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HomeMy WebLinkAbout058-590-0410 Gene 'ie lezeuuei �S Grizzly eek Rd., i mi.E.of dank- "=x Hill Rd., Concow r r, Permit #1048-80B,P,E, ew single family) o0op- 6K Permit#$3876�OB(install wo d stov SF -0000 RUPPERT, STEVE 3874 GREZZLY CREEK, C CONT: ZINKS REMODEL TEMP ELE FOR FIRE REP -1207 j%/ i ' o a 0 Gene 'ie lezeuuei �S Grizzly eek Rd., i mi.E.of dank- "=x Hill Rd., Concow r r, Permit #1048-80B,P,E, ew single family) o0op- 6K Permit#$3876�OB(install wo d stov SF -0000 RUPPERT, STEVE 3874 GREZZLY CREEK, C CONT: ZINKS REMODEL TEMP ELE FOR FIRE REP -1207 j%/ /.�_�-.. e, ., .ys..�,:n g. r n '.'arS Ka.�r•�1rMf�.IC'L'^ r H _rZ� I 058-590-041 A!� a 103-120/f' kt)PPERT S'T'EVE. -3 874 GREZZLY CREEK, OROVILLE,t,, ?" CONT: ZINKS REMODEL `' • ' �, i, ',,'TENT ELE FOR FIRE REPAIR OFFICE COPY Address i i G—Date O ELECTRIC 12 Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION OW 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT W. (Rev. 12/96) APPLICATION AND PERMIT %R -/�U-? ASSESSOR PARCEL NUMBER 058-590-041 ZONING BUILDING PERMIT OWNER R Steve TELEPHONE So. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2619 Willow Brook Lane QQ2 A tos CA 95003-6000 CONTRACTOR'S NAME Zinkll Remodel 898-8155 TELEPHONE CONTRACTORS MAILING ADDRESS F0 Box 9281 QiMo CA 95927 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3874CI>�Ii�zzl seek d Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ 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 ❑ Describe Work: electric service/temp electric (Poe fire Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V ORLE Main Service 2o..OR LESS 23.00 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 isfin full force and effect._ �, License Class a r . Lic. No. _)_J_ CJ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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 TO 46.00 7200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 073.50FT. ACC. S. NON-REOSD MULTI.RANCH CIRCUTITS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. QCCU OUTLET OR FDTTUREs Bq0 @ 1.� Ex. Occup. DflxuTLEEDrs A o OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre-INg tion 23.40 PERMIT FEE $ 43.00 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 Policy Number / i (The above sections need not be completed 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 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. X _� '- - _ Date Signature of Applicant - ❑ Owner [3Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructi n of structures 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 $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. /j ,a�, , 'I By. PERMIT EXPIRES ON IV/0 < Oaf ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 0"? ASSESSOR PARCEL NUMBER 058-590-041 ZONING BUILDING PERMIT OWNER Ruppert, Steve TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS 2519 Willow Brook Lane #102 A tos CA 95003-6000 CONTRACTOR'S NAME Zinks Remodel 898-8155 TELEPHONE CONTRACTORS MAILING ADDRESS PO Box 9281 Chico CA 95927 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3874Grizzl Creek Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each oas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: electric service/temp electric (Poe f ire Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE 3 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200.v oA v ss 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 full forc effect. _ License Class �..- o Lic. No. (� 5 . �d .5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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 zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. 3.50" OR ( CDN MULAOCou�rLSEr NONgESIDONS. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FORURES zo p 1.00 BAL .50 FIX Ex. Occup. pUTIETS palp,OFF, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre_ INspection PERMIT FEE $ 43. 