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HomeMy WebLinkAbout063-250-037If .;y,vgm� 'g, kll � �­ � 4 li��,Yll "I _ j -"k, It 3- Mi 7 1SOO So. Baroey Street ANDERSON, CALIFORNIA 96007 *14 IT A I , �l I , . 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REARS 040 RESPONSIBILITY FOR THF Eft, C RACzwo. ALL, JOINTSMUST OFKSSIONAL�ADUICE IN KOARD TO ERECTION BRACING A140 PERMANENT 9 J` ARE CAUtIONE6�10, SFtK PR SHOWN OTHERWISE- PLATES ARE .91FIED. ALL PLATES C�LITERXD UNLE51i Ix AircumATELYr,' CUT� AND FIT�.z� DIMENSIONS MUST Of Vr ROM t9ftRIE110E T140T SOME JOiNTs mrs"t REOUIRE LAROER PLATCS POR stftirmks� FABRICATOR MAY FIND F MIMtMUA SASED110, i,4401DLINO. 04LL.CONTINUOUi*'DRACINO ON WEso Akv CHORDS 10 VIE ANCHOREDAT OTH,0DS T 0 A,,0UITASLE SUPPORT. �jv ALL WEDS 2X4 UNLECS OMERWIl' NECIFIED, (.rA.L 9RACINO, TO K SUPPLIED by OTHERS0 '6'. ) �SHA4 WE MADE OF 20 OAGE STEEL. AND' 4CSSEQ� INTO BOTHIFACEIS OF JOIOTS OULTI.SPIKE A'(DY,, J,Ds t. ------- I TPUgj LOADING WELON O"TIPL $PAN JOY 1? STRESSE'S ROOF 4 1 LL� diOO PSF 1 9.00 PSF 19s53(C*, 'At-$- I- 60#1140T)a lhi-�C2-i 0,640 t2-8* U40iml) CEILING LL- O�00 POF FO 'ALL W litts1�091-A 1X4 COM,fIWU9US MACE DL- j,0s00 PSF A; Elt TWhM 3 1/2' BUT NOT UtEtP$06 74 FOR A-' MIHIMUN�.46ARIMQ ORE T X INCREASE FOR STL-15' ADD� O"t P9Rli0',rS4,Otl( SPACED AT 24��O-Ci W un , I I - , �.5:' I ­!, � � . lw(ol 4' PAGE it PlEpUletED HAILS VNiKAR140 jLdCk A day 1�51 SP 'jo fl�'�':�-­ T f, Ok;a 44 ��. ``` • r TM � � i- •` w�`� :��-_,�I _ "„ iii+ti: .. y - - i .,'1 s- ..____.t_ � '.,17» �-w:..::�Y--+rw �P".r�--.f*r"�ti'F'..e _ _C -- -.., � A. • �` V Glenn Doss VIS Village`Dr app 800'W.of Doe Mill F� Rd.,app l.mi.S:of'14ich6la"s Rd ,Fo=t ' Ranch Perrdit, ##269=82B,P,E,M(new single family) � 1 :r Permit#1801-83B(lst renewal/1269-82) Permit #1243-84E '(ele' ser for well) -; Permit#1701-84B(2nd renewal/1269-82) ! Y_ f w r `Y, ,r ------------------------ Lo BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. �� '�Sv ��� ZONING OWNER PHONE NO. OWNER'S ADDRESS '� X :5e7 2— LOCATION OF BUILDING USE OF BUILDING fi'a ct"ar fd r ti ®ice v� u SIZE OF STRUCTURE _ X _ O SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER(Specify)— THER(Specify)TYPE TYPEOF SIDING ROOF COVERINg 041 FLOOR TYPE 4t ESTYATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: vp FRONR X..:: � SIDES / �� fp REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date , 9 S Permit Fee -$109.98 Receipt No. -� �I11 Signature of Owner i—.— ^� A24 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT 7N. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT .' CiWNER E EPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2± V O Y CONTRACTOR'S AM TELEPHONE 0 CONT ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDING ADDRESS %d�� / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 SLOT Water piping 5.00 NO. SUBDIVISION NAME PARCEL MAIP Each qas water heater or vent 55,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition'❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work:Vit- �e — y- „Oej -�il �—"'�`-j �Zd--..e N/) [�jJ A / 9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Ir— •- �� • % C NTRACTORS LICENSE LAW I declare under pen ty Of perjury (Check One): El 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 thi reason OJXWORKMENIS COMPENSATION INSURANCE I declare unde 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 suchPermit provisions or this pen -nit shall be deemed revoked. Main service EA. ADD'L 100 AMP 2.550 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2/20sgft NON -REBID R BRANCH ciRCT Ts 2.50 ea NEW CONSTR. NON-RESID, l SINGLE OUTLET POWER APPARATUS CIR. &) Ex. Occu zo®eoa P(ouTLETs OR FIXTURES SAL030 Ex. OCCU FIXED APPLNS. OR P. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation 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 Countyof 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 ainst said County in consequence of the granting of this permit. '� Date Ignature of Applicant — Owner ❑ 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 $ OCCUP, GROUP TYPE -67-7 PARCEL PD ND ssuE 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 �� A /� L, — � pq4, Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT „j- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 41 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 TI APPLICATION AND PERMIT PERMIT NO. ASSESS R PARCEL NUMBER - Z'O-pN''I' G BUILDING PERMIT OWN R TELEPHONE .SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DR S 26 SL • ` CONTRACTOR'S NAME TELEPHONE F i replace CONTRA OR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S UNKNOWN Total Valuation $ Filing Fee $ 10,00 MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING ADDRESS �• �i PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME "7-L FGas Each qas water heater or vent 5,00 piping system 1 - 5 outlets 5.00 ��/ USE OF STRUCTURE Lr/J SF Duplex ❑ Mobi lehome ❑. Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe or • CQh �>� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ` �I1 •sem Main service A. ADD'L 100 AMP 2.50 DWELLING OCCUP.