HomeMy WebLinkAbout042-130-032°
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1. T Permi.t,#47-86A-,A Exemption permit42-13-32 101i .
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS1 PERMIT NO.
7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 .
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
r
TELEPHONE
i to LSf
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
+TELEPHONE
CONTRACTOR'S NAME
S
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Feerq_.:� fir'
$
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 10.00
Each Trap
2.00
f. ',
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.170
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[:] Other''Q
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
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y! CC.LOGS. ,
A 2/zQsgft
New
CONSTR. ULTBI-OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS el
SINGLE OUTLET CIR. /
Ex. Occu zo a sot
Occup(OUTLETS OR FIXTURES eAL030
Ex. Occup. OUED R
TLETS ((RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
r
Misc. byirin 15.00
g
I I
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $G
Occup.
CON5T,TYPFJ
I
JFLOOOJPARrELJ
PD
I ND
I ISSUE
v'
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
1
BY��''�"�+
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS//—
Date .r - v
•
Receipt No.
WNIT!-D.P.W.. YELLOW-A58C390R, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
OFFICE COPY
Address
GAS Date----
Meter
atesMeter By
ELECTRIC Date
Meter By
l
I
a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
Y_
PERMIT NO.
ASSESSOR PARCEL NUMBER
.
ZONING
BUILDING'PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S DDRESS
CONTRACTOR'S NAME ,
TELEPHONE
CONTRACTOR'S MAILING ADDRIESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS // r
PLUMBING PERMIT
Filing Fee 10.00
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
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
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 OCCUR.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penaltyNON-R
of perjury y (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
NEW CONSTR MULTI -OUTLET 2.50 ea
ESI. BRANCH CIRCUITS
NEW CONSTR POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu 20@50C
P�o Ts OR FIXTURES BAL030Q
FIXED
FIXED APP LNS. OR
EX. OCCUp. OUTLETS (RESID.) EA,)
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue[
against said County in consequence of the granting of this permit.
X Date
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 $
OCCuP. GROUP I
TYPE OF CONST.
-I
PARCEL
PD
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicasions
resolutiSignature
fees have b9paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW-ASSF.SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califo&a-956965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
/7—
ASSESSOR PARCEL NUMBER
Z I
ZONING
BUILDING PERMIT
O NER
TELEPHONE
v
QQ. FT. OCC. BUILDING VALUATION
W ER' ILI G AD-CRIESS
O TRACTOR N EL PH NE
nw-fi
O RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fe
$
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 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
1 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 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under en t of perjury ccone):
p y p I yhek )•NEW
(
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compen-
—Ta aswill 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. ( DWELLINGoCCUP.&
OR ACDNS. C ACC. BLDGS. ) h¢sgft
NON•RESID CONSTR. BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCcup(OUTLETS,OR FIXTURES 20@50t
eAL@30
FIXED APPLNS, OR 11
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
ORKMEN'S COMPENSATION INSURANCE
I declare unde enalty 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 employrany person in any manner so as to become subject
to the W. C. laws of;Ca'lifo.rrria.,;P0
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisionsdQ0he1L"or,..gode, you must forthwith comply with such
provisions or this permit sh�L'I,�b�'deeme�dtevgked.
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 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.
II'.t�
''
X CAS' n'WA Date 2-9-Ato
Signature of Applicant — Owner R Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
CONST*TYPEJ
I
IFLOOOIPARCELI
PO
HD
esus_
Yom/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF BLIC
0
By L
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORK /^_
/
Date
_13�/C/�
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PI&K-INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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 no)
2. e/have not) signed an application for a building permit
gor' 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, an Ovide 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 Jh e Type of Work
signed:
Property Owner �J. %<• '
Social Security Number
Date
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.
y s /3- A A
Wayne K. Stai-
Rt•.- 2 Box - 54. (Cakway).
Chico, CA' 95926
Tele: 345-1448
AF# 42-13-32
Attn:- Smitty.
s ts.�r�t;f� : (.rte•• .,.�• ,
z
, I
A
Ar
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n
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSES O PARCEL NUMBER
Z
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
J/
SO. FT. OCC. BUILDING VAL ION
D
'OV
OWNER7If G DDRESS y _
n
CONTRACTOR'S NAME
TELEPHONE
CONTRACTO 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ O
ARCHITECT OR ENGINEER
49A_V1
LICENSE NO.
