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040-270-020
TITUS, PhilE. 477-69B. Philip 629-69E( s). 466-69E 40-27-20,`:., 1580 Stanford Rd-, .4,mile .so... o Durham - Or' . Hwy., Durham (remodel attic into 2 bedrooms) .072-7_20 , PHILLIP TITUSn % 9262 Stanford Lane, burhl/ail $$ Permit#617-88B,P,E,M(storage room add- ition)SF 040-270-020 99-1915 TITUS, PHILEP 9262 STANFORD LANE, DURHAM CONTR: RELIANCE PROPANE INSTALL WOOD STO !/-/Z -9+ • 20 [A F1 040-270-020 ! 99-1915 TITUS, PHILIP; 9262 STANFORD LANE, DURHAM CONTR: RELIANCE PROPANE INSTALL WOOD STOVE H, jjrL 1 i f f - I t i I f 040-270-020 ! 99-1915 TITUS, PHILIP; 9262 STANFORD LANE, DURHAM CONTR: RELIANCE PROPANE INSTALL WOOD STOVE R ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITZ!V ASSESSOR PARCEL NUMBER Ge -le, 27co OZ e, roc, ZON1NO BUILDINGPERMIT OWNER f r TEUPHONE HN2 -� S SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS STIrj 11'f'C.i �-�. lltil r i'1 </�'1 CONTRACTOR'S {NAME TELEP7HO•�NE •� CONTRACTORS MAILING ADDRESS q ' 2 otJ� ✓ /u �'S e_ CONSTRUCTION LENDER '- Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ J• '� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS hGvi, Energy Plan Checking Fee $ PERMIT FEE $ o® LOT NO. SUBDN61oN5 NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q,"buplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Utilities ❑ Installation ❑ Other IY' �1 Lf ,���� Describe Work: '�., •�, a Gc. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ' A 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 full force and effect. t, License Class l?j Lic. No. 73'7 3) 9 OWNER -BUILDER DECLARATION I 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. ❑ I, 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 OCCUP. S° OR ADDNS. ( a Acc. BLOB. 3.52FT: EW NON-R6Ip. MULTI.OUTLET @7,50 POWER APPARATUS 8 OUTLET CIS. 20 .00 OUTLET �(, OCCU ouTLET OR FIXTURES Ex. Occup. OnxurLEEDrsA .=. DEA t23.00 Temporary Service Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. P:ootSave 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 '154 -ill " Ir F11 /_ N MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number INN L — i;� V n r I& cd 6,0 6 Cii Ci (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, an'd, agree that if I should become subject to the workers' compensation provisions df�section 3700 of the Labor Code, I shall forthwith comply with those provisions. X `'� .y'" Date Signature of Applicant - ❑ wner 13 Contractor gent ' An OSHA permit is required foe excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ b . L., U HAz. D FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. F By trNr Date 'k PERMIT EXPIRES ON t� efe ReceiptNo.2 7_*379 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '4(t �k ,..r' "'.-t1 =`�+'i i.- SS *s.p33s^rr..-9y •:r,.'a''��`fd!-�"'cSa►t yrs._ r:: in,..:-'R%:.:=z,..- s, ^ ,-i...�p,c'Tr"rc'x3�tsS�^,,.?:}:.iy, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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. Date , REV 1 Inspector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 11141As qi '- /F/S OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is omted. If you have any questions pertaining to this matter, or need additional explanation, dp contact this office immediately. U i Gi �- D .t,1✓ Date i / Inspector REV 10/J2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 04J6 2 70 0,2 G oa a ZONING ,4 BUILDING PERMIT OWNER / J i/•l l �us T'EELLE,PPHONE q` 4 Z �/ J SO, FT, OCC. BUILDING VALUATION . OWNER'S MAILING AD ESS Z CONTRACT R'Sltin�� E an ��.- ✓tJ"�� yi°a� e �'/� TELEPHONE 877-7 . CONTRACTORS MAILI//NG ADDRESS 2{� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .`35 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �4-hGv� Energy Plan Checking Fee $ $ PERMIT FEE $ mo LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 1 -Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ , Other [t- Describe Work: Ln�'��+I �Oc S.il-at/e Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa 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 full force and effect. / License Class /"> Lic. No. ✓✓✓ G 3y 3 1 O OWNER -BUILDER DECLARATION I 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. ❑ I, 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 OCCUP. OR ADONS. ( 8 ACC. BLDS. SO 3.50FT. MULTUTLET TNpµq�IF I -O @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL 9 x.50 Ex. Occup. GUT rs p ID,OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. j� 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 insuranc cern r and policy number are: Carrier �jt >�✓n 9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 3 6 —yn i 7-00c-0019 9 (The above sections need not be completed 0 the permit is for w rk 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 fort omply with those pr isions. X Date l� �� CSi ature of APPlicafit ❑ wner ❑ntractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 6_�g_, © d MAZ. D. FEES IMP FLOOD CDF PARCEL I PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date a OG Date ReceiptNo2 737U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y. PERMIT NO. 617=88B, P, E M t � , PERMIT EXPIRES v OWNER __ PHILI,IP E. TTTITS CONTR. OWnPr ASSESSOR PARCEL 40-77-90 r. LOCATION 9969 Stgnfnrri T gliar Ilu ham Temp. Power Pole Called PG&E ( Temp. Elec. Service / Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) i Signature , M P i i Temp. Power Pole Called PG&E ( Temp. Elec. Service / Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) i Signature = OK 0 = Not OK pplic>3. - =Not �ile � RESIDENTIAL (Single and Duplex) = Not Ready Datil DERFLOOR (Plans) OK except #'s Date FRAMING (Continued) Zo ing requirements -Set cks-Easements —d -44.- - -onnectors tg., Main; Soils -Steel -EI Grnd.-/ P' Ftg. Depth Rftr • es ur irac. •raes- 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth at 4. Ft. , Porches & Decks; Soils -Steel-/ /"Ftg. Depth affles temwalls, Main; Steel-Blockouts-Wrapped 48. Bd ions -6-mwalls, Garage; Steel-Blockouts-Wrapped lab; Steel -Wrapped gs 8. Piers -Fireplace Ftg.-Steeloors-Onea-check Gara ge-3cd-etaryr-,2-exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test - - re Protection 10. Gag Pipe; Size -Anchors F—' C)wgod on Roof Overhang -At nts-Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test Yy- o 5 ing-Nailing Yens" 12. Electric; Underground ss 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 66- z+wg-Area-Glass44etectiorr-SkVftt►ts-Rastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples SZ_Sheer-Welk;-Nailing--Belis 15. Insulation -Clg. - alis-Wndws Card -B1 S -Ll Date Card -B1. Date Card -131 Date V Card -131 Date Card -61 Datq <,7p.,Mard-131 7,09 Date b,$rr Card Date PLUMBING (Permit) OK e t #'s -B1 �jij,/b Card -B1 Date 16. Water Ht. Vent -Access -C bustion Air Date FINAL(plans) OK except #'s 17. Water -Pipe; Test & Ancho s -Nail Protection 60. -Ex -t. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & chors-Nail Protection or 19. Shower Pan; Test, Fir t Floor -Tub Access 6 . ; e - learance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2n loor-Tub Access 21. Gas Pipe; Size & Anch 63�tiedroortr E�tittrrg ix ures & Tub Access -Spa Elec. Trim el; BAWer Sizes b Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECXRICAL (Permit) OK except #'s—AD-Elec. Outlets at Wood Panel; Int. & Ext. —�2ZIFIxtgre & Transformer Clearance -Ins. Protection - arance qp. Receptacles Spacing -Lights & •Switches at Doors unter Si;ABoxes & No. of Con s -Stapled r ex Installed Cl.05tC&§jEWof Studs & C.J. . Equip. Groun a w/Mech. Fasteners- Bortd-Gas*Vftter-CI ance-Comb. Air-Connector-P.R.V.- Mech. Protection "27"�lia cuits' Size & M . Equip. is a or Location 2 - ,e Size / /ga. ,Gu -or 01 mex Protec. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No - is O Yes is ec onstruction-Post Caps XS 30KService-Riser Conductors & Ground -Main Disconnects ra o e oor- rain e & Wood -Earth es 3t-9_q`uip. Clearances Panels-Motors-Mech. Equip. er Light -Spa Light ollowing instld.; Drive o Yes - o; Walks ❑ Yes ahlo;. Planters ❑ Yes -12-No— Card-131 �e,(jn� Card -B1 Date 4a444timbing Card -61 Datq*y,"�! Card -131 Date 0 KOOT; - -Clearance to Date MECHANICAL (Per OK except #'s I, Plumbing 33. A.C. Ducts Insulation Support xterior Elec. Trim; G.F.U. nd 34. Vent Fan; Exhaust a46e insulation ut House 35. Condensate Dra]ipA Overflow; Size & Grade 131ass prMutlurl 36. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115 outlet vious Inpections 37. Attic Access & Netform if Furnace in Attic : Ga -Meters Tagged; Gas -Electric Pptojal Card -81 Date Card -B1 Date omp lance a erti ' ales Card -131 Date Card -81 Date Card -131 Dat Card -61 Date Card -81 Dat ,'! Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s s, Proper Material & Anchors 39'Walls St6d9 Nam, Spacing & Bracing—Plates-Sound Comments at Final: ling ire Stops; Furred 4aHsader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) = OK 0 = Not OK =Not Applicable dyMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK �xcepE #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -Bt Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date i - COUNTY OF BUTTE s' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 17 - PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter or neeo additional explanation, please contact this office immediately. s rsu"/L s /S r 7- A x Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 Ir �7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307. CORRECTION NOTICE t0117- J"' T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION' AND PERMITA-- 4/.7 ASS ESSO PARCEL NUMBER ZONG �� BUILDING PERMIT owN /U �, /r TELE.PHON Y SO. FT. OCC. BUILDING VALUATION GC_ OWN R'S MAILING ADDRESS SMO Z16�L70c___ CO'NTRACTOR'S NAME 7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT O� EE: LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee PLUMBING PERMIT FilingFee 10.00 9a Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping y1 5.00 G0 Each qas water heater or vent 5.00 USE OF STRUCTURE SF)4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 . d� Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ UtI I1 'es ❑ Installation[]Other Describe work: ,�i� 6:- 4K,,6OUle—L2 ltlA� 1e ��7-- Permit Fee $ .40 Contractor ELECTRICAL PERMIT FiiingFee 10.00 j Main service 10ov OR LESS 100 AMP OR LESS 10.00 xv Main service EA. ADD'L 100 AMP 2.50 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 ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.IM) +/zQsgft OR ADONS. \ ACC. BLDGS. l NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL930 )RE A.) 1 2.00 Ex. OCCUp. OUTLETS FIXEDP(RESI0.) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 .Oa Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 in consequence of the granting of this permit. X .�f G,f� Date�dr � ��'�'� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ yr TOTAL PERMIT FEE $ oeeuP. c PE scllooL P D PA L PD ND Is E This permit is hereby issued under sions of the Butte County Code and/or work dlCated bove for which 1 TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p d Date �y(� n'00 /"� /✓� Receipt No. WHITE-O.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR. GOLDENROD -APPLICANT r7 1-,y�,4ia.y'�',{t''}m t i F:;'ei►�.��r_�t't.^..t.f v+.,tr .,' �� 1 .. .� r_.,.. ,.� �4,.., iry, , y. �.. _�..ti Y...''ti^•-c� i' -a ✓� ..�h'.h� tit 'G�u. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING M,VISION 7 COUNTY CENTER DRIVE - OROV,,ILLE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 jf PERMIT APPLIN'TION DATA SHEET I Permit No. OWNER � / 7—aS ' A. P. No. ��/% ' 0?l7-122d Proposed Building Use azl-� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . , . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . _+ 9. Letter of signature autho'rizati •n . M10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. , . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) .._15. 1/mprovements may be required. . , . . . . , . , , 16. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -Inspection for—,.----,, Pre-Inspec. request to (Dote) _Required. guildin9 Ins ector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of_ 21. _T 22. P When, you issue the permit, process as follows: "► Mail to owner; Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other AppIicant�eo ate Copy of plans sent Health Dept.; Fire Dept., Other Date 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----jnail_counter by Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder f _ date — date Date When, you issue the permit, process as follows: "► Mail to owner; Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other AppIicant�eo ate Copy of plans sent Health Dept.; Fire Dept., Other Date 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----jnail_counter by Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder f _ date — date Date TO Buildinv Department FROM: ' Environmental Health SUBJECT: Sanitation Clearance Owner 47 1 Location /4&" AP# Plan Approved for': Sewage Disposal _ Water Supply Hold final for: Final clearance O.R. for: Clearance for _ _ _ bedroom mobile home. NOTE * * * Water Supply Water Supply _ Other _ 4i'Qcx I'n9-fie . Sanitarian Date COUNTY OF BUTTE - Depaitment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone : 916;,-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) <? S 2. I (have/hare— ut) -le,5 signed an application for a building permit .for the proposed work. 3-3—+ave contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. elan 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. 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 Number Date lwa, rh 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. I This set of plans and specifications MUST be kept on the job at all times and it is unlawful to N me anY charnges or alterations on some without writtern iaerinission from the Department of Public WWS. County of Buite. ' (3uite Cou►�iy - Pat rce I Alu✓► er k �'roposed._� Net U-1 1, F Oh�O-�7-d-O2ar� --Rac m_; -- -: A setback of.5 ft. from the roperty lines and a setback cf Oft. centerline shall be clear of . structures or equipment except y2 G 2 K x'► �►'"'� for a 2 ft. save O"thang. �urF, C Iq . Ceara$° y5938 , . . t✓X � s � Ph,•lp •� , T•fus qi6 �y _ 4 r , . �)R1dT�hG ;�vh��o I7ut�S@ 8 6 To 8C IQ�roavC d . -ply NirXII. -M Meerials WO*M. "SKIP 5h -CH Accordance with Recognized Good Practices an of a quality prescribed for the Specified use in ih Unifomn Building, Plumbiingrr__8� MadmnW �'i ja M 40 W d - __�e i ph;I;n b Proposed 5#yjrO a Area /2, x 2/ 25z 5Q, F'+. ►zQD" oZf 0- • a e Anchor Bo I%s -B"X /0" Ga/✓• 5}em LJ ql) Qe4• �/ G�rrc✓ E�@ 5/ab G/pd r• o Yz Re{' 6ar CN PrOvId � � chor bolts o 6 ` 0. C. max. and wttbt ofof r 1 nt: EUTTE, 00UNT'Y SUILDfRQ DEPARTMENT APPROVA e ED, I Power Power, snd Go75 Service �v lie f a�e +3 ar $ moved � f�•on� o�reeu Ao%l:��oh , t i 11 I j TAY WA i .. ., + + _ .. I- � � -r . +. ! } 1 + . + - } .., ; t t 1 , .._ r V t .. t i V _ . �. + .r . 1 % . r , + a• f }.: # }, 1 t 6tJC)G,� } + _ , } + V - j t ! I. . {. + -•} i , • � t' i ii {- , . + - ,- i + .. ' t t i. -# + r r j � f . + r t - + +. r , + .{ - r r r 1 1 + - • r t + ' r 11 ,r r h pJ + Qr w I / t • ! F t . 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