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HomeMy WebLinkAbout047-320-01547-32-15 I GRAYBIEL, Robertol 797-70B Robert Graybiel y7- 3;x - / S- 797-70B 700' off South side of Keefer Rd, app � 673-70P�.- 300' W. of Greenberry Ln. Chico • 0 1/7-3.740 -0/J 777-70E� 'nstal.11 solar w/h__w.it�a current.-cont.r0 1 off s/s Keefer Rd. app.2 mi. eas o rt r: ervdm, tic Solar, Chico'• _ Chico ' (new single family) 47-32-15 92-1028Br GRAYBIEL, Robert 65 Sweetbriar DR, Chico reroof/sf,. �9 4 i r • �- -T 1 11 I�- � .v , ,•r.$__�y,•i•,f:Y«""'4�'"�.e'.4°:��Sp'a�y�yf..'"�++'i5&ar,3,.���,yy,,;+.�'�`gY^°'"�'`�,:.,�y"'�>e.�A � 15���7/ lX� ���' r}iT P' •:� ,C. {4'��`?rt�ffl.�...-,.4�4+. i'+v.`wn.+rY•.:^--"'r - ��r + 47-32-15 92-1028B ' GRAYBIEL, Robert 65 Sweetbriar DR, Chico reroof/sf y.L " r J Y 1 i S . # o i � 1 1 r �T COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Orville, California 95965 - Telephone: 916/538-7541 f • q APPLICATION AND PERMIT - ASSESSOR IMBER 047-320--015 ZONING "i• SR -1 BUILDING PERMIT OWNER Robert A. Gra biel TELEPHONE 342-2620 SQ.FT. DCC. BUILDING VALUATION 3460 OWNER'S MAILING ADDRESS 65 Sweetbriar Dr., Chico 95926 CONTRA c TOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 60.00 PLUMBING PERMIT Filing Fee 15.00 65 Sweetbrlar Ur Chaco 95926 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 7_1 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex [3 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOCOAI 37.50 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 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64sq.ft. OR ACDNS. ACC. SLOGS. l/ NEW CONSTR ULTI.OUT LET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES\\ 20 76d Ex. Occup. OUT ETS PIRESID IREAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the -above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against -said County I consequence, of the granting of this permit. X� Date A),-�. Z. Signature pp Li�J' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $60.00 HAz DFEES IMP FLOOD Cb F PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi fed above for which fees have been paid. DI ,� /RECTOR OF PUBLIC WORKS BY -�� - ! Date PERMIT EXPIRES Date 5/ ,F / T 3 ` f Receipt No. 103876 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS PARCEL NUMBER r O� ZONINSg BUILDING PERMIT OWNER 2 TELEPHONE 3 2�z6zo SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG ADDRESS � CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ t Q 0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Al Permit fee $ PLUMBING PERMIT Filing Fee 15.00 G Z Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 615.001 TYPE OF WORK New❑ Addition [I RemodeID� utilities Installation❑ Other Describe work: /C�Gt� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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 .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ACDNS. ACG. BLDGS. ) 3.5Qsq.ft. NEW RESID.CONSTRANCH TLET NON -REST O. BRANCH CIRC ITS CIRCUITS) � 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 754 RA FIXED Ex. Occup. OUTLETS PIRESID IREA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Vyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you became subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agsaid C my in consequence of the granting of this permit. XaiQr Date Signature of Applic t t— Owner Contractor F1 Agent F]sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCcCONST TYPE TOTAL FEE $ Com' ` I HAz DFEES IMP FLOOD CDF I PARCEL PO I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Dat applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ``� fop� �� � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive • Orovllle, Callfornla 95965 • Tolephons: 916/538.7541 APPLIC-4.71WAND PERMIT 8®E3 6.?ONING Q-47-320-015 SR -1 BUILDING PERMIT OWNER Robert TE E HONE 342-2620 SO, FT. OCC. BUILDING VALUATION N OWNER'S MAILING ADDR SS 65 Sweetbr'ar Dr., Chico 95926 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ 4.5.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 60.00 PLUMBING PERMIT Filing Fee 15.00 69 qwPPthrinr Dr-, Chiro 99926 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: RPrnof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200A TO tOOOAt 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.q\ 3.6Qsq.f[. OR ACDNS. ACC, BLDGS. / NEW CO"D, RANCH TLET NON.RESID BRANCH CIRC ITS @ 5.00 CIRCUITS) POWER APPARATUS & SINGLE OUTLET CIR. EX. Occup( 20 750 p OUTLETS OR FIXTURESAL 8 4F;64 Ex. Occup. OUTLETS PRESID 1',,, I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �-, of Consent to Self -Insure. 