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HomeMy WebLinkAbout079-080-02936-80 .'If 1-1, , - ---- i AA Statement) ,92 2754,--; oq Lm I 7.A ,e�;,'Or6vilder U RESIDENTIAL' 036-80-0-029 92=2754-B,E MILLER, Jim 170 Melrose, Oroville garage yyj 9.;?— -Zee EXPIRES 5; / LJ4)q::k OFFICE COPY Address GAS Meter By /Z11- Date ELECTRIC6A-� Meter By Dat JOB FINALED (Date) 71 2- Signature y J=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete' 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s f 1. Zoning Requirements -Setbacks Easements 'l 2. Footings; Size -Spacing -Marriage Line l 3. Gas; MH Test -Demand -Valve -Connector i 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy F Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLAN Date DECKS, CGVERS, CARPORT , GARAGES, (PI s)OK except #'s onin . Requirements -Seth cks- asements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Cats; Windows -Doors &(Frmg; Sils-Anchors-Studs-Rftrs-Trusse 9. Sid'ctg; Nail ing-Veneer-Studco- o4-Vhthg-Roofing Z. . Ext.; Steps-Doors-Landinos Uate6::l Date 1,_ Q- ZCard B - 1U DateCGard B-1 Date Card B - Date POOLS (Plan OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r', np. _,U �0 Uj( sP"vi C-,-- J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ----' 3. Ftg.. Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clea rance-Mater`ial;Support, Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except O's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- -- ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- ------ -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------- ---- ------------------ 19. Shower Pan; Test. First Floor -Tub Access ------------ -- ------------------------------- 20. Test Tub & Shower. -- Second Floor -Tub Access ------------ ---------------- --- 21_Gas -Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------- ------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture Transformer Clearance -Ins. Protection - --------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------------------ ------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------- -- ------------- --- 26. Equip. Ground made up w!Mech. Fastners-Bond & Water ------- - --------------------------------------------Gas----------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---- ---------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ----------- -------------------------------------------- 29. ---------------------------29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes O No ------------------------------------------------------------------ - - ----- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------ 31-.-Equip.-Clea-rances--Panels-Motors-Mech. Equip. ------------------------------------------------ ----- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------____ - - - - - ------------------------ 33. Smoke Detector ---------------------------------------------------------------------------------- DateCard B-1 Date Card -B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------- ------------------------------------------------------ 35. Vent Fan Exhaust above insulation --- -- --- -- --- - -- ------------------- -- -- - - -- - - - - ------ --- 36. Condensate Drain & Overflow: Size & Grade ----------- ----------------- --------------------------- ------ ------- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- --- ------------------------------------------ 38 Attic Access & Platform if Furnance in Attic ----------------------------------------- ------------------------------------- Date Card B-1 Date Card B-1 ------------------------ - ------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------ ------------- ----------------------------------------------------------- 40. Walls Studs -Nailing. Spacing -&-Bracing-Plates-Sound ---------------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------------------- ------------- ------------- 42. Draft Stop in Walls (rat proof) ---- ----------------------------------------------- ----------------------- -------------- 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 50. Garaae Fire Protection Framina 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------- ----------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer -------------------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------- ---------- 64. Bedroom Exiting ------------------------ --- __ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ------------ ---- -------------- 67. Stairs &Rails 68. Fireplace or Stove: Clearances -Hearth -------------- 69. ------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance -71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Landing -Closer 73. A.C. Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. -Insulation -Foam -Looked in Attic 0 Yes - - -------------------- 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive O Yes ❑ No: Walks ❑ Yes 0 No: Planters Yes 0 No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -- ---------------------------------- -- --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- ------------------------- 87. ------ --- --------------87. Glass Protection - --- ----------------------------- 88. Corrections from Previous Inspections .------ ------------------------- ------------------- 89. Gas Test -Meters Tagged: Gas -Electric ------- - --------------------------------- ----------- 90. Water -&-Sewer Connected -C/O to Grade -HD Approval 91. Ener Compliance Certificate -Other Certificates ------ ------ ----------------------- D -ate- Card B-1 --- -- -- - - - - - - ------------- -- Date Card B-1 ------------------------------ Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 r - R COUNTY OF BUTTE '• DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 „. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER , PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exiist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Load oorI'm g ,Vt�a.�-e 4 t n Date Inspector REV 11/91 ' I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538- 541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-800-029 ZONING AR BUILDING PERMIT OWNER JIM MILLER TELeVHONE 533-1719 SO. FT. OCC. BUILDING VALUATION 1600 M 0 28,800 OWNER'S MAILING ADDRESS 180 MELROSE DRIVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 28,800 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 236.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 118.00 Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 170 I-LROSE DRIVE OROVILLE 95966 Permit fee $ 369.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 4 SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer --i 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition Remodel❑ UtilitiesInstallation❑ Other ❑ Describe work: DET GARAGE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 18-50 Main service 200A TO 1Oo0A) 37.50 CONTRACTORS LICENSE LAW 1 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 contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS.56.00 3.64sq.ft. NE WCONSTFL MULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FIXED APP LHS. OR EX. Occup. OUTLETS (RESID.) EA.1 . .3..00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. bYirin g '15.00 Permit Fee $ 89.50 — 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 g 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, ' emnify and keep harmless the County of Butte against aI la ilities, judg en s, c s, and ex ses which may in any way accrue a ain t said Count in o e ce o1' ranting of this permit. X Date 01 _LLThis i a ure o ppllcant — Owner Contractor ❑ Agent ❑ A OSHA permit is required for excavations over 5'0" deep and demolition or construct - i n of structures over 3 stories in height. Receipt No. 1-22425 Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 458.50 HAz DFEES IMP FLOOD �- c01 PARCEL PD HD rA Issu permit is hereby issued under the sions of the Butte County Code and/or work indicated abo a for which fees DI R P BLIC By PER IT EX IRS Date applicable provi- resolutions to do have been paid. WORKS �1 Date 49yY_ ' 20 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT :n .+.- Y�--�^'1--r•.. T'V^R.k+Y.."If " `ref'''r�'e?iCr��:�N'rtti�*,�sn',2`i _ � +�w;"`^yam+. F S.y ,� _ _ �� ..:.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BLDI G DIVISION 7 COUNTY CENTER DRIVE'- OROVILLE, GAL�-IIIFORNIA 95965 - TELEPHON ) 538-7541 1 W PERMIT APPLICATION DATA SHEET OWNER i M A. P. No. D3(D ` aco - CQ9 Proposed Building Use 40e} G A CSI&E Building Inspector 40 Date 8 97 - 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. Plot plans, 3/4 sets, signed by preparer of plans. .... .... ........ . Complete plans 'sets, signed by preparer of plans. I M9.r.4.$C+ .......... PcJ 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ........................ 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flogd) by California Engineer. . 14. Sanitation and plot plan approval LOA -,1900 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). ... P 4 -Inspection requeat 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 . ........................................ II Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... &d 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone533- 1 7 10J and hold for pickup at D p-oo c Deliver with inspector. Other Parcel Creation $ I y 19 2 Acreage Applican Pi X Date Copy of Haz-Mat form sent .