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056-080-046
P E746, WISE, Terry r ELEC GA S CC COMPA TION TEST REQ_ S St M, T��rr_�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERU PERMIT NOCK/% ASSESSOR PARCEL NUMBER 56-08-46 ZONING TM5 BUILDING PERMIT OWNER TERRY WISE TELEPHONE 895-1505 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1116 VILAS RD e. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ �) � LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit VILAS RD � fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome© Other SPECNY Gas piping system '- 5, outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation \OtherE] Describe work: MHU 2 BDRM _ Permit Fee $ 40.00 Contract E CTRICAL PERMIT - Filing Fee 10.00 Main ervice SS 1000V OR 0 AMP OR LESS 10.00 10.00 Ma:'n service EA. ADO'L 100 AMP 2.50 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 Bushes$ and Professions Code and my license is in full force and effect. License No. Classification / 1, as the owner, or my employees with wages as their Sole compen- gyred /— will do the work,and the structure Is not intended or off sation, for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed cc tract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professi ns Code for this reason NEW CONST. DWELLING OCCUR.& R ACDNS. ACC, BLDGs. ) , 2/z¢sgft W RESID. RANCHUTLET !N -RESID BRANCH CIRC ITS 2.50 ea POWER APPARA-USe1 SINGLE OUTLET CIR. EX. Oc OUTLETS OR FIXTURES eAL®S30 FIXED APP LNS, OR Ex. OCCUp. OUTLETS IRESI D,) EA.) 2.0� Temporary se e ic 10.00 Mobile Home Fac' ities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 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 B Iding Department a Certificate of Workmen's Compensation Insuran,e or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so s to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, shot', d 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 10.00 Heating Cooling g 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. 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 in cone n e of the granting of this permit. X Date 1.1f p 0 Signature of plicont - Owner;O Contractor ❑ Agent0 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 $ occ CONST TYPE TOTAL FEE $ 92.50 ALSCHL HAZ — CUA "- PARK EL� PAR PD HD ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84068 WNITC-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f�i Y-,�*�.�. i^„--"�'�►I��{ivc'�'':,f.-�.y.y.<r:n... . i � a r . ��,.I"'�,�,A'y�h:ih�..�.i"�^'-^re�a�wrL�+�l''C(`y'r..r.lw-r�t"^r.1r�n.-t•-�' -'f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use W Building Inspector Permit No. A. P, o. 5 A. Date 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 �. School District fees paid . 4. Sanitation approval from �"._.�` 4 C� Health Department 15. City of Chico plumbing permit .................................... . 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... �8 Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspee.requestto Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .......... ....................... . 27. When y issue the permit, proces as follows: —Mail tog.er. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other i j Oke,► 1-�, / Applicant Copy of plans sent Health Dept., Fire Dept,= Other Date 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: s� Contractor, designer, owner, was advised of above required data by_phond`=lnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMIT OWNER TEL PIS _ SO. FT. OCC. BUILDING VALUATION A DRESS OWN 'S ILING07 RE L 5 s CO �CW 'SAN.OyM—L� TELEPHONE CONTRACTOR''5 MAILING/ ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z Via_ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 US OF STRUCTURE SF ❑ Duplex[] Mobilehom Other TT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 e TYPE OF WORK New ❑ Addition ❑_ Remodel ❑ Utili Inst lation❑ Other ❑ Describe work: Permit Fee $ �G Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 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) ❑ 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.� New DDN) �Z�SQft CONSTR.(A ULTB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS a (POLE OUTLET CIR ) Ex. Occup( OR FIXTURES 20930[ eALoso FIXED EX. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S 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. ❑ 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. • MECHANICAL PERMIT FiIingFee 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 against said County in consequence of the granting of this permit. X Date Signature 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �� HAz I CUA PARK I SCHL I Flo PAR PD HD ISSUE This permit is hereby issued under sions of the Butte Ccunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6!K '----.._ ...,- .._ -.. _ ., r T� '--'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P R IT NO. � a yd ASSESSOR PARCEL NUMBER 56-08-46 ZONING TM5 BUILDING PERMIT OWNER TERRY WISE TELEPHONE 895-1505 .SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1116 VILAS RD, 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A DRESS VILAS RD Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 El Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer / 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Add ition❑ Remodel❑ Utilities❑ Installation® Other E] Describe work: 2 BDRM MHI _ �OY — Permit Fee $ Contractor EL CTRICAL PERMIT Filing Fee 10.00 Main ervice '11800AMP ORSLESS 10.00 Ma ,jA 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�Ofeusiness and Professions Code and my license is in full effec . �{ License No. Classification VCI AL1 I, as the owner, or my employees with wages as their sole co pen- sation, will do the work,and the structure is not intended or ffered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with license contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Prof ssions Code for this reason w CONST. DWELLING OCCUP.& R ACDNS. ACC. BLDGS. , h¢sgft TLET NEW CONST R. RANCH CIRCUITS) NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET cIR. p OUTLETS OR FIXTURES Ex. Occup( o zoesoe eAL030 IXED EX. Occup. OUTLETS (PR ESI D.)RE A.) 2.00 Te orary service 10.00 Mobile a Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCt I dLsclare 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 Filing Fee 10.00 Heating Cooling 9 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 Countyof 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 in cone ce of the granting of this permit. C� X Date 1I� U ll. �9/ 0 Signature of pplicant — Own.Contractor ElAgent ❑ 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 70.00 HAZ CUA PARK SCHL PAR PD HD ISSUE00 Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 8068 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC `NIORKS - BUILDING DIVISION d. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9::596�5*TEELEPHONE: 916/538-7541 PERMIT APPLICATION I TA .SHEET Permit' No."' OWNER /L� / /� A. Pi. No. S� U Proposed Building Use 7� Building Inspector Date l 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 ....................................... 131 Park fees paid .................................................... School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 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 Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... /25. Letter of signature authorization ................................... 26. 44 (/ Af 7----) 424:r5i;;O 27. When /you issue the permit proces as follows: Mail to owner. Mail to contractor. V Telephone U and hold for pickup at C office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date 1 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---nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Id COUNTY OF BUTTE - DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541 DATE 11/27/90 TERRY WISE 1116 VILAS RD RE: 3971-90- (MHU)_.._.__._._..'..._.__ :: .:.,...... .. ""CA "95-9.2 =----=.....::...._:.__.,..:-: A.P. # 56-08-46 With reference to the above subject: " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced X We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. XX Recorded copy of deed showing . 60' R/W TO A PUBLIC ROAD Recorded copy of agricultural acknowledgement statement. X OTHER _ IT APEARS THIS PARCEL WAS CREATED IN 1968 WHEN BUTTE COUNTY REQUIRED A PARCEL MAP OR A 60' R/W TO A PUBLIC ROAD Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, JOHN HENRY William Cheff Director of Public Works J.F. Glander Z, -/Chief Building Inspector