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HomeMy WebLinkAbout078-380-038'1299 91EI' PICKETT Sidney A. 2621B , =MULLINS;_Buell, *F •,,, q) 2059P _ `3443 Oror Bangor �Hwy,;_:Oroville t _ r (elec, sere/sf) Oro -fin 3or Hwy -app. 650 1 east o , Oro . ' m/s g I 3051-91P,M CONTR. st., 689 Oro Dam Blvd., Oro.et L L (new, 'single family)BOWLIN,;,.J6'1, 3443.Oro.Bangor Hwy, Oroviller cont: Waibel AC (hvac/sf) t` ) 4 L,' M (/ y ] nit � 1 . 38 r� 1 . 38 GED ::i :F_3=��5 __ � - �i ����4`���rr*F.� �!�`�'T' �.. .. t �t'vs� R;...��"fit"'' "^^ ""3..+!` COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS 7 County Center Drive `• Orovlllet Callfornls 05005 • Tolophono; 018/539.7541 APPLICATION A*ND 'PERMIT PIRMIT NO, Al 11111111110141 FARG96 NWMESPI 036-112-055 ZONING AR BUILDING PERMIT JOEL BOWLIN a 534-8738 80. FT. OCC. BUILDING VALUATION N 1672 BIGGS AVE., OROVILLE, CA 95965 WAIBEL A/C 533-8128 ' CONTRACTORIS MAILING ADDRESS 1650 FEATHER RIVER BLVD., OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER NONE UNKNOWN IFiling Total Valuation $ g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 44ESS 3443 OO BANGOR HWY, OROVILLE i Permit fee $ PLUMBING PERMIT FIIIngFee 10.00 Each Trap 2.00 r 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 - I SF El Duplex❑ Mobilehome❑ Other { SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: INSTALL HVAC A Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTOR LICENSE LAW I declare under penalty of perjury (check -one): 1W I am licensed under provisions of Chapt. 9, Div. 3 of the usiness and Professions/ Code and my license is in full force and effect. License No. ,y't�,�~� "✓ Classification. CJLi ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP., OR ADDNS. ( ACC. BLDGS. , /20sq ft NEWCON5TR ULT' -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) / EX. Occup\OUTLETS OR FIXTURES EAL@30 FIXED APLNS. EX. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): K 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. ❑ 1 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 a'ree to save, indemnify ankeep harmless y e against khlthe Count of Butt all liabilities, judgments, costs, and expenses which may in any way accrue equence of the granting of this permit. against said County n cbrJW X � /�(r \11� �` � �, ��- ({' /: Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - 37.00 TOTAL FEE $ HAZ. CUA I PARK SCHL I FLD I CDF I PAR PD I HD• ISSU This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and or resolutions to do work i dica ed above for whico s have been paid. Of 'R OF P C WORKS B Date 8/27/91 92 PERMIT EXPIRES Date 8/277T92 97369 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLIEATIOR AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036-112-055 ZONING AR BUILDING PERMIT OWNER JOEL BOWLIN TELEPHONE 534-8738 so• FT. occ. -__ BUILDING VALUATION OWNER'S MAILING ADDRESS 1672 BIGGS AVE., OROVILLE, CA 95965 CONTRACTOR'S NAME WAIBEL A/C TELEPHONE 1 533-8128 CONTRACTOR'S MAILING ADDRESS 1650 FEATHER RIVER BLVD. OROVILLE, CA 95965 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee 9y g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3443ORO BANGOR HWY, OROVILLE Permit tee $ 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 r�� USE OF STRUCTURE SF MI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities t Installation❑ Other ❑ Describe work: INSTALL HVAC Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR10V OR LESS__10,00 Main service EA. ADD'L too 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 Codea tand my license is in full force and effect. License No. �� I 1'-13 Classification. CID ❑ 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.6I OR ACDNS. ACC. BLDGS. , /z¢sgft NEW CONST R.U NON, ESID BRANNCCHH CCIRRCCU ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 2SOC e AL9 30 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 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. a 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 10.00 Heating UU Cooling 6.00 Hood 3.00 Ventilation permit Fee $ UU ' 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 ree to save, indemnify and keep harmless the County of Butte against all Iia i ities, judgments, costs, and expenses which may in any way accrue ag in aid Cou ty n c JTe uence the granting of this permit. ?-This %� Date Signorure of Applicant — Owner❑ Contractor ❑ Agentki An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 37.00 HAz. CUA PARK SCHL FLD CDF PAR PD I HD, )SSU permit is hereby issued unoer the applicable provi- Butte County.Code and or resolutions to do work i Icd above for which s have been paid. sions oft %IVIr OF PWORKS a Date 8/27/91 PERMIT EXPIRES Date 8/27/92 Receipt No. 97369 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB RZONING / I - d _ BUILDING PERMIT OWNE O TELE PMO E ' SO. FT. OCC. BUILDING VALUATION O WR' M ILING P RESS 1 ` v ��7(� CON,TR i ¢TCR'$ NAM T LEMONE CONTRACTORr'S MAILING RES ` 16 0 l QNB �/ ' ll Q �� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 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 $ BUI DING ADDRESS �' v • Permlt 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 500 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping. system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ )rlstallatjon❑ Other � / / g , /,a Describe work: ��5 ( U C— Permit Fee $ l 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V 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.SINGLE 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) ❑ 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.y OR ADONS. AGC. SLOGS. , h¢sgft. NEW CONSTR UL T. LOUT LET NO N.R ESID BRANCH CIRC ITS 2.50 eat POWER APPARATUS &) OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 209!011 eALsace FIXE❑ APNS EX. Occup. OUTLD TS IPRESIO 1REA.) 2.00 Temporary service 10.00 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 5100.00 (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 FiIirig Fee 10.00 Heating �0 Cooling g Hood 3,00 Ventilation Permit Fee $ 00 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 permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE (� TOTAL FEE $ �/� 0C HAz I CUA I PARK I 5CHL FLO COF YAR POHO. J°u= I I ` This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. �HITE-O.P.W., YELLOW-^36C310R. PINK -INSPECTOR, GOLDENROD -APPLICANT I ���� �'`� . Y►'�'"'+��'r+t'�/�•�wf�`r~wt`•^►A+�*�'e�il!'M1�'�yt!'+''�' �%t�`'�°`„"'...'[_,�i++'f-a•.-5=, _ -�"`'rwr4Z � 1!`,{(,n�:�'k,,,"`� t"aw� ;��.f'i,� �%�j-�l"•rT^��+,,..'��� w ;. 36-112-55 299-91E ' MULLINS Buell -- 3443 Oro'Bangor'Hwy, Oroville (elec.sery/sf) '' F [t '1 �. t�: f = •� y; _ •,rpt, ,.,..^ �� \'+ M t / L // / Y; r • Vitt. i f: C i / COUNTY OF BUTTEt- DEPARTMENT OF PUBLIC WORKS PERMIT NO. ✓ 7 County Center Drive - Oroville, California.95965 - Telephone: 916/538-7541-91 t)A APPLICATION AND PERMIT 1 7 ASSESPOR PARCEL NUMBER 36 _S ZONING A BUILDING PERMIT Ow uell W. Mullins `w TELEPHONE SQ. FT. OCC. BUILDING VALUATION °Wi 4 MRamarAKd;;55Reviera, AZ 86442 - COTRAe'Cr OR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace OTReUCTION LENDER COW$ UNKNOWN 1C Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3443 Oro Bangor Hwy., Oroville 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 [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.002 TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation❑ Other ❑ Describe work: _ - upgrade electric service to 100 amps _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 00 /� 10. 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 BuslneSS 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 GOCCUP.h\ oR ADONIS. DWEACCLLING S./ 2'/20sgft NEW RESIC, BRANCH NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zAL930 20@030 FIXED ARLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 IS OQ • pre -inspection 15.00 Permit Fee $ 50.00 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 Consent to Self -Insure. �f' LrJ 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. 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 County in consequence of.the granting of this permit. "-�.I`�� ���� �T _ _ _ X / n-%�_ r. Date y Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 50.00 TOTAL FEE $ HAz I CUA' PARK I SCH@ I FLD I PAR PD HD 1 IS This permit is nereby issued under sions Of the Butte County Code and/or work indicated above for which fees A DIRKT R OF PUBLIC B I PEiiM1T EXPIRES Date ' the applicable provi- resolutions to do have been paid. WORKS Date 4 11 / Q y,) Receipt No. 83288 WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANDIPERMIT • ` � � f %r PERPIT NO. l ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Buell W. Mullins TELEPHONE SO. FT. OCC. BUILDING VAL-07kf ION OWNER'S MAILING ADDRESS 1741 Ramar Rd,, Reviera, AZ 86442 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO STRUCTION LENDER one UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3443 Oro Bangor Hwy., Orovill.e 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other Describe work: upgrade electric Service to 100 amps Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORV OR SLESS 10.00 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 NEADDNST � ACCLBLDGOCCUP.. BS. 2y:¢sgft NEW CON5TR UE OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea (POWER /POWER APPARATUS & OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@50CBAL@30 Ex. Occup. OU LETS RESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 15.00 pre -inspection 15.00 Permit Fee $ 50.00 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 f 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 d County in co equence of t e granting of this permit. X �Z/.v��z o?— S-� �/ o Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ IIE 50.00 HA2 CUA PARK SCHL PAR PD HD ISSUE This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which Aees DI R OF P C B PE MIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83288 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE*- Department of Publ 7 County Center Drive, Oroville, CA 01MER-BUILDER VERIFICATION .c Works .95965 Phone: 916=538-754.1 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) :7, 2._ I `(have/have not)2w signed an application for a• building permit for the proposed work. i 3. I have contracted with the following person (firm) to provide the proposed construction: { Name Address -- - - _ City Phone 4 Contractors License No. 4. I pian to provide portions of this work, but I.�have hired the following person to coordinate, supervise, and provide the major) work: Name t - Address City' Phone Contractors License No.-- �. 5. I will,provide some of the.work but h have.conlracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: I Property Owner Social Security Number Date 9 -- ?-Y/ �. NOTE: This Owner -Builder Verification is sent to you 19832 of'the California.Health and Safety Code. This verification must be completed and returnee mitted to issue the permit: /�%ullinS �s required by ESections,`19831 and to our office before we are per-- a /s/q j� -1 n order f o i sS u e Yolctr /cIcfric0.1/10L I t �alcas6 eomlo le�� 0-.tfua12'gC/ for wi am ref0-r t/V 40 0 7-t�1e� �0 r-, Ad 4-0 +h ilank(l nu �rtiP �l'Gnc1P� u, OWNER COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, GALWORNIA 95965 - TELEPHONE: 916/538-7541 1 PERMIT APPLICATION DATA SHEET 0 Proposed Building Use uilding Inspector Permit No. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ...................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 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 (constructign ap rovql required prior to occupancy) _n 0. Pre -Inspection for ___ � / el OLT r I C�required Pre-inspec. request t� Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ,22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner 9I 24. Recorded copy of Agricultural Acknowledgment Statement ... ,5. Letter of signature authorization ................................... 26. 27. When you issue the permit, process �s follows: Mail to owner. Mail to contractor. Telephone m nrlP�' Id for i k at ©fes office. Deliver w. /inspector. Other a r^ i C_ i 0, i to �! n Applica n Date -`7 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 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 —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PERMIT NO. ASS E56 R PA(3,CEL NUMBER - /t Iv) -151,BUILDING ZONING PERMIT OER f` - � �I J TELEPHON S0. FT. OCC. BUILDING VALUATION O ER'S AI G ADDRESS O a m tj lerg, 42 CT ACTOR'S NAME IV ne, Y' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace /L/O RUCTION LENDER UNKNOWN Total Valuation TJ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES�-T -^ �� V Y 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 SFK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition Remodel Utili i s� Installation❑ Other E] Describe work: d� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 V OR LEAMP ORSLESS 10.00 /V 0(f Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESIO 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.N OR ADONS. C AGC. BLOGS. , /2dsgft NE w CONSTR ULT' -OUTLET BRANCH CIRCUITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20®50t 9ALI 30 IXED EX. Occup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 ; Q h % Permit Fee $ Lj 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 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE nC�'C,�� TOTAL FEE $ L3-6, HAZ I CUA PARK I SCHL I FLo I PAR PD HO ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE71O14, PINK•INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION OWNER: &C 1 l! l 1 %1y s DATE LOCATION CONTRACTOR: ZONING PRE -INSPECTION FOR: co f, ,. 4 r i DATE TO INSPECTOR c` PERMIT HISTORY: NONE El AS FOLLOWS: TYPE OF OCCUPANCY ---------- ---------- _____________________------- '------ ---------------------------- FIELD - INFORMATION BUILDING USAGE: TENNANT : OCCUPIED EE -' HAS ELECTRIC HAS GAS �S SANITATION FACILITIES Ej EATED-COOLED PERSON CONTACTED d/DG✓� OTHER COMMENTS: ACTION RECOMMENDED: ISSUE HOLD FOR OTHER: BY DATE ` Complaint Date /v C� Other Date ,I BUTTE COUNTY COMPLAINT FORM OWNER Address [ —7 P A.P.# f117 l (� AZoning 4g_ Complaint Location �� 0^D �wc Taken By: VIOLATION TYPE BUILDING Q HEALTH Q PLANNIN D OTHER 4 PERMIT HISTORY ON FILE TENANT: Name Q NONE AS FOLLOWS: FIELD INFORMATION Address 7i -Z'6 -W Description of Violation 4/�s(,�� �% «-Sj > �! . �TC��� N� a ((5 OTHER COMMENTS: Approx. Bldg./MH Size Approx. Bldg./MH Age Under Construction Built By./For-� Present Owner Previous Owner Occupied QHas Power Has Gas Has Sanitation Facilities ritten Notice Given &.Attached 0 Person Contacted Describe Action Taken: ACTION RECOMMENDED: Information only, file ✓ Letter Other BY: _1010 Day Letter V Hold for Lc) Days DATE COMPLAINANT _ ADDRESS: PHONE NUMBER: OTHER COMMENTS: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s ► 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OrovHle'—'Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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 correction of work is completed. If you have any question pertaining to this matter, or n ed.,additional explanation, please contact this office immediately. c) qs7f L-� c. -s (C u c`'A'�— c Date Wa � � [ / Inspec