00 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. I 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 fi 1surance carrier and policy number are: Carrier S (6,7' R Policy Number (The above sections need not be competed 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 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. XDate Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructs of structures 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 $ 43.00 HAZ. p, FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work icated above for which fees have been paid. Bv { tate PERMIT EXPIRES ONReceiptNo.C� � Det WHITE-D.D.SC AR -ASS O I R 'i)' -APPLICANT ..,;-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 3 /8 0 7 ASsESsoRPARCELNu - ZONING BUILDING PERMIT ,- �% OWNER ` TELFPNONE SO. FT. OCC. BUILDING VALUATION OWNERS MALANG A66PA6 CONTRACTOR'S NAME TEIFPNON TORS NO ADD ✓- �G � �? /'� CONSTRUCON LEND LENDER'S MALANG ADDRESS Fireplace n Ex. Occup. OUTLET OR FDRUREs PERMIT FEE Total Valuation S ELECTRICAL PERMIT I Fling Feel 20.00 ARCHITECT OR ENGINEER on LEss LICENSE NO. Filing Fee E 20.00_ Permit Fee $ 46.00 ARCNRECT OR ENGINEERS MALANG ADDRESS OWEi1W0 OCCUP. Plan Checking Fee $ l s. BUILDING ADDRESS C _ Q Energy Plan Checking Fee E ' PERMIT FEE S U)T NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF b Duplex ❑ Mobilehome ❑ Other sP£CFY 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 ❑ UtifitiesA Installation /� Describe Work: 17 _QA , ❑ Other ❑ _Q A Gas piping system) - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 Ex. Occup. OUTLET OR FDRUREs PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service on LEss I 23.0 1,93 10 Misc. Wirino tow Main Service 200A TO I000A 46.00 NEW CONST: OWEi1W0 OCCUP. 3.5¢50. OR ADOM. l s. NEW ONS • NnriaPsm MULT40lln.ET - i I ! 077.50 Ex. Occup. OUTLET OR FDRUREs Ex. Occup. OLm� s�ESSIiD.) FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 I PERMIT FEE I S 1. - 013 MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST. TTPE TOTAL FEES /� �V -Z. I D. FEES I IMP I FLOOD I CDF I PARCEL PO ND I ISSUE 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. By PERMIT EXPIRES ON Date _ 617 _00� PERMIT NO. 1,048-8,Q)B.F� E,M PERMIT EXPIRES OWNER Genevieve Mezennec owner CONTR. 4.1-01-152 -LOCATION (A.P. S/S Grizzly Creek Rd., i mi.E.of Yankee Hill Rd.,doncow Al `ZIT. 1 v ,n_ 41 '6- V Temp. Power Pole Called PG&V Temp. Elec. S rv. Called &E Temp. Gas Serv. Call PG&E JqB FI LED (Date) Ar (Si fnatbre) P L U M B I N G ' ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* ❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. (6) Dissimilar metals. (7) Service regulator installed or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out) �—D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps..(8) Nail Protection. (9) Plumbing Access. (10). Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13)1Vents - turns, horiz., runs, loop, wet, etc. ❑'` (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2) . Location. (3) PR Valve Drain. ❑ F inal �D.W:V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas.: (1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 M E C H A N I C A L T _'.... ❑ Permit ❑ Underfloo Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch. receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 t. HARDESTY & SONS; INC. LATHING & PLASTERING Contr. Lic.386384 P. O. BOX•1492 CHICO, CALIFORNIA 95927 QbxaW1 1poaae December 22, 1980 Butte County Building Inspection 695 Oleander Chico, CA 95926 RE: Mezzenick Residence To Whom It May Concern: Our company guarantees the work done on the subject project. The seven day waiting period was adhered to between the scratch and brown coats and the finish coat. In fact, a period of three weeks elapsed between the s6cond and third plastering coats: :Very ly s Donald H. Brashears, Jr. Chief Financial Officer DHB/pad cc: Santos Cominos � �-��� .J�►�} ��'t1Y1A` ih9wZA3'1%) OwAINA BiAlc� 90 &"-A -Ti?A; 6004 jfAAA? RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT .,CAST END of PNE 8Rf1£ AyElyus LO EAGwEN) NKEE 7q;LL .5— /sidA C,441�3%,�L(location) BUILDING PERMIT NO. oLr 8- $c8 -PEM A. -P. NO. 14 GSZ THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. /1/A Fdn. Walls A14 Floors Walls )j Ceiling/Roof -7-30 Ducts Izzi Circulating Pipes AIA APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name R • V Tie. J esus Signature of ( ease krint) Insulation Applicator - Sta# Contractors License No. General Contractor Owner Name �� V%t V£- �%t 2ENIVc L (please print) Signature of General Contracto Owner l✓&vtt e - Date y � Zai ly) -rS-ta-Ve--eoTrC,-ractors Lic nse No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. i It� COUNTY OF BUTTE — DEPARTMEN-I- OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING - BUILDING (Cont'd) Subpanels PLUMBING Setback Firewall Sol[ Piping Heating Forms -- Parapets 1st Floor Temp. Pole Main Bldg. Restroom Finish 2nd Floor Gf Footings Q Windows 3rd Floor Stemwal I Siding To out Slab Roof Sheathing Water Pi in /R % S' Piers Garage Roofing Fdn. Vents Sewer Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters _ , a Slab Carport Footings Prov. for physically handica ed Conformance of ex. I structureCP Appliances Gas Piping &Test _ Temp. Gas Slab Final Sanitation Patio F REPLACE Final Footings Footinq ELECTRICAL i Relnf. Steel I Final V1 \---y% \751 Kr I Fixtures FIRE SPRINKLERS I M Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Undergrowfif Interior Lath Ventilation Perma nt Door Closer I Final I Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS CL (NOTE: An entry must be made on this form each timevisit the job site.) r I r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE DING OR PROPERTY ADDR 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. V you have any question pertaining to this matter, or need additional explanation, please contact this office immediate: I COUNTY OF BUTTE- Di_=AR'WENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal iforr is 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER _ j— ZCNING BUILDING P OWNE i L ��t//i✓ C TELEPHONE J = 637V S0. FT. OCC. BUILDING VALUATION OW ER'SMAILING A DRESS Gy CONTRACTOR'S NAME w TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Z)r 0 Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $E00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ lab BUILDIN R€ S PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 G 'Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets ,—// USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other [e SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: !A// GI�B� X;?5!1E ` 16,20,Z�Q f— f 6 LLLL//// Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service sODV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS.� 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Buslnes$ 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 CONSTR U TI.OUTLET NON.RES'D, BRANCH CIRC ITs 2.50 ea NEW CONSTR. POWER APPARATUS a NON-RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL 1� and FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. 1 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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. 1 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 said County in consequence of the granting of thi per it. X Date Signal re qpfplif.ti — caner Contractor ❑ Agent ❑ An OS Arequired or a covations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE oCCUP. GROUP I TYPE OF CONST. PARCEL PD HDv 199DE 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. OR OF PUBLIC WORKS (RECTZ � BY # //yy_ Date �li/i PERMIT S Da ��V'�� Receipt No. Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION� , 7eCounty Center Drive — 0roville, Calif �rnia 95965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A.P. No. Proposed Building Use Permit fee based upon: Complete Contract Price �D'PW Valuation Other (explain Building Inspector A Date At time of permit application, I -was advise e-# l•lo.wa.n.g_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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs...................................................'.. 5. Plans with Energy'Design Compliance Statement.. ........................... 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificat��e of Workmen's Compensation Insurance ........................ Gyc�_Z13. Cod-r-aeta/Eas/ cense Information (no., name style, �< classification) ............................. . G� 14. Improvements may be required. Contact Land i Development Section of Dept. Public Works (see addressbelow)............::.................................................................................... 15. Pre-inspe�onfor required. Pre-inspec.request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone s� and hold for pickup at office. Deliver w/inspection. �ther _..G�5Scjr y /rte) rS 22�l. Applicant I el, 1, 4 0 C/ Date % �� 1� ! eo Copy of plans sent Health Dept., ' Fire DeptY, Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date `w= Plans checked by Date Plans approved by Date OTHER: Copy/DPW COUNTY OF BUTTE - Department of Public Works 7 County.Center Drive, Oroville, CA. 95965 Phone: .916-534-4541 OWNER -BU ILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building peniiit will be issued until this verification is received. 1. I personally plan tq provide the major labor and materials for construction of the proposed property "improvement (yes or no) �. 2. I (/e-ee�!T"v signed -an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne Social Securi Date I NOTE:'This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 7 This verification must be completed and returned to our office before we are permitted to issue the permit. " DRIVE 66 /O Tax Area Code 62-77 NO, 64 O X35 05 Assessor's *p No. 40-35 County,of Butte, Calif JUL Y 1966 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 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-mentioned property for inspection purposes. P,/WAZ X ,k Date nature of er a or Age Receipt No. 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 PUBLIC WORKS BY— — Date B/ding permit expires Date BUILDING Owner E461/6 44G_ZEQ.%NEG SQ. FT. OCC. BUILDING V ATION 00 Mailing Address elephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit O //`` Building Address 5 G21Z L(Cc- %1Z lGt f, Ian Checking Zee or Penalty 5Z Permit Fee --- O Lc.- /fig. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 '!j. C>0 Each Trap Zi 2r.60 R-,00 4!5b&3 -C,0 I✓— Repair drainage or vent piping 1.50 �+� q Z A. P. -No. —d f Zoning8, annin, Water piping ;Z&2, e, O Each gas water heater or vent 1.50 FefeSrW,,05. S tion Fire Dept. FireZon Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration LE M 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 Bldg. Plor R c'd Parcel oval Plans A" roval Lawn sprinkler system 2.00 rvtNEW ADDITION ❑ UTILITIES ❑ OTHER ❑ 47 8 Permit Fee $ j3• ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 =j - Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home 9 Y � p ❑ ❑ Others ❑ -L Main service EA. ADD'L too AMP 2.50 Main service OVER sooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 \ OR ADDNS. ACC LB LDGS. S\ 20sgft ( (r Gd / 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 NEW RESID, BRANCH CIRCUITS) NON.CONST BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTI1QES g @L Ex. OCCU FIXED APPLNS. OR it• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 011 am exempt.from the Contractors License Laws of the State of California. Permit Fee $ O,Go ;2v O 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. ❑1Whave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. FI certify that in the performance of the work for which this I 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 '5_C_>0 Heating o0 L 0 6.1 . Cooling Ventilation Hood 2.00 a?• d2� Permit Fee $ $ O 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 Land Development Fee $ cam? •-- TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. P,/WAZ X ,k Date nature of er a or Age Receipt No. 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 PUBLIC WORKS BY— — Date B/ding permit expires Date COUNTY OF BUTTE — DEPARTMEWf.'-Of,PIIBLIC WORKS — BUILDING DIVISION 7�'C6,urHy Center Drive — 0roville, California 95965 — Telephone 534 -4541 - PERMIT APPLICATION DATA SHEET d Permit No. OWNER �Ck)Ey6l�yIEZE,urvC-G A.P. No. Proposed Building Use Permit fee based upon: Complete Contract Price ✓DPW Valuation nthpr (picnlain) Buildin issuance: DATE RECEIVED APPROVED 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. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .......... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization...'... -, ...3 ................................................ _ 10. Sanitation approval from d Health Dept.... :3 Z.2 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg. inspector (date) When you issue the permit, process as follows: Mail to owner Mail to contractor. -"'Telephone and hold for pick-up at C141c G office. Deliver w/inspection. Otheg45— 53 $ MG75AGE 8 n .+ Applicant 1 1 644 Vt Date 4CtlZ5� aJ Copy of plans sent Health Dept., Fire Dept.,I Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) q 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: ZdN r Coov/DPW To: • Building Department From: Cnvironmental Health Subject: Sanitation Clearance Owner �T cation / Plans approved fore Hold final f. or: Sewage Disposal ✓ll, .►+later Supply Final Clearance O.K. for: Clearance for L bedroom , � hone - Other Clearance for addition of Water Supply ,dater Supply w Note** Sar ria r. Jate i FIll i 11111VI, 13111111,11,111 Will 1, ON hol ILL Rot '.1"Op "'I'M