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Wynoka Homes, Inc. .3 (,p 73
2337 Via Corte, lot 91, Vista Del Cerrofl
Oroville
--7/7-w
5-0 —0
Permit #1717-78B(new single family)
Irk ca j 10 1A
036-73-0-018 93-
..........
AVILAj Chris
2337 -Via Corte, Oroville
woodstove/s f
036-730-018 01-0988
AVILA, UANNE
2337 VIA CORTE OROVILLE
INALE
CONT: OWNER
Zg
RE ROOF
8
036-730:=0 1 8 04-1421,
0 4 -
VILA, R
f
V
2337 V OROVI'LLE
DD G E bON�V�GARAGE TO
LIVNG
/p
h
1..
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: D'Anne Avila
ADDRESS: 2337 Via Corte
CITY & STATE: Oroville, CA
DATE OF CLAIM: 10/28/04
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY
AMOUNT
Refund Claim - See attached calculation sheet APN: 036-730-018
Permit No.: 04-1421
PAID
RETAINED
REFUND
Development Services
$ 1,072.31
$ 483.91
$ 588.40
THERM DRNG
$ -
$ -
$ -
SMIP
$ 2.15
$ -
$
SHR
$ -
$ -
$
SRA
$ -
$ -
TOTAL
$ 1,074.46
$ 483.91
$ 588.40
............
............................................
............
.......................................
:.... �..... .
W::: >:
::o:.::.:.::
Q'.'....
.............................................
.............................................
gftE-A -DOWN :...:
..............
t..1JD:G:Em :.:
..............
.............
..............
z......
.............
..............
.............
101001 DVLPMNT SVC
440-001
4210500
$ 588.40
1011822 THERM DRNG
1800
280
$ -
1011430 SMIP
1001
280
$ 2.15
1011811 SHR
1800
280
$ -
101001 SRA
100
4617240
$ -
TOTAL
$ 590.55
$ 590.55
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this \ day of �1//:2004. at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s ecified above have been performed or
delivered and that there iisaBudget Appropriation or Specific Board Approval (Check o ) for same.
Dated this 03(d d day of 2004, at Oroville Calif. I
Department Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM
DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY
DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
Wednesday, October 27, 2004
Counter
Kim
Person
Development Services
BUILDING DIVISION
Payment Date
5/18/2004
Permit Number
BP041421
Receipt Number
406054
Check Number or Cash
3668
Parcel Number
036-730-018
Applicant
I D'ANNE AVILA
Received From
I SAME
Total Received
$1,074.46
Total Fees To Collect , 074.46
Notes:
Ver. 1.0
Fund 10 (Bldg Permits) I $1,072.31
SRA Fees (Fire) $0.00
SHR Fees (Sheriff) $0.00
SMIP ( $2.15
Copies/Document Sales
$0.00
CUA (Chico Urban Area)
$0.00
TUA (Therm. Urban Area)
�$O 2
Water Tender Btln #=
$0.00
West Chico Fire Station
$0.00
Witness Fees
-$0.00
Recorders Fees (N.O.C)
$0.00
Thermalito Drainage
I $0.00
Oroville Area Traffic
$0.00
NSF (Non Sufficient Funds)
$0.00
Notice of Violation
NCSP Trails System
NCSP Roads/ Bridges
NCSP Storm Drainage
NCSP Fire Station
NCSP Parks
Value
$0.00
$0.00
$0.00
$0.00
$0.00
Type $0.00
$0.00
ii
BUTTE
0�uTrF0 Butte County Department of Development Services COUNTY
�. o Building Division SEP 111004
°
° : ;;'�� 7 County Center Drive DEVELOPMENT
0.coliN�l Oroville, CA 95965 (530) 538-7541 SERVICES
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued -if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees Daid to other Countv Deoartments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated'for any fees to be iefunded'and sent to the address below for signature (gy the person whose name is or, the
eck those fees which you wish to have considered for refund: ` "C� 42OV5 1>4`1PJ
Building Pefmit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning)
Other (specify):
Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for, Refund. If you want the plans, you may ick them up prior tot at time.
ovr
ignature Date
K:/Forms/Refund Application 082203
WANT:
D'Anne Avila
tESS:
2337 Via Corte
& STATE:
Oroville. CA
RECEIPT INFORMATION
NUMBER:
DATE:
ISSUED TO:
CHECK
AMOUNT:
PERMIT M
IREFUNDS:
VERIFIED
406054
05/18/2004
DAnne Avila
3668
THRM DRNG
AUDSUSP
Yes
SRA
Title
BLDG
THRM DRNG
AUDSUSP
SHER DEV FEI
SRA
Fund
0010
1800
1001
1800
100
Dept
44o -o01
rHRM DRN(
(SMTP)
(SHR)
(SRA)
Accnt
4210500
280
280
280
4617240
Cash
101001
1011822
1011430
1011811
101001
DETAIL PAID RETAIN
REFUND
BLDG
Time 109.98
1072.31
................
...
................
.........
..
........
................
........
................
........
........
........
........
........
................
........
..............
........
•
................
........
................
........
.................
•.
........
........
........
........
........
Filing from Plan Check) 0. 001 0.001 0.00
Plan CheckfFiling 0.25 27.50 428.92 428.921 0.001 0.00
0D
Inspection 0.0O 643.39 643.39 643.39
0 1 1
BLDG FEES
OTHER BLDG
SHR 0.00 0.00
SRA
0.00
0.00
.............
... ..
................
........
REFUND PROCESS FEE
54.99
54.99
-54.99
.99
................
........
................
........
........
........
........
•................
........
................
........
..............
........
........
........
BUILDING TOTAL 1072.31 483.91 588.40 588.40
THERM DRNG 0.00
0.00
,§mIP 2.15 2.15
SHR
0.00.
0.00
'SRA
0.001
1
0.00
$
1,074.46 $ 483.91
$ 590.55
$ 588.40 1
$ - 1
$ 2.151$,
--
$ -
APPROVALCHECK:
$590.55
Date ReviewedNCE:
$0.00
Michael Vieira
(Should
be blank)
Building Manager
(W
ti
DEPARTMENT OF DEVELOPMENT SERVICES
DEPOSIT SHEET
BUILDING DIVISION
-
DEPOSIT #
BAG #
211
328
PERMIT#
RECEIPT#
ACCOUNT #
F-10
ACCOUNT # ACCOUNT # AVA COURT ACCOUNT #
(SRA) 0100 (SHR) 1800 F-10 (CUA) 1800
ACCOUNT#
(SMTP) 1001
ACCOUNT#
(COPIES) 0010
041414
406047
1594.23
040544
406048
54.99
040889
406049
54.99
.041417
406050
1072.31
$
7.54
041418
406051
110
041419
406052
962.33
$ 43.00
$
2.08
041420
406053
549.9
$
2.30
AVA Court 406055
$ 139.00
041422
406056
3606.58
$ 43.00 $ 305.01
$
19.82
041416
406057
1073.5
041423
406058
174.15
041424
406059
3661.57
$ 43.00
$
20.89
041425
406061
684.88
$ 43.00 $ 335.00
$
11.15
041426
406062
109.98
041427
406063
3963.8
041428
406064
549.9
041431
406065
467.42
$ 19,762.84
$ 172.00 $ 640.01 $ 139.00 $ -
$
65.93
$ -
MONEY COLLECTED:
auditor:yellow
1ftt1g5l2D.Dd
COMPILED BY:
GRAND TOTAL TO BE DEPOSITED
DIANE LEWELLEN extn 6869
DATE1:.444444444........:.z `4O U61 0041
�C9
C�11
CA-
t
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHIC 0: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
t
APPLICANT SIGNATURE
X I -
-)
For office use only:
OWNER
Name civAn'-3
r _
Address+�
--` r'
City
`
State
Zip %-
Phone t),34.Loa
_ U Q 3
�-1, 86
Fax ---
E-mail 6e
C Oq t
t
APPLICANT SIGNATURE
X I -
-)
For office use only:
CONTRACTOR
Name
O W 14 Et2.
Address
--` r'
City
`
State
Zip
Phone
_ U Q 3
�-1, 86
Fax
E-mail
, \
Lic. #
Class
t
APPLICANT SIGNATURE
X I -
-)
For office use only:
ARCHITECT/ENGINEER
Name
Address
--` r'
City
`
State
Zip
Phone
_ U Q 3
�-1, 86
Fax
E-mail
, \
State License Number
t
APPLICANT SIGNATURE
X I -
-)
For office use only:
APPLICANT NAME
Name
Address
--` r'
City
`
State
Zipg5% 40
Phone,I
_ U Q 3
�-1, 86
Fax
E-mail
, \
t
APPLICANT SIGNATURE
X I -
-)
For office use only:
Zoning
Flood Zone
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BP 04143-1
BIN #
LOCATION
AP# 03�•730•0►8
Property Addre s
1
Cross Stre t
r6
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other t n 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:
ADD G.4sat gam%5 &04V l*At TO L -N&
Go ^t y Co v Po ac" To
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
OVER FOR SUBMITTAL REQUIREMENTS L
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
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
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.
Received by: 121- Amount: 1012-31 Bldg
SRA
Receipt #: 400054- Sheriff
Date: 5. 1 S •e4 -
• (5 SMIP
Other
10 s • 3 ► Total
REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings at specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Re7idential, New, Remodels, Additions, and Accessory Structures:
1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
,� 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
.,ems 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
o- 5. Letter from Engineer or Architect for truss design review.
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 2.Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑
1.
4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
4.
Letter from Engineer or Architect for truss design review.
❑
5.
2 Energy compliance design and supporting documentation (if required).
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Statement of Intent for Non -heated and A/C (if required).
❑
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑
9.
Letter of intent.
❑
10.
Hazardous Material Form.
❑
11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04
• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:�-
ASSESSOR PARCEL NUMBER e> 3 & • 73 e5. b 18
Cor -JV PO?G H -r-o P,4iIt02y l
Proposed Building Use: A Do GA 2 0-014V GAP TD L Vd ounter Technician: Date: 5- 16 -04 -
Items
6•O`f-
Items required in orde to apply for a permit. All boxes MUST be checked OR marked NA in orde to apply.
1. Site plans or 4 sets, signed by the preparer of the plans. .
2. Complete ansor 4 sets, signed by the preparer of the plans.
0 3. Engineered plan , 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations.
.4; 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
�r❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ _13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
- Wj ^ PALO 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ . 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... .........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval ❑ paid. Sent by: .............
24. anning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
O 30. Worker's Compensation Carrier and Policy Number ..........................................
10 31. Owner -Builder Verification (,zGiven to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone 1554 - A93 4-S and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:,, "IV.4 .1_44
1.
1. Index permit application for the ab ov 'terns numbered: -�
2. Additional items required 7i
Contractor, esi ne o ri � , was advised of the above data by phone, ❑ mail, ❑ counter, by Date: b y
Contractor, designer, owner was advised of the abov da a by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: (LA; Date: 3 0 Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Date: _5- /0 ',�) T
Plan Check Letter
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A/ t L-4
PROPROSED BUILDING USE ADO 6A og- (Bq5) Gst2 -r-o
LVM6� CorlV C40 po+�Ci-+ —M
-P"may
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee..... $
_✓ 2. SCHOOL DISTRICT FEES �o –+--k
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)...... X $0.03 = $
A.P. # 036 •7,30.O193
DATE
RECEIPT # DATE REC.
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
40A 7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone
Zone
X =$
# Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER �� tP * :). 15 4P605¢ 6. V'0`-t—
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
maybe changed during the plan checking process. _
APPLICANTZDATE 'D
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
National Pollutant Discharge' Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention. Plan- (SWPPP) Acknowledgement [LESS THAN 1 ACRE.
Project Title: N-1 L..I�c
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent.
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or ot.�er sanctions provided by law.
Signed: �%�, IL
Title:
Date: a
O.B.-1
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit No building permit will be issued until this
verification is received
*1. I personally plan to provide the major labor and materials for construction of Ithe proposed
property improvement : YESA. NO ❑
*2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed work.
. I have contracted with the following person (firm) to provide the proposed construction:
NAAM:
ADDRESS: may:
PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO.
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
IGNED:
PROPERTYOWNER
_A_ ��, /,,v " J /J
-*DATE:
NOTE: This Owner -Builder Verifuation is required by Section 19831 and 19532 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
I OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a budding permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -budder" you are the responsible party ofrecord on such
a permit Budding permits are not required to lie signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
Ifyou plan to do your own word with the exception of various trades that you plan to subcontract', you should
be aware of the following information for your benefit and protection:
0 If you employ or offimwise engage any persons other than your immediate Family, and time work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you mast register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation instaance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Adminisftation). For more specific information about your obligations under
She Law, contact the Depart .= of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
Permit► erroneously imPiying that the property owner is providing his or her own labor and material Personally. Building
permits are not required to be signed by property owners unless are P g
Infarmatioa about licensed contractors be obtained b � P��g their own work personally.
' y contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we carr confirm that you
are aware of these matters. The budding permit will not be issued until the verification is returned.
ly, '
I
C. Vi ira, C.B.O.
I
Budding Inspection
NO2" Trus Owxa Budderlxfomur,*n is required by Section 19830 of the California Health and Safdy Code
OVER
e-
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Ha43ER5 LON6ER THAN 12'
ATTACH AT MIDPOINT OF BRACE
W/ 2-6d NAILS
,rc7�� 04FR:r�.r71,i7
2x4 HF 5TRONSBACK
MAIL TO LEDGER
W/ 10d Is 12' OGS —
2x4 HF LEDGER MAIL
TO VERTICAL W/ 10d
RAILS)
s
�o
\—A35 BRACE TO FLAT
�r--H-3 AT 46' O.C.
NMI TH15 DETAIL MAY BE USED FOR
Tmr--5m WITH PITCHED B.C. ALSO.
(0) OPTION TO WEB PLATIN&, ZE (3) - 2'
WIRE 5TAPLE-5 (0.072 DIAJI5 &A)
TOENAILED THRI1 CHORD INTO WEB i
TFRU WEB INTO CHORD ON ONE FACE
FOR A TOTAL OF 6 STAPLES. (PI).
(51) t MU MUST BE PLATED.
10
3-IOd
NAILS
EACH END
6-104 COMMON
2xb DIA60NAL NAILS
BRACE o 46' O.C. 0 MAX NW.A CED LEN&TH
OF &ABLE DO STIR.
(2x4 FIR-LARCW
- 5TANDARD = V -II'
- MI AND BTR.
——�
TC DL 15D PSF
BC DL P5F
NOTE, GABLE END PM16N BASED BC LL 0.0 P5F
ON 15 MPH WIND, F.WOSURE 'B' TOT.1.D. 50D PSF
AT 0-25 FEET MEAN HE16HT. DURFAC. 1.15
Tfn OF JO DETAIL Date: Ip -I8 -o2 Gary Hawkins
I .JOB NAME Lose �.OW LUMBER ARCHITECT
Drawn: AK
CITY, STATE CHICO, CALIFORNIA Job no,: 02-II6 (530)8922700
I.
1370 RIDGEWOOD DR.,'STE.1 O FAx:(530)893-0532
CHICO, CA 95973 garyorchmsbcg$obcIrnet
VA Li
0-3
Multi -Loaded Beam( 2001 California Buildinq Code (01 NDS) ) Ver: 6.00.5
By: rbloomfield , Butte County on: 08-02-2004: 10:42:22 AM
Prosect: - Location:
Summary:
3.125 IN x 12.0 IN x 8.5 FT / 24F -V4 - Visually Graded Western Species - Dry Use
Section Adequate By: 5.8% Controlling Factor: Area/ Depth Required 11.35 In
Center Span Deflections:
Dead Load:
Live Load:
Total Load:
Camber Required:
Center Span Left End Reactions (Support A):
Live Load:
Dead Load:
Total Load:
Bearinq Lenqth Required (Beam only, support capacity not checked):
Center Span Riqht End Reactions (Support B):
Live Load:
Dead Load:
Total Load:
Bearing Length Required (Beam only, support capacity not checked):
Beam Data:
Center Span Lenqth:
Center Span Unbraced Lenqth-Top of Beam:
Center Span Unbraced Length -Bottom of Beam:
Live Load Duration Factor:
Live Load Deflect. Criteria:
Total Load Deflect. Criteria:
Center Span Loading:
Uniform Load:
Live Load:
Dead Load:
Beam Self Weight:
Total Load:
Point Load 1
Live Load:
Dead Load:
Location (From left end of span):
Point Load 2
Live Load:
Dead Load:
Location (From left end of span):
Properties For: 24F -V4- Visually Graded Western Species
Bendinq Stress:
Shear Stress:
Modulus of Elasticity:
Stress Perpendicular to Grain:
Bendinq Stress of Comp. Face in Tension:
Adjusted Properties
Fb' (Tension):
Adjustment Factors: Cd=1.00
Fv':
DLD-Center=
0.05
IN
LLD -Center=
0.06
IN = U1837
TLD -Center=
0.11
IN = U938
C=
0.05
IN
LL-Rxn-A=
2781
LB
DL-Rxn-A=
2901
LB
TL-Rxn-A=
5682
LB
BL -A=
2.80
IN
LL-Rxn-B=
796
LB
DL-Rxn-B=
769
LB
TL-Rxn-B=
1564
LB
BL -B=
0.77
IN
L2=
8.5
FT
Lu2-Top=
0.0
FT
Lu2-Bottom=
8.5
FT
Cd=
1.00
U
360
IN2
U
240
115.09
wL-2=
0
PLF
wD-2=
0
PLF
BSW=
9
PLF
wT-2=
9
PLF
PL1-2=
2303
LB
PD1 -2=
2547
LB
X1-2=
1.0
FT
PL2-2=
1274
LB
PD2-2=
1045
LB
X2-2=
3.5
FT
Fb=
2400
PSI
Fv=
240
PSI
Ex=
1800000
PSI
Ev=
1600000
PSI
Fc perp=
650
PSI
Fb_cpr=
1850
PSI
Fb'=
2400
PSI
Fv'=
240
PSI
Adiustment Factors: Cd=1.00
Design Requirements:
Controllinq Moment:
M=
7695
FT -LB
3.485 Ft from left support of span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s) 2
Controllinq Shear:
V=
5674
LB
At a distance d from left support of span 2 (Center Span)
Critical shear created by combining all dead loads and live loads on span(s) 2
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
38.48
IN3
S=
75.00
IN3
Area (Shear):
Areq=
35.46
IN2
A=
37.50
IN2
Moment of Inertia (Deflection):
Ireq=
115.09
IN4
1=
450.00
IN4
Date:
To:
From:
Subject:
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
FACSIMILE COVER SKEET
Vmlo
FA ia�0 —
/YA/l/t-S r
7/---
0�
Number of pages (including this cover sheet):
Fax Number:
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
Special Instructions:
Review and respond accordingly.
