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Home My WebLink About056-110-054,Y 56-11-54 \M3- 0 ist f Cohasset Rd., 5/10 mi. set School 37-81B,P,E(new single I 56-11-54 056-11-0-054 - Pe(1st renewe"l/3037-81) WIEDEMAN, MARK 36 WOODHAVEN LN, COHASSET 56-11-54 PELLET STOVE/SFPB( nd renewal/3037-81) 5 -1b, 056-110-054 ermit#1661-85B(4th em- WEIDEMAN, MARK 99-2101 36 WOODHAVEN DRIVE, COHASSET -- - _ — 56 -1 R'. CONTR: BARKER ELECTRIC 2 Permitl 876-86B. 0th rene-, REPLACE.SERVIC - c -219 56-11-54 .�,..+ PErmit#2830-87B(6th renewal/30 - 1) 56-11-54 X`; Permit#285 8B(7th renewal/ 37- )` •t Permi56- 1-54 t#3161-89B(to c plete) 56-11-54 4161-889p,M SECHRIST, Mike` - 36 Woodhaven. hico (lpg ser &-'-'l furnace) ;.� 56-11-54 Permit#333 -90B (renew.dl f permit#3161-89) I56-11-54 P rmi. 2906-91B rV2nd enewal/3161`89) ``056 11-0-054 91-4271 ` SE RIST, MIKE C TR: WHITE, GARY WOODHAVEN DR, C&HASSET LEC SERV/SF 056-11-0=054 92=0_365" SECHRIST, .MIKE CONTR: WHITE, GARY 36 WOODHAVEN DR, COHAS H` WOODSTOVE/SF ,j= y` 93 W2 FIRE'DAMAGE REP ORT N .• OWNER: Lar-�� KDC�keU-e W'e�,eMaa DATE: LOCATION: & wand hw?yL d,x en kassj 9S0/ 73A.P. # 0�5& -//6 ^ D � 7 CONTRACTOR: ZONING:' -TM p� DATE TO INSPECTOR: PERMIT HISTORY:( )NONE ( AS FOLLOWS: Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied. AbandonedfVacant Yes No Condition of Electric BUILDING INSPECTOR'S REPORT Electric currently On Off Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems Potable Water Description of Damaged Area: Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Inspector: S� Dates// Sketch bu' ing on reverse and indicate area of damage. T17-1-1-1 � . DF/BUTTE COUNTY FIRE INCIDENT LO DATE 1 091101991 INCIDENT NUMBER 8978 REPORT TIME 1 03:16 LOCAL FIRE NUMBER 0 STATE FIRE NUMBER 661 CASE NUMBER 0 LOCATION 136 WOODHAVEN CT RP IWIEDEMAN HONE NUMBER 893-134 COUNTY NOTIFICATIONS © DES ❑ EMD ❑ STATE WILDLAND FIRES [-]STATE ACRES 0 STATE STRUCTURE FIRES RESIDENTIAL STATE OTHER FIRE STATE MEDICAL AIDS STATE PSA/OTHER STATE HAZ MAT LOGGED BY CF RO KEILHOR STATION # 22 •MEDICS: OFFICER ff70B B WRA AGENCYID BTU LOCAL WILDLAND FIRES ❑ LOCAL ACRES LOCAL STRUCTURE FIRES F - LOCAL OTHER LOCAL.MEDICAL AIDS LOCAL PSA/OTHER: LOCAL HAZ MA INCIDENT NAME WOOD START TIME: 0230 CAUSE ELECTRICAL POWER LAND USE IDOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE1 LOCAL TYPE $ DAMAGE: JALL OTHER SAVE 100000 DIAMOND #: 11.1-1.8 INJURIES/FATALITIES ❑ F # CIVILIAN INJURIES: =# CIVILIAN FATALITIES: FF INJURIES: FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC I SEN UNKNO STATION UNKNO AGENCY INC MIINC P# D . LOG © INITIALS UNKNO COMMENTS: 4 II jl� 11 NEXT RECORD 1�. LAST LOCAL FIRE # 11 LAST STATE FIRE# i a LAST CASE # I I ift 11 a og, //v -0'�sq 56111-54 ike Sec hrist"'`i� D `y% �.� ll 2f�0 mi.h is Cohasset Rd. 5/10 ma rl,, ` `� sc r s' z �' ��/ N.o Cohasset School �_ f '2- 00 Perm# #3037-81B,P,E(new single a 3v 14 �r'y3i} add family'` w, . va. 31 * - 0-,56---J—O-05 56-11-54 .nor �" Permit#2347-8 (1st renewal/3037-81) rt" �'' �'� WIEDEMAN, MARK 36 WOODHAVEN LN, CQzo OHASSET 56-11-54 t,"�a y�r" t4 . , PELLET STOVE/SF Permit01549-84B(n / 037-81). , 'y'� d renewal 3 ,3t '' I/ /'Y M 1 5 -11 .' 056-110-054 99-2101 ~ WEIDEMAN, MARK ermit#1661-85B(4th 36 WOODHAVEN DRIVE, COHASSET - - 56 1 f `� 'u * CONTR: BARKER ELECTRIC 4 �t>s�}*� � '`"��`t,,Er "1>��''�.� x 1. , ? ,,• REPLACE SERVICE DUE TO FIRE'`' Permit] 876-86B(5th rens �x _ ^_ N....:F rrri+ - -C" r., .5 '�f +�•*� ✓. � ya.,.....-.....,. /..�, / / % . � � � ?� / / � t*F t~"�� Lam; •':�.f;. _• t :. a.[ �S•4 u'`.0 "°�• �K-rh 56-11-54 PErmit#2830-87B(6th renewal/30 -81 .w.`�`n`i..l _.i'�'Pkf'ZP'� ,•. .t�. �4 t w. yS:?dF:. __ —1. , � yfi.� a �d"�2'k .r!r�7 �r�� ick � � �� ka ;�,.�'}, �'tkr� ;��'� .C`�U� '� �' '� •��' '' ` � 56-11-54 six;� �,Ysr` ;ru3r=cy f T�i`dbf,l7 r.• �_� 'yam �* `5 Permit#285`�B(7th renewal/ 37 I rS.�.��.,c�i,r. ^. T�Fr�."aT':t`:v_ �}tcr�.-.'a�a._...I.r '?�f��; ��7r"C✓tr. .r r+'«r,Nt .��r�,..d. -�� 1��.'Q:�/1 Permit#3161-891 56-11-54 SECHRIST, Mike 36 Woodhaven (lpg ser & � 56- 1-54 to c plete) 4161-89P,M 1co furnace) 56-11-54 Permit#333 -90B (renewal f permit#3161-89) 56-11-54 Pprmi- 2906-91B _(/2nd enewal/3161-89) _ 056 11-0-054 91-4271 SE HRIST, MIKE �- C TR: WHITE, GARY , WOODHAVEN DR, CCHASSET LEC SERV/SF 056-11-0-054 92-0365_ SECHRIST , MIKE �...�r='�:.�-.vy-.,,,�--v..,r-,svt*�-r -vm:.v-�a:�o;t r'.. •. r......�w..y. t.+a.a:+��v�M 7w.a.�.rc�;�.r _.�'a�w+.viwY=�o:� .. .. .. - •��."w4�eci"'°':r..:�c.-. 056-110-054 99-2101 WEIDEMAN, MARK 16 WOODHAVEN DRIVE, COHASSET CONTI_BARKER ELECTRIC REPLACE SERVICE DUE TO FIRE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, 99 California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,- 1J - bq`' ZONING QM L BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MATING ADDRESS CONTRALTO E r VP - rt TELEPHONE CONTRACTOR NG ADD SS 12, h� C1 r�, CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ,- F ! Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other f Describe Work: t_Pi L. -(r P � _-)A, Ti, Q�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class _� ! / 1 Lic. NO. �., :? OWNER -BUILDER DE DECLARATION `+ 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 9certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 'forthwith coy withtPose provisions. X f_ Date P 3 a Signature of'App icant -,.f] Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCU000A WEE200A NEW CONST. / DWELLING OCCUP. SO OR ADDNS. \ & ACC. BLDS. 3.5¢FT. P1OµRG�ID MULTI.OUTLET BRANCH @7,50 POWER APPARATUS 8 SINGLE OUTLEr CIR. Ex. OCCU OUTLET OR FO(TURES BAL@'.0 Ex. Occup. ourLE>Ors AEsin.o�'. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $3 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ _ CONST. TYPE TOTAL FEES y3 D FEES IMP I 'FLOOD- .CDF PARCEL PD HDJ UE �...� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By i . ate PER LLE RES ON Date Receipt No. -7 �! WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NOS (Rev. 12/96) APPLICATION AND PERMIT "' T ASSESSOR PARCEL NUMB Z°NIG BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS IU -ADDRESS J1 CONTRACTO E Bezidc— TELEPHONE y CONTRACTOR eS.S i CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS .. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Y' -Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0- Describe Work: YAC ?C�1 rtno P—tec _ SC(u is (,> AT-)�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 20OAORueSS 23.00 2_1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DEC ARATIO I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) Y-4 ,certifythat in the performance of the work for which this permit is issued, I shall V not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 'th cc y with ose rovisions. X Date Signatu e o pp is n Owner actor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWE711NG Occup. so OR ADDNS. a ACC. BLDS. 3.5¢FT. NOµHOESI.T. MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. Ex, Occup. OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. ofluii A OER. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ y3 HAZ D FEES IMP PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. f'4 By ate 9l3 PER ES ON Date Receipt No. Z % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 93_3800 B 056-11-0-054 Y AWIEDEVIAN , :.,MARY- 36- MARK36 WOODHAVEN LN, COHASSET '. i PELLET STOVE/SF t f j s + Vol ..�.r �. •r-.,�.-�..-. _ ., r!. a �e ' �Iq•'rot.r=•r+. 7c+.�•,.. .-"..•- per__. � . COUNTY OF BUTTE - DEPARTMENT --'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville California 95965'- Telephone (916) 538-75,41 MIT N07 .•� APPLICATION AND PERMIT ASSESSOR GAitC� TVIO 05 VJIi"� "V�IJ.J�i ZQNING J;��.2'; BUILDING PERMIT OWNER MpJ 14JIMEMAN TEdq�1�6 �j SQ. FT. OCC. BUILDING VALUATION OWNER'S 15NGTR( dhaven Drive, Co alis ,95926 11''1P'(VWV i \r[Jil 1 -- CONTRACTOR'S NAME Owner TELEPH ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING TMoodhaven Lane! Coha39et PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF OX Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JSTG W TYPE OF WORK New O Addition O Remodel O Utilities O Installation O OtherTu s Describe Work: WOodburning stove (pellet Stove) d:!7:1 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service '"OR"" ) 200A OR LESS 23.00 Main Service 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. ) SO 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification A I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ` ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) RAL @ 1.50 FIXED AP OR Ex. Occup. ESLD p' (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. XI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 consequence of thegranting of this permit. X C.. rR--� ->-a •� /-L fit. r Date a!� o�i�j .� Signature of Applicant - ❑ Owner EI Contractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ- I D. FEES I IMP FLOOD I CDF PARCEL PO I Ho I ISSUF� V This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date �ADIREC'TOR OF PUBLIC WORKS3—?3 PERMIT EXPIRES ON [De rel !By�/�----'_"'� Receipt J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .D. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ArMAiY, q3 - PERMIT NO. A wou6na bopecuon indicates that the following violations of Butte County Ordinances exist at the abave address and should be corrected. Please notify this office when correction of work iscan4ftled.Ofyouhave any questions pertaining to this matter, or need additional explanation, please c=32acl dais office immediately. Daft — 2=1 Inspector Tj• REV1 _j R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541MIT No. APPLICATION AND PERMIT ASSESSOR PA.@CVIlVO-054 4 zq 2 BUILDING PERMIT 01 OWNER MARK WIEDEMAN TEgP�i�NE1346 �j SQ. FT. OCC. BUILDING VALUATION,/ OWNER'S J� N WOOc�taven Drive, Cohasset 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee S 20.00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 19E%odhaven Lane, Cohasset PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX7 Describe Work: woodbuinlnd stove (pellet stove) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) s0. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification A I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.80 Ex. Occu FIXED .OR p- ( OUTLETS (RESTRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Cl This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. X,I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 consequence of the granting of this permit. q X C=r-z--t Date IF 3 Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD I HD I IV This permit is hereby issued under the applicable provisions of the Bute Coun Code and/or Resolutions to do work indicated b fo which fees have been paid. !POR OF PUBLIC WORKS By Date ! 1 `/HITE-D.D.S.-9.D. PERMIT EXPIRES ON `7 — lDare! [Receipt No. �JJ// CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7^•.."r.r'^r'�y.+*�` `Z,e('{.�'O�v��''�S'..Ch1+'�r+'�!"`"`��-;�..�`��1"�-.,�"kr�`'rF:� *y.R_rf^�t.y.^ Yt�(K'cTCCfi+rr l COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALFt NlAk965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �iBa�( ry l �O ,may {'�� N r A. P. No. - Proposed Building Use C /f l'jo o"eSi 0 Building Inspector C- Date Z e"l, S 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: xs DATE RECEIVED BY 1. 2. 3, 4. 5. 6. 7. 8. 9. 10. 11.- 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 24. 25. 26. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. .......... ........................... . Plot plans, 3/4 sets, signed by preparer of plans . .............................. Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit ..... . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. ...... Driveway permit (construction approval required prior to occupancy). .. .. . . Preanapecfion reques Pre -inspection for required. - . to Building �nspedor (Date) Contractor's license information. (No., Name Style, Classification). .............. Certificate of Workmans Compensation Insurance. ......... Owner -Builder Verification (Given to owner , Mail to owner i............ / -z- Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . :.....................:................. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ) Acreage Applicant &00-01� !L`RO Date �� y 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: t Contractor, designer, owner, was advised of above required data by _ phonit Counter to -_3VContractor, 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 0- COUNTY OF BUTTE -.Department of Public Works ;�177 County Center Drive; 'Orbville, CA 95965 Phone: 0316-338_7341 o OWNER -BUILDER VERIFICATION �f v, CoA& Attention 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. Q 1. I personally plan to provide the major labor and materials for --construction of the proposed property improvement -(yes or no) e - 2. I (have/have not) h�(/�P_ - 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. city 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: t Property Owner Social Securit Number Date ��% �+^q ? NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed.and returned to our office before we are per- mitted to issue the permit. ��' S't+ 9E X j9f'A -�i . 'i , h '" " .+d ti'�� ♦ i,�+t.:i. n s ` 's.. a�="++� '% � "F r 'a ` , � � t 056-1-0-054 92-0365 } ,. SECHR I ST , MIKE CONTR: WHITE, GARY. I, 36 WOODHAVEN.DR,�COHASSET t WOODSTOVE/SF- i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 { APPLICATION AND PERMIT PERMIT NO. 2- JkSSESSOR PARCEL NUMBER 056-110-054 ZONING TM -',2 BUILDING PERMIT OWNER Mike Sechrist TELEPHONE ` ,' SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36 Woodhaven Dr., Chico 95926 CONTRACTOR'S NAME Gary White TELEPHONE 891-5444 ` CONTRACTOR'S MAILING ADDRESS 2643 MontereySt., Chic* 95926 Fireplace "A" 1;500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1 5(�,QQ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 36 Woodhaven Dr, t + Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 rr�[ USE OF STRUCTURE ' SF Duplex❑ Mobilehome❑ Other a 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 ❑ Utilities ❑ Installation[] Other [ Describe work: Listed "A" Stove Per B.P. 3161-=89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 i Main service 600V OR LESS _18.50 200A OR LESS Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW er penalty of perjury (check one): I decla�Iamlicensed under provisions of Chapt. 9, Div. 3 of the Business and Professi n J l license is in f force and effect. License No. J ( Classification EJI, as the owner, or my employges 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. ACC. BLOGS. I NEW CONSTR ULTI.OUTLET NO ESID BRANCH CRC., TS @ 5.00 ..RES POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO 976 5L CO 45 ESID IFIXED APPLNS KEA.) 3.00 Ex. OCCup. OUTLETS ((R 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. 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 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 compI �Q all County Ordinances and State Laws relating to buildin ,construction, ancgrhreby authorize representatives of the Countyot Butte to e�iter upon the abov m n ioned property for inspection purposes. I also agr.elto save, indefnn fy t keep harmless the County of Butte against all liabili s, judgments C SiS d expenses which may In any Way aCCfUe against s d County in cog uenc f the granting of this permit. .Q X Date G- ^ t % Z %Si nature a A licant - Owner g pp ❑ Contract 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 Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 45.00 HA2 , DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions ofrhe Butte County Code and/or resolutions to do 7 work indic�'d apoveXor which fees have been paid. / / �DIR CTOR OF PUBLIC WORKS By /�� ' % r-= - Date 1419z PE MIT EXPIRES Date 103833 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307' CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is ccm pleted. Hyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �i I� l(�(i t�S11tQ 0 0 `co' l (� Date 7 -c)9 --/ 3 Inspector -Lf—. REV low V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMITIii A PERMIT NO. ASSESSOR PARCEL NUMBER + 056-110-054 ZONING ,TM -2 BUILDING PERMIT OWNER Mike Sechrist TELEPHONE , S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36 Woodhaven Dr., Chico 95926 CONTRACTOR'S NAME Gary White TELEPHONE 891-5444 CONTRACTOR'S MAILING ADDRESS 2643 Monterey St., Chico 95926 Fireplace "A" 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $1,500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 5.00 PLUMBING PERMIT FilingFee 15.00 36 Woodhaven D Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 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 S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Listed "A" Stove Per B.P. 3161-89 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declar rider penalty of perjury (Check One): I am licensed -tinder provisions of Chapt. 9, Div. 3 of the Business and Professi�Wvr'llicense is in f, force and effect. License .JO. 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) El 1, as the owner, am exclusively contracting with licensed contract-Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.g) 3.6Qsq.ft. OR ADONS. ACC. SLOGS. / NEW CONSTR. ULTI.OUTLET @ 5 00 NO N•RES'D BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED Ex. Occup. OUTLETS PRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Ilyirin 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 FilingFee 15.00 Heating Cooling g 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 o all County Ordinances and State Laws relating to buildin construction, an h reby authorize representatives of the Countyot Butte toe er upon the abov m Toned property for inspection purposes. I also agr to save, Ind n fy keep harmless the County of Butte against all liabili s, judgments c sts, d expenses which may in any way accrue against s d ounty in cc se Lien of the granti g. of this permit. X Date ❑ Contrac Agent ❑ An OSHA permit is re , for excavations over 5' "deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 45-00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of thW y Code and/or resolutions to do work indir which fees have been paid. F PUBLIC WORKS By — ate PE MIT EXPIRES Date z / 3 Receipt No. 103833 WHITE-D.P.W.• YELLOW -ASSESSOR• PINK -INSPECTOR. GOL DEHROD.APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COLINTY•CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET v r''e .