HomeMy WebLinkAbout079-080-02936-80
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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
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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 (::�,
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PROPERTY OWNERS:
STATE OF CALIFORNIA, 19 , before
COUNTY OF
Butte l% '`tonally appeared.
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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
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and hl PRINCIPAL OFFICE IN
c„igY
BUTTE COUNTY
in F ct. MY COMMISSION EXPIRES OCT. 1, 1986
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(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'