HomeMy WebLinkAbout042-090-018AP 42-09-18
t,SMITH, Richard
nw corner of Hwy 32& Kennedy Ave.
{ r, 11=tr:
co (2302 Kennedy Ave.)
Four•Counties Rfg., Chico
Permit #$ 2053-71B y+/fx
(reroof) s
42-09-18
CONNIE SMITH w�
2260 - , Chico n(�
Permit#1124-86-B('repmir -dry> rot• dgmrge t
siding & floor joists/SF) -5-1/9/SM '
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PERMIT N0. 20531-74
P
E
s
M
'MH UTIL.
'PERMIT NO.
PERMIT EXPIRES - 6 '7-75
5
OWNER Richard Smith
CONTR. 4 County Roofing Co., Chico
LOCATION (A.P. 42-09-18 )
2302 Kennedy Ave., Chico
s
0
11
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB __
FINALED 1
(Date)
(Signal r6)
a
0
11
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB __
FINALED 1
(Date)
(Signal r6)
T
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL ,
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE - DEPA Mf NT -OF BL 11-C
r 7 County Center Drive Orovil.};., Califorri%a 95965
Telephone: 534-4541;
APPLICATION AR"ERMII,,x!-.
WORKS D�3 —
authorize represe tives of the County of Butte -to enter upon the
above�mentione pro erty for inspection purposes.
XDate 6/3/74
Signature of Permmitee or Agents
Receipt No. lt;2 z
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 Date6—•7•-75
Building permit expires Date ..................-. 1- ?`5'
Owner Richard Smith
SQ.'FT. OCC. BUILDING VALUATION
Mailing Address Highway 32 C Kennedy Avenue
Comp.Reroof $860.00
Chico, California
Telephone No.
Fireplace
Contractor Four Counties Roofing Company
Total Valuation
Mailing Address 740 W 12th Street
Permit Fee
Plan Checking Fee &/orPenalty
Chico, Cal ' forn i a
35 a h004`f
Permit Fee $
$ Q�
Building Addresst4 LU
h
Hi a 2 & Kennidy Avenue
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Chico, California
Each Trap 1.50
O /
I r
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Ap�� 9 — J 8
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fs
Sauitat+en
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Composition Re -roof
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixturesbal a2
Receps., switches & fix outlets
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:
Roofing
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. 252071 Classification C 39
Misc. wiring
❑ I 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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
lecertify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ 00
authorize represe tives of the County of Butte -to enter upon the
above�mentione pro erty for inspection purposes.
XDate 6/3/74
Signature of Permmitee or Agents
Receipt No. lt;2 z
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 Date6—•7•-75
Building permit expires Date ..................-. 1- ?`5'
^� ;. f���..y��.r„t�.-y....,iuprw:���V.r..�,�.,,,,,rs+....�q iq•-�yR.�. v .w-F...:wc.-. ....�,. -...,.ter^
r T-14
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 i
APPLICAT16N RVQ PERMIT
ASSESSOR PARCEL NUMBER
Al a - n -A - /
ZONING
C. Z
BUILDING PERMIT
OWNER ,
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
r'� 1
c). 17 -1
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
-�
f J 113. tt. --
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Ir-..rr
UNKNOWN
Total Valuation Is
�n .
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /6.01
ARCHITECT OR ENGINEER
A ) '" r
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
-
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF F� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation❑ Other ❑
Describe work: �� s• r,. r ��, t, ..,-E-(,.,..-,�, . _
- C,.IIA,r., r� ►..r+r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
-+ v�
Main service e00v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e! ,
New CONNSTR.(ACC2/zQsgft
ULT( OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS D1
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20950t
DALO 30
Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 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):
❑ 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all 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 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ ,fin- rib
OCCUP.
CONST.TYPL
I
IFLOODIPARCELI
PD
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
/JDIRECTOR'OF PUBLIC
By i _�, 5.
PERMIT EXPIRES Date IF
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �Z .�
- fr /
Receipt No. .3`J7, G' /�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
v _ 7 County Center Drive - OroviIler Cal if?rnia 95965 - Telephone 916/534-4541
APPLICWQN'AND PERMIT
PERMIT NO.
