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HomeMy WebLinkAbout068-130-068BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636. CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Nam no whA first TAA AddressZ -, � ? W City V Sta� _ I Zipr Phone 5sq - 19Ctq Fax E-mail CONTRACTOR Name -e-1,✓v Address t t . ,r, ��v�4� City O StEtA 1 66 Phone 53 Fax E-mail ub 9-7 22-S4-9 APPLICANT SIGNATURE X For office usd onl . ARCHITECT/ENGINEER Name F l Address 1 1 City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office usd onl . APPLICANT INFORMATION Name _a� F l Address 1 1 City I No StaW_ Type Const. Phone Book Fax E-mail Planner APPLICANT SIGNATURE X For office usd onl . Zoning Property Addre s 60 Flood Zone Cross S SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BFC06 BIN # PROJECT LOCATION t (, Property Addre s 60 ity Cross S WORKER'S COMPENSATION Policy Number 0_7 Q) ) Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: +0 Q .C✓n a6co s • A+ Sq FT- Living IGarage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Received by: A. Amount: llU Bldg SRA Receipt #: q scbao�l Sheriff ftococbm SMIP O Date:7- � - OCL ther �s.� yv Total REV 8-12-05 \2 «§ [ d , : . :.. � � . \\���� � � \� /��»\w <\���/ \\\d \\/ /?ƒ� � « \`/ \� \�/ .. � \./�:©/��\���\2/ \ ��4\\� m�\\\d�� } � ,�� w ©:» w «\ «� » :� : �\\\\\\\y\//��<�y?::.. \� ` / /�\ \\ \� \� /� � \\ �\ \ \ < ay§�\\:«�.».. ����//\�\\� � . /����^ � //\�\�\\\\\���^ :<y»\z2 ^:� ;».<��� \� \ ��: §� \� «§� \\ \� /�� $ »< ~\���� ^ 3 \` � dd � w , , § :< \ :�� � . : . \. »:, � y «� \/\�§»dam \\\w � %\? � /\ ƒ\\� . > � . .. . ?\/ �\/� /\\�� \\\\\ \� \\��.\ 2�� :� { > w .. .... , . v « a. ��� 2 ?z�, � . y . . . . < , � »< « ©. � �\\��� ~.� y \ /. \� \\�� . \?2\=�� � \\ \\§\\\\ /§> � a « . . . �\��\{/ «2\2y/�\\\yy� / \ J� .��� l ..»« 2' .. /\�y�y �m\//\«�� /»�\\\�< \ �. ° . 6>r� ,/�°»\\\ . .. « » \� y�\ /% \,\� »:. . . . . \ �.\\> \yy/\/�� . 2� »� � � :; �\\�{\\/2\\/<��/�\/\d� / - .. �<2d: \\ /y«y..a \ƒ .� \\\� a y.©^\ . \§\\2»�� . . . «. . a ! t� v:. . � . . ... .r.. ..:.,� . � //\�\�\\\\\���^ :<y»\z2 ^:� ;».<��� \� \ ��: \\\�� / »� \/\� ��.�»��:.\y.� ��^�.�^//\d��\y�\\»Z \««> :«�/ ««w ». �«°«©�©°�v�<?»° <Z . . \ .� . :..«\.a\ / «,. 2«d<\ d< _ \ >�� y 2\\ . w \ � . �.,<�� \yy/\/�� . / � .» \ % \.\ ^ ^ / - .. . \\:..\\\ " � % � � \ \ / \ ^ ^� �� � \/ � \ d\\ \�� ..»,�\\>\y�..\\\�\ \\ � �� ����°� ,/ .2 ?� \\� >\\°\\^\ \\ /\2 />� « ?\� .\<<\ .»\,��©�«�2»�//�< � ., ;:2< �,... .. �«\ � ?\ � » . .«�\ \. � ©� » :»»:°< � \\© »?:/ w\ � . . ©»� \� � . . � � «©2.2� « . : w : \ 2 � �:<: � « �� ? \ w < §«?«\: 2:< \°} / 222}y°� \\,� ^^ /� � � � \ 2y > ) ) / \/� �\\/\ \� ~^� �\/� \ƒ .� \\\� \� d� \§\\2»�� \2>»f/ � � /� ! t� v:. . � . . ... .r.. ..:.,� . {. ��� :<y»\z2 ^:� ;».<��� \\\� \ ��: \ »�\ /\ w 2\ / /�� d� «\ \� d �\\? / .�:, . � 2< . \\ > ) )