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026-090-005
r 26-09-5 C. R. Clark 70.5 Railroad Ave., Palermo ~ 'Permit lk,;94-78B(add covered porch/SF) 26-09-5 Permit #1043-78P(relocate gas meter) SF 026=09-0-005 91,=4378 . KESTER ; ' DAV I D & `BON -N I E ,CONT -R: BROONER, JOSHUA , 7055 RAILROAD AVE, PALER VINYL SIDING/SF' �'6,36-090-005 PERMIT#98-0207 .MONEY STORE .7055•Railr6ad Ave., Orovi le• 'Cont: Steve. Simons Q q Ele Ser Ch/SF 1026-090-005 00-2391 SUMMERS, RORI 7055 RAILROAD AVE., PALERMO CONTR: OWNER F/NAL 11-7"06 WOOD STOVE INSTALLATION ON 9' 5 NOTES RESIDENTIAL PERMIT NO. ' 026-090-005 00-2391 w SUMMERS, RORI 7055 RAILROAD AVE., PALERMO CONTR: OWNER �. WOOD STOVE INSTALLATION SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ( i. c t 4� f i RESIDENTIAL PERMIT NO. ' 026-090-005 00-2391 w SUMMERS, RORI 7055 RAILROAD AVE., PALERMO CONTR: OWNER �. WOOD STOVE INSTALLATION SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ./ = OK 0 = Not OK - = NotAolicable ; MOBILE HOMES = Not Ready 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Discorinect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Stud s-Rftrs-Trusses _ 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ,t 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 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 r FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Coors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 79. Insulation -Foam -Looked in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 82. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 83. 25. Size Boxes & No. of Conductors Stapled 84. 26. Romex Installed Close to Edge of Studs & C.J. 85. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 86. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 87. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 88. 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No 89. 31. Service -Riser Conductors & Ground Main Disconnect 90. 32. Equip. Clearances Panels-Motors-Mech. Equip. 91. 33. Clothes Closet Light -Shower Light -Spa Light 92. 34. Smoke Detector 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 35. A.C. Ducts Insulation & Support Card B-1 Date Card B-1 36. Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing r FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Coors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive ] Yes ❑ No/Walks J Yes LJ No/Planters:1 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive o Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-090-005 ZONING BUILDING PERMIT T&I SUMMERS TELEPHONE EP SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 7055 RAILROAD AVE, PALERMO CONTRACTOR'S NAME OWNER 95968 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 7— 1500.00 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE S 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: W00n4TQVF TN$TAT.T ATTnN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. so 3.5¢FT. N "SSID MULTI -OUTLET @7,50 POWER APPARATUS a sINOLE ourL CIa OUTLET OR FIXTURES Ex. Occup.BAL 20 Q I.DO @ .50 FIXED APPLNIS. OR Ex. Occup. ourLETs RESID. EA 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: ❑ I 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 rthwith comply with those provisions. X - Date V re p Ic t - ner ❑Contractor ❑ Agen An OSHA permit is requir r 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 !H�: S IMP ROOD CDF PARCEL PD HD ISSUE This pe it is hereby issued under of th B e unty Code and/or indi ted ov o whic fees have " By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date f � Def ReceiptNo. 308561/$55.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PERMIT NO. (Rev. 12196) APPLICATION AND PERMIT -- �'/'` as:wORPARCELMM ER _ �< _ ZONING BUILDING PERMIT r TELEP ;,, v SO. FT. OCC. BUILDING VALUATION owNErs ADORes � i TEUHPIgN! CONTRAaWl MALM ADDRESS CONSTRUCTION LENDER Fireplace 1 Q LENDER'S MAILING ADDRESS Total Valuation E ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ 3� ARCHITECT OR ENOWEERS MAILING ADDRESS Plan Checking Fee $ SULDINOADORESs Energy Plan Checking Fee $ $ ' PERMIT FEE _ IDT NO. SUaONBIONSNIUAE PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel q Utilities ❑ Insta D scri Work: tion ❑ Other ❑ - Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ " ELECTRICAL PERMIT Filing Fee 20.00 Main Service �u°YA on mss 23.00 • *PERMIT FEE PAID $ � SRA SHERIFF $ OTHER $ $ $ AMOUNT RECEIVEb $ Qof *RECEIPT NUMBER f> * TO BE PVT INTO COMPUTER Main Service 200A TO 1000A 48.00 NEW CONST, DWELUNGOCCUP. 3.5CF°• OR ADONS. a ACC. S. ONS MULTI -OUTLET NON•RESIO. BRANCH CIRMATS @7.50 POWER APPARATUS a sR1cIE OUTLET CIF. OUTLET OR FIXTURES 0 1.00 EX. OCCU eAt. a .so Ex. Occup. uTLETS P°SIiDEs .