For your information only.
Sincerel ,
CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may
also contain privileged information. The information is intended only for the use of the
individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby
notified that any use, dissemination, distribution, of copying of this communications is strictly
prohibited. If you have received this facsimile, in error, please notify me immediately by
telephone, and return the original to me. Thank you.
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4-120.10 R-1 through R-4 site requirements.
Chapter 24 ZONING*
4-120.10 R-1 through R-4 site requirements.
The following minimum requirements shall be observed, except where specifically modified for
conditional uses. The minimum requirements shall be those for the zone as designated on the
zoning map:
1) Height (feet)
Principal
Accessory
2) Parcel size (square feet)
Corner lot
Split single-family on zero lot line
(halfplex
Corner lot
3) Building site area per unit (square
feet)
(including two (2) off-street parking
spaces)
4) Parcel width (feet) at setback line:
Interior
Corner lot
5) Public street frontage (feet)
Curve or cul-de-sac
6) 1 Front yard setback (feet):
From edge of ultimate right-of-way
Side street property line
7) ide yard setback (feet)
!8),0,1 Rear yard setback (feet)
9) Distance between buildings on the
same parcel (feet)
Zones
R-1 3R-2 R-3 R-4
Comment: conform to the provisions
.. of Butte County
building code section 26-3.5
6500* 6500' 6500* 6500*
7000* 7000* 7000* 7000*
N/A 4000 4000 4000
N/A 5000 5000 5000
6500 11 3250 11 3250 11 2150
6550 50 [155
70 65 55
4040 40 40
20 20 20 20
10 10 10 10
�OOC
15 10 �F —5
10 10 10 I F-1-6
* On public sewage disposal service. All other lots to meet requirements of the environmental
health division for septic systems, the minimum lot sizes may be required to be larger.
(Ord. No. 3176, § 1(Exh. A), 1-24-95)
Page 1 of 1
http://municipalcodes.lexisnexis.comlcodesibuttecol DATAICHAPTER24/4 120 10 R 1... 8/19/2004
Butte County Department ofDevelopment Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
August 10, 2004
Chris & D'Anne Avila
2337 Via Corte
Oroville, CA 95966
Subject: APN — 036-730-018
Dear Mr. & Ms. Avila,
The Butte County Department of Development Services, Planning Department has reviewed
your submitted Building Permit Application 04-1421. We have made the following
determination based on Butte County Code Regulations:
1. This parcel is located in an R-1 (Residential) zone. This zoning requires 20 foot
setbacks on both sides of the parcel with street frontage, with a 5 foot side yard and 15
foot rear yard setback. Additionally, you have setbacks established by the Vista Del
Cerro subdivision, which has a 25 foot setback on Via Corte and a 20 foot setback on
Vista Del Cerro. The zoning would defer to the more stringent regulations, which
would be according to the Vista Del Cerro. Therefore, your setbacks would be the
following; 25 foot on Via Corte, 20 foot on Vista Del Cerro, 15 feet from rear yard
(from the adjacent northern parcel), and 5 feet from the side yard (the adjacent eastern
parcel). According to your site plan, the converted existing garage. and the proposed
garage does not meet the setback from both Via Corte as well as the rear yard setback to
the north.
2. If you would like to pursue the plans into these setbacks, it will require a Use Permit. I
have attached a copy of the Use Permit Application Packet Checklist and a copy of the
fees associated with this permit. If you wish to change your plans to conform to these
setbacks, please resubmit new site plans.
Should you have any questions please feel free to call Lana Adler, Assistant Planner, between
the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-6706.
Since .ely,
J e "h W. Baker
lanning Manager
1
1
1
2'11,0
I
The BI . S back shall be 5 ft. from the
side p pert line and 50 ft. from the'
centerli a of he road, perrnit•ting a maxi-
rnuln of 2 ft eave overhang but entirely
out of II easements.
,. ��� r�►..1010
Be in
UhiTerm ..BuiloErg, piurj7.)inq ' in s -he
the Ndtionol Electrical Code. �0 es - and
\Works
i of i�i<:ns aTd 3c4ications PA:j T be
!, y,r%.�
he ib ;st
l $«rrie without
,tratisson from the 'DepartmentofPubliCounty of Butte.
�1 ' ,
1so joU U1
I it
FL
^�!) E I
5
I a-- I
i'! n on til for
iPla s.
TE CO Nl
BUILDING D P T
SUBDIVISION
SEWER
WATER -
GAS V
ELECTRIC(;/
CITY 1 COUNTY
916.533.2739
A °0,
0
�I
LOT NO.
JOB NO.
HOMES,INC.
P.O. BOX 16 SCALE
OROVILLE,
CAL. 96965
�`w
l
N
1so joU U1
I it
FL
^�!) E I
5
I a-- I
i'! n on til for
iPla s.
TE CO Nl
BUILDING D P T
SUBDIVISION
SEWER
WATER -
GAS V
ELECTRIC(;/
CITY 1 COUNTY
916.533.2739
A °0,
0
�I
LOT NO.
JOB NO.
HOMES,INC.
P.O. BOX 16 SCALE
OROVILLE,
CAL. 96965
s;1
SITE PLAN REVIEW APPLICATION
Date: !60 IGS{ AP# Q X — 7 3d _ Q i fr
Permit Number (if applicable) 0q—(
APPLICANT INFORMATION Parcel Size: • �� aC/l�
Owners Name: L�' ''' ' l ay,
Owners Address: 3% Vc;, noCm .L CY97 ` 5_%�
Telephone No.: 53q " F Sto 3
Situs Address: S/
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
Mobile Home
Residential Accessory �r/Yl &vd-
'�- 9
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
Expansive Soils (Test for expansive soils and if verified proper foundation design required)�i%,�j
SRA - (CDF to determine specific requirements) U
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: X
• Flood Panel No.: f*067 C09t5-12 Index Date: Y D
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit'"'
❑ Minor Use Permit ❑Administrative Permit
❑ Minor Variance ❑ Variance
------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment- Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
_ k —I
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
1Q I
Side
S— i
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Applicable Development Fees:
Standard Fees Amount
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Formula
---------------------------------------------------------------------------------------------------=---------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
. Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No
Deed of Reference: Legal Access Required ❑ No
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Yes
❑ Yes
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Paye 3 of 5
IN Subdivision Map/Parcel Map:
Map Date of Recording: /77
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
R hue, - 53--11
Book: 50 Page U 4,� 1
Date of Approval:
Parcel Map/Subdivision Map[Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. , Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
I
Page 4 nf 5
0
0
LTJ
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAL.arrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
036-730-018 01-0988
AVILA, D'ANNE
2337 VIA` CORTE OROVILLE
CONT: OWNER
RE ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541Y�
ERM�
r,�
(Rev. 12/96) APPLICATION AND PERMIT g
ASSESSOR PARCEL NUMBER
036-730-018
ZONING
R-1 -
BUILDING PERMIT
OWNER
AVILA D'ANNF
TELEPHONE
5-14-8863
SO. FT. OCC. BUILDING VALUATION
21
1260.00
. OWNERS MAILING ADDRESS ,
2337 VIA MOMMMIM Q 05966
CONTRACTOR'S NAME
am
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1,260.00
ARCHITECT OR ENGINEER
LICENSE N0.
Filing Fee
$ 20.00
Permit Fee
$ 31.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
SUILDINGADDRESS
/E ORMLLE, CA 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
1
PARCEL MAP
1
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF b Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Utilities ❑ Installation ❑ Other
Describe Work: RE ROOF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '..A 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 full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
r 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 200L TO fOooA
46.00
NEW CONST. DWEWNG OCCUP.
OR ADDNS. ( a ACC. B'S.
SO
3.50a
NON-R6IT' MuLTI.OUTLET
@7,50
POWGLE ER APUTLETPARATUS
a SIN OCIR.
Ex, Occup. FIXTURES
OFIXEDA
SAL � 1;50
PLN..
Ex. Occup..OUT>Frs(RESID•GFR.w
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I 1
PERMIT FEE
_
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
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
fo with comply with those provisions.
`
1- O/-/O/,v A Date �J W(_� _
X ,I /
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $ 51.p0
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
pD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By ll/1.G _`Date
_!2/
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
A
A`
'CJ
Dere
Receipt No. 75Q y wo
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'f 01 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 O
(Rev. 12/96) APPLICATION AND PERMIT
AS036R730N018
ZONIN R-1
BUILDING PERMIT
OWNER
AVILA W ANNE
TELEPHONE
534-8863
SO. FT. OCC. BUILDING VALUATION
21
1,260.00
. OWNERS MAILING ADDRESS
2337 0R0Z11 I )a, CA 9
CONTRACTOR'S NAME TELEPHONE
QWER _
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is 1,260.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 31.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
317 VTA FORTE: OROVTT I .F CA 9396-
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 51.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 10 Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 IN
Describe Work: RE ROOF
Gas piping stem 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A 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 full force and effect.POWER
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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
TO
Main Service 200A
46.00
NEW CONST. DWELLING CC
OCC P.
OR ADDNS. ( & ACC. BLDS.
SO
3.50FT.
LpµgESID MULTI.OUTLET
97,50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FortuREs
BAS p':s50
Ex. Occup..ourLEEDrs AEsID Oea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe 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
fo with comply with tho provisions.
XDate 6 U —
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEL $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 51.00
HAZ.
D. FEES
IMP I
FLOOD
I CDP
PARCEL I PD
HO
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
ByVlfi-�Date
EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
_Q
ate
Receipt No. '3Q4PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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.
personally -plan to provide the major labor and materials for construction of the
%proposed property improvement: YES NO[ I.
2. HAVE['�j HAVE NOT[ ] signed an application for a building permit for the .
roposed work: _
3. I have contracted with the following person (firm) to provide , :the 'proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person' to
coordinate, supervise, and provide the major work:
NAME: s .
ADDRESS • CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following.pecsons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF•WORK `
PROPERTY OWNER: I_
DATE: -
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear Property Owner-
An
wner
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and.you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks*for'you if you do not carry out these obligations, `and.these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
i ?el y, /Micl C. Vi ira, C.B.O.
r, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
036-73-0-018. 93-14
AVILA, Chris
2337 Via Corte, Oroville
woodstove/sf
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califorpia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER -
036-730-018
ZONING �1
R-1
BUILDING PERMIT
OWNER Chris Avila
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2337 Via Corte, Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace "Alt 1 500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,500.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 45.00
PLUMBING PERMIT Filing Fee 15.00
2337 Vie Corte Oroville
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
SF91 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JWf F @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: Wood Stove
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO 1000A) 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
provisions of Cha t. 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 t
NEW CONST. ( DWELLING OCCUP.tr) 3.64 sq.ft.
OR ADDNS. ACC. BLDGS. /
NEW CONSTR. MULTI -OUTLET @ 5.00
NO N.R ESID BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
EX. OCCUp(OUTLETS OR FIXTURES 20 @ 76
EX. Occup. FIXED APPLNS. OR OUTLETS (RESID.) EA.) 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. ,
❑ 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.
Not ce 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 I
i
Cooling
Hood ,
H650
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, anli,ekpegses which may in any way accrue
against sa`Id County in consequence/of the granting of this pe mit.
X —f ✓ a'! Z le Date C�
Signature of Applicant — Owner Contractor Agent
`{�j ❑ ❑
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 FEES 45.00
HAz
DFEES
IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
Bions of the Butte Cour 'y Code and/or resolutions to do
work indicated at�dveAor which fees have been paid.
��/ ���•
B �DI�G'TOR OF PUBLIC WORKS
y 't� Date
PERMIT EXPIRES Date
Receipt No.
WNITC•D.P.W., YELLOW-A88lS90R, PINK -INSPECTOR, GOLDENROD -APPLICANT
T
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSES90R PARCEL NUMBER
036-730-018 �'
OWNER
ZONINGy
R—`l
I BUILDING PERMIT
Chris Avila
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2337 Via Corte, Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace "Alt 1,500.00
Total Valuation $ 1,500.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee $ 15.00
Permit Fee $ 30.00
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
2337 Via Corte, Oroville
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 K] Duplex❑ Mobilehome❑ Other
SPECIFY
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 ❑ Utilities ❑ Installation❑ Other]
Describe work: Wood Stove
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 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 Business
and Professions Code and my license is in full force and effect.
License No. Classification
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
Main service 200A TO t000A, 37.50
NEW CONST. / DWELLING OCCUPM 3.54 sq.ft.
OR ADONS. 1 ACC. BLDGS.
NEW CONSTFL ULTI.OUTLET
NON•RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS R\
SINGLE OUTLET CIR. /
Ex. OCCU 20 76
Occup(OUTLETS
OUTLETS OR FIXTURES
APPLNS, OR
Ex. Occup. OUTLETS (RESID.I EA.� I 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.
❑ 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.
Not ce 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Iiabilit' judgments, costs, and e s which may in any way accrue
against s 1 ty in copse uenc f e gr n g of this tp mi I X Date 1
Signature of Applicant — Owne Contractor ❑ Agent ❑
An OSHA
ion of structures mit is require for ehei ht Ions over 5'0" deep and demolition or construct-
stcs
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
I
I TOTAL FEE $ 45.00
HAz
DFEES
IMP
FLOOD
J.CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
Code and/or resolutions to do
sions of the Butte CeROF
work indica a which fees have been paid.
I PUBLIC WORKS
By Date
`3_
PER EXPIRES Date 6 —,5– '+
130393
Receipt No.
WNIT[-D.P.W., YELLOW -ASSESSOR. PILAR -INSPECTOR, GOLD EN RO D -APPLICANT
L
Sty ; +7"� �liw n >„ ; ... t� ii =i P1j �w'r i fry// I�i1:Y+w• ih+ "h Rf ay' F.� a jf N'i�ii .,�,i+ u *f;� K Os t-0. `s4Y rh, I t V �; � . i :-,�� i ,n'1•^ r �.
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEACALIFORNIA95965 -TELEPHONE (916) 538-7541 n�
r,
PERMIT APOiLICATION DATA SHEET
OWNER
Proposed Building Use J/
4.. (
A. P. No. -�
Building Inspector //� Date
M
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 signature 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). ....
-w 9. Mobil home 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). ...�qe�-
20. Pre -inspection for required. . to Building Inspector (Date)
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.
.31. Existing violations/expired permits . ...................... ................ .
32. Plan check list . ......................... ......................... .
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire'Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter -by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
- Copy - Department of Public Works
r
COUNTY OF BUTTE - Department of Public Works
7 County Center pYive, Croville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) 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. 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: 1_x�ag Property Owner
Social Secur'ty Number -
Date dl3
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, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
0 3 — 7,36, p 8 -
ZONING
, = ' '
BUILDING PERMIT
OWNER C
vl f
/�
U I /T
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2,337
CONTRACT,OR'S [J gwk
(//J l,/,`/I /IVICG�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation $
Jc��
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 15.00
Permit Fee
Plan Checking Fee
$ 3 o -D
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS35-7
m Co £
Permit fee
$5— 11-31,�
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.001
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFJ�_ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ RemlIo__deI ❑ Utilities ❑ Instal latibn ❑ Other
Describe work: l� C,r�cCs"roy e--
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
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
❑ 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. 70441
❑ 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 200A TO 1000A1
37.50
DWELLING OCCUP.�\
NEW CONST.OR ACDNS. 1 /ACC. BLOGS. //
3.6d sq.ft.
NEW CONSTFL ULTI.OUTLET
NON.RESID BRANCH CIRCU ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 @0 76d
FIXED APPLNS. OR
Ex. Occup. OUTLETS 1RESIC.1 EA.)
1 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
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
Filing Fee 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 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 consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA over 5'0" deep and demolition or construct.
ion of structures toverr3gstories inheight.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
I CONST TYPE
TOTAL FEE $
11A1
OFEES
IMP
I FLOOD
I COF
I PARCELPo
Flo
ISSUE
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
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 301M
WHITE-D.P.W.. YELLOW-ASSC3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
ti
PERMIT NO. 1717-78B (Lot 91)
PERMIT EXPIRES
OWNER Wvnoka Homes, Inc.
