Loading...
HomeMy WebLinkAboutMERGE1 DON YES JR . Cot, ��o�C3- ®® r� CNod !n/sof Nord Hwy, 2nd hse. Enof wy & Hosler Meridian,Chico 7z_�!e Report) Permit## 2605-74B E n —7 `Ily i (convert garage to ) r!; CONTR: H61iday, Pools, Chico ! Permit #1968-76B,P,E(new pr' ate ' } swimmingP )ool Contr : Larry Grage" Permit #2758-76E(s ch) SFAw d-�j/ . Br- ice e Sm 'th�f3AQ/�7n ?corner of �iw & Meridian Rd. , x �,l Chico Permit #3656-78B,P,E(add a rt &, ` L new detached garage & sho(�"` 9 - 92=4387E' - - - — • LAPE, Bruce l = 4728 Nord, Chico contr : RG Electric ' elec sery/sf - 92-4423 P,M _ LAPE, Bruce 4728 Nord Hwy, Chico ti coritr: James Watt /- - p- 93. gas .line, : flue ' for'-stove .sf 1 006-660 002 - . ` 02-2 - LAPE, BRUCE` INALED ` 4702 NORD HWY., CHIC Z -02 at CONT: WATT'S PLUMBI REPLACE ELECT. WATER T st�' o ' cfli cfli cfli ORDER NUMBER REG R.U. INCIDENT NO. START MO. DATE YEAR FIRE CAR CC FIREF NUM E IRE NUMBER FIRE NAME:. G. 0. REV01"ORT REG. R.U. N thru Z INO. 3 4 FC -18 (1/80) 7 1 r, ge, ORIGIN LOCATION SEC. TOWNSH,�N IRANGE CgE MILES DIRE TIOh JRFROM O'IN 7, os'6 (:]w PIN IDE NT TYPE 8A ACRE DTI�T FALSE ALARM O GO (10) AGENCY n X. 4A CNRESPONSIBILITr.Y(At ORIGIN) CID RE T- PROT, R SP.('D.P.R*) %�WP STATUTORY Rot. STATE ZONE RESPONSIBILITY WILDLAND BURNED OR THREATENED - A SCHEDULE''A D.P.R.- ❑STATE :X ER UNPROTECTED' DISTRICT E] OTHER AGENCY O.P.R. ❑CITY TO LO . CAL ZONE []COUNTY SCHEDULE A_D.P.R.-,, 11 U.S.F.S. yYaJ.M6THER AGENCY D.P.R. (Unincorp) M B.L.M. 8 J* 10 - FOREST, FIS IJOIST.. CITY & STREET NO.. ty / mt-j"p" f 'f 'q:5r.4g'x-' F VELE ON BURNED DIRECT DTEC&2 S 8 D E D 0 4z GO ACRES BURNED k W OR- ) . FEDERAL ZONE, SIZE CLASS ;MA of, n' W-EDERAL(e.cept Military) D.P.R. SCHEDULE A'D.P.R. OTHER FEDERAL '40'. MIS60fHERViONE") f OTHER A.26 ACRE OR LESS 8 20" ACRES ep e4NCAUSE(S"fA"RT' h -O' 2" : ❑' C ,10-99 ACRES OR LY ❑ID 106-299 ACRES Oldrkvtstart ln 1 2 5 0 a ING ��; "ENT P TN ING 1. , 'I I BRIE P It 0 LIGH W/FIRE . . - f E i-990 ACRES 300 J, -. I ARSO4'i 0 Ci4MPFIRE;- ER/MISC. AGRICULTURAL PROD A I -000z4999 ACRES 1 LAN*DiUSEisTX TS 1 0 ❑G 6000 ACRES OR MORE 6 DWELLINGS 8/OR CONTENTS is M;Didfat Start ln/i% AoAr, rw Ah ft r -I c cow k W OR- ) . 7 Number ❑ N 06;DA G EE� I NJ, $DAMAGE (Nearest $too) ;MA of, , 4��00 V'.h/Difg TIMBER 1;/OR ki, YOUNG GROWTH WiLDLAND VEGETATION X, (Other than TS Y0) NX AGRICULTURAL PROD (Othor than T & Y G) x.:5. DWELLINGS 8/OR CONTENTS OTHER STRUCTURES 8/OR CONTENTS VEHICLES CONTENTS OTHER N TOTAL :X:.X ARRIVAL BRUSH GRASS AGRIC.' X PROD. 'CDF TOTAL 8D �STATUT •RESPOW ACRES BURNED OF: STATE is U.S.F.S. B'.LM. B.LA. W.P.R.S. OTHER VEGETATION FIRE OTHER, GO TO 10 DISTANCE (OrIgInlo FEET WEATHER (ESTIMATE AT SCENE) WIND DIRECTION FROM TEMPERATURE M.P.H. 10 OVER.PLEASE CDF 7540-130-011. X-.7� PERMIT NO. 1968-76B,P,E ��•- PERMIT EXPIRES. OWNER Donald Hayes CONTR. Holiday Pools, Chico LOCATION (A.P. 44-03-3 ) N/S Nord Hwy, 2nd house E.of Meridian, Chico i r� ,9 `j Temp. Power Pole { Called PG&E /INALED 4 (-0 01 J (Signature) 00 Framing COUNTY OF BUTTE — DEPARTMENT OF PUBLIC. WORKS BUILDING INSPECTION RECORD . Htr. BUILDING BUIL ING (Cont'd)x Final PLUMBING Setback . % F--. ,tom Firewall Soil Piping r '� Forms Parapets 1st Floor Brown Main Bldg. Cooling Restroom Finish 2nd Floor Footings Underground Windows 3rd Floor Ventilation Stemwall Door Closer Siding To out Final Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing�' ELECTRICAL MasonryWalls l.. Throat Rough Reinf. Steel Final Fixtures--� s Bond Beam /iTic/ FIRE SPRINKLERS Motors Framing Test xWater Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch eatin Heating' Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE / ` v 7 � REMARKS OR CORREIC I NS �.. t7�� (NOTE: An entry must be made on this form each time you visit the job site.) L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center ChiveUrov' _e, California 95965 Telephone: 534-4541 1 APPLICATION AND PERMIT ReceiKNO. .11" 7 J �-✓� 6�r v White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant ilding permit expires Date BUILDING Owner OOAJ /65,es SQ. FT. OCC. BUILDING VALUATION Q Mailing Address / 0 V, $1719,6/ 3.3 -�0�3 Fireplace Contractor �� Total Valuation 3-00, Mai Address O 9-1;5&41 /Fj V W-- Permit Fee GO Plan Checking Fee&/or Penalty %ling 9 A 4 l e C2 /r "n , Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 O C C ol- ou cis' Each Trap 1.50 CA/P ,I � 1, � Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —0 3 `=- 0:5 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W S ion Fi pt. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plantes Parcel Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 I� Re Parcel pprovaI Pans proval Permit Fee $ $ 31 NEWrVi ADDITION ❑ ,UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex Mobil Home ❑ P ❑ ❑ Others �]C Main service OVER 600V 25.00 r00 AMP OR 0 AM Main service EA, ADD'L too AMP 1.00 '!