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HomeMy WebLinkAbout042-080-080y P 42-08--W S0 Dax.io Genesoto� 212Kennedy Ave Chico i contr :Binge Elec . , . Durham _4 Permit��P319�081E (in s t .compressor auto upholster hok.& conversions) AFAM - - :2--08-47,&9l��x Cori•t .-- Bun,ge E lec , Durham Permit#4 79-81E (ele ser ch/3190` Ran 42-0880 334=90P;M THURMAN°,' George 2122. -Kennedy 'Ave, Chico a (furnace & gas sery/comm. ,shop) 042-080-080 04-2939.„ Q THURMAN,GEORGE, { ; 2122 KENNEDY AVE, CHICO Cont: SCOTT STAPLETON CONNECT 3 PHASE SE VI ^ S i I i r' A y P 42-08--W S0 Dax.io Genesoto� 212Kennedy Ave Chico i contr :Binge Elec . , . Durham _4 Permit��P319�081E (in s t .compressor auto upholster hok.& conversions) AFAM - - :2--08-47,&9l��x Cori•t .-- Bun,ge E lec , Durham Permit#4 79-81E (ele ser ch/3190` Ran 42-0880 334=90P;M THURMAN°,' George 2122. -Kennedy 'Ave, Chico a (furnace & gas sery/comm. ,shop) 042-080-080 04-2939.„ Q THURMAN,GEORGE, { ; 2122 KENNEDY AVE, CHICO Cont: SCOTT STAPLETON CONNECT 3 PHASE SE VI ^ S i I i r' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.nettdds LICENSED CONTRACTORS 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: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: 'The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date: I _C Owner: 5( D- I S I AYnI et&l WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy 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 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. Dale: Applicant: /` WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the. Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP042939 , Issued Date: 10/12/2004 APN: 042-080-080-000 Site Address: 2122 KENNEDY AVE CHI ;Map Index: I Description: i Owner: Applicant: r. t Contractor: is t !f ! License #: Architect: Engineer: ) z I. Total Square Ft: INSP ELEC PANEL FOR 3 PHASE SVC THURMAN GEORGE & KATHY 2124 KENNEDY AVE CHICO, CA 95926 SCOTT STAPLETON 2134 KENNEDY AVE CHICO, CA 95973 (530) 898-1768 OFFICE COPY Address GAS Date___� Meter By /�� ELECTRIC Dat 0 Y Meter By ZE 0 S. F. Valuation: $0.00 Census Code: t ► .lig � � �v rmit is hereby issued under tfie applicable provisions of the Butte County Code a rUo.r o to do work i ' ated ve r which fees have been paid. T EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. i-) , ,.`) / /? / Print Name: _5(0-f _,::� 1 /'I r I i �' 1 Signature Date: / 0 Y Downer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor . � .'f.-.-%�ti..KZY -. r.,, �-.w.--..-.�d�....i,.«-ii.�vs r--"•cx>"`T"'h•e-..-.�'......"s--.i"'"''..e ....y �t"'1-!-._.. .'t��is.w., A -a. • .. COUNTY OF BUTTE -' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t� 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R PERMIT NO. i :s A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. • r- �F ^i ry • �n tp J ~ Y N I'd MIA BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042939 LICENSED CONTRACTORS 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 Issued Date: 10/12/2004 APN: 042-080-080-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2122 KENNEDY AVE CHI Map Index: - Date: Contractor. Description: INSP ELEC PANEL FOR 3 PHASE SVC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: THURMAN GEORGE &KATHY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2124 KENNEDY AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95926 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SCOTT STAPLETON pp . such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2134 KENNEDY AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95973 proving that he or she did not build or improve for the purpose of (530) 898-1768 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code �-o �� I S 1 �Q IC�✓� Date: Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy#: I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' L (—'I►f- compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: _0q, Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under Vie applicable provisions of the Butte County Coda a rt/or I hereby affirm that there is a construction lending agency for the Resolu)019 to do work i ated ve r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: y Date: PERMIT EXPIRES ON: D -� D to Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter uponthe above mentioned property for inspection purposes. ' S-/<�� Print Name: ?