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HomeMy WebLinkAbout068-030-02668-03-26 - 151-91E :y RATLIFF, Phillip 244 Canyon Dr ,r Or_o lle� (elec sere/sf) ''_ Permit#234 91B� s ' '(woodst:ove sf) t �ti�J, �I y o =` �-- _- - - _ - - - -M- �_ _� I� ���- 68-03-26 151-91E —RATLIFF, Thill ip Canyon Dr, Oioville (elec serv/sf) OFFICE COPY Addressa CA)u GAS Meter By Date ELECTRIC Meter COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ':• I APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,03-26 ZONING AR1 BUILDING PERMIT OWNER ill MSS TELEPHONE 589-3167 SQ. FT. OCC. BUILDING VALUATION OWNER'S M ILING A Beldon11 III= Ct, Oroville 95966 CONTR AC TOR'SNAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 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 244 Canyon Dr, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: upgrade elec box _ Permit Fee $ Contractor ELECTRICAL,PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 00 /� 10. 10.00 Main service EA. ADO -L. 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): E]I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, omy employees with wages as their sole compen- r sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINNG OCCUP.ef OR ACDNS. ACC. SLOGS. , 2/20sgft NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS .&) SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES i°®6o, eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 reins ection 15.00 Permit Fee $ 52.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): �j The permit is for $100.00 (valuation) or less. t❑ 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to Save, indemnify and keep harmless the County of Butte against all liabilities, jqd ments, costs, Mrd x➢enses which may in any way accrue against -5 i�d Cpur�.ii in cons ee- the granting of this per 'i t. X ��• ���- j Date Signature of ALplicant — Owner,❑& Contractor ❑ Agent fl © An OSHA Dermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 52.50 HAz CLIA PARK SCHL FLD PAR PD HD Issu This permit is Hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By, _ . i. . Gt7? Date �1hl PERMIT EXPIRES 'Date , ' (13973 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT tc�.�:er=���r�:l e• y. _ � � r A F ,;,r� �,.��- � a�ek'�,�{f �.+`-�R �T' h.• I 'f�l.'�i: Y�t�r.a.-l� ..� t � i r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 6-11-01-26 ZONING ' BUILDING PERMIT DW hillip Ratlyff T A4—P5g8Ef SO. FT. OCC.J.BUILDING VALUATION 11117 *MiaonG dFD;ESdroville, CA 95966 GO 1Nmer TRACTOR'S NAME '�" TELEPHONE . CONTRACTOR'S MAILING ADDRESS Fireplace COgSOneUCTION LENDER UNKNOWN Total ValUatlOn $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. sT Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 244 Canyon Dr., Oroville Permit fee 1 $ 27.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W ,,-R: TYPE OF WORK r New ❑ Addition ❑ Remodel E]Utilities ❑ Installation [XPC Other ❑ Describe work: wood stove tL/ 57 f; _ _10-00e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare upenalty of perjury (check one): I am'dicensed under provisions of Chapt. 9, Div. 3 of the Business F -1E and Professions Code and my license is in full force and effect. _icense No. Classification 1, as the owner, Or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) El!, as the owner, am exclusively contracting with licensed 'contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a, OR ADDNS. ACC. BLDGS. , �20sgft 2nder NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWR PARUS e APAT (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20ee0e eAL@30 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID .) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 ❑ 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that she above information Ccdinances an��State Laws relating to building construction, and hexrepres�ntativgs�of the County of is correct. I agree to comply to "keep Butte to enter upon the above-merty for ins ection purposes. 1 also agree to ve,�and mnify and�lrst�i8 C unty of Butte against all Habilitie gs1Ae �cQ�t ,arid, which ay In any way accrue against said gun y'i cons equ the g nting of this per t. X l Date Signature of Applicant —y Ow�c��C�nrra��for ❑ A�elj An OSHA permit is required for exca'Yations over\5'0" deep and demoJ.ition or construct- ion of structures over 3 stories in hei Mobile Home Installation Fee $ Energy Inspection Few $ occ CONST TYPE l TOTAL FEE $ 27.50 HAz CUA PARK SCHL FLD PAR r ISD / HD ISSUE This permit is nereby issued under the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR, F PUBLIC WORKS By It , /, �/0,, ,'1� Date PERMIT EXPIRES ,Date //!