• P I /Q(i NEW CONST. I DWELLING OCCUR. & A B2¢sy ft ) NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y pSO ���5 411 Pcf - O sw ,t1 Poc/ Ex. OCCUP(OUTLLfTS OR FIXTURES)OL� BAL�1 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.)EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 9Q 32Z Classification S3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 operty for inspection purposes. X Date o22 Si ure of Permiree or Agent � ��.._ "Ab, - .,By MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation, Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $S 79 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFUBLIC WORKS ( / q-3 C� *> [� Date ReceiKNO. .11" 7 J �-✓� 6�r v White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant ilding permit expires Date FILE MEMO ;4_,.r - OWNER AP NO. a �� At time of permit apjA ication, the applicant was advised the following data or information must be submitted1prior to permit.proaessing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and talcs. 5. F s of $ Letter of signature authorization.. 11 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other By Date e7-7— Bldg. Inspector Monaco Monaco Man Man mao =am amaamaaaaaaaaaomamamaommaam moaamammmaamamamamoamMacon aaammamesa aaaaaamama When permit is issued,,process as follows: 1. to owner. Mail to contractor. 3. Deliver with inspection.' 4. Telephone and hold for pickup. 5. Other •msaaaaaaamaaaamaa2amaamaaamaaaamamaaaaaaaaaaaamaaaaaaaaaamaaaaaaaaaasaaaaaaaamaamaaaas; am=am=aaaa During plan checking process, the following data or information must be submitted prior to permit issuance: 0 Index permit for items numbered Applicant advised by telephone we need Send letter to applicant. We need above. 4. Pre-inspection.for NOT verified.. (Index) 5. Other Plans the and/or approved by aeaaaaceaeaaaaaa==aaa=en.aaa=aaaa=ay=aaagaaaeaaaaaaaamaaaa Additional Processing or Notes: / , Date aaaaamaomamanmmmamaaai/asaaJ�aaamamoa� f ____.�._. �-�--•�,., -mac.. .:_:-'r. �.:bwr.:rr '�`. c.w-yg ;,'�6i+'-^.'€�S4j,�{(.�'$frt'�?'4ru.7"">"rtt't�' r•r. _ ,r. .. �r-c'sv^,.. ...�.-•a./�Tr^�w.^-.c;xc .,.{,: .�� �t, `-3 006-660-002 02;2813 LAPE`BRUCE; 4702 NORD HWY., CHICO CONT: WATT'S PLUMBING o; I REPLACE ELECT. WATER HEATER . ire ell t , S 1 i r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75417 (Rev. 12/96) APPLICATION AND PERMIT :/ ASSESSOFj PAjC,EVMBERi &0 , oo Z ZONING BUILDINGPERMIT OWNERTELEPHONE r�+ � SO. FT. OCC. BUILDING VALUATION OWNER'S §UNGAPDRESS1 I I ( O /� /`/f7Y ,� 5 ; ` ` CONTRACTOR'S �E '� I Yl I ?ELEPHO7NE CONTRACTORS MAIUNG ADDRESS 04 l,] CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS7'l 2-O� 1,�..r, ) C I� � Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 /13,41) TYPE OF WORKGas New ❑ Addition ❑ Remodel 13Utilities ❑ Installation ❑ Other ❑�p Describe Work: e %ani C e E i(C4'/c (� ` t/ i7 piping system 1 - 5 outlets —Buildingsewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service zo A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in.full force and effect. License Class Lic. NO. '���� O NER- UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensedfcontractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance.carrier and policy number are: Carrier tr/ 1 f1C -,40/-A4) Policy Number f—) / 4,- — y St' (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��of X �%iu Date �CJ 160 Z _ Signatuire'of Applicant - ❑ Owner ❑%C`ontractor ❑ Agent 1r An OSHA permit is required for excavations over 60" deep and demolition or construction of-stiuctures over 3 stories in height. Main Service 20A TO 46.00 NEW CONST. DWELLG OCSO NJ CU OR ADDNS. ( & ACC. BLDCUP. S. 3.5¢FT. T.9 NOfFp6Ip, MULTI-OUTLETIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. GurtFT GR*� 20 @ Loo BAL Q .50 Ex. Occup. GUUTTELETS PRM.GEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 5 - 00 HAZ. D. FE6 IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work Indic �ed"above for which fees have been paid. I / gyp, 7- By //lyyy / l- Date— — PERMIT EXPI ES ON c- r Date Receipt No. .3(17_6(CDI / �5' 00 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ; (Rev. 12/96) APPLICATION AND PERMIT ASSESSOi�t',�jG�IjJUMBERIE' �L' D _ 002 CJl(/J�/ �� ZONING BUILDING PERMIT OWNER o TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS NG ADDRE�JSS �1 6, /Ill/ CONTRALTO 'S Z F5 / i'Ylryl CONTRACT 'S M41UNG RESS j - I /'n ^ �//[�Ylt V,�- / CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS L .7 0 � Q (�.r, 1 Chi' lJ `l W L�j/� ('� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ nUtiliitties ❑ Installation 13 Other ❑ Describe Work: ICL Ge elcC,-tri2 Wer Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S -C7 ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in,,41 1 force aDA effect. License Class 11 No. ��� O R -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. a ACC. stns. 3.50' NO.R.'.T' MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET LIR. Ex. Occup. OUTLET OR FIXTURES sAL @'; 0 Ex. Occup. OflxuxE' R= °E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. workers' comp–erysatign insurangazarrier gnd policy number are: Carrier �'�T''jj�3--rte .�CjL,�[� Policy Number —59 z __ (The above sections need not-be'd6fnplet6d if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall so as to become subject to workers' not employ any person in an and co tion laws of Calltorn' , and agree that lt I should become subject to the wo er ' compensa 'on pro sions of section 3700 of the Labor Code, I shall fo hwi comply It th rovis!prp. //A X Date l0 Z' igna r o Applicant - ❑ Owner ontractor ❑ Agent n A permit is required for excavations over So" deep and demolition or construction ructures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 5 00 HA2. p. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bove for w 'ch fees have been paid. `l By Date ,l PERMIT EXPI ES ON Date Receipt No. ,C) t d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r . ,v' •K vz + a-ji i +Js +� = r- ✓�'. �y :--� w»�.;; aC 1, � K .cera. � -cc. r+:v . � t '; sY1z" gq'hy " , _ ;j.� ...r ra tiro x : i a;, �,1� , ,amp; 7�vw . 1k4ZI Y X8006-02-0-003 32-437E r CAPE, "Bruce 4728 Nord; Chico t. contr: RG Blectr c- ' elec sery/sf. an` e .'s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541..,,_ I APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 006-0213-063 ZONING A-20 BUILDING PERMIT OWNER Fil TELEP ONE 343-8750 - SQ.'FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4702 Nn d w Chico 95926 CONTRACTOR'S NAME R G TELEPHONE 343-2528 CONTRACTOR'S MAILING ADDRESS 1387 t s Ave. Chico 95926 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 ADDRESS - Permit fee $ VEach PLUMBING PERMIT Filing Fee 15.00 Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION`NAME �J t PARCEL MAP Water piping 7.00 Each qas water heater 6rIvent 7.00 USE OF STRUCTURE SF KX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK ! New ❑ Addition ❑ Remodel ❑ Utilities[XI Installation❑ Other ❑ Describe work: 100 Amp. Service Change st Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORRLESS 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`: Codey and my license is in full force and effect. License No. r`L!y . G Classification C' is EJI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the' struoture 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. jBusiness and Professions Code for this reason Main service 200A TO 1000AI 37:50 NEW CONST. / DWELLING OCCUP.8d\ 3.64 sq.ft. OR ADDNS, ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS Q) SINGLEOUTLET OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76 FIXED Ex. OCCup. OUTLETS PI RESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 • Permit Fee v $ 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. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult 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 agains aid;eountyitons�nce of the' ranting of this permit. X " Date %,7 —.2,2- i2_ Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 48.50 HAz I DFEES I IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte,County Code and/or resolutions to do .11 work indicated above for which fees have been paid. ;;�� DIRECTOR OF PUBLIC WORKS gYG Dated>- Z-5 _ PERMIT EXPIRES Date / Z —Z ;r " Receipt No. DJ V cl �� WHITE-D.P.W.• YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 'L 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 006-020-003 ZONING A-20 14 BUILDING PERMIT OWNER TELEPHONEBruce 343-8759 SQ.FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS rd Hw Chico 95926 CONTRACTOR'S NAME R_ G_ Flprt-ric TELEPHONE 343-2528 CONTRACTOR'S MAILING ADDRESS Ave. Chico 95926 Fireplace CONSTRUCTION ER ND UNKNOWN Total Valuation $ 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 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 qas water heater or vent 7.00 USE OF STRUCTURE SF Exp Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities E M Installation❑ Other ❑ Describe work: 100 Amp. Service Change Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 1 18.501 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/POWER and Professions ode and my license is in full force and effect. License No. Classification 'CO 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 Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OcCUP.Iy\ OR ADDNS. l ACC. BLDGS. // 3.64sq.ft. NEW CONSTR. ULTI-_OU T LK NON-RESID BRANCH CIRC ITS @ 5.00 APPARATUS &) SINGLE OUTLET CIR. EX. OCCU p(OUTLETS OR FIXTURES 20 @ 76 AAI P 46 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.7 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.00 15.00 Permit Fee $ 48.50 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. Nr I shall not employ any person in any manner so as to become subject IN 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 expe ses Which may In any way accrue agains i ounty i onsequ nee of th ranting of this permit. X Date Z.2 ".2.2 — Z Signature of Applicant — Owner❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAZ DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is reby iss ed under the n sios of th t o y Code and/or work in t for which fees OR OF PUBLIC By PE MIT EXPIRES Date /_Z — Z applicable provi- resolutions to do have been paid. WORKS Date/Z-2 Z ' Receipt No. 3 V WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' COU NTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION + , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNJA95965 -TELEPHONE (916) 538-7541 ... -..I. .IV PERMIT APPLAdATION DATA SHEET OWNER 4-11 A. P. No. 46 - 02D - C>0 --2-1- Proposed Building Use _ _511'r-el2L r !V/7�'/•�,ec -Building Inspector _ Date Z L S L At time of per 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 . ...................... A. 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 playi approval/fees ........................ 13. Flood elevation letter (100 year flood)iby California Engineer . ................. . 14. Sanitation and plot plan approvals Health Department . ............ 15. City of Chico plumbing permit. ..... I. .................................. . 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). .. .. .. . Preanspediw request 20. Pre -inspection for required. �r .. to Building Inspector '(nate) 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. email to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant t Date 42 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 (cn Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NU ER ' 0 Z 0-- 005-%- ZON N BUILDING PERMIT OWNERTELEPHONE `ONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS (/ +J �6-5u Li;,ifc o CONT ACTO 'S NAME 49 'r-1— TELEPHONE CONTRACTOR'S MAILING ADDRESS c 4 YZ- �G 1��1 Fireplace CONSTRUCTION LE 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 ADDRESS Permit fee $ L^ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 i 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 TF Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[--] Other[] Describe work: AM Qs±u !GQ,axw,- 2 i PernitFee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 i Main service soot/ OR LESS 200A OR LESS V 18.50 ' CONTRACTORS LICENSE LAW I declare under penalty of perjury p y P I y (Check One): I am licensed under' provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. ' License No. K �'7 a Classification � — /� El 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 Main service 200A TO 1000A) 37.50 NEW CONST. / DWELLING OCCUP. y\ 3.6Q sq.ft. OR ADDNS. l ACC. BLDGS. lI NEW CONSTR UL (.OUTLET @ 5 00 NON RE BRANCH CIRC ITS APPARATUS R1 (SINGLE OUTLET CIR. 1 EX. OCCU P(ourLETs OR FIXTURES zo yea FIXED APPLNS. OR 1 EX. Occup. OUTLETS (RESID.) EA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -15.00 - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become.subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilitie judgments, costs, and expenses which may in any way accrue ag:eKau����nting of this permit. Date 1� ' •22 9 2 Signature of Applicant..— Owner❑ Contractor R Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE )^ TOTAL FEE $ Z rAx7( I I HAz 1 0FEES I IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. Q 9 L/ WHITE-D.P.W.. YELLOW -ASSES 50 R. PINK -INSPECTOR. GOLDENROD -APPLICANT ,fc. si .r,:,... . y,: :a; y ...r: • i t - _ ,_ � y � '. r �, rS. -;.��. aiM9`" #" �',r<�t. *c. L}� ��:��vj'C�f``� �' �, bSi��::. f4S4 ��"' a.�:: sJ-4 M. Y� '+0 if +�I i� 'N+ J � 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 Count Center Drive - Oroville California orn)a 95965 -Telephone: 916/538-7541 I. -J APPLICATION AND PERMIT ASSESSQR PARCEL NUMBER S ZONING A-20 I— BUILDING PERMIT OWNER Pruce TELEPHDNE 343-8159 - SQ . FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4728 Nord5. Chico 95926 CONTRACTOR'S N AM A R. Watts TELEPHONE CONTRACTOR'S MAILING ADDRESS e ico 95926 Fireplace CONSTRUC710N 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 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 qas water heater or vent 7.00 USE OF STRUCTURE SFXX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other R Describe work: New Gas Line. Install 119 On _ Free standing M Stove Permit Fee $20.00 • Contractor ELECTRICAL PERMIT Filing Fee 15.00 E41. ,.D p 4387-92 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 _f act. 