HomeMy WebLinkAbout042-080-037w
z �
f
042'-"08-0=037 .4i 96' 0470 'E
MEAD,. Harry'
enned
2.391 '`K•Avenue ' Ch '
y ico .
ed - ;per; upgrade) Ben s• Electri
MEAD,DON
2329. KENNEDY AVE, CHICO
CONT: CRAWFORD & CO
REPAIR FIRE DAMAGAE
042-080-037 03-1686
MEAD, DON,
2329 KENNEDY, CHICO ,
Cont: BENS ELECTRIC
ELEC. LINES -UNDERGROUND
42-08-n-937
r
HARRY MEAD r
SIS Kennedy, 600' W/Hwy 32, Chico
N
Contr: Grape Electric
P jnit 105g77E (ele ser ch) SF
.+
42-08-37
A
Contr : Park Sheet Metal, Chico;."
, Per.mit#224.5,-80P,, E , M (mech/p -bg. &
ele for heating & AC) SF
sp
042'-"08-0=037 .4i 96' 0470 'E
MEAD,. Harry'
enned
2.391 '`K•Avenue ' Ch '
y ico .
ed - ;per; upgrade) Ben s• Electri
MEAD,DON
2329. KENNEDY AVE, CHICO
CONT: CRAWFORD & CO
REPAIR FIRE DAMAGAE
042-080-037 03-1686
MEAD, DON,
2329 KENNEDY, CHICO ,
Cont: BENS ELECTRIC
ELEC. LINES -UNDERGROUND
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 60-OJ5l
ASSESSOR PARCEL NUMBER O (/ _ 6lam,( (/C) ®/
ZONING
BUILDINGPERMIT
OWNER C
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
C �G�
TELEPHONE
CONTRACTORS MAILING ADDRESS 51P /
2 -
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
a�
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Ga �
Energy Plan Checking Fee
$
$
PERMIT FEE
$ ,Gr%
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF QP0 /Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.001
TYPE OF WORK
New ❑ Addition 13 Remodel ❑/jUtilities ❑ Installation ❑ Other ❑
Describe Work:19711a„/��'/�(��//” /Q
! [,G�.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800VOR LESS
Main Service 20 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 fore and effect. �± �y
8 q Z3
License Class CI LIC. No.y U / U
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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.
❑ 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.
I 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 67 -AM �fU/i10
Policy Number QOL:5 33'2i
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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
forthwith comply with those provisions.
X Date IL Q _
ORN IL
Signature 4 Applicant - IT Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO I000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.50FT.
NOWRESIUT. OUTLET
CIRCUITS97,50
POWER APPARATUS
S SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES aAL @ I
.50
Ex. Occup. ourLEEDA ASID°Ew
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00 a ,w
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee I $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte unty Code and/or
indicated ve for which fees
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
a been paid.
Date
—5-3
Dale
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
DF/BUTTE COUNTY FIRE INCIDENT LO
DATE 01/05/2002 INCIDENT NUMBER r 170 LOGGED B MC
REPORT TIME 10:45 LOCAL FIRE NUMBE RO GONZO
STATE FIRE NUMBER BI J
CASE NUMBER MEDICS
LOCATION 2329 KENNEDY" PRA IMI ECC ❑
RP HILLERY PHONE NUMBER ? I REPORT METHO 1911
WILDLAND FIRES ❑ ESTIMATED ACRES
FIRE INFORMATION
STRUCTURE FIRE RESIDENTIAL
FIRE INFO SENT HO EMAIL BY MC TO 42
OTHER FIRE I
7 -DAY LOGGED 91 INITIALS MW
INCIDENT NAME KENNEDY
MEDICAL AIDS
PSAIOTHER I
START DATE 01/0512002 START TIME 9:45
HAZ MAT
DIAMOND # 5.0
COMMENTS
CAUSE POWER
JELECTRICAL
LAND USE DOMESTIC
ACRES 0 TYPE OF ACRES
DIAMONDS ONLY $ DAMAGE TYPE
DOLLAR DAMAGE 10000.00 SAVE 130000.00
INJURIESIFATALITIES ❑
# CIVILIAN INJURIES OJ # CIVILIAN FATALITIES
EMD 1:1 OES El#
FF INJURIE 01 # FF FATALITIES
♦ ♦ New Incident
FC=40 INFORMATION
FC -40 ❑ DATE OF FC -40 INC
AGENCY INC # INC P#
FC40 COMP DATE I FC -40 COMP BY 1=
County Notifications ❑ EARS Hard Copy Recieved ❑./ EARS Checked Agenst EARS Computer ❑
r Vr
Name IMEAD JAMES H ETAL
