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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