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HomeMy WebLinkAbout072-080-016N I- 7 08- 6-_ ,` HARMONY BUILDERS _ 2994$ -3 LILLY VICKS% f 2396P 1921 Mt, Ida Rd, Oroville I ' j�— p�—I 12 E Perm.t 2711-86E(upgrade ele ser/SF) 3 F' wls Wyandotte -]LaPorte Rd. off Olive wy,0 PermI--# 44-86B(reroof/SF)16 (new, single family) *addition CD 12 72=08-16 91-160 - CHILIMIDOS�; Robert A Lynn., -1921 Mt ,ida Rd,— roville Exemption Permit- (store tractor &„gardening equipment) f( ft t 0 !r 0 Y f FA- LM COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE,,CA—FIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT/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 horticulutral 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 N0. Z2 _0S'>0_ S'>0 ZONING A OWNER L�l,�✓/!S G,� JLI n� 1 ISS PHONE NO. /V'�4 OWNER'SAMREjm S LOCATION OF XI G / Z�;) g _ F_ /�/ USE OF BUILDING5 rm� SIZE OF STRUCTURE X�SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING � FLOOR�YPE S� ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: i FRONT �b SIDES S / REAR S / 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 above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date d Signature of Owner Permit Fee - $3® The above described AG Building is exempt from a building permit. Receipt No. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director ofPublic ks By �- Date FLOOD PARCEL P.D.JR ISSUE F_ I IOOFIN v /_ Director ofPublic ks By �- Date COUNTY OF BUTTE - DEPARTMENT. -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORUVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Per' i' t w o. / OWNER A o. 0//17 Proposed Building Use Building Inspector Date / At time off DATE RECEIVED APPROVED 1 . All items have been submitted . emit application, I was advised the following data must.be submitted prior to permit processing and/or issuance: (/ V........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by _.date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Permi 2711-86E 1921 , Rd, Oro t _Lilly Vicks I 4 4 1 S I t r j t `i F125 • P COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 w- APPLICATION AND PERMIT PERMIT NO. ASSESSOR, PARCEL NUM"BER '�� ZONING BUILDING PERMIT OWNER ' TELEPHONE , SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAMES / 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS J 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 [A' Duplex❑ Mobilehome❑ Other ,I SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G W 10-00 ea' TYPE OF WORK New Add ition❑ Remodel❑ Utilities ,Instal latioln❑ Other Q' Describe work: �r ! i + 0 r 1 ,1'" (' &11; `j`/Y? �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 �7 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 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 ❑4. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad 2�,20sgit OR ADDNS. ACC. SLOGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RES10 BRANCH CIRCUITS POWER APPARATUS &) SINGLE OUTLET CIR. ) I 0t Ex. OCCUp(OUTLETS OR FIXTURES °ALsSALO 30 FIXED APPLNS. R ) Ex. Occup. OUTLETS (RESID.)EA.2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 J�, f ,'- I rf ) /S Permit Fee $ {/; /)l 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. O I shall not employ any person in any manner so as to become subject . •• to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against allliabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1' - / X ' �' t Date r- �! Y �� Signature of Applicant — Owner O, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 41� ' f _CO occIJ P. x ST.TYPE I IFLOODIPARCELI PD [735UF- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OFPUBLIC _ By V —�*. _ _ 1* PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE '" DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751• 7 County Center Drive, Oroville — Phone: 53411541 Skywa- and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 - CORRECTION NOTICE I it t c -A �--q:� /1 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 correcticn of work is completed. If you have any question pertaining to this Inspector_ Date 9 t� v 17 KI COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSE PAR E UMBE _ ZONING BUILDING PERMIT AV V OWNC I � �h � . / TELEPHONE . I SO. FT. OCC. BUILDING VALUATION OWN 'S A L G AD ESS U171± 44 AV. 0t CONT CT R'S NAME ELEPHONE 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t / ) Kell 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,[r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I SFGTw7--] 10.00 ea TYPE OF WORK New ❑ Addition ❑ rg odeI ❑ Uti ities n al lati n ❑ Other Describe work: ✓� aC C G r I, _ r _ 0� pvl Permit Fee $ Contractor . ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR. ULT' -OUTLET NO N.RES,. BRANCH CIRCUITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occu Occup(OUTLETS OR FIXTURES e®90Q AL930 FIXED APPLISIS Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 4Virin 15.00 %I Pfermit Fee It $ 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. 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_Countmisecionce of the granting of this permit. Date Signature of plicant - Owner K Contractor ❑ Agent ❑ An OSHA pe mit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in he' ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ P1.000 PARCEL I PD I H0 I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D TORO PUBLIC By L 44 PERMIT EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS LO DA --�— Receipt No. oCIE WNITC-D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ff COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILIrEjtG-AL<;IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon: Complete Contract Price Permit No. A. P. No. DPW Valuation Building Inspector ��? r �J/ �%AW Date ZZ111 %S 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 1 Improvements may be required. . . . . . . . . . . �# Mobilehome Installation ata. . . . . • 7. Pre -Inspection for �Q C� ✓ I C--- Re uired.•Pre-Inspec. request to r. p q Building Inspector 246 18. Recorded copy of Agricultural Acknowledgment Statement. . . 19. Other When you issue the permit, process as follows: Mail to owner. it to contractor. Telephone • and hold for pickup at office. Deliver w/inspector. Other 'Applicant A4VL4_e_ Date Copy of plans'sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by -Telephone.," Mail Other By f Date Plans checked by Date Plans approved by ;Date Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your Signa=ure. 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed wore. 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. 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: G� . Property Owner / ,Social Secu ity u�ber Date i 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. COU Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Cb ty `er Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSE PAR E UMBE 'ZONING BUILDING PERMIT OWN 7j TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN �S A _ G AD ESS f CONT T R'S NAME L) ELEPHONE CONTRACTOP.'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN 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. SU IVISION NAM PARCEL MAP Water piping 5,00 Each pas water heater or vent 5.00 IV OF RUCTURE OF SF� Du Ex obi a er /' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S I G I W 10.00ea T OF WO New ❑ Add n ❑ i ❑ Uti it s n tallat n ❑ i Other Describe ork: C- Y !; _ D�?( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CO T T S LICENSE LAW I declare undef pen Ity f p check one): ❑ I am lic ed r provisions of Chapt. 9, Div. 3 of the Business and Pro a io de and my license is in full force and effect. License Classification I, as the o nen, or my employees with wages as their sole compen- sation, w 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.ad` OR ADDNS. � ACC. BLDGS. / �20sgft NEW CONSTR U TI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS y� SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20030! eAL030 FIXED Ex. Occup. OUTLETS PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 15.00 - h, 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 Cer.ificate of Workmen's Compensation Insurance or a Certificate of Corsent to Self -Insure. i 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 tris permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating tCooIin 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 uoon 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 sal Count i o seq nce of the granting of this permit. D/ Date �-�� — 8l� Signature of plicant — Owner 5Q Contractor ElOwner❑ An OSHA pe mit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in he'.ght. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ `Q Occup. CONST.TYPEJ I I FLOOOJPARCELJ Po ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. - WHITE-D.P.W., •EL' -OW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT nib= Permit#2944-86 Lillie Vick 1921 Mt Ida.Rd', COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL,NUMBER 9, _ ) ZONING BUILDING PERMIT OWNER J% 1 J ` I, / I � (f// � //� TELEPHONE SQ. FT. OCC._. BUILDING VALUATION /) � % OWNER'S MAILING %TJ � I � 1 e_ ! A• Dvl /// / CONT(RA'CTOR'S NAME ,l�' 1I1 rIc TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ;' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee .$ 1%/, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ��' nth/�a 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 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 10.00 ea TYPE OF WORKrr��II New ❑ Addition ❑ Remodel ❑ Utilities u, Installation ❑ Other [ Describe work: f'i� A �.- �� �.i / yi�rYl % _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA, ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (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 V1, 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADONS. CONST. ACC. BLDGS. DWELLING OCCUP.&) '/zlEsgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES z0eaoe SALO 30 FIXED Ex. P(RESID )APLNS.REAJ Ex. Occup. OUT LE 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): Q The permit is for $100.00 (valuation) or less. Q 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 riepresentatives 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, sand expenses which may in any way accrue against said County in consequence of the granting`of this permit. X / r` ` r , Date / ' '� / Signature of Applicant —r Owner ❑ %.Conrracro� ❑ Agent ❑' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3•stories in height./Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ () 6 Occup. CONST.TYPE FLOOD PARCEL PD HD ISSUE s oins permit the (Butte Countyued Code under work indicated above for which fees/ /^� DIREC�ILIb By/// �a� ./ PERMIT EXPIRES Date therovi solutiions icable to do have been paid. WORKS Date //- /� y No. � 7 WHITE-D.P.W., YELLOW -Ase E3SOR, PINK -INSPECTOR, COLD ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cagh1orniaV5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. 9l ASSESO.R PAR LIM 1E ZONING BUILDING PERMIT OWNtR,1 lE TELEPHONE SO. FT. OCC.o�%BUILDING VALUATION —OWN 'S MAILING RESS ._ 4d CONTR C OR'S NAE C—V TELEPHONENE C NTRACTOR'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 $ 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�r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00ea TYPE OF WORK �/ New ❑ Addition Elemodei [I Utilities Ins lation❑ Other I J4. Describe work: i` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE 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 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , A ) h2sgft NEW CCONSTR.� ULTBI OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) %SINGLE OUTLET CIR. 20050t - Ex. Occu Occup(OUTLETS OR FIXTURES BAL0AL03030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g 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 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 against said County in con uen9p of the granting of this permit. ° X � - Date D % 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 $ , O Occup, CONST,TYPEJ I I FLOoo PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE PUB B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. C ORKS Date O Receipt No. WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT , COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your sigiature. 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 mater'als for construction of the proposed property 'mprovement (yes or no) 2. I (have/have not signed an aplication 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. 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 b/er Date l�'- �'- (p 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- .nitted to issue the permit.