' Mailing Address Telephone No. Contractor D ti Fireplace Mailing AddressTele one o. Total Valuation h _ Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each TraD 1.50 ado Repair drainage or vent piping 1.50 ��� r Water piping 1.50 A. P. No. Zoning & Planning Each gas water heater or vent 1.50 F s Sem4sUcia Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking Parcel Each additional outlet .30 EQA Plans Declaration Parcel Map 60' R/W Improvements Building sewer 5.00 Parcel AE roval F Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ hM. - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS Single Family Duplex Mobil Home 10o AMP -L 00 A 5.5 9 Y P ❑ ❑ Others ❑ Main service EA. ADD'L 10o AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST � ACC, -L NG BLDGS.CCUP, Y) 22sgft CONTRACTORS LICENSE LAW NEW CONRES, , MULTI -OUT LET NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .& I am licensed under the provisions of Chapter 9, Div. 3, of the NON -RES ID• SINGLE OUTLET CIR, State of California Business & Professions Code under the name Ex. OCCUR(OUTLETS OR FIXTIiRES) a �� style of: Ex. OCCU FIXED APPLNS. OR _d f /1 �C6 ` � / ^\ Temporary p.(OUTLETS (RESID•) EA� 2.00 J L Tem orar service 10.00 �fz;T( Mobile Home Facilities 15.00 License No Classification 400 (!: Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7,0 ' $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner . so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ 1 certify that I have read this application and state that the above Land Development Fee $ information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE $ and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned pro er for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X e DI C PUBLIC WORKS gn re of Perm itee or Agent '7��I BY D to Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant `Bg permit expires Date 911279 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1012 7 County Center Drive ,-, Orcaville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT V aumor a repre entanves or ine uounry or tsune to enter upon the ab v mentiond pr erty for inspection purposes. Date4/6 Signal e o 0errmite^e�or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. E OF BLIC WORKS Date Y pe mit expires Date G zg ,- % BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I ing Address L ele hone Na.�/ Contractor _4&2&L2 /Gail. Mailing Address--;? Fireplace Total Valuation Tel one No -3—�� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee � F- $td( ' PLUMBING No. @ FEE O�®�L PERMIT FILING FEE $3.00 Q Each TraD 1.50 Repair drainage or vent piping 1.50 D ^ A. P. No. Zoning & Planning Water piping 1.50 Each water heater or vent 1.50 F� 4<50'I -Serrfr8 n I Fire Dept. FireZone Use Permit gas Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 f3 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is (Ise ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 600V OR LESS Single Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ Main service 10o AMP LESS 5.00 -L Main service EA- ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP L901 A NEW CONST. DWELLING OCCUP. Y OR ADDNS. ACC, BLD sqf CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif rnia Business & Professions Code under the name s le&III .% NEW CONSTR MULTI. TLET NON-RESID BRANC CIRCUITS •5O NEW CONST R. (POWER PARATUS a NON-RESID. SINGLE TLET C Ex. OCCUP(OUTLETS O T x1r,rA ES BBA FIXED AP L S Ex. Occup. OUTLETS R D. AJ 2•00 Temporary service 10.00 �a Mobile Home Fa ' ' ies 15.00 j� License No.,9S �A/Classification GI ��� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W kmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certif that I have read this application and state that the above inform Ion is correct. I agree to comply to all County Ordinances and S to Laws relating to building construction, and hereby MECHANICAL NoA @ FEE PERMIT FILING FEE $3.00 Q Heating O /%J Cooling ,�f 0 Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE A.JTU aumor a repre entanves or ine uounry or tsune to enter upon the ab v mentiond pr erty for inspection purposes. Date4/6 Signal e o 0errmite^e�or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. E OF BLIC WORKS Date Y pe mit expires Date G zg ,- % It 14'-6' 14'-6' 2-10' T -L" nn i17 r❑ tdrri P D C • .7 d N Z o F �1 A 0 3 �❑ � R -CN o @ - - _ 0 m i Z rrrrrrrrr[] rrrrrrrrr It, m 8 r 4 ti I V 4\6 ... ru Q Z i cl t7 4 Lfl O � Z t to C3 3 z cl v A 3 8'-6' 2'-4' 4'-9' 6'-]' 10'-4' C2 a�2 2U I1 3 fn = Y _ I A y E 5 j a anmE weir & MILE7u g 11 SIV 4 a [d m '1 ? t p. ty ;o C C-) o O 3 � 14 14-10' 6mmu - 2'-B' 14'-6'