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026-070-030
7-10 -GARY RICH 6,964 Upper Palerm d., Palermo 26 -Permit ##1046-76E(new e - t, ser h), sF-�A; %�w i6 OT; v ' Pasqua 10 CCA '� 1 6964 Upper Paler o .R A PJerFii0 Permit #k29-79B(add covered deck/SF) f26-07-•�Q-�� Permit #375-_ 79B(add, porch/SF) .00 Per 't#3565-81P(inst26nat gas. 26-07-30 Pe t#4168-81M(furnace)SF ' F na led 11/25/82 26-07-30-, 2593-91B MILLER, Don 6964 Upper Palermo Rd,. Orovill (new roof structure & reroof/sf) G , 9 1, �I O. RESIDENTIAL 26-07=30 2593-91B MILLER, Don 6964 Upper Palermo Rd, Oroville (new roof structure & reroof/sf JOB FINALE Signature 4 O , . 1' O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex -Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card 3-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK NNotot Applic Readyable RESIDENTIAL (Single & Duplex) t Date UNDERFLOOR (Plans) OK except ff's Date FRAMING (Continued) - 1. Zoning -Setbacks -Easements -Flood -Slope - 45. Hangers -Post Caps-Anchors=Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ ;/" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-'roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access -_-- - - - 20. Test Tub & Shower, Second Floor -Tub Access -------------------- -------------- 21. Gas Pipe: Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------ ----- --------------------- 23. Elec.. Receptacles Spacing -Lights & Switches at Doors ----------- ---------- ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------------------- 26. Equip. Ground made'up w/Mech. Fastners-Bond Gas & Water -------------------------------------------- - ------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------- --- ----------------- ------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At - ---------------------------------------------------- 29. Range Circ ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - -------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - - ----------------------------- 31. Equi p_Clearances Panels-Motors-Mech. Equip. ---------------------------------------------------- ------ _ 32. Clothes Closet Light -Shower Light -Spa Light - ---------------------------------------------------------------- 33. Smoke Detector -------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except ti's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------ ----------- - - - - -- - ---------------------------- 36. ---------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------ ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- -- ---- - ---------------------------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic --------------------------------- --- - --- --- -------------------------------------- - Date Card B-1 Date Card B-1 --------------------------- ---------------------------------------------------- Date Card B-1 Date 'Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------------------------------------------------------------ ------ 40. W-alls-Studs-Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - ------------------------------------------ ------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting'Doors-Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection L_-5-4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights-Plastic- _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 6 / fltration-Walls ,Windows --- ----- -P Al - ---- Date Card B-1 Date _ Card B-1 Dat6 Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------------------- ----- - 64. Bedroom Exiting ---------------- 65.-G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. ------------ 67. Stairs & Rails --------------------p ----------- - 68. Fireplace or Stove: Clearances -Hearth ----------- ----------------------- 69. ------ -----------------------69. Elec. Outlets at Wood Panel; Int. & Ext. - --------- ---------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ --- - - ------------------- -- - 71. Elec. Outlets & Receptacles at Kit. Counter ------------ --- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper --------------------------------------- -- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------ 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No; Walks '❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------- 81. Stucco Brown -Finish - ----------------------- --- - 82. A.C. Unit; Disconnect. Electrical, Plumbing ----------------------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing _ 85. Exterior Elec. Trim; G.F.I. Recep-acle-Underground ---------------- - ------- 86. Ventilation Throughout House ------------------------------ 87. Glass Protection -- - - - -------------------------------- - -88.'Corrections from Previous Inspections -- ----- --------------------------------------- 89.- Gas Test -Meters - -Tagged; Gas -Electric -------------------------------- -- ----------- 90. Water -& -Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - ------------------------------ Date Card B-1 ------------------ Date Cardf3-1 Date ------------Card-B-1 - Comments at Final: Date _ _Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive a Crovllle, California 05065 s Telephone, 010/535.7541 APPLICATION'AND POMIT AOBE880 026-07Q-030 ZONING BUILDING PERMIT OWNER DON MILLER TELEPHONE 533-7434 SQ. FT. OCC. BUILDING VALUATION CONT. EST 1,000 OWNER'S MAILING ADDRESS 6964 UPPER PALERMO ROAD OROVILLE 4SQ I 240 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace NONE CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.240 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 22.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSD 6964 UPPER PALERMO Permit fee $ 47.0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [I Describe work: NEW ROOF STRUCTURE AND RE—ROOF —W—COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense 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) ❑ orsa (Sete owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. cuP.E! DWELLING Oc OR ADDNS. ( ACC. BLDGS. )' , /20sgft NEW CONST R.ULTI-OUTLET NON.RESID BRANCH CIRC ITS '2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20080e eAL030 FIXED APNS. Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. [A,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 10.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in con�quence of the granting of this permi " � _ %� Date Signature of Applicant — Owner Contractor ❑ Ag r ❑ 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 $ occ CONST TYPE TOTAL FEE $ 47.00 HAz. CUA PARK SCHL FLD CDF PAR P HD. ISSU This permit is hereby issued unoer sions of the Butte unty. Code and/or work indicated ab v for which fees D C1 R F UBLIC BYDate PERMIT EXPIR Date the applicable provi- resolutions to do have been paid. WORKS Receipt No. A6R99 47-00 WHITE-D.P.W., YELLOW-ASSEe80R. PINK -INSPECTOR. GOLDENROD -APPLICANT . ,. ,.�....� .._.r. � ,,,.. r!'4r�.:':iY'�'f�hrr+.ry-n:h .j: -v1 :M -t'rniw • . .. .,. . . .- 1 COUNTY OF BUTTE - DEPARTWN' T.OF .PU h .IC WORKS -BUILDING DIVISION wG ? .. 7 COUNTY CENTER DRIVE - ORQVI tCALIFORNIA',95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET U �/ Permit No. OWNER �'" / (� A. P. No. U -2U C) 3 O Proposed Building Use 1116J Ae00lFST2vC'fIJliZeiBuilding Inspector t&J Date �Z q� AIn e - o At time o 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. Hazardous Material Form ..........................:.............. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: _% Mai l to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other s Applicant .Date Copy of ! Idz-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: A Contractor, designer, owner, was advised of above required data by -phone ---Mail Contractor, designer, owner, was advised of above required data by_phone_mall Plans checked by Copy -DPW Date Pla*approved by Sets of plans on hold in File cabinet Ari' folder titer by ..date nter by date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538 -7541 APPLICATION AND.PERMIT I PERMIT NO. ASSESSOR PARCEL NUMBER / So ZONING �� BUILDING PERMIT OWNER d N A<fjoOL TELEPHONE .533 - 7 6 SO. FT. OCC. BUILDING VALUATION v OWNER'S MAILING ADDRESS O � �� CONTRACTOR'S NAME I F OcuN� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2 LENDER'S' MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ZZ-Bv ARCHITECT OR EIIJ E LICENSE NO. Plan Checking Fee $ 15'-o Cj Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS U e2es,�Q �f n e(/�'[ /� Permit fee a G� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF;2" Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New ❑ AdditionA[,] Remo I ❑n Utilities ❑ Installation❑ Other Describe work: /v�t'.6f ��UCfU✓�� / �},/U �� �QC� af' —00 ^ e c M, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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.y OR AODNS. ACC. SLOGS. ,� 2 ZQSgft NEW CONSTR ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea APPARATUS &) (SINGLE OUTLET CIR. (SINGLE Ex. Occup( OUTLETS OR FIXTURES P SAL93 t eAL930¢ FIXED APL Ex. OCCUp. OUTLETS PIREtSID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ L 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. Leon of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST TYPE — TOTAL FEE $ r1AZ CUA 11'nNc scI1L �Lo I roF rn , I.