•�/�L ' o ,4w/—� .� Receipt No. WHITE-D.P.W.. YELLOW-ASS[3SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.__x,/ APPLICATION A44D PERMIT �`-� ASSESSOR PARCEL NUMBER ZONIN6R-01-96 ARI G BUILDING PERMIT OWYhillip Ratlyff T�0PMn SO. FT. OCC. BUILDING VALUATION OWJ1 Beldon ADDRESS t REOroville, CA 95966 CONTRACTOR'S NAME Owner TELEPHONE of CONTRACTOR'S MAILING ADDRESS If I Fireplace CO STRUCTION LENDER W UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 244 Canyon Dr., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[NX Other ❑ Describe work: wood Stove 6L/ 57 60) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p j 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 No. Classification 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.tr OR ADDNS. ACC. SLOGS. 2/20sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 920e50t ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.i EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): rC The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County .of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned p operty for inspection purposes. 1 also agree to ve, ' d mnify a ar a the County of Butte against all liabil' ' s lud co d hich may in any way crue agains a' Qu cons u tin gr nting of this per t. X Date/ Signature of Applic t — OWne X Contractor ❑ Agent An OSHA permit is required for ex/cavations over 5'p" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 27.50 ALL Hq2 CLIA PARK FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated Rae for which fees D R PUBLIC By PERMIT EXPIRES ate Zy the applicable provi- resolutions to do have been paid. WORKS Date 0 83247-$27.50 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone: 916:'538-7541 APPLICATibN AND PERMIT ASSESSOR PARCEL NUMBER -i _ 14 ZO ' -- - - - BUILDING PERMIT­ OWNER n)41 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL IN ADDRESS LL// li — J- ` �eO • CONTRACTOR S NAME y��(//� TELEPHONE C<..) 0,-) / v CONTRACTOR'S MAILING ADDRESS Fireplace 7 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7-S 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 10.00 C va Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFOs Duplex❑ Mobilehome❑ Other 6 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Rt^emodel ❑ Utilities ❑ Installatioa Other ❑ Describe work: L ��nl` �'� t//'r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO -L 100 AMP 2.50 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR DON... A GS. , , /Z¢sgft ULTI OB _NEF-1NON.RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES ALO 30 .2200030 FIXED APLNS - Ex. OCCUp. OUTLETS P(RESID.)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00` Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3((sttories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ((�� TOTAL FEE $ 0c,I HAz CUA PARK SCHL FLo PAR Po Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date rReceiptNo. gi 3n2 T7 2,7, �� -D.P.W.. YELLOW -AS SCSSOR. PINK -INSPECTOR. 6OLCElr-OD-APPLICANT COUNTY OF BUTTE - Dep&ytment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. I personally plan to provide the major labor and materials for construction of the proposed property impr vement (yes or no) I (have/have not) signed an application for a building permit for the proposed wor . 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. T` ,"I . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 68-03-26 ZONING AR1 BUILDING PERMIT OWNER TELEPHONE 589-3167 SQ.FT. DCC. BUILDING VA ION OWNER'S MPILW)iYARIESS Beldon Ct- Oroville 5 66 CONTRACTOR'S NAM Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 244 Canyon Dr, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities a Installation❑ Other ❑ Describe work: tt}2grarle elec box _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORLESS10.00 10.00 Main service EA. ADD•L too AMP 2.50 2,50 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 �7FIXED 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& New DONS. ( A ) , 2/20sgft ULTBI OUTLOGS LET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e ISINGLEOUTLETCIR. ) EX. Occu o Occup(OUTLETS OR FIXTURES 20@50C eAL@30 APPLNS. OR Ex. Occup. OUTLETS (R ESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 reinspection 15.00 Permit Fee $ 52.50 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 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ;indemnify andee h rmless the County of Butte againstall liabiliti s, ' s, sts, d x nses which may in any way accrue d C ise u e granting of this per X Date Signature OfLA pl' ant — Owne Contractor E] 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2.50 HAZ CUA PARK SCHL FLo PAR PD HDagains Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees OR O BLIC DI ro 7 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate Receipt N03973BY WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT t � r x-ar, r.-j4t+,�l�e�W�i -XQ, NJY OF BUTTE - DEPAIRy MENT`IOF�>PUBLfC;WORKS - BUILDING DIVISION rk a „ 7 COUNTY CENTER DRME ='OR' ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATfON DATA SHEET o Permit No. OWNER 144 iX %�i� ASE— ­5 . P. No. Proposed Building Use rr-46:2_ �>" UP64*br Building Inspector J(E 5 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated. and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (consp ctio)apprgi�al required prior to occupancy) �0. Pre -Inspection for C—�> required . Pre-Inspec. request t¢ . o Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Lettgr of si n*4re author) tion ........ 6. J to UEP T rr, , -1— 27. When you issue the permit, process as follows: Mail toowner. Mail to contractor. 04- Telephone sg —�� tt% and hold for pickup at o i e. e I er w. /inspector. Other Applicant Date IIIZZ�L Copy of Haz- Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541 01MER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 01. I personally plan to provide the major labor and materials for construction of the proposed property im rovement (yes or no) 0 I (have/have not) signed an ap lication for a building permit for the proposed work. 0 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: - Property Owner Social Sec ji�ityYmberDate / / / 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS 7 County Center Qrive - Qreville. California 95965 - Telephone: 916/538-7541 APPLICATION ANC PFRMIT PERMIT NO. ASSESSOR PARCEL NUMBER / ^' _ (aJ BUILDING PERMIT - OWNER 1 IT X��� L/F aONIN.fl^J NE/ 3�67 OCC. BUILDING VALUATION OWNER'S MAILING AD RE55 Q p ��� J�0/N) CONTRACTORS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ O Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping S.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF,FJ"Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home - S G' W 0.00e TYPE OF WORK New[] Addition El Remodel[] Utilities.��lnstallatioti❑ Other ❑ Describe work: 1�'2=�+j,�/1�,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 000V OR 0 AMP OR LESS 10.00 D CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El--NON.RESID 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 ElFIXED 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 Z Sig NEW CONST. DWELLING OCCUP.8i OR AODNS. ACC. SLOGS. f /Ksgft NEW CONSTRMULTI-OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. ) EX. OCcU OUTLETS OR FIXTURES P 209SOteALa 3o APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. W"ring 15.00 D AN 7,ni Permit Fee $ o WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such IPermit provisions or this permit shall be deemed revoked. I Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner El Contractor ❑. Agent.❑ 1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HA1 CUA PARK SCHL Fro PAR Po Ho IssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 23973 —S_2_.3�6 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT s ?RE -INSPECTION OWNER:/.C� %� DATE / l A . P.....#. CONTRACTOR:. a--�-�C ZONING I)e ------------------------------------------------------------------------ PRE-INSPECTION FOR: - r /3 a JCj- DATE TO INSPECTOR ---------------- PERMIT HISTORY: NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED [_j HAS ELECTRIC 'GAS AS SANITATION FACILITIES ETIE-ATED-COOLED EfPERSON CONTACTED OTHER COMMENTS: ��(� /'j/C��� /� �� ,'7— �L CA. c� ACTION RECOMMENDED: 'ISSUE Q OTHER: LIM HOLD FOR i, DATE I - I �/ a