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COUNTY
.COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
J 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 Mtg_9APPL`ICATION�AND PERMIT At
ASSESSOR, PARCEL NUMBER
U42 -35U -U W
ZONING
BUILDING PERMIT
OWNER
Bili elott
TELEPHONE
891-0214I
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1272 Olen 11avei► Chico CA 95926
2� U U 4 4 V
CONTRACTOR'S NAME
Ely Roofing 111c
TELEPHONE
343-7663
CONTRACTOR'S MAILING ADDRESS
PU /sox 704 Unico CA 9592%
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $2.
UU
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1272 Glen daven - Chico
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL'MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
` ZC'oo
TYPE OF WORK
New ElAddition ❑ Remodel ❑ Utilities 1:1Installation ElOther
Describe Work: remove existing roofing & re ace
w/shakes. 22 sqs 1 .�
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main service ( 2OOA0 LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SD ,
3.50 FT.
CONTRACTORS LICENSE LAW1(POWER
I declare under penalty of perjury (check one)
0 1 am a licensed under provisions of Chapter 9, Division 3 of the Ainess and
Professions Code and my license is in full force and effect.
License No. bU/3ayb Classification e% -s9
❑ I, as the owner, or my employees with wages as their sole compensa on, will do
the work, and the structure is not intended or offered for sale. (Sec 4044)
❑ I, as the owner, am exclusively contracting with licensed contractors.Sec 7044)
❑ 1 am exempt under Sec. Business and Profe s ions Code
forthis reason r
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
APPARATUS )
B SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1AL..50
Ex. Occu FIXED APPWS. OR
Occup. ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
0,00
Misc. Wiring
t2ff.00
ftl-
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become suf6ject to the
Worker's Compensation provisions of the Labor Code, you must forthwith G%mply with
such provisions or this permit will be revoked.
PERMIT FEE S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Lawsirelating to
building construction, and hereby authorize representatives of the County f Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Buttel.gainst all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence''off'tth�hegrraa'nting of this permit.
X��li Date 7-27 y 3
Signature of Applicant = ❑ Owner ❑ Contractor ❑ Agent I
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 92.OU
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
,r b
By � � � � t✓ / �. _- Date
( /
PERMIT EXPIRES ON �1 X,
/Date!
u
Receipt No. / /
//
WHITE-D.D.S.-B�.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OFIDEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, !;alftrmia 95965 - Telephone 1916) 538-7541 J .PPI MIJNO.
APPLICATIOU AND PERMIT �/
ASS RPARCELNUMBER
+2-350-020
ZONING
BUILDING PERMIT
/ T
OWNER
Bill Plott
TELEPHONE
891-0214
SQ. FT. OCC. BUILDING VALUATIO
2200 4400
OWNER'S MAILING ADDRESS
1272 Glen Raven Chico CA 95926
CONTRACTOR'S NAME
Ely Roofing Inc
TELEPHONE
343-7663
CONTRACTOR'S MAILING ADDRESS
PO Box 704 Chico CA 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 72.00
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1272 Glen Ha e —Chico
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF N Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other
Describe Work: remove existing roofing & replace
PERMIT FEE g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
w/shakes. 22 sqs
Main Service ( 101 OR LESS )
200AORLESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m license is in full force and effect.
X
License No. 6 0 7 3 tS 6 Classification C-39
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI-OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
B SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAD @ 1.000
Ex. Occup. FIXED APPWS. OR
p• ( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self-insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
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 oft anting of this permit.
X • Date 7-27-93
Signa ure of Applicant - ❑ Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEES 92.00
HAZ.
1 D. FEES
I IMP
FLOOD
I COF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ey DatE; i�b
PERMIT EXPIRES ON 9�
/ ete
Receipt No. //3 Qq
WHITE-D.D.S. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANT
`.lf'✓'�.Hr•4.�y�yw�,'.Y +,,,,r•', *'1..-��W`%ti-.+y1��7r}�p/�"�'+,,'.r��..th'.r-I+'�},ly�••/t'r'. '�:'�,:-'r.`4�, .' '-rti� �,. .'r:�
COUNTYOF BUTTE - DEPARTMENTOE*Y��LOPMENTSERVICES - BUILDING DIVISION
T
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER / k Iloo2 h 8'e' -S A. P. No. 3
Proposed Building Use X14 ,��o� Building Inspector C_ Date e Z S 3
At time'ofge'rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
VDATE 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). ...Pr�I;sego;
20. Pre -inspection for 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. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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.
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
93-
- EINflIR�lde�i�'iyTA� REALTFI Jy -
SEP 10 1993
j' M/M William N.-Plottx>}'. ,\LSF, _ v
1272 Glenn Haven Dr. �, g
Chico; CA 95926- P
COUNTY OF BUTTE ;
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916).538-7541
747 Elliott Road, Paradise, CA - (916) 872 -6307 -
CORRECTION NOTICE
d0i101i�8
PEWIT NO.
A iissipecOm indicates that the following violations of Butte County Ordinances exist at
tlbe a and should be corrected. Please notify this officewhen correction of work
in fyouhave any questions pertaining to this matter, or need additional explanation, }
a taic office immediately.
S �h v e V Dk
(Zd .moi
,o
Daft "1 J N. -1 Inspector _