HomeMy WebLinkAbout042-100-038v
2-10.38 1
Allan Knotts
E/S Muir Ave., app. 250°S.of Kennedy
Ave . , Chico
Permit #3787-76B,P,E(conv. garage to
be roomS�
bath,/SF)
Q
42-10-38 i
Permit��2036.,.$3B,E(add ,garagg/SF)
42-10-38 1854-89B
KNOTTS, Allan 8 Phyllis
1437 Muir Ave, Chico
(reroof/SF)
9
FINALED
042-10-'0=038 -92-3848 B
WILLIAMS, Phyllis
1437 Muir AVe, Chico
raise floor level/sf
042=-''10-0-038 ' •93-381P -.
WILLIAMS, PHYLLIS
1437 MUIR AVE, CHICO
CONTR: JAMES WATTS .:.
WATER HEATER/SF 2✓ r �-3 -
042-10-"38 00-1784
O'MALLEY, JIM ,--//W6 CI _7-40
1437 MUIR AVE., CHICO
CONT: BAIRD ROOFING
REROOF-.... -- --- --
042-10-0-038 00-1955
OLIVIA, PEGGY F/XJfiG '?-7-0d
1437 MUIR AVE., CHICO
CONTR: RON BUNCH
1i.54� 1r
'
�z yoo�
JACiKSON B. 208-68B
--- ---
165 68E r
—
188-6811/
e/s Muir Ave. 460, so. of Kennedy Ave.,Chioo
CONTR: Allen D*Hansen 7 Rt. 21 Box 507K,G11s.c
11(new single family)
la Ki i os
�r£�,; h + -
t
���
042-10-0-,0,3.8 00-1784
O'MALLEY,,JII\4
1437 MUIR AVE, ClUclo
CONT: BAIRD ROOFING
REROOF
L
)t.,5
Pk
�.w+*elga•' ;•���-r •�isr�J...��w �:;r7,�:�•t��w4"y�=:�.��lK'�;.•..�jfs�tc`G�"_...�-..r _..-.w...., .if'T'""_ar -t��: a_l; .�:- Yr-r•_�.,. F,-�-q� s.� .. k ,. -,. .-. ..
1 � .
COUNTY OF BUTTE - DEPARTMENT OF.DEVELOPMENT SERVICES - BUIWINGrDIVISION !✓
7 County Center Drive • Orovill'e; California 95965 •Telephone (530)538= 41
(Rev. 12/96) APPLICATION AND'PERMIT C,
ASSESSOR PARCEL NUMBER //97 y / ✓.
ZONING
BUILDINGPERMIT
OWNER'- ,
TELEPHONE
SO. FT. OCC. Y-� T BUILDING.VALUATION
c.�
. OWNERS MAILING
ADDRESS/i/V % / /
CONTRACTOR'SNAMETELEPHONE '.
kaI��,
ADORES
/MA M /1")
CONSTRUCTIONON LENDER Y
•r
: Flreple.Ce ,• ;
LENDER'S MAILING ADDR1ESSQ t 4 )
a i1
Total Valuation ~ `` $
ARCHITECT OR ENGI ER ti,
LICENSE NO. j
Filing Fee ' $ % 20.00
Permit Fee $ Q I
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
J f `1
BUILDINGADDRESS /IZI7 %16111e.
Energy Plan Checking Fee $
PERMIT FEE $ 6,4 • D
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
�.tr RZUMt3 TIG P 1a- WIr ` •Filing Fee 0;20:00
Each Trap 7.00 .
•-tL
USEOFSTRUCTURE r
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00 '•,:
Water piping _&#"" 15.00
Each gas water heater or vent +•5. V0
' TYPE OF WORK
New ❑� Addi__ion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑-^"
-
.; ', ^^ ,, j; �' �} ,'1
Describe V'ork: 2 _I Qb f . U/ � 7 ll
Gas i in , system 1 - 5 outlets `1-_5,00
Buildingsewer
Mobile Home S G W @. :00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
600V OR LESS -
Main Service p A OR LESS 23.00
•
s
L .:; LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under" penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full fore and effect. //�rr
-License Class pLic. No. f1 �� /14n�
..+- r•=" WNER-BUILDER DECLARATION M
9 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: - .
❑ 1, 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. -
0 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:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
AI 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 i _�_ 0 �.1 gn -
Policy Number H ',:L.., as
(The above sections need no be completed 'rf 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
forthwit comply with those prov'sions.-,,
/ Q
X�, __ Date7-V L J_
Signatu4,,`bf-tA&icant - ❑ Owner Contractor ❑ Agent
An OSHA perWiIis required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A _'•46.00
NEW CONST. Dl E"NG OCCUP. SO
OR ADONS. ( a ACC. BLDS. 3:5QFT.
NEW CONST. MULTI.OUTLET
NON..ESID. @7.50
-, POWER APPARATUS `
a SINGLE ounFT aR.
Ex. Occup. OUTLET OR FIXTURES BiiC'
Ex. Occup. ourLETs FOXED APPLNS. OR i► '`
RESIo. EA ..5.00
Temporary Service 23.00
Mobile Home Facilities 20AA
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
rZ • 3
CONST. TYPE
it f�f TOTAL FEE $ (� . ()()
HAZ.
D FEES IMP
FLOOD
COF
-
PAR C0.
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.
/)
Dat 7—,9
Byi ! ,>r.0 .C��7 Date
PERMIT EXPIRES ON
Date
Receipt No. ,120'515vi
WHITE-D.D.S�:b, CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538- 41 , ` �
(Rev. 12/96) APPL)CATION AND PERMIT C
ASSESSOR PARCEL NUMBER
20NING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
CONTRA R', NAME T LEP NE
7
C RACTO 5 (LING ADDRESS � ,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ r
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
1, o Q
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
/ oka cd/m
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: -2 Jroi%2%/
3 1O/Ck�7'/ w/ S VAC �S�CTD
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service P00A OR tESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license i's in full foEce and effect.
License Class Lic. No. �n3 /Qn
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 worker!�'ffTpensation insurance carrier and policy number are:
Carrier Q _
7f S
Main Service 200A TO 1000A
46.00
NEW CONST. DW EWNG OCCUP.
OR ADDNS. ( a ACC. BIDS.
SO
3.50 Fr:
CONSMULTI.OUTLET
@7,50
POWER APPARATUS
a SINGLE OVILEr CIR.
EX. Occup. OUTLET OR FIXTURES
j 200
BAL @ 1.00 . 0
Ex. Occup. oF'EEDrs A' oEF',,�.
1 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number a
(The above sections need not be completed 6 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 sectio 3700 of the Labor Code, I shall
forthwi comply with those pro 'sio
r:00of
X 0A09 Date
Signature o licant - ❑ Owner ontractor ❑ Agent
An OSHA per . is required for excava Ions over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
q,cc
is -3
CONST. TYPE
fq TOTAL FEE $
. 00
HAZ.
FE IMP FLOOD COF PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
�� -`
By Date 7dMO
PERMIT EXPIRES ON -7 d F a�bf
Date
Receipt No. 42
WHITE-D.D.S.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
042=10-04038 00-1955
OLIVIA, PEd i GY
1437 MUIR'UEL ICHICO
CONTR: RONTUNCH
COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,'California .95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 00-1955
ASSESSOR PARCEL NUMBER BMI 042-14-0-03
ZONING
BUILDING PERMIT
OWNER PEXY OLIVIA
TELE
E 343--7689
SQ' FT- OCC. BUILDING VALUATION
FST 2300
OWNERS MAILING ADDRESS 1437 MUIR AVE, CHICO
CONTRACTOR'S NAME
RON BUNCH
TELEPHONE
891-1104
CONTRACTORS MAILING ADDRF.AS§ LAGUNA CT., CHICO 95928
�f
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 2300
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1437 MUIR AVE., CHICO
Energy g Fee $
Ener Plan Checking
$
PERMIT FEE $
LAT No. _
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
�_,,� - '
SF 0 Duplex ❑—Nbbilehome ❑ Other
SPECIFY
Solar or heat um water heater 23.00
Water piping15.00 eOO
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PUT FLOOR (WOOD) IN CONVERTED GARAGE
MOVE.ELECTRIC OUTLET, PLUMBING
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE S35.00
`"�f
ELECTRICAL PERMIT Fling Fee 20.00
Main Service EOO LESS
200AV OR OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION 1
I hereby affirm under penalty of perjury that I am licensed under provisionstof Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is -0 full force and effect. I
License Class W rel Lic. No. 3? 3' 3�3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contract?rs License
Law for the following reason: I
❑ I, as owner of the property, or my employees with wages as their sole corlipensation,
will do the work, and the structure is not intended or offered for sale;
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
Performance of the work for which this permit is issued.
® I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service To 46.00so
CCU000A
NEW CONST. DWELLMIG OCCUP. SO
DWE200ALLING
OR ADDNS. ( 6 ACC. BLDS. 3.50FT,
NEW CONST.
NON-RESID. MULTI.OUTLET @7.50
POWER APPAMTUS
8 SIJOLE OLfTLET CIR.
Ex, OCCU OUTLET OR FIXTURES ®I'50
BAL .50
FlXED APPLNS. OR 5.00
Ex. Occup. ounFrs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 4 3.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number slOSf< - pa U 01 f z flo z
(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 c ly with those provisions.
X� Date C -C•
Signature of Applicant - ❑ Owner G-EtSFitractor ❑ 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 $ 152.00
HAZ.
I D. FEES
IMP
I FLOOD
CDF
PARCEL
PD
Ho
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.
-
By, t_ V1 Date
PERMIT EXPIRES ON �`( `� 1" !
Date
rReceiptNo. r
HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y; )
:{ COUNTY OF BUTTE
• BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE f
OWNER PERMIT NO.
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.
% '-1' Oaw.
e rd -A., m -sr, i
Date 301 O O Inspector�U
REV 10 92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 00-1955
ASSESSOR PARCEL NUMBER RENNXT 042-10-0-038
ZONING
BUILDING PERMIT
OWNER
PEGGY OLIVIA
TELEPHONE
343-7689
SO. FT. OCC. BUILDING VALUATION
EST 2 300
. OWNER'S MAILING ADDRESS
1437 MUIR AVE., CHICO
CONTRACTOR'S NAME
RON BUNCH
TELEPHONE
891-1104
CONTRACTORS MAILING ADDRV 9 LAGUNA CT., CHICO 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is 2300
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1437 MUIR AVE., CHICO
Energy Plan Checking Fee $
$
PERMIT FEE S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF P Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 '15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PUT FLOOR (WOOD) IN CONVERTED GARAGE
MOVE ELECTRIC OUTLET, PLUMBING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE $
35-00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o0, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS ' full force and effect.POWER
License Class /iZc Lic. No. 37S-30
-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
Main Service To
46.00so
CCU000A
NEW coNsr. owELUNG occuP.
DWE200ALLING
OR ADONS. ( & ACC. BLAS.
so
3.5QFT,
NON.RESII0_ MULTI -OUTLET
@7,50
APPARATUS
8 SINGLP OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
BAL @ 1.00
OWNER
Ex. Occup. OU�TIEEDTSA Ate' oEw
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
43 nn
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'
CoTpensation, as provided for by section 3700 of the Labor Code, for the
dormance of the work for which this permit is issued.
Iff I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier �' /,q�' ��„id — ZEalc�i..�G
Policy Number 2faoVe, –oo UN 2c72yf'
(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 with those provisions.
X_ Date e'/.f=OO
Signature of Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 152.00
I
HAZ.
1 D. FEES IMP
I FLOOD
17379
PD
I HD
I 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.
Date g 5 0 0
PERMIT EXPIRES ON S� O
I &ate
Receipt No.$152.00302549 /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/%)..-'
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
4P4 APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL MJM6EA
ZONING
BUILDING PERMIT
OWNER
/� 3 i
NE
_y4g-
TE �
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILIM ADDRESS
CONTRACTOR'S NIMAE�t% f%/j
T NONE
CONTRACTORS MALINO AD RES9
(/L/
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $MCI
ARCHITECT OR ENOINEER
LICENSE NO.
Filing Fee 20.00
Permit Fee $ Q V
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
-
Plan Checking Fee b
BUI OWG ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBONISIONS NAME
PARCEL MAP
Filin Feel 20.00
PLUMBING PERMIT9
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping15.00 N Q
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑
Describe Work:
Other ❑
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W Q20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
vo
Main Service 200A OR LESS 23.00
�C
ReceiptNo.
WHITE-O.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR
GOLDEN ROO-APPLICANT__ - J
Main Service 200A TO 1000A 46.00
OR CONST. OWELUNO OCCUP. SO
OR ADONIS. � 6 ACC. BIOS. 3.5¢FT.
NEW CO MULTI -OUTLET
NON-RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET X10.
20 ® 100
Ex. Occup. OUTLET OR FIXTURES E .
omOLo.Ex. Occup. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 00
�,.
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TrvE� TOTAL FEE $
HAL
0. FEES IMP
FL.000
CDF
PARCEL PO
NO
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.
By Date
PERMIT EXPIRES ON
sro
�
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COUfITY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cei.ifornia-95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
y,�- �v -- d 3f
ZONING
BUILDING PERMIT
OWNER I / -
11 //1141 -t �, 9 a11,', t V � � � 5
TELEPHONE
31132-6o I
SOC. F.T. OCC. BUILDING VALUATION
V t n t�
OWNER'S MAILING A'DDRIESS j�////•, /1 �ry7
7 3 .� 1 /` /i' ii/c. C. h 1L
CONTRACTOR'S NAME
.r -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2 y
O
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$ q,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ �, 5
PLUMBING PERMIT
Filing Fee 10.00
�el?3 Mmr f
Each Trap
2.00
/ `% 3 / 7 /°cv� 0d
Solar or heat pump water heater
20.00
LOT NO. JFUT67TFiON
NAME PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF[Er Duplex Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
-f
5.00
Mobile Home S FG TW
10.00 ea'
TYPE OF WORK
New ❑ Addition ❑ Remodel[:] Utilities ❑ Installation Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 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):
'
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
an - Professions Code and my license Is In full force and effect.
icense 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.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.N) 1 ACC. BLDGS.
OR ADDNS.
, �2 QSQn
NEW CONSTR. MULTI -OUTLET
NON,RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e+
(SINGLE OUTLET CIR. 7
Ex. OCCUp�OUTLETS OR FIXTURES
200DOt
DAL030
FIXED P
Ex. Occup. OUT LETS (RESID ) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
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
aeCertificate of Workmen,s Compensation Insurance or a Certificate
f 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, cosi; and expenses which may in any way accrue
against sai07countli7inse�`gtlence /he -granting of this per it.
X !t' �/L _� Date >'f^
r _
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 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCu P.
CONST.TTPEJ
SCHOOL
FLOOD
PARCEL
PO
NO
59
r%
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
r�-
By r v9 ;a1,61
. liil- r
PERMIT EXPIRES Date •
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date./;
` /J,1
/3
Receipt No. '7r W 75
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
BOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIv,.Califprnla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO�r/
J'
ASSESSOR PARCEL NUMBER
ZONING
—5
BUILDING PERMIT
owrr.�R TE P�",°�"�
SO. FT. OCC. BUILDING VALUATION
OWNER'S M AILING CRESS
q 73 95F2
p
it t
CONTRACTOR'S NAME TELEPHONE
es
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $ 2LI0
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
1q;73 'r
PLUMBING PERMIT
Filing Fee 10.00
14
Each Trap
2.00
6lCG0C)
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
Gas piping system 1 - 5 outlets
5.00
SF Duplex❑ Mobilehome❑ Other
Building sewer
5.00
SPECIFY
Mobile Home I S I G JWJ
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Permit Fee
$
Describe work: e) .!544 Ane S
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.y`
OR AODNS. /
, /20sq ft
I declare under penalty of perjury (Check one):
ACC. BLDGS.
NEW CONSTR MULTI -OUTLET
2.50 ea
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON.RESID BRANCHCIRC ITS
POWER APPARATUS tr
an Professions Code and my license is in full force and effect.
SINGLE OUTLET CIR. I
cense No. Classification
Ex. OCCUp�OUTLETS OR FIXTURES
200sot
eALOSo
as the owner, or my employees with wages as their sole compen-
FIXED APLNS.
Ex. OCCUp. OUTLETS P(RESID )REA.I
1 2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Iyirin 9
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ I have placed on file with the County of Butte Building Department
a,/Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
Cooling
g
FLA shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
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
penult Fee
;
provisions or this permit shall be deemed revoked.
Contractor
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
$
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above tioned property for inspection purposes.
TOTAL PERMIT FEE
9.,60
also agre save, inde rfify d keep harmless the County of Butte against
all liabili es judg c`os and expenses which may in any way accrue
OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD HD ISS
against i my n s``e ce o ting of this permit.
X
This permit is hereby issued under the applicable provi-
Date
sions of the Butte County Code and/or
resolutions to do
Signature of Applicont — Owner Contractor ❑ Agent ❑
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
-
Receipt No. ����,
BY `1
1z
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT EXPIRES Date
�a�e
1
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER 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.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or
2. I (have/'t) Alk✓r�_ 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 Contractors 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 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 (/
Social Secur' y Number
_. Date 6
NOTE: This Owner -Builder Verification is sent to you as required 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.
Phyllis Williams
1437 Muir Avenue
Chico, CA 95926
DEar Ms. Williams:
October 27, 1992
RE: A.P. #042-10-0-038
Per your letter of October 23, 1992 and your request for information con-
cerning permits, we show no record of permits being issued nor applied
for in 1975.
Permits were required in 1975 to raise a floor level. If the information
you received was that no permit was required, then that was incorrect.
If you have a need for additional information, please feel free to contact
me.
Yours very truly,
DP:dms David Purvis
Supervisor, Building Inspection
COUNTY OF BUTTE
BUILDING DEPT
0 C T 2 6 1992
1437 Muir Avenue
Chico, CA 95926
October 23, 1992
Development Division
#7 County Center Drive
Oroville, CA 95965
Dear Sir:
As part of the procedure to close the refinancing of my
home, I am gathering copies of all permits granted to
my ex-husband and me while we were living together and
doing some reconstruction. I do have copies of two: one
for converting a garage into a bedroom and one for reroofing
our home.
Today, by phone, I requested a copy of one we might have
been granted for raising the floor on an existing art/study
room which was a stepdown from the kitchen area. We com-
pleted this project in 1975. I was told today that no permit
would have been required for this renovation. My bank tells
me they need a note from your office to this effect. I'm
sorry to have to inconvenience you for this.
Would you please direct a note to Great Western Bank to this
effect and return it to me in the stamped, self-addressed
envelope, and I will make sure Mr. Bill Felice of the Chico
branch receives it.
Thank you very much for your cooperation.
Sincerely
i'
Phyllis Williams
Parcel No. 042-100-038-000
µ.ms
:3TTU? 10 Yiv.UOa
. 130 0MG.flue
SeCt a S TO Q
.: � �.... .'+Y -tea. ,`r. fr e.'l �'r. Q -N {a` .}V .�tY4. �'r.3�Y��'.+.�`.".43.:x/�� ��Y i'�.�.:::../"ti +ter l.. . rte-
,• ly '�. �4tw� ••.�i>:F`S..
.. "'-�e''.
ay�.•.�`.r .i'.�J 'Y�i• •� . ..1A
/4t— lw, r 1^i 042-10-0-038 92.3848 B +'ti
i WILLIAMS, Phyllis'
- 1437 Muir AVe, Chico 'F
raise floor level/sf
i'i+sk:.:lowT4!t' i' rwFgy�4E- y, ':g ' )"
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
APPLICATION AND PERMIT -�-
ASSESSOR PARCEL NUMBER
042-100-038 w
ZONRNG
A-5,
BUILDING,PERMIT
OWNER
Phyllis M. Williams
TELEPHONE
343-2491
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1437 Muir Ave. Chico 95926
Est. 1 500,00
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1 • 00
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 30.W
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
00
Permit fee $ 45.1437
Mui AV@.. Chico
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE I
SFO Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel I tilities [Instal�ation ❑ Other El
Describe work: Raise Floor and Level
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR OR LESS 18.50
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
ElI, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOA) 37.50
NEW CONST. ( DWELLING OCCUPM 3.64sq.ft.
OR ADONS. ACC. BLDGS. /
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76
FIXED APPLNSQ
EX. Occup. OUTLETS ((RESID )REA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -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 subjectHood
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 15.00
Heating
Cooling
6.50
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 1:1sions
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $45.00
HAz
DFEES
IMP
I FLOOD
cDF
I PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provi-
of the Butte County CDIt and/or resolutions to do
work indicated ov fp�vyhich fees have been paid.
DIR 0 0 PUBLIC WORKS
By_ 4" Date/ • 7
PERMIT EXPIRES Date
Receipt No, 126102
WHITE-D.P.W.. YELLOW-ASBE$90R, PINK -INSPECTOR. GaLDENROa-APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road,.Chico, CA - (916) 891-2751
7 County Center -Drive, Oroville, CA - (916) 53$7541
747 Elliott Road, Paradise, CA - (916) 872-6307
_CORRECTION NOTICE
OWNER — PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is comp ted. If you have any questions pertaining to this matter, or need additional explanation,
pleas ontact this office immediately.
11341J&11_ AL n \1 l 136 " At, -WP- -
S k
Date —Inspectoi•..}�� l� .
REV 11/91
5'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANDRERMIT
PERMIT NO.
q 7-�
ASSgiSSOR PARCEL NUMBER
—100-038
ZONII`JG
A-5
BUILDING PERMIT
OWNER
M. Williams
TELEPHONE
343-2491
SQ. FT. OCC. BUILDING VALUATION
OWNER' Mlis
AILING ADDRESS
1437 Muir Ave. Chico 95926
Est. 1 500.00
CONTRACTOR'S NAME
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,500.00
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ 45.00
1417 Miii r Ave Chico
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFJ Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 5.00
j@1
TYPE OF WORK
New ❑ Addition ❑ Remodel g Utilities ❑ Installation❑ Other ❑
Describe work: Raise Floor and Level
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
P Y P I y (Check One):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BU$Ines$
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)
El 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
Main service 200ATO1000A1 37.50
NEW CONST. � DWELLING OCCUP.SI\ 3.6asq.ft.
OR ADDNS. ACC. BLDGS.
NEW CONST, U TI.OUTLET
NON-RESID BRANCH CIRC ITS @ 5.00
(POWER APPARATUS H)
SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES 20 @ 76
EX. OCCU
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -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
Y� 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 15.00
Heating
Cooling
Hood 6.50
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 liabilitie jud ments, costs, and expenses which may in any way accrue
against s un _in consequence of the granting of this p mit.
Date CJ's--
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE 545.00
HAz
OFEES
IMP
FLOOD
C0F
PARCEL
PD
HD
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte Count C and/or resolutions to do j
Y
Work indica ov f ich fees have been paid.
DI PUBLIC WORKS
By Date/,�1-Q7
PERMIT EXPI•ES Date
Receipt No. 1261_02
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
RIRIE
1...
COUNTY OF BUTTE - DEPARTMENT OF `PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C4t�RNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
/ L/ -L I(A
Building I
No. D / �
Date I 19
At time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
L001 1.
2.
3.
4.
5.
6;
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof$ ..........................................
Impact fees as shown on attached schedule. ............................. .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .....
Pre -Inspection req.uest
Pre -inspection for required. . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ) ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization .................................... .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use ..................................... .
Mobilehome utility clearance . ......................................... .
Documentation of legal access . ....................................... .
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
When you issue the permit, process as follows: V Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant l Date W-3�
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. r"
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail 'Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541
APPLICATION ANQ PERMIT
ASSESSOR PARCEL NUMBER
Q ,z
ZONING
BUILDING PERMIT
o R
/
TEfLEPHONE
i2
S0. FT. OCC. BUILDING VALUATION
OW R'S MAXADOR SS
HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ O.O�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS!7
(/
Permit fee
$ (�
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
I 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel a] Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A1
37.50
DWELLING OCCUPM
NEW CONST. ACC. SLOGS. /
OR ADONS.NEWNON.RESID
3.60 sq it.
CONSTR ULTI.O-UT LET
BRANCH CIRCITS
@ 5.00
(POWER APPARATUS e1
(SINGLE OUTLET CIR. I
Ex. OCcup(OUTLETS OR FIXTURES
20 76d
Ex. OCCUp. OUTLETS PIFIXED RESID 1NSREA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 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 15.00
Heating
Cooling
g
Hood
6.50
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.
1 also agree to indemnify and keep harmless the Count of Butte against
all liabilitiAT, judg ents, costs, and expenses which may in any way accrue
agai inconsequence of the granting of thisrmit.
,007
DatThis
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES Q
HAz
1 0FEES I
IMP
I FLOOD
I COF
PARCEL
PO
HD
ISSUE
permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
DatePERMIT
Receipt No. Z0 �.
WHITE-O.P.W., YELLOW-ASSE330 R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of PubLic Works
7 County Cancer Drive, Oroville, CA 95965
OWNER-BUILDF—R VERIFICXTION
►ttencion Property Owner:
Phone : 9 16 - —,,y_754l
An 'owner -builder" building permit has been applied for in your name and bearing
rour 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
sill be issued until this verification is received.
1. I personally plan to provide the major labor and materials for ccnscruction of
the proposed property improvement,,(yes or no).
'2. Jjgha�ve>ave not) ,,,�.� signed an applicationfor a building permit
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors 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 Contractors License No.
5. I will provide some of the wort but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: .
Property Owner
Social urity Number
Data
OTE: This Owner -Builder Verification is sent to you as required 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.
/a
oO70 o -tea - a -0 3 'P/
/&70 c �ea -/ a- a -0 3 k
le7'o -/o -.6
.x;
• • yn- - *.�%�:�,,: T' t .,�,: -..fes-�, ��' .'«�ti'F<< Jr firy�.tY !• " (04L2-10-0-038.
.93-381.PLIAPIS .PHYLLIS
1437 MUIR AVE, CHICO ,
CONTR: JAMES WATTS: ,n
'` WATER HEATER/SF
COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER -
042-100"038
ZONING,
A-5
BUILDING PERMIT
OWNER
Phyllis Williams
TELEPHONE
343-2491
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1437 Muir Ave. Chico 95926 j
CONTRACTOR'S NAME
James R. Watts
TELEPHONE
342-5280
CONTRACTOR'S MAILING ADDRESS
40 Regent LaneChigq 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS '
j
Filing Fee
$ 155,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
(
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
,$
A17 Mtdr Chico
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL'fMAP
S{j
Water piping
7.00
Each qas water heater or vent
1 7.00 7.00
USE OF STRUCTURE
SFO Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Oier
Describe work: Replace Water Heater
Permit Fee
$22.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
CONTRACTORS LICENSE LAWNEW
'
I declare under penalty of perjury (check One):
-11"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. L_�i/ f Classification ✓'i C�:J I�.�li
!
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A To t000A)
37.50
CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS. /
3.64sq.ft.
NEW CONSTR U TI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APNS.
Ex. OCCup. OUTLETS P(RESID.)REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'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.
Vhave 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 15.00
Heating
Cooling
Hood
6.50
Ventilation
Pernit Fee
5
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, indemnifyand keep harmless the County of Butte against
all IiabRities, judgment costs, and expenses which may in any way accrue
against said County in`c sequ� ce of the granting of this permit.
L.
X L Date ^ 7 / ,3
Signature of pplicant — Owner ❑ Contractor Agent
'
An OSHA pe mit is required for excavations over 5'0" deep and demolition or construct-
ion _of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $22.00
HAz
1 0FEES I
IMP
I FLOOD
I COF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County.Gode and!/or resolutions to do
work indicated abo4e'fo hich fees have been paid.
TOR.OF PUBLIC WORKS
By �f`/ DateZ_
PERMIT EXPIRES Date
,-•+�'�
-� 30
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION ANC`PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
2-100-038
ZONING
. A-5
BUILDING PERMIT JA 4
OWNER
Phi AS Williams
TELEPHONE
343-2491
SQ. FT. OCC. BUILDING VA A IO
OWNER' MAILING ADDRESS
1437 Muir Ave. Chico 95926
CONTRACTOR'S NAME_71
Watts
ELEPHONE
342-5280
CONTRACTOR'S MAILING ADDRESS
40 Q t Lane Chico 95926
Fireplace
CONSTRUC TI N NDLEER
UNKNOWN
Totat Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
1 7.00 7.00
USE OF STRUCTURE
SFO Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1- 5 outlets
1 5.00
Building sewer
15.00
Mobile Home I S I G I W
@ 15.00
TYPE OF WORK
New F-1 Addition El Remodel❑ Utilities[:] Installation❑ Other[]
Describe work: Replace Water Heater
Permit Fee
$22.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions Of Chapt. 9, DIV. 3 of the BUSIneS$
and Professions Code and my license is in full force and effect.
%� -7 ��
License No.� �5 �� Classification /'7"CL[/ — Li
❑ 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
Main service 200A TO 1000AI
37.50
NEW CONST. / DWELLING OCCUP.ltI\
OR ACDNS. 1 ACC. BLOGS. II
3.64sq.ft.
NEW CON5TFLMULTI-OUTLET5'00
NO N.RESID BRANCH CRC.,
RC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
EX. OCCU OR FIXTURES
p�OUXED
20 76
!1A1 0ABA
A
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-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.
EK 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 15.00
Heating
Cooling
Hood
6.50
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, indemnif and keep harmless the County of Butte against
all liab ities, judgme� , co ts, and expenses which may in any way accrue
:gains" s id County i c s uence of the granting of thisperm't.
Date / 3
sig art, a of pplicant — Owner ❑ Contractor Q� Agent
An 0 HA pe mit is required for excavations over 5'0" deep and demolition or construct.
ion structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 22.00
HAz
DFEES
IMP
FLOOD
FDF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under the
sions of the Butte Count de and/or
Work indicated ab or hich fees
O F PUBLIC
By
PERMIT EXPIRES Date ;
applicable provi-
resolutions to do
have been paid.
WORKS
Date /S
/k--'9!
Receipt No. 135276
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DEVEtOPME_NTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C4tA,:dIIA 95965 -TELEPHONE (916) 538-7541
PERMITAPPLICATION DATA SHEET /
l j .
OWNER 1 f I (C� �/1�I S A. P. No. �/ Z �/00 - O 3Q3
Proposed Building Use F(_ Building Inspector 'f�4,2- _Date?.
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ......................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).". . . .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
20. Pre -inspection for Prelnspection request...
equ�,
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
-34.
When you issue the permit, process as follows: Mail to owner. ail to contrac or.
Telephone34 2 �2$O and hold for pickup at
off
Deliver with inspector.
Other
Parcel Creation � � 2
Acreage App ieant Date
Copy of Haz-Mat form sent Health Dept. Fire ,Dept. it Pollution Date
Copy of plans sent Health Dept. Fire Dept. Oth�e Date By
The following data must be submitted prior to permit issuanc`-(Eircle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541
APPLICATION AND.PERMIT
ASSESSOR PAF E� NUMBER O
)`�J
ZON G
•TELEPHONE
BUILDING PERMIT
OWNER
PLIlk U Q 01
3Y 2
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILIING ADDRESS
V J E C(41CCJ
CONRACTOR'S NAME
S
TELEPHONE
3 ZS28o
CO RACTOR'S MAILING ADDRESS
e Lo .. !✓�,( Cp
Fireplace
CONSTRUCTION LEVER
VNKNOWN
Total Valuation Is
Filing Fee
$ 15,00
LENDERS MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS'—/37 o ,---
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
ti L
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF�k_Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Additio ❑ Remodel[D
-U/tilities J❑1 Installation[] Other
Describe work:_T (Awaa- f�l2Gi >�2iz::
Permit Fee
$ Z2�
Contractor
ELECTRICAL PERMIT
FiIingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
I am licensed under p
❑ provisions of Cha t. 9, Div. 3 of the BusinessPOWER
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.&)
OR ACDNS. ACC, BLOGS. //
3.60 sq.ft.
NEW STR UL I.OV TLET
NON •R CoESID BRANCH CIRC ITS
@ 5.00
APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES
20 76r1
Ex. Occup. OUTLETS ED APPIRESID IREA.)
I 3.00
Temporary service
15.00
Mobile 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.
❑ 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
FiIingFee 15.00
Heating
Cooling
Hood
6.50
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 — OwnerElContractor ❑ Agent ❑
An OSHApermit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee 5
Energy Inspection Fee $
occ
CONSTTYPE
TOTAL FEE $ �7
2L ,
HAz
I DFEES
IMP
I FLOOD
CDF
PAFEE77
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. I2 %
WHITE -O. P. W., •EL LOW-ASS[590R, PINx-IN9PECTOR, GOLDENROD -APPLICANT
PERMIT NO. 3787-76B,P,E
?7t
PERMIT EXPIRES
OWNER Allan Knotts
CONTR. owner
LOCATION (A.P. 42-10-38
E/S Muir Ave . , app . 250' S . o£ Kennedy Ave . ,Chic o
0
Temp. Power Pole
Called PG&E
Temp. EIc. Serv:
Cal.�ed PG&E
Teml(Gas Serv.
/Called PG&E
JOALED.�
(Date—
GQia-a-•.t-�
(Signature) ��
Reinf. Steel I Final I I Fixtures /
Mesh
COUNTY OF BUTTE — D'EPARTMEENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
4
Grd. Fault Prot.
Scratch
BUILDING BUILDING (Cont'd)
Service
PLUMBING
Setback
Firewall
Soil Piping
Ducts
Forms
Parapets
1st Floor
'
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwallSiding
Slab
Roof Sheathing
To out
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
a –gyp—
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Z
Slab
Carport
Footings
Prov. for physically
n ed mance of ex.es
C—�
Confor
structure
Appliances
as
GPiping&
Temp. Gas
Tt
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footinas
Footinq 11
ELECTRICAL
Reinf. Steel I Final I I Fixtures /
Mesh
MECIJ11ANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
r Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent `
'Door Closer
Final
Final
DATE i/lv' -4 REMARKS OR CORRECTIONS
T 9ffA0/
7- ;2 E --7 �� �,4 /2�6.�� 40,4 4A..,pkv, 4,C,0 sr
toff, P -Z C,4,r o F �J�f
F/ MUA-9S
le- /4-/ (,_/a- V
�W AF� e, -t JC( -,r
Lz G- V -S
(NOTE: An entry must be made on this form each time you visit the job site.)
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COUNTY OF BUTTE — DiE47VgRTMENT OF PUBLIC WORKS
7 County Center Drive —Uroville, California 95965 � / /'y���
Telephone: 534-4541
APPLICATION AND PERMIT
X �v _ ate- 76 DIRECTOR OF BLIC WORKS
Signature of Permitee r A e
e eildfin!�permiil
Date 7— %Z — 7 6.Receipt No.White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant expires Date
BUILDING
Owner LL -A KNASQ.
FT. OCC. BUILDING VALUATION
Mai I i ng Address l Z
(DL
Telepho= o.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address Q
PLUMBING No. @ FEE
PLUMBING
PERMIT FILING FEE $3.00 -,CD
I . 2S70' 5, — AVE,
Each Trap 1.50
_5
Repair drainage or vent piping 1.50
Water piping 1.50 Q
Each gas water heater or vent 1.50
A. P. No. 411'2," 1 ®— O
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
451'n_
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
dg. Plans Rec'd
L
Parcel Approval
Plo pproval
Permit Fee $ TQQ
5(
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Cot-AVEP-1-6A `mooMain
service 600°o AMP OROR SLESS 5.00
Main service EA, ADO'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service VER 600V
AMP OR LESS 25• 0
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELIG 0
OR ADDNS. ( ACCLBLDGS OHO &) 22sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON -REST D. SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)�'�
BAL@1
Ex. OCCU FIXED APPLNS, OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Licen a No. Classification
Misc. Wiring 6.25
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.
❑ I have placed on file with the County of Butte a certificate of
Wor s Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating .to building construction, and hereby
authorize representatives of the C t of Butte to enter upon theP
above -men ed property r ins onspurposes.
'
tl A .z /
TOTAL PERMIT FEE
776 C
This permit is hereby
y issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X �v _ ate- 76 DIRECTOR OF BLIC WORKS
Signature of Permitee r A e
e eildfin!�permiil
Date 7— %Z — 7 6.Receipt No.White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant expires Date
X
F
Temp. Gas Sei
r
Called PC
JOB FINALE[
I
Signature
i
PERMIT NO.
'2036-83B,E
PERMIT EXPIRES
t
OWNER AT.T.AN
'KNOPTS
i
CONTR. owner
I
ASSESSOR PARCEL
42-10-38
-
LOCATION E/S
Muir Ave, 1/0 mi S Kennedy A e,
Chico
.t
r
r
t
. 1
i
Temp. Power Pole
Called PG&E
t
Temp. Elec. Service
Called PG&E
Temp. Gas Sei
r
Called PC
JOB FINALE[
I
Signature
i
0=OK.
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing__
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OR
O -`Not OK
= Not Applicable
= Not Ready RESIDENTIAL'(Sing�e and Duplex)
�
Date
UND FLOOR (Plans) OK except N's
Date FRA G Continued
Zoning requirements -Setbacks -Easements
Property Line Firewall &Openings
Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ext. ors -One 3' -Check Garage -3rd story, 2 exits
41 Ftg., Garage; Soils -Steel- / /" Ftg. Depthit
; Width -Headroom -Rise -Run -Landing -Fire Protection
tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
P ood on Roof Overhang -Attic Vents -Rafter Outriggers
walls, Main; Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
temwalls, Garage; Steel - Bloc kouts-Wrapped-Slab
5 reed-Fdn. Vents-Underflr. Access
-7--Piers-Fireplace Fig. -Steel
- Protection -Skylights -Plastic
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
ells; Nailing -Bolts
-9-Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
12'. -Plenums & Ducts; Clearance -Material -Support -Ins.
birders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-.AZr,6L Date Card -BI Date
C Date Card -BI Date
Card- Date / 'F Card -BI Date
Card -Br
Date Card -BI Date
ate FINAL (Plans) OK except H's
- or & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
or
_
14. Water Ht.; Vent- Access- ComW6tion Air
eee�Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
15. Water Pipe; Test & Ancho -Nail Protection
16. D.W.V.; Test- Fttngs nchors-NaiI Protection
xiting
17. Shower Pan; Test irst Floor -Tub Access
60. G.F.I. & Bath Fixtures & Tub Access
_
18. Test Tub & S er, 2nd Floor -Tub Access
--6+-" ^n
Trim Snbnel; Breaker Sizes-_abels
-IT Gas Pipe; krze &Anchors
ve; Clearances -Hearth
ood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
ppliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
eceptacles at Kit. Counter
Date
ELE TRICALPe .it OK except N's
r; Swing -Landing -Closer
e -Damper
Fi ture & Transformer Clearance -Ins. Protection
-
Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
F ec. Receptacles Spacing -Lights &Switches at Doors
ec. &Mech. Equip. Listed for Location
17-. ec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Size Boxes & No. of Conductors -Stapled
Rex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
- o -Looked in Attic ❑Yes
--
25. 2 Appliance Circuits in Kitchen & Conductor Size
ck Construction -Post Caps
--
-_
_
_26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral r_'Yes No
28. Service -Riser Conductors & Ground -Main Disconnect
lo I Hole Door -Drainage &Wood -Earth Clearance
Looked underF
der Floor El Yes
Drive ❑ Yes ❑ No; Walks []Yes ❑ No;
Planters ❑Yes ❑No
Finish
_
29. Equip. Clearances; Panels-Motors-Mech. Equip.
onnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30. Clothes Closet Light -Shower Light ---_
o ; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- ---
Cacd'B-I
ard
CB-I
--- -------------------- ---connect,
-
Date Card -BI Date
- ----�� -- --
Date Card -BI Date
Electrical, Plumbing
- 80 &Ma4o�ec. Trim; G.F.I. Receptacle -Underground
entilatwn oughout House
8g r.� cc o. .ection
Date
MECHANICAL (Permit) OK except N's
U_e6rrections from Previous Inspections
<UT77132 peters Tagged; Gas -Electric
-____-31._
- -
_
_ —
Card -BI
Card -BI
Date
A.C. Ducts: Insul_atio --Support _
32. Vent Fan; Exhaust ove Insulation
-- -- —
33. _Condensate Drai _& Overilow; Size & Grade
34. Furnace-VenAccess-Comb._Air- Return Air Vent -115V outlet
35. Attic Acce & Platform if Furnace in Attic
. - --- -- -
--- - - - - - ---_ .. - - -. --____
Date Card -BI Date
Date Card -BI Date
FRAMING(Plans) OK except N's
85. er Connected -C/O to Grade -HD Approval
compliance Certificate -Other Certificates
-
01
Card- Date - Card -BI Date
C I Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Sills; Proper Material & Anchors_
Walls; Studs -Nailing, Spacing - -9-- & Bracing -Plates -Sound
Waring Walls over Girders_&_Floor Nailing_
-9Q -9-r t Stop in Walls (rat proof)
7-_19_�_'F7675t2s; Furred Ceilin -S rs-Chas -Tub
41. Header & Beam -Size B
42. 2rs-Bast Caps_,4oebers on ctor
AS.CIng. Joist-Rftr. Ties-Purlin-Roof erac.- uss-St}(hng.
or Type A Flue -Fireplace Throat
�_ cess: Size & Romex Protection -Draft Stop -Ins. Baffles
46_ Rdrm W4Rdows or Exiling Doors -Sill Hgt. & Dimensions i
rotection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 a�
7 County Center Drive, OroviIle — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
"'-/5 Ale"'A A tJ4
I BUILDING OR PROPERTY ADDRESS
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
matter, or need additional explanation, please contact this office immediately.
i1153,
A PD
R
p
Inspector %�� Date ^'I-/� �( 7i
N
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT/NO/
�(p
ASSESSOR,PARCEL NUMBER
W`/��
ZO ING /
NS
BUILDING PERMIT
OWNER
O �S
TELEPHONE
SQ. FT. OCC.1 BUILDING VAftj6ATION
OWNER'S M ILING ADDRESS
4":!, G
CONTRACTOR'S NAME
TELEPHONE
CO TRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERAl
UNKNOWN
Total Valuation $
Q, ci
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
AIWAI X7
LICENSE NO.
Plan Checking Fee
$ ; O
Penalty
$
ARCHI ECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR�.55 _
6f.�
PLUMBING PERMIT
Filing Fee 10.00
_
F'
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
1 110-00 e
TYPE OF WORK
New Addition Remodel❑ tiIities❑ Installaion❑ Other El
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OFP &
OR ADDNS. ACC. BLDG®(
2/20sgft
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)
El 1, 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 CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS.
NEW CONSTR. POWER APPARATUS &
NON•RESID. ( SINGLE OUTLET CIR.
Ex. Occu 20e50a
P�o Ts OR FIXTURES BAL®30
FIXED
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID,) EAJ 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.
-,171 1 shall not employ any person in any manner so as to become subject
rto 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
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabi ' ies, judgm ts, c and expenses which may in any way accrue
again:Wounty(In s, qu ce of the ranting of this permit.
%� 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. v
OCCUP. GROUP
I TYPE OF CONST.
-'
PARCEL
D
J,nISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR CTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 2 3
Receipt No. 00Y(
WNITE-D. P, W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT