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U 47-32-38 E--"Surminsky " lot lk*Morning Glory Dr, Chico = - - 38,E=t- Y,,93-09 Permd #2092-8•- P,E,M(new single family) . HOLLAND,. George contr: Foothill Co t, Chico h�' �f„�/� 1`401.5.Morni`ng_.Glory Pl.; Chico` ' Ag Exemption p_ t. Pt 47-32-38= , Contr; oothill Construction, Chico agricultural P it#3479-82P(add11 plbg/2092-82)SF ' '- r f 1 is r ram% I BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE;.E;AL"IFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT _ NO P)) Agricultural building is defined as follows: Agricultural building is a structu?e designed'and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural 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 PARCEL NO. O-�J38 — Qa D FLOO PARCELP.D. ZONING S2— O NER o r A- o114rv1 I JWJ PjUON I, NO. OWNER'S ADDRESS yo15^ MoRP109 6.4olty ,�// L 1 LOCATION OF BUILDING o/s" o N �i✓ o ��4 [ e � 4a cA 9 s'9 2G USE OF BUILDING 1 ckttm 9_4Z SIZE OF STRUCTURE a0 'X = D D SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME —AL--' STEEL CONCRETE OTHER(Specify) TYPE OF SIDING iftan S1 clect o ROOF COVERING (fOM Ito /tS FLOOR TYPE NCR rfrw ESTIMATED COST OF CONSTRUCTION / $ ,9Asva AG Buildings shall com ly with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: .�o " 4— FRONSIDES REAR 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. AG Buildings must comply with Flood Zone requirements. -Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date /%J 73 Permit Fee — $50.00 Receipt No. % 3 027`I Signature of Owner The above described AG Building is exempt from a building permit. Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOO PARCELP.D. / ROOF G I JWJ I ,�// L 1 Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant . ``tY W' ..y..� .:1'�.t _cV`` 1.,...._�y_�.� .. Y..r• 'r+....J h...w�7�J-•... Yy-.t.�,yJr�YL..�-� � f. �.-+cy�l �?•71 �... V .�.-.l "'1 r ' ? 4 COUNTYOFBUTTE -DEPARTMENTOFDEVELO_ PMENTSERVICES-BUILDING DIVISION' •7C6UNTYCENTERDRIVE-OROVILLE, ALIFORNIA95965-TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER e,911 s��/ �I A. P. No. 3 210 Proposed Building Use Building Inspector C- Date / At time71. ' application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ....... ... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and man ufacturer's+installation instructions, 2 sets. ........... 10. Fees of $ #...V ...................................... ............. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood),by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ...................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . �,l 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. (, 20. Pre -inspection for P'��"�De�'°" `eQ°at required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ; 22. Certificate of Workmans Compensation Insurance . ........................... -- 23. Owner -Builder Verification (Given to owner , Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. �, .lam 25. Letter of signature authorization.........................................r" 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... 27. Letter of intent on building use . ..........................................:. i 28. Mobilehome utility clearance . .......................................... 7- 29. Documentation of legal access . ..................... :.................. a 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pic up at office. Deliver with inspector. Other , Parcel Creation l r 3 Acreage Applica t 4-' Date Copy of Haz-Mat form sent Health Dept.. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works W c &,) U(s'7 4f`G ,a) fD!-/G wok,. a PERMIT NO. 29982B,P,E,*-K z PERMIT EXPIRES�-/y1f2 . _. OWNER E. Surminsky CONTR. Foothill Const,' Chico ASSESSOR PARCEL 47-32-38 LOCATION Lot #10 Morning Glory Pl, Chico a t Temp. Power Pole � Called PG&E Oil 74VZ Te Elec. Service 4 I- Called PG&E doll, em.. Gas Servide JOB FINALED (Date) 4/ .2.2—v Signature W' E 0 = Not,OK Not Applicable :i,_ N Not Ready RESIDENTIAL (Single and Duplex) Date UNDERF OR Plans OK except #'s Date FRAMING (Continued) 1 oning requirements -Se cks i// Ok 4 s tg., Main; Jp6� r-Steel-Elec d.- / /" Ftg. Depth 4' xt. Doors -Onia.3A-theck-Gerage-3rdolery--B-exT s ae-04, age; 2ajla-6teel- / 2i" Ftg. Depth om-Rise-Run- Land ing-Fire Protection _ Porches & Decks; Soils -Steel- / /" Ftg. Depth ly ng-Att'c is-Raf r 0jjWggers a /p temwalls, Main; S1ee1-BI uts 5 �l D emwalls, Garage;-Steel-BIU,Wouts-Wreppad ccoAMeeff Drip&Sererrd'-Fd"..-Yeats-Uadw4k_Aeeess I W. Glazi ea-Gi o f ,: 61 y,H ` _Q4ae4ic ater Pipe; T erv' es Electric; Underground aiz PISA-- & 1"I-1- rlpa a nna rt -t c upport-Ins. 1 s Card -BI Date r Card -BI Date .�v• "'& Card -BI Date/1- Card -BI Date Card -BI Dat 3 Card BI Date Card -BI Date j� Card -BI Date - t L - Date FINA Tans) OK except q's Card -BI y� Date71 Card -BI Date Date /He, a //- ; j ZFM. PLUMBING (Permit) OK except N's Steps -Doer & 6idriiePub t t' tan 1' gs famoke D ector 1 eia.ir ur 's-C3rance-Co r-C�aaedtor- - tion / �— er Pipe; Anchors -Nat ection /�•/ j/ D .V.; TJJ0tMW& Awhers-Nail Zjetiction froom Exiting 1 Show r , T&4—First Floor-T44-4eeocae,' 60• G.F.I. & Bath Fixtures & Fnb-A=ess- 1 nd Floor -Tub Access AL-C-tec. Trim & Subpdnel; Breake"izes-kabetir- 1. ipe; Size & Anchors - ireplace or stove; CI ces-Hesab-1 lec. Outlets at Wood Panel; Int. 15-.rrt. Card -BI 0 Date/ Ly ,�Z Card -BI Date i Fixt. &Appliance;- -Coo learance Card -BI DateAR. J_,5(Yi Card -BI Date Mr—Elec. Outlets & Receptacles at Kit. Counter Date ELECTR AL Permit OK except q's W-16arage Fire Door;-L4n4wrg-C 2 fixture Ins. ction r. Htr.; 4oRle-Cle ce-Gerad.,Bir-OemTeffor- - In Garage; Above -n c, Receptacles Spacing-L1gfrlbr& Switch oors Z Elec. & Mech. Equip. Listed for Location Size Boxes .-of uctors t 7 e Receptacles in Garage; ( omex Installed Close to Edge of Studs & C.J. qu' :Ground made up ech. Fasteners -Bo s & �(3t9r� vt(yl 7 nsuletion-Fezo►-Looked in Attic eS� 2 pliance Circuits in Kitchen & Co Size Al o k ruction -P aps -dc-elPL -used Wire Size /d/ ga. Cvn-" AI-A.C. Wire Size //p/ ga. 6e-e1e41 g rainage & Wood -Earth Clearance I=eees 2 a{ange Circ. / / ga. C orfir-Oven Ci e. 1, I ulated Neutral r es [I No Z5. -Following instld.: Drive ZKes []No; Walks s ❑ No; PluLers ElZvice-Riser ductors & Gv&wvd-'Mai tonne tucco; Br n-Fi 1 2 fi enrQrc..r b_^uip, Equip. Clea&pae%; Pa;ii,- e 7e.�A'C. Unit; DiscbaREr`t-CI s-Brkr. & Co ize-118-6utl t 7 n Above Roof; .-Appl' e-Fk--or.-Cleara pngs. 30. ht ater Well; nnec lec lambing xt for Elec. Trim; G.F.I4AeCe`ptacle-IdriAea=nd Card B -I Dal Card -Bi f Date entilation throughout House Card B -I Date/Z_/_,-r, Card -BI Date §E_-61-qAs Protection Date MEC NICAL (P rrr,it) �scept q's Correctio from Previous Inspections • s t -Meters ged; -Electric �Gf o A_C. sul n Support $ er ?.-Sewer Connected-C4<6-GradHD ov 3a chaysT3HOCiriRSQldLionat-.r-Energy Compliance Certificate -Other Certificates 'y, rrdensate Drai & Overflow; Size & Grade l T ____3 furnace Access -Comb. Air -Return Air Vent -115V outlet 1c A s & PIatio�-iI F u r n c ya-Attic Card -BI Date .� Card -BI Date Card -BI Card -BI _Date Card -BI Date �>±=Zlr�` Date jf Td - T Card -BI Date Card -BI CR Date Card -BI Date Card -BI Date Card -BI Date Date FRA Plans) OK except H's Comm6e_T--f Sills; Proper A4aferial s FR �Z i(/ - L / C'4r /V 6it/7 rt �� alls; S14WK-N�jirrg, Suing & r,-P�3p�s Ss_wd Ai., ae /G E of Inlnii r (•IrffPfC — 11V "ng__� _ _ft Stop in Walls (rat of) Fir Stops; ed ili &"s-Ohases-42_-I_ _ � �i / �f / L//�-/V�VC/ �� _K1!F eader & Beam _ - an ers-Post Caps -AnWiers=Cor9*"e�1T5rs 6etst-Rf es -P Rr�ehtsrac, r-SttFffiig.