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 Main service 200A TO IOOOAI 37.50 NEW CONST. ( DWELLING OCCUP.I)1) OR ADDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTRULT'.OUTLET NON-RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED Ex. OCCup. OUTLETS PAPLNS (RESID )REA.) 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. 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 1 15.00 Heating Free Standing Gas Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 co lle u rice f he granting of this permit./ X Date o��r / " Signature of +Applicant = Owner 'Contractor [ %Agent / An OSHAwork permit is required for excavations over 5'0" deep andEnolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $44.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD IssuE This permit is hereby issued under the Bions of the Butte County Code and/or indicated above for which fees DIRECTO_ OF PUBLIC By ��� PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date, Z- �9-9Z '* Receipt No.�� Z WHITE-D.P.W.. YELLOW-ASSE33o R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS IM County Center Drive - Orovi.Ile,.C�lifornia 95965 - Telephone: 916/538-7 1 APPLICATION AND PERMIT PERMIT NO. o,— ASSESSQR PCEL NUMBER 006-020-003A-20 ZONING BUILDING PERMIT OWNER TELEPHONE 343-8759 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILI G ADDRESS �. 4728 Nord Hw Chico 5926 CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Chico 95926 Fireplace CONSTRUC ION LENDER UNKNOWN Total Valuation $ 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 ADDRESS Permit fee $ 4722 Nord Hwy Chica 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 1 7.00 Each qas water heater or vent USE OF STRUCTURE SF]a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 47.00 5.00 5,�� Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: New Gas Line, Install Flue on Free standing LPG Stove Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600n OR OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of P v perjury y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is if Ili I force and t. �T1L�E�L► License No. ClassificationP 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 200A TO tOOOA) 37.50 NEW CONST. / DWELLING OCCUP.gd\ OR ADDNS. 1 ACC. BLDGS. // 3.6Q sq.ft. NEWCONSTR ULTI.OUTLET NON. RESID. BRANCH CIRCU ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET cIR. Ex. OCCU OUTLETS OR FIXTURES 20 76 AL- on 4RJ Ex. Occup. OUTLETS FIXED P(RESID.)REAJ 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 ermit is for $100.00 (valuation) or less. ave 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 1 9.00 Free StandingGas Cooling Hood 6.50 Ventilation Permlt Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a to save, indemnify a keep harmless the County of Butte against all Iia liti s, judgments costs and expenses which may in any way accrue a9ains sai County in on he granting of this permit. X Date !`2 s�gnatur of pplicant — Owner ❑ Contractor Agent An 0 A permit is required for excavations over 5'0" deep and�emolition or construct- ion structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 44.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIR CTO OF PUBLIC By. PER PERXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date/ 7­29— z29— Receipt No. ! O Z '3 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT / COUNTYOF BUTTE - DEPARTMENTOF [PVELOPMENTSERVICES -O L DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APP CATION DATA SHEET OWNER 41?1CC_ Proposed Building,Use 3, C Building Inspector A. P. No. &- 02,0 - 00 3 C- Date /2-/1-4&/ 3 At time of p _ mit application, I was advised the following data must tie submitted prior to permit processing and/or issuance: f DATE RECEIVED BY 1. All items have been submitted. ..................................... . 2. Plot plans, 3/4 sets, signed by, preparer of plans . .......................... 3_ Complete plan`s, 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). .. .. .. . Pre -Inspection reque�s • 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner, Mail to owner �........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .................. ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .. \........... . 31. Existing violations/expired permits............................\.1.11 . ...... . 32. Plan check list . .................................................... . 33. -34. When you issue the permit, process as follows: Mail to owner. !/Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other / Parcel Creation 7,F �Z Acreage Applica . Date Copy of Haz-Mat form sent Health Dept. Fire De t. Z Air Pollution Date Copy of plans sent Health Dept. Fire Dept. er 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. xi 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by i Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by 1 Date Plans checked by Date Plans.approved by N Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f6 Z,�j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Ora•rifle,'3alifornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PAROL NUMBER 023" D03 ZONING . �Lo BUILDING PERMIT OWNER TE PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 5•f•5.1.% CONTRAC TO 'S NAME S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Uf4 KNOWN 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 ADDRESS /�/ � /' IC.IIl LG/ Permit fee $ C 416 I PLUMBING PERMIT FiIingFee 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 gas water heater or vent 7.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00--3-- Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: .— I .I<j r.ro -B.Ok o�J (P 4 sTuVG o Permit Fee $ Z� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare u erpenalt of perjurycheck one y ( )' I am licensed under provisions of Chap t. 9, Div. 3 of the Business and Profession Ode and my license Is In full force and effect. License No. � Classification 99-C20' (336 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI 37.50 NEW CONST. ( DWELLING OCCUP.Et) 3.5asa.ft. OR ADONS. ACC. BLOGS. NEW CONSTR. ULTI.OUTLET N.N.RESID BRANCH CIRCUIT,) @ 5.00 (POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 — E Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T 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 -Ree Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia ities, judgments, costs, and expenses which may in any way accrue agai st' id Count co sequence of the granting of this perm* . ate �� Zi Sig ur of Applicant - Owner ❑ Contractor Agent A OSHA onstruct• n of str _", estoverr 39stor esolneha gFu''ons over 5'0" deep and demolition or construct- _",r. Mobile Home Installation Fee S Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLOOD CDF PARCEL P HO ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. /3 0 2 ©_ WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Es. COUNTY OF BUTTE — DEPARTMENT OF ,�•UBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone.: 534-4541 APPLICATION AND PERMIT auulu"Lv ICfJ1eJUIIIGIIVUb UI tie i.Uunty DI inurre tD enter upon the above-mentioned property for inspection purposes. Date X �� �,.� ��> �. Signature ofPer ee or Agent Receipt No. f � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. TO ZFEBLICWORKS By Date Bt—srs- permit expires Date S _ 2 V -- 7 BUILDING Owner ,s SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor y t , Total Valuation Mai lin Address , J g H _ / r♦ Permit Fee Plan Checking Fee&/or Penalty .' Telephone No. Permit Fee BuilAddress y // / r ,, /Iti+l )hr' PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 %/ing //d {/!-S fez2 f LG__9^%x? /�[:'5 &Z G/C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 7 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Pfd -es] W15. Sani-tati-od FireDept. FireZone Use Permit Building sewer 1:750 ' EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 -12 Bldg.rlcn`s`R'e2'd Parcel Approval Plans Approval Permit Fee $ ' NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 rQ / (Z) 0,4111 OR Main service 100 AMP ORSLESS 5.00 Main service a.4—ADD-L 100 AMP 2.50 5 d Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service;4F. AMR OR LES 25 Main service EA. ADD'L 100 AMP 1.60 NEW CONST. DWELING OR ACDNS. ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea �- NEW CONST R. POWER APPARATUS & NON -RE ID, (_SINGLE OUTLET CIR• CO,IVTR�4&6RS L�G'EN.SE 4A�h : �> �, i I -am licensed under the pYovisions of Chapter 9, Div/ 3, of the r State of California Business & Professions Code under the name style of:/ / S �' �O ^/ Ex. Occup(ouTLETS OR FIXTURES)®2sa BAL@1 FIXED APP LNS, OR EX. OCCup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. /S yi 724 Classification r —/i Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California: Permit Fee $ 0, S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. <, I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby TOTAL PERMIT FEE Is Ir, "To auulu"Lv ICfJ1eJUIIIGIIVUb UI tie i.Uunty DI inurre tD enter upon the above-mentioned property for inspection purposes. Date X �� �,.