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HomeMy WebLinkAbout066-370-035" \ ` .. r. Illumination Elec co t 066-370-035"* i408,1it, HUGHES, Juanita M. 13644 Nimshew Rd-, Magalia Cont: Illumination Electric Upgrade Ele Ser f or Well ___ _r. 55 CW2 Fam I _.... ... -+:ir w .�-. ...�. -+ ; ac=,;.wn`�r�c'1t•.nt�ibf9v.''{i'^}/`+' :n�'s�-1 $'FAr': i�; �li{�_r'.�, �1 ! i i 4 066-370-035 PERMIT#98-1498 1 HUGHES, Juanita M.- 13644 Nimshew Rd., Maga lia Cont: Illumination Electric Upgrade Ele Ser for Well OFFICE COPY Address_ GAS . Meter By, - Date ELECTRIC . Meter By Date r V, CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 •Telephone (530) 538-7541 may, PER 1,TN 0' (Rev. 12/96) * APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER C TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS • RID_ —a1A3HMJ CONTRACTOR'S NAME i Jim ON MECT TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER a Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS13644 RD -Energy NIHSHEWPERMIT Plan Checking Fee $ FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 1D Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilfts ❑ Installation ❑ Other O Describe Work: UPGRADE TO 200 AMP MAIN SERVICE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 aoov DR LEss Main Service ..0. 011, LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter P P J Y 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / �� ca License Class �_ Lic. No. �' �—OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project.• ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW EwNG OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5¢FT, EW NC NON-RESONSID.. MULTI -OUTLET 7,550 OWER APPARATUS 'POWER OUTLET CIS. EX. OCCU OUTLET OR FO(TUREs OUTLETFIXED BnL o 1. o APPLM.OR Ex. Occup. OUTLETS R ID.I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WOW MECHANICAL PERMIT Filing Fee 20.00 9 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 4,i1 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 4*Q `.r f) Policy Number • 00 (The above sections nee not be comp ed R the permit Is or work of a valuation f one hundred dollars ($100 or less.) V-1110certify that in the performance of the work for which this permit is issued, I shall not employ any person in an 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 c Aply with those provisions. �2 �n _Date Signature ofiAppllcait�Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAz. D.- IMP FLOOD CDF PARC0. PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have / B�` y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. J Date -�t'% Date Receipt No. 2,442--1 In / WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER Tip (Rev. 12/96) 1 APPLICATION AND PERMIT _ 11-1-2 ?�- SSESSOR PARCEL NUMBER 066-370-035 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 11644 NIMSHEW RD - CONTRACTOR'S NAME TILITIVITNATION ELECT TELEPHONE 1873-1022 CONTRACTORS MAILING ADDRESS 14590 CENMIRVIIIE RD_ CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13644 NIMSHEW RD. Energy Plan Checking Fee $ MAGAI 1_A_ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTP.UCTURE SF JJ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: UPGRADE TO 200 AMP MAIN SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.A oA v ss 23.00 93 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 inull force and effect. _'], License Class � Lic. No. � 7 �J G✓� � 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. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O/<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' compensa '' In__s��Lr^aance arrier and policy number are: Carrier1'�Tf✓ Policy Number (T a above sections need not be comp a ed ' the permit is for work of a valuation R hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' co pensation provisions of section 3700 of the Labor Code, I shall forthwith c ply with tho a provisions. _ Date 2L Signature f Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 200ALICENSED NEW CONST. DwEwNo OcCcuCU p. WELL OR ( BLDSr 3.5QFo. EW coNsr. MUALCTC. NON-RESID. @7.50 POWER APPARATus 6 SINGLE OURET CIR. 20@'.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .so FIXEDLNS Ex. Occup. ours RESID.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 66.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF ppgCEl pp HD ISS/ This permit is hereby issued under of the Butte County Code and/or s have indicOn: By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. �/_ C)� Date GGf► /( Date Receipt No. 10 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OftW- iw{v' r , ;'Mf�•It,- �" .'R!o i,,,4 CUNTY OF BUTTE DEPARTMENTtOF DEVELOPMENT SERVICES -BUILDING DIVISION i 7'COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 "� f ' PERMIT APPLICATION DATA SHEET OWNER: V t%` M � �t-lu q h C° SASSESSOR PARCEL ER: D (b to - 3-7 O - 0 Proposed Building Use: Building Inspector: Date: -7 LX1C(K At time of permit application, I was advised the following data must be submitted prior to pe rt processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑6. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. 1110. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees.------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑ 20. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- El 22. ------------❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- k ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits: ---------------------------------------------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- When you issue the permit rocess as follows ❑ Mail to owner, Mail to contractor. elephone O� 4 and hold for pickup at ffi ❑ Deliver with inspector. Applicant: Dater / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollu 'on Date: By: Copy of plans sent o Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: ."Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail; o Building Division counter, by Date: • Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. t (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 0 /! ZONING BUILDING PERMIT OWNER f ��`/J^ n 1,6 4AU C, {---1e S TELEPHONE SO. P r. OCC. BUILDING VALUATION OWNER'S MAI NO DRESS CONTRACTOR'S NAME TEUPHONE^� CONTRACTORS MAILING ADDRESS ^ n CONSTAUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCMITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1'36: N j m,!S ) eu.) - Energy Plan Checking Fee $ $ M a Q V' G PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑U�tilitiies -❑Q Installation ❑ Other ❑ Describe Work: r��li / �T "�- !' %`/J�/ l� / (..���� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.,A oR egg 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service o TO 1000A 46.00 NEW CONST. DWELLNG OCCUP. OR ADDNS. ( a ACC. S. SiT. 3.5dFT: ,.1 RESIp MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 2*0 EAL @ I.50 Ex. Occu . oU�TLE°TS AaID-°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • re _ I rr, PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 1n�n• HAZ. D. FEES IMP FLOOD COF PARCEL PO MD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dete Receipt No. 249 2- 1 L,::, WHITE-D.O.S.-B. D. CANAPY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Ing]- OWNER: LOCATION: CONTRACTOR. '_M & -r-\ eA'e,!27[ PRE -INSPECTION FOR: PERMIT HISTORY: [ ]NONE [AAS FOLLOWS: TYPE OF OCCUPANCY: DATE: "7 `5 ^_q b A.P. #: No to -- 3'70 — 8 -!� � ZOMING: DATE TO INSPECTOR: BUILDING INSPECTOR'S REPORT ilding Description: [ ] Commercial/Usage: [ ] Residential/# of Units: [ ] Currently Occupied. [ ] Abandoned/Vacant. ctric: [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? ,, Mobile Home: Yes[ ] No[ ] Natural[ ] Propane[ ] None[ J Currently On[ ] Off[ ] Obvious problems: nitation: Plumbing working Yes[ ] No[ ] Well: Yes[ J No[ J Potable water: 'es[ ] No[ J i Obvious Sewage Problems: Lction Recommended: [Ws -sue [ ]Hold for: r> r: Date: �— May 1995 4.7 t 'l 066-37-0-035 -0-035HUCHESt Juan ita= 92- 35 52E,13644 Nmshew Rd, MgaIiaContr:I11umlnation Electric for well ao�0 DETACH -FOR SERVING UTILITY Address — GAS Date -- Meter By ELECTRIC Date , 14') Meter By oo-1 4 066-37-0-035 -0-035HUCHESt Juan ita= 92- 35 52E,13644 Nmshew Rd, MgaIiaContr:I11umlnation Electric for well ao�0 DETACH -FOR SERVING UTILITY Address — GAS Date -- Meter By ELECTRIC Date , 14') Meter By oo-1 3COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3552 ASSESSOR PARCEL NUMBER 066--37-'0-035 ZONING AMI 3 BUILDING PERMIT OWNER Juanita Hughes TELEPHONE 873-0941 'JQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO Box 646 Ma alis 95954-0646 CONTRACTOR'S NAME Illinination electric TELEPHONE 1173-0122 CONTRACTOR'S MAILING ADDRESS 14970 Centerville Rd Ma glia 95954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 13644 Nimehew Rd Ala alia i Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other we11 SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI GJWJ @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑ Describe work: electric for welll Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR 0V OR LESS 18.50 18.50 Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole, compen- safion, will do the work,and the structure is not intended or offered r sale. (Sec. 7044)Mobile V1,as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 DWELLING OCCUP.�\ 3.6daq.ft. NEW OR ADONS. CONST. ( ACC. BLDGS. I NEWCONSTR ULTI.OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS a. SINGLE OUTLET CIR, 76 Ex. Occup(OUTLETS OR FIXTURES 20ry Ex. Occup. OUTLETS ((RESID )RE A.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Ho Misc. g 15.00 15.00 pre inspection F 20.00 Permit Fee $ 68.50 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon,the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme Is, costs, and expenses which may in any way accrue 'd Coun', . asequence of the granting of this permit. c� again77; X ( - )C Date �� 7- /,2_ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 68'5( HAZ 0FEES IMP FLOOD CDF PARCEL PO HD ISS This permit is hereby issued under the applicable provi- sions of the Butte Cou ode and/or resolutions to do 1T Work indica trca ab /o! hich fees have been paid. DIT OR -,OF PUBLIC WORKS B �' / -/ ""� Date PERMfTtXPIRES Date 16 Receipt No. i �. �•. $ 4/ WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 AP?&A'710N AND PERMIT PERMIT NO. 92-3552 . A ll ASSESSOR PARCEL NUMBER 066-37-0-035 ZONING ARMH 3 BUILDING PE MIT OWNER r,` Juanita Hughes TELEPHONE 873-0941 SQ. FT. 'OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS PO Box 646 Ma glia 95954-0646 CONTRACTOR'S NAME Illimination electric TELEPHONE 873-0122 CONTRACTOR'S MAILING ADDRESS 14970 Centerville Rd Ma alfa 95954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - 13644 imshew Rd Ma alfa Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other wel l SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition [I Remodel❑ Utilities Installation❑ Other ❑ Describe work: electric for well Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 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 sale. (Sec. 7044) Vas the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, _37.50 DWELLING OCCUR.&\ 3.60 sq.ft. NEW CONST.OR ACDNS. ( / ACC. BLDGS. I NEW CONSTR. ULT(.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS a1 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED Ex. OCCUp. OUTLETS ((RESID.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15,00 prp inspection 20.00 Permit Fee $ 68.5 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, jud a s, costs, and expenses which may in any way accrue against 'd Cou equence of the granting of this `permit. X Date / � Signature of Applicant — Owner Contractor ElAgent 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 68. HAZ DFEES IMP FLOOD COF PARCEL PO HD ISS This permit is hereby issued under the applicable provi- i of the Butte Cou y ode and/or resolutions to do j work indica ab a which fees have been paid. T F PUBLIC WORKS By Date4 PERM EXPIRES Date — 8'� Receipt No. WHITE-D.P.W.• YELLOW ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT t rr' 7�,' S S•yrs.'�ry 3 'Q��s'� 1 „yp •�T S_.,�k'Y f!'`�Ip��# .. _ h'�+iJ � 3" �§ :'Sc:, ..: ry..'I'��rix� � �n•'.�•� rr�•�.,2,,. �y 1�•ll�'14,,fiY�+6+►l'�Y"''3St11�7�tS�i^"- ^I^ y4 COUNTY OF BUTTE,,' "PART .NT OF PUBLIC WO BUILDING BUILDING DIVISION 7 COUNTY CENTER DRIVE ,. DROV14,E, CALIFORNIA 95965 TELEPHONE (916) 53-7541 PERMIT APPLICATION DATA SHEET OWNER Coxy Proposed Building Use lJ e .e- lee r4<<- Building Inspector A. P. #a.% No. gig - .3% 3 T Date y'01A �57Z. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. All items. have been submitted. r . ......................................... . Plot plans;rt., 3/4 sets, signed by preparer of plans . .......................... Complete plans,,3/4 sets; signed`by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ... . Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ............ Feesof$ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. ........:*........ . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit . ......................................... Plot plan<and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: ........ Contact Land Development about (A) Improvements (B) Drainage. ......... . Driveway permit (construction approval required prior to occupancy). ... ... ... . Pre -inspection for ele-C_r^ / ' 11 toBuisinglnnreque 6 required. . to Building Inspector 2 ) Contractor's license information. (No., Name Style, Classification). ... "-I......... Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use. , .,: ,..g_. °'%.................................. Mobilehome utility clearance . ........................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... 34. i When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail ti Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail `.Counter by _ Date Plans checked by Date Plans approved by I Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,IyCenter Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APFy'LICATION AND PERMIT PERMIT NO,. ASSESSOR PARCEL NU Z NI _ 616 — 37 -- 3S- - YAM `/ A BUILDING PERMIT �O WNF, I -'rt .TELEPHONE r �.qzy' �� 873- 091// ' •'p - -MAILING AL`:PES•�-' - - _ {s , n;q r =-�;. �1 - c.� 5 sus / S0. FT. OCC. BUILDING VALUATION CCt.ITRACT0SVS NAME /-: " TELEPHONE 87:3 - V l7—Z CONTRACTOR'S MAILING ADDRESS n'/ 11 970 Cep✓% 1/• � Q /1u. � �/i,- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS '• Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE q SF❑ Duplex❑ Mobilehome❑ Other IJ� I!Y SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition[] Remodel[] Utilities❑ Installation❑ Other ol, Describe work: ���� �Z/L _ Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 15.00 Main service 600V OR LESS 200A OR LESS 18,50 �-% ' Main service 200ATO1000A1 _ 37.50 CONTRACTORS LICENSE LAW penalty I declare under p y of perjury y (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 Ao. 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) F]I, as the owner, am exclusively contracting with Licensed contract- ors. (Sec. 7044) F] I am exempt under Sec. Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.&) OR ADONS. ACC. BLDGS. 3.6Q sq. NEW coNSTR ULTI.OUT LET NO N•R ESI BRANCH CIRCUITS @ 5.00 I POWER APPARATUS %SINGLE OUTLET CIR.tl ) EX. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS FIXED P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring /15.00 IS ,1<e- /-4s 2Gf' 20 — Permit Fee $ t✓S S: ' Contractor — 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult 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, casts, 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 ion of structures toverr 39stories oin height�lons over s'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE �f/2 $ 16 HAz I DFEESIMP FLOOD cDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROD-APPL'I CANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS _ - SPECIAL INSPECTION REPORT j Owner:-, A.P. Address:'-. -511-Za Date of Inspecti6n —S -/ �- Tenant: U ^."k- ,. %`� Inspector Building Location:—. / 6 . y .Cl /V 1 .� s L1 2 cJ Type of Inspection requested: ; -17 1. Housing .2. Financing 11 3. Change of Occupancy to . ( 4'..Other (specify) .�L�� �-� �.ia P�� �-��, . A r✓' ' a -c f `�� PresentV use. of buildin �- -4—S'��--� P�� �. �� i�;,;;:��yi�; 'A. Sanitation (Housing) 1. Water closet:. . 2. Lavatory: 3. Bathtub or shower: '- 4.: Kitchen sink:' 5. Hot .and cold water to fixtures: ..6* - Heating' facilities: ' . 7. Natural light and ventilation: 8. . Room and space requirements: 9.. Bedroom window or door for seco d exit: . 10. Infestation of insects, vermin, or rodents: .11. ' Connectior' �-tb. sewage disposal: 12. Connection to watei supply: 13. Rubbish and garbage facilities: 14. .Comments: B. Structural. 1. Piers and footings: 2. .Floor construction: 3: Wall construction: ' 4. Ceiling and'roof construction: 5. Fireplaces:'' 6. . Comments: ' C. Electrical L. Service and 'groundi 2. Receptac'.es• ' 3.. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments. E. Other 1 . Maintenance and repair: 2. Fire hazards-.. 3. Safety hazards: 4' Weatl?er protection: 5: Underfloor and attic ventilation: 6:' Couu.ents*' F. Commercial Buildings 1. Roof covering:_ ­72-.''Dist-dr.ce to property lines: 3. Physically handicapped: 4. - Rest:-obm floors and walls: 5. Exits: 6:.. Improvements: 7: Zoning:' S. Comments G. Field Problems or Viclatiovs 1. Problem or vlolatiori (give complete description): - What action taken (give complete -Jescriptlon).: -3.. What aclAnn recm.n*ended: A.'",nfonuatioh only - fila. 77 B. Hold for ten (10.) days, then wri-u letter. Write letter. D. Other: A K, You have a Mr. Gary Foster at 13644 Nimshew Road that has completely redone the inside of his house added on a back porch and redone a house outside and moved someone in to it, all with a single permit for any of it.