HomeMy WebLinkAbout042-090-094AP 42-09-0-55
R. BULLARD y�
329-A Nord Ave. , Chicoengy
contr: O. Griffin Roourhan
Permit# 3433-74B j
(reroof)y -
042-090-005 96-0185
REED, RONALD
12 JORDAN PLACE, CHICO rie4l
ELECTRIC SER CHG/SF gf13I4(v
042-09-0-005 96-1952 l
REED, RONALD 6 ALICE , r 1
CONTR: OWNER (� a
2864 RAY 32, CHICO 9 p/a819�
REROOFJSF
11-7
042 -090 -
SUMMARY SHEET FOR LAND DIVISI'
RONALD AND ALICE REED
WY 32, CHICO
TENTATIVE SUBDIVISION MAP
. aft"
4°
1) ITo /'d Qn AlaaE'
ow.09
°9�
• _ - _ D42-0�-C-005 96-1952 _ . • <. ,�r `.
jEED; RONALD 5 ALICE" a.
CONPR: OWNER
'". 2864 HNY 32,:.CHICO 'a
• REROOF/SF
f
0
0
,r
r
r
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING IVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) ��3�-7'541/1/PERMIT NO.,
APPLICATION AND PERMIT -1g5C,;z
ASSESSOR PARCEL NUMBER 042-090-005
ZONING C-2
B ILDING PERMIT
OWNER RONALD & ALICE REED
T. XTN 21
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 12 JO S PL -THIGO, 95973
CONTRACTOR'S NAME WIER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Fling Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
DCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 2864 WY 32
PERMITFEE $ -
PLUMBINGPERMIT Filing Fee 20.00
CHICO
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK '
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D3
Describe Work: REROOF WICOI '
—
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20:00
Main Service e00V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
1
LICENSED CONTRACTOR'S DECLARATION 1
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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SD.
OR NS. ( 8 ACC. ) 3.52 FT.
TLE
CONST. MULTI -OUTLET
NEW CT
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
(a SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) BAL @x:50
Ex. Occup. (oFFIXED
ELETS (RES D.OEa) 5RA .00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
Contractor
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those pr y isions.
tf- % `
Xa'/ L-� Date Q — 2 ! — —
Signature of Applicant- Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP
I FLOOD
CDF PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
^ C,
By G' � Date
�y
PERMITEXPIRESON— %- /
(Date)
Receipt No. 202559
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 53 541 PERMIT NO.
APPLICATION AND PERMIT 96 ^ 1 q5;1
ASSESSOR PARCEL NUMBER 042-090-005
C-2 ZONING
ILDING PERMIT
OWNER RONALD & ALICE REED
T33 N9321
SO. FT. OCC. BUILDING VALUATION
99 1,9nn-nn
OWNERS MAILING ADDRESS
12 JORDANS PL CHICO, 95973
CONTRACTOR'S NAME
OyJi`1ER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2864 FdY 32
PERMITFEE
$ OU
PLUMBING PERMIT
Filing Fee 20.00
CHICO
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 5 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other Cil
Describe Work: REROOF W/CONP
—
Mobile Home I S I G W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR NS. ( a ACC. )
SD.
3.5Q FT.
UTLEBLDS
NEW CONST. MULTI -OUTLET
C
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
( 3 SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FOCTURES)
20 @ 1.00
BAL w
Ex. Occup. (GFIXEDs RES D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
f ith comply with those Islons.
Date Z / �'
Signature of Applicant -Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL I PD HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolute to do work
in
indicated above for which fees have been aid.
BY Date G 7
PERMITEXPIRESON �' 7- % -7
I (Date)
Receipt No. 202559 /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1i- s&c-k e- -�-
�v e o r-
.�
Attention Property, Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES KI NO[ ]..
2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to. provide the .proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: 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.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
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.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
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, federal social security taxes,
workers compensation insurance, disability insurance 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"
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. 95811.
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.
Sin,&rel
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This 0«mer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
f'
a'
PERMIT NO. 3433-74B
P
E
M
MH UTIL.
tPERMIT NO.