& NEW CONST.2� OR ADDNS. ACC. BLDGS. I 2QSgft CONTRACTORS LICENSE LAW I declare under, p alt 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, re son NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS. 2.50 ea NEW CONSTR (POWER APPARATUS &' NON-RESID, (SINGLE OUTLET CIR. SAL SOC OR FIXTURES 9AL®aoa Ex. OCCUP. FIXED A FIXED APP LNS, OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities F15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unde pe alty 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue nst said County in consequence of the granting of this permit. XS -Z y—IF// Date ignature of Applicant — Owner ❑ 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 $ OCCUP. GROUP I TYPE of CONST. PARCEL PD HD I ISSUE 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 LIC WORKS J%-, BY Date �L PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW-ASS@SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner:, Phone: 916-534-4541' -An "owner -builder" building permit has been applied for in your name and bearing your signature. 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) A ck.v q_� 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 .41CA, Address. J 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 VI 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 number SJd 8� SBS Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. t This verification must be completed and returned to our office -before we are permitted to issue the permit. N I COUNTY OF SU'"I DEP-r- OF PUBLIC WORKS MAY 31 1984 PM f 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO // ASSES OR ARCEL UMBERR ZONING BUILDING PERMIT O WNE TELEPHONE SO. FT. OCC. BUILDING VALUATION OAILING ADDR 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO // ASSES OR ARCEL UMBERR ZONING BUILDING PERMIT O WNE TELEPHONE SO. FT. OCC. BUILDING VALUATION OAILING ADDR CONTRAC R•S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation f Is Filing Fee $ 19.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fe $ Penalty $f ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ NG ADPRESS ho, PLUMBING PERMIT Filing Fee 10.00 aim 10T Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 10. SUBDIvrstIbN NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Dcr'b ork: � �_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 1 10.00 100 AMP OR LESS Main service•EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&` t OR ADDNS. C ACC. BLDGS. I 2/20sgn CONTRACTORS LICENSE LAW I declare under pensty of perjury (Check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my nlicese 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 U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &' NON.RESIO. SINGLE OUTLET CIR. 20®50a Ex. OccupOUTA OR FIXTURES 6AL®30 FIXED PPLNS, OR Ex. OCCUp. OUTLETS (RESID.I EA.) 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. USX 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 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. Oa so agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue nst said County in consequence of the granting of this /permit. '� �/✓J�� `���1 b ��i Date ature of Applicant — Owner ❑ 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 $ Sj OCCUP. GROUP TYPE 01- CONST. PARCEL PD ND ISSUE This permit is hereby issued under the applicable provi - sions of a Butte County Code and/or resolutions to do work •ndi ated above for which fees have been paid. C ROOF PUBLIC WORKS By Date c-7— PERMIT EXPIRES Date Receipt No. �C/ 0 2 ✓ WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT CM Ki CM i Nnr S)Iuom onand j0 '1d3C ULM r t .a COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: Phone: 916-534-4541 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) h A ,, 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 1/_\ /A 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 ` Signed: Property Owner Social Security number Date 03 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. {7b '1. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. ,7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION AND .PERMIT t: '04� ASSESS R ARCEL NUMBER ZON G BUILDING PERMIT O WNE TELEPHONE SQ. FT. OCC. BUILDINGVEAL ION .pp OWNER'SMAILING A CONTRACTOR -5 NAM I�EAPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER y UNKNOWN Total Val Ion $`�'+' Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 53,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -�iQ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �O BUIL"/r ADDRESS PLUMBING PERMIT Filing Fee 10.00 C� G l9 Each Trap r 2.00 O,QO Repair drainage or vent piping 5.00 ,t folWater piping LOT NO.SUBDIVISION NAME PARCEL MAP 6 , Each qas water heater or vent / 5.00 O Gas piping system 1 - 5 outlets w5-'© p USE OF STRUCTURE SF Duplex , Mobilehome❑ Other SPECIFY Building sewer .JJ UO Lawn sprinkler system 5.00 TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ 5v, pp Contractor Owgi6fe ELECTRICAL PERMIT Filing Fee 10.00 Main service soot/ OR LESS 100 AMP OR LESS �� Main service EA. ADD'L 100 AMP 2.50 Sr-> NEW CONST. DWELLING- EI f 6,0OR ADDNS. ( ACC. BLDG I q t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F] 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 NNEW ON-RESID R BRANCH CIRCT TS 2.50 ea NEw -CONSTR (POWER APPARATUS &1 , NON RESID. SINGLE OUTLET CIR. so @ 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 E X. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA. 2.00 Temporary service, 19 10.00 Mobile Home FadA ities 15.00 Misc. Wiring 7.50 Permit Fee $ Q 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 p E- Cooling Hood 3.00 040 Ventilation ,� e) C-:, Permit Fee S Contractor .40 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 against said County in consequence of the granting of this permit. %� ��� ��'� Date �.% -�Z Signature of Applicant — Owner W' 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 6d OCcu P. GROUP -� I TYPE OF CONST. I PARC PO -X ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF MBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date lUW3 Receipt No. t/ WHITE-D.P.W.. TEL LOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER ' c "COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILD'ING DIVISION �7gC0U(4TY CENTER DRIVE - OROVILLE,6CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICA IT ON DATA SHEET Permit No. 99 t A. P. No. f -.?_ /19/- AfS Proposed Building Use �/ Y Permit Fee Based Upon: Complete Contract Price' -t ,e_DPW Valuation ther (Ex lain) Building Inspector_ �l/l'/% �i,l Date At time of permit application, I was ad*sed-the_foll wing 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. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . , . , . 9. Letter of signature authorization. .. U� Sanitation C C6 tfi0. 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.) Q� 4-14 Owner -Builder Verification (Given to owner 0-; M_aJI to owner ❑•) 5 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .. . 17. J !L x"18. Pre-Inspec. request to ` Pre -Inspection for Required,_e;,d; 9,�nspect(pole) or �C� O 3rd Other d�cu'oC �i l'�/0�®f� When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant J��� �L Date ­e'i�S� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) A 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by l'1 By Telephone Mail Other Plans checked by 11 Date Plans approved by Date Other: Copy—DPW Date TO:' Building Department FROM:.'.,-' Environmental Health, Chico SUBJECT: Sanitation Clearance �� nn JOSSft2 D(e -(,,)3 -cel - IDS Owner LocatiA AP# Plan'approved for: sewage disposal water supply Hold final for:.. 'water supply Final O.K. for: water supply Clearance f0'r bedroom*mobile home. Other Note*** \-sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4641 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 forconstruction of the proposed property improvement (yes or -no) 2. I (have/ha*e-Prot), A& V -t, 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 �J/0� 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 h Ie - 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 c S igned : Property Owner Social Security number ,f70 Date 5--.13 - $Z NOTE: This Owner -Builder Verification is sent to you as required by Sect -ions 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. TO: Building Department FROM:. Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Locati6h APS Plan approved for: sewage disposal �� water supply Hold fsnal for: water supply Final clearance O.K. for: water supply Clearance for___,�I-rbedroom mobile home. Other Note*** [late Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82-14312 _. FOR RESIDENTIAL DEVELOPMENT k DUT-,E ^UUNTY-CAL.1F. Section 26-8.1of the Butte County Code requires this acknowledgement fRF 0 DS RIE `'1:ED­8 y be recorded prior to issuance of a building permit. CEJ The property described herein is adjacent to land or included MAY 52 P19? within an area zoned for agricultural purposes, and residents of ELEANOR M.BECKER.��" this property may be subject'to inconveniences or discomfort arising RLERK-RECOROER from the use of agricultural chemicals, including, but not limited to herbicides, .FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which.have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: May 13, 1982 PROPERTY OWNERS: State of CPlif. ) On this the 13th- day of MaY 1Q 882 Butte ) SS. before me, the undersigned Notary Public, , personally County of ) appeared Glenn A. Doss 'and Donna Pll. Doss -------- ....................ec.aoeaoaa90a OFFICIAL SEAL •� DONALD L. MULKEY o NOTARY PUBLIC — CALIFORNIA i. PRINCIPAL OFFICE IN THE COUNTY OF BUTTE -- Comm. Exp. Oct. 16, 1983 6 - known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the'same for the.purposes therein contained. IN WITNESS WHEREOF, I hereunto set my .hand and official seal. i Present A.P. NO. d/ 1a LS � i w QPS% Yno; Zino*? AM 013 VIS ^!S__ nallow-, W. w 30"NO. 0 or nnCeravy 0; 1117q b1h7enga 1 1 0 1 ;a wrha a; W ry! Aw t " nest Y11, pir ar 11 Pw4liva bpi aqwwA -at Orco zsr us sluounial, I -1wo0wroval U. w"10% A Ynn 100A !701 :.ca:'...:. 11 AnUAVA!"O W OW SS3 WO of% .%3,- 41?,O� x1glATH-0 bal Fbwk :11%1, r g1 I b sill - ma vtwim� MOM We bw yT 'n• .i .3 i'1 +'•y Z160AW TWIT9 ME vlown. DN q.; mnanw:l Order No. *2-122508 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 3, as shown on that certain Parcel Map being a portion of the Southwest quarter of Section 20, Township 23 North, Range 3 East, M.D.B. & M., and the Southeast quarter of Section 19, Township 23 North, Range 3 East, M.D.B. & M., filed in the office of the Recorder, County -of Butte, State of California, on May 23, 1978 in Book 67 of Parcel Maps, at pages 3 and 4. PARCEL B: A right of way for road and public utility purposes including but not limited to Pacific Gas and Electric Company, and Pacific Telephone and Telegraph Company, for service to the general public the right from time to time to install, maintain and operate and use such gas and electric facilities both above ground and underground as it may deem necessary over, under, ':,:,long and within a strip of land 60 feet in width, as shown on that certain Parcel Map being a portion of the Southwest quarter of Section 20, Township 23 North, Range 3 East, M.D.B. & M., and the Southeast quarter of Section 19, Township 23 North, Range 3 East, M.D.B. & M., filed in the office of the Recorder, County of Butte, State of California, on May 23, 1978 in Book 67 of Parcel Maps, at pages_3 and 4. PARCEL C: A right of way 60 feet in width over Doe Mill Road. PARCEL D: A 60.00 foot road right of way in Sections 24 and 25, Township 23 North, Range 2 East, M.D.B. & M., and in Sections 19 and 20, Township 23 North, Range 3 East, M.D.B. & M., lying 30.00 feet on each side of the following described centerlines: .BEGINNING at a point in the North -line of said Section 25, said point of beginning being South 88° 451 22t1 West, 872.17 feet from the North- east corner of said Section 25; thence from said point of beginning, North 460 161 42" East, 227.63 feet to the beginning of a 110.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 740 461 3611, an arc distance of 143.56 feet; thence North 69° 351 4011 East, 99.25 feet to the beginning of a 100.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 37° 401 5711, an arc' distance of 65.77 feet; thence North 31° 541 43" East, 404.55 feet to Point A; thence North 140 361 2911 East, 267.40 feet to the begin_ ning of a 100.00 foot radius curve concave to the Southeast; thence -,:along the arc of said curve through a central angle of 47° 421 2511, an arc distance of 83.26 feet; thence North 62° 181 5411 East, 176.46 feet to the beginning of a 100.00 foot radius curve concave to the 1 Order No. 2-122508 Northwest; thence along the arc of said curve through a central angle of 640 02' 3411, an arc distance oz 111•.78 feet; thence North 1° 43' 40" West, 690.27 feet to the beginning of a 400.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 32° 17' 5111, an arc distance of 225.48 feet to the beginning of a 100.00 foot radius curve concave to the Southeast; thencp along the arc of said curve through a central angle of 149° 36' 50119 an arc distance of 261.13 feet; thence South 00 11' 01" West, 117;36 feet to the beginning of a 100.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 134'.301 0311, an arc distance of 234.75 feet to the beginning of a 100.00 foot radius curve concave to the Southwest; thence along the arc of said.curve through a central angle of 104° 50' 5411, an arc distance of 183.00 feet; thence South 29° 28' 08" East, 191.02 feet to the beginning of a 75.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 146° 25' 1511, an arc distance of 191.66 feet; thence North 40 06' 37" East, 235.10 feet to the beginning of a 100.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 88° 54' 4911, an arc distance of 155.18 feet to the beginning of a 700.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 210 19' 2011, an arc distance of 260.50 feet to the beginning of a'100.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 76° 18' 1111, an arc distance of 133.17 feet to the beginning of a 200.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 114° 34' 59", an arc distance of 399.97 feet to the beginning of a 200.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 67° 27' 2011, an arc distance of 235.46 feet to -he beginning of a 250.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 69° 16' 4011, an arc distance of 302.23 feet; thence South 6811 12' 00" East, 370.28 feet to the beginning of a 100.00 foot radius curve concave to the Northwest; thence along the arc of said curve through a central angle of 123° 39' 0611, an arc distance of 215.81 feet; thence North 11° 51' 06" West, 108.23 feet to the beginning of a 300.00 foot radius curve to the right; thence along the arc of said curve through a central angle of 380 241'0411, an arc distance of 201.07 feet; thence North 260 32' 58" East, 203.42 feet to the beginning of a 300.00 foot radius curve to the right; thence along the arc of said curve through a central angle of 240 14' 0511, a distance of 211.49 feet; thence North 500 47' 03" East, 408.52 feet to the begin - ping of a.500.00 foot radius curve to the right; thence along the arc of said curve through a central.angle of 11° 06' 1611, a distance of 96.91. feet; thence North 61° 53' 19" East, 119.51 feet to the beginning of a h� 300.00 foot radius curve to the right; thence along the arc of said curve$0 through a central angle of 14° 20' 0211, a distance of 125.09 feet; thence n; Order No. 2-122508 ' r j North 760 1,3' 21" East, 270.24 feet to the beginning of a 300.00 foot radius curve concave to the Southwest;'thence along the arc of said curve , through a central angle of 300 35' 59", an arc distance of 160,22 feet; thence South 76° 10'40" East, 426.70 feet to the beginning of a 300.00 i foot radius curve concave to the Southwest; thence along the arc of said curve through a central angle of 260 40' 3611, an arc distance of 139.68 feet; thence South 46° 30' 04" East, 676.30 feat to the beginning of a 125.00 foot radius curve concave to the Northwest; thence along the arc ' w� of said curve through a central angle of 112° 08' 5811, an arc distances of 244.67 feet to the beginning of a 100.00 foot radius curve concave to the Southeast; thence along the arc of said curve through a central angle of 122° 51' 1211, an arc distance of 214.42 feet; thence South 350 47' 47" East, 63.47 feet to the East quarter corner of said Section 19; thence South 860 54' 58" East along the North line of the Southwest .quarter of said Section 20, to Doe Mill Ridge. Road._ PARCEL E: A 60.00 foot road right of way in Sections 24 and 25, Township 23 North, Range 2 East, M.D.B. & M., and Sections 19 and 20 Township 23 North Range 3 East, M.D.B. & M., lying 30.00 feet on each side of the following described centerlines: BEGINNING at a point in the North line of said S;=tion 25, said point of . beginning being South 88° 45' 22" West, 872.17 feet from the"Northeast corner of said Section 25; thence from said point of beginning, South 46° 16' 42" East, 33,40 feet to the beginning of a 300.00.foot radius curve concave to the Northwest; thence along the arc of said"curve through a central angle of 29° 07' 0411, an arc distance of 152,46 feet; thence South 75° 23' 46" West, 39.36 feet to the beginning of a 200,00 foot radius curve concave to the Southeast; thence along the arc of said curve, through a central angle of 19° 54' 3011, an arc distance of 69.49 feet; thence South 55° 29' 16" West, 166,49 feet to the beginning of a 500.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 21° 39' 5311, a arc distance of 189,06 . feet; thence South 77° 09' 09" West, 137,35 feet to the beginning of a ` 100.00 foot radius curve concave to the Southeast; thence along the arc of said curve, through a central angle of 500 44' 3711, an arc distance of 88.56 feet; thence South 26° 24' 32" West, 111,02 feet, to the begin- ning of a 100.00 foot radius curve concave to the Northwest; thence along ... the arc of said curve, through a central angle of 113° 23' 01", an arc distance of 197.89 feet; thence North 400 12' 27" West, 168.76 feet to the beginning of a 200.00 foot radius curve concave to the Northeast, thence along the arc of said curve, through a central angle of 390 08' 1911, an arc distance of 136.39 feet; thence North 1° 08' 08" West, 151,79 feet, to the beginning of a 200,00 feet radius curve concave to the South -..,j east; thence along the arc of said curve, through a central angle of 270 17' 1011, a arc distance of 95,25 feet; thence Nlorth 26° 09' 02" East, 218.15 feet, to the beginning of a 25.00 foot radius curve concave to the Southwest, thence along the arc of said curve, through a central 83 angle of 1460 15' 0211, an arc distance of 63.81 feet; thence South 590 W:ft 54' 00" West, 107.21 feet to the beginning of a 200.00 foot radius curve 3 Order No. 2-122508 concave to the Northwest; thence 41on ,the arc of said curve, through a central angle of 30° 56' 00", an arc distance of 107.98 feet; thence North 890 10' 00" West, 238.31 feet, to the beginning of a 60.00 foot radius curve concave to the Northeast; thence along the arc of said curve, through a central angle of 1510 10 25", an arc distance -of 153.31 feet; thence North 62° 00' 25" fast, 185.98 feet, to the begin- _ Hing of a 200.00 foot radius curve concave to the North��est; thence _• along.the arc of said curve through a central angle of 280 54' 45", an arc distance of 100.92 feet; thence Borth 33° 05' 40" Fast, 103.17 feet to the beginning of a 300.00 foot -radius curve concave to the Southeast; thence -along the arc of said curve, through a central angle of 60° 06' 53", an arc distance of 314.76 feet to the beginning of a 175.00 foot radius curve concave to the Northwest; thence along the 'are of said curve through a central angle of 39° 10' 2311, a arc distance of 119.65 feet to the'beginning of a 50.00 foot radius curve concave to the Northwest; thence along the arc of said curve, through a central angle of 930.25' 3611, an arc distance of 81.53 feet; thence North 450 48' 32" West, 67.34 feet to the beginning of a.100.00 foot radius curve concave to the SouthN..Test; thence along the arc of said curve, through a central angle of 330 26' S8", an arc distance of 58.29 feet; thence North 790 15' 30" West, 262.41.feet.to Crown Point Road. Q! fix - 4 SND O.f DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, Californi%95965 - Telephone 916/534-4541 APPLICATIA AND PERMIT i ti ASSESSOR PARCEL NUMBER "' ZONING d BUILDING PERMIT OWNER TELEPHONE P0,25 Z— 2_ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I C J V r O e•+` egavda CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.100 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 OD / PLUMBING PERMITg Filin Fee 10.00 C S OF Each Trap 2.00 Solar Water Heater 20.00 LO d �u 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 USE OF STRUCTURE SF [1Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation[] Other ❑ Describe work: IP, S F"/9_Z1_1A 41!� '/J� /il �i r7 /'--�1Tjq �'Q/ �/ 1 . DQ riv wI\ /� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10:00 Main service 100 OR OR L 100 AMP OR LESS 10.00 Q/20 D/ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sq 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 1-7711, 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 NEWi.CONSRE R BRANCH CIRC TITS 2.50 ea NEW CONSTPOWER APPARATUS & NON.RRESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES DA ®30 FIXED APPLNS. OR \ EX. Occup. OUTLETS IRESID.I EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 6e) e� Permit'Pee $ 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 shal I 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. G X Date 7 -2� `� 6 Signature of Applicant - Owner OS Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ !�57, 00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I ISSUE 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 OFPUBLIC WORKS BY Date PERMIT E RES Date �� Receipt No.�`��v�."� 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 nameand 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) ,y�C 2. I (have/ham#) 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 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 Signed : Property Owner Social Security number .S7c 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. F r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 orrection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. 7/- % l," V Inspector�J L j� Date __- :i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Y 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 G �j Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57� /L CORRECTION NOTICE BUILDIINfG OR PROPERTY ADDRESS 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 matter_or needadditional explanation, please contact this office immediately. / ZG,i w rlil Z .✓ _s- � // � /',��svr / Foci � fTs Inspector Date (U 1 Z G L COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 /!1 matte` o�r need additional explanation, please contact this office immediately. l / ! n S 1(. // % 1/ /fid/ U A c'-' /' � -tom of E Ir /. _/ f 0 I SCj A- �% 2/m, r lei✓ Inspector `115e� �Dater ZG "V Z COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 tothis matter, or need additional explanation, please contact this office immediately., oyell/ N �` 2 r( = � ,J '/ � li , rt1 !c � /t /,✓ G i �r 3"vi 7 ,_. lJic l 4J 4-jr // /A✓r t G//SIJ •Yi`fn/ C%�.vy-��7 /ate 7si c%.i v _ Inspector Date �S �� In T A. __R MIT NO. IRMIT EXPIRES '+ s NNER Glenn Dass 3NTR. ownl6i ISESSOR PARCEL 63-01-105 37 j NIS Village Dr.,app.800'W.of Doe J CATION :Mill Rd.,app.l mi.S.of Nicholas Rd., I -.Forest Ranch • 4 'r ------------------------------- F, In T A. __R MIT NO. IRMIT EXPIRES '+ s NNER Glenn Dass 3NTR. ownl6i ISESSOR PARCEL 63-01-105 37 j NIS Village Dr.,app.800'W.of Doe J CATION :Mill Rd.,app.l mi.S.of Nicholas Rd., I -.Forest Ranch • 4 'r ------------------------------- e i In T A. __R MIT NO. IRMIT EXPIRES '+ s NNER Glenn Dass 3NTR. ownl6i ISESSOR PARCEL 63-01-105 37 j NIS Village Dr.,app.800'W.of Doe J CATION :Mill Rd.,app.l mi.S.of Nicholas Rd., I -.Forest Ranch 1 ------------------------------- e Woe" .2 AddressRoe f f a e i 7*L , In T A. __R MIT NO. IRMIT EXPIRES '+ s NNER Glenn Dass 3NTR. ownl6i ISESSOR PARCEL 63-01-105 37 j NIS Village Dr.,app.800'W.of Doe J CATION :Mill Rd.,app.l mi.S.of Nicholas Rd., I -.Forest Ranch B FINALED (Date) Signature 1 ------------------------------- Woe" .2 AddressRoe f a e i 7*L , Datei�� ip. Power Poli OPY Called PG&E �� Address-t&_4may�,-` --'�`�----- �. ip. Elea Serv! ✓�fJi 'T'' .!/%.i�}/(/�y7� G AS — Called PG&EMeter, y e ELECT C Datd ip. Gas Service - Meter Bye y Cal led PG& E B FINALED (Date) Signature M L1 J = OKI:- • 0 = Not OK =,149t,;�pplicable RESIDENTIAL (Single and Duplex) riot Beady Date (/ UNDE OR ans OK exce t+Y's Date FRAMING (Continued) tv,2oning requireme is -S acks-EesettreM1Ts ings Main; - - - /)C) /" Ftg. Depth xt. Doors -On- Gkee -Qerage­3mJ-�stor 2zxits Is -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire P otection 4. Ftg., orches & Decks; Soils -Steel- / /" Ftg. Depth on Ro rhang='Ants-Raft triggers mwalls, Main; Sleet-BI-Wra'yp -S iding- ng-Yaapor - outs -Wrapped -Slab eed-Fdn. Vents-Underflr. Access el azing Area -Glass Protection -Skylights -Plastic 7-� .W.V.: ailing -Bolts 9. oe2as Pipe; Size -Anchors _' -V - -Water Pipe; T -Ants-ReeJafeMr 6G 11. Electric; Underground 12 121@- 1364rdo c'�� ^ do a�if^t �T' 1� Card -BI Dat ZCard-BI Date Card -BI Date iJ , Card -BI Date Card -BI Date Card -BI Date Card -BI Dat - jos _jL Card -BI Date i Date FIN tans) OK except N's Card -BI Date6_/_r-/, Card -BI Date Date PLU ING (Permit) 0 exce s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector er Ht. A " s -Com ' n Airnts-Clearance-Comb. Air-Connector- 1n ge; Above Floor-Ducts-Mech. Protection, - er Pipe; T & 8,orL D.W.V.; T -Fi & Astcl4ors ail P ct' n edroom Exiting 17. Show" PaRl Floor -Tub Access .F.I. & Bath Fixtures & Tub Access 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes Is' jy6as Pipe; Size & Anchors Rails Fireplace or Stove; Clearances -Hearth 6 . Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date -� J Card -BI Date it. Fixt.-Cookin Clearance Card -BI Date Card -BI Date Elec. Out lets'& Receptacles at KA -'Counter ounter Date ELECTRICAL Permit OK except Ws - ssOoor; Swing -Landing -Closer ra e -Damper fixture & Transformer Clearance -Ins. Protection 9 tr. Htr:;-Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. RecepMz$eS�acing- s Switch t Door ZZ, -,Size Boxes & No. of Conductors -S aple Plb., Elec. & Mech. Equip. Listed for Location -21- Flac-BaGeptat-le s in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C. Eq,4ip. Ground made up w/Mech. Fasteners nd ate . Insulation -Foam -Looked in Attic 16 Yes - Appliance Circuits in Kitchen & Conductor Sizes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al V. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance es 27. RangUICTM-It' / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, -'Ai4 raled-Meatfal []Yes❑No 75. Following instld.: Dq7 E] Yes [gNo; Walks ❑ Yes o; Planters ❑Yes LI No 28. Service -Riser Conductors & Ground -Main Disconnect finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. Clrnces-Brkr. Co d. Size -115V Outlet othes Closet Light -Shower Light 10 ents Above Roof; Plbg.-Appliance- a l. -Clearance to Opngs. Water Well; Disconnect, Electrical in Exterior Elec. Trim; G.F.I. e e ac Underground Card B -I Date , LCard-BI Date Ventilation throughout House Card B -I Date Card -BI Date , Glass Protection Date MECHA ICAL (Permit) OK except N's _ .-Correctio s from Previous Inspections Gas TV -Meters Tagged; Gas -EI ric -ftWater & Sewer Connected -C/O to Grade HD Approv 3 Ducts; Insu ation & Sup - Vent Fan; i 86. Energy Compliance Certificate -Other Certificates _ 39--gondeasa4e-Min & Overflow; Size & Grade T'L11, royo--34 34_-Penrac2--VL"; Access -Comb. Air -Return Air Vent -115V outlet 36--A+St-AmTZS'9-& Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Z _ Card -BI Date Card -BI t Date Card -BI Date Card -BI Date Card -BI Date Date F A NG(Plans) OK excep 's Comments at Final: Progfae<aterial A QC _Sills; Walls-fJ�iFrt�Spaci racing- es-Seand _ 3 earing Walls over Girders & Floor Nailing /Draft Stop in Walls (rat proof) --y// F' Stops; F� s-Stairs-GUaees 4 Header & Beam -Size & Bearing �vsTCalSs-Anchor-Connectors_ 11/1 CIng. JetVr-fHV Y_ies--P Rc4F-BFac.- uss-ShtP g. Rf - elace-Ties or a rack4e,44w0at - _ cpAtti;_i 7X& om Pr do-D*a46-Uep-Ins. U&M4e5- ' /F' _ .ale drm. Windows or g Doors- i H 1mensions 47p--6eo&ge-Fn're-Protec1ion Framing (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = •Not OK - ='Not Applicable MOBILEHOMES = Not Ready 8, MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's - 1. Zoning Requirements -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.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 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 p's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q'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/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged �y 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ; 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date , . Card -BI Date Card -BI Date W J 6 L iI cvi a i LOT 5 Lor 7 Lor B LOT 9 Lor /O _G ! j E LOT 14 1 LOr /3 LOT /2 I Lor N 259125 4 ( 102 - `9 39.92= C (LOT /) O I3 79.97AC k�jo-Y0.04�� (RIS . '04 7- c 6; • 2598 0' I R/S ti 56.— 7) kf 63-77 ON OGK 56 ? 1 .0. i214C LO r 2 2604 93 40AC ` 39.45AC 10 � 40.24 AC PM 63-7_ bPM 57-5, _ 26//94 21.5�r�C. -1 13 IIS Lor 3 \� - 2 40 AC'- 40.4C.! 113 7 n2 17 LOT 4 32^30 III • " Ing ;? 3 i6� 01-14 7 -34 11C I PM(. 3.'i ',1 A < LO7r5 ' /-V 61.4 ( 95) (LOr7 i 6 1 LOT 5 O '� 5 � 'i 3 Or B) • 4/AC 2!I52AC 9714p.15AC 5ACt 5B AC %271 15 AC 48 12.10.1 C 2 �' .� 131 J (DF 33 sAc 5/' 3< Lor Lor, /226 32 i-- (41 ( r 9) 54 4 '� L O r /2 • 24 /96/AC �-2. 2 �40 13.78 PM '3 41 AC 5T 132; � J • spa PM 63-5' 6' 133 AC B - r' l7 • /5 Lor /5 br 16 j Lor /3 62 63 - 6C \J 200 AC /35 AC. R/5 54-84 59 25 A 40 AC. 54C 5AC 5.02 5.04 iJ 67 478 6 AC 59 NOTE—ASSESSOR'S PARCEL :BLO & LOT NUMBERS SH:O-.-WR e= • spa 54C 5AC 5.02 5.04 iJ 67 478 6 AC 59 NOTE—ASSESSOR'S PARCEL :BLO & LOT NUMBERS SH:O-.-WR A TO: Building Department FROM:. Environmental.l{cilth, Chico SUBJECT: Sanitation Clearance ,G-C- I 1D5 Owner Eocatio`, AP# Plan a roved for: sewage disposal �� water supply Hold final for: water supply F ance O.K. for: water supply, Clearance for_bedroom mobile Home. Other Note*** COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION tANDPERMIT ASSESSOR PARCEL.NUMBER 'r, --- l)r - -, / /.', ZONING• 7-11111 —.a: I BUILDING PERMIT OWNER „r.1 TELEPHONE SQ. FT. OCC, BUILDING VALUATION - OWNER'S MAILING ADDRESS CONTRACTOR'S NAME _ ] ' !r r r TELEPHONE / , , r j •� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ' — UNKNOWN Total Valuation $ FilingFee $ 10'00 LENDER'S MAILING ADDRESS Permit Fee A j' ;` r $ —7/ 1-, ARCHITECT OR ENGINEER ' t LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS %�'.' �� 1,�� t• _,- . J. ) 41 •r PLUMBING PERMIT Filing Fee 10.00 1 ; r f r Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP /, /- 4.1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other E:1Contractor Describe work: /\ P ,, 'f / y� /.�(.'�i--� Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS OR 100 OR LESS 10.00 ( C { • T r'N.J, LA 1 iI `+'' �1� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty Of Ur p y perjury f y (check One): El am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx and Professions Code and my license IS In full force and effffect.t. 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) El 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 CONSTR. ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW -CONSTR ( POWER APPARATUS &') NONRESID. SINGLE OUTLET CIR, . Occup(OUTLETS OR FIXTURES DA ®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA,1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑• The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject • to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 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. 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 over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t occuP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOFt OF PUBLIC ' By �� _ s _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dater- Receipt No. // fr J 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 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS I.J / / - Y CONTRACTOR'S NAME -' 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. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 1 / r /r . a • / far , t. — Each Trap 2.00 Solar Water Heater 20.00 'PARCEL Water piping 5.00 LOT NO.SUBDIVISION NAME MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W __10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: A I Ic C - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 1Main f�, J.% �! f / • '� service EA. ADD'L 100 AMP 2-.50 NEW CONST. DWELLING OCCUP.&\ OR ACDNS. ( ACC. BLDGS. / 21/20Sgff ONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElP.OUTLE 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 �Q. 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 NO N.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NON-RESID. %SINGLE OUTLET CIR. Ex. Occu 20®60a so OR FIXTURES 9AL® FIXED A PLISIS Ex. OCCUp. OU TLETS (RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 4 A 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. ❑ 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. 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 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 ) y , _ _ Date 7 Signature of Applicant — Owner 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 $ OCCUP. GROUP I TYPE DP CONST. F PARCEL PD ND 550E 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 ( " gy\//s.../ 1— I Date PERMIT EXPIRES Date~� M� Receipt No. �=-�: WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT \1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL. NUMBER ZONING BUILDING PERMIT OWN / E'R TELEPHONE V` - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS A; - CONTRACTOR'S NAMEr- = TELEPHONE CONTRACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN1$ Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ", LICENSE NO. Plan Checking Fee $ Penalty $ ARCHI TEC T OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS, PLUMBING PERMIT Filing Fee 10.00 o 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 STRUCTURE SF [I DuplexM Mobiiehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New El"' Addition 0 RemodelEl UtilitiesEl Installation[—] Other E] Describe work: Permit Fee $ contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST* DWELLING OCCUP.8J OR ADDNS. ACC, BLDGS�,�-�',,' . 120 sq f t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUS I ness and Professions Code and my license is in full force and effect. License No. Classification El 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) ❑ 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 CONSTR. MUL T I -OUTLET NO N.RESD. BRANCH CIRCUITS) 2.50 ea NEW CONSTR. POWER APPARATUS IN) NON-RESIC. %SINGLE OUTLET CIR. @ 259� Ex. Occup OUTLETS OR FIXTURES IB50 AL@1 04t (OFIXED APPLNS. OR Ex. Occup. UTLETS (RESM.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 I Permit Fee $ 1 11 //,�, 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. F-1 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 11�/, - -1 — 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. 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 ­ ;11_ -, - ­ /I Jr, Date Signature of Applicant Owner E] Contractor 0 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 $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE O_FCONST. 17A L Pa,[ 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. WHITE-D.P.W., YE . LLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ,) !1 TELEPHONE SQ.FT. OCC, BUILDING VALUATION + OWNER'S MAILING ADDRESS J r •i I1 � 111 CONTRACTOR'S NAME- r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee / t $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ! '%7_1 I, _ / $ r/ I, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Feb, 1 $ Penalty $ X, ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 r r i Each Trap 2.00 Solar Water Heater 20.00 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 USE OF STRUCTURE SF 0^'' Duplex❑ Mob ilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ hies ❑ Ins lation ❑ Other Describe work: — r ' , Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1IOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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 CIRC ITS NEW CONSTR.POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. 20®50a Ex. Occup(OUTLETS OR FIXTURES 9AL®3o Occup. EX. OUTLETS FIXED (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. O 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 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. 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 ;/7.,- '✓.%� _-111;k—?, d -e —?, " Signature of Applicant - Owner ❑ Contractor ❑ Agent F-1 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 $ OCCUP. GROUP I TYPE of CONST. JPARCELJ,/P7D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or workwork indicated above for which DIRECTOR OF PUBLIC � By ? A '/ ,' �. / / -. i PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date R _ r 4 Receipt No. �' � � �-� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Glenn Doss 2620 Rafael St. Chico, CA 95926 Dear Mr. Doss: counW-11 L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director April 29, 1985 RE: Building Permit No. 1269-82 & Expiration Date 5-25-85 rnewal (A.P. No. 63-01-105 ) With reference to the above subject, our'records indicate that your Building Permit tax= ira+R • Zon the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee. (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Ch i .o office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works Glander 'Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise _ 747 Elliott Rd./872-2961, Ext. 57