2/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 1permit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation 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 agaiV:WountyAconsequenc of the granting of this permit. X Date 7 ^ 7— L Signature of Applicant — OWner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 60.00 HAz I DFEES I IMP I FLOOD cOF PARCEL I PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicptqd 05v orwhich fees have been paid. IOF PUBLIC WORKS By Date AILZ� PERMIT EXPIRES Date 5� 3 Receipt No. 109276) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ± �. �•..'�""i+art'�,�:1''{ys.�.+3:.�3+.rvrr•*,w-^s^ �:a,� ...,.�'SJfe,'t^ P.'LJRe'[fi� �� � 1tb.0'p1 •^a-.,n.-a".rev^,•:'�Y:�+1°y'N"•ws�'F""`�';�i�t�{`tf�'l"*1E'S�':t(:ii, . . - tv COUNTY 0BUTTE - DE'PARTMENT.OF PUBLIC WORKS - BUILDING DIVISION j It r 7 COUNTY CENTERARIVE - OROVII.LE GIFORNIA 95965 - TELEPHONE: 916/538-7541 PERM'IT'APP�ICAT10N4ATA SHEET I` i, Permit No. OWNER A. P. DI,0'11 - 3 " /< Proposed Building Use i2�i��oo *'B:uilding InspectorDate F 2—, 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions '............................ . 10. Fees of $ �' ........................ 11. Chico Urban Area fees paid ........................... 12. Park fees paid ................................................. 13. School District fees paid . 14. Sanitation approval from Health Department 15. Cit of plumbing permit ..................................... Y ' 16. Plot plan and business license approval from City of (see City for other requirements) ti,jw'�I'i •#' aEw.•. 17. Planning approval for (A) Use: (B) Parking: ...... `18. Improvements may be required. Contact Land Development Section DPW 19'., Driveway permit (construction approval required prior to occupancy) 20. `Pre -Inspection for required Pre-inspec. request to V.Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications . . —22. Certificate of Workmans Compensation Insurance .................. 23. Owner Builder Verification (Given to owner ❑, Mail to owner Cl) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. , 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 Date �bl 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—naiI—counter by ..date Contractor, designer, owner, was advised of above required data, by—phone —ma II—counter by I date Plans checked by Sets of plans on hold in t Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTr - Deoarcmenc off ?ub L is t;o rks 7 Councy Cancer Dr.ivee, Ocoville, CA 95965 ?hone: 910-338_75u1 OGINER-BUILDER VERIFICATION Xecention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit -will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no), 2. I (have/have not) �fq//�� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name �-- Address Phone Contractors License No. Cicv 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: w �j Prooerty Owner Social Security Number � Data JOTL: This Owner -Builder Verification is sent' to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 11 This verification must be comoleced and returned to our of lice before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORd 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / ZOkJING �� BUILDING PERMIT OWNER / ELE PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , CO"ACTOR'S NAME (( J/ TELEPHONE C NTRACTO 'S MAILI G AD RESS _ Fireplace " 'ONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHIT -CT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �1 /.£ PLUMBING PERMIT Filing Fee 10.00 / LC7• Each Trap 2.00 Repair drainage or vent pip%g 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK • New❑ AdditionRemodel❑ U •lities❑ Installation[] Other Describe work: 9 '1 F P t Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 OOV OR Maintservice 100 AMP ORSLESS 5.00 't Main service EA. AOD'L 100 AMP 2.50 NEW CONST. .1 DWELLING OCCUP.S11 OR ADONS. '- ACC. BLCtS. 2¢sgft CONT44.TORS LICENSE LAW _ __ _ I �re under penalty of peijury ';Check One): 1 1 • I amilicensed under provisions of Chapt. 9, Div. 3 of the Business and Professions -Cod and m license• is in full forge, nd effect. y - Cl License No. Clessifi'cation ❑ I, as the owner, or my employees witkwages 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 –N,—ST o L T 2,50 ea NON-RESID BR7� H IRC ITS NEW CONSTR.%kt . WOWEAPPARATUS SI NON-RESID. ,SINGLE OUTLET CIR. 500255 Ex. Occup OUTLETS OR FrXTURES ggL pt IXED AP LNS. OR Ex- Occup. OUTLET (REStC1J EA. 2.00 Terpporary service„ 10.00 Mobile Home, Fac ilrities 15.00 Misc. Wiring 7.50 D Permit Fee $ v Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I Oe_ are 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 forthwitn comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 liabilii -es,, judgments, costs, and expenses which may in any way accrue against aid ounty i onsequence of the granting of this pert 7. / . X l !-� .