� ��> �. Signature ofPer ee or Agent Receipt No. f � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. TO ZFEBLICWORKS By Date Bt—srs- permit expires Date S _ 2 V -- 7 -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephoQe: 5344541 APPLICATION AND PERMIT a7s� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X J Date ign ure of Per tee or rcgent Receipto. White-D.P.W. — ellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF RaLIC WORKS By� Date ft>a ldia% permit expires Date � — 2 — 7 % BUILDING Owner ,-y4 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor y , y Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. �U D Permit Fee Buildi g Address �' 7 JJ �n_r t���d�tc/ PLUMBING No. @ FEE PERMIT FILING FEE 1$3.00 S Q 2 %i USG O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �-� �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Cee -sl WA FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel I Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 �Plans Bldg. oPl nsla�_d Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ©© C- G' �= C /�/' -- ®©�/1t Main service 100 AMP ORS SLESS 5.00, 06 Main service Z.AADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25•Q� Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (ACCLOLING CCUP. & BL G ) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. % BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS .&) NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y t1i►rY �/ j -y a, C_ 69 w Ex. Occup(OUTLETS OR FIXTURES) BAL 251 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 200 Temporary service 10.00 vj Mobile Home Facilities 15.00 License No. IS— '75;Z i_ Classification �' " f Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0, S $7 i7, SI WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I I certify that in the performance of the work for which this O permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ $Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X J Date ign ure of Per tee or rcgent Receipto. White-D.P.W. — ellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF RaLIC WORKS By� Date ft>a ldia% permit expires Date � — 2 — 7 % 'l + PERMIT, NO. 2605-74B,E P I I E A j M ;FAH UTIL. PERMIT NO. i k _ PERMIT EXPIRES QwNER Don Hayes Jr. (:ONTR. 8 LOCATION (A.P. 44-03-03 ) t v n/s Of Nord Hwy, 2nd house east of Meridian, Chico `i 9 � ' RC i t; ki Temp. Power Pole Called PG& Tempa Elec. e i Calle G&E Temp. as Serv. ailed PG&E OB FINALED_ Z�_ (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . f BUILDING INSPECTION RECORD t 4 BUILDING' BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Flo Main Bldg. Restroom Finish 2nd Floo Footings _ $ jj/ Windows — Z 'ZI— i (o ma 3rd Floor StemwaII Siding Z To out Slab �— Roof Sheathing Water Piping Piers Roofing 7 — Z '2., — '% G Sewer Garage Fdn. Vents Fixtures Footings c Garacie Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped —� Appliances Carport Conformance of ex. Gas Piping Test Footings ------ structure Temp. Ga Slab Final — Z Z Sanitati Patio - — FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat N Rough - Reinf. Steel Final I x, Fixtures '-7;-2,7,— i2,7,— Bond Beam F E SPRNIKI&RS Motors Framing Test Water Htr. Stucco Final Subpanels — Mesh ME A CAL Grd. Fault Prot. Scratch t--- Heating Service Brown Cooling Temp. Pole ----�� Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final #7— 2 �Z DATE REMARKS OR CORRECTIONS /e z4 - n/a H 5 e- j 1, u Ile A17 �—Z.,z--7 J COUNTY OF BUTTE t DWARTMENT OF PUBLIC WOS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. x Date Signature ermitee or ! ent Receipt No. C� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU IC WORKS By Date ding permit expires Date .................. 77-5. .�.... BUILDING Owner D V SQ. FT. OCC. BUILDING VALUATION Mailing Address o. ele hone NCZ X70`5 Fireplace Contractor Total Valuation , $� Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ ,Z Q Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 .0 a�- ll, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent -1.50 A. P. No. _ _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F iia io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA` I Parking I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 ((Plans Idg. PlQ Parc pprovol Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QQ / Q Main service incl. 1 meter 1/ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbol__ 1 j R ps., swi hes & fix tlets 20-(i 10 fs 3,5-6 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motors 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ C WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. x Date Signature ermitee or ! ent Receipt No. C� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU IC WORKS By Date ding permit expires Date .................. 77-5. .�.... sir �s 78 PERMIT NO. 3656-78B,P,E PERMIT EXPIRES 1 'OWNER Bruce Smith CONTR. owner 43-03-3 ?LOCATION (A.P. ) AW corner of Nord Hwy & Meridian Rd.,Chico 4 T f Yj k, ' AI j, Ted Power Pole /Called PG&E Temp. Elec. Serv. jCalled PG&E emp. Gas Serv. Called PG&E OB FI ALED 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD T, BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping , Forms Parapets 1st Floor" Main Bldg. Restroom Finish 2 d Floor F o o t i n g s --( Windows 1 c%u-P-W StemwaII Sidin To out Slab —s1 0-7 Roof Sheathin 114 Water Pi in -^ 7 Piers Roofing Sewer Garage Fdn. Vents Fixtures - jl Footings Garage Vents Water Htr - Q- Stemwal I Insulation Heaters Slab --7 Prov. for physically Appliances Carport handica ed Conformance of ex. Gas Piping &Test Footings - structure Temp. as Slab -,26 -7 Final Sanitation -/Z- Patio FIREPLACE Final -7F 69 Footin s Footinq ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures S-,2,0- 7 1491 fi '2 FIPX SPFANKLERS Motors F r a m I n 6 16, Test Water Htr. -/L-% 49) Stucco Final Subpanels Mesh 9 `-% 7 !! MECHANICAL Grd. Fault Prot. Scratch Heating Service Browns IZ91S , ,7 Cooling Temp. Pole Finish D 7 Ducts = Underground Interior Lath Ventilation Permanent Door Closes Final Final MOBILEHOME UTILITIES Elec. Service/ Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMAddKS OR CORRECTIONS i y �9 ov�f oLIRJ Seri o ff.7V �s %wool i' 71 , ,000 ,r rP/ ,yL�d,2s GodE�i�/ yiuslal/a >o if j (NOTE: An entry must be made on this form each time you visit the job site.) -T—oz-7,9 .d T BUILDING DEPARTMENT From: Etiv'IRONVTNTAL HEALTH Re: Sewage and/or Water a:Id/or Addition C?,barance(s) VIA - OWNER Plans are approved for: z: Hold -final for: Final Clearance ok for: OCAT.ION Q APS Sewage Disposal Water Supply4 Clearance is fora bedroom (home or mobile home). Other The addition(s) will be Water Supply . Dater Supply^ Date 4 �: d J' � COUNTY OF BUTT- — DEPARTMENT OF PUBLIC WORKS •ti 7 CouAty Center Drive — OroviIle, California 95965/Z— �i/ r�V Telephone: 534-45414S APPLICATION AND PERMIT BUILDING Owner SO. FT. OC.P. BUILDING VALUATION i b0 Mailing Address/�£ © Q kT / elep�iO: S �S Contractor Mailing Address Fireplace Total Valuation 01-400 Telephone No. Permit Fee QQ Building Addresse /v02� Plan Checking Fee&/or Penalty Permit Fee T0,00 6 / G✓ tQ'/ri , PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 pp Each TraD 1.50 Repair drainage or vent piping 1.50 ,.03� A. P. O. Zoning $. Planning Water piping 1.50 . Each gas water heater or vent 1.50 FJO/es Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking pLa" Parcel I Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bld lana Recd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES ❑ OTHER ❑ permit Fee $ Q $ le ELECTRICAL No.1 @ I FEE jr PERMIT FILING FEE $3.00 p V Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 �,� ,bl Main service OVER 60" 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING N OR ADDNS. ACC. BLD 22 sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR RANCHU L T NON-RESID. � BRANCH CIRCUITS) 12.50ea NEW CONST. (POWER APPARATUS NON- R RESID'. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES a Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . License No. Classification Misc. Wiring 6.25 or 00 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 01 tj I certify that in the performance of the work for which this Vx�permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. .X.Q'''t' � i(.��d. !t� X Date Situ of Permitee or Aaent Land Development Fee Is TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee id. DIRECTO 0 VBLIC WORKS ^ �1/Y /, �7 7 —17� / - �� V By Date / ��5 ! 4 Receipt No.,/� �_3_ White-D.P.W. — elloY w -Assessor — Pink -Inspector — Goldenrod -Applicant B ing permit expires Date _ ��� OWNER LY40/zl_ Zoning P.E MIT APPLICATION WORK SHEET Permit fee based upon: 1. 2. __4�3 . Permit No. A. P. No.7- Approved Not approved Complete contract price. Partial contract price (explain). DPW Valuation (show) :f�� D!�?J �✓ At time of permit application,.the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in-duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ---------------- 4. Complete engineered 'plans and calcs.---------- 5. Fees of $ ------------------- 6. Letter of signature authorization. ---------------------- OK� 7. Sanitation approval. ------------------------------------ 6? -*Z 17 17 9 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------- ------------------------ 13. Aunt Minnie information. --------------------------- Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16.' Parcel map, recording data. -------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. Other ---- - By. Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail her 3. Plans checked by Date 4. Plans appr9ved by Date L p t/ 1. 2. 3. 4. Ls issued, process as roi Mail to owner. . Mail to contractor. Deliver with inspection. Telephone for pickup @ 5. Other ows: and hold office. Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other