Addrl 19093 TROXEL RD !I
Addr2 I CHICO CA 95928
Addr3
Add 4 ��
Asmt # fa. I I Fee # 042 080 037 000 j
-1 -
Status ACTIVE _ J Status Date
Tax 000] NORMAL OWNERSHIP fTRA 062.022
Situs 2391 KENNEDYAVE CHICO
�
Base Dt . .. Activit Dt
ITimber Preserve
Structure 129,601
r� AgPres I Fixtures — - - O
Comments 14208003700 CONVERTED 09!08!88_ j �� Etal ---
-
Creating Doc# Growing 11,644
1981 R2639661 Date , Notes -
-- f ' J 'Total L&I - 187,572
Current Doc# 200080048823 Date F2 —/2000 J Bonds Fix. RP 0
Killing Doc# — i Date Multi Situs MH PP 0
F-jjFlag1
Ascot Desc2391 '2329_KENNEDYx 11 SuplCnt�l, rl FIag2 PP _0
�� 1 910 MH Exempt 7,000
Zoning '--A-5ry-,y-^=•� Dwell 0 Use1 AO �' .� Net 180,572
t JAsmt PP Pen
Acres/Sq Ft 9.4 � NlC 042 17�� Use2� -RIC#F
�JJTax PP Pen I
Val'd Event DtApprF AprCdF� 'JAppeal Pending , T/R DtF------j
SSN#1 F-SSN#2Split Pending IRlC Stet
T
Update
W
TT V SIT
y 2001 r
46,327; 021281198'
129,601 02128/198'
11,644.02/28/1989
187.5721-
0.
87.5721
0
~
-T8-7-5-7"2,; ;
enrolled is
baseyear—
f'�ar
r7— '�+f
AL 1 WC
07127120013:06:09 PM
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION ANDPERMIT 03-1686
ASSESSOR PARCEL NUMBER 042-080-037
ZONING
BUILDING PERMIT
OWNER
DON MEAD
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
2329 KENNEDY AVE. , CHICC CA
CONTRACTOR'S NAME
BENS ELECTRIC
TELEPHONE
1-921-0299
CONTRACTORS MAILING ADDRESS
P.O. BOX 1027 DUEMM CA 959-38
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Ellin Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
S
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: NEW ELECT LINES =OVERHEAD TO GROUND
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE
:
ELECTRICAL PERMIT
I Fling Feel 20.00
R LESS
Main Service zo.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 (commencingwith Section 7000 of Division 3 of the Business Professions Code,
on ) ness anons
and my license is in full orce and effect. n
License Class Lic. No. �/� / L�
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P nY P 1 rY P
Law for the following reason:
❑ I, as owner of the property, or my employeeswith 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
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BUDS.
SO
3.5QFT:
NEW CONS ' I -OUTLET
NON•RESID. MULT
97.50
POWER APPARATus
a SINGLE o1mt� C R.
Ex. Occup. OUTLET OR FDCTURES
SAL @ �: 0
Ex. Occup. FU(ED APPLNS. OR
OunFrs RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirinq
23.00 23,00
PERMIT FEE
S LF3, QQ
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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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.)
not empl any person in any manner so as to become subject to workers'
comp on laws of California, and agree that if I should become subject to the
wor rs' compensation provisions of section 3700 of the Labor Code, I shall
fo w' comply with pr visions. �f
X Date G- ` _
Sign &PLo Applicant - caner ❑ Contractor ❑ Agent
An SHA permit is required for excavations over 5'0" deep and demolition or construction
o structures over 3 stories in heigh
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
3.00
HAZ
O FEES
IMP
ROOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
the Butte County and/
indicated a Ove for w ich fe have
B
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
�'2
Date � — —
Date
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
"t `''`�,',COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P RWT NO
r.12/96) APPLICATION AND PERMIT
:SESSORPARCFl HJYHER
�G
zommm
BUILDING PERMIT
NHeR
'��"'"E
SQ. FT. OCC. BUILDING VALUATION
WNQiS MAwtAa ADOAE56
vine v 1 l_
OHiRACTORlr NgAE
'• TELEPHONE
OHTAACSOR ADO
U r �S
ONSTmCnDN LENDER
Fireplace
-,iOER-S mvumc AM -M
Total Valuation S
RCHQECT OR ENWREER
UCDGE NO.
Firing Fee
$
2D.00
Permit Fee
S
ACNRECT CR ENOMEMS MAGIHG ADDRESS
Plan Checking Fee
5'
Q,A WHO AODREssC
� P U ,
Energy Pian Checking Fee
S
.
5
PERMIT FEE
S
pT NO,
r.D?V.KXM NAME
PARCEL MAP
_...--- —._. .._.. .....
PLUMBING PERMIT
Firing Fee 20.DO
... _... ._....__.. _.....—.
Ea ch Trap -- ---'7:00 —
USEOFSTRUCTURE
�F ❑ Duplex ❑ Moblehome ❑ Other 6Ps �r
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
t,L-w ❑ Addition ❑ Remodel ❑
Describe Work: �l&-o
(rt"VG(J► ]rI
TYPE OF WORK
Utilities
/ 17 lInviakSon/❑� Other 13
C, (L�(�7 (1 f�1 ESS r3ue( ,eldd
Gas piping rystern t - 5 outlets
15.00
Building sewer
15.00
f&bfle Home I S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Firing Feel 20.00
Main Service =ORtEss
23.OD
.
r GO
S� >
•
S�Opt
O �
Main Service MM TO tottOA
46.0D
NEN CONS:( DWELLI + OCCUP.
OR ADDNs. A ACC. SLOt:
3.5:S
LwNPULs�m ' LrLnt1 Dun ET
@7.50
ZIM APPARATUS
i t;an.LE OLlRET CRt
Ex. Oacu . OVTL.ET OR FKTURMm
t.00
B4LFD=
Ex. Oceu . mmE �sro) E&
S.DD
Temporwy Service
23.00
Moble Home Facilities
20.00
V=. Wring
23.00
PERMIT FEE
MECHANICAL PERMIT
Firing Fee 2D.D0
Heating
Cooling
HoodI
I s.50
Ventilation
PERMIT FEE S
Moble Home Installation Fee S
Energy Inspection Fee S
oce
CONST.TYPE TOTAL FEE $
43 -
IMP
IMP
FLOOD
I CDF
PARCEL
PD
ND i 65JE
VV% A -b
cay%� why -
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
(Dam)
_ BUTTE COUNTY DEVELOPMENT SERVICES
Date:�� / ° -
Owner: 1144.4 �iew�� -
-Address:
AP#' -. 2. ca
Zoning: r
General Plan:
Supervisorial District #
CoWiFIMBEXUdagon Location: -
TYPE: (Building []Health [ ]Planning Complaint Taken By:
COMPLAINT:-. d, /d*_
- Caution:-[ ]Yes [ ]No
Permit History on File: [ ]None [ !As follows:
INSPECTOR'S REPORT
Tenant: Address:
Decription of Violation:
Approx. Size of Bldg./M.H. Approx. Age of Bldg./M.H.
[ ]Occupied Has Electricity: [ ]Yes [ ]No Has Gas: [ ]None [ ]Propane [ ]Natural
[ ]Vacant Has Sanitation: [ ]Yes [ ]No Obvious Sewage Problems?[ ]Yes [ ]No
Under Construction: [ ]Yes [ ]No Built by/for: [ ]Present Owner [ ]Previous Owner
Hazards:[ ]No [ ]Yes,(explain)
Person Contacted: Describe Action Taken:
=' INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!
