HomeMy WebLinkAbout066-370-035"
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.. r. Illumination Elec
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066-370-035"* i408,1it,
HUGHES, Juanita M.
13644 Nimshew Rd-, Magalia
Cont: Illumination Electric
Upgrade Ele Ser f or Well
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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.