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,.
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' GRAYBIEL, Robert
65 Sweetbriar DR, Chico
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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