AC TIONRECOMMENDED
Ins ector: � L—D
p Date: �
[ ]Information Only, File [ ]Hold for Days
[ ]Complaint Unfounded [ ]Other
[ ]Resolved per Inspector's Report [ ]Send Letter for Compliance
1
Complainant:
Address:
Phone Number:
Other Comments:
BUTTE COUNTY DEVELOPMENT SERVICES
sno va�;l��tle t�� rr�.eo o r-E..
c i c=iii
-
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
2
ASSMT: 042 080 037 000
OWNER: MEAD HARRY G PERSONAL RESIDENCE TR ETAL '
SITUS:/ 2391 KENNEDY AVE
COMMENTv 4208003700 CONVERTED 09/08/88
.CODE AREA: 062022 USE CODE: AO' DWELLING: 0001 ACRES: 9.40
ZONING CONFORMITY: Y EFFECTIVE YR: 50
�
USE CONFORMITY: . Y YEAR BUILT: � 00 ' � ' '
.' BUILDING'CLASS: D75CM .
SQUARE FOOTAGE: 3,432 .
NUMBER OF BEDROOMS: ' 5 '
NUMBER OF BATHS: 3.0 � '
^.
'. LAND TYPE: GARAGE: Y POOL: Y
' FIREPLACE: HEATING: COOLING:
PAI NEXT PA2 = PREVIOUS -PF7 = RETURN '
' PD007
COUNTY OF
BUTTE
03/07/96,
-
^
PROPERTY Y
SYSTEM ' �
8 :24i35 . E
.
.
ASSESSOR
INQUIRY
.
�
OPEN SPACE
`
' PARCE0.
042 080 037
000 STATUS:
A 00/00/00'CREATEDA
81R2639661'
00/00/0C
.
. SEC TRA:
062022
KILLED:
DESC:
2391 -.2329
KENNEDY AVE
ZONING:
A5
.
ASSMT:
042 080 037
000 STATIUS:
A 00/00/00 CREATED:
R1R2639661
00/00/0{
TRA:
062022
TAX CD: 050
BASE: 00/00 KILLED:
'
CUR
DOC:
95R07988
03/13/9�
DESC:�
2391 - 2329
KENNEDY AVE
'
BONDS:
.
MEAD HARRY G
PERSONAL RESIDENCE
TR ETAL
ROLL
ASSESSEE:
m .
RETAINED
OWNER:
Y
2391 KENNEDY
AVE /
ACRES:
9.4[
CHICO
CA 95973-9649
ET AL
OWNERS:
.
'
Y
'
SUPL
CNT:
�
COMMENT:
4208003700 CONVERTED
'09/08/88
`
' SITUS:
.
2391 KENNEDY
.
' AV CHI
^
. OPTION:
NXT
'OWN PCL
SIT ,EXP TAX
PRE
RET
-... -.......... ..... ................ .... ... .........
... -... .... .... ............ SE2-'
-ATT ---4ON '-APFf-�
---
----'----
'
--------
----
`
PBU501
. COUNTY OF
BUTTE
'
'
03/07/96
PROPERTT
SYSTEM
`
8:25:58.1
PHYSICAL'CHARACTERISTICS
INQUIRY
'
ASSMT: 042 080 037 000
OWNER: MEAD HARRY G PERSONAL RESIDENCE TR ETAL '
SITUS:/ 2391 KENNEDY AVE
COMMENTv 4208003700 CONVERTED 09/08/88
.CODE AREA: 062022 USE CODE: AO' DWELLING: 0001 ACRES: 9.40
ZONING CONFORMITY: Y EFFECTIVE YR: 50
�
USE CONFORMITY: . Y YEAR BUILT: � 00 ' � ' '
.' BUILDING'CLASS: D75CM .
SQUARE FOOTAGE: 3,432 .
NUMBER OF BEDROOMS: ' 5 '
NUMBER OF BATHS: 3.0 � '
^.
'. LAND TYPE: GARAGE: Y POOL: Y
' FIREPLACE: HEATING: COOLING:
PAI NEXT PA2 = PREVIOUS -PF7 = RETURN '
0
I
.j«•'v. ,.. .. .. . _ .. v ..:-...t'.�;..'NN...�" �• .+c gyp.,-w..�.,.. s. .. _...:..�p�/:R.. .: y.,_ r ,
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Or�Oe, California 95965 - Telephone 916/534-4541 �.�� /
y - APLICATIIDN AND PERMIT
ASSESS PARCEL -'
�� —U -MB 7
ZO ING
/� Z
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER' AILING A R
CONTR CTO_R'S NAME
l�l ? K f T A L3Lf
TELEPHONE
y
CONTR CTOR'S MAILING ADDRESS r
o. I x '3I -,f 1 l �����
CONSTRUCTION LENDER
UNKNo�ni
/
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
fLJ0 0aPenalty
LICENSE NO.
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
S S 1L(Z)V1V(J) y A2.0 PI.I
PLUMBING PERMIT
FiIingFee 3.00
,zoo ' W vF I �`�
Each Trap
2.00
Repair drainage or vent piping
2.00
/-
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK /
New ❑ Addition ❑ Remodels❑ Utilities ❑ Installation' Other uy(
Describe work: 0) N P�,i�mf r At&,, Dee -,-P T
�� IQ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONS. DWELING O
OR AODNST ( ACCLBLDGS.CCUP,h)
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 Bus'ness
and Professions Code and my license is in full force and effect.
License No. _13l 1 IS 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
NEWCONSTR. ULT' -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR POWER APPARATUS &
NON-RESID• (SINGLE OUTL9T CIR•
Ex. Occup(OUTLETS OR FIXTURES 50@250
BALe10z
Ex. Occu FIXED OUTLETS
p•(TS . S (RESRESID.) OR EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring Fc V_ At 6.25
Permit Fee $ Z
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
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
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.
Heating (-M &I U
14,OU 11.00
D)U PAC
Cooling 9'r
.50 -7.50
Hood
2.00
Ventilation
permit Fee
$ 4. SU
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes, , ,
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X t Date
Signature of Applicant - Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DI�ECTOR�OF
ion of structures over 3 storiesin height.
Mobile Home Installation Fee $
Land Development Fee
$
'TOTAL PERMIT FEE $
oc CUP. (;ROU
TYPE OF CONST.
PARCEL
PD
I HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
UBLIC
i
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date
J�1
Receipt No. -237 295
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS
„ 7 County Center Drive - Orc;tille, California 95965 - Telephone 916/534-454.1
APPLICATION XND PERMIT
ASSESS PARCEL �,yMB
�Z--Q l5 -�j 7
ZO ING
/ Z
BUILDING PER41P
OWNER
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNER'¢`AILG AWSSINX
CONTR CTOR'S NAME
10 K O -C -LT M csTA L-
TELEPHONE
3� lz-�i31 l
CONTR ; TOOR'S MAILING ADDRESS
3)CIIcumo
CONSTRUCTION LENDER
UNICNO
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER ,
AJa
LICENSE NO.
IPenalty
Plan Checking Fee
•$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
S VCAIn/r� 'It �
/�,�
PIYI�v�
PLUMBING PERMIT
Filing Fee 3.00
00 W of 1 4w� 3
1
Each Trap
2.00
Repair drainage or vent piping
2.00
n
t4( v0
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
-00
USE OF STRUCTURE-
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: rn&-t4 l6RMr r &,96 OeernrT _
Q
Permit Fee
$ 51Qj
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service jp0 AMP ORV OR LESS5.00
-
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS, ACC, BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
rL\/-J!
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. /'3317 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
NON.RESID R BRANCH CTRCTITS 2.50 ea
NEw CONSTR• (POWER APPARATUS .&)
NON.RESID, (SINGLE OUTLET CIR.
Ex. Occup(ouTLETS OR FIXTURES 5AL@1
BAL�10Q
EX. OCCU FIXED APPLES, OR
p•(DUTLETS (RESID,) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring F3Q, At 6.25 . 5
Permit Fee $ cj• Z
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
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 3.00
Heating (4orn g -(V
14.00 N,p0
DOO PA -1-
Cooling T-
•50 %.50
Hood
2.00
Ventilation
Permit Fee
$ 14.SU
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X J P ll Date
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $,75
OCCUP. GROUP
I TYPE 37CONST.
I
PARCEL
PD
1,HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI TOR OF UBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
,r 9
y Date JPO
.—
/inn
Receipt No. ��20-�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
b
D!.
z6-1
V
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - -
7 County Center Drive — Oroville, California 95965��',�
Telephone: 534-4541
APPLICATIONAND PERMIT
auuwnce teNtesentdtives of the county or tsurte to enter upon the
above-mentioned property for inspection purposes.
