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HomeMy WebLinkAbout043-682-013Jim Brashear r S[S Santa Clara Ave. a � pp. 2/10 mi. E. o Rose Ave., Chico I Permit ��2805-76B,E(enclose Service porch rep -L 'dry rot F/j oists-install siding/, Permit ¢#1067 8B (1st renewal/ 2805-76)_SF Permit #3188-78B(2nd. renewal/ 2805-76) SF C;114 1 VAL James Brashear '57S Santa Clara, app 1200' E of Rose .Ave, Chico Permit # 37-82A ,;:AGRICULTURAL BUILDING EXEMPTION' 0"-13 -(18 Z, -C) 13 / 2 1 Perini t5B,E(reroof & ele ser ch)SF �' ►'i�� (o l3/� 2 y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PE IT PERM T N0. 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 ARC 0. - / 3 ZONING'' C) OWNED PHONE NO. OWN E 'iADDRESS LOCATI)N OF BUILDING USE OF BUILDING 01 k V\ S SIZE OF STRUCTUREq X — — SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYgE QF SIDIN W R00 OV RING FLO . TYPE �) — t , ESTIMATEEDq COST OF CONSTRUCTION $ a S AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: , FRONT .5b fvo­y 4 SIDES f REAR /o 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 �_ Z'? S Z Permit Fee - $25.00 Signature of Owner The above described AG Building is exempt from a building permit. Receipt No. 7% 0 a � Director of Public Works By. Date Jc—y�' � Z-- White - DPW, Yellow - Assessor, Pink = B.I., Goldenrod - Applicant ls+s. !4V'�:_.'. i,.--..-.-_� 1ti.. -.�.+..=..-_.: t,.l.. _�-.- :..�'; �'v- .tiyR;:.�.i .. ,. +....;� •- e. '.�'. .i. �—�• ' a COUNTY OF BUTTE - DEPARTMENT OF PUE IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use Permit Fee Bas Building Inspector PERMIT APPLICATION DATA SHEET Upon: Complete Contract Price Iain) Permit No, A. P. No. a —/ 9-- DPW Valuation Date 9� 1%7- n-11 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Other _ When you issue the permit, process as follows: Mall to owner. _ Telephone and hold for pickup at office. Other Applicant Date) Mail to contractor. _Deliver w/inspector. Date 9- ?7- 6Z v Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other Copy—DPW Telephone Date _ Date _ Mail Other Date x 3 x x N �L4 bo $ PERMIT NO. 2805-76B,E 0 l� PERMIT EXPIRES OWNER Jim Brashat r ., ' . ' ' CONTR. owner .. ,LOCATION (A.P. 42-19-13 S%S Santa Clara Ave., app.2/10 mi. E. of Rose ,yam Ave., Chico I A 1 g Temp. Power sole Called PG&E ' Temp. Fl /-G,& erv. CalledE Temp. Gas Serv. F Call d PG&E JOB FINALED �'2-• � v (Date) °✓� (Signat e) UA COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 2 L GUUIUIILe ICpleSeI1URIVUb UI mt: uumity UI outty to enter upun me above-mentioned property for inspection purposes. X t_ — I i1, "_w4-,C.n ) Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By "'A'�ii / /%41.el Date ;- �� Building permit expi7re 'Date 4-2,75-7. BUILDING Owner L�i�� SU A-G�o SQ. FT. OCC. ,, BUILDING VALUATION Mailing Address �jr �^ I Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ��" Building Address�S Plan Checking Fee&/or Penalty Permit Fee ire l21/. /_`' /�/C1 S ��i�, PLUMBING No.1 @ FEE / PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No �'-7�,� -� �� 3 - Zonin &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W:C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg-P-lons•Rec'd Parcel A rovol -- 1RI-an-s-Ap roval Lawn sprinkler system 2.00 NEW/� ADDITION U� IES 0TH '� ermit Fee $ $ W`'��SA%fL.J/ � ,° '� 2,P4, _N ELECTRICAL No. @ FEE Single Family 0 Duplex E] Mobil Home Others P MIT FILING FEE $3.00 -0V 11 ain service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACC. BL GSCCUP. h1 22sgft // 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: NEW RESID.CONSTMULTI-OUTLET NON-RESI( BRANCH CIRCUITS 2.5.0ea , NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. 254 Ex. Occui)(OUTLETS OR FIXTURES B eL 1� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 " 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0' I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE $ 47 �/ 2 L GUUIUIILe ICpleSeI1URIVUb UI mt: uumity UI outty to enter upun me above-mentioned property for inspection purposes. X t_ — I i1, "_w4-,C.n ) Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By "'A'�ii / /%41.el Date ;- �� Building permit expi7re 'Date 4-2,75-7. I . COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS 7'County Center Drive - Orovi Ile, California 95965 r Telephone: 534-4541 _ APPLICATION AND PERMIT ' 7 G I L1 ' BUILDING Owner �) e -i; he ��- i m SQ. FT. OCC. BUILDING VALUATION �� Mailing Address\ 4Rt - _ Telephone No. Contractor s h P -r / I ' ' Mailing Address - Fireplace / Total Valuation / Telephone No. Permit Fee / ---- Building Addresrss 1J� �� %;� j� /r [;:11 Plan Checking Fee&/or Penalty / Permit Fee V'I- / �7l ,�j� err 5t J A.l,�t; ! /1Q I'i1 t /1a p7�C� PLUMBING No. /@ FEE ` 1 / PERMIT FILING FEE Each Trap 1.50 Repair drainage or vent piping 1.50 % �� �� r I A. P. N0. Zoning & Planningr Water piping r 1.50 r Each gas water heater or vent f %c % �-A.50; Fees; I W!C� Sanitation FireDept. FireZone Use Permit Gas piping system 1 -5 outlets--1-.50 EQA' -Paikingf tP-- ansir Parcel -Declaration Parcel Map 60' R/W Improvements Each additional outlet "" .30 Building sewer 5-00 Bldg. PIa�1Rec'd-Parcel A rovol -Iwa--P-Ion; Approval Lawn sprinkler system y-2.00 NEW El-, ADDITION ❑ UT�-IEtff Permit Fee $ $ /� I P ir,9POt -%b / ELECTRICAL No! —@_ FEE PERMIT FILING FEE — _$3.00 600V OR LESS Main service 100 AMP OR LE --5.00 SS J Single Family,j Duplex Mobilil H� `ome'EJ�0.thers�f Main service EA. ADD'L 100iAMP, 1 L 2:50, Main service OVER eooV 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST ( ACCLBLOGS.CCUP. B) 22sgft 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 st le of: Y NEW CONSTR TL NON-RESID ( BRANCH CIRCUITS) 2.50ea BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS 6 _ NON-RESID. SINGLE OUTLET CIR. Ex. Occuo (OUTLETS OR FIXTIiRES BA. Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 f Mobile Home Facilities 15.00 .11 Q ,2 rpt. '2 t.t�..cr %License No "O C Classificat on MisctWiring—J1-1-x''1 l) 6.25 �-� I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. EJI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. FKJ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ` MECHANICAL INo4 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ ` 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 Land Development Fee $ TOTAL PERMIT FEE $ autnonce representatives or the Lounty or tsutte to enter upon the above-mentioned property for inspection purposes. X +'�11e�..: 1n.,,.1t en,✓ Date 3/�r� Signature offPermitee or Agent Receipt No. / i 70 2_3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By \ " ��\ Date ? �!� Building -permit expires Date 1 ! j� 7-7c?, Owner �r Mailing Address 1 Contractor t) Mai I i ng Address COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS + 7 County Center Drive — Oroville, California 95965 - Telephone: 534-4541 l/ APPLICATION AND PERMIT -� BUILDING r SQ. FT.7 OCC. BUdLDING VALUATION . r111 r 1 • i Building Address SA Telephone N Telephone No. A. P. NO. �-',-^ Zoning & Planning Flees WtC SafIj4&4e 4FireDept. FireZone Use Permit EQA I Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration P P Bldg. Piens Recd Parcel_Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑� Fireplace --- _Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee — ELECTRICAL- 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this vpermit is issued I shall not employ any person in any manner so as to become +subje}t to the Workmen's Compensation Laws of California. l 1 I certify that •I have r d%tthis 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 propertytfor inspection purposes. r• Date r7 Signature of Permitee or Agent Receipt No. n White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood Permit Fee .@ $3.00 %1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 22sa ft 2.00 10.00 15.00 6.25 $3.00 2.00 FEE FEE ` FEE Wl TOTAL PERMIT FEE $ 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 bee n paid. _ DIRECTOR tIOF PUBLIC WORKS By ��' Yl- 1 Dater Z - 7t_ B�ding permit expires Date r - 2 7 7 PERMIT FILING FEE 00V OR din service 1000 AMP ORSLESS _ ` r 6% F lr+ tT _ /ST�/1 So/iv Main service EA. ADD'L 100 -AMP Main service OVER soov 100 AMP OR LESS - -/ Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCC P'&1 OR ADDNS. 1 ACC. BLDGS. / NEW CONSTR. (MULT,1.O,UTL T NON.RESID. BRANCH -CIRCUITS) NEW CONSTR. /POWER APPARATUS &' NON-RESID. (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: i^ , Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex.-Occup.(OU TLETS (RESID.) EA) Temporary service Mobile Home Facilities .+ . 'License No. �' Classification -- Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor / [MECHANICAL PERMIT FILING FEE Heatina 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this vpermit is issued I shall not employ any person in any manner so as to become +subje}t to the Workmen's Compensation Laws of California. l 1 I certify that •I have r d%tthis 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 propertytfor inspection purposes. r• Date r7 Signature of Permitee or Agent Receipt No. n White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood Permit Fee .@ $3.00 %1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 22sa ft 2.00 10.00 15.00 6.25 $3.00 2.00 FEE FEE ` FEE Wl TOTAL PERMIT FEE $ 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 bee n paid. _ DIRECTOR tIOF PUBLIC WORKS By ��' Yl- 1 Dater Z - 7t_ B�ding permit expires Date r - 2 7 7 LAND OF NATURAL WEALTH AND BEAUTY i� DEPARTMENT OF PUBLIC WORKS .�2t' 14.•. ;f,' n . ' CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 H. W. McDONALD Deputy Director Dece 29t 1981 JIM Rmhews RE: Building Permit No. 2905,46 nC100e/aid' Rte 2 Box 124 Expiredrenewals Cb1cot CA 95926 (A.P. No. 42.19-13 With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works - F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may be completed and.signed by you where indicated and returned to this office together with the fee shown. We are also attaching an Ovmer-.Builder Information Sheet and an Owne --wilder Verification Forme 'Tease complete the Owner -Builder Verification Farm and return it with the renewal application and fees. cc: Building Inspector 9 Chico Stucco Final tSubpanels Mesh MECHANICAL Grd. Fault Prot. _ Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath' Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �' -8 -7S /��•r/tr�/�d /��it�-r/T (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE'—'DEPARTMENT OF PUBLIC WORKS ire M BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom,Finish 2nd Floor Footings. Windows 3rd Floor Stemwali Siding To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwali Garage Vents — Insulation Water Htr. Heaters Slab Carport Footings Prov, for physicall�� handica edd Conformance of ems_. structure I ITemp. Appliances Gas Piping &Test Gas Slab Final I Sanitation Patio FIREPLACE Final Footing6 Footing EL CTRICAL Masonry Wills Throat Rough 2 Relnf. 0ieel Final Fixtures �— Bond ea FIRE SPR KLERS Motors Framing L Test Water Htr. Stucco Final tSubpanels Mesh MECHANICAL Grd. Fault Prot. _ Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath' Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �' -8 -7S /��•r/tr�/�d /��it�-r/T (NOTE: An entry must be made on this form each time you visit the job site.) Dec. 29, 1981 Jim Brasbmwe RE: Building Permit No. 2-q05-,76 Rt. 2 Bog 124 Expired �r,12/7q 2 renewals Chicot CA 95926 (A.P. No. With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may ; be completed and.signed by you where indicated and returned to this office together with the fee shown. We are also attaching an Owner -.Builder Information Sheet and an Owner -Builder Verification Form. Please complete the Owner -Builder Verification Form and return it with the renewal application and fees. cc: Building Inspectors Chico I , utte o LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 H. W. McDONALD Deputy Director Dec. 29, 1981 Jim Brasbmwe RE: Building Permit No. 2-q05-,76 Rt. 2 Bog 124 Expired �r,12/7q 2 renewals Chicot CA 95926 (A.P. No. With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may ; be completed and.signed by you where indicated and returned to this office together with the fee shown. We are also attaching an Owner -.Builder Information Sheet and an Owner -Builder Verification Form. Please complete the Owner -Builder Verification Form and return it with the renewal application and fees. cc: Building Inspectors Chico COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 l/ / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie Date Signature ^off Permitee or Agent Receipt No./Z v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _ ERECTOR OF PUBLIC WORKS By v / Date �� v Building permit ex ires ate I,/ _.0,/ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address z Z, t elephone 3- 9 Contractor • Mailing Address Fireplace Total Valuation Telephone No. Permit Fee a Building Address S 4 Plan Checking Fee&/or Penalty Permit Fee ( i PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. ��� 9 �3 Zonin &Planning Water piping 1.50 Each gas water heater or vent 1.50 F s S6144� Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Bldg. Plot_ ReelParcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERJ�fl Permit Fee $ '� 3 ''Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 4J Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. (DWELLING OC cup- 20sgft OR ADDNS. ACC. BLOGS. 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: NEW CONSTRESIO, RANCH CIRCUITS) NON.RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS .&, NON.RESID. -SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 5 L;j FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ' 1 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie Date Signature ^off Permitee or Agent Receipt No./Z v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _ ERECTOR OF PUBLIC WORKS By v / Date �� v Building permit ex ires ate I,/ _.0,/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Urovt Ile, California 95965 /-� / Telephone: 5�4-45'4R o,6-76 —7 APPLICATION AND PERMIT / �--- ...a.r.a.-1 u vvo v1 UIQ "'UUllly VI oullc LU C1IILVI uNU11 UIC above-mentioned property for inspection purposes. X Date Signature of PPe�erm'itee or Agent Receipt No. � Z�:Z � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be ai'puqpd DIRECTOR OF RUBLIC WORKS Iding permit expires Date 6—Z--77- BUILDING 271 Owner S ��� SQ. FT. BOLDING VALUATION 7,O D 0 Mailing Address �O �� C. d p () r r �CC7 Telephone No 3"—% �� O C 0 Fireplace Contractor ® Total Valuation r Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address S . S D ���� PLUMBING No.. @ FEE PERMIT FILING FEE $3.00 (� ,l Each Trap 1.50 D , U e Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� ` Zoning &Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 4 s W. ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 B Plans Rec'd 'Parc royal P pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES El OTHER VS ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 T- C'f.OS'� ain service 100V OR LESS 5.00 100 AMP OR LESS f� O r _%N ,e67- Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 `. NEW CONST. I DWELLING OCcap& OR ADONS. ACC. BLDGS. 20 sq ft NEWCONSTR. MULTI -OUTLET NON .RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (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)X296 BAL�1 Ex. Occu P•(FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10,00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 L -TRI 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 TOTAL PERMIT FEE $" ...a.r.a.-1 u vvo v1 UIQ "'UUllly VI oullc LU C1IILVI uNU11 UIC above-mentioned property for inspection purposes. X Date Signature of PPe�erm'itee or Agent Receipt No. � Z�:Z � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be ai'puqpd DIRECTOR OF RUBLIC WORKS Iding permit expires Date 6—Z--77- FILE MEMO -OWNER lIle 4 S AP NO. 9 —/ 3 At time of permit application, the applicant was advised the following data or information must be submitted prior 'permit processing and/or'issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval.. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15.• Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other By Date Bldg. Inspector soamamamammaaammamaaaaaaaaaaamaaaaaaoaaaaaamaoamamaamaaaaaaommaaaaaaaaamoamaamaamosammsaaoaaaaa When permit is issued, ocess as follows: 1. Mail to owner: 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other •■maooa�aoa®eaaaa�asaasaoaaaaaaaaaaoa�o�eaaaaeaaaoaaaaoaoeaeca=aaaaaooaoasoaaaaoanaaaaaaaeaaaaa During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered- above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plan the Additional Processing or Notes: )and/or approved by a=a=aaaaaaaaaaaaamaa -------- Date asaaaaaamaosaamaaasaa aamaaaaaaamaa 5AIV 7--) f' . Shull-. Be._.in.,__ .. Accordanr;e w%th R,ce,), ;,P,4 Gnod ' Prryctices an -J i of . q qualit,,, prescr*-pd for the Specified use in the Uniform Buildinq, Plumbing & Machanical Codes and the National Electrical Code. w per. 3 i a 1 -his set of plans and specifications MUST be cept on the 'job at all times and it is unlawful to make any changes or alterations on same without written, permissonfrom the Department of Public Works, County of Butte. 0 BUTTE.COUNTY BUILDING DEPARTMENT APPRpV� The V4 Setback shall'be:.5 ft..fro' the side property line_ and ,54 ft, •from► � the centerline'of the road', permifting a maximum of a 2 .ft. eave overhang.' it , d XI*` NC V .EXr.S7Me, DDiT/U/V— �p INCL ©Sri /=.x J/In' zx u o �S�D �Ov M ��g�%X// x > � C� n G� �f O .. z9o� ,Q�% �f .: � ��� fi •y� v 19 tFXl-S71t\IG tg� Ql� GV QL EX 1.5 7 - OD 0 m '0 o -M -n 0.. < tFXl-S71t\IG tg� Ql� GV QL EX 1.5 7 - k m � a � s t !3 C:j Ips s X -SH7 7 . 4>e'g 5,9775Vrzj -/t/,S ,. . 3 X3 !�t/1 Nl7G, G� L(/�I1 /�/� r 0 o, ct�,= 1. �Z v 0.-0 /900 e 5CL19 i'.'L. e C/ ll`V 5 TIq L.C. ,� x 7 SID / 1A./G -30 _ .. If-.x Fs s ��i_�. 7"r�/viz :5/ o l iv G e p!2 S Z, 1 L30t�.- F' d�'�Je. , 2. O"p h,I 1 S e rel . D. �0' G s 1 S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " r 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 /(/ Cl/ _� APPLICATION AND PERMIT ' BUILDING OwnerSQ. ,lin-) B ��heat FT. OCC. BUILDING VALUATION 1 -Mailing Address wt Tele hone Lehi ct) - 73 i Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S D`� Plan Checking Fee&/or Penalty Permit Fee rn I PLUM ING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ""� '�� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F 4arlitdtT811 Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 R*"_ I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ =%� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.Ccup- ft 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 le of: MULTI-OTL NEW CONSTR.RH CIR T NON -REBID � BRANCH CRCUITS) - 2.50ea NEW C ONST R (PO WER APPARATUS • NON.RESID, NGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES g L�j Ex. OCCU FIXED APPLNS, OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the L;ounry or butte to enter upon the above-mentioned property for inspection purposes. t 11... 1 _ I A • Sigd#re of Perrmitee or Agent Receipt No. /670715 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By 7CT R OF PUBLIC WORKS WJ_Date �/V/77 4NAidirrpermit expires Date 1ij e OFFICE COPY - Address GAS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT v PERMIT NO. I\ ASSESSOR PARCEL NUMBER rr'1% / <0'_ / 'r' ZONING f BUILDING PERMIT OWNER .--- TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME s/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ �' ; S •J 1/ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 'ARCHITECT OR ENGINEER '! .''t` f LICENSE NO. Plan Checking Fee i,/A $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS t ; a • PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 l / _ 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❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10-00e TYPE OF WORK New Q Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: - r. `vr,s� ♦ fS ' S-rl %i ,� I ./// t_ 'Ar / ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/22sgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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) ❑ 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 NEWCONSTR, ULTI.OUTLET 2,50 ea NON .RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20@50C Ex. Occup(o XTs OR FIXTURES BAL®30 FIXEDDAPP LNS, OR ` Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring �„�'� co A', ,-, - /�%�- i 1/<--, %.-�=✓ /S. is-. Permit Fee / $ ,;J , J, A 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 o1 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. ainst allso agree liabilities, judgments, costs, nandeexpenseless the s which mayin any wayof Butte aacc accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerEl 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 $ r) U OCCUP. GROUP TYPE of CONST. PARCEL PD HD +�E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By /s. ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r f- r i., Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS : m 196 Nlemori'al Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 cdrrection of work is completed. If you have any question pertaining to this it or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION 'AND PERMIT ASSESSOR PARCEL NUMBER y� Z NING BUILDING PERMIT OWNE �• TELEPHONE L_ Zy-OWNE SQ. FT. OCC, BUILDING VALUATION 'S (LING A RES. .rZ 6�1r CONTR CTOR'. NACCME Gv\ TEL PHON CONTRA TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ (� Filing Fee $ 10,00 LENDER'SAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 6 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITEC OR ENGINEER'S MAILING