> Health Dept. Fire Pep I_ Copy of plans sent Health Dept. Fire_ Dept. Other Air Pollution Date Date The following data must be submitted prir to permit issuance: (Ci a new tem not checked above). 1. Index permit for above items No. 2. Additional items required: Z 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 t"7 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 03(o- 8C`� - OZI ZONING BUILDING PERMIT OWNER TELE -:TONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LIN ADOR ESSAA 160 Me OSe - CONTRACTOR'5NAME TELEPHONE w N eil2 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN A Total Valuation $ Z LENDER'S MAILING ADDRESS ARCHITECT OR NON NNEER LICENSE NO. ^` Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 2_3 . 0O $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS -70 Rtes f Permit fee $ o 00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1. 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome❑ Other IDLi &dtfA rl SPEC] FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI G W 615.001 TYPE OF WORK Ne 10 Addition❑ RemodelQ Utilities❑ Installation❑ Other ❑ Describe work: 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 r-1 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 cont ors. ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO t000A1 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. SLOGS. 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NON-RESIO BRANCH CIRC ITS ^ 5 00 POWER APPARATUS 8 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A20 76d Ex. OCCup. OU LETS (RESID )REA.T I 3.o10 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Ilyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. Q I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Sinature of Applicant - Owner 9 PP ❑ Contractor ❑ Agenf ❑ An OSHA over 5'0" deep and demolition or construct- ion of structuresover39stories oin height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAz 1 DFEES IMP I FLOOD I COF PARCEL PO HD 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 PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Z2� Z SBy WHITE-O.P.W.. YELLOW -Ase EssOR, PINK -INSPECTOR, GOLD ENROO-APPLICAN T. COUNTY OF BUTTE Department -of Public Works 7 County Center Drive, Oroaille, CA_95965 Phone: 916-538-7541 ' 014NER-BUILDER VERIFICATION Attention Property Owner: An "owner.=builder" building permit has been applied for in your name and bearing your signa.ture.. 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: Property Owne Social Secu t Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and .19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ��"`'rj!vl ¢ e. �/'e�" `� L'd12a(�Lue �L Gva � � a�-a�/ ������� ,��.� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND- PERMIT PERMIT NO. qZ ASSESSOR PARCEL NUMBER 036-800-029 ZQNING A R BUILDING PERMIT .11 OWNER JIM MILLER TELEPHONE 533-1719 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 180 MELROSE DRIVE OROVILLE 95966 CONTRACTOR'S NAME OWNE TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 170 �, MELROSE DRIVE OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other PET GARAGE SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home JSJGJW7 615.00 TYPE OF WORK New Addition [I Remodel[] Utilities❑ Installation❑ Other ❑ Describe work: WATER LINE Permit Fee $ 22.00 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 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 Main service 200ATO1000A, NEW CONST.DWELLING OC OR ACDNS. ( ACC. BLDGS.GUP.&) _37.50 3.64 sq.ft. Nw coNsrR ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@76d FIXED APPLNS. OR Ex. Occup. ourLETs cREslD.l 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said -County in consequence f the granting of this permit. X ' Date C� /� - �� g pp ❑ Contractor Agent Si hour of Applicant — Owner ❑ 0 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 $ Ener Inspection Fee $ Energy p OCC CONST TYPE TOTAL FEE $ 22.00 HAz 1 0FEES I IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under the sionso f the But ounty Code and/or work idicat b ve which fees F PUBLIC By PERMIT EXPIRES Date y applicable provi- resolutions to do have been paid. WORKS Date 3 � / , Receipt No. % WNITE•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ��i . . e . r � ' .. .7 n.. -rt , i7 Tt7rr'.,,"�•-..^, Wy'.w'',fX�`r'''�y`�r+k�'Y>,<., /'4...�t�hR'�l%�''/'Ati+'1„�� •i'1 -i .ti-.-, : l., �,rti',11'._( Tr -� - . � r COUNTY OF BUTTE�,*EPARTMENT OF PUBLIC WO = BUILDING DIVISION 441, 7 COUNTY CENTER DRIVE - OROVILLE;ACALIFORNIA 95965 - TELEPHONE (916) 538-7541 O y PERMIT APPLICATION `DATA SHEET OWNER � Proposed Building Use 1N %%� C Building Inspector -A -Date At time of p it 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). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . st 20. Pre -inspection for to Building Ins re 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. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contrac Telephone and hold for pickup at office. tor. Iver with inspector. Other Parcel Creation Acreage Appl'ow�l � Date r 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 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 -aa ZONIN Ilt-I BUILDING PERMIT TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER' LING ADDR S, rl ^x & CONT T_ ORIS N = TELE ONE CON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ r 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penafty $ BU ILDING'ADDRESS '� yt �J Permit fee $ " PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U/ttilities ❑ IIn/stallation❑ Othey�f Describe work: ` �}l� ��/V ��J _ Permit Fee $a �19 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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 F1I, 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 I, 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. ACC. SLOGS. ( DWELLING OCCUP.& OR AODNS.� 3.60sa.ft. NEW CONSTR.ULTI.OUTLET NON.RESIO BRANCH CIRCITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED Ex. Occup. OUTLETS PIRESID 1APLNS.REAJ I 3.00 Temporary service 15.00 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any w y accrue against said County in consequence of the granting of this per it. X Date16 Si nature of Applicant — OWner Signature pp ❑ Contractor ❑ Agent An OSHA ion of structuresover39storiesoineheigvhttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ 0FEES IMP FLOOD COf PARCEL PO HD rSSUE This permit is hereby issued under the Bions 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. WHITE-D.P.W.. YELLOW- ASe(3SO R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE D'epait.ment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" bu'ilding.'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 construct_ion.of the proposed property improvement (yes or no) 2. I (have/have not) V signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I.plan to provide portions of this work, but I have hired the following person -to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License -No. - 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name -Address Phone Type of Work Signed: �_ Property Owner - Social Security' N ber Date 9 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 PERMIT NO. 7 County Center Drive - Orovllle, Califofnla 95985 - Telephone: 918!538-7541 APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 036-800-029 ZONING AR BUILDING PERMIT OWNER Jim Miller TELEPHONE 533-17'19 SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 180 Melrose Dr., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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 vias water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other T)et r;araOP SPP Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Plumbing l DWy J _ RE' B.P. #.f91-2754 Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT FiiingFee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200ATO1000A1 37.50 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) 3.60sq.ft. OR ADDNS. ( ACC. BLOGS. / NEW CONSTR. ULTI.OUTLET @ 5,00 N ON•R ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. E7_ 20 7611 Ex. Occup(OUTLETS OR FIXTURESF AL 60 4FA FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EAJ ( 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. IVirin 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 becomesubject 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 g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' bilities, judg tS, cost S,"and expenses which may In any way accrue �ga'n t said County. in o quenc the granting of this permit. X _ Date re of Applicant – Owner pp ❑ Contractor ❑ Agent ❑ Si rflsu-_�tructures A permit is required for excavations over 5'0" deep and demolition or construct- s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAZ DFEES IMP FLOOD CDF PARCEL PD HD SUE This permit is hereby issued under the applicable provi- sions of the Butt ounty Code and/or resolutions to do wor ica d ove for hich fees have been paid. TO OF UBLIC WORKS �/ By Date Lf' PERMIT EXPIRES J Date – Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-5387-7541 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 i provement (yes or no) 2. I (have/have not)' signed -an app ication 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 pgrtions of this work, but I have hired the following person to•coordinate,'supervise, and provide the major work: Name Address City Phone . :. _ Contractors_ License -No 5. I will provide -some of the work but I have contracted (hired) the following _ persons -to provide the work indicated:.. Name Address Phone Type of Work Signed: Property Owner Social Secur' Date NOTE: -This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California -Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. OF PUBLIC WORKS PERMIT NO. 9 - Telephone: 916•'538-7541 RMIT BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Cp t7 T �! a N¢ADD.R£53 k �•" �-- - -. �+". Fireplace R. P-11 r+�`Y '"" Total Valuation $ tT w DEJi .'