X %t i ? .r Date i�%
Sign ature.of P rmitee or Agent
Receipt No x,; —
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
By i' �L Date 1
Building permit expires Date
BUILDING
Owner /E �� 1 %���t ��.
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor. �� .� p �� v
Total Valuation
Mailing Address I , 1 (,C
�%(J r I'S
Permit Fee
Plan Checking Fee&/or Penalty
�
CA// •
Telephone No.
3(1 '.�2.
Permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
S 1)12(- o
Each Trap 1.50
� 2 .
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �!� — �� `:
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C.
-&afrita+ieft Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
Lawn sprinkler system 2.00
Bf2g: P'1Vns-Rec'd
I Parcel Approval
=Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTR AL No. @ FEE
PERMIT FILING FEE $3.00
' r
Main service 600V OR LESS 100 AMP OR LESS 5.00 _
Main service EA. ADD•L 100 AMP 2.50 �% 1
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
00 AMP OR LESS 25.00
Main service EA. ADD'L toe AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACC`BLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI -OU L T
NON-RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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:
s �• 1 _ n ^_ _C - ��.r y
Ex. Occup(OUTLETS OR FIXTURES) gA@L2j
Ex. Occup. (FIXED APPLNS. OR )
OUTLETS (RESID.) EA 2.00
Temporary service 10.00
J
Mobile Home Facilities 15.00
License No. i 7i %k '? /. Classification
Misc. Wiring 6.25
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
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.
MI 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 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
MECHANICAL No. @ FEE
'
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ �-
auuwnce teNtesentdtives of the county or tsurte to enter upon the
above-mentioned property for inspection purposes.
X %t i ? .r Date i�%
Sign ature.of P rmitee or Agent
Receipt No x,; —
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
By i' �L Date 1
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
?• 7 County Center Drive — Uroville, California 95965 � �-7
Telephone: 534-4541 /
/ Y
APPLICATION AND PERMIT
V / - � �� v �y . v- - uate
Receipt 3 7
White -D. Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant per expires Date 3
BUILDING
Owner 2 /�/e A 10,
SO. FT. OCC. BUILDING VALUATION
Mailing Address
`
Telephone No.
Fireplace
Contractor G � G
Total Valuation
Mai l i ng Address T Q 1, r 7r Q L&S A (jar '
Permit Fee
Plan Checking Fee &/or Penalty
C L>�
Telephone No.
2 ^�03�
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
�Ot7 e tov,O0
Each Trap 1.50
W 3 2r
Repair drainage or vent piping 1.50
Water piping 1.50
CEach
gas water heater or vent 1.50
A. P. No. "Z ^ 0 -37,
Z
Zoning $ Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C.
SaRiitatierr
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
$'f—9-?1WffT-Rec'd I
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6011 OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50 2+---
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 6001 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLOGS.CCUP. &) 22 sq ft
NEW CONSTR. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR,
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
stye !! 7
_,ty
Ex. Occup(OUTLETS OR FIXTURES)!@@Sm1
BAL
FIXED APPLNS. OR
Ex. Occup.(OUTLETS IRESID,) EA) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
>
License No. %S—�i%Classification e � D
Misc. Wiring 6.25'�D
❑ I am exempt from the Contractors License Laws of the State of Cal itom ia.
Permit Fee $ 'Q
$ 0 5C
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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
El 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.1 @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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.
Xa- Date 7
�r igna�re f PFmit�ee or Ag
TOTAL PERMIT FEE
$ i
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.
DI TOR OF PUBLIC WORKS
?` 1 ^�� A A J
V / - � �� v �y . v- - uate
Receipt 3 7
White -D. Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant per expires Date 3
� � t
A 042=08-0-037
96-0470 E
MEAD Harry
.;2391 Kennedy Avenue, Chico
I (elec ser upgrade) Ben's Electric" 1
{l 3/iz/97,
9 'o
OFFICE COPY
Address 25 // k-*xWA ydV1j'
L
y Date
RICy Date ZU �•�
i
J
1 _
(1114 G 6 Gj
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
L
7 .County Center Drive - Oroville, `California 95965 - Telephone (916) 538-7541. PERMIT NO.
