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062-200-002
I _ 62-20-02 apQ GLEN COOPER S/S C.C.C. Rd 2200' W Sugar Pine Tavern Berry Creek Contr:• G,B, & E. Const, BC Permit#2380-85P,E(util, MH) ELEC �, 3 GAS UPPORT 'STRUCTURE" REO 8 "- COMPACTION TEST REQ / * _ ' o I i l I _ 62-20-02 apQ GLEN COOPER S/S C.C.C. Rd 2200' W Sugar Pine Tavern Berry Creek Contr:• G,B, & E. Const, BC Permit#2380-85P,E(util, MH) ELEC �, 3 GAS UPPORT 'STRUCTURE" REO 8 "- COMPACTION TEST REQ / * _ ' o I J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,'Cali��ia 95965 - Telephone 916/534-4541 Q _ APPLICATION AND PERMIT U X a Q AS SS R PA EL NUM ERZON G BUILDING PERMIT O E TELEPHONE SQ. FT. OCC. BUILDING VALUA ION O'WNER'S MAILING A DR SS a to /4 o - - C 0 ACT 'SN c I TELEPHONE CONTRACTOR'S MAILING ADD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ }-'- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DCD,RESS C,e 5 � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ( r Water piping 5.00 LOT NO. SUBDIVISION NAME I ARCEL MAP K 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 &I 110-00e4_3n.00 TYPE OF WORK New El Addition ❑ Remodel❑ Utilities,( Installation❑ 0th r❑ Describe work: khf LIE— S=W'2°�— —.6119E ty9p AV OIL_ b'Y �12� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service &OOV OR LESS 100 AMP OR LESS 10.00 10) Q rl Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2I/20sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 21-1—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. 24 It' C494 Classification _ a lb ❑ 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 CONSTIR TI.OUT LET NO N.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR. Ex. Occu P�o OR FIXTURES 20®s0C 9AL®30 FIXED FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S, 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. 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 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 save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou se en � t rani of this permit. X ate Lj� Signatur o Applicant Ov,r ❑ 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 $ 42 OCCUP. GROUP TYPE OF CONST. PARC L 1 -- I PD r HD 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PURL o BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D e �' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE •- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET • Permit No. \,y OWNER 00 `. 0 A. P. No. Proposed Building Use \,\ Permit Fee Based Upon: Complete Contract Price PW Valuation Other (Explain) Building Inspector \ 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 11 items have been submitted. . �� bOC� AF i'y�/i�' lot plans in duplicatetriplicate. '�` r d• 3. Complete plans in duplicateJtrplicate. .,l . . . . . h.4 . 4. Complete engineered plans and calcs. �. . ;,! . 5. Plans with'Energy besign Compl na ce Statement.. . 6. State Energy Forms N.P. 7 Statement of Intent -#for Non -Heated and AC Buildings. Fees of $ f .� . . . . . . . '9. Letter of sig ature..author�ization.a��a�f� I r r� Sanitation approval from Health Dept. . . ✓r s 11. Planning.approvaF-Jor..(A) Use: (B) Parking: - `71- 12. Certificate of Workmen's Compensation Insurance. 1,3.. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner®<Mail to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . • 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspe for (Date) Recorded copy of Agricultural Acknowledgment Statement. 19. Other W e you issue the permit, proces as follows: Mail to owner. Mail to contractor,* Telephone -' and hold for.pickup at C© office. Deliver w./inspector. Other �- Applicantffl0 __ _ ��('a� Date 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 a me o p lica i circle 'tem.) 1. Inde perm t�Jor above Items No. 2./� Add itional'itemsrequire'I�-"l_ �(j) 71 ()t .tA tr .I n i r r U ( V$ r" (Contractor, Designer, Owner) was advised of above required data by Telep one MailOther, 4 By Date • Plans checked by \� Date Plans approved by CAM--Dat"d Other: Copy—DPW r •,� o N To: Building Department From:-,ibvironmental Health Subject: Sanitation Clearanc14 14e Owner Location AP/I Plan Approved for: Sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearancei r _ bedroom mobile home. Other 7anitarian .W, .tea COUNTY OF BUTTE - Department of Public Work 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. r 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) 00- 2. I (have /hese—rpt)&VC signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construc on:, Name A 4 F l .� lJ��ieu Address City Phone - / Contractors License No. Vr (a (xj 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 ame-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 -"& Date NOTE: This Owgelr'�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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �•Ul fE CWiTY.CALIFORKIA AT THE REQUEST OF FOR RESIDENT DEVELOPMENTMciyny� /' n Section 26-8.1 of the Butte County Code requires this acknowledgement 1985 SEP 17 1 11: K�-�' *be'recorded prior to issuance of a building permit. 19$� SEP 17 ��i ��� �� The property described herein is adjacent to land or included ELEAfdOR I.I. 6LCI(ER within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER F property may be subject to inconveniences or discomfort arising from 85-28131 the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described -as follows: The Northeast quarter of the Northwest quarter; and the -Northwest quarter of the Northeast quarter of Section 341 Township 21 North, Range 5 East, M. D. B. & M. EXCEPTING THEREFROM the following described parcel of land: BEGINNING at the Northeast corner of the Northwest quarter of the Northeast -quarter of said Section 34; thence West along the Northerly of said Section,34, a distance of 450 feet; thence South and Aar�allel to the.Easte�rly line of said Section 34, a distance of 300 f`ee_£tc a point; thence Easterly and parallel with the Northerly 1i{heof said Section 34, a distance of 450 feet to a point on the ¢'= Easterly'1°ne-of the Northwest quarter of the Northeast quarter of said Section 34; thence North along the Easterly line of the North - 'west quarter of the Northeast quarter of said Section 34, a distance of 300 feet to the point of beginning. ALSO EXCEPTING THEREFROM a right of way to the Swayne Lumber Company. Date: -70 ; 1 PROPERTY OWNERS: Ani ( ) On this the y day of .i O �_ L; 19 1 , before State of ( ck c °,..yviI _�_ / SS. me, the undersigned Notary Pub ic, personally appeared County of /. tl (;4 ) - -- SS OFFICIAL SEAL �� ,L/ Personally known to me. � Proved to me on the basis NOTARY M" WELfFORf111 of satisfactory evidence. to be the person(s) whose names) (� subscribed to MAMEDA CW Comm. u0esMay 26.1969 the within instrument and acknowledged that f_/t executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and officill seal. Notary Public Present A.P. No. ,;!� oZ.f) rii TOTAL EARTH PRESSURE - Fw (KIP): MOMENT - Mw (FT -KIP): AREA REINF. (IN^2) 'di(IN) SIZE & SPA (IN) -------------- __________________________________ 0.083 3.75 #4 @ 28.7 MIN. VERTICAL REINF. - .15 % (IN^2): MIN. HORIZONTAL REINF. - .25 % (IN^2)- ' DESIGNREINF. - VERTICAL: #4 @ 24 - HORIZONTAL: #4 @ 131 DOMBINED STRESSES @ WALL: ' ` 0.34 0.46 0.108 0.180 0.24 < 1.0 �. N 0 AP # OWNER Co fe> Cov ac- PERMIT O MH UTIL.CLEARANCE DATE fry INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . service Other Pipe YESI NO YES NO ;ize Load Type Size Length -,�,..,.�.-�..r-..---- - -- - _ � •,..�I. .. .. r`