PERMIT EXPIRES
OWNER R. Bullard
f
CONTR. Griffin Roofing, Durham
LOCATION (A.P. 42-09-05 )
3297A Nord Ave., Chico
t
I
3 Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB /
FINALED � � Z-
(Date)
!
(Signaora)'
7S
COUNTY OF BUTTE, — DEPARTMElifO = PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Sol[ Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
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
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, California 95965
Tel ephbnfr: B34-4541
APPLICATION AND PERMIT
auriwrIze representatives or the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or A4
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P BLIC WORKS
BY ate �e_ 7-�_.1z r 2-Y
BtlTlding permit expires Date .......%.Z ,1
BUILDING
Owner 13 - `14`,. 1�
SQ. FT. OCC. BUILDING VALUATION
O
Mailing Address
Telephone No.
Fireplace
Contractor %""'
Total Valuation
Mailing Address Ga
Permit Fee
Plan Checking Fee&/or Penalty
f-
Tho,, No.
3
Permit Fee $
$ 3
Building Address-
2 Nom``
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
^G
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. Z— d
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W.
Saa+-tetiet9
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel60'
Declaration
Parcel Ma P
R/W
Improvements
Im P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
L
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others El
Range, Cook -top or Oven 1.00
nLight
Water Heater or Space Heater 1.00
fixtures bald 10
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 o • , `
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. -? 33..: % Classification 3
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
rkmen's Compensation.
have placed on file with the County of Butte a certificate of
W
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$
auriwrIze representatives or the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or A4
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P BLIC WORKS
BY ate �e_ 7-�_.1z r 2-Y
BtlTlding permit expires Date .......%.Z ,1
A, .
13
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Oroville, Califciraia 965 - Telephone
APPLICATION AND PERMIT
BUILDING DIVISION
(916) 538-7541„L �O� ER)Kt NO.
`- �>
ASSESSOR PARCEL NUMBER
042-09-0-005
ZONING
BUILDING PERMIT
OWNER RONALD REED
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
932 W 8TH AMM CHICO CA 95926
CONTRACTOR'S NAME
LIGHTHOUSE ELECTRIC
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NQN}?
UNMOWN
Total Valuation $
Filing Fee$
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
4 WY 32, CHIC0
PERMITFEE S
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF d Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other ❑
Describe Work: UPIGRADE ELECTRIC SERVICE TO 20001P
—
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service e00V OR LESS
( 2000A OR LESS )
/�/�
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SO.
3.5¢ FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS
d SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FD(TUREs )
20 Q 1.00
BAL 0 .50
Ex. Occup. (oFIXEDD RE Is . ea)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
! _ /
X f ��' c r'+/ ' �. t _�z�r Date �_�=5� (O _
Signature of Applicant - ❑Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 5'0” deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee. is
OCC
CONST. TYPE
TOTAL FEE $ 66.00
HA2.
I D. FEES
IMP I FLOOD
I CDF
PARCEL PD I 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.
�e/ I
By , 4J P ,, r /1,'I Date 1/25/96
v
PERMITEXPIRES ON 1 /25/97
(Date)
Receipt No. 1 010n1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Orovil Callfortiia 95965 - Telephone
APPI-Af6N AND PERMIT
BUILDING DIVISION
(916) 538-7541 PERMIT NO.
ASSESSORPARCELNUMBER
ZONING
BUILDING PERMIT
OWNER
Non et ice
TELEPHONE
SO. FT. OCC. BUILDING _VALUATION
_
GWNER'S�A�AI ,-ADDRE,SS ` %� / �e �b-9�
dl /WI�)
CONrMCTOR'S E
1
TELEPHONE
CONTRACTOR UNG ADDRESS
-
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
"
Permit Fee
$
ARCHITECT OR ENGINECENSE
ER
LINO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESs9 /_Jw _ U n f_
PERMITFEE
$.
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00"
LOT No.
SUBDNsaNS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
1C , � )C)C� r C-
Describe Work: /(% (
Mobile Home IS I GI W1
920.00
PERMITFEE
_
Contractor
ELECTRICAL PERMIT
Filino Fee 20.'00
Main Service ( e00v OR LESS )
200A OR LESS
23.00 C�
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
s0.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
( & SINGLE OUTLET LC R. )
Ex. Occup. (OUTLET OR FIXTURES)
20 @''50
BAL
FIXED APPWS. OR
Ex. Occup. (OUTLETS 1RESID.I En)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 66,00
HAZ.
1 D. FEES I IMP FLO3;7[7!77L
I PD I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. IV/on I
WHITE-D.D.S.-B.D. CANAR •ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
SUMMARY SHEET FOR LAND DIVISIONS
APPLICANT RONALD A. & ALICE D. REED
ADDRESS 932 W. 8th Ave., Chico, CA 95926
OWNER Same
PROJECT DESCRIPTION REVISED TENTATIVE PARCEL MAP (from TSM
LOCATION 4 parcels located on the northeast side of State Highway 32
1800 ft. northwest of Kennedy Avenue. Chico area.
ASSESSOR'S PARCEL NUMBER(S) 042-090-005
ZONING C-2 GENERAL PLAN Commercial PROJECT CONSISTENT?
GENERAL PLAN CONFORMANCE REPORT July 8, 1993 (for TSM application)
'LAND CONSERVATION ACT CONTRACTS? NO
DATE APPLICATION RECEIVED DECEMBER 1. 1993 - TPM
AGENT/SURVEYOR/CIVIL ENGINEER Gilbert Engineering
ADDRESS 55 Independence Cir., Ste. 101, Chico, CA 95926
DATE PLANNING DIRECTOR'S REPORT PREPARED
ENVIRONMENTAL
DETERMINATION
AND DATE
CATEGORICAL EXEMPTION - DATE FILED
NEGATIVE DECLARATION - DATE ADOPTED
MIT.NEG.DECLARATION - DATE ADOPTED
ENV.IMPACT REPORT - DATE CERTIFIED
STATE CLEARINGHOUSE NO.
DEVELOPMENT REVIEW COMMITTEE HEARING DAT
APPEALED
BOARD ACTION
APPEAL HEARING DAT
COMMENTS FOR PLANNING DIRECTOR'S REPORT
ASSIGNED TO
RECEIPT NUMBER
LD 1005 (11/92)
DISK
SUMMARY SHEET FOR LAND DIVISIONS �93
APPLICANT
ADDRESS 932 W. 8th Ave., Chico CA 95926 13UILDINGDEPT
0
OWNER Same
PROJECT DESCRIPTION TENTATIVE SUBDIVISION MAP
LOCATION Creating 7 lots located on the northeast side of State
Highway 32, 1800 ft. northwest of Kennedy Ave. Chico area.
ASSESSOR'S PARCEL NUMBER(S) 42-09-05
ZONING C-2 GENERAL PLAN Commercial PROJECT CONSISTENT? YES
GENERAL PLAN CONFORMANCE REPORT July 8, 1993
LAND CONSERVATION ACT CONTRACTS? NO
DATE APPLICATION RECEIVED July 27, 1993
AGENT/SURVEYOR/CIVIL ENGINEER Gilbert Engineering
ADDRESS 55 Independence Cir., Ste. 101. Chico, CA 95926
DATE PLANNING DIRECTOR'S REPORT PREPARED
ENVIRONMENTAL
DETERMINATION
AND DATE
CATEGORICAL E`EMPTION - DATE FILED
NEGATIVE DECLARATION - DATE ADOPTED
MIT.NEG.DECLARATION - DATE ADOPTED
ENV.IMPACT REPORT - DATE CERTIFIED
STATE CLEARINGHOUSE NO.
DEVELOPMENT REVIEW COMMITTEE HEARING DATE
APPEALED APPEAL HEARING DATE
BOARD ACTIO
COMMENTS FOR PLANNING DIRECTOR'S REPORT
ASSIGNED TO DIS
RECEIPT NUMBE
LD 1005 (11/92).