.e APPLICATION AND PERMIT �e- — r l� /U
ASSESSOR PARCEL NUMBER
042-080-037
ZONNG
A
BU I LDI NG P ER M IT
OWNER
HARRY MEAD
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
23191 KE", EDY OE. 95973
CONTRACTOR'S NAME
�cN'S ELECTRIC
TELEPHONE
9 -1445
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ i
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
&$$Y 2391 KENNEDY AVE, CHICO
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
,Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 3 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)O
Describe Work: SERVICE UPGRADE
—
Mobile Home I S I GI W 1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service ( 20050Gv OR LESS OR LESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
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 �' _ t (f Lic. No. r� -7 0D
6,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( b ACC. BLDS. )
So.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
d SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
aAL a .50
Ex. Occup. ( OUTLETS(RES.) EA)
D
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
F 107SP. 1 23.00
PERMITFEE
$ 66.00
Contractor
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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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.)
E 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
forthwith comply with those provisions.
1
X�+ /j-� . �� `i�� i.-�._ Date C,
Signature of Applicant - ❑ Owner r?' -Contractor ❑ 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
Is
Energy Inspection Fee Is
GCC
CONST. TYPE
n
66.
TOTAL FEE $ M
HA2.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL
PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
_ _
��
By p �' `' `
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date -
(Date)
/ 1
/ /�,
Receipt No. _
WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
I' y 3U1LDIHG DIVISION
LL' DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
X
OWNER
747 Elliott Road, Paradise, CA - (916)'872-6307
CORRECTION NOTICE
1 0-6y?y
PERMIT NO.
` A routine inspe ion indicates that the following violations of Butte County Ordinances exist at
the above ad ess and should be corrected. Please notify this office when correction of work
is complet . If you have any questions pertaining to this matter, or need additional explanation,
please ntact this office immediately.
Y".
% D!v O /V fiz)iCl_ d7, 1 6' eo u"' %< 1AJ
r
�
o.. •.
�ta`d
f
r
Al
;rA
ii•
.tYi •
u t�
{tom
Y
Date 3" 1w "I
Inspector
P'`' "
REV 10/92
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ _ D `)7M5 NO.
APPLICATION AND PERMIT (p (J
ASSESSOR PARCEL NUMBER
042-080-037
ZONING
A5
BUILDING PERMIT
OWNER
HARRY MEAD
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2391 KENNEDY AVE,
CONTRACTOR'S NAME
BEN'S ELECTRIC
TELEPHONE
896-1445
CONTRACTOR'S MAILING ADDRESS
1081 PEARSON, PARADISE
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
SERI 2391 KENNEDY AVE CHICO
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF IN Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: SERVICE, UPGRADE,
Mobile Home ISI GI W1
@20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT
Filinci Fee 20.'00
Main Service ( 200AORLLEESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
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 L _L V Lic. No. roa 7 6311) �fi
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 PSINGOWER APPARATUS )
LE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES)
20 @ I.
sAL
Ex. Occup. (OUFIXED APPLNS. TLETS (R S D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
66-00
Contractor
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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/6f -one hundred dollars ($100) or less.)
by 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
forthwith comply with those provisions.
C
Date -� G
of Applicant'- ❑ O er ontractor ❑ Agent
eOSHA permit is required for excavations over 5'0" deep and demolition or construction
es over 3 stories inheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 66.0
HAZ.
I D. FEES
I IMP I FLOOD
CDF PARCEL PO HD
6SUE
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.
�lz
By Date q
PERMITEXPIRESON
(Dat )
Receipt No. �VP %
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95966 - Teiepnone (916) 533-'5-+1 PERMIT r.
APPLICATION AND PERMIT
ASSESSOR PARCEL NVu8Er1 D - D 3 -� '�-z'O��i°
j�,�
BUILDING PERMIT
OWNER _ D
TE�a..olMe�
SO. FT. . I BUILDING VALUATION
owMERs w -t-,0 ADoaess ��� J Cil/L W` %3
V JC! Y
CONTRA TOR's N^me �i�!_-'1�S TELEPHONE
/`�fJ[iYGI L. Jnr
CONTRACTOR ^w►K+O!OORE56
lJI
Fireplace
CONSTRUcnoNLeNoIM
uNaawr.