[) ,o.;IssL= I i i i permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC e Y PERMIT EXPIRES Date the appiicabie provi- resolutions to do have been paid. WORKS Date Receipt No. SS-- 7 d NNITC•O.P.W.. TCLLOW-A35f3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DepaAtment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ��. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 91 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secure�}.t Date �L_1v 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. PAPERMIT NO. 29-79B PERMIT EXPIRES Pascual Curiel OWNER CONTR. owner LOCATION (A.P. —07-19 ) 6964 Upper Palermo Rd., Palermo 8 Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E _ JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD B ILD( G BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation FIREPLACE Final Footings 7 Z 7 9 Cy, Footing ELECTRICAL Mas ry Walls Throat Rough Relnf. Steel L2 Final Fixtures Bond Beam I FIRE SPRINKLERS Motors Mesh V1 Affl—I MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown J Cooling Temp. Pole. Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage in Gas Piping 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) s COUNTY OF BUTTE - `DERA'RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ^ �� j. Teleprione:'534-4541 APPLICATION AND PERMIT au 11lull LC 1uplube11U1lI VCJ of u)e L,ounry oI tsu ne to en,er upon lne above-mentioned property for inspection purposes. n X -Pw�_ . V `��Date Signature of Fermitee or Agent Receipt No. 193-9347 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 hich fees have been paid. E�T�FU IC WORKS �ik 3 Datel-2 Y__ Building perrnit�e_xpires Date S BUILDING Owner y �Q. v � SO. FT. OCC. BUILDING VALUATION 2 6 " Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address�� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE LI V. PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. No. 2,6- -- / 2-- Z — n n &4T-. nning Water piping 1.50 Each gas water heater or vent 1.50 stion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg, a 'd Parcel Arovol Plan praval Lawn sprinkler system 2.00 NEW ❑ ADDITION'M UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADO'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST.`BLDGS.Ccup- 4� 2¢sgft C 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: %r NEW CONSTR BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 1 50@250 BAL@1 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ au 11lull LC 1uplube11U1lI VCJ of u)e L,ounry oI tsu ne to en,er upon lne above-mentioned property for inspection purposes. n X -Pw�_ . V `��Date Signature of Fermitee or Agent Receipt No. 193-9347 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 hich fees have been paid. E�T�FU IC WORKS �ik 3 Datel-2 Y__ Building perrnit�e_xpires Date S ;PERMIT N0. -�375-79B PERMIT EXPIRES OWNER Pascual Curiel CONTR. owner 26-07-12 LOCATION (A.P. 1 6964 Upper Palermo Rd., Palermo i G Temp. PO/ler Pole it Cafled PG&E Teml Elec. Serv. F /Called PG&E Tp. Gas Serv. j Called PG&E ) OB jjB � I FINALED (Date) (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ` – – Firewall Soil Piping Forms M Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing —7 4 Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Prov. for physically handicaped Conformance of ex. Appliances Gas Piping & Test Footings Slab Patio / Footings Masonry Walls Relnf. Steel Bond Beam structure Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL _ Throat Rough Final Fixtures FIRF CPPINKI FRC unt.r Scratch MCV►1A n11{.XL Heating ura. raulz rroz. Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS { t 1 (NOTE: An entry must be made on this form each time you visit the job site.) 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 8F/7-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS .moo A routine inspection indicates that the following violations of County Ordinance t` 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 ma ter, or ne additional explanation, please contact this office immediately. C9 �� ;nspector____ __ __ Da .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICAMON AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "..4Z Date ' 2- Signature oofffP"itee or Agent 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. DIRECTO WORKS By Date7 Btfilding permit expires Date i-30 �� BUILDING Owner - SQ. FT. OCC. BUILDING VALUATIO 3 r�d Mai I i ng Address 011 Tele hone No. ,5P3 <3 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 3 00 Building Address Plan Checking Fee&/or Penalty Permit Fee rj: UO PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. 6 -- �� l7---, nI�P1anning Water piping 1.50 Each gas water heater or vent 1.50 es a ito Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans 'Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan c d Parcel Approval Plan roval Lawn sprinkler system 2.00 NEW ❑ ADDITION KJ— UTILITIES ❑ OTHER ❑ Permit Fee $ $ - Mmn?6 626n4 &21` ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 100 AMP O OR LESS 25.00 Main service// EA. ADO'L 100 AMP 1.00 NEW CONSOR ADDNST 1 ACCLBLDGS.0cup- 'I) 20sgft 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 CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTIIRES 1 g � , 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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. 14 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 1 1 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 Land Development Fee $ TOTAL PERMIT FEE $ D( S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "..4Z Date ' 2- Signature oofffP"itee or Agent 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. DIRECTO WORKS By Date7 Btfilding permit expires Date i-30 �� eel 1 =- - 41 B I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — oroville, California 95965 Telephone: 534-4541 APPLICATIOW AND PERMIT durnonce representatives or the county or tsuite to enter upon the above-mentioned property for inspection purposes. X - ��� / Date ` Signature of Permiteee-or Agent Receipt No. `l 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 PUBLIC WORKS By, . , r - } Date Build-ing permit expires Date ` �� BUILDING Owner • `� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address _ A Y Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ! r PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 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.-7Gas — / �+ Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W, -e.- Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 Bldg..P-lons-Rae'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Main service 10000 AMP ORLESS5.00 Main service EA. AOD•L too AMP 2.50 7. 1, 0 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 2(tsgft 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: " Ex. Occup(OUTLETS OR FIXTURES) BAL@1 @I( FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 C eve) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4'--4$ �. J 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 $ �J durnonce representatives or the county or tsuite to enter upon the above-mentioned property for inspection purposes. X - ��� / Date ` Signature of Permiteee-or Agent Receipt No. `l 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 PUBLIC WORKS By, . , r - } Date Build-ing permit expires Date ` �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ` oroville, California 95965 A016 I Telephone: 534-4541 APPLICATION -AND PERMIT 7(::2 BUILDIN OwnerJq Y ♦ 'Rich SQ. FT. OCC. BUILDING VALUATION — Mailing Address 9` y 14 ppey, A%Pr M b _L2 L -e r- M. O Telephone No. Fireplace Contractor Total Valuation Mailing Address QY Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address G 9 L A l c e r at7L��-wt p [� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 q L v n 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. O "7 - ` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F %,6.7 Samtarrff Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg-124enq-Rae'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �.00 S%YLr c e C 6A G Main service 6101 OR LESS ^ 5-.00 100 57 AMP OR LESS 5.00 • o 0 A aid 2 Main service EA. ADD'L 100 AMP 2.50 2.5-0 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 6001 25.00100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP, 920814 ft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: A Ex. Occup(OUTLETS OR FIXTURES)50 9254t BAL01 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 0 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 U31 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.00 Hood Permit Fee $ $ TOTAL PERMIT FEE $ I.VicacilLotivco UI tilt: 1.'Uullly UI Clulte W enter upon the ab ti ed property for in ion purposes. v X Date ignature o ermite Sloor Agent Receipt No. '1E_Cl IlP J G3 �-7 6_� White-D.P.W. — Yellow-AssesSori��wiMc-InspectdF — 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 Date , I % _ B%mild+.ag permit expires Date -gap RA 5 C&A L & Vqpx�, \.Oooels-Q-r� 1. 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. '+ Cpunty Center Drive - Oroville, California 95965 - Telephone 936/534-4.541 APPLICATION'ANO PERMIT ASSESSOR PARCEL NUMBER (w_ O- %- 3O ZONING ..- BUILDING PERMIT OWNE j/60a ?t /f u% ?1Ci, �7/ tom+ TEL PHONE 3 S0. FT. OCC. BUILDING VALUATION OW/ADDRESS �� MAILING I /' l Cr/"�V 0e . �/�V+/I to 1/���--' - CONTRACTOR'S NAME lJ Lri'Al EA" TELEPHONE CONTRACTOR'S MAILING ADDRESS C O"N_S�M 1CTION' NDER ��. .._ _ Q'NKNOWN �) , Fireplace Total VaW tion $ ........ -. Filing Fee - ` $` •- c1bmo .t LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT,(R ENGINEER IPA h(` LICENSE NO. Plan Checking Fee $ Pe �/ L•"�-'" - $ ARCHITECT OFT ENGINEER' MAI LIN: AD -"RE Permit fee $ BUILDING ADDRESS - lhzp/ ,� PLUMBING PERMITS Filing Fee 10.00 - 'Eacli Trap ` = 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NF.'tr1E PARCEL M Each qas water heater or vent 5.00 GasAP piping system 1 - 5 outlets5.00 US0F% RUGTUAE SF �Duplex-❑ `Mobi lehome ❑ Ot . r \ 1 SPECIFY Building sewer Lawq sprinkler System 5.00 }� �{�� ,../ _ , '• TYPE OF WORK i New Addition❑, Remodel❑ UtHItiesEl Installation❑ Other Describe work: IV!57j L AM 7 t &/ J` 5 Sr rl / �i�� l7 � �- "7- w- Peip1it r ee $ 2 Cohtractor ELECTRICAL PERMIT Filing Fee 10.00 Main servi 100 AMP LESS 5.00 Main service EA. ADD'L 100 AMP 2.50' DWELLING OCCUP.) NEW CONST. ( y OR ADDNS. \ ACC. BLDGS. 22 sgft • CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): - ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification r®� I, as the owner, or my employees with wages as their sole compen- satibn, 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 I -Du LET 2,50 ea NON.RES ID RANCH CIRC ITS NEW CONSTR. (POWER APPARATUS S) NON•RESID. SINGLE OUTLET CIR, EX. DCCUp OUTLETS OR FIXTURES BALei FIXED00 APPLNS. OR Ex. Occup.(OUTLETS (RESID.I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under' 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. Heating Cooling Hood 3.00 Ventilation permit Fee Contractor 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 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 against said County in consequence of the granting of this permit. X - !'-+ tF•/ ' ' L ( r�/ Date �. �� 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD 1 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. DIRECT SOF PUBLIC WORKS C By. Date /- 7,7- F/ PERM17 EXPIRES Date r7- Z 7'�1� Receipt No _564 Z `'J WHITE-D.P.W., YELLOW -ASSESSOR., PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ^>4 7 County Center Drive - Oroville, California 95965 - Telephone 946/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU ER .. ' ZONING BUILDING PERMIT OwN£ I I TELEPHONE / SQ. FT. OCC. BUILDING VALUATION OWN S MAIL NG ADDRESS� - 9 j/.i* ,k`J CON RA-CTOR'5 NAM , TELEPHONE CONTRACTOR'S MAILING ADDRES Fireplace CONSTRUCTION LENDER �\ UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEERS MAILING ADDRESS Permit fee $ BUILDING ADDRESS ✓' PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Repair drainage or vent piping 5.00 r Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF © DuplexR Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ (Remodel ❑ Utilities Other �' Describe,work: ( �, h Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 `• Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2�sgft CONTRA ORS L I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business .and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I-Ou LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS IL) NON-RESID, (SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES a N� Ot FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirigFee 10.00 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. a 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 shal I be deemed revoked. Heating _FL/_ — Cooling Hood 3.00 Ventilation permit Fee S 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X r (_ �1-' Date 1, Signature of Applicant — Owner Contractor [IAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ A ID OCCUP. GROUP TYPE OF CONST. PARCEL PD I ND I rSSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D! ECTO OF PUBLIC By I� 1 PERMIT EXPIRES Date / I - the applicable provi- resolutions to do fees have been paid. WORKS L ,D/ateiy� y�6 ^ `1 /in ,3�. Receipt No. t� STA WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO NO. " 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT , ASSES-c&RtARCEL NU ER ZONING "BUILDING PERMIT OW TELEPHONE a SO. FT. OCC -1 BUILDING VALUATION OW R'S MAILJN'ADDRESS CON R CTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER t ,\ UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDY.S PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system P5.00 TYPE OF WORK New ❑ Addition ❑ model ❑ Utilities ❑ Installation❑ Other Descri ork: (G�� �'J YNc�,C,Q� rs P rmlt Fee $ Contractor ELECTRICAL PERMIT ' Filing Fee 10.00 Main service 100°0 AMP LESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCC UP. DI\ OR ADDNS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONT PL BRANCHOUT CIRCT Ts 2.50 ea NEw CONSTR, ( POWER APPARATUS e' NON•RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES s �� IXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 AM OZ) Cooling Hood 3,00 Ventilation Permit Fee S '0 U Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting o this permit. X PC3�/ ��A2,L(Date Signature of Applicant — Owner A 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 $ TOTAL PERMIT FEE t o� OCCUP. GROUP TYPE DF CONST. J PARCEL PD I HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECT O F PUBLIC PERMIT EXPIRES ate l� the applicable provi- resolutions to do fees have been paid. WORKS VvReceipt _mate / ,. NO. li 2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSX 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 -4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU S6—( -f— 0 ZONING BUILDING PERMIT owN /n� � T PHONE SQ. FT. OCC. BUILDING VALU TION l ' OWr{E,fi�S,tvJAI LING ADDRESS �4L, ,r�0 P_ . �� //U G !//1 CO((/NTRA'/C`r/TOR'S NjAMME((jj,,�/���G/r / /4 TELEPUHONN(/E/[J�� CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEN DSR UNKNOWN Firenlace Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG NEER'S MAILING ADDRESS Permit fee $ BU(/f/_(//jIIr 4 A RESS I ^ ^ ^ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ce)A�) VILL6 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets , p USE OF STRUCTURE SF RJ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 e r--— TYPE OF WORK New ❑ Addition ,❑ Remodel ❑ Utilities ❑ Installation El Other Describe work: �N ✓���— AV-P'w� 6 n5 Permit Fee $ 1Z7Z, "-a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,y\ OR ADDNS. ACC, BLDGS. 'Z�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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 CONSTR I-Ou LET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS IN NON-RESID. \SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES 50 @ ,� Okt FIXED APPLNS. OR EX. Occup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 r WORKMEN'S COMPENSATION INSURANCE I declare undel7`penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granti of this permit. X ( Date � 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 $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /Z Receipt No. 1-5c WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -45 6Mvg. f -- r &XZV6 WAtt- 07- USF --4(6 A f -- r This set of 'Plans and specifications MUST kept on the job at all times and it is unlawful make any changes or alterations on same wi 4(ut Atten permission from the Department 4 Trc 'Works, County of Butte.it (114U b �r� Cc`s .- _ - - - ----. _ .__ . . NptE:—.Ag Materials & Workmanship Shall Be Irt Accordance with Recognized Good Practices and of a qualify prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and fhe National Elec+r, I Code. A r J, Ll I. —A`. This set of 'Plans and specifications MUST kept on the job at all times and it is unlawful make any changes or alterations on same wi 4(ut Atten permission from the Department 4 Trc 'Works, County of Butte.it (114U b �r� Cc`s .- _ - - - ----. _ .__ . . NptE:—.Ag Materials & Workmanship Shall Be Irt Accordance with Recognized Good Practices and of a qualify prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and fhe National Elec+r, I Code.