ASSESS O,PARCEL NUMBER 1 �
-J..., .•
ZONING
G.
BUILDING PERMIT
OWNER . /
<f0ri vt Sw.
TELEPHONE
3y1-7(19'
,SQ. FT. OCC, BUILDING VALUATI N
goo. oc,
OWNER'S MAILING ADDRESS
6o G♦na W
. CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S ng, ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $Ot-
Filin Fee
g
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /0—op
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ ,V0
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
G�I
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF CK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work: C -ft ' aA..aa e,
Sta�r�,4'lvc .®ts
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
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)
t El 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.OR ADDNS. 1 / ACC. BLDGS. DWELLING OCCUP.&) yz�sgft
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON•RESID BRANCH CIRCUITS
POWER APPARATUS a
(SINGLE OUTLET CIR.
z oeDoe
Ex. Occup OUTLETS OR FIXTURES SAL@ 30
Ex. Occup. OUED P
TLETS (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
g
Permit Fee $
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 shal I not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult 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 Countyot
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 County in conspEjuence pf the granting of this permit.
��
X Date
Signature of Applicant Owner��ntractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ , Ob
OCCu P.
CONST.T7
I
I FLOOD
PARCEL
I P11
ND
89UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
O F PUBLIC
By /
PERMIT EXPIRES Date s—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. J FS'��/7
WNITC-D.P.W.. 7ELLOW-A58L980R, PINK -INSPECTOR, GOLDENROD -APPLICANT
/' �*.' +�wrr`n`s sem, n„'t'SAF,n,���."'��+r.t'C°'�'rr�++��r��:'}�`fTfii,`� y �::.� . ^u{n. ,... .. a �F...���„�,.,�q�,�,�,.y,,w,r�,�,�,�,,,.,.�,.��.�-,�...��lr+'sa.,.�-.r.,-,
s COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PRMI, N0.
7 County Center Drive - Oroviller California 915965 - Telephone: 916/538-7541 t
9/
APPLICATION AND PERMIT TTT
A331 �(''/3 46 NU
GI ZON.'(� �
BUILDING PERMIT
*' NIE J SMITH
TE 2=QA%6
SO. FT. OCC. BUILDING VALUATION
0 WILL6oM WMI RAIL CHIGO
CObMOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace �
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
Bul�plh,� M. Eby
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
CHICO
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
4
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE(
SF 0X Duplex❑ Mobilehome� Other 11
SPECIFY ;
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑
Describe work: GAS PIPING _
MIN CHRG(25.00)
110.00
Permit Fee
$ l
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
t
I
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification.
Q I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec.. , Business and Professions Code
for this reason.
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACG. BLDGS. /
, �20sgft
NEW CONSTRESID,MULTI-OUTLET -
NON•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS Q
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20050t
eALA3o
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin 9
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.
® 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 cr-"�..i Date
Signature of Applicant — Owner Contractor E] 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 FEE $ 25.00
HAz.
CUA PARR
scHL
FLD
EDF
PAR
PD
I HD.
ISSUj7
V
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
R'TOR F P ELIC WORKS
By! Zeg DateReceipt
PERMIT EXPIRES ate
88762
No.5
WHIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
!^�COUNTY OF BUTTE t
DEPARTMENT OF PUBLIC WORKS
°i 196 Memorial Way, Chico — Phone: 891-2751
j 7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
Sm�t�� 191z -g/
OWNER PERMIT NO.
A routine inspection indicates that the following 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
matt , or need additional explanation, please contact this office immediately.
91, (- � S - 4Z o v
a Tn � �r a �- F� t 2 t o titnJ �
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L:--'- M t nl . '1 o (Y\ t L . IJ R A P o - ALL -T o f nJ TS
[A F PIifoAT-tVG.
r
Date 5' Z ) - Pi ( Inspector J'.ks
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 98985 - Telephone: 918/538.7541
APPLICATION AND PERMIT
P RMI TT N�
A
AS& PARCEL NUMBER ZONING
2-09-18 C2
BUILDING PERMIT
7gu?0 NIE J SMITH 3 2wff —7� 6
_PYCA14 MOB
�L260 KENNEDY AVE CHICO
SO. FT, OCC. BUILDING VALUATION
UWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILO� KENNEDY
22
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
CHICO
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping ,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF FIX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mobile Home S G W
0.00 PA
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities XIS Installation[] Other ❑
Describe work: GAS PIPING
MIN CHRG 25.00
10.00
Permit Fee
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 0 AMP ORLOR LESS ESS
1
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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
oR OR C DWEACCLLIN GOCCUP 01) S.