�/'If'll- ` Signature: Date: �/ �— O Y Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor o►^PV7 /q A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOURINSPECTIONM OROVILLE: (530) 538-7636 - C11ICO:'(530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" &/90-^9 1 CONTRACTOR Name- SCO f (efokl� Address 2 / Z C. C4 City ) C D v State„ � Zi ,3 Phone r _ 30 Fax �C,(— ?30� E-mail Lic. # 32%2 ClassC APPLICANT NAME ARCHITECT/ENGINEER Name ,City _ f 6 8"±Fa Address 9� City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 5,-0,4 Address Z I ) 3 ,City _ f 6 8"±Fa eC TTP 9� Phonegq �'6� No E-mail For office use only: Zoning Property Address , ll Flood Zone Cross Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o4-2939 . BIN # LOCATION AP# X41. 080 • o SO Property Address , ll city Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ti -Asp Et c. --M co 1•.G,l.f cT - 3 �sE ave Sq. Footage ❑ Structure Built vrithout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION -OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by- 4� Amount: 'q16 Bldg SRA Receipt P A-12 8:),4, Sheriff SMIP Date: •t 0, 7, oq Other 45> 11. T„+,r SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6.. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Leiter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION JJ ' � a i i REQUEST FOR MPECTION Location 0 Owner: Call Lj Phone: Contractor: BLDG. PLUMB/ME-H'ELECTRIC'-5—W.H.F./M.H.U. PRE- 40 INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Piping/rest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche 4 Corrections Corrections Corrections I� Final Final Final Corrections _ Ready for Final Inspec. on: Date: Comment: s rf PRE -INSPECTION REPORT OWNER: 7.04 M LOCATION: t �c-��"�� y„��. < <a A.P. # o�� • 080 • 08 p CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION t=r�c Svc P►+,c�� } DATE TO INSPECTOR: PERMIT HISTORY ) NONE `( SEE ATTACHED . BUILDING INSPECTOR'S, REPORT Building Description: Commercial/Usage: i in r Residential # of Units: Mobile home #'of Units: Currently Occupied ( �es ( ) No ' Abandoned/Vacant: a; Electric: Electric Currently ( On Off Condition of Electric y . Gas: i Currently ( ( ) Off + Condition A1,W A�a Sanitation: Plumbing Working (^•' /es ( ) No / Obvious Sewage Problems (-) Yes ( ) No ACTION RECOMMENDED: Hold for permits or verify: — h � ISSUE ( es ( ) No f Inspector: . ✓' 'Date: w 1 SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. fit. ul - iy y • 42-08-,,W 'a 0j Dario Genesoto 2122' -Kennedy Ave., Chico rtj contr Bunge.Elec., Durham Permit #A90-81E(inst.compressor/ - auto _upholstery shoe & convyersions) . ;.: . 4-2-08-47 ��.� �� � .• - - kn . Contr_: Bunge' Elec, Durham Pe, r` mt##4079-81E (e le ser ch/3190= 42-08-80 334-90P,M THURMAN, George i 2122 Kennedy Ave, Chico (furnace & gas sery/comm. shop) .. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 e CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE T3'ILL BE REO UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** U✓v�'1 /� /I /� e00/'9 f OWNER last tame _ ust Name Address City C d State Phone _ 9-30) - Phone 2 Fax E-mail CONTRACTOR Name. 5;60 s Vtef opl AddressZ X44 e� y �e City JCD State�,'4 Zi f ,3 Phone _ 9-30) - Fax IT r (— ?'W E-mail - Uc. # p,?% 7 2 Class APPLICANT NAME Name SC� 7' S fA (le df . ARCHITECT/ENGINEER Name Flood Zone Address Phone o, ��` City E-mail State Top Phone Page Fax E-mail Date Approved: State Ucense Number APPLICANT NAME Name SC� 7' S fA (le df . .Address 1_ r (51 Flood Zone Zip5,23 Phone o, ��` EF�q _ 3d E-mail APPLICANT SIGN.4TURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes No Occ. Type Const Subdivision Name Map Book Page Tt # Planner Date Approved: nXIMM Cno CC IDRRI'r TAI ®Cnl II0cRaE:DMC1 PER1VHT NO. BIN # LOCATION AP# 4n4. -.L : og®• a 80 Property Address C'dy Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, 'acertificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 'fie-a-s�r5 i✓ b v �. Sq. Footage ❑ Structure Built %Mthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION -OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt # Sheriff SMIP Date: --Other Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET amt . e OWNER: L l2 "A �� /`i'/ tl NL E -7 Z of ASSESSOR PARCEL NUMBERy�0 bhp Proposed Building Use: r Counter Technician: 1 G� Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required .......................................... ........ ❑ 20. Erosion°Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit..........................:.............................. ............... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form...............................................................................:............. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ................ .... ..... .: 9-"28, Pre -Inspection for c` LE C Sy� required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: - Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Attention PropertyOwner: i An "owner -builder" building permit has been applied for.in your,name-and bearing your signature. : • , , . Please complete and' return this information ; at your earliest opportunity - to avoid unnecessary delay in processing and issuing your building .permit. No building permit will be :issued until this verification is'received. x 1. I personally plan to provide the major labor and materials for construction of 'the , -proposed property improvement: YESk] -.'NO[ ]. x 2. I HAVEK .] ` HAVE ,NOT[ ] signed an'application for a building permit for the H proposed work. ' I have -contracted with the following `person (firm) to provide the proposed ' construction: ' NAME: .. ADDRESS: CITY: -PHONE: -V, CONTRACTOR'S LICENSE NO. 4_ I plan to provide portions of this work, but I have hired. the following person to coordinate; supervise; and provide the major work: NAME: ADDRESS • CITY: PHONE:CONTRACTOR'S LICENSE NO.. I will provide some of -the work but I have contractee d (hired) the following persons to. provide the work indicated: NAME ADDRESS,. `PHONE TYPE OF WORK 17 SIGNED: PROPERTY OWNER: • SOC ..: �.. .. DATE:;' NOTE: This owner -Builder Verification 'is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. < May 1995 2.26 . Dear Property Owner. An application for a building permit hasbeen submitted in your name listing yourself as the builder of property improvements specified y For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding,'fedeml social sec urity,taxes, workers compensation insurance, disabilityinsurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ' If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" f' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned C. Vieiria, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 OWNER: LOCATION:. O CONTRACTOR'... PRE -INSPECTION 01,44AA) f f , DATE ! a� A.P. # 0112,-O600 00 ZONING (f7- ----------------- ------------------- - ------------------ ------ 7-7 f -------------------------------------------------- PRE -INSPECTION FOR:- lV�=DJ _ O(`NACC= AN -C> C -A-3 /� Ik)E Pre--I,lstiOn1��- ' DATE T0. INSPECTOR L�­�� _ ---------- __________________---------- ______________-------7----------------- PERMIT HISTORY:'. NONE': AS FOLLOWS e- comm C sar o TYPE OF -OCCUPANCY OMS �o FIELD INFORMATION BUILDING USAGE: - - TENNANT: 0- OCCUPIED D HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ` I ACTION RECOMMENDED: ISSUE HOLD FOR OTHER: BY DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER©)/^ ���Du�©�O 4/L 2— ZONING BUILDING PERMIT OWNER 0ekVr,,,MV TELEPHONE 345-09 i SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILI ADORE ,gie NecQ CONTRACTOR'SNAM _ _ TELEPHONE _ - _ - - CONtRACMOWS MAILING ADDRESS Fireplace CONSTRUCTION LENDER - ' -- - UNKNOWN -Total Valuation LENDER'S MAILING ADDRESS - - _ 'Filing Fee - $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESSGHv/� d� (�� - PERMIT FEE $ - PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome O Other Commti0 SPECIFY Gas piping system 1 - 5 outlets 15.00 5,O c7 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation ❑ Other '� ° � Describe Work: �tiv/� �u —,VAGI /r�L �� oio� /✓X PERMIT FEE $`� Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 20000AAOR LESS OR III ) 2 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP, OR AODNS. ( & ACC. OLDS. ) SO, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sale compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 BA20 L. . Professions Ex. Occup.RXED APPLNS. OR (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance oraHeating Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 �C- Cooling d Hood 6.50 Ventilation PERMIT FEE $ .35•04s, EeTMeracte► �✓ (Zt` --I-, Etn o I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and -California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and -expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor. O. Agent An OSHA permit is required for excavations Oyer 5"0" deep and demolition or construction of structures over 3 stories.iri Height.,: " Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 'L 00 �J — HAZ- D. FEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By.Date PERMIT EXPIRES ON lDetel _ Receipt No. WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT hD mH+c Ams GQD' WL o[ C, FA, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. / 9n APPLICATION AND PE34RMIT ASSESSOR PARCE UMBER 'L ZONING Cot= y'�� BUILDING PERMIT OWNER A; ,IF TELEPHONE Q / SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILCING ADDRESS CONTRACTOR'S NAME/� ,TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace + CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS - • Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ . Energy Plan Checking Fee $' ARCHITECT OR ENGINEER'S- MAILING ADDRESS r Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE r SF ❑ Duplex❑ Mobilehome❑ her ®? SPECT Y Gas piping system 1 - 5 outlets 5.00 uilding sewer 5.00 Mobile Home S G W 10.00e . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesu Installation❑ • Other ❑ Describe work: 4&724 ae4 64J� i �� �,,»�� ✓moo „gin, ��p-�iBG� ione 's�— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • OR L Main service 10ODD AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license IS In full force and effect. License No. Classification • I, as the owner, or my employees with wages as their sole Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑. I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. I , �22Sgft NEW CONSTRMULTI-OUTLET NON•RESID BRANCH .CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex.•OCCUp\/ OUTLETS OR FIXTURES 20®BOC 9AL®30 FIXED APPLNS• OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I 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. C71, 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 1^46 Cooling g Hood 3.00 Ventilation. Permit Fee $ oa 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 aid CountXjalo equence of the granting of this permit. - Date S Signature of Applicant - OwnerC Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height., Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE / TOTAL FE $ E E HAz CUA PARK SCHL I PAR JPDJHD I ISSUE This. permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.� o f91.1 WHITE-D.P.W., YELLOW-ASSCSSOR• PINK -INSPECTOR, GOLDENROD -APPLICANT f�."�-..•J�:�teV'�.+�-,�7.r.+:'�".' r r�_R•..r�F':Y'n" " �.^��m..r�a�+�+•�4+W:yv^v/1'...Y`a.v.-'1.�'-,e .� try.-..-.; . .. .. , r_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION _ 7 COUNTY CENTER DRIVE - OROVILLE,4. _ CALIFORNIA 95965 - TELEPHONE: 916/538-7541 a� PERMIT APPLICATION DATA SHEET F 6 - , � .ali; Permit No. OWNER Proposed Building Use_ A. P. No. 2-' C�'g ` g,7 uilding Inspector Date LZS yJ At time of permit application, I was%dvised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC. Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. .Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit, ............ .......... .......... 16. Plot plan and business license approval from City of - (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19 Driveway permit (construction approval required prior to occupancy) =2fl. Pre -Inspection for o�0/12d T�L�c(�,,_�/L–f@gUlred Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of ignature ay4hon72tion .................................... 2 - 7. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone Wl - and hold for pickup at office. Deliver w'/inspector. Other Applican- Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted priortopermit issuance: (Circle new item not checked above). issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o as advised of above required data by_phone- mail_ ounter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder . Copy—DPW 1 ZG oma,^- , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ❑ e PERMIT NO. ASSESSOR PARcE (NUMBER ��_CZ ZONING ft BUILDING PERMIT OWNER Af — G TELEPHONE �Q / SO. FT. OCC. BUILDING VALUATION to the W. C. laws of California. OWNER'S MAI ING ADDRESS Notice to Applicant: If after making this statement, should you become subject Permit Fee CONTRACTOR'S NAME TELEPHONE Owry¢ r ^ ` / provisions or this permit shall be deemed revoked. Contractor CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking tree $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS VF V—Permit fee $ PLUMBING PERMIT Filing Fee 10.00 J� '2-1 -L Z < "��fDy Each Trap 2.00 C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE r SF ❑ Duplex[] Mobilehome❑ her �F - /YJj�j(�� , SPECIFY Gas piping system 1 - 5 Outlets 5.00 uiiding sewer 5.00 Mobile Home S I G I W 10.001 TYPE OF WORKhe- ❑ ❑ ❑ U�ti-l+ities Installation Other New Addition Remodel ❑ ❑ Describe work: 4ZAQ74a*4 � C�,9-5 h�nn C n— M�kd ✓� Arm Fy2��G� . r i e, 1�15�- Permit Fee $ o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LE ss 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.5b CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING N0CCUP.tr) OR ADDS. ACC.BLDG I2/2¢sgft NEW CONSTR ULTI-OUTLET NON-RESID BRANCH -IRC ITS 2.50 ea POWER APPARATUS tr ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 SOC eALP 30¢ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Th rmit is for $100 00 (valuation) or less MECHANICAL PERMIT Filing Fee 10.00 Heating e p ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. �7f I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 3.00 1 1 I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee .5 1 to building construction, and hereby authorize representatives of the County or occ CONST PE LJ1oS- Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEES I also agree to save, indemnify and keep harmless the County of Butte against HAz CUA I PARK I SGML I FLO I 1AW7 HO 1 ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I against aid Count in co quence of the granting of this permit. �` .- 1 T"is permit is nereby issued under the applicable provi- X�I�L�f L!/� Date 5 ��i Bions or the Butte County Code and/or resolutions to do , Signature of Applicant — Ov,ner� Contractor ❑ Agent ❑ work indicated above for which fees have been paid. 5.0" d d d 1:.: tr ct- DIRECTOR OF PUBLIC WORKS An OSHA permit is required for excavations over eep an emo Itlon or cons u ion of structures over 3 stories in height. ' �� © fie By Date Receipt No. P=_pMIT =XP!RES Date.. a -, r .K.�,._� ,..-...vn„�... •.'�....L�r�+,..yvcrN..Y� �y1+y. aa.:;::: ..�w^4�� 4h+�^+vusv.. �,- ;l�_�-c•--,:, i-r:�*Wp".�,..,< �. _ _ r. y• f D u rQ "Aa v: t COUNTY OF BUTTE - DEPkkRTM15NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER ZONG 4N Z_ BUILDING PERMIT OWNERn �i X13 TELEPHONE SQ. FT, OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESSll/r �TELEPHONE CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER J I_iu' UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A/1 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 - C Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE( SF ❑ Duplex Mobilehome Other ❑ ❑ s•- �* �� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK .New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ter- Describe work: AQ .%(,-/-' 4ik rc,4i!ftil / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y� OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): � I rt 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. �/� 1'%O 2 0 Classification C. ' It) ❑ 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) , F]I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR-T .OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTF;L POWER PP NKdUS 6 NON-RESID. \SING CIS, ~/ a Ex. Occup(OUTLETS OR FIXTURES 50@25 IXED APPLNS. OR EX. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 , Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. 0, 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 Cooling Hood 3.00 Ventilation Permit Fee S Contractor 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. 1 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. 11'r—�� � ,�/_ f X P-�+�r - Date Signature of Applicant —f Owner ElContractorQ' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PO HD ISSue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B � , t—�-•�i��� y -- PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �` -^ Receipt No. l �' Z'' _A WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE Y' DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 COR REC `ION NOTICE B ILDING OR PROP ER;r DDRESS A routine inspection indicates that the followiWg violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explantion please contact this office immediately. ss i Inspector Date Ir— Ir4 5>/ 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PRC `BER • _ zojrj'I+ G BUILDING PERMIT WNER O` /(a4J TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI! NG ADDRESS CONTRACT R'S NAME/ TELEPHONE %/.,fir CONTRA(' OR'S MAILING ADDRESS /7Q Fireplace COIVST'IUC TION LENDER .4hAZr__ UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AFCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 G Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTUREw O (11401J / y SF❑ Duplex❑ Mobilehome❑ Other , . rx,/// .fin.1/J `SPECT FY - Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®' �F �/ Describe work:'�71_ 7 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 A011 MP ORR LESLESS "6--00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.01 OR ADDNS. \ ACC. BLDGS. _ 20 sq it CO ICENSE LAW I declare under penalty of perjury (check one): n4.1 I am licensed under provisions of Chapt. 9, Div. 3 of the Businesss0 and Professions Code and my license is in full force and effect. License No. �' ^� %� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)w,�I ❑ I am exempt under Sec. , Business and Professions Code for this reason NON-RESID R BRANCH CIRCUITS 2.50 ea NEw CONSTR. (POWER APPARATUS d) NON -RESID. \SINGLE OUTLET CIR. ® 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APLNS Ex. Occup.(OUTLETS P(RESID )R EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 M1§tO:'WrFaig/ . � - / �r1�1 M7:50 7 C� Permit Fee $ l,/ -0 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. Qr' 1 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 Cooling Hood 3.00 Ventilation permit Fee S Contractor 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. 1 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. %D-,� X �l 4"��1/.�1tD 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 in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ _S U OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC B t /�'' /�� y PERMIT EXPIRES- Date the applicable provi- resolutions to do fees have been paid. WORKS Date//21" % Receipt No. - �7�<.) 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 -Telephone 916/53 541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ OR _ '717.O ri , ZING _z BUILDING PERMIT OWNE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO ACTOR'S NAM; fG TELEPHONE , =� 3 _ CONTRA OR•S MAI ING ADDRE S Q �a7/ g, l �AaA" Fireplace CONSTRUCTION LENDER - - UNKNOWN Total Valuation Is Filing'Fee - $ 10.00 LENDER'S MAILING ADDRESS ,.. Y Permit Fee $ ARCHITECT OR ENGINEER ZIV LICENSE NO. Plan Checking Fee � - $ Penalty $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 • Each Trap 2.00 Repair drainage or vent piping 5.00 GC7j�� Water piping LOT NO. . SUBDIVISION NAME r PARCEL MAP Each qas water heater or vent - 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTUR �/O ,/J O J f / SF ❑ Duplex❑ Mobilehome❑ Other a �_i64 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 7 7 90 ��/ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR OR -LESS • - Main service EA. ADD'L 100 AMP 2.50 ,NEW CONST. /DWELLING OCCUP.&) OR ADDNS. % ACC, BLDGS. p�sgft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �I am licensed under provisions of-Chapt. 9,•Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: 104"D,26 Classification C ^% C ❑ I- as the owner, or my employees with wages as -their sole compen- cation, will do the work, and- the structure is not intended or offered for sale. (Sec. 7044) f ❑ I, as the owner, am exclusively `contracting with licensed contract-, ors. (Sec. 7044) ❑ 1 am exempt under Sec. ,.Business and Professions Code ' for this reason : - NEW NO CONSTR.MULTI-OUTLET 2.50 ea N.RES,D BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS S1 NON-RESID. SINGLE OUTLET CIR. / S OR FI. Ex. Occup OUTLETS OR FIXTURES gAL�j (,FIXED OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _A/W.,0 •�U Permit ee $ 5-0 Contractor WORKMEN'S COMPENSATION INSURANCE I 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. E�rl 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 sqaidnl., in copse uence of the granting of this permit. %� Date iD—ag—sions cat — Owner ' Contractor _ Agent ❑ I An OSHA permit is"required for excavations over 5'0" deep and demolition or construct-DIRE909 ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE 7 S O OCCUP. GROUP I TYPE OF CONST. PARCEL P6 HD ISSUE This permit is hereby issued under of the Butte County Code and/or work indicated above for which IF PUBLIC ei/!/J�i�jJ By L PERMIT EX Rite the applicable provi- resolutions to doSignatue fees have been paid. WORKS Date Receipt No. LE249 WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' COUNTY'OF.BUTTE = DE RTME!NT OF PUBLIC WORKS PEWIT1T No. r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATKIN AND PERMIT' ' ASSESSOR PARCEL NUMBER I _-7 ZO BUILDING PERMIT OWNE TELEPHONE . SO. -FT. OCC. -BUILDING VALUATION - OWN MAIle LI G ADDRES �laj {✓ CGS�'' CONTRA R'S NAME .+ TELEPHONE i CONTR OR'S MSA IN D ESS —.v.�'-�!/ Fireplace CONSTRUCTION LENDER &0X/ Zr UNKNOWN - - 'Total Valuation. Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS .� Permit. Fee $ ARCHITECT OR ENGINEER Ale, LICENSE NO. Plan Checking Fee $Aob , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - - Permit fee $ BUILDING ADDRESS - �f/� 6` PLUMBING PERMIT Filin Fee. 10.00 g Each Trap 2.00 Repair drainage or vent piping 5.00 c /G Water, pipiIng LOT NO. SUBDIVISION NAME - PARCEL MAP ,EachgaS water..heater or vent 5.00 Gas piping system 1 - 5 outlets " USE OF STRUCTURE SF Duplex❑,'Mobilehome❑ Other ti�1 J SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilitieso* lnstallatioPQIOther Describe work: �� .f E' Permit Fee $ Contractor ELECTRICAL PERMIT, Filing Fee 10.00 Main service jp0 AMP V OR LESS 5.00 - Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.y) ' OR ADDNS. \ ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): j • • ' [Po -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: �� yC Classification C ^!C� - ❑ 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 f NEW CONSTR. C1 UTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. (POW E P CIS S NON.R ESI D. SING R, W @ 1= Ex. Occup OUTLETS OR FIXTURES BAL@100 FIXED APPLNS.- OR \ Ex. Occup.(our LE Ts (RESID.) EA.) 2.00 'Temporary service 10.00 Mobile Home Facilities f .15.00 Misc. Wiring 7.50 Permit Fee $ A5, Contractor WORKMEN'S COMPENSATION INSURANCE I 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 soas to,become subject to the W. -C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating ° Cooling Hood 3.00 Ventilation „ Permit Fee S 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 ot, Butte to enter upon the above-mentioned property for inspect ion, 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 County in consequence of the granting of this permit. ` X Date fL Signature of Applicant — Ownerr Contractor [' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. t Mobile Home Installation Fee $ TOTAL -PERMIT FEE' $ �S' 0c) OCCUP. GROUP TYPE OF CONST. I PARCEL.J. PD HD Issu This -permit is hereby issued under •sions of the Butte County Code and/or work indicated above for which -DIRECTOR OF wIBLIC y. By �' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No (�[r WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . C, ` E �` ., �, __ [; L t �. J � ', f r 't B. __. F t L ,f' C._:- _ i i _ > � ._: �: 1 '3 a .:$ .� ;3 _. 7 -_ -,� -� ,i - _. :g < <... ,_ T _. _ _ - - - - -- - _ ;_ _, , . _ � -_ _ - ;_ _ _ ,` - �'�► .l i �. �'__ �= �._ �. C"'� a'- �t r __ 1 k-_ C. r 1 1 is