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Home My WebLink About062-730-001.—n -jv 0 �RRYS(RANGE 694 . / \ NIS Bald Rock Rd, 1 mi E of Suga: Pine Store, Berry Creek •� Permit#1705-80B,P,E(relocate wtr htr & butane tank, replace sink, & window) grange hall 7Per`mit #782-81B,P.(enclose covered porch, ,add urinal in mens room, add partitions in toilet & relocate doors/Gran a jaal� P�m rt##2907-81E (ele/782-81) grang( 62-23-08 Permi t#2#67-83P(inst 1 gas DiDing/ grange hall) Utfft 6 �-- 92-1206 B BERRY CREEK GRANGE 1477 Bald Rock Rd'Berry contr: Prater Const Creek addition/hall L_ 062 L39-668 93-0060B, E, ` BERRY CREEK GRANGE�'r! 1477 Bald Rock Rd, Berry Creek (comm strg/elec, shtrock,insulate) BERRY CREEK GRANGE PERMIT#95-1524 1477 Bald Rock Rd., Berry Creek p� Partial Reroof/Grange BERRY CREEK GRANGE PENT#96-2302 1477 Bald Rock Rd.,-, Berry Creek Gas Line & Wall Furnace/range 062-730-001 BERRY CREEK GRANGE 0-0586 1477 Bald Rock Rd, Berry Creek Cntr: Christiansen Roofing Partial ReroofF//Jf�L �,Zy�OD 062-730-001 01-2850 BERRY CREEK GRANGE -4 ' �� 1477 BALD ROCK, BERRY CONT: ELKINS HVAC , REPLACE GAS FURNACE B06-2842. 062-730-001 MISCELLANEOUS- HVAC Cbaiibe Out NEW GAS HVAC SYSTEM 1477 BALD ROCK RD BERRY CREEK GRANGE INC SI , C.01 I/ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1477 BALD ROCK RD Owner: Permit No: B06-2842 APN: 062-730-001 BERRY CREEK GRANGE INC S Issued Date: 12/15/2006 By KEJ Permit type: MISCELLANEOUS P O BOX 356 Subtype: HVAC Change Out BERRY CREEK, CA 95916 Expiration Date: 12/15/2007 Description: NEW GAS HVAC SYSTEM (530) 589-4942 Occupancy: Zoning: U Contractor Applicant: Square Footage: BERRY CREEK GRANGE IN( Building Garage RemdUAddn P O BOX 356 BERRY CREEK, CA 95916 Other Porch/Patio Total (530)589-4942 FEE INFORMATION Gas System (enter Outlets 1) $55.00 Permit Issuance $54.90 Travel and Documentation $82.35 Total Charged: $192.25 Fees Paid: $192.25 Balance Due: $0.00 Receipt No: B1209 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/15/2006 penalty [$500]; Please check one of the following: Contractors Signature Date 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 F OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number. Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' XA, 12/15/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O errs Signature Date X 12/15/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SigUre Date WA ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the props owner or am authoriz to � /ct on the property efs behalf. S 12/15/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for , Name o mi [SI Pint Date the performance of the work for which this permit is issued. (3097 civ. code) xfOwnerl' E Contractor OR: OA�ntfOrwner Agent for Contractor JJJ��"'�� FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER OWNER INFORMATION Liat Name C2 rirst Na ee 69 Mailing Address P D - Sex 56 Citwa/ul e 2Elew Stated Zipysg 1,6 Phone Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name City State Address Phone City Fax State Zip Phone Planner Fax E mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail State License Number - - APP CANT INFORMATION Name S= ra LS (N & i:--- 2 Address 3`c, S 2ALD pe.k_ te,n SRA Yes State Occ. q��ae, PJ Jf7 Fax E-mail AP (CANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. CSP • �ks4a BIN # PROJECT LOCATION AP# 36- oo/— 00 6 Property Address /47 7 RaJaa rev e4t lee a4 City eaL Ci e Cross Street �2 U eke /2 t _ ,-%2 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descri tion or Scope of Work: L,4--- - iving Garage Open(j Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one ,year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Receive) by: Amount: �� Bldg I Receipt #: SRA Sheriff SMIN Date: I �' l� �� Other �( Notal Butta County Department of Development Services TiM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. D1. J I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY � I IMPROVEMENT((YE OR NO) 2.(HAV VTRE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HA E CONACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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 Description: NEW GAS HVAC SYSTEM Reference Number: B06-2842 Applicant Name: BERRY CRE E GRANG INC SL Signature of Property Owner.- f Date: I 062-730-001 01-2850 BERRY CREEK GRANGE 1477 BALD ROCK, BERRY CREE CONT: ELKINS HVAC REPLACE GAS FURNACE U19 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT e) ' ` 6.rk-i ASSESSOR PARr� ZONING BUILDING PERMIT OWNEf0.WkG) t F� G�� GRANGE �ELEPHONE, --Zb95 SO. FT. OCC. BUILDING VALUATION OWNET4 / :i14/./S R= RD.9 Bmy am. CA 95917 CONTRACTOR'S NAME EL HF = & AM TELEPHONE 58,- -1711 CONTRACTORS MAILING ADDRESS n^ '! CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILD11 ((��D So � RD B CRUK Energy Plan Checking Fee $ 5 PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Describe Work: ilXACM CIS CE Gas piping system 1 - 5 outlets 15-0015.00 Building sewer 15.00 Mobile Home I S I G W 920.00 W. PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo.OR mss 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 full force and effect. %Z � License Class LIC. NO. OWNER -BUILDER DECLARATION I 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. ❑ I, 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.) ® I certify 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r�)) X �A4_ rs.�• Date ��; �, Sidnatu of Applicant - IN Owner ❑ Contractor ❑ Agent An � A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heights Mein Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. 3.59 �. OR ADONS. ( & ACC. SMS. == .T. ' MULT.1 0 TLET 97.50 a SP ttJ� o�mTETT CIR. EX. OCCU OUTLET OR FIXTURES 9AL ®':w Ex. Occup. DllTEETS R�D.GEk 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 • PERMIT FEE S 43•00 MECHANICAL PERMIT Filing Fee 20.00 Heating ter 15.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ • OU Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE a HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD _ ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for whicq fees have I 1� / By i (((��i� l PERMIT EXPIRES ONr- applicable provisions to do work been paid I 1 Date WWW 7/6 ate Receipt No. �� .I� WHITE-D.D.S.-B.D. CANARY -ASSESSOR` PINK -INSPECTOR GOLDENROD -APPLICANT z3 COUNTY OF BUTTE BUILDING DIVISION \ DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Or Q Ile, CA -(53)538-7541 ) CORRECTION NOTICE �/. .- 3/ oANER PERMITNO. .� Aroutine inspection indicates mamebb%9v _.eBkecunOrdinances exist k� the above address and should b corrected. memcall for re -inspection when correction of _R is completed. iyou have any questions pertaining to this matter, «need additional . explanation, please contact the Building Inspector siker ted be_ LW% ��W.A 1' FOR RE -INSPECTION CALL 538-7636 OR 891-2834 � A. ) � \f q .2 4! [late Inspector / REV 40Z5 Pbm# FOR RE -INSPECTION CALL 538-7636 OR 891-2834 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1 61, 9&y ASSESSOR PARCEL NUMBER 062-730-001 ZONING BUILDING PERMIT OWN%ERRY CREEK GRANGE 99'4-'T695 SO. FT. OCC. BUILDING VALUATION OWNT4%1*tUI$ ROCK RD.. BERRY alEIIZ, CA 95917 CONTRACTOR'S NAME ELKINS HEATING & AIR TELEPHONE 589-1711 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1477 BALD ROCK RD. BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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 ❑ Describe Work: PJEPUCING GAS FURNACE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service 20.A OR LESS 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 ' full force and effect. License Class Lic. No. 72%� OWNER -BUILDER DECLARATION 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 If the permit is for work of a valuation of one hundred dollars ($100) or less.) ■ 1 certify 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. — ` X �-.A. Date IL ((0 O \ Si natu of Applicant - ® Owner ❑ Contractor ❑ Agent An A permitis required for excavatio r_ . Ceep and demolition or construction of structures over 3 stories in heigh \ Main Service TO 46.00 W:o I CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. BLD S. 3.50 Fr. �NjO�j,�R61D. MULTI.OtmET BRANCH @7.50 PSO APPARATus 8 SINGLE OUTLET CIR. EX. OCCu . OUTLET OR FIXTURES SAALL �.m Ex. Occu . ouTTs MED AL.io1EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating ¢aS heater 15.00 Cooling Hood 6.50 Ventilation PERMIT FEI= s 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 113.00 HAZ. I D FEES IMP FLOOD I CDF I PARCEL I PD HD ISS This permit is hereby issued under the of th Butte County Code and/or indic ed ab for whit fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid Date I 4 Receipt No. WHITE-D.D.S.