CONTR. owner
LOCATION (A.P. 36-65-49 port. )
2337 Via Corte, lot 91, Vista Del Cerro#l,
Oroville
Temp. Power Pole_
Called PG&E
Temp. Elec. Serv.---,
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signa .re)
i�
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE' -25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street
Lot 91
Lot Number Tract No.
EXTERIOR WALLS
Manufacturer CertainteedThickness/TypeR Value 11
CEILINGS
Batts: Manufacturer Thickness R Valu,-
Blown:
alueBlown: Manufacturer Certainteed Thickness 8 314" No. Bags 24 Wt./Bag
Sq. Ft. Covered 1200 R Value 19
FLOORS
Manufacturer Thickness /Type R Value
SLAB ON GRADE
Manufacturer Thickness /Type R Value
Width of Insulation_ incheS
FOUNDATION WALLS
Manufacturer Thickness/Type R Value / (.�
GENERAL N O A � � LICENSE No. Z sr;! L�
By TI•TLf — DATE('
INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925
By TITLE OwnerDATE September 6. 1978
�`
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1
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rx
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) 1/, L4 Y PLUMBING
F.
Setback CIP'lt` JW'
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwal l
Siding
To out ' Zf
Slab ff
Roof Sheathing
`
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation r3
- %
Water Htr.
Heaters R
Slab VProv.
Carport
Footings
for physically
C nonfdicorfor ed mance of ex.
C
structure
Appliances
Gas Pi in & Test i
Temp. Gas
Slab
Final
Sanitation
Patio
F REPLACE
Final
Footinas
Footina \
-El-t-- ICAL
Fixtures
Bond Beam I FIR&SPRINKLERS I Motors \ /
Framing Test Water-Htr.
Stucco Final Subpanels f
Mesh MECHANICAL Grd. Fault Prot. i
Scratch Heating Service
Brown Cooling Temp. Pole l
Finish Ar Ducts A I f Q, I Underground
Interior Lath44"IelVentilation '� Permanent
Door Closer Final ` Final
411 T-
MOBILEH6ME ------------------ Elec. Ser ice Elec. Pedestal
Water Piping Sewer Gas Piping '
MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS."
� 0
(NOTE: An entry must be made on this form each time you visit the job site.)
• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS OC2
7 County Center Drive = Oroville, California 95965 /7
Telephone: 534-4541 0./
APPLICATION AND PERMIT
dutnorice represenwtives of the L,ounty or t5utte tv enter upon the
above-mentioned property for inspection purposes.
J��A�r
X Date 78
ianature of P rmi a 11AX.nt
Receipt No. / /� n o e7,_L-,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
5
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.
IRECTOR OF PUBLIC WORKS
BY Date "/ 7g
Building permit expires to
BUILDING
Owner u hD)�a
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address ��
Fireplace
Total Valuation
4 V 1 (9� c Telephyn ^
of
Permit Fee
Building Address')
,339 Via e.
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
3 3
PERMIT FILING FEE $3.00
Each Trap 1.50
-.1 C, U 1
Repair drainage or vent piping 1.50
A. P. No.-
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
W
4"44a;+et?
I Fire Dept. Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Each additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E3'
Permit Fee $
$
i 1 -- g
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600v 25.00
100 AMP OR LESS
I
Main service EA. ADD'L 100 AMP 1.00
NEW CONST OR ADDNS. ACCLDWE1 GS P. 4) 22sgft _ ,9D
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
X ccarmo, e =zC
NEW CONSTR MULTI.OUTLET
NON•R ESID BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS 9
NON-RESID• SINGLE OUTLET CIR,
Ex. Occur)(OUTLETS OR FIXTIIRES 5oeBAL�2@5¢1
Ex. OccupAPP( FIXEDOUTLETSRETS (RE S, OR SID.) EA
• ) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.'38536 Classification 4"/2
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑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 the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
�
131
dutnorice represenwtives of the L,ounty or t5utte tv enter upon the
above-mentioned property for inspection purposes.
J��A�r
X Date 78
ianature of P rmi a 11AX.nt
Receipt No. / /� n o e7,_L-,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
5
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.
IRECTOR OF PUBLIC WORKS
BY Date "/ 7g
Building permit expires to
L -u `t' Li 1 -. I oto
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X r,�� Date 7
4ignature of eP,eermitee or Age
Receipt No. / (DS F
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR OFBLIC WORKS
By Date`4' —/ Y-
Buii'61'rig permit expires Date ��'� �— 7
BUILDING
Owner
S"a.1°PR PQ.�w
SQ. FT. OCC. BUILDING VALUATION
.• �s
vdvty(1lS� ��a✓`�tft�G�
Mailing Address
Oroville, Calif. 9S26-5
Telephone No.
Contractor Phone: (916) 533-2738
Mailing Address
Fireplace
Total Valuation 9531p,
Telephone No.
Permit Fee
Building Address `
Plan Checking Fee&/or Penalty
Permit Fee
L of � 6+cL DeA ey-rD-*— I
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
` 9fcetion Only,
Repair drainage or vent piping 1.50
A• P.X.ZJ&nq
& Pldnning
Water piping 1.50
Each gas water heater or vent 1.50
es
Set+�
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQ
Parking
Plans
Parcel
Declaration
rc Mla 60' R/W
Im rovements
p
Each additional outlet .30
Building sewer 5.00
B g.9lans ec'd
Lo (cel A royal
Plans Approval
Lawn sprinkler system 2.00
EW_ff ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 S 500
AMP OR LESS .
Single Family, Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONSTOR ADDNS. r
\ ACCLBLDGS.WELINGCCUP. Bl 20Sgft
CONTRACTORS LICENSE LAW
I am licensed under the provision 1�`lchapter 9; 'Div: ;3,30f�Khw�
State of California Business & Pro s ion s`Codre `u`ntler� the rfamejP.
style of: P. �. SOX 60O
i�
Oroville, C'c.Itf,RSa4A;�
Phone: (916) 533-2738
NEW CONSTMULTI -OUTLET
R
NID BRANCH CIRCUITS 2.50ea
NEW EW CONSTR POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
50 @2sm
Ex. Occup (OUTLETS OR FIXTURES BAL@10S
EX. OCCU FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
OMisc.
