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Home My WebLink About068-360-0521LLGG� t; 5 -t> 68 36`-5210Jd B,E �+ t DOZIER; 'Dori - ~r,4195 Hilldale,'•.Orovil-�1_�(elec'r6e" , ch<`&" replacowsn,'&repair' • � -tom � ►'�z� ��1 a damage/SF);_ ?�'�.„� r{�;�U : _ ' %/�CJ��G� FINALED 1UO 1 l,OFF, • r `, r. y i y '6. FCJfll , � M , Cfll 09:51 AM DEE FAIRANKS ENT. 530 5SS 2126 P.01 ENCROACHMENT PERMIT COUNTY OF BOTH ♦ DEPANTMENT BF FIALIB WOAKI 7 County Center Drive • Croville, CA 95965 • Phone: (530) 538.7681 ♦ Fax: (530) 538-4356" Download Forms:• www.buttecounty.netlpublieworks NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE JPermit Number Dlt t J Phone: (530) 53&7339 G Z J s6G s APPLICATION 10 the County of Butte for en eneroaOrnent N na to do the fol Xq work under or over ren infmnnntinn trot sionabire rust be tined or RAINY I. Ap$Mnts Nims: w wwwvuwr.+ 2 AdOtliO: dwow OMMU96 KOM 3. ROM; 4. Asst:swil PwaW Nunter, Q� b� _. j �e C) — o sz a L=kn d wart b be Dom i d �1'D ✓i & lv CONTRACTOR'S INFORMATION A. catt;a tes Nims: e� � M§r rr.w 00 OVA FS Aftfv, ftft Q Add<0'�i. CA [. 10. prwa- (630)6W1114 ,' F .953-1/2-12 12. coror ws Numaa :'� (�► '2 i % 13. CwVCM d lnstn'inoi: Yes 106 14. Coreldnrs Cbnofum d�O6 15. AvBlorfred Apert TYPE OF WORK TO 2Z DONE 1s. pleas• chKkl Curb: O Gutter. O Sidewalk: O It. D*w+sb (LIU Type): Jr` 18. ether. PERMIT GRANTED 1n comphAnce wto the above request, and subject to all terms, conditions (including those printed on the back of this farm) And spedel mrld tons U3nde nd Servioe Alert U.S.A.must be notltted two WoMnq as 10 any mavnwn. oww—, 20. krAB work shaft oonfon n to e0oomp009: Detail ?j Piens U Spedal Cored tons 6f( 23. Su;egr. 21. Dole taww: / o e o 2 . Eomom of: /% G G Mike Crump, Dir dor of Public Works By: "Note: If permits are faxed to any number besides (530)536.4356,1hey can be delayed up to one week. A6g" 102 a bunt C"tiwd - see Foye 2 �� .. . r ..... .. .,.. 4 n-.-.sr^.;s,, r. � i f "t.%'.i `:t 'fir i :v F'6.,rN'�,".�,.,_.�,i1kY.`�t��j��i.�;lr'.Y.Y�{.�. .. Lr . _ Y � .. . � ,��t( � �. � .. � i � 4. � � .. ..4 Y � � .. . N � � j a • � t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIeN AND PERMIT PERMIT NO. .J ASSESSOR PARCEL NUMBER - f - ZONING BUILDING PERMIT OWNER n TELEPHONE .�� / , / SO. FT. OCC. BUILDING VALUATION .J OWNER'S MAILING ADDRESS CONTR ':TOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN- r Total Valuation $ -- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -�` �7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ � • t . 1 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 SF V1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition Remodel i ❑ ❑ ❑ Utilities ❑ Instal Other Q Describe work: ",, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 t f ;/ 7-yr� r, +��? • L Main service 600V OR LESS 100 AMP OR LESS 10.00 , Main service EA. ADD'.L 100 AMP 2.50 -- CONTRACTORS LICENSk LAW I declare under penalty of perjury (check one): ❑ 1 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 ,r.( IY�yJi 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) El 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 OCCUP.tI ,/zQsgft DR ACDNS, Acc, BLDGS. NEW T ...RES'.. TLE2,50 eaNBRANCH CIRC POWER APPARATUS (SINGLE OUTLET CIR.e ) Ex. OCCUp(OUTLETS OR FIXTURES 20950t eAL030 FIXED APPLNSTS (RES. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 }j" Misc. Wiring 15.00 1 C.,' FAt 1� f . Permit Fee $ 1 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. _ Signature of Applicant — Owner El 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 CONST.T7P_EJ SCHOOL FLOOD PARCEL PD I HD` ISSUE, ti This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. A / WNITE-D.P.W., YELLOW -ASSESSOR, PINK-SPECTOR. GOLDENROD-APPLICA9IT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P�RMIT NO 7 County Center Drive - Oroville, CaliforniaN95965 - Telephone: 916/538-7541 ✓/ APPLICATI& ItNO PERMIT AOR PARC L NUMBE — ZONING BUILDING PERMIT N R TELEPHONE SO. FT OCC. BUILDING VALUATION OWNER'S MAI G ADDRESS 2Q I, 11, ONTRA� ME TELEPHONE ONTRACTOR'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 $ 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 pas water heater or vent 5.00 USE OF STRUCTURE SF V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [X Describe work: Permit Fac $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV DR LESLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS I ICENSlk 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 �j _ /j'I 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 OCCUP.y` , OR ADDNS. AGC. BLDGS. / /Z¢sgft NEW CONSTR. I -OUTLET 2,50 ea NON-RESID BRA CH CIRCUITS) POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES DAL0S30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 • Misc. �yirin 15.00 g — II IS , 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 of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject YA 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 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, costs, and expenses which may in any way accrue agains a Coun con equence of the granting of this permit. Date -,This Nnaturi of Applican — Owner El Contractor ❑ Agent ❑ An OSHA permit is required forexcavations over 5'0" ep and dem ition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE719,Z)" OCCuP. CONST.TYPE JSC1I00LJFL00.JP.1ICI1LJ ' PD ND Issu pl permit,is hereby issued under sions of theButte County Code and/or work indicated above for which_ DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Data _�-� �--�, eipt No. �-?a TE-D.P.W., YELLOW-AeeE330R. PINK-14.PECTOR. LDENR(ID-APPLIC .ZIX. 4 d'rAw'�w�.MN.L � 1l , r• � ,�f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION' / 7 COUNTY CENTER DRIVE - OROVILLE�,t.G0 ORf�R{'.A 95965 TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA'SHEET / Permit No. Contractor, designer, owner, was advised of above required data by_phone--jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW OWNER 1--�-O142 Y A. P. No. Proposed Building Use ,0 ��D� Building Inspector( Date r 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 .. n , 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....................................................... 9. 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 (constrgction approval required prior to occupancy) ... 9. Pre -Inspection for �Q Q . re ulred .. , , Pre-Inspec. request to q Building Inspector � b/4�(Date) 20. Contractor's license in ormation (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ " 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. i Telephone and hold for pickup at office. Deliver w/inspector. Other b n � + Applicant . 4' % Date s i 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). �:,Lndex permit for above items No. 2. Additional items required: / Contractor, designer, owner, was advised of above required data by_phone--jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE.- Dep _tmeat of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building.perm t 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) G //r//' 2. I (have/havenot) &C-= 'C 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. 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. 1 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 Owt�a_4� Social Security Num r Date 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 Drive - Oroville, Qal-*j4jaa 95965 - Telephone: 916%538-7541 APPLICATION AND PERMIT t�CIAI NJu! Dms Qom, t)t7�-j16 N PERMIT NO. BUILDING PERMIT SO. FT, I OCC. I BUILDING VALUATION ONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 1 .00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENS'c NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Fenalty $ BUILDING ADDRESS P'-rrnit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 LOT NO. ].SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 CONTRACTORS LICENS LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 ❑ 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 Main service 1001 OR 00 AMP ORSLESS I 10.00 ) Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.eI\ OR ADONS. ACC. BDGS. /z¢sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER OUTLET CUR.&) and EX. OCcup(OUTLETS OR FIXTURES zO 0 50 eAL@30 FIXED APP LHS. OR Ex. OCCUp. OUTLETS IRESIO.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I S 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. fYrl 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. I also agree to save, indemnify and keep harmless the County of Buite against all liabilities, judgments, costs, and expenses which may in any way accrue agains aF/d Coun in consequence of the granting of this permit. (,�Y.. ��% X �✓L ��4�z/ Date Stgnarure of Applicant Owner El Contractor C1Agent❑ An OSHA permit is required for excavations over 5'0".�° e and dem ition or construct- ion of structures over 3 stories in height. / � Mobile Home Installation Fee $ Energy Inspection Fee $ t TOTAL PERMIT FEE OCCVP. CONST.TTPC SCHOOL FLOoo PARCEL I PO Ho ISSUE 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. ��'��..� ` By Date Receipt No j PERMIT EXPIRES Date ,....- s �. r . nw- rY n9_ P'NR- . SPEC'OH. LO=NRCa•APPLIC.L 7 1. j /,^( _