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063-110-036
Uo 63-11-36 GEORGE & BRENCA HAVEL Nopel Rd West, Forest Ranch ��/�. rIr�!�rnit#3677-B7P,E(plbg & `le for wee future lot development) g-wffk Z��' - M0A'a-t1Q-'-P- '&" 36 __ - - 1� Y 1 ti i TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ��, Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 3 bedroom m e home. Other. NOTE Sanitarian ;� Date Y I-y,�. ._ _ ... - .�•-r,•.��:tirn''...� f -, �''f»+��Y:"x{ss"'I'�q'!t"4'`�e^�'a+;l.'�'r-a„Irv'r'9"'�"^-"'.�.�„'.""'."'r'"'`".M"^"'+""` '7'�r�.-Y1 / v 4 - OFFICE COPY Address GAS Meter ByDate I' ELECTRIC —::� Meter By Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 11—AI 2 APPLICATION AND' PERMIT A, PVM`OT ASSESSOR PARCEL NUMBER� 6,� ...- Z�/.�.t � � BUILDING PERMIT OWN t C� j� /C,� T LE PHONE SO. FT. OCC. BUILDING VALUATION '6<4 [W E •S MAIL, G AD D�RR ES �r L.AW0 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. `A0 )f a ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee .$' Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: t-1-2 _E -e : Z. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 6001 OR LESS 100 AMP OR LESS 10.00 //J,pJ Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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- r sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Y 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ADONS. AGC. BLDGS. , /20sgft NEW CONSTR. U (.OUTLET '2,50 ea NON.RESID .BRA CH CIRCUITS) /POWER APPARATUS e - / y1 SINGLE OUTLET CIR. v Ex. OCCUp OUTLETS OR FIXTURES 6wL030 PR 11 Ex. Occup. OUTLETS (RESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _ 15,104 . !J Permit Fee $ Q Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to'the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 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 sfiid County 'n c asequence of the granting of this permit. X Date Signature Applicant — Owner ElContractor E]Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ _ O TOTAL"PERMIT FEE $ i- oc"P. CONST.TYPC SCHOOL FLOOD PARCEL PD No 139UE' ✓ This permit is hereby issued under sions of the Butte County Code and/or work, indicated I above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date `' Receipt No. DDSBy WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT C" �7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matl6r, or need additional explanation, please contact this office immediately. I n.3 pector 0$ ry 51 jq EIVGL ISH L 11 Ci I - I p— -- - -.- - - .ice. 3 ac 302 33 '!26 GF`34 35 , 2.58 AC. /1 2.5.9 AC. I 'ZI 2.584C. . 4 zo 2 2.59 1 AC. 44 .. , S 74.. 5 V, 94C PxRr OF 63-04-/T 28.94 4C (PORTION CF FOR6-5;r RANCH 541k-- 1, -5.-i4c 0) :7 UN rA/N ILLAGE 508.01 I Q7 'yA,3) 7.ni 1-y 230 G R G `� '��/'� F- r C, A. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovilFe; California 95915 - Telephone: 916/538-75gn APPLICATION AND PERMIT r•// .ER ASSES$QR ARCEL NUB Z,�j i—C BUILDING PERMIT OW TWPPHONE� ;W SO. FT. OCC. BUILDING VALUATION W .O G ADDS ONTRACTO c NAME��,J� TELEPHONE I [,CONSTRUCTION CONTRACTOR'S MAILING ADDRESS Fireplace LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER I SE NO. Plan Checking Fee $ Aduce-LICEN ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ euILDI ss _ Permit fee $ AZ9�� < IWC PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP - Water piping 5.00 - do Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile HomeETEJ 0.00 ea TYPE OF WORK New ❑ Addition ❑Remodel ❑ Utilities ❑ Installation❑ Other ❑ Penult Fee $ Describe work: J=C.l7L!/f?C— ZZ -7T' 245- 1�IYiP/7 7� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eODv OR LESS 100 AMP OR LESS 00 10.©- Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.pi\ / 1�20sgft :--NEW declare under penalty of perjury (check one): OR ACDNS. ACC. BLDGI CONST R. '-OUT LET 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business ; CH H CCIRRCCU TS NON.R ESID BRANCH POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET cIR. (cense No. Classification + Z0&50t Ex. Occup OUTLETS OR FIXTURES eAL030 el, as the owner, or my employees with wages as their sole compen- FIXED EX. Occup. OUTLETS -((RESID )REA.) 2.00 sation, will do the work,and the structure is not intended or offered 1 Temporary service 10.00 r sale. (Sec. 7044) Mobile Home Facilities 15.00 I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ,-� / LJ ' shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 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. TOTAL PERMIT FEE $ I also agre to save, indem if and keep harmless the County of Butte against OCCUP. CONST.TYPC SCHOOL FLOOD PARCEL PD HD all liabil' es, judgments, osis, and expenses which may in any way accrue ;,S against id Count 'n c sequence of the granting of this permit. This permit is hereby issued under the applicable provi- X � Date sions the Butte County Code and/or resolutions to do Signature Applicant — Owner ❑ Contractor ❑ Agent ❑ work in I ted abo a for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- OR OF PUBLIC WORKS ion of structures over 3 stories in height. BY ��� Receipt No. WHITE-D.P.W., YELLOW-ASOCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date r .^ r..:r� "`.��,-rs. r � �_ { '•-a..T. L,�t' 7 .�4r .�-_...'lt�� i. tri .a �� � .� 'I.....►r#��rt �' '' 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t w. 7 COUNTY CENTER DRIVE - OROV LES C A4kJFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER t� A. P. No. a, Proposed Building UsP��/�� r Building Inspecton A.29.. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _._...._15. Improvements may be required. . . . . . . . . . . . 6 Mobilehome Installation ata. Pre-Inspec. request tqi t (Date) 7. Pre -Inspection for __,.__ ._ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of— _ 21. 22. — — -- � When, you issue the permit, process as follows: Mail to owner; Mail to contractor- -Telephone Telephone 2F /145:;10 and hold for pickupffice, Del Iver w/inspec tor. Other Applican Date —L ' r_.. Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. .2. Additional items required: —_— Contractor, designer, owner, was advised of above required data by—phone----jnail_counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie. Qalijiornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASCEL ARCEL NU BER G// r zOf�L r �_ BUILDING PERMIT 0 IN 11 FA T LEPHONE��f SO. FT. OCC. BUILDING VALUATION W .O G ADDS A __iCI•' i ( ONTR ACTO NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST R UCTION LENDER) UNKNOWN Total Valuation $ ,942Z _A7 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDItJ4 ADDRESS `(�//� ,�J� �,/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 f4 Aff! Each Trap 2.00 Solar or h mp water heater 20.00 LOT NO. SUBDIVISION NAME A CEL M P Water pi 5.00 h water heater or vent 5.00 USE OJSARUC URE as pi system 1 - 5 outlets 5.00 SF ❑ Duplex[]Mobilehome❑ I Other Building se r 5.00 SPECIFY Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition❑ Remodel[:] Utilities[:] Installation[] Other❑ Permit Fee $ Describe work' — - C ntractor ELECTRICAL PERMI Filing Fee 10.00 ain ervice Q00V OR LESS 00 AMP OR ESS 10.00 / Mains Vice EA. ADD'@ 00 2.50 CONTRA,SE LA T. N W' DACELsI C P qft I declare under penalty of perjur DrNi N 0Ns R L 2.50 ❑ I 8m licensed under papt. , Div. 3 th@ B(1SIn $ N RES PORwER APPARATUS e and Professions Codese is in full for and effect. SINGLE OUTLET CIR, zoeao� ICen S@ NO. I}IC ion EX. OCCUp OUTLETS OR FIXTURES 20@930 1, as the owner, Or my,h wages as their sole compen- FIXED APP LN3. OR EX. OCCUp. OUTLETS (RESID.)EA.� 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 sale. (Sec. 7044) Mobile Home Facilities 15.00 I, as the owner, am exclusively contracting with licensed contract- vopr Misc. Wiring 15.00 - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling Consent to Self-Insure. �of ' shall not employ any person in any manner so as to become subject Hood 3.00 U to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such I provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above Information Mobile Home Installation Fee $ Is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agre to save, Indem If y and keep harmless the County of Butte against fes; OCCUP, CON eT.TTP[ PD ND 123U[ all liabil' judgments, osts, and expenses which may in any way accrue ISCII00LIFLOODIP.11C.I.1 against id Coun!s4n cg4sequence of the granting of this permit. This permit is hereby Issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS loh of itruktutes over 3 stories in height. receipt Nb. By Date Iw�y►c;q�f+ P1.jyY LLOWM9a�^�a- ---�MC70R, GOLO[NROD-APII CANT PERMIT EXPIRES Date