HomeMy WebLinkAbout068-030-15068-03-150•
DAVID-MaRIDE--
134 Canyon Dr,. p
Permit#2453-�89B(remodel/SF) , 30 p
68-03-150
Permit#2816_89B(elec/SF)
068-03-0-150 95-1714 E `" N;
McBRIDE, Dave & Susan
134 Canyon Drive , ORoville
(split elec for SF & out bldg)
93-203
068-030=1-50 _ ..
�MCBRIDE;. DAVID-
-.134
AVID :134 CANYON DR,'.OROVILLE'
�_GRIGULTURA-.EXEMP,TIONPERMIT _
k,EQUIPMENT, TRACTOR.- _
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068-03-0-150 95-1714 E --
McBRIDE, Dave & Susan
' 134 Canyon Drive, ORoville
(split elec for SF & out bldg)
0
OFFICE COPY
Address
Nlr e -By"
`Date
ELECTRIC
MeterBy Date 1�1
COUNTY OF BUTTE- DEPARTMENT OF Di--VEI,cOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT ,Z 171 Y
ASSESSOR PARCEL NUMBER
068-030-150
ZONING
BUI NG PERMIT
OWNER
DAVE & SUSAN 14C BRIDE
TELEPHONE
589-2301
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
F0 BOX 186 BERRY CREW, CA
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAIUNG ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
134 CANYON DRIVE
PERMITFEE $
OROVITIE., CA 95966
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF O, Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer -
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
Describe Work: SPLIT ELF,C FOR SF AND OUT BLDG
Mobile Home S G W
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service600v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A To` I600A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
w 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.
,f—1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 3 ACC. BLOS. )
SO.
3.50 FT.
NEW CONST, MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( OWER APPARATUS )
b PSINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
BAL .00
Ex. Occup. (IIXAPPLNS. OR )
OUTLETS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
•
Contractor
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
L performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Vf f 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.
AM
X I_� � li" --Date -7 l L--
ignatiire of Applicant - ❑ Owner ❑ COntracfor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL I PO HO
5su
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees hlive been
BY Date
PERMITEXPIRESON�zb
,Date)
provisions
to do work
paid.
71.2 dz��
kt/
Receipt No. IA i7
WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF PEVELOPM ENT SERVICES - BUILDINGDI ION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 PERMIT NO.
y = APPLICATION AND PERMIT _
ASSESSOR PARCEL NUMBER
068-030-150
ZONING
BUI NG PERMIT
OWNER
DAVE & SUSAN MC BRIDE
TELEPHONE
589-2301
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
BERRYPO BOX 186
CONTRACTOR'S NAME ��T
UNKNOWN
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIQJOWN
Total Valuation Is
Fling Fee
$ 20.00
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
134 CANYON DRIVE
PERMITFEE
$
OROVILLE. CA 95966
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities IR Installation ❑ Other ❑
Describe Work: SPLIT ELEC FOR SF AND OUT BLDG
Mobile Home I S I GI W 1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 000V OR LESS
( 200A OR LESS )
23.00 23709—
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 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.
� r as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
NO I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR AOON ( a )
SO.
3.5¢ FT.
S LTI-ACCUTLEBUDS
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( & POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
20 Q 1.00
BASO
Ex. Occup. FIXED
OUTLETS D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 43.00
Contractor
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 `J(�_ _ Date c4/--
gnature of Applicant - ❑ Owner Contra c ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
I D. FEES
I IMP I FLOOD
CDF
PARCEL
PD HD
ISSU
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees ve
By -P
PE6V7v-
RMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
D e
Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUILDING -DIVISION
COUNTY OF BUTTE - DEPARTMt T _F DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT J -
f P LAIT NO.
�
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
(U SCJ
ZONING 21 Iq
OWNER
PHONE NO.
OWNER'S
L' �o
LOCATION OF BUILDING
L
USE OF BUILDING
7_0 r- --
r—
-SIZE OF STRUCTURE
(��y
3. ' � � 0
X
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLO?O T PJ=�
- Lr c _
Z/(l
,ESTIMATED COST OF CONSTRUCTION
$ "vim
AG Buildings shall comply
with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:
r
b
�
/0
FRONT
SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date
Permit Fee - $60.00
Receipt No. 15:3
--- % �
Signature of Owner ��� �4';64
The
The above described AG Building is exempt from a building permit.
FLOO I PARCH P.D./ ROOF G I ISSUE
Manager Building Division
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
'"Y '� �..',y�`�'I�'"Zli---'�#..!''�`r'r't'3��11'�--1•,.r,r-r._,4{,.,y��.,,,,. �....y,.......�-F�'�.-.,d-�-`''�„y- �� ,
COUNTYOF BUTTE - DEPARTMENT OF'DEVEOPMENT SERVICES - BUILDING DIVISION
4iF_4 I
•
7 COUNTY CENTER DRIVE - OROVILLE, CALIF6RNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNERDALiq C j
P. No. Qacc . AAR
Proposed Building Use
Building Inspector
Date
At time p/f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1,
DATE RECENED BY
All items have been submitted.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
3-
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Plot plans, 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. ............
Feesdf $.........................................
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). .. .. .. .
Preanspection req est
Pre -inspection for required. .. to Bu;�a;ng Inspedor (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
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 . .........................................
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 . ...............
31. Existing violations/expired permits . ......................................
32. Plan checklist ......................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pi u t office. Deliver with. inspector.
Other
Parcel Creation
Acreage Applicant 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: (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 _ mail 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 Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
i.� 4.o- '+.. •4..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. GAL pi nia-95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO., /
k K
ASSESSOR P Gt 1E NNUMBE'R/
33
Z NTNG
BUILDING PERMIT
OWNER A
PHONE
SQ. FT. OCC. BUILDING VALUATION
Qf�
OWN . �,MAILIG ADDRESS ! S-7/
CO RACTOR'S NAME
TELEPHONE
CONTRACTOR'S MATLING 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 /
S � n,� • � //
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
i
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME-
PARgEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF)S Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal�llation❑ Other
Describe work: OqA.z_<,C= 445� A1_ --_4D
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
_
OR
Main service 61°000 AMP OV ORSLESS
10.00
Main service EA. ADD'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
199 I, 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)
❑ 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 ACDNS. (ACC. BLDGS. /
,/z¢sgft
NEW CONSTRESID, BRANCH
NON-RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
SA 030@500
FIXED APPLNS. OR
EX. Occup. OUTLETS TS (RESI D.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
erm11 Fee
$as
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.
bQI 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 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, Ord inances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
\,against saic County in cors�quence of the granting of this permit.
�_��_8 4
%i Date 7
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection' Fee $
occ
CONST TYPE
AL E FEE
TOTAL $ j
HAzJ'PDu
CUA
PARK
PAR
IsJ/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
r /
/ IRECTORPOF PUBLIC
BY�i.� , b
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date
��
Receipt No. 9N5�5
WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
-
COUNTY OF BUTTE��- DE+P^ TMENT OF PUBLIC WORKS PE NO.
NO.
7 County Center Drive - Orovwe,`C:alifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSORP L NUM
i0 J 2BER_/
ZO ING
BUILDING PERMIT
OWNER �R
004!:"Cie �✓
PHONE
SO. FT. OCC. BUILDING VALU TION
OWN S A AILING ADDRESS
C /
�� e� V !
CONTRACTOR'S NAME
M AFL
TELEPHONE
CONTRACTOR'S MAILING ADD SS
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 / ^
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 h 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❑ Add ition❑ Remodel❑ Utilities [I Installation❑ Othe`rQ
Describe work: 6a1XS1= 445A' *5r_=, *4Q � �(�_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS10.00
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
Ic 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.N
OR ADDNS. ACC. BLDGS.
, /z¢sgft
NEW CONST R, MULTI -OU
-REBID BRANCH CIRC ITS
2,50 ea
_NON
/POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES
EX. Occu o
20000e
eAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.�
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. tYirin 9
15.00 r
*Jifteb fin me ft _—
ermit Fee
$
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
FiIingFee 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 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 Countyin consg uence of the granting of this permit.
Date -a�-8
Signature of Applicant — Owner Contractor ❑ Agent ❑
LL1�
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 $vq '
AL FEE
HAz
CUA
PARK
EE
PAR PD
HD
issu
This permit is hereby issued under
sions of the Butte County Code and/or
sions
work indicat a ve for which fees
PUBLIC
By
PERMIT EX RES Date
the applicable provi-
resolutions to do
a(�'
have been paid.
WORKS
r? /p��
Date _v v7
r
Receipt No. _! C3
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
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
Q
ZONING
AM
BUILDING PERMIT -
owNE T E L NE
OWNE I' SS
Y1 Qui
SO. FT. OCC. BUILDING VALUATION
�.
CONTR C OR" A TELEPHONE
CONT A'C T'O"R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ r,R
ARCHITECT OR ENGINEER
LICENSE NO.
Plan CheckingFlee'
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
a r. n ., Y,...
— ••
Permit fee
$ '
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO'
[SULEIDI VISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Sl > Duplex❑ Mobilehome❑ Other
• SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW IO.00e
TYPE OF WORK
New ❑ Addition ❑ " Remolj o Utilities ❑ Installation[] ' Other ❑
Describe work: lot renewal of AP#2453-89
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty
p y of perjury lur 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
❑ 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUPM
OR AODNS. l ACC. SLOGS. /
yx¢sgft
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRCUITS)
2.50 ea
/POWER APPARATUS e
(POWER
OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES
zoesae
eAL®30
FIXED
Ex. Occup. OUTLETS PIRESID 1REA.)
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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
68.25
HAZ
I CUA
PARK
I SCHL
I FLo
I PAR
I PD
I Ho
IssuE
This permit is nereby 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 Date
PERMIT EXPIRES Date l!^7-91
Receipt No.
WHITE-O.P.W.. YELLOW-A33E33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
..a
PERMIT NO. 245a7.Bg
PERMIT EXPIRES e/ 4E
DAVOD McBRIDE
OWNER
owner
CONTR.
6H -O3-150
ASSESSOR PARCEL
134 Canyon Dr,
LOCATION
k
i
(
h
. i
y
4
Temp. Power Pole
Called PG&E
a,
Temp. Elec. Service
t
Called PG&E
4 •
Temp. Gas Service
Called PG&E
t
JOB FINALED (Date) A�o '
Signature j
x3
� _
= OK
0 = Not -OK
NotReaable dyMOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -81 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -61 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -61 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5'=Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -B1
Date Card -81 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -B1 Date
Card -B1
Date Card -B1 Date
UK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =
Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material-Supprt-I ns.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59.Insulation-Walls-Clg. '
60. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air-
Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -81 Date
Card -131 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above Insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -61 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -B1 Date Card -B1 Date
Card -B1 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92, Roofing Certificate
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT=OF PUBLIC WORKS 1
196 Memorial Way, Chico — Phone: 891-2751'
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
;c
Inspector 1,141! Date
David McBride
P.O. Box 186
Berry Creek, CA 95916
-yunt
LAN.D OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
July 18, 1990 RONALD D. McELROY
Deputy Director
RE: Building Permit No. 2453-89
Expiration Date 8-7-90
(A.P. No. 68-03-150 )
With reference to the above subject, our records indicate that your Building
Permit expires on the above date. Building permits are valid for
one year and should construction be started but not completed by the expiration
date of the permit, the permit shall be renewed for 2 the original Building
Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the
Building Permit for an additional year from the original expiration date.
Should you not renew your permit within thirty days of the expiration date,
it cannot be renewed and all work must cease until a new building permit is
issued.
If your construction is completed orov-3Djuled you have any questions concerning
this matter, please contact the office.
For your convenience, we are enclosing a renewal application form and owner-
builder'form to be completed and signed by you where indicated and returned
to this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning.this matter.
JFG:aam
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Yours very truly,
William Cheff
Director of Public Works
E. Glander
ief Building Inspector.
Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./872-6307
COUNTY OF BUTTE - DF-PARWMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,,Ca)ifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
E 41T NO.
ASSESSOR EL%N�UMB ER
V�
ZONING-
'I`
BUILDING PERMI a
OWNER
TELEPHONE ��
-a3
,SQ. FT. OCC. B ILDI V LUATION
1
OWN S MAILING ADDRESS
CONTRP'POOR'S N-At.1E /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ —
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 5 ?
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /
v ir/
Permit fee
$ .7S
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
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel Uti7fles ElInstallation❑ Other [I�
Describe work: �C—�`�(—'�r/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 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):
0I 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. �-S Classification _ C ✓ .
❑ 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.6I ,
OR AODNS. ( ACC. SLOGS. /4sgft
NEW CONSTR U TI -OUTLET
NON.RESID .BRA C CIRC TS 2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES 200501
e ALS 90
Ex. Occup. OUTLETS FIXED P(RESID.)REJ! 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
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 d
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit 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 and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
aga' s Counw,ons/7ence of the granting of this permit.
X o�-Q -� 2 7
Date
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ *qN S
0Ccup.
CONST*TYPEJ
SCHOOL
--
FLOOD
PARCEL
_
PD
NO
159
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P041T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D
Date1L
Receipt No. 99TZ
WAIT!-D.P.W.. YELLOW-ASSE 5011, PINK -INSPECTOR. GOLDENROD -APPLICANT
� �,�-. «�;.:y +y..... ..}n..,l "'",. ;'t. ^ ,s i... -,`1it 3'S�K4iY5t?.air,;s'��',;;aua.�w,t--cY7M!`�r0^--a:.c:,c.-+..a.+-��v-+a 4•+-,..i--� s..�..
� � a
COUNTY OF BUTTE - DEPA M NT'OFUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.- TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET ,
OWNER M/ 2 ��
Proposjd Building Use4%ti
G
// �C
-jar-
"`
Permit No.
:rA. P. o.��
Building Inspector Date
.46
�1A��T/i
At ti mA of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 ZAll 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.
Energy Design Compliance and supporting documentation .........
6.
Statement of Intent for Non -Heated and AC Buildings ..............
7.
Engineered truss details and layout in duplicate (required prior to plan check)
8.
Mobilehome installation data including manufacturer's installation
instructions.......................................................
y9.
Fees of $ ..........................
10.
Chico Urban Area fees paid ........................................
11.
Park fees paid .....................................................
12.
School District fees paid .................
13.
Sanitation approval from Health Department ...
14.
City of Chico plumbing. permit ......................................
15.
Plot plan and business license approval from City of
(see City for other requirements)
16.
Planning approval for (A) Use: (B) Parking:
17.
Improvements may be required.`
18.
Driveway permit (construction approval required prior to''occu`pancy) ...
19.
#,. Pre-Inspec. request to
Pre -Inspection for r d . 1u required ...... Building Inspector (Date)
20.
Contractor;�s licerise..information (No +jName Style, Classification) .......
+' 21.
Certificate of Workmans Compensation Insurance
22.
Owner -Builder, Verification (Given to owner o, Mail to owner o) ........
23.
Recorded copy of Agricultural Acknowledgment Statement ............
24.
Letter of signature authorization .....................................
25.
26.
r
When
you issue the permit, process as.follows: Mail to owner. Mail to contractor.
,e--K.:�
Telephone,�S'cel— l) /'a_nd Iio'Id for pickup at office. Deliver w/inspector.
_
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
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_maiI—counter by—_date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter bydate
Plans checked by Date Plans approved by Date E'
Sets of plans on hold in File cabinet AP folder
Copy—DPW
C�
COUNTY OF BUTTE - Department 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.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) \•e
2. I (have/have not) �'/fiy signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. J 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 Secur'ty Nu er
Date 2 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.
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