°e. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEL_ $ Mobile Home Installation Fee L Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ S j HAZ. °FEES IMP f1AOD I `OF PARCEL I PD I w ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON r- i O.B.-1 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. �I personally plan to provide the major labor and materials for construction of the proposed PW erty improvement: YE NO[ J. 2. I HAVE HAVE NOT[ ] sig�an application for a building permit for the 3. I have contracted with . the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S 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 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health. and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. OVER f- . .'.t Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that youplan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned.. . Sin rel , Michae'l C.gVie6a, C.B.O! . Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ;"`y�4`� , .r. 7rV!•xy;•rf'I �,!"y �'i .l7i' '_'P:«e!'- ;; :.avro;s:r. �s'1+%s 3+v \` '19 V-090-005, i PERMIT#98-0207 EY STORE 7055 Railroad Ave.:, Oroville ri "'Cont: Steve Simons i `Ele Ser Ch/SF'�f� A , y1 l a • 8 J da Yr�r 1 � . *I �''.� • > �"'a . I • ems. .w a' 4 • COUNTY OF BUTTE -DEPARTMENT OF'DbVEWPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �` .. ASSESSOR PARCEL NUMBER ZONING BU ING PERMIT OWNER THE l Iui �1\,L; STORE ViCG TORE TELEPHONE SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 4111 S. DARLINGTON STE 300, TULSA OK 74135, CONTRACTOR'S NAME STEVE SIMONS TELEPHONE 532-1071 CONTRACTOR'S MAILING ADDRESS 1886 5TH ST., OROVILLE CA 95965 CONSTRUCTITION LENDER , Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE N0. I —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7055 RAILROAD AVE. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNIS ION'S NAME PARCEL' MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF SXDuplex ❑ 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 I New ❑ Addition ❑ Remodel ❑ Utilities ]Q Installation ❑ Other ❑ Describe Work: ELECTRIC REPAIR (REPLACE RECEP. AND OUTLETS) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa'ss 23.00 6, 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 f4, force and effect.POWER License Class Lic. No. 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 astheir 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 ADDNS. ( 8 ACC. BLDS. so 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. AN CI I @7.50 APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FocTUREs 20 @ 1.00 BAL p .50 FIXED EX. Occup. OUTLETS (..S,6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I'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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of*one hundred dollars ($100) or less.) I5� 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. '' . 11 q �( X �_",1/1���'`+� Date / f (.) _ Signature -of Applicant! EEI Owner ❑ Contractor ❑ Agent ' An OSHA permit is required for excavations over 5'0'; dee and demolition or construction of structures over 3 stories in height. `� Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 43.00 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 indicated ab ve for which fees hae een paid. `2�10�98 By 4)VDate _ PERMIT EXPIRES ON 2/10/99 Date ReceiptNo. L31� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI%fINSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DWISION DEPARTMENT OF DEVELOPME NT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE ER �a 7 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. t'� / 7o r -e c !eve +e4"fp ete c4 3 // L���a .✓ ©k "[ 4.e 6,; S i ni s; d( -e— , fav --?'"4 :.t._ At* --V e r Dateg)/9/'T T Inspector Q S S e REV 10/9 C.QUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 9r? z,7 ER 1/ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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 Inspector eC llsj if �( REV 1019 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, Celifotnii 95965 - Telephone (916) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-090-005 ZONING BU ING PERMIT OWNER THE MONEY STORE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S "UNG ADDRESS 4111 S. DARLINGTON STE 300, TULSA OK 74135 CONTRACTOR'S NAME STEVE SIMONS TELEPHONE ' 532-1071 CONTRACTORS MAILING ADDRESS 1886 5TH ST., OROVILLE CA 95965 CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7055 RAILROAD AVE. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF INX 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 )PX Installation ❑ Other ❑ Describe Work: ELECTRIC REPAIR (REPLACE RECEP. AND OUTLETS) Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS 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 inlWyorce and effect.POWER License Class LIC. No. 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 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 Main Service ( 200A TO /000A 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. ( a ACC. BLDS. sD 3.5QFT: NEW CONST. MULTI.OUTLET NON•RESID. C CIRCUITS @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET DR FIXTURES 20 @ .50 EX. Occup. OUTETSPPLNREESID.0Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE $ ' MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (Thepbove sections need not be completed if the permit is for work of a valuation �/y�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, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall11 forthwV comply with_.IbQWprovisions. X _ Date / o Sig at f Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0; dee nd demolition or construction of structures over 3 stories in height. / Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 7 This permit is hereby issued under of the Butte County Code and/or indicat ab ve for whi h fees h he By , PERMIT EXPIRES ON the applicable provisions Res lutions to do work e en paid. Date 2/10/98 _ 2/10/99 Date Receipt No. 231747'PECTOR WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI INSGOLDENROD-APPLICANT PSiRMIT NO. 794-78B PERMIT EXPIRES ^ 7 /0? V11 if Iv OWNER r --R- CLARK CONTR. OSnZIle r LOCATION (A.P. 26-09-5 ) 7055 Railroad Ave, Palermo Temp. Power Pole Calved PG&E Temp. Elec. Serv. Ialled PG&E Temp. Gas Serv. 3 s Called PG&E B FINALED (Dat (Signature) 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwa11 Siding To out Slab Roof Sheathing Water Pi 1n6 Piers p? , Roofing Sewer Garage Fdn. Vents %% K Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex structure Appliances Gas PI Ing& es Temp. Gas Slab Final Sanitation �--1 Patio FIREPLACE Final Footincis FootingELECTRICAL Masonr Walls Throat Rou h Reinf. Steel Final Fixtures Stucco Final Subpanels Mesh MEC ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation A Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0116EWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE g s REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) . _J____ - I 1� , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 TeleQhonec 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X'll Date Signature o ermitee 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. DIREC�R OF�PVBLIC WORKS r Building permit expires Date BUILDING Owner 1 e SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone N . Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address uC�tJ-L. Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. -- Q — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F a on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 6 R/W Improveme is Each additional outlet 30 Building sewer 5.00 Bldg. P14` Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00V OR Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR A.D.S. ACCLBLDGS.CCUP. 4) 2¢sgft 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 RESCO D, BRANCH CIRCUITS) NON-RESID (MULTI-OUT BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES 5 L� Ex. OCCU / FIXED APPLNS. OR p•touTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 RI 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. RfI 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. @ 1 FEEPERMIT FILING FEE J$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 Land Development Fee $ TOTAL PERMIT FEE $/7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X'll Date Signature o ermitee 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. DIREC�R OF�PVBLIC WORKS r Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephon9: 5'34-4541 APPLICATION AND PERMIT auinonze representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. ie Date 4 ^,S Signature o Permitee or Agent Receipt No. rz�a 11 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. RECTOR OF PUBLIC WORKS BY D to Rg permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address el phoge it�l Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 yri 0 Repair drainage or vent piping 1.50 A. P. No, Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60 T60' R/W I Improvements additional outlet .30 Building sewer 5.00 ac Parcel A royal I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service O100VERAM600PORv LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 OR ADONS.NEW CONST' ( ACCDWELBLDGS.LING CCUP !t) 22Sgft 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 MULTI NEW CONSTR BRANCH -OUTLET NON.RESID ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. I POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 60@L�¢ 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 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. jS: ❑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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL INo. @ FEEPERMIT 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 $ auinonze representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. ie Date 4 ^,S Signature o Permitee or Agent Receipt No. rz�a 11 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. RECTOR OF PUBLIC WORKS BY D to Rg permit expires Date t ' 2 • :•�, ,026-09. _• =0-005 91-4378 .. KESTER DAVID' & BONNIE CONTR: BROONER, JOSHUA . 7055 RAILROAD AVE, .PALERMO •V.I NYL "SIDING/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC;WORKS 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916/538-7541 APPLICATION'UR RERMIT PERMIT NO. A9SE9SZPARCEL (U� NUM. 90 Oa w,, ZD"'"G BUILDING PERMIT OWNER David cl Bonnie Kester TELEPHONE 534-5934 SQ. FT. OCC. BUILDING VALUATION 5.r OWNER'S MAILING ADDRESS 7055 Railroad Ave. Orovill.e CONTRACTOR'S NAME Joshua Brooner Const. TEL25� PHC� +8iU CONTRACTOR'S MAILING ADDRESS P.O. Box 2124 Susanville, CA. 96130 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 13,UUU Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 120.0d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS. -�o s r ! L RID A t7 A tl . G-00 11116 @51 -- Permit fee $ PLUMBING PERMIT Filing Fee 15.00 pry lerym e:�_ Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W I @ 15.00 TYPE OF WORK' New Addition Remodel❑ Utilities❑ Installation❑ OtherO Describe work: _ Vinyl Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1o00A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License Jo. 42$795 Classification F-1 1, 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 OCCUPM 3.64sq.ft. OR ACDNS. ( ACC. BLDGS. I/ NEW CONSTR.ULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUT ETS P(RESID )FIXED APLNS. REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 ' Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ug 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 shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ LContractor 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 saidiCounty consequence of the granting of this pe�rni�ab/91 L Xi�.--��r Date i Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE $ 135.00 HAz 1 DFEES I IMP I FLOOD I CDF P RCEL I PD I HD I ISSUE ' This permit is hereby issued under the applicable provi-i , sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By��i•. .•��_ DateIZ- 'zx s/ PERMIT EXPIRES Date Receipt No. 10 3 G �;_ WHITE-D.P.W., YELLOW-ASSEShOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 % q_37 APPLICATION AND PERMIT --F I ''ZZ�YJ ASSESSOR PARCEL NU ER Z -- Cre -- Q C1 ZONING BUILDING PERMIT OWNER p David& BoAnD EKester TELEPHONE 534-5934'S SO. FT. OCC. BUILDING VALUATION OWNERMLING 7055 Railroad Ave. Oroville CONTRACTOR'S NAME Joshua Brooner Const. TELEPHONE 257-8303 CONTRACTOR'S MAILING ADDRESS P.O. Box 2124 Susanville, CA. 96130 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 13,000 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 120.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES O L �AP 16 _09 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF[2 Duplex[] Mobilehome❑ Other Mobile Home I S I G JW7 @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other © Permit Fee $ Describe work: Contractor Vinyl Siding ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑X I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full force and effect. License .do. 428795 Classification B1 NEW CONST. ( DWELLING OCCUP.tr\ OR ACDNS. ACC. BLDGS. // NEW CONST R, ULTI-OUTLET NO N.RESID BRANCH CIRC ITS APPARATUS &) SINLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 3.64 sq.ft. @ 5.00 20 76 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring g 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation pennit 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 agai t sa' Coun�n con uence of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 135.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD I ISSUE j X 12/26/91 Date This permit is hereby issued under the applicable provi- S• nature of Applicant — Owner PP ❑ Contractor ® Agent ❑ i sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct - on of structures over 3 stories in height. work indicated above for which fees have been paid. DIR CT OF PUBLIC WORKS Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT By i" PERW tXPIRES Date Date) Z' 9/ /z — z-7