- 4 Permit No. OWNER ��/�� `p� i.S A. P. o. Proposed Building Use UUPSTL/ /T Building Inspector Date RIA At timeof r'mit 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. 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. Contractors 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. 27. When you issue the permit, process as follows: Mail to owner ail to contractor. Telephone and hold for piquat o fi Deliver w/inspector. Other Applica Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Ir Pollution Date Copy of plans sent11 Health Dept. Fire Dept. Oth r Date By it The fol•lowing�data prior to permit issuance: (Circle nRw,,. not hP d above 1. Index permit for above items No. 1fh' 1J1�. 2. Additional items required: - Contractor, designer, owner, was advised of above required data by_phone___jnail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Planscked by Copy'—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. "ASSESSOR PARC / NUMBER 2ON 7� • BUILDING PERMIT OWNER ' le -0 c G t( A� YELEPHO � S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING u_j OOR0SS L^/ f/A I/ H CONTRACTOR'S NAME TELEPHONETELEPHONE CONgCTQR�$ MA1 O ADDRESS L/!/_ �Y iJ Z Fireplace 1 / CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ p,Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A DRESS �o (, e — /1J K- Gf-� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ICJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S TG W 615-00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation [I._Oyt1tr ❑ Describe work:)/ fveeeeee Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AAORLESS 2OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.R 1 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.6) OR ADDNS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTRESIO, RANCH TLETCIRCUITS) ESID BRANCH CIRC ITS �1 5,00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 RAL_ 76d FIXED PR EX. Occup. OUTLETS IRESID )EA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. bVirin 9 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 Filing Fee 1 15.00 Heating Cooling g LHood 6.50 Ventilation 4 permit Fee $ Contractor f 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 in consequence of the granting of this permit. X Date Si nature of Applicant – Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesainehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ D HAz OFEES IMP FLOOD cDF PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT . "La►>, .. • — l' m—t ,J�.=y' Yrs,, ♦}o a v (" gyp' L:tiL+ a"� PERMIT NO. OWNER Mike Sechrst Y ' CONTR. owner t ASSESSOR PARCEL 56-11-54 LOCATION 2/10 mi.W.of Cohasset Rd. ,5/10 mi.N. ll((AiA-14A/.WA, a, of Cohasset School 4(-o AA. I, I � � 'i�-F reaeu.�.�• (?J1 ic7 kccs c h'r.,.� ei0, //3/'9L 16 (.tial! A, 4'C e- 1 jYf2, P� 0w,,v ev' Temp. Power Pole_ Called PG&E (-, Temp. Elea Serv! Called PG&E Temp. Gas Servi r Cal led PG& OFFICE COPY Address Gl Ltlm u� " GAS Date Meter By ELECTRIC Date Meter By OFFICE CORP/,Y — Address.36 Zeo" l aL�� GAS Meter By Date ELECTRIC Meter By M Date —7— JOB FINALED (Date) II i Signature v i A i /3 --9—z— .I O rte' J = OK 0 = Not OK = Not Applicable MORILEHOMES = Not Ready MISCELLANEOUS Date MOB'ILEHOME UTIL'ITIES'•(Plans)'OK except q's 1, Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'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/O 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 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date t a ;i Ilk FA 0 14 4 U o=N 1 = 161 Applicable L 1Jot Ready RESIDENTIAL ISingle and Duplex : { Date UNDER OR P ns OK except #'s Date FRAMING (Continued)" 1` y� (' oning requirements-Setb6cK Eas nts ne irewell $ Openings ' tg., WK. -S"-Eftwr@md.- ,/ / /" Ftg. Depth Ext.D -One 3'7Check Garage - 50. S s; Width -Headroom -Rise -R anding-Fire Protection 51 lywood on Roof Overhang t ent Raftei. uLLi,ggers temwalls, MirifiteeL-f31ee11euPs-16-31ab_0 Siding ailin Vgpg�[. Fdn ts-UndertV.�.eees5 P/erS- 54. Glazing Area -Glass Protection -Skylights -Plastic s 55. Shear Walls; Nailing -Bolts AmIlors i f ; 1 Water Pipe; s AngWs Wor r ce e 11. Electric; Underground 12—{+lenNm.& ct&;C� r "+atari I c n�ork-lns. 1 Gi rs– ' s–Anch olts–JUlai ent G"� Card -B Dat – Card -BI Date Card-B Date r Card -BI Date Card -BI ao Dat / Card -BI Date Card -BI Date Date Card -BI Date lans OK except H's Card -BI aLDaAll Jyj Card -BI Date Date PLU IN Per except q's + _xwteps-Door & Sidelight Protection -Landings . S oke Det for t-� L er Ht.; Vent -Access -Combustion r i , . Fur ; Ve ts-Clearance-Comb. Air -Connector - I ara , Above Floor -Ducts -Meeh. Protection 1 pe; Test & Anchors -Nail Protection PKV.; Test-Fttngs & Anchors -Nail Protection B Exiting 1-2,1 J7 hower Pan; Test, First Floor -Tub Access I Bath Fixtures & Tub Access r, 2nd Floor -Tub Access c. Trim & Subpanel; Breaker Sizes- s 1 & Anchors � Stair Rails F' a lace or Stove; Clearances -Hearth Al eW 7e4pf, ec. utlets at Wood Panel; nt & Ext. Card -BI Date - ,7 Card -BI rZP Date Fixt. & Appliance; Grnd.- Cookin Clearance Card -BI Date Card BI Date Elec. Outlets &Receptacles at Kit. Counter c Date ELECTR L Pe OK exce s ar ge Fire Door; Swing -Landing -Closer . Duct in Garage -Damper Wtr. H r.; Veale -Clearance -Comb. Air—Connector—P.R.V.— Above Floor -Meeh. Protection Transformer ure & Transformer C ranee -Ins. Protection Elec. R tacles cin -Lights & Doors 7 Ib., Elec. & Mech. Equip. Listed for Location 22. Siz es & No, of Conductors -Stapled ec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23 Installed Close to Edge of itu-0A C.J. 7 Insu ion -Foam -Looked in Attic ❑Y s ui . Ground made up w/ tener W ails & Deck Construction -Post Cps ; ppliance Circuits in Kitchen & Conductor Size Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes _ )- 2 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27.R nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, nsulate Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes IVNo; Walks ❑ Yes (�►No; Planters Dyes 4kNo Of Serve -Riser Conductors & Ground -Main Disconnect _ 29. Xuip. Clearances; Panels-Motors-Mech. Equip. s-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light . YgtLUt A_4GvB Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 W Well; Disconnect, Electrical, Plumbing -/2- 8 for Elec. Trim; G.F.I. Receptacle -Underground Card B -I [� Date z Card -BI Date k 2°'1 ?� &K til n throughout House pKss Protec ' h Card B -I to Date -t A Card -BI Date Date MECHA CAL (Permit) OK except q's . _ Corr 'tio from Previous Inspections 84.T t -Meters Ta ; Gas -Electric Z' 31. C. Ducts; Insulatio &Support Vent Fan; Exhausl4bove Insulation 3 33. ondensate Dr ' & Overflow; Size & Grade YV Q . Furnace- cess -Comb. Air -Return Air Vent -115V outlet ater & Sewe netted -C/O de HD ova . Energy compliance Certificate -Other Cer- icates 35. Attic Access & Platform if Furnace in Attic Card -BI Date `%2. Card -BI Date--l'sj� , Card -BI -Date �_�� Card -BI Date a' f Card -BI Date-7"'?ypyCard-BI Date Card -BI Date !Zr-BI Date Comments at Final: Card -13 + Date Card -BI Date Date FRAMI Plans OK ex ept N's 1 36. Its; Proper MLWfal & Ancho _ Waailing, & Bracing-Plates-SewRd r lls; N +� ✓6L.5 7r ,e, _ 38. Pdarin Walls over Girders & Floor N iling 17 39 Or Stop in Walls (rat proof) _ ire Sto s; Furred Ceilin s- ors -Chases _Head & Beam -Size H gers-Post Caps -A_ ors- aeetrJl CI -. Joist- r. oof r-irk1ee-$)y.4K reps a mor Typ ' lue-Fhzpt2UT-throat _ 45 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exdi+r�Doors at & _B_drm. 47. tection Framing (NOTE: An entry must be me�de each time you visit jobsite) COUNTY OF BUTT DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of wank is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont9ct this office immediately. C o it/ /� F C, 4 G' -Y /yyi a ; N -/'0' /� n/ ""r? "'V h'.' / . c `! �i� � �O /v» a f[ �l 41) "Il e )A, /0 o6�,'Cie a rZ Aa.w 030 fP:-A/"rA& I I:e_I {ry - c--./1- - - I Date 3112-1711, Inspector (�� ` C� /j REV 11/91 �"' - ' x .-�:- . r ' 'e✓'. _,w - ,.-..� �-�.-.+..--..:.��-.:fit.-c�i�-1�r:.-- -`� 5 COUNTY OF' BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address a d should be corrected. Please notify this office when correction of wort is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact..this office immediately. s� lir I've, ZZ D 1< I :-2e ryLr e F. Date 3-111' ,5 Z Inspector REV 11/91 -{:.1u.i�,w�.,..,:... �+,,.�-1c'�'nt,�,'"`Yfi' -• ,y....,; _. ./t.�_ �i'..r'.•ti'..�i��...ti-�:�+�,.-.i--�7J'(Z"'•Y�� to COUNTY OFTBUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, -CA.- (916) 891-2751 7 County .Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t F( A)"S�4 ', J:: I\ (A)e- C i tela y,1, rQ eL 91F (p o V i Cn nn,c o r 45 " r 1 Date Lq 1. 