-B.D. CANARY -A ESS INK-INSPE bR GOLDENROD -APPLICANT ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION it 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT PERMIT NO ASSESSORPARCELNUMI / ' ZONINO BUILDING PERMIT OWNFR , 0 TlI,pNON! SO. FT. OCC. -6,1ILDG VALUATION owNER wwNo ADORE � . CONS TRUCTION LENDER Fireplace Ex. Occup. 11 APPtNS. oq ovnt�s ESID. EA 5.00 LENDERS LI AD0Ans 23.00 Total Valuation S 20" TO IOOOA 48.00 ARCNrrECT OR EN°INEEA OwE1im OCCUP. LICENSE NO. A ACC. otos. 3.5QF°. NON.RESID. ( - VULTFOUTLET CIRCUI ) 07.50 Filing Fee Permit Fee S 20.00 ARCNfTECT OR EMWiEEAS wAUNa ADORES! E •OULCI ADO Ss Plan Checking Fee S Energy Plan Checking If— E PERMIT FEE S _ .or No sueayscNSNArE PARCEL YAP PLUMBING PERMIT Each Trap Fling Fee 20.00 7.00 USEOFSTRUCTURE SFO Duplex ❑ Mobilehome p Other Solar or hent um water heater 23.00 sPEesv Water piping Each as water heater or vent 15.00 15.00 TYPE OF WORK New O Addition O model rities O insia0a' ❑ ❑ Gas piping stem 1 - 5 outlets 15.00 De cribs Work: Buildingsewer 1S.00 / / i ' Mobile Home SIG W tg720.00 *PERAAIT FEE PAlb SRA •• s SHERIFF OTHER s AMOVW RECEIVEp *REcEzPT�� Q . Num � " To Be PVT MM Comm PERMIT FEE I $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS Ex. Occup. 11 APPtNS. oq ovnt�s ESID. EA 5.00 200A OR LESS 23.00 Main Service 20" TO IOOOA 48.00 NEW CONST. OR ADON3. OwE1im OCCUP. A ACC. otos. 3.5QF°. NON.RESID. ( - VULTFOUTLET CIRCUI ) 07.50 Ex. Occur). otrnET OR F=wE3 20 0 I•00 SAL .SO Ex. Occup. 11 APPtNS. oq ovnt�s ESID. EA 5.00 Temeorary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 �-3— PERMIT FEE S MECHANICAL PE MIT 7Filinge 20.00HeatinCoolinHood 0 PERMIT FEE $ Mobile Home Installation Fee S Energy Inspection Fee S Occ CONS.. Tri TOTAL FEE _ � • 0. FEES IJI FLOOD COf PARCEL PO ND 4 . 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 PERMIT EXPIRES ON Date 062-730-001 00-0586 BERRY CREEK GRANGE 1477 Bald Rock Rd, Berry Creek Cntr: Christiansen Roofing Partial Reroof f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 { . PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT n - 0 Sr�Y_42 ===F¢r b 01 ZONING BUILDING PERMIT OWNER Merry creek grange TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS O i E TE r t ONE is ;SS ciI10VIU.,: CONSTRUCTION LENDER LENDER'S KWUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1477 &ALL) ROCK RD., BLEY CRITA Energy Plan Checking Fee $ $ PERMIT FEE $4'�.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE GI2&%E SF ❑ 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 ❑ PAMAL REa:ZOOF 19 SQ C,GI`'1P Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LESS Main Service zo..OR LESS 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 /r— 3 4 Lic. No. [� /�/�,S OWNER -BUILDER DECLARATION I 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. ❑ I, 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. 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 e -&Md 5..:- A...t/ Main Service 200A TO ioom 46.00NEW CONST. DWELLING UCUP. OR ADDNS. ( & ACC. BLD S. SO 3.50FT. NON-RESID. MULTI.OUTLET 97,50 POwER APPARATUS 8 SINGLE OUTLEr CIR. E X. OCCU OUTLET OR FIXTURES 20 @'. 50 BAL .00 Ex. Occup. OUTLEETS R pOEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number 4 zSr (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify 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 comply with those provisions. X� i ..ed�-f Date Qd Signature of Applicant - ❑ Owner It�ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAz. D. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 13 PERMIT EXPIRESC417 ^'k the applicable provisions Resolutions to do work been paid. { Date k'`� s ( , Det, Receipt No. WHITE-D.D.S.-B.D. A A Y -A SE OR PINK -INSPECTOR GOLDENROD -APPLICANT CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION D� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (R412/96 APPLICATION AND PERMIT " 0 a ooa —730—DZONING 01 BUILDING PERMIT WNER ferry creek grange TELEPHONE SO. FT. OCC. BUILDING VALUATION 1140 . OWNERS MAILING ADDRESS E � TE ONE Y� T TMrY 5T7SSOROVILLE CONSTRUCTION LENDER ± LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1477 BALD ROCK RD. BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE GRANGE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv 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 ❑ Describe Work: PARTIAL REROOF 19 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @=.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OV OR LESS Main Service 20.AORlES. 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 �-3 9 Lic. No. �D</'7— OWNER -BUILDER 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. ❑ I, 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 Main Service 200A TO 1000A 46.00NEW CONST. owEUING occuP. OR ADDNS. ( DTACC. Bins. so 3.5QFT: NEW ga1DT' MULTI -OUTLET @7.50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXNRES 20 @ 1'00 BAL @ .50 Ex. Occup. oFlxLI E°�A PES 15 OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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 erformance of the work for which this permit is issued. 0-11ph 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 �`4f s. fi�wo% Policy Number .-2 V,-,— —! 74E (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify 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 comply with those provisions. _ X Date 14% �d Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee F $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. I o PEES IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. A ARV -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT N0. ,4°ESVZACELNUMBER 0 3 7N+ a_ f°'� v� lJ :ONo BUILDINGPERMIT OW"� TE`DI"ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MALING AD �. CO R r NAME - TEIEPIIONE COMjfiMCTOR'S MAtJNO AD RESB CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ` ARCHITECT OR ENGWEEA S MAILING ADDRESS Plan Checking Fee $ SULDWGADDRESB 1 I 4 Energy Plan Checking Fee $ a PERMIT FEE $ IOTND. SUeDNISDN3NAME PARCEL MAP PLUMBING PERMIT Fling lzee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other aP+<csr Each Trap 7.00 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 ❑ Remod ❑ Uli ities ❑ Insta tion ❑ Other Describe Work: Aqlsso Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p°ovL oa nS 23.00 • Main Service 200A TO IOWA 46.00 NEW CONST. DWELi1FlCi rP. 3.5¢so OR ADDNS. ( a ACC. BLDS. r4tw GUM 1. NOWRESID. ULTI-OIRLET 07.50 POWER APPARATUS 8 SWOLE O CIR Ex. OCCU OUTLET OR FDRUREs 20 ® I.00 BAL 0 .SO EX. OCCU FU(EDAPPLNS. OR OUTLETS ESLD. EA. 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 FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTAL FEE $ EoccCONST. MAL D, PEES IMP I FLOOD I COF PARCEL I PO I NO ISSUE 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 Date PERMIT EXPIRES ON Ye i .. ...... ,.. _..'f:44. '7..'' 4L'R+ p•_r•,.. �. �;. .- —111 - +Y--ci,;r mom 7Wf 062-230-008 PERMIT#96-2302. BERRY CREEK GRANGE ` 1477 Bald Rock Rd.,tBerry Creek- y* Gas Line & Wall Furnace/Gran e , i®13 . i V //7 .�., .�. . :. .. y.lwV.-nl,r.'1l_:.. t.N �R �... _. � -. .. �.—v� l ir+Yj_�. �... .. rEr,--. --,n .�a� �.•T�• .. � � -.. lit COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI wKO 7 County Center Drive - Oroville, California 95965 - Telephone (916)538- 41 PERMIT NO. APPLICATION AND PERMIT 162" 93 - ASSESSOR PARCEL NUMBER062-23o^008 ZONING BUILDING PERMIT OWNER L'�.RRY CREEK GRANGE' TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1477 BAI Lb x�x �� ROCK RD B. CREr.,.,,' 95916 CONTRACTOR'S NAME CAT ER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIO:OWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS BAID RK PERMITFEE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 ;BERRY C EU, 95916 Each Trap 7.00 IDT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GRANGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 .. Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DIRECT WAIL FI.TRN & GAS LINE — Mobile Home I S I GI W I@20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 000V OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO IoaoA ) 46.00 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. License Class Lic. No. OWNER -BUILDER 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SO. 3.50 FT. NEW eONST.MULTI-OUTLET NON,BESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (ourlFr OR FIXTURES ) BAL @ / W- Ex. Occup. FIXED A . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 g Heating WALI 15. Cooling Hood 6.50 Ventilation PERMITFEE $ 35.-00 Contractor 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.) `I I certify 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 comply with those provisions. o - ., X t!` �'_��Date �_�_..:r :�-- Signet rL! a of" Applicant - ❑Owner C] Contractor -Agent An OSHA permit is required for excavations over 60" de p.and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 70.00 HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY - PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. /tet . 5 Dat I (Date) Receipt No. 205609 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ell L COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI 1 N 7 County Center Drive - Oroville, California .5965 - Telephone (916) 538 41n> � ERGO. �— APPLICATION AND PERMIT `�(�- ASSESSOR PARCELNUMBER 062-230-008 ZONING BUILDING PERMIT OWNER- BERRY CREEK GRANGE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1477 BALD ROCK RD B. CREEK, 95916 CONTRACTOR'S NAME OWER Wl TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1477 BALD ROCK RD PERMITFEE S BERRY CREEK, 95916 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GRANGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DIRECT WALL FURN & GAS LINE Mobile Home IS I GI W1 @20.00 PERMITFEE S 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION I 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. ❑ I, 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 NEW CONST. DWELLING OCCUP. DR ADDNs. ( a ACC. ) SD. 3.52 Fr. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .e0 Ex. Occup. FIXED APPLNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating WALL 15.001 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor 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.) I certify 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 comply with those provisions. XQ—__ Date Si at re o Applic ❑ caner Contractor Agent An OSHA permit is r q red for excavations over 5'0"deep end demolition or construction of structures over 3 sit ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 70.00 HAZ. I D. FEES I IMP I FLOOD JCDF PARCEL PD HD ISSUE 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. '/� 2 q/ By at1� PERMITEXPIRESON 14 �> I (Date ReceiptNo. 206609 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 pr perry improvement: YESf NO[ I.' 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed ork. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: C 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 llwwna, l SOCIAL SECURITY NUMBER: _' // — DATE: NOTE: This owner -Builder Verification is required by Section 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. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and- the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 .Y c••�*. m `tr gyp! ?.CC x�T�sxT ..... �4 .s,i� t '►iti; { 062-230-008 PERMIT#95-1524 BERRY CREEK GRANGE 1477 Bald Rock Rd., Berry Creek Partial Reroof/Grange 6 COUNTY OF BUTTE -DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-"23-0-008 ZONING U y- BUI DING PERMIT oWNWCREEK J�jjERRY TELEPHONE SO, FT. OCC. BUILDING VALUATION OWN s6AIIL�&if D33SS5, BERRY CREPE CA 95916 1,320 CON 9;J��G2l NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONMN UCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1477 BALD ROCK ROAD BERRY CREEK PERMITFEE $ 53,00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP I Solar or heat pump water heater 23.00 USEOFSTRUCTURE IEach SF ❑ Duplex ❑ Mobilehome ❑ Other GRAN sM SPECIFY F Water I in P•P 9 15.00 gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK 1 ' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other MX I 1 Describe Work: PARTIAL RF.R�(XaF W/ COMP I Mobile Home IS I GI W1 920.00 PERMITFEE t Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( zoon oa LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION j 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 ands Professions Code, and my license is in full force and effect. No. License Class IL OWNER. BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P H P 1 rY P Law for the following reason: 1 16 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 salve. ❑ 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 I 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 NEW CONST. DWELLING OCCUP. OR ACDNS. ( d ACC. BLDS. ) SD. 3.5Q Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) SI 8 NGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FlxTURES ) 20 Q 1.00 BAL .50 . . OUTLETS ExOccup( OUIP)E.A. ) (RESD. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,) I certify 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 forth it comply with those provisions. X ' r,, ..0 - ti_ t. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3f stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ coNST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ova for which fees have be paid. BY 9ilkelfDate 7/6/95 PERMITEXPIRESON 7/6/96 (Date) Receipt No. n !j 0 3 '�j� _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville,-Califomiti 95965 - Telephone (916) 53 541 PERMIT NO. APPLICATION AND PERMIT Ass 0g2 23NOB008 ZONING BUI DING PERMIT OWNBERRY CREEK GRANGE TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P 0 BOX 356, BERRY CREEK CA 95916 22 0 l: 6 1,320 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Zp,QQ Permit Fee $ 33.00 ARC OR ENGINEER NONE NO LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee n $ Penalty $ BUILDING ADDRESS 1477 BALD ROCK ROAD BERRY CREEK PERMITFEE $ 53.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GRANGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other INX Describe Work: _ PARTIAL REROOF W/ COMP Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER 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. ❑ I, 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) So. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 nETUS ) ( POWER APPARAToucIR a sINGLE . Ex. Occup. ( OUTLET OR FIXTURES) 20 @ I.00 BAL SO EX. OCCUp. OUTLETS RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth th comply with those provisions. X�Date _ /I— 9$� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occCONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PO HD LSSU This permit is hereby issued under tfie of the Butte County Code and/or indicated ova for which fees have.be)p BY PERMITEXPIRESON applicable provisions Resolutions to do work paid. Date 7/6/95 7/6/96 (Date) Receipt No. , C7'� I WHITE-D.D.S.-B.D CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 *ill 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[3t] NO[ I. v_2. I;�HAVE,�] L.. -.J.. �Sn HAVE NOT si ed an application for a buildingpermit for the . - - - - . _ .pp. proposed work I have contracted with the following person (firm) to provide the proposed I construction: ADDRESS. CITY: PHONE: / CONTRACTOR'S LICENSE NO. 'ii f I plan to provide onions cf this work, but I have hired the following person to coordinate, supervise, d provide the major work- orkNA1ME: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of he work b have contracted (hired) the following persons to provide the work in 'cated: NAME ADDRESS PHONE TYPE OF WORD r SIGNED: �" G PROPERTY OWNER: l SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 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. Dear Property Owner. .. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. t If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Gover:unents as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. if the structure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employers, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Buiiding permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95811. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely: , ol Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. MASONRY WALLS N E S 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS 0 cupancy. Area Propert Gypsum Board 1st Layer 2nd La er Walls Ceilings 4 COMMERCIAL 62-23-08 92-1206 B BERRY CREEK GRANGE 1477 Bald Rock Rd, Berry Creek E contr: Prater Const addition/hall ' VVV 4 i a 'yr t' I) 1. 1 E . l JOB FINALED (Date) A21, /,j Signature CERTIFICATE OF OC UPANCY ISSUED (Date) Signature. V=OK O=Not OK - = Not Applicable = Not Ready COMMERCIAL Date UND-WLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -Slope -Soil Report g., Main; Soils-tVfis:rwuad.-Ftg. Depth �8--Hefdrt7dwns-Bolts-Straps-Embed ment-Hair Pins 4..Ceocrele-FSI-Cert-SP. insp.-Loc. emwalls, Main; Steel-Blockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh Viers -Staab 9--B-Wim,, I -Fitting -Test -2 Way C/O -Sewer Test 11T-6ePipe; Size -Anchors 4+-Vfater-Pipe; Test -Anchor -Regulator -Service Test 14,r,Eieetr1c" Underground, Underslab 18_BieRams & Ducts; Clearance -Material -Support -Ins. r Ars-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dat PLUMBING Permit OK except #'s 16. Water Htr.; Vent-Access-Combu n Air -Baffle 17. Water Pipe; Test & Anchor- it Protection 18. D.W.V.; Test -Fittings nchor-Nail Protection 19. Sinks -Floor -Gra Trap 20. Hand icap-yt/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 21,81 gle Phase -Three -phase -Equip. Bond 24. Siz xes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. u up w/Mech. Fastners-Bond Gas & Water - r Scted-Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29rFire-Resistiye-Fixture-Conduit-G.F.I.-Susp. Ceiling .30-SeMce-Riser Conductors & Ground -Main Disconnect 31. Eouip.-6ie -fides Panels-Motors-Mech. Equip. 3Z.- Fwa_Wall-Penet rations Date Card B-1 Date Card B-1 Date Card B-1 •Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Suppo�rk� ' 34. Vent Fan; Exhaust above 'emulation 35. Condensate Drain verflow; Size & Grade 36. Furnance-Vent; ccess-Comb. Air -Return Air Vent -115 outlet 37. Attic Accesyt Platform if Furnance in Attic 38. H.V.A.0 entilation-Roof Access 39. Smo & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING Plans OK except #'s . Sils, Proper Material & Anchors -Hold Downs _ �s Studs -Nailing, Spacing & Bracing -Plates -Sound 107 Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44 ue Stops; Furred Ceilings -Stairs -Chases 5. Headers & Beam -Size & Bearino-Su000rt Fix. Date FRAMING (Continued) CAIC H gers-Post Caps -Anchors -Connectors Roof Shthing-Nailing-Diap.Chord Splice AB Firewall-Doors-Area-Occp: Prop. 49-Attic-Atcess; Size & Romex Protection -Draft Stop -Ins. Baffles 50. C�u.6em-cert.-Placement-Support 5J -Steel -Buildings- Pu r l i n -Girders 52�P opP rt Line Firewall & Openings (5 xt. Doors andicap Access -F) n taus; idth-Hea room -Rise -Run -Landing -Fire Pr Action j55__a4-old on Roof Overhang -Attic Vents -Rafter Outriggers /5§ -Siding -Nailing Veneer 57 SturrriMwJ)-Drip Screed -Fd. Vents-Underflr. Access _ L,58 -Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 49.-Sheef-Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date' Card B-1 -Date Card B-1 Date Card B-1 Date Card B-1 Date ii A FINA lans OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 6 zits -Size -Number -Placement 65.-Faiwace ,Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection U_SAdakters-Placement-Test ryen9ed Ceiling-Seismic-Wires-Elec-Light & Mach. W. Ele . Trim & Subpanel; Breaker Sizes & Labels fairs & Rails 0 andicap-Door Levers -Fin. Floor 7 lac. Outlets at Wood Panel; Int. & Ext. 721-VVtf-RM Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection Z&-91ra.rQec_ & Mach. Equip. Listed for Location 7 . - am -Looked in Attic ❑ Yes i s & Deck Construction -Post Caps 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 77-7SfU ec;_Bcf2ytn-Finish 7 " connect, Electrical, Plumbing 7 o f; Plbg.-Appliance-Fireplace.-Clearance to is onnect, Electrical, Plumbing 8 . Exterior Elec. Trim; G.F.I. Receotacle-Underoround ',Glass Protection Corrections from Previous s Tagged; Gas -Electric Connected -C/O to Grade -HD )37. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date �l� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occuuancv (NOTE: An entry must be made each time you visit the job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.`538-7541 III APPLICATION AND PERMIT PERMIT N0. .� Z ®/ � SCJ ASSESSOR PARCEL NUMBER 0159 -210 - ZONING BUILDING PERMIT OWNER BeCreek Grange T LEPHONE SO. FT. OCC. BUILDING VALUATIO 392. @ 57-20 = 37.00 OWNER'S MAILING ADDRESS P.O. Box 356, Berry Creek 95916 CONTRACTOR'S NAME R.D. Prater Construction TELEPHONE 534-9230 $14,504.00 CONTRACTOR'S MAILING ADDRESS P.O. Box 336 Palermo 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$14,504.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 135.00" ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 67.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 217.50 PLUMBING PERMIT Filing Fee 15.00 1477 Bald Rod Rd. Oroville Each Trap 1 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 I S I G 1W 615.00 TYPE OF WORK New j Addition y Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 392 sq ft Wood Frame Shell _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): yam` rt fl I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess* s C de _and my license is in II force and effect. License No. Classification F]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 Main service 200ATO1000A) 37.50 NEW CONST.( DWELLING OCCUP. �\ OR ADDNS. ACC• BLDGS. 3.60 sq.f[. NEW CONSTR MULTI -OUTLET NON -R ESI D. BRANCH CIRC ITS 5•�� POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(ourLETs OR FIXTURES 20 764 FIXED Ex. Occup. OUT ETS PIRESID IREA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 _F 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 15.00 Heating Cooling g I 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 Countyot up the above-mentioned property for inspection purposes. Butte 4iti I alsos e indemnify and keep harmless the County of Butte against all liaj gm ts, costs, and expenses which may in any way accrue my i consequence of the granting of this per it. X Date Signature of Applies — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height.IR Mobile Home Installation Fee S Energy Inspectio Fee $ c TOTAL EE $ 217,50 DFEES — IMP — % C PARC P HD Sagains This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees CT OF PUBLIC By PER EXPIRES Date applicable provi � resolutions to do have been aid. p WORKS Dat 6-P -Z- 7�-6— � 7 - Receipt No._ WHITE-O.P.W., 7 LOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMEN OF PUBLIC WORKS - BUILDING DIVISION r, -} 7 COUNTY CENT,E4' DMVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 FERMIT APPLICATION DATA SHEET � �y /�/ Permit No. OWNER Pr I—/ [: f -`Z .C9t �`G>GN-Cl� A. P. No. 62—oL3"- D Proposed Building Use 144/ ,.i "'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 1. All items have been submitted . .................................... 2. Plot plans in duplicate/trip icate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans Complete engineered plana and calcs, with wet signature on plans .` 5'. Hazardous Material Form ..... .................................... . Energy Design Compliancy and supporting documentation ......... 7. Statement of Intent for No -i -Heated and AC Buildings .............. 8. Engineered truss details and 'ayout 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 OR 0 _ Health Department 6 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: 18. Improvements may be requi-ed. 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 Agricul:ural Acknowledgment Statement ......... o . Letter of signature authorzation 2 e �P rN., AA/ CN&CK LF7"T� When you issue the permit, process as follows: Mai t n Mall to contractor. Telephone 7 X67' fa 3Uand hold for pickup at fi e. Deliver w/inspector. Other Applicant— Copy pplicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Healt-i Dept. Fire Dept. Other Date By The following data must be sut-mitted prior to ermit issuance: (Circle new item not checked above). 