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BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and c ructed 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 PAM j� , 6 )�
�J /
ZONING
A V��J
OWNER- .• .
16 M) �_
Y-�
PH N
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OW DIJRE f(ew\161
LOCATION OF BUILDING
0—C Z)
kI
r�y
USE OF BUILDING
SIZE OF STRUCTURE %v
X = %� SQ. FT.
TYPE OF CONSTRZTION:
WOOD FRAME STEEL
CONCRETE OTHER (Specify)
TYPE OF SIDIN
ROOF�'V&1^10
FLO P
EST�PJJATEf CO UON TION
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows: .�yyyy��
FRONT— �// hSIDES / 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.
I declare under penalty of perjury that the building will be used as stated about, 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. n
Date �T `� Signature nature of Owner
Permit F .00 The above described AG Building is exempt from a boding ding pe it.
KD
PA�RQt=L P. ROO G I SReceipt No. �/
Manager Building Division �/
By Date -1" �11(14?
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 iTERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-3128
ASSESSOR PARCEL NUMBER
069-380-012
ZONING
1
BUILDING PERMIT
OWNER
BECERRA
TELEPHONE
Sp, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
270 RTVF.RVTP.W DR. ORMIJ,E
CONTRACTOR'S NAME
TELEPHONE
-ma-5330
CONTRACTORS MAILING ADDRESS
15 OAMREM DR ORM11-1,17 95066
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
R
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCELMAP
1
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 8 Installation ❑ Other ❑
Describe Work: ELECTRICAL SERVICE CHANGE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
I
ELECTRICAL PERMIT Fling Fee 20.00
800V OR ES
Main Service zo.AORLESS 23.00 9 •
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 i/nu II f/ore and effect. r� �r
License Class C.-/0 Lic. No. ..1.1 rg6 7
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 astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. I
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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
' 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
7 ` 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.
�' k-®`
X Date
Signature of Applicant - O Owner I, Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service Zoog To 46.00so
CCU000A
NEW CONST. DW JUNG occuP. so
OR ADDNS. 8 ACC. BLOS. 3.5¢FT.
NON-R61p. ' MULTI -OUTLET P7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FD(TURES BAL @';5500
Ex. Occup. oFMUTETS RRESIo.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PRE INSPECTION 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 66.00I
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
I CDF
PARCEL
I PD
I HD
ISs
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
in
Date /���i�'�J /�"'L' ` ,�F d /
BY � �
PERMIT EXPIRES ON
(Date)
Receipt No. '� tid`
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'w
(Rev.-' 2/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT 01-3128
PERMIT NO.
ASSESSOR PARCEL NUMBER
069-380-012
ZONING
BUILDING PERMIT
OWNER
B
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
270 RTVERVTEW DR, DROVILLF 95966
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF [X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
] TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities 5 Installation ❑ Other ❑
Describe Work: ELECTRICAL SERVICE CHANGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G w
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o0A OR IESS
23.00 23.00
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 II f e and effect.l 7
License Class — � Lic. No. � �� l
OWNER -BUILDER DECLARATIONOUTLET
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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
Main Service 200A TO 1000A 46.00
NEW CONST. DW EWNO OCCUP. SO
OR ADONS. ( 8 ACC. S.3.50FT,
,�µRESID. MULTI-OBRANCH UTLEITS T 97,50
POWER APPARATUS
6 SINGLE OUTLET CIR.
20 Q 1.00
OR FOCTURES Ex. Occup. BA L .so
Ex. Occup. O�xuT rs RI%.OEA_ 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PRE INSPECTION
23.00
PERMIT FEE $ 66.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith coml?lv with those provisions.
`of
X Date Z ^ 2�®�
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PO
HD
ISS
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By4hJOZ�to / D
PERMIT EXPIRES ON "61-11 D2
I k Dere
ReceiptNo. 337376/$66.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
s3"1'k�^�lil:1►�..FaI1LY7'
s. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
a~� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: i"Zkc e cr RO606) -3� O _ 0 t Z E
Proposed Building Use: 2 %J •B'aA0hg Inspector: Date: 1.2 , t? • 11.
At time of permit application,' I was advised the following) data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.............................................................................................................
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. ./t
All engineering must be shown on plans.............................................................................................