-POW, r Tyue-Fi�et}Vaea.T�Moat _ �Z Attic _c s Size omex Prp draft Stop ns MN Bdr . Windows or Eli�s-Sill HgiLrBCDima6sions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS - Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. ?Plans) Gi, axcept ft . 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size-Depth=Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enctesures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date I S 4 ov e Fin l/i ' r 4e r/ted q4 dX S�� TO [my—%d4w o MESSAGE o TIME ---------------------------- o ILE YOU WERE DUT o M R. OF ------------- ---- ----------- - j ---- ��l PHONE N O ! -------- -- Telephoned - - - - ❑ Called to °See You - - ❑ 1 . Call - - - - ❑ Call Again - - p MESSAGE: ------------------------------------------------------ COUNTY OF BUTTE / DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 -_CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. r A, C/,v J�rXf- � r � �V %r/S/r /" <Y IT --7- // ever 3 , 00--je Inspector . 9".l9 —0G Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial 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 s.._.�- BUILDING OR PROPERTY ADDRESS 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 correction of work is completed. If you have any question pertaining to this utter, r nqedpad ditional explanation, please contact this office immediately. i,,v//'G ( div✓ CG��G�I ��% �G C4 i -z a Inspector l/`�� �" ! Date i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541• Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PRO ERTY A DRESS 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 correction of work.is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately., FA J �&fl 1 -1 - G / 7 U C Gri �� Lr /ZO/�- � i� .� u � � � ✓ s��G 70� �u �`��S G i /t /Ti � Z � ;r stlnspector Date //�19���L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i/f 196 Memorial Way, Chico — Phone: 891-2751 V 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. G T-< J, all// uL G9 -,'QV. 6/A1 i 0 Inspector Date -/Z— `�—� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone:'534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE zz?{ - 1* BUILDING OR PROPERTY ADDRESS 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 correction of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. U/�`?�'_%iii"�i���S' •l.y,.r)�l/,.t' �1��.t,rr,r:F C:i'r• /if Inspector r 7 d�r�.U/ Date z COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ✓ 196 Memorial Way, Chico — Phone: 891-2751 t i 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROP RTY ADDRESS 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 correction of work is completed. If you have any question pertaining to this matter, dor need additional explanation, please contact this- office immediately. x141 > G c �/�It 6 -1 l / >17Z 'V/' ;2a C f,4 4 e:2 ✓6&�c7� �/y 6,0 OA/ SDdr(i f7c✓£ WWII 4AIS G Ov 7� 1 l 2- ae, (?A-) r�Jr,,gAjr e2)u4mla Ove ox /Ioyey Ifo a:; -r ' A'�� a Inspector ! Date /L r: COUNTY OF BUTTE I,r DEPARTMENT OF PUBLIC WORKS , J�. { 196 Memorial Way, Chico — Phone: 891-2751 { 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTIONNOTICE -J BUILDING OR PROPERTY ADDRESS 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 correction of work is completed. If you have any question pertaining to this ma)ter, or need additional explanation, please contact this office immediately. IN Inspector `' i'Gi/ /!//"��ll Date /—L ft TO: Building Department FRO'y: Environmental Health, Chico SUBJECT; Sanitation.Clearance ,Owner Plana pproved 'for: AP# sewage disposal old final for: water supply Final clearance ' water supply-....� O.K. for: / Clearance for Water supply bedroom mobile h 0 Note-** C', ('ter, ,.... n e w . W RES IDEN'1 IAL i '� L`�Y'q� �+ K � .� i4S � �, M 'l lr � . i.i . �. r :a'; a h,. • 1�' ?t' % .}t?�" t°r�'Y ,} ��Ni,`� i N}t.d r�y d M }. �:'�,..�''�:;1�'S .i�f•.�•��ijEa#"Lim:!Iii-t�Nj's.?gy$?3�,.'J".�,!F;£±�!f�1:�'�� .,�Ua •"Sr- 3r','�ii ..q• .. �li�F':':.. 'S�''k`6',;5�'•'-wx �9��, T; -.•.1..r, E�zytiy:.k'�?CC�;�;�-. "i ENERGY CONSERVATION STANDARDS ` Ext CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot #10 Morning Glory Rd., Chico (location) BUDDING PERMIT NO.26V:21? pal A.P. NO. ''IZ- 32-3' THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLAITS: (Check each •item or write N/A if not applicable) INSULATION: CLAZINC: Slab EdgeSingle Glazed A — — Ext=. Walls T/FG 611 R-19 Special (Insulated) .11s�� CT/FG 3211 R-13 CERT. & I t%Bf:I.ED WDS. IntWalls CT/FG 3211 R-11 & SLIDING DRS. _ Ceiling/RoofOC/FG 13 3/411 WEATiI RSTRIPPk:D DRS. Ducts R-30 BACK DAMPL•'RED FANS _ Circulating Pipes)Vf� INTERMITTENT IGNITION DEV ES APPROVED HEATER // CERT. APPLIANCES j APPROVED WTR.HTR. 1/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLrTENESS OF TUIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Hawkins Insulation Co Inc Signature of � (pleases Drina) Insulation Applicator State UULItracLurL License No. 378407 Central Contractor/Owner Name �Sa mr jn/5��/ ( Signature of please print) S Ceneral Contractor/Owner Date z State 9 d n t r a c t o License No. ,,? ZL5_ � THIS CERTIFICATE 1fU*STQH ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALT. BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE 1X4F1.I.ING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Mville, California 95965 - Telephone 916/534-4541 APPLICATION AND 'PERMIT ASSE R PARCEL NUMBER ,�. ZONING BUILDING PERMIT IWJ OWNER u TELEPHO E 10 57 SQ. FT. OCC. BUILDING VALUATION `a OWN'ER'S M ING ADDRESS ♦ 11-1 11 r r` cr ' '12M 40`10q, - CONTRACTOR'S NAME a TELEPHONE ,24NMA r CONTRACTPR'S M ING ADDRESS 0�h1 ©vtS �g Fireplace ONSTRUCTION LENDER" KNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARH_� 1TECT OR ENGINEER 1 LICENSE NO. Plan Checking Fee $ O Penalty $phi ARCCHITECHI TTECT OR ENGINEER'S MAILING ADDRESS Permit fee � $O BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 �l ® L Each Trap 2.00 Repair drainage or vent piping 5.00 c t r WaterI in PP 9 LOT NO. SUBDIVISION NAME PARCEL 'MAP W 600-1'SQu a YD -7Z Each qas 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 L TYPE OF WORK Newvr Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING O CUP. y\ OR ADDNS. ACC. BLDGS.I / 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjur (check o e): -- ® ❑ I am licensed under V $I(_'n Oi &ap% 9, Div. 3 of the Business and Profession Code and Fy nse is in full force nd effect. icense No. assification 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 CONSTR I.Ou 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS 0 NON.RESID. (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 50 0 BAL@1 00 IXED APPLNS. OR \ EX. QCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ (� Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury !check one): he permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department VICertificate 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. 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 agains said unty in consequence f the granting of this permit. X Date Signature of Applicant — Owner ❑ f&ntractor ❑ Agenicwork 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 TYPE OF CONST. �' 14 JP7LJ PD ND 159DE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTO OF 4�P�UBWIORKS BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. te Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82'721740 FOR RESIDENTIAL DEVELOPMENT FcC:a Section 26-81 of the Butte County Code regdires this acknowledgement��F�Ey1tt,v r be recorded prior to issuance of a building permit. Jug I� I� z� a3 The property described herein is adjacent to land or included ELEANOR 1i,tF(;h; within an area zoned for agricultural purposes, and residents ofIERK - RECOR( ERS this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, 6 'pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sioi>ally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal., necessary farm operations. All that real property situate in the County of Butte, State'of California, described as follows: �G T /D - ��TSoN SGll3 D / l//-S/p/y y7 -3-z- 3� DatePROPERTY OWNERS: State ofl�' ) SS. County of ) 1E'aa_e:";�..;;�Bgpeaaeaeaee000eeegeaeeeeaaeeasaaceuooe� OFFICIAL SEAL . 1 W. e y 60II.pV:C NOTARY PUBLIC CALIFORNIA-" ..COUNTY QF,: B;1jT;LE, Comm. Exp,, Alga• 1)9.; 1984 0 hee�,e¢eonceaoensaeesoaeaoaaeaeaneaeaeoeaaeia_aapeeaaeaeaea�7 P'r`es-bnt A P, NO On this the ^fes day of , 19 8 before me, the undersigned Nota blic, personally appeared known to me to be the person(s) whose name(s) ah�___ subscr' a to the within instrument and acknowledged that 1. executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereuntos m hand and official seal. END OF DOCUMENT FIV. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE 2N BUILDING PERMIT OWNER ,eF, TELEPHONE SO. FT. occ.1 BUILDING VALUATION OWNER'S MAI ING ADDRESS CO ACTO SNAME TELEPHONE CX; CONTRACTO •S MAILING ADDR SS y. N Fireplace CONSTRUCTION LENDER C UNKNOWN Total Valuation $ Filing Fee $ 10.00. . LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT ^-OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /-7 ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 040 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 ✓ Q J Gas piping system 1 - 5 outlets 5.00 ,70() USE OF STRUCTURE SF P--' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 110.00ea TYPE OF WORK New El Addition❑,,�//� Remo el❑/_Utilities❑ Installation❑ Other Describe work: 42J' , �gr b 15—et 3V f L Permit Fee $ Vol QQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 • Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. SLOGS. 1 220sq ft CONTRACTORS LICENSE LAW I decI re. under penalty of perjury (Check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business %effect. and Professions Code and my license Is In full force and License No. tid —Classification /"y '— / ❑ 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 NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BA ®g3 P FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. 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 unty in conse Wrice of the granting of this permit. X Dater 9 Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- 3 storiesin height. ion of structurees Mobile Home Installation Fee $ TOTAL PERMIT FEE $ o, (, OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR ' TOR OF PUBLIC By PERMIT EX a the applicable provi- resolutions to do fees have been paid. WORKS Date LS �sJover Receipt No. � / / WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT H IA ........... 141 '11111 � W -M IR'111P,111�q , �q I V 9 IM 10 - AM W, tc ILI OP OV A A w POP, ots P 'InPAK, vin WHO nd P "tog -mr, "44 Q A, 'It, I FFF"' I: I H11, _11, -.LL-11���,,,,�l,,'-'Il�l���ti�I 1'', issIo q1 it + e 4$k 1767 no s4r% 'ut'' elf is e w -1 wt7 :7� i Ill iT 4 s , ', 1. �! I I I . 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