ADDRESS Permit fee $ 2 BUILDING ADDRESS. J e>:/7G �i G�<.f� PLUMBING PERMIT Filing Fee 10.00 v� 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❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 - Mobile Home S G W 10-00e TYPE OF WORK New eAdditio Remodel❑ tilities❑ Installation❑ Other Describe work: VZe S' – Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 14,14 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgit 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 NEW NON -RESIT R BRANCH CIRCUITS2.50 ea NEw CONSTR POWER APPARATUS &) NON•RESID, SINGLE OUTLET CIR. Ex. Occu 20e50a P�o OR FIXTURES DAL®ao 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 – i✓ G , Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. 1 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. 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 agai said Count in cons uence of the granting of this permit. c– %� Date'S '� i— �J Sign re 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 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOF,�OFIBLIC (/`/' By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 06 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT1 OF' -PUBLIC WORKS - BUILDING'DIVISION 7 COUNTY CENTER -DRIVE - OROVILLE.,CALIF,ORNIA 95965 - TELEPHONE: 9'16%534-4541 A / PERMIT APPLICATION DATA SHEET / Permit No. OWNER/.s .�._S t /s ,S� �G �L A. P..No. !4Z—' / �3 Proposed Building Us Permit Fee Based Upon: Complete Contract Price L-.- .PW Valuation Other (Expl in) Building Inspector v ��� l Date At time of permit application, I was advised the fol: o Iwo`I�ata must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.L Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate'. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. �3: Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner©;Mail to owner Q) .5T��-f�• 15. Improvements may be required. . . . . . . . . . . . �x_16 Mobilehome Installation Data. . . . . ...... •Pre-Inspec. request to e �7. Pre -Inspection fore / . e7 Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Stateme 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant it�� Date_5 3 t -- 5- A Copy of plans sent Health Dept., .—Fire Dept., Other Date During the plan checking process, the fol lowing data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above items No. • 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by r Date Other: Copy—DPW COUNTY OF BUTTE'- DEPABIbAENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 91.6/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z NTNG BUILDING PERMIT OWNER CL ' TELEPHONE SO. FT. OCC. BUILDING VALUATION +OWNE 'S ILING A RESS ^PHON CONTR CTOR'S NAME/ 42 y C 4\ TEL CONTRA TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /Filing UNKNOWN Total Valuation $ o LENDER'S AILING ADDRESS ,. Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ AR CHITEC OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS, JWC Penalty. $ Permit fee $ Z � PLUMBING PERMIT Filing Fee 10.00 �"� tom/ Z, �,,_ Each Trap 2.00 Solar Water Heater 20.00 G (� Water piping 5.00 LOT NO. SUBDIVISION NAME PA EL MAP Each �sater heater or vent 5.00 Ga ping system 1 - 5 outlets 5.00 USE OF STRUCTURqf SFQ�Duplex ❑ Mobi lehome ❑ Other SPEC I FV TYPE OF WORK Other New Add itio Remodel❑ tilities❑ Ins al IoIr Describe work: L- �t) — �` 414 I ding sewer 5.00 Mo .Home S G W 1 10.00 eel ermi ee $ ori r ctor ELECTRICAL PERMIT Filing Fee 10.00 LE00V ORSS Main service j00 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 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) EJ 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 OR ADDNST ( ADWECCL.BLDGS.LING CCUP.&1 21/=0sq ft I/ NON.RESID H 2.50 ea R BRANCCIRCTITS NEw CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES zALO30 eAL030Q Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. WiringJ 15.00 ;✓ G — 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 FllingFee 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, costs, and expenses which may in any way accrue agai said Cou�Inonsuence of the granting of this permit. c— X Date i— �J Sign re 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 $ 7 C) -C> OCCUP. GROUP I TYPE DR CONST, PARCEL PD 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 4�1 Receipt No. (.i 6 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT