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HomeMy WebLinkAbout043-241-002I 043-241-002 #98-1955 DAVID, RALPH E. JR. & CLARICE 1256 STEWART AVE. CHICO M.D. PLUMBING ADD GAS LINE 043-241-002 #98-2019 DAVID, RALPH 1256 STEWART AVE. CHICO FORTINO ELECT (/ SPLIT ELECT MET/D-6 Q$ 043-241-002 ER DAVID, RALPH #98-2020 1256 STEWART AVE. CHICO 4 WILK CONST. CT F/�j�G lj 9� REROOF PATIO,DRYROT T� 043-241-002 #98-1955 DAVID, RALPH�E.• JR. & CLARICE ' 1256 STEWART AVE... CHICO M.D. PLEEMBING ADD GAS LINE .1 S, . t - 0 ti a t OFFICE COPY Address GAS Meter By— J Date ELECTRIC Meter By �� Date-- pp-�� OFFICE COPY Add, ss � (� 5 -hr'w4r"l' GAS Meter By Dat ELECTRIC Meter By Date w�a 3 _ ; .-�+ n �_.-.s•�.y.,u•�i,-•-.f"'y"C`•"+rT.•+•w-�ti•...•..,r..r..-...•.+.--"' .r'--• � " �•='r•�••'�.•✓'lw�rn�rY+" �-,..x:-,Rv-+L..�r,.,,-e-.�-..�..•�:---a•,,p,-...�,�,��,,.--r�:. ..�-_.. COUNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION K `'+ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0• (Rev. 12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 045-41-fJ -oJ ZONING R`1 BUILDING PERMIT OWNER_ Gi tC S Q I �C�.r TELEPHONE a7 SO. FT. OCC. BUILDING VAL TION -OWNERS MAILING ADDRESS CONTRACTOR'S NAME 1 TELEPHONE % p CONTRACTORS MAILING ADDRESS . n nx 71A CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation s$ ARCHITECT OR ENGINEER LICENSE NO. �i , ling Fee $ 20.00 Permit Fee % $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS laair vov►�.,_ Energy Plan Checking Fee $S-t� $ - • - — PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Eich Trap 1 7.00 USEOFSTRUCTURE ,! SF Of Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑* Describe Work: 4%i�'?S s7t47r�Ga /'S Gas piping system 1 - 5 outlets 15.00 , Building sewer 15.00 Mobile Home S G W @20.00 1-3-00 ,00 PERMIT FEE $ U ELECTRICAL PERMIT Filing Fee 20.00 600V 0R LESS Main Service .0. 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 i full force and effect. License Class . Lic. No. I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: r ❑ 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. r Business and Professions Code for this reason Mein Service 100. TO tOooA 46.00 NEW CONST. DWEWNG OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5¢Fr_ No .NEW gESID MULTI.OLJTLET @7.50 POWER APPARATUS aSINGLE OLFD=CIS. Ex. OCCU OUTLET OR FDRUR, 00 SAL 20 @ I.500 Ex. Occup. oFuTlFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. 0, 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' omPpen tion lrlsur1ance carrier and policy number are: Carrier j/�I j 1/a /i(.,1,44 / it r,. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number " ' ,S% t (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation . provisions of section 3700 of the Labor Code, I shall forthwith comply rwith;thoselprovisions. X / �j ,� / I L.C.t'!'1iZC.t.-�i¢llC.�[a?►n.•' Date /l �. J Signature of Applicant -'_0 Owner ❑ Contractor -0 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructioni of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ re - c0 T PE TOTAL FEE $ 00 HAZ: - D. FEES IMP FLA00 cOF PARCEL PD J HD ISS 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. �)944,4 B% Date / y PERMIT EXPIRES ON 0 j q // %)/%`�! I '(Date)' Receipt No. 7 UV IL.7-114 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 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 DQvJ- �9s5 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 m completed. If you have any questions pertaining to this'atter, or need additional explanation, please contact this office immediately. 5e,-Gt/t \0/r'*s D 'moi r(I we. /Iye-44 (761V_'-ec.Aor_ 44A, "'4- f3• Date / / O Inspector REV 10 92 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 n� v, / yss 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. 14 0 Date 7`6 Inspector REV 101 2 5 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 DCk,,) ?9--IF55 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. I � 1 ^v e- Oi o, f Lt /tet,.✓ f i /vs ec�i0.-✓ o 4 os -,t/G e t Co�.Q tW Al � r-/' .� yrs SG ret ✓ fG� 0 Q 12 /111W�e Irlp, W /f/ ,04/ SG , r o- 0 eG e- CN I ivi -U L -V ' e )419 Date to—e-//1 Inspector- REV nspector REV 10192 e, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754y g— j o• (Rev. 12/96) ' APPLICATION AND�PERMIT �(( ASSESSORPARCELN UMBER `r �^ oaa-Do� 5 ZONING _ BUILDING PERMIT ' OWNER 1• t t TELEPHONE - _ a7 SO. FT. OCC. BUILDING VAL TION .OWNERS UNG ADDRESS CONTRACTOR'S NAMEATELEPHONE � I f �7 J CONTRACTORS MAILING AQQRESS e r CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation ARCHITECT OR ENGINEER I UC NSE No �/Cj Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS r 1 54k Energy PI Checking Fee $ $ ` PERMIT FEE $ IAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE / SF Q7 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation13Other El/ Describe Work: GfTlet, a9 ,j (S e J, T 1 Gas piping system 1 - 5 outlets L15.00 N1100 I Building sewer 15.00 Mobile Home S G W @20.00 3•e0 13.00 PERMIT FEE $ 6g,60 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR IES: 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 fTgrce and effect.apOWELN.RL License Class Lic. No. �� I 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'' mpenrtion insur nce carriej end policy number are: Carrier ('�/ j .,♦y .� pi/({t o"�L/ �i�L�' . Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwitl1comply with o e provi 'ons. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction i of structures over 3 stories in height. "' t Main Service 200A TO I000A 46.00 NEW CONST. DWELUNG OCCUP. so OR ADDNS. ( DW: ACC. BIAS. 3.5QFr: .TLET @7,50 �µR61D MULTIOU AP IC A. EX. Occup. OUTLET OR FDTTURES B2' Q I " Ex. Occup. o1rtElE°T:A Ao .O1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Mobile Home Installation Fee . $ Energy Inspection Fee $ occ �- TOTAL FEE $ , 00 HAZ. p. FEES IMP I FLOOD I COF PARCEL PD I HD ISS This permit is hereby issued under Of the Butte County Code and/or' indicated above for which fees have _ By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 91, IJ9 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :1.• ll`T0'•_*f-W:T.kil :`r•Nr •..iw i+a:F:i9 r.•. t•',:'J ,A,•'sstk�4't9:l �aptrW';rN,ti�v&1b,r.�Yn/ � V� c �i i• (a ,,�! srar; .a• "T'..•lsi:'�!f 7`'aF lgl �iwk�y�'' �,f..rt it a.-{`�i9 �1 to • -.. . ` Y - l ! Wil',.. c— � ' � • ( f' J . 1 t - _ � I , tfr� � ,+ tib) , cJ �;.�r�' -� � � � • ` . ;'... � .. , I 1 J ' .S. _•faP . . "sem+ F`'^�w�'A' `T��^"�H''�'"F{^T"1n..�:`'�-S.t�''`%�'i�''N��,,�.N�'1�i'G�'3�'X�.�`-� �.'�•'��"�,'�,�=�!`'b�,-^if{�-rK..Mr�"^�i,�'+�+�1•y.l '•�i.,.��.r,%�J �1't�...� -�.N�..r•' � . _ ;QQUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET '✓/ OWNER: C�/ice- ASSESSOR PARCEL NUMBER: Proposed Building Use: 14 -'j >CZ Building Inspector: P Date:_ -2 9^960 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By All items have been submitted ----------------------------------------------------------------------- --------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation- ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ 09. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ID10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule- ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- d b 14. Sanitation and plot plan approval Health Department- ------------------------------------------- ❑ 15. City of Chico plumbing permit- ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- % ❑ 17. Planning approval for (A) Use: (B) Parking: ------------ ------------ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. --------- ------------- 1. 9. Encroachment Permit for driveway construction approval prior to occupancy) ------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classifioation).---------------------- ------ =------ i ❑22. Workers' Compensation carrier and policy number. -----------------------------------------7---------------- 1123. Owner -Builder --------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization- -------------------------------------------------------------- I ----------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement- --------------------------------------- -- ❑26. Letter of intent on building use---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------- El 28. Existing violations and/or expired permits. ---------- 029. 114330Grant D{ IJM.H. Title, 11e`ck to 0.Other: YOB IV, When you issue the permit, process as follows ❑ Mail to c $ to contractor. q I h ❑Telephone and hold for pickup at office. ❑ Deliv with in ector. 4Applicant: / ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail;- ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 043-241-002'Ty. '#98-2020 DAVID, RALPH 1256 STEWART AVE. CHICO WILK CONST.CT REROOF PATIO,DRYROT 1 .r. r I _ . .--, � r.., R...�r•.."� '.7...ryr�...-..�,R,Frr,.igR' . f4ij.�^�--'1"^T�.,�..�..,.^-"' "'^� c . 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' ASSESSOR PARCEL NUMBER qq Z6NIN0 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. • BUILDING VALUATION CAI . OWNERS MAIUNG ADDRESS ("V3,0 M ch a 1+'a C)49544o u+ 9 CONTRACTOR'S NAME J NE - I-- TELEPHONE CO TORISS MAILING )00TIESS- - �� I C 1 C 4- Al C CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ a ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ A D..� ARCHITECT OR ENGINEERS MAILING ADDRESS ''I - Plan Checking Fee $ BUILDINGADDRESS 4-ewo Energy Plan Checking Fee $ _ tn`► C I PERMIT FEE S C/ , p -p LOT NO. '" SUBDIVISIONS NAME PARCEL MAP I. i PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE / SF ❑ Duplex C Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um 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 O' j + Describe Work: Rie r-42 n p1lr I'n '�' 41 ....�.. _= t'nn �a�r► rfi �;i., J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa 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 inf I force and effect. i 5 }t_ License Class l Lic. No. 1 Ij f!J 11/ OWNER -BUILDER DECLARATION 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have andwill maintain a certificate of consent to self -insure for workers' compensation, a6,provided for by section 3700 of the Labor Code, for the performance of t0e)48rk for which thi permit is issued. I' ❑ 1 have and will maintain workers'.comi,0satibn insurance, as required,by Section 3700 of the Labor Code, for the performancld ofvork for which this permit is Issued. My workers' compensation ins` celcarrier and policy number are: Carrier ��1vr`� Policy Number) f"- (The above sections rieed not, be gmpleted k the permit is for work of a valuation of one hundred dollars ($16o ,brrless:) a ,s�yO'lI certify that in the performance of the work for which this permit is issued, I shall ` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor code, I shall forthwith comply with those provisions. X� � XJ�Date Signature of `Applicant - O Owner 1711Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 NEW CONST. DW:rG OCCUP. so OR ADDNS. ( a ACC. S.3.50FT: NON-RESID. MULTI -OUTLET BRMCHITS @7.50 POWER APPARATUS a SINGLE OUTLET R. Ex. Occup. OUTLET OR FIXTURES 20 @ 1-00 BAL @ .50 ALNSI Ex. Occup. o XED UT RES,,p °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 " PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee ' .'s Energy Inspection Feet $ occ coral. TYPE TOTAL FEE $ , p -p HA2. p, PEES IMP FLOOD I COF PARCEL PD HD SSUE 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 a0 &hjnjts Date PERMIT EXPIRESOON 9-- F _ para Receipt No. ��% ./ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev.12%96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -754y -,C,>_ M�N0. APPLICATION AND PERMIT ``1100 LL�r ASSESSOR PARCEL NUMBER 3 - o �- z. ZONING BUILDING PERMIT OWNER t ` TELEPHONE SO. FT. OCC. BUILDING VALUATION 0 OWNERS MAILING AD VC- VJ&4 0,�{, C t— CID A)TeW CONTRACTOR'S NAME I J k- C42AJ'5+r_tAeJJ49A) Cd !RS TELEPHONE d3 D COMRACCTO MAIAIUNG �D+RESS �� O l (C CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ , p -p ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ �i C_ fi PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex 0' Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0__� Describe Work: Piero D i ,0 C..-4" 0 o Ref] e,-" r— i -w !`t) 4- 6L 5InCr, F i.. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ V Alq ELECTRICAL PERMIT Fling Fee 20.00 V OR LESS Main Service . 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 i force and effect. r t 1 License Class Lic. No. 'i OWNER -BUILDER DECLAMATION 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. Blas. 3.5¢Fr: TLE NON-RESID. T.MULTI.O RCUITTS @7.50 POWER APPARATUS a swGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL o .50 Ex. Occup. ouXTLEEDTS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo �withomply with those provisi t , /I q S/' X •� , I� w s Date (' �� / o Signature of plicant - ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ '7 , o-t� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By E&a0101 Date PER EXPIRE ON `— _ Lj ODate ReceiptNo. d2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -.:...:o , .-.�,.y _�_''?.: r-aS.�t��:��"'?r v, r5°v ,�.'"Y�•'L:9Y'� �wCy' :ltiW:"n:A.�j'D"•','�,"(.'c(�Sy •.k`'(i+`,F:r:43'�;p.ut•:;t=,=. •r.: �n:?':'.y. • x'rC't 19S'i�"`kaik?.+ Lj • ` � 14 A 043-241-002, #9181-2019._�j DAVID, RALPH 1256 STEWART AVE. CHICO FORTINO ELECT SPLIT ELECT METER, 10 �p��kn 110-60 _ ,.- .: �:,.."�:.r1"`'-.`t"-''"q':�krM°n►vo*«X�+*.1�-a'�-:ng11RAi+1�f�t�i �^+r��''�7+w.�i�'-�"�_`"'4'.�47i1�1�R+'"bGw. ^.......r--•.r:-r....- � COUNTY O-F,BUTTE - DEPARTMENT OFIDEVEL11OPMENT SERVICES - BUILJDING`tDIVISION �"` 7 County°Center Drive Oroville, California ,95965 • Telephone (530) 53817541 PER T NO. (Rev. 12/96) APPLICATION AND'PERMIT :L ��` P ASSESSOR PARCEL NUMBER .r. O? q ©o ZONING n 1 / BUILDING PERMIT OWNER 1 - TELEPHONE _ Sq. �, OCC. `�' BUILDING VALUATION OWNERS MAILING 4DDRESS .. �.* .0",o sc< a !' & - 959 -. ,";• - CONTRACTORS NAME & r 1L ; [l TELEPHONE t 7l 77 �/ 9 CONTRACTORS MAIUNG DRESS ed CONSTRUCTION LENDER 'Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS - Energy Plan Checking Fee $ $ J ,_ _ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF00.0 uplex Mobilehome ❑ Other SPECIFY - Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel,❑ Utilities ❑ Installation ❑ Other Describe Work: %.' >i ��. ,,,yy� �,; Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G IW @20.00 PERMIT FEE S I' ELECTRICAL PERMIT Fling Fee 20.00 Main Service oonoA.:s 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 nin full force and effect. ' License Class (1. - 1 O Lic. No. L%t-%0 3 " / 2,, - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors\ License Law for the following reason: % i, ❑ 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 I hereby affirm under penalty of perjury one of the following declarations:- - ❑ 1 have'g nd certificate t to fo �.. will maintain a certiicate oconseno sensure r workers'Cooling compensation, ovided for by section 3700 of the Labor Code, for the performance of %, rk for which this permit is issued. ❑ 1 have and will maintain vkrj ers\,compensation Insurance, as required by Section 3700 of the Labor Code, for `e I}��rformance of work for which this peimit is issued. My workers' compensation insLranv�@ carrier and policy number are: Carrier 1 \� Policy Number - it (The above sections ne d1ri b �( o� p ted if thelpermit is for work of a_ valuation �of one hundred dollars ($fid0�`or�le,.) © I certify that in the performance o the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ,forthwith comply with those provisions. X .. t–, Date Signatur— a of App ant - ❑ Owner O' Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. OwEUING occuP. so OR ADDNS. ( ` ACC. BLOS. 3.5¢FT: NEW CONST. MULTI.OUTLET NON•RESID. CLI @7.50 POWER APPARATUS a SINGLE 0 'LET CIR. 20 Ex. OCCU OUTLET OR FIXTURES aAL p 1. 0 ED APPR=' Ex. Occup.ouFlTLXETs RESID. OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 e a PERMIT FEE S o Q MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ R44 AR HAZ. I D FEES IMP I FLOOD I COF PARCEL PD I HD ISSU 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 aid. By, .((�f� 1 abate PERMIT EXPIRES t7 ND.S.-B-D. Date No. n24% 4 n CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541qg— P F T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER el J e� O„(� y6 s ^ ) I D O ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERSMAIU DRESS, 0 /V o/.ei O SilLVAQr $9 CONI OR'S NAME 4 q IL 0 -7 TELEPHONE CONTRACTORS MAILING DRESS p G /LP CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 ` / Energy Plan Checking Fee $ e c c? P, b$ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF uplex Mobilehome ❑ Other SPECIFY 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 U� Describe Work: ! ne e A —"s-" { —�_ Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W EF" PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, 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 in full force and effect. ,��/ License Class (1_10 Lic. No. "L7 D 3 4 `, 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 Main Service 200, TO tOooA 46.00so NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a Acc. eros. SO 3.5QFT: CONS UTLET NO.RES DT IMRAULT'_OMI @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex.' OUTLET OR FIXTURES 20 Q 1.00 sAl.@ ,50 Ex. Occup. ouriErs RES D.) LNS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 O� PERMIT FEE $ CAD 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation /�f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ly w'th those provisions. v Date - 0 Signat e df Applicant - ❑ Owner IF Contractor ❑ 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 pG R-0CY TOTAL FEE $ O-1 HAZ. D. FEES IMP I FLOOD COF PARCEL PD I HD IS U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES 49 the applicable provisions Resolutions to do work been paid. gDate 9 6rP �� 9 pate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A' ... i rypy,mi. VVSV v�C..� � m 3 ifYP:� ,� ,�.. .r•;n ' cis _�� ..` .oP�`•�� -'IM I�� y. .'V v� OWNER: LOCATION: j,')5 iD ati-2 CONTRACTOR: N1 +-b V PRE -INSPECTION FOR: PERMIT HISTORY: [NONE [ JAS FOLLOWS: TYPE OF OCCUPANCY: 1 ZONING: QZ - DATE TO INSPECTOR: BUELDING INSPECTOR'S REPORT uilding Description: [ ] Commercial/Usage: [ResidentiaU# of Units: dZ Mobile Home: Yes[ ] No[ ] Currently Occupied. [ ] AbandonedNacant. lectric: Yes [ ] No ElBctric is currently : [ On [ ] Off Condition of electrical? as: Natural (KPropane[ ] None[ ] CurrentlyOn[ ] Off[ ) Obvious problems: itation: Plumbing working Yes[,] No[ ] Well: Yes[ ] NoL-,<] Potable water: YesfK ] -, No[ ] Obvious Sewage Problems: Recommended: []Issue Mold for: Inspector: Date: G%f� 1J May 1995 4.7