'/:2sgft
NEW CONSTR. MUL. TI.OUTLET2.SOea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES
20050t
eAL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID,) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
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 so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of -the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again aid County in conse ue ce of the granting of this permit.
/Q a
%�lZle. l Date °
Signature of Applicant — Owner ElContractor ❑ 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
E
TOTAL FEE $ 25.00
HAz.
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Issu
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated ab ve for which fees have been paid.
IR. OROBLIC WORKS
B CD`atee
PERMIT EXPIRES ate
Receipt No. 88762
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
.. + , • +`—`•� �. .v . i s)!1"ti "`.�. fylir�;S..kY�?•. - Ilk' 1f.�f... trtc•�' :17F.Yf .ib,�.�1 j+^ ... ....4t'ti �F-=.
S .
COUNTY OF BUTTE - DEPARTM NT SOF PUBLIC WORKS - BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OR6VIL'LE,0CIJ:IFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A P. No. e7l z _6 d _1
Proposed Building Use<��� /0���/t! Building Inspector Date -�
At time of permit application, I was advised 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)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ...........
��'5'Owner-Builder Verification (Given to owner ❑, Mail to owned
224. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization .............................. ..=`t
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/i.nspecto�
Other
Copy of ! .az-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date f 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---mal
Contractor, designer, owner, was advised of above required data by—phone—mal
Plans checked by Date Plans approved by_
Sets of plans on hold in File cabinet AP folder
Copy—DPW
cotter by -date
counter by date
Date
�1.
COUNTY OF
BUTTE
- Deoartment of Public
Works .
7 County
Center
Drive, Oroville, CA
95965
Phone: 916-538-7541
OWNER-BIIILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
���� the proposed property improvement (yes or no)
( 2 I (have ave no signed an application for a building permit
�� for the rroposed work
3. -I have contracted with the following person (firm) to provide the proposed
construction:•.
• ._ . ., .. .. ..
Name*
Address City
Phone Contractors License No.
1':--.'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 Contractors License No.
5: :I will provide some. of the work but I have contracted (hired) the following
persons to -provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner O_W_�i'
Social Security Nupber
Date
NOTE: This Owner -Builder Verification is sent to you as requited by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
10
0 a--. , � 5-�A �
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drlve - Orovllle, Callfornla 95985 - Telephone: 918/538-7541
APPLICATION AND PERMIT
ASSESSIDR—PARcIlL NUMBER
1ZCNI
BUILDING PERMIT
OWNIZ
0
3 /0
SO. FT. OCC. BUILDING VALUATION
OWNERILIjJ,JGJ AODR S
US
CONT TOR(/
A �
TELEPHONE
CON ACTOR'SS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING DDRESS V
✓V
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 qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W0.00
ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities In/s+tallation❑ Other ❑
Describe work: 1 ` f�J
If
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
011 OR Main service 100 AMP ORSLESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
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)
ElI, as the owner, am exclusively contracting with licensed contract -Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
A LOGS.
New
2 , h¢sgft
CCONSTR.( UC TBI -OUTLET
NON-RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. /
Ex. OCCUp(OUTLETS OR FIXTURES
200501
GALA 30
FIXED APLN5
Ex. OCCUp. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Home Facilities
15.00
Misc. Wiring
9
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.
❑ 1 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. --- - —
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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 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 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—0 height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Dcc
CONST TYPE
TOTAL FEE $ 7 t
HAL
CUAPARK
scHL
Fro
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PAR
PD
) HD.
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WNIrC-D. r. W., YELLOW-A98(990R, PINK-IN9P CCTOR. GOLa EN RDD -APPLICANT