� AYtblGJfIOYV ' . x �4 Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ .e'A"Fi;4"Kt %E•C Tj�R�EN'G1,NEER .A' .:-•crs..w�-..a+soY4+.�" " SI:ISENS .tJO:� Energy Plan Checking Fee $ •R.GHI, C.T.;ORt"ENGIN-EER S.MAPL`ING ;FDD.R E55 Penalty $ Permit fee $ -E.UJ-LDLNG„�'A',q'D;F2 ESSh4';�"•17.�;f:X""}Z'."a:"t'ic�a.;'a''1>'�•^.- "i3�tflt3l PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 s" Solar or heat pump water heater 20.00 Water piping 7.00 �L:OT f U;B'D1W15;ON •i1M£p .,t 51.Ti. •M.>f1 ''` ► r Each pas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 *USE OFtST�UCTiJAE r + .J t��� t Building sewer 15.00 "-h' OM ' ` �` � Mobile Home S G W @ 15.00 - �'.dal"�I�E9�'L�'.�:..`5kt..�T'�E'CiFY,t ' 1f PE-0A��IVORK a._ Permit Fee $"In $. T o mti i 5 f:, i)1.ties' - 1� t at�an., t _ Contractor e ELECTRICAL PERMIT Filing Fee 15.00 + '`" " Main service 600V OR LESS 18.50 ` P� 200A OR LESS < Main service 20GATO 1o00A1 37.50 NEW CONST.( DWELLING OCCUP.&) 3.64 sq.h. ONd•Ri1C-ORS`WC-ENS A. - OR AOONS. ACC. BLDGS. / . NEW CONSTP- UL I.OUTLET /1 5-00 er)ury .check one). ~` �� NON•RESID. BRANCH CIRC 'ITS 11l (SINGLE APPARATUS &I i than a erg nov lions ha"pt . , a f the ,Business \SINGLE OUTLET CIR. filDns a nil. tny�lcepse'"s, or '`end `ffeCx Ex. Occup( OUTLETS OR FIXTURES 20 76d .per.+ lh FIXED APPLNS. OR �e „'�. " ; �.tt•. I'aSSd •Oa.dOn X. Occup. OUTLETS IRESIDJ EA.) I 3.00 �g� emApr ,aYee5: ,itit!a S he o � e+Gorr►p.Brr Temporary service 15.00 r , - ttwtilo�sttie wond. 11e t cture' of `"tended. roifer Mobile Home Facilities 15.00 tuslvel on . curt rased mtract Misc. Wiring 15.00 IVA Permit Fee $ Contractor C PSN' s TON tii N E:.'', MECHANICAL PERMIT Filing Fee 15.00 sr.e §Ah�t c eC e'y cdf Heating a_low ` '+ men a pence` n r 8 : rpt Ica a Cooling MW r .nSrJ i:y Hood 6.50 Ventilation otic�e ,.1#t• a Trig fife s atetne u b ome ut;je , Permit Fee $ �'��a�i�tQ� ;, ,_p to, �s�p • L �i C.ode,•yo �, u o otfip�'Y tih'��d Contractor ,p , cet on � � a �, a rm�t Mobile Home Installation Fee S r b 1 bat uoty cele 9, �8tling Energy Inspection Fee $ n ' O ildin sthuuc3finj„ Q) e'eu to re d ' @�' occ CONST TYPE p ;.�.-r+s.tr:;lt�bh3tr; attotteis�+r�p` p u�.5 TOTAL FEE 5� ,� ...� CAN' .. This permit is hereby issued under the applicable provi � r sions of the Butte County Code and/or resolutions to do Ute., •r n ae"t p t� �' work indicated above for which fees have been paid. • k ' +' f = +. .. d■mo + '.....,...� t. DIRECTOR OF PUBLIC WORKS ��A i4 JZrm rev or•s aJ✓atr ns+ov .If o of si►udtvi s �1i �i7i n •r91±t'• 1 -7-27 5L/ By Date ., .w._,..-..,,.,- ,nl..�c:L,r,.,:.• .a�rr.e4�.ic'+I�,I►1►rw. 77 !! - ..�.....T �., .,..,�� ,.--- V V V r r v— RECORDEQ IN OFFICIAL RECORDS Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BUTTE COUNTY. CALIFORNIA cti �ti,�h FOR RESIDENTIAL DEVELOPMENTAT THE REQUEST OF. MID VALLEY TITLE CO. Section 26-8.1 of -the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1986 MAR 12 AN 11: 50 I 8G- '7°75® / .The property described herein is adjacent to land or included 1EANOR.M.BECKER within an area zoned for agricultural purposes, and -residents of th),ERK-RECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited' Pages to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 1 through 70 as shown on that certain Map entitled, "COPLEY ACRES SUBDIVISION UNIT NO. 311. Date: J / 2— -9 (::�, c c a E 0 U c m u E Q LL lL .s d a 7 0 0 E 6 PROPERTY OWNERS: STATE OF CALIFORNIA, 19 , before COUNTY OF Butte l% '`tonally appeared. } ss. On arc_ h 11 -19 before me, the undersigned, a Notary Public in and for said State, personally appeared BCI M_ARTIN known to me to be the person whose name is subscribed to the within instrument as the Attorney in Fact of FRIEDA HART MARTIN and acknowledged that he bscribed the name of HAR p f ed DANIEL F. HUNT Name (Typed or Printed) thereto as princi own name as WITNESS my Signature TIN OFFICIAL SEAL DANIEL F. HUNT';�*i' •';-h1,..'"`a NOTARY PUBLIC -CALIFORNIA al and hl PRINCIPAL OFFICE IN c„igY BUTTE COUNTY in F ct. MY COMMISSION EXPIRES OCT. 1, 1986 • o al s al. (This area for official notarial seal) i me on the.basis Eactory evidence. subscribed to It i contained: i 'and official seal. y Public” END OF ROCU EP�°I'