HomeMy WebLinkAboutADM-26-0002 BUILDING APPButte County Department of Development Services
7 County Center Drive, Oroville, CA 95965
Main Phone 530.552.3700 Fax 530.538.7785
www.buttecounty.net/dds
PLEASE PRINT CLEARLY
APPLICANT SIGNATURE AND DATE
Date:
1/15/26
Print Name:DANA LEE
*When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County’s website for electronic access.
Revised 3.11.2020
Page 1 of 1
APPLICANT
Last Name
SAME AS OWNER First Name
Mailing Address
City State Zip
Phone Fax
Email Cell
Date:Permit Tech:
Type ConstructionOccupancy
NOYESLegal Lot:NOYESCode Enf:
NOYESNPDESNOYESSRA:
Flood Zone:Zoning:
FOR OFFICE USE ONLY
Proposed Change of Occupancy/Use - Note previous/current use below:
TOTAL SQ:
Structure Built without permits
Covered Area:Open Area:
Garage:Living Area:
Square Feet Detail
$JOB VALUATION: (Enter value of labor, including
non-contracted, plus materials charge)
Mobile Home permits (other than installation, foundation, utilities & non-attached
structures) are issued by the State. Tell staff if this permit is for a Mobile Home. Click
below to see Manufactured Home Alterations and Permit Guidelines at:
http://www.hcd.ca.gov/codes/mhp/HCD Phone: (916) 255-2501
Is this a Manufactured/Mobile Home (circle one) Yes / No
DESCRIPTION OR SCOPE OF WORK
APN:PROPERTY OWNER INFORMATION
Last NameLEE First NameDANA
Mailing Address
108 WHISPERING PINES CIRCLE
City: COHASSET State: CA Zip: 95973
Phone
530-518-2239
Fax
EmailLEEDANAJ@GMAIL.COM Cell530-518-2239
PROJECT LOCATION
APN: 056-120-058
Property Address
108 WHISPERING PINES CIRCLE COHASSET, CA 95973
City Location must not be in the city limits of Chico, Oroville or Paradise,
http://gismaps.buttecounty.net/flexviewer/bcdatasearch/index.html
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring other than a licensed contractor a certificate of worker's
compensation must be shown at the time of permit issuance
CONTRACTOR
Name
Mailing Address
City State Zip
Phone Fax
Email Cell
License No.Class
LENDING AGENCY
Name
Mailing Address
City State Zip
ARCHITECT/ENGINEER
Name
Mailing Address
City State Zip
Phone Fax
Email Cell
CA State License No.
Revised 1-12-23 1 of 1
ELECTRIC SERVICE QUESTIONNAIRE
In order to ensure timely assistance and the type of permit you need, we request that all applicants for electrical service changeouts, retags, 2nd services, etc. answer the following questions:
1.What is the electrical equipment servicing? Travel Trailer - temporary living and well
2.Please identify electric service use type? Commercial: No Residential: Yes
3.Please list all structures on the parcel to be powered by this service: Future residence (current
temporary living in trailer
4.Is this a mobile/manufactured home? No Pole Mounted Equip. Yes Building Mounted Equip. No
5.Is this a 2nd service on the parcel? No
6.Have you contacted the electric utility (PG&E, Gridley Electric)? Y / N
7.What size (amperage & voltage) is the proposed service? 200 AMP
8.Is this a 3-phase service? No If so, will this be part of a 4-Wire Delta connected system? Y / N
9.Are you doing any other work?
10.Please describe your complete scope of work below, include why the work is being requested:
FORM NO
DBP-18
Butte County Department of Development Services 7 County Center Drive, Oroville, CA 95965
Main Phone (530) 552-3700 Fax (530) 538-7785 www.buttecounty.net/dds
Installation of pole-mounted electrical box (per PG&E specs) to power temporary dwelling/well