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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
4 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
060-100-008
ZONING
U
BUILDING PERMIT
OWNER
CHRISTOPHER GEYER 408
TELEPHO E
62 -9031
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P0 MX 2597, CARM. 93921
CONTRACTOR'S NAME
OMER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
—Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 7453 HUMBOLDT RD, BUTTE MEA=4S
PERMIT FEE $
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:p Duplex 0 Mobilehome El Other SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition El Remodel Q Utilities I Installation 1:1 Other Q
DescribeWork: REWCATE MAIN SERVICE TOFROW OF HOUSE
PERMIT FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 101V OR LESS
200A OR LESS 1
2
23-00 23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCC Up'
OR ADONS. & ACC. BLOS.
3.5, so. -
NEW CONST, MULTI JTLET
.NON RESID. RANCH'OC�RrUITS
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
CI 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
Q -r -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)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
El I am exempt under Sec. Business and Professions Code
forthis reason
( POWER.APPARATUS
&SINGL OUTLET CIR
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
AL. @ .50
Ex. Occup. ( OFIXED APPLNS. OR
UTLETS (RESID.) EA. 1
5.00 5.00
—Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE iNSPECTION
)q.nn
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
El This permit is for $100.00 (valuation) or less.
Q 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.
&Hshall 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 $
71.00
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 cdnsequence of the -granting of this permit.
X�/ i L_ _ \ r '> _ _L�� I ' '- Date
Si,gnature of Applicant Owner 70 Contractor 13 Agent f
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
CON T. TYPE
TOTAL FEE $ 71.00
—
HAZ.
1 0. FEES
IMP
I FLOOD
779
PO
HO
I IVE,
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
ndicated above for which fees have been paid.
y 4fl Date
PERMIT EXPIRES ON (Do te)
ReceiptNo. 156769
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICAN�
FAA
COUNTY OF BUTTE - DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
A-PPLIeATION AND PERMIT 9�(-09&:q
IF A /
A P LIZ
SIM M— 8
ZONING
U
BUILDING PERMIT
MRISTOPHER GEYER 408
ITL�PH.NE
624-9031
SQ. FT. OCC. BUILDING VAAW(ON
OW;E�S MAILING ADDRESS
BOX 2597, CARMET, 93921
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
CENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 7453 HUMBOLDT RD, BUTTE MEADOWS
PERMIT FEE $
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
SFJ) Duplex 0 Mobilehome 0 Other
FY
Gas piping system 1 5 outlets
15.00
Building sewer
15.0
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition 0. Remodel Q Utilities X) Installation Q Other 1:1
DescribeWork: RELOCATE MAIN SERVICE TOFRONT OF HOUSE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 1OV OR LESS
200A OR LESS
23.00 2-1_no
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. & ACC.BLDSU
so.
3.5� FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q 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.
Lic nse No. Classification
, 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)
Q 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
for this reason
NEW.CONST. MULTI -OUTLET S
NON RESID. BRANCH CIRCU IT
@7.50
POWER APPARAT S
( & SINGLE OUTLET CUIR
Ex. Occup. OUTLET OR FIXTURES
20 LED 1.
BAL. @ .0500
Ex. Occup. OFIXED APPLNS. OR
-UTLETS (RESID.) EA.
5.001 9 -nn
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPECTION
:2 2-.-QQ
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
0 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.
Qlrs—hall 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 certifythat I have read this application and state thatthe 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
entei upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilitie�, judgments, costs, and expenses which may in any way accrue against said
C�� c f th
,Cuence o rraming of this permit.
_ C� _Date SO k
A� �natof Applic lwner TO Contractor Q Agent 1
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
I
TOTAL FEII 71.00
I
HAZ.
I D. FEES
I IMP
I FLO��RCEL
PD
HD
I I VIW
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By X4'IV J
1
I PERMIT EXPIRES ON
provisions
to do work
paid.
Date �14iiq�'V
1 1
ReceiptNo. 156769
WHITE -D . D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Im
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
11 10 .
7 COUNTY CENTER DRIVE -"OkIbIVIELE, CALIFORNIA 959-65 -TELEPHONE (916) 538-7541
PERMIT APP'LICATION DATA SHEET
OWNER �Ywrz!�IW,4" No. 6(0o__1oQ_,0r>,q
6- e Building'I Date ( C . r_,
Proposed Build"ingr s nspector�w* !(-Z A41�7
At time of permit application, I was advised the following data must be submitted prior to permit processing andfor issuance:
DATE RECEIVED By
1 All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans .......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .........................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehoriie data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .................... I ......................
11. Impact fees as shown on attached schedule . ................ 4* , * * * * , * , * * * * *_
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval . Health Department . ............
15. City of Chico plumbing permit . ............. .......
Ian and business license approval from City of Biggs/Gridley . .............
16. Plot
17.- Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A)Improvements (B)Drainage ............
Atay permit (co tructio a proval re uir9b prior to occupancy).
19. Drive Ire4nspe . cfion reque
20. Pre -inspection forK vils / 4/�,Zti6(,��required. to Building Inspector
21. Contractor's license inform/ation. (No., Nap4e Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance .....
....................................
29. Documentation of legal access . ........................ ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel ' meets zoning area and frontage requirements ................
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to con
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant.UL_�_ Cazi� Date
Copy of Haz-Mat form sent Health Dept. - Fire Dept. _
Copy of plans sent Health Dept. _ Fire Dept. Other
Air Pollution Date
Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
By
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OV BUTTE
Department of Development Services
.Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
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) Yee
2. I (have/have not)
k.Gn/IC_
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 Contractor's License No.
4. 1 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 Contractor's 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:
Propf
Socia
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 permitted to issue the
permit.
PRE-INSPEMON
ATE Ir
OWNER: D E
LOCATION: A.P.
CONTRACTOR:- ZONING
- - --------------
PRE-INSPECTION FOR: "X,4L, &,:A& ci�- ARAL!�d_`� 4PL)
DATE TO INSPECTOR
PERMIT HISTORY: F-1 AS FOLLOWS.
TYPE OF OCCUPANCY 1116
FIELD INFORMATION
BUILDING USAGE:
TENNANT:
[::] OCCUPIED = HAS ELECTRIC
= HEATED -COOLED
OTHER COMMENTS:
HAS GAS F7 HAS SANITATION FACILITIES
= PERSON CONTACIM,
ACTION_REMMMENDED:
HOLD FOR
OTHER:
BY lKli k�j DATE �j - / Z_4�_ 5
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