Plan Checking Fee A1,1A
$
Zeaa l ly
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS /
�%(/ £ �
PLUMBING PERMIT
Filing Fee 10.00
I
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
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New❑ Addition Remodel❑ Utilities❑ Installation❑ Other
Describe work:
!�l(��L,9Aa/ -5412�/C £ ��/jt7���/%7//�� UfL
Pe It Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
,OL)
�/f
�j G n�� G
Main service EA. ADD'L too AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. AGC. BLDGS.
1
2hQsgft
CONTRAC ORS LICENSE L -1-0 /KA
I declare under penalty of perjury (Check One) .�.%� //,,'' // %A` �r
T �j
❑ I am licensed under provisions of Chapt. 9, Iv. 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)1)6/464(�O
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2.50 ea •s
NON-RESID BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &\
NON-RESID. (SINGLE OUTLET CIR. /
20LeSot
Ex. Occup(OUTLETS OR FIXTURES SAL@aO
FIXED APPLNS. OR `
EX. OCCUp- OUTLETS (RESID.) EA./ 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00 S� o
Peirmit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
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 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.
%(ki_ Date -3 — 5 ��
Signature of Applicant — Owner [X 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 $ D
OCcUP. GROUP
I TYPE OF CONST.
PARCEL
PD HD
590E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI CTOR OF PUBLIC
BY
PERMIT EXPI
the applicable provi-
resolutions to do
fees have been paid.
WORKS
c c,
Date -A0- a 5 I
ReceiptJ40.32 3a ? D %
WHITE -D WY at� SSOR, -IN G ENROD- APPLICANT
'IV 91 ✓ `r f %GX
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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 no) �1,&5.
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 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 W Abu -
Social Security number
u
Date 3—/ 9-Rq
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
permitted to issue the permit.
COUNTY OF BUTTE - D,TMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephorie 916/534-4541
APPLICATION AND PERMIT
ASSES OR PARCEL NUMBER
Z
ZONING
BUILDING PERMIT -
ILI
owN R�/
ELEPHQN
SO. FT. OCC. BUILDING VALUATI
UF
f OWNER'SI�GhDDRESS
CONTRACTOR'S NAME
TELEPHONE
I CONTRACT R•S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
t . f:
UNKNOWN
Total Valuation Is
fIn III,
Filing Fee
10.00
` LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
vE
LICENSE No.
Plan Checking Fee
Penalty tiff
$
. ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS / �q
W /.
PLUMBINGjft
Each Trap
Filing
00
.00
d
Solar Water H ater
.00
Water pipirA
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAPEach
qas w heater or vent
5,00
Gas piping/system 1 - 5 outlets 5.06
V
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other SPECIFY �
ilding ewer
i e Home S
K WV
5.
10.0 e
TYPE OF WORK
New ❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other
Describe work: t' —
ci .S� vs�c
mlt Fee
$
Contractor
ELECIAICAL PERMI Filing Fee 10.00
Main ser ce 100 ORLlet 10.00 00
Main service EA, ADD' if100 AMP
,I 2.50 ,j-'Qp
%NEW CONST. DWE I OCCUP.&)
O ADDNS. AVFC, GS.
2y:QSgft
CONTRACTORS CENSE LAW
I declare under penalty of perjury (ch& ): •
`�
❑ I am licensed under pr is�p of Chapt. 9,.Div of the Busine
and Professions Cc B my license i in II force and eff t.
License No. Classif' tt
I, as the o or my employees wi w es as their o mpen-
sation, will a work,and the structure is not inte ffered
for sale. (Sec. 44)
if I, as the owner, am exclusively ontracting with I nsed contract-
ors. (Sec. 7044)
❑ I am exempt under S Business d Profession
for this reason
ON CESID R B A CH CIRCMUL TITS 2.50 ea
NE NSTR P R APPARATUS &`
NO •R SID. SI E OUTLET CIR, /
Ex. Oc zo®soa
PCO LETS OR FIXTURES OALoao
Ex, ED APP LHS. OR
p OUTLETS (RESID,) EA.� 2,00
Temporary service 10.00
M le Home Facilities 15.00
c. Wiring vC r✓ 15.00
_
U
Permit Fee $
O
C tractor
' COMPENSATIO SURANCE
KV
I declare under pj f pjury (check o e):
❑ The pef $100.0 1 t ) or less.