Total Valuation S
LANOER'a MAID /G AOOREas
Filing Fee S
20.0r
Permit Fee S
ARCWMCr OR ENGINEER
� E No.
Plan Checking Fee S
Energy Plan Checking Fee I S
ARCH"CT OR ts+awE M S NAILJNO ADDRESS ,
Penalty ( S
1wK WG ADDRESS li
PERMITFEE I S
PLUMBINGPERMIT I
Filing Fee I 20.00
Each Trap I
I 7.00
LOT NO. SUSONISIONS NAME PARCEL YAP
(
Solar or heat pump water heater I
I 23.00 I
USEOFSTRUCTURE
SF 0( Duplex ❑ Mobilehome ❑ Other
SP`='F'
Water piping I
15.00
Each gas water heater or vent I
I 15.00 I
Gas piping system 1 - 5 outlets I
I 1S.00 I
Building sewer
I 15.00 I
TYPE OF WORK
New ❑ Addition. ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheV'1��
Describe Work: 5e4J-7Le
Mobile Home ISI G i W1 I
I @20.00 I
I
PERMITFEE I S
Con tractor
ELECTRICAL PERMIT I
F,iipq Fee I 20.00
Main Service ( 600v OR LESS ) I
200A OR LESS
23.00 I Z3
Main Service ( 200A TO loon. ) (
I 46.00
1. 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 Cooe.
and my license islin full force and effect-
License Class Lic. No.
OWNER -BUILDER -DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
',f will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construe, 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:
❑ I 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.
❑ I 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
Policy Number
(The above sections neee not be compietec it the permit is for work of a valuation
of one hundred dollars ($100) or less.)
C3 certify that in Lhe performance of the work 'or which this permit is issued. I shall
not emplov any person in any manner so as to became subiec: to workers'
compensation laws of California. and agree :hat 0 1 should become subiec: to the
workers' compensation provisions of section 3700 of the Labor Cooe. I shail
forthwith comoiy with those provisions.
X Date
Signature of Appiicsnt ❑ Owner C Contractor ❑ Agent
An OSHA permit is required for excavations over 5'C" oeep and demolition or construction
of structures over 3 stories in height.
NEW CONST DWELLING OCCUP SO.I
PT.
OR 1°ONS ( a ACI- eLEr ) I I 3.Se
NEW CONST. NULTI.OUTLE
NON•aESIO ( SPANCM CIRCUITS I I ta7.50
( POWER APPARATUS ) I I I
a SINGLE uS.
Ex. Occup. (OUTLET ORR FIXTU Fon'UREs
SAL Q 70
Ex. Occup. ( UTFIXETS _0 ESS of ) I I 5.00
ouTLErS IaEsio.i EA
Temporary Service I I 23.00
Mobile Home Facilities I I 20.00 I
Misc. Wiring I I 23.00
_
PERMITFEE S --
Contractor
MECHANICAL PERMIT I Filing Fee ; 20.00
Heating I I
Cooling ( I
Hood I I 6.50 I
Ventilation I I
PERMITFEE S
Contractor
Mobile Home Installation Fee I S
Energy Inspection Fee I S
OCC CONS T, TYPE
I I TOTAL FEE S r -
i NA' I ° FEESi "'° I `Loop I coo I PwcE> Po Mo as
I 1
This permit Is hereoy issued under me appiicaoie provisions
of the Sune County Cope and/or Resolutions to do wcrx
ina csted above for which fees have been paid.
By Date
PERM IT EXPIRES ON
Feceipt No
Wwi r ^ Ei .^ ^iN.iN V.i^..:t• ��R ONn \�--.- .'O GrLOENNnr..iPOr .0iN�
COUNTYOF BUTTE - DEPARTMENTOF DEVELbRMENTSERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �/fA A. P. No. 2 g3 - r-)3
Proposed Building Use s/f- �C�^'� � )Z_ Building Inspector e Date 3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development,about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction ap roval required prior to occupancy). .. ... .
Preaneped;on re for
20. Pre -inspection for � G �r� t � �--� required. .. to Building �nspedor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........... ..' ... ..' .. ' ..•........... .
26. Copy of recorded deed of parcel creation and 60 right of way to. a public road. .....
27. Letter of intent on building use . ............................ �`:..,......... .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :............
..... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. ail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
v
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
7