License No. a CI'assification f I
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
43�I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
He
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify.that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$ 00
TOTAL PERMIT FEE:
Is/4&
U�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X r,�� Date 7
4ignature of eP,eermitee or Age
Receipt No. / (DS F
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR OFBLIC WORKS
By Date`4' —/ Y-
Buii'61'rig permit expires Date ��'� �— 7
A r -r o r!nSYp SI It
Be in
Uniform Buildirq, rPium!7)ing & Mac , i : ir"4 I+ in fhe
the National Electrical Code. � �o es and
This set of plans add specificatyons MUST be
'e pt on the job at all i','�':'A and it is Fanlww- l -tc
r• Io an ch�^r; or ut:>1'iiolzs on same vr�thout
Y
wrii�-n p'srrmisson from the Uepartmant of Public
Works County of Butte.
The Bi . S back shall be 5 ft. from the N
side �,
p pert line and 50 ft. from the
centerli a of he road, perrniffing a maxi-
mum of 2 ft eave overhang but entirely
olut of II ea ements, c�l
zV
0
2;
IN
I
CL
z o �
�( r,
NI
r
r4 -
� '� See 0 rt•s r PI n on fil for buil i
pla s. II
P, {J, �, X11 ��' --J__ _: "• --
- B ECO N Y'wolf. Ito
'
�►., .... -.., ;ate 0__,._
vep� r
�01 I ► '-t;?' I ! " I
SUBDIVISION CITY COUNTY LOT NO.
SOI
SEWER /}� �I py JOB NO. 1190IPIv '
WATERYNO P.O. BOX t SCALE
GAS OROVILLE,
CAL.95965
ELECTRIC 'e
x'16.533.2733
• u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �J
7 County Center Drive -v Oroville, California 95965lip, avC
Telephone: 534-4541
APPLICATION AND PERMIT
aumorize represeniarives or ine uouniy or tsuiie io enier upon me
above-mentioned property for inspection purposes.
X Date —2f 7V
Signature of Perini ee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
AR.E.91OR OF PUBLIC WORKS
By Date
-Barid+ng-permit expires Date
7
BUILDING
Owner �qaohhaSQ.
FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor
Mailing Address O
Fireplace
Total Valuation
z.C
Telephone No.
j 6�
Permit Fee
Building Address_ 2
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 00
Each Traa 1.50 C)0
�# URepair
drainage or vent piping 1.50
A. P. No. j'rj �-- ��� Zoning & Planning
Water piping 1.50 rs�p
Each gas water heater or vent 1.50 a
Fees
M4EJ
Safti�
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50 "p
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Improvements
p
Each additional outlet .30
Building sewer 5.00 ;00
B� c'd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $ JQ
.$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. AOD'L 100 AMP 1.00
NEW CONSOR ADDNST• ( ACCLBLDGS.CCUP. I 22 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busine s & Professions Code under the name
style of: 0
/ 2&4 P-4,
NEW CONSTR. BRANCH CIRCUITS)
NON.RESI D. (BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS d
NON-RESID. SINGLE OUTLET CIR•
Ex. OCCUR{OUTLETS OR FIXTIIRES BAL@10Q
Ex. Occup. ( FIXED AS P(RESID,)ORE A) 2•�0
Temporary service 10.00
Mobile Home Facilities 15.00
License No•�� 2?_K Classification
Misc. Wiring 6.25
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
lave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑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 the Workmen's Compensation Laws of
California.
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Land Development Fee
$
$
ilk
TOTAL PERMIT FEE
aumorize represeniarives or ine uouniy or tsuiie io enier upon me
above-mentioned property for inspection purposes.
X Date —2f 7V
Signature of Perini ee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
AR.E.91OR OF PUBLIC WORKS
By Date
-Barid+ng-permit expires Date
7
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -% -Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -menti ned property for inspection purposes.
X1_a114 Date
S'gnature_ of Pebiitee or Age
Receipt No. /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
RECTOR OF PUBLIC WORKS D
By Dates
g permit expires Date r611elZ 7q
BUILDING
OwnerSQ.
1`1OIT 14 H 0/,nt3,Lg Zycl
FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor 5A &077 + o' - Z
Mailing Addressj
Fireplace
Total Valuation
r
Co
Telephone No.
Permit Fee
Building AddressPlan
Checking Fee &/orPenalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
#
C7� r d Vt L+L Z
Repair drainage or vent piping 1.50
A. P. '� �c�J Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
es I
W-8^
I Santtativn
Fire Dept.
FI re Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Each additional outlet .30
Building sewer 5-00
-Bidw. Pfenrs-Rvt'd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
.$
L2C cDeZ — '7
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family �3 Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
OVER
Main service 100 AMPeo0v OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. 1 2¢sgft
OR ADDNS. ACC. BLDGS.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
of: � '��� / � /�
111,1 G 1�iC71.o- A
NEW CONSTR (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON •RESID. SINGLE OUTLET CIR.
Ex. Occup(/OUTLETS OR FIXTIIPES B LA
style
Ex. Occup. \OUTTLETSPRESID)04
FIXED APLNS.REA� 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
2
License No. /3 7^ �7 S Classification Gu '
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑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 the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00-51 0
Heating ^p pA 18TO Cl
Cooling zf v , A D
Ventilation
Hood 2.00 00
Permit Fee $ 00
$0c
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
Land Development Fee
$
TOTAL PERMIT FEE
$ 77(2k
authorize representatives of the County of Butte to enter upon the
above -menti ned property for inspection purposes.
X1_a114 Date
S'gnature_ of Pebiitee or Age
Receipt No. /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
RECTOR OF PUBLIC WORKS D
By Dates
g permit expires Date r611elZ 7q