1. Index permit for above item.3 No. a 2. Additional items required: e�hi� on rector ddslgne owne , was advised of above required data by_phone�rnail—counter byt .date Contractor, designer, owner, was advised of above required data by_phone_mall n er by dataR Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) (?2 -12 D� . D 62- X30 _,q og BUILDING PERMIT NUMBER APN Firm Name Address Nature of Business Contact Person Phone # l� M —T -?,-2,1 1. Does your business or that of your tennants handle, store, or transport hazardous materials? XNO DYES NOTE: Hazardous ,materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not. limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4.pressure), or formulation containing hazardous material? X NO 0 YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1,000 feet or the outer boundry of a school or school site? X NO ❑ YES, IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? NO 0 YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. 7 Owner or Authorized Company Representative 7- 6 `92 !Signature/ (Dare) t BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE -Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. SD ` -,t- Q0 0 i 3 l9 d(! id r TO :i Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance l� Owner Location AP# `It/ex Ot Plan Approved for: Sewaqe Disposal Water Supply .Hold final for: Water Supply Final clearance O.R. for: Water Suppl Clearance for other Nk 4— is 1nV lrO e D Rav2 40 �! S 1940 tic �I C -d OS, 062-230-008 93-0060B,E, ;? ; BERRY CREEK GRANGE 1477 Bald Rock Rd, Berry Creek (comm strg/elec, shtrock,insulate) E ' t R a^ r c :: ►-4 7 o tr: COUNTY OF BUTTE - DEPAR`TMENT OF PUBLIC WORKS + 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 h APPLICATION ANTI PFRUIT P ERM�I ASSESSOR PARCEL NUMBER 062-230-008 OWNER ZONING U BUILDING PERMIT Berry Creek Grange TELEPHONE SO. FT. OCC. BUILDING VALUATION O R G ADDRESS .0. Bok 356 Berry Creek 95916 Contr. Est. 800.00 CONTRACTOR'5NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ • LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee Rockri Berry Creels PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 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 ktorkrwm and Storage 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: Electrical - Sheetroek & insulation 392 Sq. Ft. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one . ) ElNON•RES'D 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 Fl 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) tom,, 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 Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUPM 3.54sq.ft. 13.70 OR ADDNS. ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET BRANCH CIRCITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20 76 D APPLNS. Ex. Occup. OUTLETS ((RESID )OR EA 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee S 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 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 again -said County in consequence of the,granting of this permit. X —A��L Date / - 7 Signature of Applicant — Ownersions ❑ Contractor ElAgenti An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 s o les in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 62.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable pro i of the Butte County Code and/or resolutions to do 4 work indicated above for vdhich fees have been paid. DIRECTOR fJk"rPUBI,IC WORKS f�`�. By f i i��/'✓A 1./•3�.'„1'</Date /`/ PERMIT EXPIRES Date // 0 i-1��' ,- If w-. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ 062-230-008 ZONING U BUILDING PERMIT OWNER Berr Creek Gran e TELEPHONE SQA FT. OCC. BUILDING VALUATION OWNER'S M (LING ADDRESS P.O. Box 356 Berry Creek 95916 Contr. Est. 800.00 CONTRACTOR' S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 19.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee 04.50 1477 Rald Rork Rd-,. Berry Creek 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 Workroom and Storage SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[)g Describe work: Fl ectri cal — Sheetrock & insulation 39 S4 Ft Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSImeSS 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 Main service 200A TO IOOOA) 37.50 NEW CONST. / DWELLING OCCUP.&) OR ADONS, 1 ACC. BLDGS. // 3.6asq.ft. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS S1 SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 76 QAL- 45 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 28,00 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. 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 15.00 Heating Cooling Hood 6.50 lationNotice F t 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, cost and expenses which may in any way accrue a id County in co eq e c of th granting of this permit. G� Date � " 7 > �-� Signature of Applicant — Owner ❑ Contractor ❑ Agent �9 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 $ occ CONST TYPE TOTAL FEE $ 62.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISS E This permit is hereby issued under the sionS of Butte COu y e and/or Work i di ted abov ich fees DIR CT UB IC By PE IBES Date applicable proti- r ions to do been paid. $ � al, e 130419 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . aR-- COUNTY OF BUTT&, ' 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 - (9W872-6307 CORRECTION NOTICE OWHER PERMIT NO. A routine bmpecsion 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 iscolr4�have any questions pertaining to this matter, or need additional explanation, please office immediately. W fE•� � � ,�[t1lC� .rim r r REV 1OW � �� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES r _ 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 ee Z - oG 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 comple ed. If you have any questions pertaining to this matter, or need additional explanation, pleas ontact this office immediately. Date Inspector REV 10/92 r Y` l.. Ire'tle 4 ra of yC, 6 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAVON AND PERMIT PERMIT NO. ASSES O PARCEL UMBER ZON NG 1 — — - BUILDING PERMIT OWNERn TELEPHONE Regr U ec,k r v b 7� -a�,9' SO. FT. OCC. BU VALUATION MAILIILDING R'S ('S ' r ADDRESS - V n CO "ALTO "S NA �� rl TELEPHONE - Y CON RACTO 'S MAILING ADDRESS -21,1 K_ JR - r p 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 $ BUILDING ADDRESS l �/ Re4 PLUMBING PERMIT Filing Fee 10.00 Inn) IP Each Trap 2.00 Repair drainage or vent piping 5.00 1 1 Cy 9 — e� t F, E, K Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUC�UIRE 1 SF ❑ Duplex❑ Mobilehome❑ Other ;`:h rAAcQ / SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition jReem-odeI Utilities Installation❑ Other[W Describe work: - "7-t�' iiv C' /C_. o f / r C I) 1 1 `- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 01 OR LES Main service 100 AMP ORS SLESS 5.00 'S Main service EA. ADD'L 100 AMP 2.50 NEW CONST'DWELLING OCCUP.) ( y OR ADDNS. \ ACC. BLOGS. 22 sq 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. - U. L T 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS e\\ 0/^r0�)\ NON-RESID. \SINGLE OUTLET CIR. 1 r00 :) V Ex. OCCUp OUTLETS OR FIXTURES 50@25 _,FIXED AP LNS. OR Ex. OCCup.(UTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $RI -10 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is•required for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CON5T. PARCEL PD HD 55UE 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- 1Daatte PERMIT EXPIRES Da. )�\ /over //3 Receipt No. '! 2' WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS h 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION BIND PERMIT PERM �� ASSES OPARCEL LER ZON N=� r�/�,�� BUIL ING PERMIT OWNER` ELEPHO E t?Q.(� r b ` _ S0. FT. OCC. BUILDING VALUATION R'S M I ADDR SS CAC T O N A[TELEPHONE CO ACTO 'S MAILING ADD SS 2�� C — r` V 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 $ BUILOIN DDRE S PLUMBING PERMIT Filing Fee 10.00 �— Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas.piping system 1 - 5 outlets USE OF STRUCT REBuilding SF ❑ Duplex❑ Mobilehome❑ Other r Q / SPECIFY sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑emo� Remodel [:]Utilities Installation❑ Other Describe work: )co r�C (� U (} ,Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main S6iVICe 001 OR LE 100 AMP ORSLESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 cn NEW CONST. ( DWELLING OCCUP.al OR ADDNS. ACC. BLDGS. I 22 sq it 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 oner, or my employees with wages as their sole compen- sation, willwdo 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 CO IDP BRANCH TLETCIRCUTs 2.50 ea NEW CONSTR. POWER APPARATUS 6 NON.(SINGLE OUTLET CIR. /00 rD EX. OccupOUTLETS OR FIXTURES BAL2i 00 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 agai said County in *rtsequence of the granting of this permit. Date ignat re of Applic owner ElContractor ❑ Agent ❑ An OSHA permit is requited for excavations over 5'0" deep and demolition or construct- ion of structures over 3 ;34ories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD No SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PWFCTOR OF PUBLIC By �,_ PERMIT EXPIRES Da 1 _ the applicable provi- resolutions to do fees have been paid. WORKS Date �� It�_ Receipt No. � � � Z�Ja WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT V-1 — -.14 1705-80B,P& PERMIT EXPIRES 4/4/81 OWNER —Rp-rry Crt-t-k C;r;;nqtm- 694 CONTR. owner LOCATION'(A..P. 62-23-02 NIS Bald Rock Rd, 1 mi E of Sugar Pine Store, Berry Creek -Temp. Powe Pole e Calle PG&E Temp. lec. Serv._ Oalled PG&E Te4p. Gas Serv, Called PG&E B FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' Relnf. Steel I Final I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing BUILDING BUILDING (Cont'd) Stucco PLUMBING Setback Firewall Soil Piping Gird. Fault Prot. Forms Parapets 1st Floor Brown Main Bldg. Restroom Finish 2nd Floor Ducts Footings Windows 3rd Floor Permanent Stemwal I Siding To out MOBILEHOME UTILITIES Slab Roof Sheathing Water Pipino Cb Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r physically handicaedde of ex. Conformance structure Appliances Gas Piping Temp. Gas r &Test — Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Relnf. Steel I Final I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) e a« �� %/�/ v �%�` � `-' �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 le, California 95965 ' Telephone: 534-434-4541 APPLICATION AND PERMIT / !/ BUILDING Owner A.XFT. SQ. OCC. BUILDING VALUATION Mai I ing Address Telep on No. )ffZ Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address r Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 b Each Trap 4.60 Repair drainage or vent piping 1.50 01 A. P. No. .�, �D� Zoning & Planning Water piping , 1 , $ Each gas water heater or vent J„69' s dN-,E;— I ation I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � Permit Fee . $ Y bu ELECTRICAL No.1 @ I FEE S PERMIT FILING FEE $3.00.C.)o Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 P Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS.CCUP, s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW .RE SI MRANCHULTI-OUTL T NO N.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID, SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiRES) g @ , Ex. Occu FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 • Z,S am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. XI certify 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 the Workmen's Compensation Laws of California. 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_rekresentatives of the County of Butte to enter upon the above- ntio ed property for inspection purposes. Date $ignatu P mit a or Agent Receipt No. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $'r fr; MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heatino Cooling Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE 24C, z s This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above hich fees have been paid. F PU LIC WORKS 4 B Date V Building permit expires Date C'e—Z( r� BUILDING DATA FORM BUILDRNG SERVICE WATER HEATING COMPLIANCE (Refer to Chapter 4.4 of the ,Energy Conservation Design Manual) Form 7 ( Rev. 1 5/78) Documented By PROJECT TITLE Date E.3GwtiQn 7ChecIed By Project Designer Date SERVICE WATER HEATING SYSTEM DESCRIPTION Energy Source Type — Record 1 if gas. . 2 if electric, 3 if oil, 4 if other ........................ i TrVit/LMr f#quT. vJC o N l�� Toiy¢..t_ Occupants (Use Table 1 of:Appendix 1) ...............:..2 /V ccupant Number of Occupants in Perimeter Zone ........: Weekdays 3 At. ... Weekends and Holidays 4 —/�/ Number of Occupants in Core.Zone .......... Weekdays 5 /V. Weekends and Holidays 6 . hrs: Occupancy (hours of use per day) .............: •Weekdays 7 fM, hrs. ... Weekends and Holidays 8 HW Demand A4 17`.¢ dV o �O <y Total Number of Occupants (Line 3 +Line 5).............. 9 '' O X11 ► . , HW Demand Per Person, gal/day (From Table 1 of Appendix 5). 10 gal/day Total HW Demand for personal uses, gal/day ( Line 9 x Line 10) . 11. za gal/day arc sS� Equipment HW Demand (attach description list) Total HW Demand for equipment requiring 140°F HW (e.g., dishwashing and laundry equipment)..... ...... 12,�..� gal/day IL -0 Special equipment requirements (attach description list) ...... 13 u J gal/day 14 ti OF ...... 15 gal/day. ......16 °F r.�sc�. tW arch 6a . Water Su ppry'TEmperature.(from local utility) ............... OF AT for Personal HW Demand (Avg. 110° F — Line 17) ....... 18 `5 OF �. AT for Equipment.HW Demand (140°F — Line 17)......... 19 t*'I' / OF : Personal Hot Water Usage, days per year ..20 days/yr. r, \` Equipment Hot Water Usage, days per year .............. 21 days/yr. PERSONAL HOT WATER 1 USAGE (at 110°F) �,^ x .2-o 8.34 is Total HW Demand (Line 11) x Days of Use Per -Year (Line 20) xQ T (Line 18) = Annual Energy Consumption ....:..... 22 ' Btu Y So Page 2 ohForm 7 • I EQUIPMENT HOT WATER ` USAGE (at 140°F) 8.34 x . Total HW DeMand (Line 12) x Days of Use per year (Line 21) x®,T (Line 19) ' Annual Energy ...........23 SPECIAL USAGE (other service temparaturres) Annual Enemy Use for Special Applications 24' Biu ' .............. For HW uses requiring water temperatures other than 105° F- 115° F or 140'F, determine the appropriate ®T and HW demand and calculate the annual energy use in the same manner as shown above. Refer to Table 18 of Appendix 2. Document the special uses and corresponding. calcula- tions on an attached sheet: Total Building Annual Energy Use for Hot Water 123-00 0 ( Line 22 + Line 23 + Line 24) ........................ 25 Btu SONAR WATER HEATING CREDIT (See Form 9, Line 86) 26 Btu AUTOMATIC STORAGE WATER HEATERS Size: height in feet ................................. 2 ft. diameter in feet ............................ 28 ft. volume in gallons .......... .. .. ....... 29 gal. Energy Storage Type — Record: 1 if gas, 2 if electric,' 3 if oil, 4 if other ................................... 30 Record Test Methods Used .. ................... . 31 (a) for ANSI Z 21.10.3-74; Section 2.7 (gas or oil fired) (b) for ANSI C 72.1-72, Section 4.3.1 (elec.) (c) for other (list below) For Electric Total surface area of the storage tank ................... 32 ft2 Total watt-hours used over the test period ................ 33 watt/hrs. Duration of test period (in hours)..... ............. .. 34 burs . Standby heat loss performance,.Sp ............. .. 35 watts/ft2 Maximum allowable Sp ............................. 36 watts/ft2 , Line 35 must be less than Line 36 for. compliance ' Combination Service Water/Space Heating Boilers Probable Maximum Demand for Service Hot Water (pmd)...... 52 gal/hr. Fraction of the Year when the Outdoor -Daily Mean Temperature is More than 64.90 F (days/365)............ 53 (fraction) Total Energy Delivered to the Combination Boiler -to Maintain the Stored Water Temperature at 900 F above Ambient Room Temperature During the Test Period (S) .. 54 Btu/hr. Total Allowable Standby Heat Loss of a Combination Service/Space Heating Boiler (Smax) 55 Btu/hr. Line 54 must be Ie s than Line 55 for compliance The actual overan thermal resistance-(R)`of the tank and its insulation (See Figure 4.4.9) .............. 56 _ The minimum overall thermal resistance (Rmin) of the tank and its insulation ............................ 57 Line 56 must be greater than Line 57 for compliance . . Page 3 of Form 7 C. AUTOMATIC STORAGE WATER HEATERS (Continued) . For Gas or Oil Fired Total gas or oil consumed as metered, (0) in cu. or gals., respectively ...................... ........ 37 cu.ft. or gala. Gas Meter Correction Factor (CF) ( CF = 1.0 for of fired heaters) ... : .................... 38 Heating Value of Gas or Oil (H) at Standard Conditions n .... 39 Btu/cu. ft. . Btu/cu. ft. or Btu/gallon respectively ............. .... 40 Btu/gal. Duration of Test Period, Hours (t).................. :41 hours Volume of Storage Water in Gallons (V) ............ ...42 gallons. Weight of Storage Water in Pounds (W) ...... • • • • • • • .. 43 pounds Average Temperature of the Stored Water (T2) ............ 44 of Average Room Temperature ........................ . 45 OF Actual Standby Heat Loss Percentage (S) .............. . 46 % Allowable Standby Loss Percentage (Smax) max) ............. 47 % Line 46 must be less. than Line47 for compliance Total Weight of Water Drained from the Tank (Wd) .... • . • . lbs. Average Temperature of the Inlet Water (T1) .............49 OF: Recovery Efficiency of Heater (Er)....................50 Minimum 51 % recovery efficiency ........................ Line 0 must be greater than ine 51 for mmoI nee Combination Service Water/Space Heating Boilers Probable Maximum Demand for Service Hot Water (pmd)...... 52 gal/hr. Fraction of the Year when the Outdoor -Daily Mean Temperature is More than 64.90 F (days/365)............ 53 (fraction) Total Energy Delivered to the Combination Boiler -to Maintain the Stored Water Temperature at 900 F above Ambient Room Temperature During the Test Period (S) .. 54 Btu/hr. Total Allowable Standby Heat Loss of a Combination Service/Space Heating Boiler (Smax) 55 Btu/hr. Line 54 must be Ie s than Line 55 for compliance The actual overan thermal resistance-(R)`of the tank and its insulation (See Figure 4.4.9) .............. 56 _ The minimum overall thermal resistance (Rmin) of the tank and its insulation ............................ 57 Line 56 must be greater than Line 57 for compliance . . TEMPERATURE CONTROLS Poe 4 of Form 7 The proposed design complies with Section T20-1522 of the Standards. Give location in the drawings, or specifications, where the required temperature controls are shown or speci- fied. (See Section 4A.5 of the Manual) ......... .... 58 PUMP OPERATION The circulation hot water system is arranged so that the circulating pump(s) can be automatically turned off when the hot water system is not in operation. Give location inQ (/4i drawings or specifications, where such arrangement can be verified ............ ..................... 59-1) 0& ox, O 4. s C /✓1• C/ G %�/ y-lac-L�LG tom' CC �l.J �) ; �-� � ,� tom' �• '�...� . C.. -�L.. , y� l� 't Permit #2467-83P { Berry Creek Grange ' 1 { I -JW- d4 - . °� �� off.-.•� •�� ° �L f t t t r OFFICE COPY Address ' GAS �� Da/e/ Meter By ELECTRIC e i Meter By n J CO"UNTY OF BUTTE - DEPAPTMEIvT OF PUBLIC YORK -8 PERMIT NO. 7 County Center Drive - Oroville, Califxnia 95965 - Telephone 916/534-4541 APPLICAJION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER _ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C, 61e&6 lie CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS + Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER' 1''ice LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Permit fee $ BUILDING ADDRESS /'r""' : = �. f'� / PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 2j00 r ( Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other C ( L_ SPECIFY Building sewer Mobile Home S G W 10 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: " Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 00V OR S 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON 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. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONST R. POWER APPARATUS &.1 -R ESID. %SINGLE OUTLET CIR. I EX. Occup(OUTLETS OR FIXTURES SAL@30 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Horne Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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. 'I , X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent Er 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 $ �'� '-ice OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. l r� i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND, PERMIT ASSESSOR PARCEL NUMBER 6?-- 9-3-0,?/rZ 6?-- '..I BUILDING PERMIT OW ER 5k SO. FT. OCC. BUILDING VALUATION AILING ADDRESS OWp1E F}�O/`rJ up _ACTOR'S NAME CONNNN AAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENGI ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ BUI}jd G AD nD Pt 1___ AOD/4pp / /`1�LC PLUMBING PERMIT Filing Fee 10.00 ,SAF s.• 6.,,92 p�NC S%��C Each Trap 2.00 Solar Water Heater 20.00 Mae (1 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 5,00 USE OF STRUCTURE ,�// �r�� SF [IDuplex ❑ Mobi lehome ❑ Other � K C �T" - SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑1, ff Remodel ❑ Utilities ❑ In tallatiiof ❑ Other,K Describe work:/V•S%/�— �"'� %a /(f 6A% `A L PZj 77M/ L Permit Fee $ 75, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00A 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. 2th2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): Q 1 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 NON-RESID BRANCH CIRCUITS) NEW CONSTR. NON-RESID. SINGLE OUTLET CIR. POWER APPARATUS W ( 20050• Ex. Occup(o OR FIXTURESeAL®ao IXEDTS Ex. OCCUp- OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again County in c sequ of the granting of this permit. r1 hh X Date ! d� Signature of Applicant — Owner❑ Contra Agent An OSHA permit is required for excavations over '0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ l5• OCCUP. GROUP I TYPE OF CONST. PARCEL PO I HD SSUE This rmit is hereby issued under si s f the Butt County Code and/or w rk icated ove for which - D CTOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7— 22 �'ceipt No. / 3 j E-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT e COUNTY'OF BUTTE - DgRartment 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) re_ y C 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 S igned Property Owner �. Social Security umber - 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. .�.`b 782-81B,P PERMIT NO.` V67-e/� PERMIT EXPIRES A?ell Y� OWNER Berry Creek Grange #694 � owner CONTR. 62-23-8 ASSESSOR PARCEL LOCATION NIS Bald Rock Rd.,app.l mi. t E.of Sugar Pine Store, Berry `Greek i 7 h L f ` 1 r `4 t + Temp. Power Pole Called PG&E '. Temp. Elec. Service t Called PG&E Temp. Gas Service ` Called -PG&E y JOB FINALED Signature i V = OK 0 = Not OK - = Not Applicable MOBILEHOMES - -. MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requlrements-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.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ . / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date _ MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI. Date POOLS (Plans) OK except N's 1. Setbacks -Easements .2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity.Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIA'l (&irigle sand Duplex) � - Date UNDERFLOOR Plans OK except #'s DateFRAMI ontinued 1. Zoning requirZments-Setbacks-Eas ments roperty a & Openings 2. Ftg., Main; Soils-Steel-Elec rnd.- / /" Ftg. Depth s -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel /" Ftg. Depth airs; Width-Headroom-Rise-Run-LaPding-Fire Protection 4. Ftg., Porche e S Is -Steel- / /" Ftg. Depth I wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. StemwalIs, n' eel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. Stemwalls, arage; Steel-Blockouts-Wrapped-Slab 53.6wees Pies' 8 0, 8C ens- n er r. 7. Pie s -Fireplace Ftg.-Steel 54. s Protection -Skylights -Plastic ,0o0T.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. s 9. =Anchors ater Pipe; Test -Anchors -Regulator -Service Test 11'. d 12. Fano^+- s ^Mate, Clearance -Material -Support -Ins. 41 13. or Bolts -Joists -Vents -Cripples Card- - Date ,- and -BI Date Card -BI C.(/+�Bete X_2�and-BI Date Card -BI Date Card Date Date Date PLUMBING (Permit) OK except q's 14. Wale,ccess-Combustion Air Water Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection 17. st Floor -Tub Access 18. loor-Tub Access 19. -GasI1iee-hire-&'Anchors Card-Bi(,(�J-LDate� 5,'�J Card -BI Date Card -BI Date Card -BI Date Date ELEC L Permit OK except q's F.Lpure & Transformer Clearance -Ins. Protection EI . eceptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors -Stapled Rom Installed Close to a of S s & C.J. 24 qui nd made u w/Mech. a ers and Gas & Water 25. 2 Conductor Size _ c 26. Sil-ofeea wire size77I-A.C. Wire Size / / ga. Cu or Al 27. Range Ctrc / ^^ G• o ^ Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ❑No 28. S - and -Main Disconnect 29. nels-Motors-Mech. Equip. 30. CI - ower Liaht CardB-I(�(/e % ja J Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) xcept N's 31. A.C. ucts;lns tion & Support 32. Vent Fa ust above Insulation _ 33. Condensa WD Overflow; Size & Grade 34. Furnac Vent; Acces b. Air -Return Air Vent -115V outlet 35. Attic ccess & Platform if F-Oftse in Attic Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI Plans) OK except q's tlls roper Material & Anchors _ _ _ _ al tuds-Nailing, Spacing & Bracing -Plates -Sound 3 eari.Walls over Girders & Floor Nailing raft_Stop in Walls (rat proof) 40. F _ er &Beam -Size & Bearing _ Aw-Hangers-Post Caps -Anchors -Connectors 93 c nang. Joist-Rftr. Ties-Purlin-Roof Brac -Truss-Shthng.-Rfng. 44. ies or Type A Flue -Fireplace Throat 45. _ mex Protection -Draft Stop -Ins. Baffles 46. oors-Sill Hgt. & Dimensions 47. _-- ming Card -BI Date Card -BI Date Gard -BI Date Card -BI Date Date FINA fans) OK except N's Ext. Steps -Door & Sidelight Protection -Landings 57.-r6m6R9'Vt7Mtor 58. F1 (;onnector- In Garage; Above Floor-Ducts-Mech. Protection 59. Qe*M7 f eTIT'Nf 60. elft-Fi r6ut 62. 6le ire-ReTFr- 63. lec. Outlets at Wood Panel; Int. & Ext. 65. gar-flec. Outlets & Receptaclestr!er 67. So a,,e Fi e Bee- r 68. 69. Wtr. Htr r-P.R.V.- n e; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location 71. EI Protec. 72. 1 - 73. ps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Lo un er Floor Yes 75. Following instld.: Drive _Yes ❑ No; Walks ❑ Yes E) No; PlaTff9r9- Yes No 76. -ints 77. A*e. - Irnces- - et Urld*ints Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. trical, Plumbing 80. eceptacle-Underground 81. 82. ections from Previous Inspections 84. tric ater & Sewer Connected -C/O to Grade -HD Approval 86. EnBrgy Gemo:ia^ r t'r'y nth r Certificates Card- Yat Card -BI Date Card -ETI' Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE:Anentrymust be made each time youvisit jobsite) J I • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT N 7 County Center Drive - Orovill0' California 95965 -Telephone 916/534-45 — APPLUT.ION ASID PERMIT A w ASSESSOR PA CEL NUMBER ZON NG 2 BUILDING PERMITIVI ow R _49 Cal 4 0 r LEPHONE SQ. FT. OCC. BUILDING VALUATION NE MAI ING ADDRE 5 r CONTRACT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ t" ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty, $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUIL ING DD E Sh11 l rj< P,4VrPI1 PLUMBING PERMIT Filing Fee 10.00 n le�O r Each Trap 2.00 Repair drainage or vent piping 5.00 y,fA Water piping LOT NO. SUBDIVISION .NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCT RE SF ❑ Duplex❑ Mobilehome❑ Other gnp,Qy% SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE WORK New Addition❑ Remodel "Utilities [Installation❑AA�they❑ Describe work: �wC leS>y 2Z V P ,-_,4 R6 rC t, �.4d� s1 rt a) t h ►v� ��\ S �'0 D '� ��,a_ �`(,lr ��a u Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 _t �- Main service EA. ADD'L 100 AMP 2.50 NEW CONST. !DWELLING OCCUP.01 OR ADDNS. l ACC. BLDGS. 2d sq 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 CONSTR -OU L T 2.50 ea NON.RESID BRANCH CIRCUITS) NEW - (POWER POWER APPARATUS &) NONRESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL@1 •e ZAL@t Ex. Occup.(.APP FIXEDP(RESLN 5ID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 • Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT 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. 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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. I also a save, indemnify and keep harmless the County of Butte against all Iia ities, judgments, costs, and expenses which may in any way accrue agains sai County i rise ence of the granting of this permit. Date ignature of Applic t Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP -U_, 3 TYPE �F�oN9T. IPARCEL P= 14/ Y 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3 —?,q -0 Z /stories Receipt No. ��C / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Catiforni•a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS YAR ZONING BUILDING PERMI °QQ(,/ K G T _°Ji'�/;v �/ 7� SO. FT. OCC. BUILDING VALUATION O W/ R�KvS/fM��A//I L b AA RRiE S21/� � CONTRACTOR'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 ENGINE E LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B DING�ss �D ��• �P / PLUMBING PERMIT Filing Fee 10.00 AJ J/ Each Trap 2.00 Repair drainage or vent piping 5.00 CWater piping LOT NO. SUBDIVISION NAME PARCEL MAO Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE / L/ SF ❑ Duplex❑ Mobilehome❑ Other �N C(� PEIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti Ins ❑ ationOther Describework: cum .�Q2,e� 2 �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR101 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. OR ADONS. (ACCLBLOGS.LING CCUP.y) 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 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 MULTI -CUTLET 2,50 ea No N•RESID BRANCH CIRC ITS NEW CONSTFL POWER APPARATUS e\ NON.RESID. (SINGLE OUTLET CIR. 1 Ex. OCCUp OUTLETS OR FIXTURES_ %025 0 IXED APPLNS. OR Ex. Occup.(o UTLETs (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home F5Eilities 15.00 Misc. Wiring s 7.50 Permit Fee 17 $ Q(7 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agr ave, indemnify and keep harmless the County of Butte against all Iia 'hies, judgments, costs, an expenses which may in any way accrue agains said County in co enc f the granting of this permit. Date gnatur of Applicant 4n`eJ< 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 $ / �Q OCCUP. GROUP TYPE OF CONST, PARCEL PD HD ISSUE T s unit is hereby issued under the applicable provi- Ions of the Butte County Code and/or resolutions to do work d'c d a ve for which fees have been paid. CTOR OF PUBLIC WORKS z7 G e`J/ O y 9-7_; - 9Z — PERMIT EXPIRES Date `�'� Receipt No. I/�� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 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) �� S 2. I (have/have not) signed an application fora 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 S igned : Property Owner Social Security mbe_ Date �7 _31 R"r 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. I?v hl -k 2) A wbAck �&L fv)m C,5 n,opn.!Iy I%rte; a"I a :,-;c ock of soft. f,cm 0'. road copil,,Ilrc- Shall bo c' slluctv-�Cr BUILDING DEPARTMem 'APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 r DATE .5-11-92 RE: BERRY CREEK GRANGE 92-1206 P.O. BOX 356. A.P. # BERRY CREEK CA 95916 062-230-008 With reference to the.above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement --plan approval from Land_ Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico. 7 County -Center Dr., Oroville - Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X/ OTHER SEE ATTACHED LIST: Should you have any questions concerning the above, please contact john R• Henry of this office. _ .BETWEEN 3 & 5 -P.M. - : _. Yours very truly;. cc: R.D. Prater Construction P.O. BOX 336 PALERMO CA 95968 JFG/aj William Cheff Director of Public Works //J.F. Glander �Pe rmi t Applicant: Berry Creek Grange Pe rmi t No. 92-1206 A.P. No . 062-230-008 Date: 5-11-92 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications, and calculations as follows: 1. Business and P-rofesions Code Sections 5537 and 6737.1 requires that the Grange addition plans be prepared, stamped, and signed by a registered engineer or licensed architect. 2. Plans must include a code -analysis showing occupancy, type of construction, fire resistive.construction-, and exiting. Plans must include handicap accessible restrooms. Plan check was not done due to a lack of information. If you wish to discuss any requirements, you.may contact me at (916) 538-7541 between 3:00 PM and 5:00 PM, Monday through Friday. John -R.l ,�iEL6ry Plan Ch ck Engineer E0 00 V�l\Z- 0 �G�/� CE�G�,� LTS oV • COVE CIrIAC 06741 I Fog LS T yl�SS'�� E 14L,4/V 'elee9 Al N tco z tat o . .. . ....... 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