❑ 5. Engineered truss details and layout in duplicate (required prior to plpn review) No faxes! ...............
❑ 6. Energy Design Compliance and supporting documentation................................................................
❑ 7. Statement of Intent for Non -Heated and A/C Buildings......................................................................
❑ 8. Hazardous Material Form....................................................................................................................
❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications ..............
❑ 10. Fees of $..........................................................................................................
❑ 11. Impact Fees as shown on the attached schedule..................................................................................
❑ 12. California Department of Forestry Plan Approval/Fees......................................................................
❑ 13. Flood Elevation Certificate . ............................................ .....................................................................
❑ 14. Sanitation and Plot Plan Approval Environmental Health Department..........
❑ 15. City of Chico Plumbing Permit............................................................................................................
❑ 16. Plot Plan and Business License Approval from the City of Biggs .......................................................
❑ 17. Planning Approval for (A) Use: (B) Parking: ...........
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ...........................
❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ...............................
20. Pre -Inspection for E: I ec , '7e ✓y , C(-- -;5 %_N required. Request to Building Inspector (Date)
❑ 21. Contractor's License Information (Number, Name Style, Classification) ...........................................
❑ 22. Workers' Compensation carrier and policy number..............................................................................
❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) .............................................
❑ 24. Letter of Signature Authorization........................................................................................................
❑ 25. Recorded Copy of Agricultural Acknowledgment Statement..............................................................
❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
❑ 27. Manufactured Home Utility Clearance . .............. :............................................................. ...................
❑ 28. Existing violations and/or expired permits......'....................................................................................
❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ .....................
❑ 30. Other
Whe ou issue the permit, rocess as follows: Ll Mail to Owner, C] Mail to Contractor.
relephone Z and hold for pickup atoffice. ❑ Deliver with Inspector.
Applicant: .A Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
f
Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other
1. Index permit Application for the above items numbered:
2. Additional items required:
Date:
By:
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By:
Plans reviewed by: Date: Plans reviewed by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Date:
Date:
Date:
Date:
Yellow Copy - Department of Development Services - Building Division
COUNTY OF- BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: F. GEORGE SUMAHIT
ADDRESS: PO BOX 5444
CITY & STATE: OROVILLE, CA 95966-5444
DATE OF CLAIM: 10/22/97
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
IMPORTANT.•
SEE INSTRUCTIONS
ON REVERSE SIDE
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
OWNER DECIDED NOT TO BUILD. (A.P. #069-380-012, B.P. #97-2163,
RECEIPT #224804, DATED 10/6/97, OWNER: JAMES MCELREAVY.
TOTAL AMOUNT PAID.<:.. ..............................
RETAIN REFUND PROCESSING FEE.................$25.00
RETAIN BUILDING PERMIT FILING FEE ............ $20.00
RETAIN ELECTRICAL FILING FEE.................$20.00
TOTAL AMOUNT TO BE RETAINED ..................$65.00
TOTAL AMOUNT TO BE REFUNDED ........................$146.50
TOTAL
146. 150
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been p rf or delivered, and that this claim is true
and correct as stated.
—//17 -- day of �/ 19-U, at t?r,00;1 �
Dated this,Calif. s
a re o laimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s�p cified above hav een pe formed or delivered and
that there is a Budget Appropriation I j or Specific Board Approval [ I (Check one) for the s m .
Dated this 22ND day of OCT. , 19 97at OROVILLE , Calif.
Departnient Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND
j Dept. Code Exp. Code PAYABLE FROM FUND
Dept Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ. CLAIM NO. INV. NO.
INV. DATE ENCUMB. GROSS AMT.
FOR BUILDING DIVISION USE:
Receipt Information:
Number:
Date:
Issued To:
Amount:
Fees Retained:
Processing Fee
✓ Bldg Filing Fee:
Plbg. Filing Fee
d Elec Filing Fee
Mech Filing Fee:
Energy P/C Fee.
Plan Check Fee
Inspection Fee
SRA Fee:
Total Amount Retained
TOTAL REFUND DUE
REFUND CLAIM APPLICATION
CLAIMANT'S NAME C CS J 1
MAILING ADDRESS
ASSESSOR PARCEL #: 0t99— Sed- 0/ o?,
RECEIPT NUMBER(S) � a4
Request a refund of fees paid on the above receipt number(s) for the following reasons:
d
Please refund any applicable fees in the following categories: (Check those categories
which you wish to have refunded.)