•�Ji ?a2�� Date J Signature of Applicant — Owner ❑ Contractor E]Agent4work An OSHA permit is required for excavations over 5'0" deep an demolition or construct- ion of structures/over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ s' - OCCUP. GROUP I TYPE OF CONST. PARCEL PdJ HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicate above for which IRE OR OF PUBLIC By PERMIT EXPIRES e the applicable provi- resolutions to do fees have been paid. WORKS —7 _ Date No. l/� . 3 Receipt . WHITC-D. P.W., YELLOW-ASGE330A, PINK -4115- OLDENROO-APPLICANT `✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-J541 APPLICUIONaAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER V T.- ?ee ._. / j"" ZONING A,,..2, BUILDING PERMIT OWNER `gyp TELEPHONE- SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ..� �5.��/G irr.?'7r ,�/G.I /.I�fis�JJ a .le1c TELEPHONE - 7 • 'l1 CONTRACTOR'S MAILING ADDRESS 16 Idy// 0SI Fireplace CONSTRUCTION LENDER - , / %41144; UNKNOWN _ I Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �17I/c LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Afl PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system- 5 outlets ' USE OF STRUCTURE � SF ®' Duplex❑ Mobilehome❑ Other SPECIFY _1 Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition[], Remodel ❑ Utilities ❑ Installation ❑ Other �._.7/,,f;75� /% Describe work: • �f�/ / � / �.•"�l � �11�Fii� �y �.� Permit Fee ` $ Contractor ✓ ELECTRICAL PERMIT Filing Fee 10.00 00V OR LESS Main service ,00 AMP OR LESS 1 5.00 - r Main service'EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.d) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW IIdecIare under penalty of perjury (check one): O 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. 9�.• l„ License No. 76 Classification s ❑ 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 NE WCO NST MU LT'_OUTLE NON -RESIT FL BRANCH CIRCTITS 2.50 ea NEw CONSTFL / POWER APPARATUS e) NON.RESID. (SINGLE OUTLET CIR. 50 @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@100 /FIXED APPLES, OR EX. Occup.`OUTLETS (REBID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 ,SU Permit Fee $ 5 tj 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 f 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation penult 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. 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 inconsequence of the granting of this permit. f `, t'! -;/!X -''� * —) - r Date Signature of Applicant — Owner ❑ Contractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep an4emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Gal`s OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated, above for which DlREC'TOR OF PUBLIC By-%/��1/ �/� - PERMIT EXPIRES Date w the applicable provi- resolutions to do fees have been paid. WORKS ;7 Dated �S (� Receipt No. (14 rT ? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,�- . > � ������� F> . S v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 n APPLICATICI PERMIT PERMIT NO. ASSESS R PARCEL NUMBER / 7 Z _/6 ZO. ING . Z BUILDING PERMIT OWNERTELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS ' CON RACTOR'S NAME ( TELEPHONE C NTRACTO SMI LI G AD RESS �f// Fireplace CONSTRUCTION LENDER UNKNOWN Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Pe)mit Fee $ ARCHITECT OR ENGINEER AMAPenalty LICENSE NO. Plan Checking Fee $ $ AR 'T CT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 9 r Each Trap 2.00 Repair drainage or vent piping 5.00 " Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 G _zo,e TYPE OF WORK • New ❑ Additio Remodel ❑ U Hities ❑ Installation❑ Other Describe work: CT l PpFmtt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA" ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.01 OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW l eclare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full f rc�e nd effect. y0 Classification ��!! License No. � �v ❑ 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 ON TP -OU LET 2,50 ea NON-RESID BRA CH CIRC TS NEW CONSTR / POWER APPARATUS 61 NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ a �� (FIXED APPLNS. OR EX. OCCUp.OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 p Permit Fee $ v Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I`• eclare 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili 'es, judgments, costs, and expenses which may in any way accrue against id ounty i onsequence of the granting of this per it S X �_ Signature of Applicant — Owner ❑ Contractor ❑ Agent �] An OSHA permit is required for excavations over 5'0" deep an demolition or construct -E ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,S OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work eindicateabove for which OR OF PUBLIC By PERMIT EXPIRES e the applicable provi- Date resolutions to do fees have been paid. WORKS Date7—s �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT