HomeMy WebLinkAbout064-400-004(C
064-400-004 _ PERMI Rq -1296
VARAO, [Jayne & Donna �j
14373 Clarion way, Magali -- `"--
Cont; Ryther & Dailey Const.
New Deck & Garage/MH
K1,
0
T 1{
t
RESIDENTIAL
064-400-004 PERMIT#96-1296 \'
�VARAO, Wayne & Donna
14373 Clarion Way, Magalia
Cont; Ryther & Dailey Const.
New Deck & Garage/MH
t
Z.5 *
,1
.,1
�1!
�y1#1
7
f
1
1.
i
JOB FINALED (Date)
i
Signature
t
V=OK
0 = Not OK
—Nopl•=Nott Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1 -✓ Date Card B-1
Card B-1 Date Card B-1
1. Zoning Requirements - Setbacks - Easements
POOLS (Plans) OK except #'s
2. Soils; Special MH Support Sketch
1. Setbacks -Easements
3. Sewer; Location -Test -Fall -C/O -Concrete
2. Soils; Compaction -Structure Stability
4. Water, Location -Test -Easement Needed (Sketch)
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5. Electricity; Locaton-Clearances-Gmd-/ /Amp -Concrete
4. Elec.; Receptacles and Lighting, Distance -GFT
6. Gas; Location -Test -Wrap; / P'L'ft.
/ /Nat. or/ / L"ft./ /LPG
5. Elec.; Pool Lighting; 15 Volts-GFI
7. Well Clearance & Disconnect
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
8. Utility Clearance
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3. Gas; MH Test -Demand -Valve -Connector
Card B-1 Date Card B-1
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch c
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date _ Card B-1
MISCELLANEOUS
31 D26ks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
#. god Awn.; Posts-Beams-Rftrs.-Connectors
Awn.; Columns -Cor
rts; Windows -Doors
Trusses
f; Shthg-Roofing
; Steps -Doors -Lendings
Date
Date
Card B-1 -✓ Date Card B-1
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GFT
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
4 O
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UNDERFLOOR (Plans) OK except ft's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg'., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe: Size -Anchors - yard gas piping: size-test-
11.
ize-test11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
---- - ------------------------------
18.
-------------------
18. D.W.V : Test -Fittings & Anchor -Nail Protection
--- -- 19. Shower Pan: Test_ First Floor -Tub Access
----------------------------------------
20. Test Tub & Shower. Second Floor -Tub Access
----------------------------------------------------------------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------- ---- ---------------- ------------------ ------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
- --------------------- -------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
-----------------...---------------------------------------------------- -------
25. Romex Installed Close to Edge of Studs & C.J.
----------------------------------------------- ..............---
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
------------------------------------------- ---- - •-- ........ ....... --
27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
------------------------------------------..........-
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size - ga.
-Cu or At
-------------- --- ---------------------------- -
29. Range Circ. ga. Cu or AI -Oven Circ. r r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------------- -__---._.._.---- ..
30. Service -Riser Conductors & Ground -Main Disconnect
---------------- - ------------------ -------•------- -----.._...._... ........
31. Equip. Clearances Panels-Motors-Mech. Equip.
-------------- --- - - - - .................... ....... _ ..._. ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
------------------------- ----- ---------- - -----_.... ... ... ............... ..
Date Card B-1Date Card B-1
------------..._..................... ................... ....... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except N's
34. A.C. Ducts Insulation & Support
-----------------...-- --- ---------- - . . . ........... .... ... .. .. .... ..
35. Vent Fan: Exhaust above insulation
-------------------- ------ . - ... ............... ... ... ... ..
36. Condensate Dram & Overflow ..... ..... .
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
--------- -- - ------- --- -
38 Attic Access & Platform if Furnance in Attic
------ -- ---- --- ------- - I . . ......... ..
Date Card B t Date Card B -t
Date Card B -I Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
...... ... __. ... ... . . ... ..._... ... ... ... .
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....... ... ... .. .... __.. ---
...... ..
41. Bear ng Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
...... . - -- •--- ... ... _-1 .... ..... ....
43. Fire Stops. Furred Ceilings -Stags -Chases -Tub
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr, ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits
_____________ 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
-----------------
----------
----------------_ _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
- 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts---------------
_
59. Insulation -Walls -Ceilings
-------------------------
60. Infiltration -Walls -Windows
----------------
-------------------------------------------------- --
Date Card B-1 Date Card B-1
----------------------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
- ------------------
62_._ Smoke Detector
-- ----------- - ---------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------------------
64. Bedroom Exiting
----------------------------------
65.
..------- ----------65. G.F.I. & Bath Fixtures & Tub Access -Spa
...... ...... .... ...-- - - ---- -------
66. Elec. Trim & Sub
anel: Breaker Sizes & Labels
--------------------------
67. Stairs & Rails
.. - .. - ---- ---------------------
68. Fireplace or Stove: Clearances -Hearth
----------------------------------
69 Elec. Outlets at Wood Panel: Int. & Ext.
.. ------------------
70.
-----------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
.. . ----------------------
71
--- •-------------71 Elec. Outlets & Receptacles at Kit. Counter
. - - - - - - - - - -- ----- -- - -- --------------- ----------
72. Garage Fire Door: Swing -Landing -Closer
....... ---------......-------------------- ---- --
73. A.C. Duct in Garage -Damper
....------------------------------------ ----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
..... ----------------------------------------- -
----
75. Plb.. Elec. & Mech. Equip. Listed for Location
- ---------------------
76.
------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
- ------------- -------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------
78. Guard Rails & Deck Construction -Post Caps
.------------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
-------------------------------------
80. Following instld.. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
-------------------------------------- - ---------
81. Stucco: Brown -Finish
.. ....... ... ..... ....-------------------------------------
82 A C Unit: Disconnect. Electrical, Plumbing
. ... ... ... ... ....--------------------------------- -- -----
83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to
Openings
. ....... ... - . ------------------------------ -----------
84
.---------- ----------------------------84 Water Well:Disconnect. Electrical, Plumbing
. -----
--------------------- --------- -----
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- - -----------------------------
86 Ventilation Throughout House
. .. . .. .... .-- ----------- ----------------------
87 Glass Protection
------------------
88
-------------88 Corrections from Previous Inspections
-------- -------------------------
89 Gas Test -Meters Tagged: Gas -Electric
-----...-------------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
. - -- - - - -- - -...------------------------------
. ------------------------- ----
91 Energy Compliance Certificate -Other Certificates
--- - ----------------------------------
Date Card B-1Date Card B-1
. . ..... .......---------------------- -- ------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541P RMIT NO.
APPLICATION AND PERMIT _/ L - 42
ASSESSOR PARCEL NUMBER
054-400-004
ZONING
R1
BUILKINGPERMIT
ER
OR
& DONNA VARAO
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
400 0 2800
OWNERS MAIUNG ADDRESS
14373 CLARION WAY MAGALIA
120 C 1560
CONTRACTOR'S NAME
RYTER-DAILEY CONST
TELEPHONE
893-3076
/.80 7 8640
�F C7
CONTRACTORS MAILING ADDRESS
2 0 CAMINO NORTE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is 13,000
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 144.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
3.60
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 14373 CLARION WAY, MAGALIA
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
_ SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DECK & GARAGE
Mobile Home -FTF'-'- W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service000v OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
[
License Class D }G- /S Lic. No. gots
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SD. 14.00
OR ADDNS. ( a ACC. BUDS. ) 3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER SINGLE APPARATUS )
8 OUTLET C1R.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00
BAIL .50
Ex. Occup. (ours PLNS. OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 34.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
/— I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
,)C;I:P I certify that in the performance of the work for which this permit is issued, 1 shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X 2 _ Date �L�s� ---
Signature of Applicant - Owner;9!Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 291.60
HAZ. tf�e
t•
FLOOD
C
Iss
P ELOe
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fe s have been paid.
BY to /
PERMITEXPIRESON -- 71z51q1Ie
(Date)
Receipt No. 195446
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
CDF FIRE SAFE REQUIREMENTS
V -.A 'n' (D — - VA6q-o ,
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are'made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[� 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of -properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Drivewav Standards
. 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app_,rte-�ant structures which supple-
ment the. roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[Xj 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius*
1. No roadway shall have a horizontal inside radius of
/ curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[yj 2. The length of ver` -i^.1 curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold -or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will -have a minimum turning
radius of 40 feet from the center of the road.
[� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[�] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 o;f : 2.-.
AP # - PERMIT # NAME
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273..11 Gates
[�] 1. Gate entrances shall be at least two feet wider than,
the roadway it serves.
[�] 2. The gates must be located at least 30 feet from the
roadway and.shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels 1 acre aiid larger shall provide a mini-
mum 30 foot setback. for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[j. 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[] 1276:02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction ,r fi.ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME i
Other Requirements
[ If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ) If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A,or B roof with enclosed eaves
- Interior automatic spri.lkler system per NFPA 13D
-,Glass area not to exceed '- - of wall area toward property
line with insufficient setback
Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date
Signature
Page 3 of 3
.. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER / ✓.L.�1 ��
Proposed Building Use
A. P. No. 0 -- 40 00
Building Inspector vim. Date j6�--
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
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. ;aW-;,412. California Department of Forestry plan approval/ees/
13 od elevation letter (100 year flood) y Californ ngineer.
4. -Sanitation and plot plan approva 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).
20. Pre -inspection for required.
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 check list.
33.
34.
When you issue the ermit, rocess as follows: Mail to owner. Mail to contractor.
_4 �elephone , 6 and hold for pickup at office. Deliver with inspector.
Other
Applicant �� , �� Date 4� -/Z-4--C
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from
the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued
permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked
and other department costs are not refundable.
Original - Applicant
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPM2NT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER CJ 1 Y6 V lvL
PROPOSED BUILDING USE
2.
3.
A.P. #-6
DATE — 2—
_ 4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT
C
DATE
REC. # DATE REC
SCHOOL DISTRICT{ FEES
(paid at District Office)
SHERIFF FEES (paid at Building Division)
Residential.` v,: x
t- •
unit amt.
_ ..
Commercial (sq. ft.) • x
_ $
URBAN AREA FEES
- - .
(paid at Building Division)
Residential (per unit). x
=$
#units amt.
Commercial (sq.ft.).. x
—$
sq. ft. amt.
_ 4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT
C
DATE