(� Building Permit Fees ( ) Sheriff Fees
( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees
Disposition of Plans:
( ) Plans returned to me at counter
( ) Please mail plans to me at above address.
( ) Please dispose of plans.
SIGNATURE
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, ..California 95965 - Telephone (916) 538-754 ,q PE�MI 0.
(Rev. 12/96) APPLICATION AND PERMIT ff ((��
ASSESSOR PARCEL NUMBER 069-380-012 ,
ZONING ARI
BUILDING PERMIT
OWNER JAMES MC ELREAVY
TELEPHONE
SQ. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS
128 RIVERVIEW DR OROVILLE 95966
rnNT 6,400-00
CONTRACTOR'S NAME
CUSTOM BLDG BY GEORGE
TELEPHONE '
534-3689
CONTRACTOR'S MAILING ADDRESS
PO BOX 5444 OROVILLE 95966
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
_
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
90-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
919-90
BUILDING ADDRESS
270 RIVERVIEW DR
Energy Plan Checking Fee $
OROVILLE
$
PERMIT FEE $
168-50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF IS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IK
Describe Work: CHANGE ROOF STRUCTURE & MISC ELEC
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service eoov oR Less
2ooA oR Less
23.00
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 ftAforce and effect.
• /
License Class Lic. NO. C�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
SO
:
3.50NEW
CONST.
NON•RESID. MULcTI.OUTLET
97,50
S
POINGWERLEAPPARATUCIR.
8 SOUTLET
Ex. Occup. OUTLET OR FOCTUREs
20 Q 100
BAL o .50
Ex. Occup. ourrs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE $
43.00
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
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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
comps sation laws of California, and' agree that if I should become subject to the
orker compensatio visions of sect' n 3700 of the Labor Code, I shall
rthwit comply with ose provisions. a
X Date_ -
pplicant O ner Contractor ❑ Agent
An OSHA permit is requir f r io s over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 211.50
HA2.
1 D. FEES
IMP
I FLOOD
I COF
PARCEL I PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
ate
Receipt No. 224804
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7541----
PERMIT
916)538-7541----
PERMIT APPLICATION DATA SHEET
OWNER PAC,M t�Y No. D (C 7" O -O I D
Proposed Building Use Building Inspector Date V
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ..................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans. .
3. Complete plans, 3/4 sets, signed by preparer of plans. ��. .
4. Engineered plans and calcs, 3/4 sets, with wet signatur on plans . ............ .
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ....... .
18. Contact Land Development about (A) Improvements (B) Drainage. ...... •.... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
20. Pre -inspection for t. 4- speclon reque t
required. . . to Building Inspector
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. 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 check list . .....................................................
33.
34.
Whe you issue theergit, grPss as follows: Mail o owner. Mail to contractor.
Telephone �a and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applica Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll+n D;
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:
M
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
' ` .. `' .. ,a,`�`;"�...sc_,.,wr:-:,1^^�c.� ^rny_663�:•y-^"" �"R: .-•'a•, ;+.w,.:.f. n�a�.�.'-a.j;�sr�,•ri•a,7�IL-�. �1!5'.`w�7adw�1-v..�XR►y(!•.rgl
069-38-0-012 93-373B
•LIROU, AL
. ; 270 RIVERVIEW DR, OROVILLE.
k. 4, REROOF/SF
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
AR -1
BUILDING PERMIT
OWNER
Al Hroit
TELEPHONE
589-2fl95
SO. FT. DCCT. BUILDING VALUATION
OWNER'S MAILING ADDRESS
270 ew Drive Oroville 95965
22 2860.00
CONTRACT
OR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
KNOWN UN
Total Valuation $ 2,860.W
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ 660.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
I
SF a Duplex ❑ Mobi lehome ❑ Other
SPECIFY I
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ]
Describe work: Reroof Built up �
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury
p y p l y (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlness
and Professions Code and my license Is In full force and effect.
License No. Classification
lir 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
Main service 200ATO1000A) 37.50
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ACDNS. ACC, SLOGS. II
NEW CONSTR. U TI.OUTLET
NON .RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
FIXED APPLNS, OR
EX. Occup. OUTLETS (RESID.) EAJ 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certifricate 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 15.00
Heating
Cooling
Hood 6.50
Ventilation
Pernit 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 �inncconsequence of the granting of this permit.
X — �'�`" ?`'r' '� �'`'�-� Date -1 - /� - "
Signature PP Contractor Agent
Si nature of Applicant - Owner ❑ ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $60.00
HAz
I DFEES I
IMP
I FOOD
I CD F
PARCEL
PD
HD
IssuE
This permit is hereby issued under the applicable provi-
sions of thi Butte County Code and/or resolutions to do
I r
work indic,bted above for which fee$ have been paid.
X
// DI TO .OF PUBLIC WORKS
By / ^ �// . �.% Date I� f
19
PERMIT -EXPIRES Date
1:35433
Receipt No.
WMITC-D.P.W., TELLOW-ASeC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTt - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
069-380-012
ZONING
AR -1
BUILDING PERMIT::�J
OWNEAt Li R rou
TELEPHONE
589-2095
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
. erview Drive. Oroville 95965
270 1
22 2,860.00
CONTRACTOR'S NAME
nwnpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 2,860.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 1.55,00
Permit Fee
$ 45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 60.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF [J Duplex[] Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S I G I W I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other]
Describe work: Reroof Built up
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the BU
and Professions Code and my license is in full force and effect.
License No. Classification
IRrFIXED
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)
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
Main service 200A To 1000AI
$7,50
NEW CONST./ DWELLING OCCUP.&)
OR ADDNS, ( AGC. BLDGS.
3.60 sq.f[.
NEW CONSTR ULTI.OUT LET
NON •RESID BRANCH CIRCITS
@ 5.00SIneSs
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES20
@ 764
APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.)
.3.00
Temporary service
1 5.00
Mobile Home Facilities
1 5.00
Misc. Wiring
-15.00
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
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in ansequence of the granting of this permit.
2
X � � Date �` �� " 7
Signature of Applicant — Owner 6 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 $ 60.00
HAz
1 DFEES I
IMP
I FLOOD
I CDF
=
I ISsu
This permit is hereby issued under the
sions Of t Butte Count Code and/or
work I i ted which a
DI F UB
BY
PE PI. S Date
applicable provi-
esolutions to do
ave been aid.
ORKS
Dat
Receipt No. 135433
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
y
O
COUNTY OF BUTTE =.Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
014NER-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 es or no)
2. I (hay./have not) signed an application for a building.permit
for`"�he proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. .1 place 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 Security Number/>
Date � — / � �.�
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of -the Califor---nia- 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`S DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Dri\Fa - Oroville, California 95965 - Telephone: 916/"538-7541
APPLICATION AND PERMIT
ASSESSOR, PARCEL NUMBER
' 24,0 — U %
ZONING
BUILDING PERMIT
OWNS �//(`�''
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
) �''�
OWNER'S MAILING ADDRESS IL `4) V � V A—
V
CO�gITR AC T,Ojt• N ME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 15.00
Permit Fee
Plan Checking Fee
$ C7 (9
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
" r V
Permit fee
$
At- Z9
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF;<Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mob le Home I S I GJWJ
@ 15.00
TYPE OF WORK
New❑ Addition ED Remode10 Utilities❑ Instal lation❑ Oth/�jr❑
Describe work: E�0 F wy LALT— U Y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
00V OR LESS
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under enact of
penalty perjury lur y (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
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO t000A1
37.501
NEW CONST. ( DWELLING OCCUP. &\
OR ADONS, l ACC. BLDGS.
3.6d sd.ft.
NEWCONSTR ULTI.OUT LET
NON.R ESI. BRANCH CIR_" ITS
@ 5.00
POWER APPARATUS e
SINGLE OUTLET CIR. /
EX. OCCUp( OUTLETS OR FIXTURES
76
RAL 20 d
(a 4fidL.
Ex. Occup. OUTLETS PaESID IREA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
FT 15.00
Misc. Wiring
15.00
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
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
I Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 inny way accrue
against said County in consequence of the granting of this per It.
X Date � � I 1 --72
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition Or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ do,O r O C7
HAz 0FEES IMP
fL000
CDF
=PARCEL HD ISSUE
j
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
DatePERMIT
Receipt No. �.3 (I 3�
wMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT