HomeMy WebLinkAbout063-240-038I3 -Z4 38
T. R. Santos
W/S lloe Mill Rd., 3/8 m'i.S,of Nich as
Rd., Chico /s-�Ir'�g Permit #1682-78BP, EM(newfamily)�.
-4a=9I;!=94
Permit #5994-ry8B(ald covered porch/
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LAR LESSLY 063-24-0-038
12679 D>-94
Permit#ad, Forest Ranch
gas p -Ping/
g tank)
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063-24-0-038
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063=240=038 PERMIT#94-2361.x'"
LESSLEY, ..LARRY _ a
1,2679 DOE-.MILL. RD . :FOREST 'RANCH.'
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN— SERVICES - BUILDING DIVISION
*€ -# County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 9y-'
ASSESSOR PARCEL NUMBER
063-240-038
ZONINGBUILDING
TM10
PERMIT
OWNER
LARRY LESSLEY
TELEPHONE
895-0947
SO, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
16390STAGE RD FOREST RANCH 95942
[t �yp/
8 S COMP
600
CrO}N�TTRRACCT�OR'SS NAME
U(\A1n.7Yrl\
TELEPHONE
CONTRACTOR'S MAILING ADDRESS -
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
1_2679 DOE MUL RD. FOREST RANCH
PERMIT FEE $
35.
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF )0 Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition EIRemodel 1:1Utilities ❑ Installation 1:1Other O
Describe Work: REROOF
PERMIT FEE J$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR LESS )
200A OR LESS
23.00
—t,
i
Main Service ( 200A TO ,ODGA )
46.00
NEW CONST. DWELLING OCC UP.
OR ADDNS. ( & ACC. BLOS. )
BO
3.50 FT.-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
OX, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ERAPPARATUS )
&S1NrIE OUTLETCIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPS. OR
(OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23 00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check'bne):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked. '
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
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 nsequence•of the gra ting of this permit.
X �- Date `C ^� --`% u
Signature of Applic t - dinngr,j❑'Confrac or ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3s to Ie\ t height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEES 35.
"AZ.
I D. FEES
I IMP
I FLOOD
I COF
PARCEL PO
HD
I ISSU
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. 1
_ r
By = ��i".�y I ��/ x � 1 Date
J .
PERMIT EXPIRES ON
7
Receipt No. 3 6 -
WHITE-D.D.S.-B.D. CANARY-ASSESSQ PIRK.JNSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI SION
7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538- 1 PER IT NO.
APPLICATION AND PERMIT 5'�� 23,*�� -
ASSESSOR PARCEL NUMBER
063-240-038
ZONING
TM10
BUILDING PERMIT
OWNER
RR
LARRY
TELEPHONE
895-0947
SO, FT. OCC. BUILDING VALUATION
OWNER'S MAIL(
16390STAGE RD FOREST RANCH 95942
g SQ COMP 600
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
15.01
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
12679 POE MILL RD, FOREST -RANCH
PERMIT FEE $
35.01.
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
-SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other O
Describe Work: REROOF
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I BOOV OR LESS )
2OOA OR LESS
23.00
Main Service I 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. I & ACC. BLDS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
(cense No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
he work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
El am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20
L. @ 1.500
Ex. FIXED APPWS. OR
Occup.
Oervice UTLETS IRESID.) EA. )
5.00
Temporary S(
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
IJI have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.E
Noticyto Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the Couniy of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in nsequence of the gra ting of this permit. (1
X Date �6 ^� 2 �u
Signature of Applic t - Owner ❑ Contra or ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEES 35.0
HAZ.
I D. FEES
I IMP
I FLOOD
CDF
PARCEL
PD
HO
1 ISSU
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 ate
$
PER IT EXPIRES ON
a tel
Receipt No. 3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
....,.,_.-....:rn+v�M�:•-ti�'�.�-'+tt�` I,-.�..e+.:d�'+i.-"'�i'r-t++,..-d"+'d4�+ti't�+i"�..t1�..�t"�+,.r►i+7,i-,i'�:;rrlL'�i7y'�'"w'.^i,�^cF,n-n+.rl��.�'*vs*.�i4. '"�.7M�.7r.c � i+C.�,,.::,..
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENTSERVICES - BUI ING DIVISION
7COUNTY CENTER DRIVE -OROVILLE,CALIF NIA95965-TELEPHO. 91-7541
PERMIT APPLICATION DATA SHEET JC, 3 - 2 -Yeo - a 3$
OWNER Lima- Lesdk I A. P. No.
Proposed Building Use s/r- Xe A,'J Building Inspector 4 Date ZZ
At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1,
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans.
3.
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design. Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior. to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ..................
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). ...Pre�!�Sp'e�o;
20.
request
Pre -inspection for required. .. to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner _) ............
24.
Recorded copy of Agricultural Acknowledgement,Statement. ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
-
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan checklist ......................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data 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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail / Counter by _ Date
Plans checked by Date `" Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
Department of Development Services
Building Division
_1
Oroville: 7 County Center Dr., Oroville CA 95965 , Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph:' 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" .building permit has been applied for in your name and bearing your. signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your -building permit. No building permit will be issued until this verification is received. .
I personally plan to provide the major labor and materials for construction of the proposed property improvement
"(yes or no)
2. I (have/have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's .License No.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5-. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed: - -
Property Owner
Social Secure
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.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR P 7ZBER �---� _
ZONING /
BUILDING PERMIT
OWNER
TELEPHONE a9u
SO FT OCC. BUILDING VALUATION
OWNER' MAIUN ADDRE
10 L J�
CONTRACTOR'S NAME Hr/UV'_ -:1J N
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
(3
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS'
Penalty $
BUILDING ADDRESS 9 r D
PERMIT FEE $5—
—�
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFuplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O AddiIion Cl Remodel O Utilities O Installation O Other O
Describe Work: J
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service(BOOV OR LESS
200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. I
3.5C FST,O,
NEW CONST. MULTI.OUTLET
-NON -RESID. ( BI
RANCH CIRCUITS
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
cense No. Classification
-All,as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES I
@100
B20AL. .
50l
Ex. Occup.FIXED APPINS. OR
( OUTLETS MESID.I EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
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 qJ the granting of this permit.
X Date^
Si ature of A licant - O Owne O Contractor 5 --Agent o
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEES
HAZ. I D. FEES I IMP I FLOOD
I COF I PARCEL PO
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By
PERMIT EXPIRES ON
!Da rel
provisions
to do work
paid.
Date
Receipt No.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
0.63 24 0=038=.
94-
LESSLY,;Larry 2258-Fo
,a 12b79
Doe Mill Road
igas piping. Forest' Ranch
�• d for
;. 1'P$ tank)
AA •
P; iA/ ' a�I/ ZVI/ -f2 TO V:rA441
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4
OFFICE'COPY
Address
GAS
!N Date
... ��. ,71,Meter'Byd� -....
ELECTRIC
Nlefer B.y e r 1
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` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 � P T��
APPLICATION AflD PERMIT
ASSESSOR PARCEL NUMBERM
{o -o-se
ZONING O
TM-t
BUILDING PERMIT
OWNERJ / �S
(�
r L E
SQ. FT. OCC. BUILDING VALUATION
OWNER'SM ILI A R
CONTRACT S N E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS j_
PERMIT FEE $
(�
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex ❑ Mobilehome O Other
sPECIFr
Gas piping system 1 - 5 outlets
15.00 1.5Q!-
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 1:1Utilities ❑ Installation ElOtherA
Describe Work: G 5
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
L. LS
ain Service ( OOOV OR LESS )
200A OR LESS
23.00
ain Service ( 200A TO 1000A )
46.00
NEW
W CONST. DWELLING OCCUP.
ADONS. ( & ACC. BLDS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
No. Classification
as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
W CONST. MULTI -OUTLET
N.RESID. ( BRANCH CIRCUITS )
[Ex.
@7.50
( POWER APPARATUS )
6 SINGLE OUTLET CIR.
Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Occup. ( FIXED APPWS. ORLicense
OUTLETS(RESID.) EA.
5.00
emporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Ap ant - Owner ❑ Co actor ❑Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ i CONST. TYPE TOTAL FEE $
HAZ. 1 O. FEES IMP I FLOOD I CDF I PARCEL HDI ISSUE
This permit is hereby issued under the applicable
of the Butte._Co my Coyfe and/or Resolutions
indicated above or wh' h ees have been
BY 4�
p� A)
PERMIT EXPIRES ON d
(Date)
provisions
to do work
paid.
R //�� -
Date" /Vf�
4 Q�
�7
ReceiptNo. 42 BLS
WHITE-D.D.S.-B.D. CANARY -ASS SSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES"
1469 Humboldt Road, Chico, CA - (916) 89T-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date 4r11'21q<1 Inspector
REV 1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9 kf , aP MIT
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 043-2`40 r V
ZONING TM—to
lo
BUILDING PERMIT
OWNER % /
L L
TEL ONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M IUN R I S llo D.
2—
%TELEPHONE
CONTRACT S N E
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 12 n ,
`�
PERMIT FEE $
(' s R
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF)( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 O®
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation C)OtherA
Describe Work: GAS
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
n w
L A 1 /: En �?f r. /; Aa k
\A 1` l.� , l [v
Main Service ( 800V OR LESS )
200A OR LESS
23.00
Main Service ( 200A To 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
3.50 'FT'.'_
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
cense No. Classification
as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST.MULTI-OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.000
50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
1 shall not employ any person in any manner so as to become subject to the Worker's
ompensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date -1O
Signature of App ant Owner ❑ Co actor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
coNST. TYPE
TOTAL FEE $ Z, -00
HAZ.
I D. FEE!=
CDFPARCEL
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte my h. and/or Resolutions to do work
indicate above r wh' h ees have been paid.
AYL
BY r Date �! /O
^` /)
PERMIT EXPIRES ONur`�
(De rel
Receipt
WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.✓
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 6 �� �,+ ^—
U U -'<(VJ
ZONING
/
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNER'S M UNG ADDRESS ,
o
CONTRACTjdR'S NAME
I/%/j�/.(/�y
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS ^ 7
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20,00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
S Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition O Remodel O Utilities ❑ Installation O Other
Describe Work:
PERMIT FEE $
3
Contractor
ELECTRICAL PERMIT
Filing Fee 1 20.00
Main Service 11 OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. OLDS. )
SO.
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
-NON-RESIO. ( BRANCH CIRCUITS )
@7.50
( POW ERAPPAr1ATUS )
1101 OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occu FIXED APPINS. OR
p' ( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed.on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ- D. FEES
IMP
FLOOD I COF PARCEL I PO 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.
By Date
PERMIT EXPIRES ON
More)
Receipt No.
WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r"519
Oroville:
Chico:
Attention Property Owner:
COUNTY OF BUTTE
Department of Development Services
Building Division
7 County Center Dr., Oroville CA 95965
1469 Humboldt Rd., Chico CA 95928
OWNER -BUILDER VERIFICATION
Ph: 916-538-7541
Ph:' 916-891-2751
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction -of the proposed property improvement
.(yes or no)
2. I (have/have not) 4signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. 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 Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Propc
Socia
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and` returned to our office before we are permitted to issue the
permit.
N
. r-
'`'' �pRiidP`T r�o. '- 1682-78B,P,E,M
x PERMIT EXPIRES
T.R: Santos
j OWNER
CONTR.' Owner
!),LOCATION (A.P. 63-01-94
W/S Doe Mill Rd., app.3/8 mi.S.of
_ Nicholas Rd,', W�
n
'S
( Temp. Power Pole
Called PG&E /
S --X
C t 7�lEiec. Se�rv� f—,Z•
`Called PCx$"E V i
VZ f %' _
Temp. Ga//s�Serv.
j Called PG&E \J
l
(Date)
(Signature ' ��
'`-'CG4JNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -~
BUILDING INSPECTION REWORD .
BUILDING BUILDING (Cont'd) PLUMBING
Setback -? �_ Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings (Q-.5./ Windows 3rd Floor
Stemwal I Ca --- 6 Siding To out
Slab Roof Sheathing Water Pi in -- `
Piers Roofing �, Sewer \1
I
Garage Fdn. Vents - Fixtures
Footings Gaiage Vents Water Htr.
Stemwal l Insulation Heaters
Slab handicar pehysically Appliances
Carport Conformance of ex. Gas Piping & Tes
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing Y7-2`61 61c4'Sc= ELECTRICAL
Masonry Walls Throat s — B Rou h 25
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing —7 Test Water Htr.
Stucco Final Subpanels
esh MECHANICAL Grd. 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
OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
�.��.
NO 60&4 c5 r.. � ti
l
(NOTE: Avy
my6t)tt
J�� (% Lyi74-4
9-P, /--� z2 - /071/
7 ,
10
off,"
1
ti
COUNTY OF BUTTE
' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE.
Le 5-s
i
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of,work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
!1 � ✓��
o ► ��if J ems. r !/I f,9.- 6 - e Z1 - r
rt7
.A
Date ` t �( Inspector
REV 10/92
t
This form supplied by'Longfellow Lumber.
THIS IS TO. CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number
Tract No.
Exterior Walls'
Manufacture hickness/Type R Value
T x
Ceilin . •
S: Manufacturer6' Thickness R Value
e.
Blown: Manufacturer Thickness Ho. Bags Wt./Bag
Sq. Ft. Covered R Value
r
Floors
Manufacturer Thickness/Type R Value
Slab on Grade
I
Manufacturer. Thickness/Type _ R Value
Width of Insulation Inches
Foundation Walls
Manufacturer • Thickness/Type R Value
GE L CONTRACTOR�LICENSE NUMBER
� � ) ��
BY
TI TL E ro 2'-�i� DATE
INSULATION CONTRA, OR Lam`, ),� LICENSE NUMBER
BY TITLE DATE
r
L cation.
REQUEST FOR INSPECTION
Permit No.,_
o� r
Owner:
Contractor or Tenant:
Coml,iaint:
_yI
BLLi�G.
PLUMBING
ELECTRIC
I.
PECIAL
Form
gh
)LI.-P.
Ro h
c oJob
Status
Frame
Out�
Te p. Service
F' a
Perm it Renewal
Stucco
Gas Pipi g
Service
Verify Utilities
Fireplace
Bond Beam
Temp.
Sewer ip'
ndu
OTHER
..
Ip�
YiI"mpl
Water ipj
Correctioris
Correc ions
Corrections
READY
Final
al
�;m
FOR INSP.ON a.m.
p.m.
r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
-�° 7 County Center Drwe - �Oroville, California 95965
i%r v ..Telephone:534-4541
APPLICATION AND PERMITM
ca -
BUILDING
Owner 7E X
SQ. FT. OCC. BUILDING VALUATION
Mailing Address �6�k
n��tTeIepho a o.
�c� d
Contractor
Mailing Address
Fireplace/Doe) 00
Total Valuation
Telephone No.
Permit Fee
Building Address S I
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
�/-IllyEach
Lem I cb
PERMIT FILING FEE $3.00
Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. °-
T'�.-/� �j
onin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FewflSa
i on Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5•outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
arcel ap
60' /W
Improvers
additional outlet .30
Building sewer 5.00
Bldg, PicPar prova
s Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee
ELECTRICAL No. @ FEE
PERMIT FILING -FEE $3.00
,
Main service 600V OR LESS
100 AMP OR LESS 5•�0
Single Family Ln Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00v 25.00
.100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW C
OR ADDNST ( DIIACCL I UP 4) 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 of:
NEW CONRES MUL I.OU LET
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L ,@
FIXED APPLNSOREX. OCCUp. OUTLETS (RES,D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
tyI am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Xi -7-S-1
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.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance._
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 Workmen's Compensation Laws of
California.
No. @
MECHANICAL FEEPERMIT
�® d
FILING FEE $3.00 r
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 represen ' es of the County of Butte to enter upon the
above-mentioned rop ty fo inspection purposes.
X Date to
Signature of Permitee or gent 3 `�
i-_� r .ti'_r/9 v�s
Land Development Fee
$
TOTAL PERMIT FEE f5
o
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.'
DIRECTOR OF U IC WORKS
By _ nate
Receipt No. - — -?
White-D.P.W. - Yell lowts o Ink -Inspector - Goldenrod - Applicant BUI Ing permit expires Date 4(^ 2-d _
I
y
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,`& MISC. ONLY) / _
�3. Bldg. Permit # /� 0 .
A.P. #
A. . GENE
]A Zoom�ing requirements (sideyards.and parking)..
aluation.
3. Signature by R.C.E. or Architect (if required).
,B. PLOT PLAN
X'Complete parcel size and dimensions. .
�tbackq, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
omplete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
,?_Required windows for second exit (Sec. 1404).
Owable glazing for energy requirements (20% max. per.State law):
human impact glass (Sec. 5406).
cdS�Required room sizes, ceiling heights (Sec. 1407).
4�.�.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
45—. --Light f ixtures,,switches, receptacles, and exterior receptacles -for maintenance of
mechanical equipment.
cations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures. ;
10. Garage firewall, door size, and closer (Sec. 503(d)(4)).
44-.--1-3'0" exterior exit door (Sec 3303d).
ld�keplace.location.
15�.Smoke detectors (Sec. 1413),.
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
<-L--Floor construction details.complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
�-- Roof construction details complete enough to construct building.
41. Fireplace construction details and calcs if over one-story in height.
4r.---S__�fficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
C,-GCX plywood on'exposed locations and -overhangs.
Z. Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716).
4. Brick or stone veneer (Chapter 30). w
51 ---exterior plaster - weep screeds (Sec. 4706 & 4708).
'fr.—Proper roof pitch.for roof covering (Chapter 32).
,, Rafter ties or bearing ridge beam.
8." Garage door or porch header sizes.
equate bracing.
10. Living area over garage complete.l-hour separation required including supporting
walls and posts, etc.
11., Two (2) exits on three-story dwellings (Sec. 3302). -
r�47
-.. -5994-78B
• <'' P?AMIT NO.'
PERMIT EXPIRES
T.*R.-Santos'
'OWNER
owner
i' CONTR.
} LOCATION (A.P. 63-01-94
W/S'Doe Nfi11 Rd., app.3/8 mi.S.of Nicholas
�' Rd . , ch icgo ,
F
rraming
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION MORD
Water Htr.
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil PI in
Forms
Parapets
1st Floor
Main Bldg.
�`'� Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing "'
Sewer
Garage
Fdn. Vents 7
Fixtures
Footings
Stemwal I
Garage Vents
•Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Gas
Slab
Final
--Temp.
Sanitation
Patio
FIRE L . AQE
Final
Footin s
% Footing
- I TRICAL _
F
rraming
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
ME HANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling X
Temp. Pole
Finish Ducts Under round
Interior Lath Ventilation Permanent ti
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 O ORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
P
COUNTY OF BUTTE = 'DEPARTMENT OF PUBLIC WORK
t t 7 County Center Drive. t_ .Oroville, California 95965
TelephG!e: 534 4541 99/�
APPLICATION AND PERMIT /
authorize representatives of the County of Butte to enter upon the
above-mentione rty for inspection purposes.
_)A?X Date
Signature of Permitee or Agent
Receipt No. / R Q!� C2 �/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 pa'
DIRECTOR F UBL C WORKS
BY Date %a
B//ding permit expires Date
BUILDING
Owneri
e CD'sO
SQ. FT. OCC. BUILDING VALUATION
i�G /
Mailing Address t
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee q,�r, O
Building Address W 2 eLl. rDa
�c•
Plan Checking Fee&/or Penalty
Permit Fee c'Z
_
3 0 s— ch 6 L.
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
G O
Repair drainage or vent piping 1.50
-3A. —?
P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
IN -G: ion
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
arcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
�� ��
Bldg. PI�Rec'd I
Parcel ovalans
Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $
$
v
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service 10 0_AMP VER OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST DWELING
OR ADDNS. ACCLBLOGSCCUP. s) 22sgft
CONTRACTORSNON-RESID
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 CONSTR (MULTI
l BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 8
NON-RESID, (SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTURES) B L@;
Ex. Occup. 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
to I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
QI 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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE$
authorize representatives of the County of Butte to enter upon the
above-mentione rty for inspection purposes.
_)A?X Date
Signature of Permitee or Agent
Receipt No. / R Q!� C2 �/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 pa'
DIRECTOR F UBL C WORKS
BY Date %a
B//ding permit expires Date