9 2. Inspector Ike) REV 11191 , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Se2YO 6 ` ?r OWNER PERMrr NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any Uestions pertaining to this matter, or need additional explanation, please contact this office immediately. O-� re s r iP r J r LJex -Ie r /I �' rs 'o {� J - Date 3- S' f Z Inspector REV 11/91 . e COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747.Elliott Road, Paradise, CA - (916) 872-6307 G• A u CORRECTION NOTICE OWNER PERMIT NO. GA routine inspection indicates that the following violations of Butte County Ordinances exist at �:• the above address and should be corrected. Please notify this office when correction of wort is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a 1'.1-4 R 'd Drey. ZOaler .51cogolt 74-0 �, Riv Q�'7f� Olr r F tiee i� `r~ Date Inspector- REV 11/9 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ec�,t-;":'+ 3161-4 OWNER PFRFAIIT NO - "routine, -inspection indicates that the following violations of Butte County Ordrrarrcese iictat thelabove address and should be corrected. Please notify this office when correction of work is calYIr ed. If you have any questions pertaining to this matter, or need addrtionalezIplana6am Please contact this office immediately. . q �/Vsu �a-iio ✓ ��F� rrV J V "tris,.,, (A a L j /I I V ' -C AA P" O 0 D.•t•i r � Dat Inspector /Q b REV 11/91 r... � .. .. �,. ,. � -t -_ •�; -.� ...-•r'�,�;., /' z . � . .. --_-' `-..,-moi - COUNTY OF BUTTE < DEPARTMENT OF PUBLIC WbRKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE S,ec_�t , s % 3141-gq OWNER PERfWT NO_ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you hAve any questions pertaining to this matter, or need additional explanation. please contact joiKoffice immediately. +A. //) r" v v, +A'P f--\ 'EkdL+ /We-,-- r / I< e� G ir�t oee, Date a 9 Q� Inspector_ REV 11/91 xr+Y.c�'s,�--wr,s-��s�✓'.rY.4rt.,+e; ,;�-, s � ..y.-, .._ . - „ , ... ,,:..;.s+r:N:+a`;, v=''- ..,,,. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS � x 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA -'(916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ` CORRECTION NOTICE 5,ee—kr'+ OWNER PERMIT N A routine i pection indicates that the following violations of Butte County Ordinances exist at the abov address and should be corrected. Please notify this office when correction of work is compl ted. If you have any questions pertaining to this matter, or need additionalexplanati=L please ontact this office immediately. /t 0kX" r-QCGt!!�SSe- J i r, (2 v y -s 4 (� Date 3 9 Inspector is If REV 11j91 5 fi' Ir COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4 ; 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE '5e --c 4 r-,,,::5 �- 316 / - &!! OWNER PERMIT NO_ A routine inspection indicates that the following violations of Butte County Ordinances eidst at the above address and should be corrected. Please notify this office when correction at wort is comple 'd. If you have any questions pertaining to this matter, or need additionalexplanation. please act this office immediately. /,, /' ��iaeeoi d n1 fey ¢ �c^(/ 1l 6a l P/` S ,-✓ `—j Date 1121 Inspector 1�� -55e tI15 _ REV 11/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS' ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 3/6/-g1? OWNER PERMIT NO. 11 ZA 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. ' 0A aC,t ✓t OT Q PPMDtRG( aS tf { NS 'l' ed ?G 7 ` PG -! �U &o s ,1A k , O •I Cl K G t3 4. O l,.(wp( Le' 'aD- 941 w► S t S v, Oat 1, cC ,{4 (<!�S n t,.6 G ! P rte o� ` - c-tL Colo-10(e4 S s+ - S-t , %.-s e-:; io C' c� .� �.� �/� �• cue lI ` • . O.V G P I �. Oma► w .f%'I2'G R'+" Date Inspector X COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —'Phone: 891-2751 !w. . 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. 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. • �f•CUI�F� 71 e t v n✓vDrS lv k4�^ over .- wrc�r/ scu S e►.��-s b a--r- csc,1 01 Ss u iz1 Kee Y CPS 2�/ or 9-iUrer j - r Q t c w�C ��wa/— W � 0 CAA SID n 4 d t 4 Inspector Date _., COUNTY OF BUTTE DEPARTMENT OF PUBLIC WONKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE SeC %1-k% OWNER PERMIT NO. 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 'f work is completed. If you have any question pertaining to this matter, or ne additional explanation, please contact this office immediately. r0 1 RK I' 1 c(c�a.oNcc 4b Cor.,b45 tti.u- esu -51 v e Inspector Date COUNTY 6F BUTTE DEPARTMENT 0F 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 n1AlnICD DCOKAIT Ain 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. P�lr%':'SIL+� NOVO ✓. iG � .�l � �� " 't t" E / 14 L —� � _'- J :�0'(�"'�t•C� �t/y�Ovc.r-�t.`T/—Y✓1... � ; � ll Y- � .� , i 4 ✓t' rte '"'CM'"</ ifni �,t �® i'.'%10 J� J'tj�vk1`r' JdN/ et✓£�,C7 / - /�S� Inspector W tl • Date `' 1 -! COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive, Orovi Ile — Phone: 534-454? Skyway and Elliott Road, Paradise — Phone: 872-2961, .Ext. 57 �l. CORRECTION NOTICE Ss a ee,S7- - 6U67" 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 Inspector Date- /S L COUNTY OF BUTTE n DEPARTMENT OF PUBLIC WOII KS 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 ss / CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A rout'ne inspection indicates that the following violations of County Ordinance exis at the above address and should be corrected. Please notify this office w n correction of work is completed. If you have any question pertaining to this tter, or need additional explanation, 'please contact this office immediately. /;;e£ S/,,% aP,�,j dV-/ /'o 7 <(-IAs D//.// -U " ,fGc15 tr. 4 7- .7 4r/f �-. o�✓ C/O/E..�✓��.n/ 411 (A �S Inspecto Date-�Sz COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 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. Dc17- %/dors .0,9/7' //�e� f Inspector Date TO: : TT Inter -Depart 0 al `Memorandum FROM: SUBJECT: - �v / `r� �� / s� ��G!k%`2= `'�` DATE: TRIPLICATE STATE, OF• CALIFORNIA Owner's Copy. WELL COMPLETION REPORT Page 1 Of 1 f RefA to InstructionsPamAlet Owner's Well No. No. 485825 Date Work Began 2/17/92 Ended 2/29/92 Local Permit Agency .Permit No. Permit Dale W t Un y _vy NUI P.ILL IN STATE WELLNO./STATION NO. ❑ ❑ LATITUDE LONGITUDE GEOLOGIC LOG WELL OWNER ORIENTATION VERTICAL _ HORIZONTAL _ ANGLE _ (SPECIFY) Name hT1.k8 LJtrC:ZIC'1Si DEPTH TO FIRST WATER 45 (Ft.) BELOW SURFACE Mailing Address Box 114E C:C h,1SslhL DEPTH FROM SURFACE DESCRIPTION lh1CQs CA 95920 . Ft. to Ft. Describe material, grain size, color, etc. CITY STATE ZIP WELL LOCATION Address36 Wocx h ven Ur., Cohasset City `But to County r APN Book= Page11 Parcel 0- Township Range Sction i . or. Latlhlde It i NORTH ,' LOngIIU(le WEST ama )' r DEG. MIN. SEC. DEG. MIN. , SEC. LOCATION SKETCH ACTIVITY (� ) s NORTH NEW WELL ' MODIFICATION/ REPAIR i! Deepen Other (Specify) w I { ::TOTAL DEP-TH701v.';.BO.RiNd-e-,.-,8<I .TOTAL DEPTH OF COMPLETED WELL (Feel) #AYEN y, F - t/1 W � W DESTROY (Describe Procedures end Malariala Under "GEOLOGIC LOG! -PLANNED USE(S)- (L ) MONITORING WATER SUPPLY Domestic Public Irrigation Industrial .. ..TEST WELL _ CATHODIC PROTEC- SOUTH TION Illustrate or Describe Distance of Well from Landmarks _OTHER (Specify) such as Roads, Buildings, Fences, Ricers, etc. PLEASE BE ACCURATE & COMPLETE. DRILLING .METHOD _ FLUID WAT' . EL h YIELD OF COMPLETED WELL DEPTH OF STATIC c/n WATER LEVEL (Ft.) 8 DATE MEASURED ESTIMATED (YIELD, (GPM) & TEST TYPE ; .%' :' '• ?_`• 'TEST: LENGTH" (Hrs.),TOTAL DRAWDOWN (Ft.) May not be represetuative of a wells long-term yield. DEPTH *FROM SURFACE BORE HOLE DIA CASING(S) TYPE -' — INTERNAL GAUGE z , s MGRADE / DIAMETER OR WALL Sm H c' , . (Inches) THICKNESS SLOT SIZE IF ANY ' ,(Inches)............. Ft. to Ft. 0 30 AX 6u 125,i 75 5H111.00 4"k�- AaIAi.urvsatvIa (_) Geologic Log Well Construction Diagram Geophysical Log(s) Soil/ Water Chemical Analyses Other DEPTH ANNULAR MATERIAL FROM SURFACE TYPE CE•BEN• FILTER PACK FT.;,.: to,�.. Ft. - MENT TONITE FILL (�) (�) (TYPE/SIZE) ULK'FIFI.CATION STATEMENT I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. NAME Gary Besser DRillina (PERSON. FIRM, OR CORPORATION) (TYPED OR PRINTED) ChiQG ADDRESS CITY Af 9 S q# 95j26 ATTACH ADDITIONAL INFORMATION. IF IT EXISTS. I Signed •' J : 17 ` 'r0. WEEE DRILLE UTHORII REPR ENTATIVE DArr acorn — , ru DWRIM11EV. T•f() IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM 1469 Humboldt Road Chico, CA 95928 BUTTE COUNTY DEPARTMENT OF HEALTH DIVISION OFiENVIRONMENTA1 HEALTH 7 County Center Drive 747 Elliott Road Chico, California Oroville, California Paradise, California 891-2727 538-7281 872-6308 WELL COMPLIANCE CERTIFICATE Public Water Supply Well ❑ Individual Well Destruction ❑ Owner_ / A -G .�Q GLS//i"/ �,� Parcel No. Ja &JODcl%ie mep �f % e'al / /Assessor's Location 53�7� City Driller's Report approved: ($ (New Wells) Report No, yo•S!�2— S_ Driller's Log received: ® ❑ Destruction Report Approved Disinfection Report received Satisfactory Final Inspection � � Date of Final Approval. %t�L (when required) Sanitarian Present for Sealing ❑ Yes IgNo The well as installed meets the minimum requirements of the Butte County Code, Chapter 23B q Sanitarian Date Owner Permit No. ENERGY CERTIFICATION r S4. w""", LOCATION A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RES. CEILING BATT OR BLANKET TYPE-FiberglasBRAND NAME CERTAINTEED THICKNESS THERMAL RES. LOOSE FILLTYPE NSUL-SAFE IIIBRAND NAME CE AINTEED THICKNESS / 2, 10 THERMAL RES. 'C-39 z FLOOR,ELEVATED MATERIAL FI ERGLASS BRAND NAME TAINTEED THICKNESSdI' THERMAL RES. -/ 11 FLOOR, SLAB MATERIAL THICKNESS WIDTH BRAND NAME THERMAL RES. FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. #622184 FIRM NAME/OWNYR� STATE CONTR. LICENSE NO. /- 14--17 — I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and matRrials are of the quality prescribed or are specifically approved by the State of Calif. ------------------------------T--- -----.------------------------ --- FIRM NAME/OWNER (PLEASE PRINT), STATE.CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/.OWNER DATE This certificate must be on file with the BUILDING DLPARTMENT prior to final inspection approval and'a copy shall be posted within the building. JANUARY 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT O. + 7 County Center.Drive-.Oroville, California 95965 - Telephone 916/534-4541 wf APPLICATION AND PERMIT ` ASSESSOR PARCEL NUMBER ZONING S6 — //— "moi rA4 Z " BUILDING PERMI OWNER/�//J _ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OER'S MAILING ADDRESS j o 1 COh wow 5' L Li ed CONTRACTOR'S NAME V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace �OoG_ oy CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS --- Permit Fee $ /49/. v� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q�Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $54 BUILDING ADDRESS, Gj Q` G dlfV ' PLUMBING PERMIT Filing Fee 10.00 Al /. D� a `O S� Each Trap 2.00 ad Repair drainage or vent piping 5.00 Water piping di LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF&J Duplex❑ Mobilehome❑ Other SPECIFY Building sewer _dG Lawn sprinkler system 5.00 G Qd 4 #. UJ. TYPE OF WORK NewFA 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 5.00 a Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. Etl;_-L G OCCUP.51 OR ADDNS. CDB GS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt.9, Div. 3 of the Bus iness50@aa and Professions Code and m license is in full force and effect. y License No. Classification 1, 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❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONS I.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BAL@11 FIXED APPLNS, OR Ex. Occup, UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 sd �r es. Permit Fee v Contractor MECHANICAL PER IT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate.of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 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 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, judg nts, sts nd enses which may in any way accrue-T�N against sat bun n c eq e e ranting of this permit. X Date Signature of Applicant — Owner Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 6' 4 OCCUR GROUP TY wo'f CONST. JPARC Poi �/ HD/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC e By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ;p�Z�_1?/ 2f Receipt No. j6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPE T R, GO ENROD-PPPL[CANT ^- � - ••---r_ v..---�..�w-..^d.�.,. irI..r �,e1�s'f�!SJ!' p'�I""�!r `VF.. �_ - ^'u".`Y -" � -- - "COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 9%%534-4541 op ER T APPLICATION DATA SHEET / Permit No. OWNER a,OKte G'Ylvt/ S A. P. No. < Proposed Building Use Permit Fee Based Upon: Complete Contract Pricey DPW Valuation 1 — O,Iain) Building Inspector �� C �� 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �,,/� 9. Letter of signature authorization. . . . . . j 424Q. Sanitation approval from 0 c`. Health Dept. ��ZO G/z 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 0 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 15: Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data • iz Pre -Inspection for— Required. Building Inspector Pre-Inspec. request to (Date) t 18. Other �Y When you issue the permit, process as follows: Mail to owner. Mail to contractor. - �� Telephone .TY - 6977 and hold for pickup at C'�' �, office. Deliver w/inspector. Other .i Appl ican� Date a Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by. Plans aDDroved by Other By Telephone Mail Other Date Copy—DPW Ib : Building Department From : Environmental. Health Ott' bjG.t: Sanitation. c1sarance Plan annroved for: Hold f i nal, for.- Final rsFinal. oleaTance O.K. for- r locat on / P, Sewage disposal !� dater sunolT wa ;,fir supply �.�. supply GLearan.ce for . bedroom mobil.: hong/. OthiDr c� Clearance for addition of COUNTY OF,BUTTE•- Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4:541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until.this verification is received. 1. I personally plan to provide the major labor and mat rials for construction of the.proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the propos d work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 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 S ign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue 'the permit. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, '& MISC. ONLY) Bld OWNER / // !1 �l P f� / A.P. . P .. A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN ,l! Complete parcel size and dimensions. Setbackg, sideyards, easements, etc. Other buildings or structures. - Grading, fills, drainage. k Permit #�7- # C. FLOOR PLAN Complete to scale plan with.dimensions. *' Required windows for light and ventilation (Sec. 1405). _:` Required windows for second exit (Sec. 1404). Allowable glazing for energy,requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling he (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). �8 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations'of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). YZ-." Fireplace location. ,13.e Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS k!KJ Foundation plan complete enough to construct building. JX)'Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR �I. CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). �.Rafter roper roof pitch for roof covering (Chapter 32). ties or bearing ridge beam. W.,,. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation walls and posts, etc. . Two (2) exits on three-story dwellings (Sec. 3302). required including supporting V'r�YV3 'g;w r� .J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �/— 7 County Center Drive-•Oroville, Californla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT, AQSESSOR PARCEL NUMBER 56-11-54 ZONING TM -2 BUILDING PERMIT OWNER Mike Spchrist TELEPHONE 345-7420 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36 Woodhaven Dr., Cohasset CONTRACTOR' S NAME TELEPHONE CONTRACTOR MAILING ADDRESS 2641 Monterey St, Chico ()5926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 36 Dr- COL22SPt Each Trap 5.00 -1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF R] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: Main Service (Per Correction Noticed 8/15/91) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 RE: B.P. # 2906-91 Main service 600A OR LESS 1 18.50 18.50 Main service 200A TO 1 OOOA) 37.50 CONTRACTORS LICENSE LAW I declare upkl6r penalty of perjury (Check One): 9__11'am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess ns C de d my license is in f II force and effect. License No. Z� 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.&� 3.6d sq.ft. OR ADDNS. 1 ACG. BLDGS. NEW CONSTR. ULTI.OUTLET NON RE BRANCH CIRC ITS 5.00 POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 761 Ex. OCCup. OUTLETS ((RES10 1REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6yirin g 1 '15.00 15.00 Permit Fee $48.50 — 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 Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. LTJ ' 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 1 15.00 Heating Cooling g 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 comp to all County Ordinances and State Laws relating to building construction, n ereby authorize representatives of the Countyot Butte to nter upon the ab v ntioned property for inspection purposes. I also ag a to save, ind ni y nd keep harmless the County of Butte against all liabili les, judgme s CO ts, and expenses which may In any way accrue against s d County in o se en a of the granting of thi permit. X ate Signature of Applicant owner❑ Contractor Agent ❑ An OSHA permit is re iced for excavations Over 5'0" deep and demolition orconstruct- ion of structures over 3 stories in height.By Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $48.50 HAZ DFEES IMP FLOOD CDF 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 Indic ab a which fees have been paid. Date /�� F PUBLIC WORKS PERMIT EXPIRES Date Q-2 p—Q Receipt No. 103143 WNITE-D.P.W., 7ELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTES DEPARTMENT OF PUBLI& WORKS - BUILDING DIVISION ,,7 COUNTY CENTER DRIVE,- OROVILLE, CALIFORNIA 95965- TELEPHONE: 91 6/538-75?� W.' PERMIT. APPLICATION DATA SHEET �r-�- Permit✓No r OWNER S A,Z S / A P. D' Proposed,.Building Use �-d-'� Building Inspector Date Z 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 ........ s 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. 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: ...... y=; 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. 27. , When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offi a Deliver w/inspector. Other Applicant _)C)(Vk4 4�Date x Copy of Haz-Mat form sent Health Dept. Fire Dept.--L--Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following dat prior to permit issuance: (Circle nn,Mer-e•h9rked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date r,4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PARCfcL NUMQE,R_ _ / l/C/ / ZONIN�/1I BUILDING PERMIT OWNER TELES ON SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS' c 144 (%/. CONTRACTOR'S NAM TELEPHONE al W -v y COt�R� O 'S MAILING ADDRESS � S pO�t)) /_�Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is ' Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 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 S I G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilitipelnstallation❑ Other[] Describe work: /� G 4e;, P" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Te G;' l.� ` Main service 200OR LESS 200AA OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW y perjury (check one): I declare under penalty of) ❑ 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.r1!) 3.64sq.ft. OR ADONS. l ACC. BLOGS. NEW CONSTR ULT' -OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. QCCup(OUTLETS OR FIXTURES 20 761 FIXED PR Ex. Occup. OUTLETS (RESID )EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 a 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. ❑ 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 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 Si nature of Applicant — owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ 1 0FEES I IMP FLOOO I CDF PA EL PD HDISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. LU WNITC-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County— Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: .872-6307 'CORRECTION NOTICE 2 16 OWNER, PERMIT NO ' 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. :. -i - p .,_lTjr•� .{ - - _ ..� � /' .til - - G. --f 1 kt y`'. Z+J `mV�'`��i�{` KS(.a �l1-f i"rn f• �l' �1�T iPrfC�Y✓ Ei/D/JJ 041i3� Rn HC�iGQ '.�: yi Nti F Q �Sf S r` Sf ry.� ior�Q Ll 61 Co fe4 Q 02 Le ' ? } 'n ° (_&A . 1'f y , �S� 4 �lG S /1 P iii.•�m�l _ 't:. �.. • �R.. Y. �. �. Tyr ` � �� •�tL Date ' Inspector !,r COl'+I.TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Co Zy Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT - PERMIT NO. ' ASSESSOR PARCEL NUMBER 56-11-54 ZONING 1 T'�i- BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Mike Sechrist 45-7420 OWNER'S MAILING ADDRESS 36 Woodhaven Dr., Cohasset ND RENEWAL OF COMPLETION CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 67.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty $ BUILDING ADDRESS Permit fee $ 77.25 PLUMBING PERMIT Filing Fee 10.00 36 Woodhaven Dr., Cohasset 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 Gas piping system 1 - 5 outlets 5.00 SF ® Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other EJ Permit Fee $ Describe work: 2nd Renew Completion 3161-89 Contractor Rpnpwal of Completion was 3333-90) ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. (DWELLING OCCUP.eI\ / 1l2(tSgft I declare under p nalty of perjury Qcheck one): _ OR ACDNS. ACG, BLDGS. NEW CONSTRULTI.OUTLET 2.50 ea ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•RESID BRANCH CIRC ITS POWER APPARATUS &) and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. License No. Classification, Ex. OCcup(OUTLETS OR FIXTURES 20050t SALO 30 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR 11 Ex. Occup. OUTLETS (RESID.) EA. ' 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for,tv reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and r Wally of perjury (che dna) - MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $,100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a CertificateEx of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed,revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $77.25 I also agree to save, inde ify and keep harmless the County of Butte against HAz. cuA PARK ail liabilities, dgm is ost , and nses which may in any way accrue SCHL FLo cOF PAR PD i HD. IssuE; against s d fu in se nce a granting of this permit. X Date 8 � This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is require for excavation wd-de ion or construct- IR, C R OF PUBLIC WORKS ion of structures over 3/stories in height. BY Date �o a Receipt No. / f r� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date 9/20/92 ., "' -• ---_".'.ryRr^`ti7.^'�.`"....+...ti...,K!•F+1i}��.•"�.YfY-.rT,—��. SS t�_��+s'tM',.Q15�,!'� 7"Yl'•i ..'r` . � i V . i,,,' �._.. 11 It CQUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-'PELEPHONE: 916/538-7541 N PERMIT APPLICRr�'N`�ATA,SHET OWNER Proposed Buildi ,Permit No. A.ao. 5C0 j uilding Inspector - Date -19_y/ At time of permit application, I was advised the followin6 data must be submitted prior to Wrmit 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 ....f..... — 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. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) t 17. Planning approval for (A) Use: (B) Parking:, 18. Improvements may be required. Contact Land Development Sectioh'DPW — 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector —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. —27. (Date) 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 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_mast-be_s.ub.m.i.tted 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---nail—counter by ..date Contractor, designer, owner, wasradvised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works .7 County Center Drive,.,Orov'ille, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541.' An "owner -builder" building permit has been applied for in your name and bearing your signature. ti 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) e S 2. I (have/have not) 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 City Phone Contractors License No. 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: Property Owner Social Security Num erg Date f1/9 /9/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Genter Drive - Oroville, California 95965 - Telephone: 916/538-7541 -APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 56-11-54 ZONING TM -2 BUILDING PERMIT OWNER Mike Sechrist TELEPHONE S0. FT. OCC. BUILbING VALUATION OWNER'S MAILING ADDRESS 36 Woodhaven Dr., Cohasset CONTRACTOR'SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee C34_150 6 P, 15— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ O 6 PLUMBING PERMIT Filing Fee 10.00 '1A WnndbniTPD 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[Z Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: i1V �� CIO im �L D/V _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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): ❑ 1 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-Mobile ontrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. ) 2/20sgft NEW CONSTR. ULTI.OUTLET NON-RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES SALO3C eAL90 FIXED APLNS. Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Home Facilities Mobileot- 15.00 Misc. H 9 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 Filing Fee 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. I also agree to save, indemnify and ke harmless the County of Butte against j gments, cost , an xpenses hich may in any way accrue all liabilities/(o� against s idyin nse ence f the ng of this per it. Date Signature of Applicant — Owner [IContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $77. occ CONST TYPE AL E TOTAL FEE $ ' HAZ CUA PARK PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i ated above for which fee T OF PUB I Z' A4 h JA Y MIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Date S914-90 R Receipt No. OW WHITE-D.P.W., YELL -A SESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER, RIVE-;©ROVILLE, CALIFORNIA 95965 -TELEPHONE: 9116/538-7541?. PERMIT APPLICATION DATA" SHEET OWNER MSC Proposed Building Use Permit No. W No. _ Ilding Inspect Date 7 At time of p it 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. 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. -27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office./inspector. Other %% � liver w / Copy of Haz-Mat form sent Health Dept. Fire Dept. AirPollution Date Copy of plans sent Health Dept. Fire Dept. Other Date- ate The The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: By- By (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works .7,County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention 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) e 2. I (have/) 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 City Phone Contractors License No. 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: Property Owner Social Secur'ty Num er Date NOTE: This Owner -Builder Verification is sent to you as required by*Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. V 1 COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT r 7V ASSESSOR PARCEL UMBE e %�- L' ZONING /% BUILDING PERMIT OWNER r, c, Sec c ase— T3E E`HjiN b SQ. FT. OCC. BUILDING VALUAT ON ,� G OW ER'S MAILING ADDRESS UOEgo J CONT&;TTOOR'S NAME 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ Y _ PLUMBING PERMIT Filing Fee 10.00 l� 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 I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other Describe work: L2,/- aD �� 0/0 lveed -0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Q,6 R"lpi p,K�G�..�� 8001 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl"are 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.6& New 21/2 ¢sgft CONSTR.(A MULTI -OUTLET ODUTLET NON•RESID BRANCH.CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50c BAL03o FIXED APLNS \\ Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 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. ❑ 1 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. al 1 shall not employ any person in any manner so as to become subject Ifs 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ments, costs, and expenses which may in any way accrue against s Cou in onse nc f the nting of this permi %� Date Signature of Applicant — Owner'® Contractor ❑ Agent An OSHA permit is required For ex ovations 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 $ yy-Si� E HAz CUA PARK SCHL I PAR I PD I HD Issue This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS p By 20e PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE -.Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 / OWNER -BUILDER VERIFICATION Attention 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 im rovement (yes or no) 2. I (have/ ate& ) 8 _.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 City Phone Contractors License No. 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: Property Owner Social Secur4 y Nu ber Date ,4 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville'CAli'fornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL�N `MB�� + ZONINGBUILDING PERMIT OWNER// IhN TEL PHONE SQ. FT. OCC. BUILDING VALUATION OWNE�SS AILIO ADDRESS d Cx-r CONTRACTOR'S NAME 0 W 'J ��- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ 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 USE OF STRUCTURE SF Y' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 9 y 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e . TYPE OF WORK New Addition❑ RemodelUtilities❑ Inst a lation❑ Other[' Describe work: `' ) 4 5(?,eo= =�°8�L _ rVA1V,9c-2 0A• Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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 OR ADDNS. CONST. ( DWACC. SLOGS. ELLING OCCUP.Ef , �2Osq ft NEW CONSTR. ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. ! ( Ex, Occup( OR FIXTURES 20®SOI< 9ALO90 FIXED APLNS. EX. OCCUp. OUTLETS PRESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 10.00 Heating Cooling g Hood 3,00 Ventilation p 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 kLpess t County of Butte against all liabilities, judgm ts, costs, a s i may in any way accrueHAZ said my con quenc oof this permit. %� 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 $ �J CUA PARK SCHL FLD PAR POagainst This permit is hereby issued under _ions of the Butte County. Code and/or work indicated above for which fees DIRECTBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS po Receipt No. �� WHITE-D.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER BUILDER VERIFICATION Attention 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) 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 City Phone Contractors License No. 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.: Property Owner Social Security Number Date /�K Zg-)A Q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health°and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ,J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 5 M T BUILDING PERMIT v SO. FT. I OCC. I BUILDING VALUATION TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Other Describe work: f & 03--Q iTt 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 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. 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, judg nts, sts, ex enses which may in any way accrue against said o�Z unty n co equen of gra of this permit. J X7;4Dates T RIB Signature of Applicant — Owner IN 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. Receipt No.��/-7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Permit Fee Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Feb $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /10 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 ,, `` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Other Describe work: f & 03--Q iTt 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 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. 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, judg nts, sts, ex enses which may in any way accrue against said o�Z unty n co equen of gra of this permit. J X7;4Dates T RIB Signature of Applicant — Owner IN 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. Receipt No.��/-7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Permit Fee $ Contractor APLNS30 Ex. Occup. OUTLETS P(RESID )REA.I ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.EI) OR AODNS. ACC. BLDGS. Y2QSgft NEW CONSTR. MULTI-OUTLET2,50 NON-RESID BRANCH CIRCUITS) ea / POWER APPARATUS 6 Ex. OCCUp(OUTLETS OR FIXTURES 5. ALOAoougFIXED APLNS30 Ex. Occup. OUTLETS P(RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP.1 CONST.TYPrl ISCHOOLIFLOODI PARCEL I P ND I ISSUE This permit is hereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do workindi ted above for which fees have been paid. DI EC R OF PUBLIC WORKS By Date PE MIT EXPIRES Date A Z�Sr q COUNTY OF BUTTE - Department of Public Works „ 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention 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) '1 e_S 2. I (have/have not) 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 City Phone Contractors License No. 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: Property Owner Social Security Number &, Date ,, sebw� df} NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. I/ L COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Id S ZONING BUILDING PERMIT OWNERTELEPHONE 54 SQ. FT. OCC. BUILDING VALUATION OWN 'S MAILING ADDRESS ON R C R' NAME ECEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit fee $ Lt PLUMBING PERMIT Filing Fee 10.00 ` Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home- S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e1001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ACD'L 100 AMP 2.50 ONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.6I\ '/20sgft I declare under pen t of perjury (check one): OR ACDNS. ACC, SLOGS. / NEW CONSTR. MULTI .OUTLET 2,50 ea El am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 0 50C ALoso License No. Classification BAL030 FIXED . OR Ex. Occup. OUTLETS TS (R(RESESID,) EA. 2.00 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 Temporary service 10.00 for sale. (Sec. 7044) • Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unde enalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 The permit is for $100.00 (valuation) or less. Heating 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. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 1 certify tliiPXhave read this application and state that the above information Mobile Home Installation Fee $ is correct. I agreb;to comply to all Couhty Ordinances and State Laws relating Energy Inspection Fee $ to buHding, construction jand hereby authorize representatives of the County of Butte"to',ent-or `upon tlie'above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ -,� 4. - a also agree to savg, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPEJ FLOOD PARCEL OrD NO ISSUE all liabilities, judgment's; costs and expenses which may in any way accrue I 1 I against said Cant n co q ce of a granting of this permit. X This permit is hereby issued under the applicable provi- Date,,%u� sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent ❑ workin ' d above for which f s have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIp R OF P WORKS ion of structures over 3 stories in height. Receipt No. B Date " WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date _ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention 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) T,Agoc, 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 City Phone Contractors License No. 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 Sign Social Security Number Date �i j T_�Q> NOTE: This Owner -Builder Verification is sent to you as required by,Se tions,~19831 and 19832 of the California Health and Safety Code, This verification must be completed and returned to our office.before we are per- mitted to issue the permit. JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. .7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 7 .— APPLICATION AND PERMIT ASSESSOR PARCEL NU ER ZONING BUILDING PERMIT p TELEPHONE i SQ. FT. OCC. BUILDING VALUATION S AILING ADDRESS FC'DNTTMCTOR'S NAME L P NE ONTRAC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee r $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ MCI ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 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. UBDIVISION NAIAEr ARCEL MAP Water piping 5.00 Each gas 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 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ &eA24 It --1^7-JR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 d Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ONTRACTORS LICENSE LAW I declare under pe of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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 SOIe 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.Ik\ , OR ADDNS. ACC. BLDGS. / /2OsgIt NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS (POWER APPARATUS tr (SINGLE OUTLET CIR. . 20050t Ex. Occup(OUTLE.TS OR FIXTURES ALO SAL930 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare and a alty 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. 9qj I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 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, jud ents, osts a d enses h may in any way accrue against sa' Zouin c sequ a gr of this permit. L/� X Date v SI arure of Applicant — caner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! �FL00DJPARCFLJFPWN 59UE This permit is hereby issued under signs of the Butte County Code and/or work indicated above for which DIRE=OFLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — " 6 so� :over Receipt No. l) l WHIT!-D.P.W., YELLOW-ASSL330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 4 COUNTY OF•BUTTE - Department of Public Works 7 County Center Drive, Orovill.e, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention 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) S 2. I (have/have not) U 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 City Phone Contractors License No. 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: Property Owner Amz Social -Security Number ! Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL N MBER ZONING BUILDING PERMIT ow R TELEPHONE OWNER'S -MAILING ADDRESS 360C 114 C N A R S N ME TELEPHONE SQ. FT. OCC. BUILDING VALUATI CONTRA'CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee -14 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee .Z— $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Coll BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other)Q Describe work: — ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800v OR LESS 100 AMP OR LESS 10.00 3rrMain service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 21hQsgff IMIK"ONTRACTORS LICENSE LAW I declare under penaillty 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 CONSTR. U TI.OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. Occu / 20e50e P\o OR FIXTURES SALO 30 FIXED A FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare unde enalty 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. Imo' 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 Countyot Butte to enter upon the above-mentioned property for ios'pection purposes. I also agree to save, indemnify and keep harmle ssthe County,(of.:'Butte against all liabilitie jud nts, osts, exp seslw'hi h may-,Jn�eny way accrue against sa' Coun in c sequen of t granti f'this.permit. Ae-0 •Ju,U d'.f� Signature of Applicant — Owner 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 $ TOTAL PERMIT FEE $ o, OCCUP, GROUP TYPE OF CONST. PARCEL PD ND ISSuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTOR OF P BL By. PERMIT E VIRES Dat the applicable provi- resolutions to do fees have been paid. WORKS - to &AX Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone:. 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. • Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 ave not) signed an application for a building pe for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 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 i S igned : / Property Owner Social Security nudbtr Date A; _ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P RCE NUMB �� ZONING BUILDING PERMdT it OWNER TELEPHONE S0. FT. OCC. BUILDING VALUAIVN OWNER'S MAILING ADDRESS a ONTRA�C/TO }'�S--NAM CONTRACTOR'S-Q- W U TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 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 $ a BUILDING ADDRESS/' �` �� PLUMBING PERMIT Filin 9 Fee 10.00 r Each Trap 2.00 Solar Water Heater 20.00 LLd_Je Water piping 5.00 T NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF IK, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I10.00 e TYPE OF WORK New Addition"❑ RFr Utilities Installation❑ Other❑ Describe work: �IJ� ltJ�(,t�A'1- 6P4* Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID R. BRANCH CIRCTITS 2.50 ea NEW CONSTR.( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex200506 . OccupOR FIXTURES BAL®30 FIXED APPLNS. OR 1 ED A Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 Filing Fee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to sav indemnify and keep harmless the County of Butte against all liabilities, ju ents osts, d e penses which may in any way accrue against s 'd Co yin seque e o e gran ' of this permit. 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 $ TOTAL PERMIT FEE $ ,Da OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIRECTOR OF PUBLIC B PERMIT E IBES Date IR the applicable provi- resolutions to do fees have been paid. WORKS 6 �, Date�Q`C// Receipt No. T �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT if COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone:,. 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) k ayt, 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. City Phone Contractors License No. 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 : Property Owner Social Security number - Date /B NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS t. t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM9 '51,,, , S ZO IN �Z BUILDING PERMIT OWNER Wit 14- TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OW 'S MAILING A RESS a� I� CONTRACTOR" NAME OLEIPHCINE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Flling Fee $ 10.00 LENDER' MAILING ADDRESS Permit Fee y _ $ ARCHITECTOR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Filin Fee 10.00 PLUMBING PERMIT9 Jw� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISIO NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Descri ork: 3-7_g I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov OR LESS 10.00 100 AMP OR LESS v " Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& t OR ADDNS. ACC. BLDGS. 2hQsq ft ONTRACTORS 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 m license is in full force and effect. Y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 ULTI.OUTLET 2,50 ea R ESI D.BRANCH CIRCUITS _NON. NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. 20@sot Ex. Occup(o XTS OR FIXTURES SAL030C FIXEEDD APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare underoenalty 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. rV I shall not employ any person in'any manner so as to become subject IP' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, dgm nts, costs, d e penses w ich may in any way accrue Inst sai my co equ e o e gran ' of this permit. Aft Ft� 3 Date O ignature of Applicant — Owner XContractor ❑ 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 $ SD TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRE OR OF PUBLIC WORKS ''''�� 2�BY Date��Xry�2 PERMIT EXPIRE �_(7 ] Receipt No. /"o �7� — WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,CQtUNTY, OF BUTTE - DEPARTMENT.OF PUBLIC WORKS -BUILDING DIVISION } %' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 �`rt t PERMIT APPLICATION DATA SHEET""h Permit No. OWNER A. P. No. S"l — // 3 y Proposed B.uJ4d•ing_U.se _ /�74/0 > 77— Permit Permit Fee Based Upon: Complete Contract Price L/DPW Valuation ther-(Expl/aiinn) Building Inspector IZ4/�'/ Date Ja % At time of permit application, I was advised the-olowing data must be submitted prior to permit processing and/or issuance: T DATE RECEIVED APPROVED f 1. All items have been submitted. . . . . . . . 2. Plot plans in duplicate/triplicate . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. .. 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. _Contractor's License Information (no., name style,classif.) '4. Owner -Builder Verification (Given to owner[D,-Mail to owner ❑.),7 /7,— ! 15. Improvements may be required. . ... . . . . . . . . 16. Mobilehome Installation Data. . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Dote) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pickup at office. Deliver w/inspector. Other S 5 W A A „ Applicants ��.ZDat Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: F Phone`: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelopg provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) e S 2. I (have/have not) 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 \� 4. City Contractors License No. 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 X 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: Property Owner Social Security num er Date 7 -/a2 -8Z a NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. -- , 1, I � -1, _--,,,I- �i'll,' � Ill, , - I , , � - , ,�, -I �", --. I , , ,l, Y I . "! -,'I%iii, 1, ': . 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