❑ I havee on file County of Butte tiding Depart
a Certa of fompensation Insurance or a Certif
of Cono Self
1 shall not employson in any ma so as to become a
to the W. C. lawsrnia.
Notice to Applicant: If aftethis st should yo a ome subject
to the W. C. provisi •s f tCode, t forthw y with such
provision or this shmed ed
ECHANICAL PERMIT
FiIingFee 10.00
ea 'n
Coo ing
o d 3.00
Ventilation
permit Fee $
Contractor
I certify a e read this appl ation and state that above information
is correct. I ee to comply to al C unty qnces tate Laws relating
to buildin o tructionand h re authorirese ves of the Countyot
Butte to ent upon the bove- ioned profo ection purposes.
I also agree to save, in nif d keep has County of Butte against
all liabilities, judgme , costs, and expew ch may in any way accrue
against said ounty i nseque e f the gof this permit.
X Date 3 '( fi'
Signature of App t – Owner❑ rector ❑ V5 Agent
An OSHA permit is required for exca Ions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei t.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GRouP
TYPE or CONST.
PARCEL
PD
ND
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
PERMIT EXPIRES Date
the applicable
resolutions
fees have been
WORKS
Date
provi-
to do
paid.
Receipt No.By
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -I SPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - ( MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION. AND PERMIT
�--7 PERMIT NO.
ASSES OR PARCEL NUMBER
Z
ZONING
BUILDING PERMIT
OWN R /ELEPHONE
-—o o
SQ. FT. OCC. BUILDING
VALUATION
/�
OWNER'SIGDDRESS C�
Th
CONTRACTOR'S NAME
TELE H NE
CONTRACT R'S MAILING ADDRESS
Fireplace
CONST'R�vU/CfT�ION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 0.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
FilinEach
ole-
G
Trap
2.00
Solar Water Heater
20.00
C "
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
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
I�
P mlt Fee
$
Contractor
ELECTRIICA L PERMIT
Filing Fee 10.00
LESS
Main service 600 AMP OR LESS
10.00 pU
Main service EA. ADD'L 600 AMP
2.50 3-.00
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2I/2 0sq ft
CONT ACTORS LICENSE LA
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 m license is in full force and effect.
y
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)
OI, 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 ULT' -OUTLET 2.50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &
/
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occup(o TS OR FIXTURES BAL®30Q
SAL030
FIXED APP LNS. OR
FIXED
Ex. OCCUp- OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring vl ei 15.00
_
U
Permit Fee $ p
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
bj I shall not employ any person in any manner so as to become subject
�4 to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X /�K _�' Date 3 —/2-8-P
Signature of Applicant — Owner ❑ Contractor ❑ Agent [Y
An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 tories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OP CONST.
PARCEL
PD
I HD I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. p
WHITE-D.P.W., YELLOW -ASSES SO PINK -INSPECTOR, GOLDEN ROD-APPL ANT
� I
C
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
7 +0Se
Se
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
ZONING
r. 13 — -3 A
OWNER
PHONE NO.
/} W o Sr
'SYS -/44
OWNER'S ADDRESS
,T 541
LOCATIO OF BUILDING
I'd Is C O , w�
USE OF BUILDING
SIZE OF STRUCTURE
�o x S _ .Ly �' SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME ` STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYP 1
C.v v0 C1
CG►+� T'. n
C�ArK're�e
ESTIMATED COST OF CONSTRUCTION.-
$ .� 0c)
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: ,Sof-i4rcV1,
FRONT
S
SIDES ------,—</
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in_ use or occupancy of the building is made, I will
contact the Department'of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date !o , (�� Signature of Owner �iU• k 5/ fir-
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. ��L"/�(0 Director of Public Works
OVI
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant