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026-090-030
I 26-09-30 92 2049 GONZALEZ;':Margi� e ter= � • .>, i ,IL2104 N.Villa''-Ave, Palermo '(S'0sewe'r_?line house -to septic) 4 026-090-030 02-2578 ' ,THOMPSON, DAVE ,2104 NORTH VILLA, PALERMO DEMO PORTION OF SF ; c026-`090030 tr+ ``03 057 THOMPSON,'DAVE k,2104 NORTH-MILLA, PALERMOt� ED WINDOWS; SIDING &'RE ROOF ��h�•D: '',.;:�y�j} 6 t -fo i i a �� i � _ r� � �. � � NOTES _RESIDENTIAL 026-090-030 03-057 PERMIT N0. _ THOMPSON, DAVE _ 2104"NORTH VILLA, PALERMO WINDOWS, SIDING & RE -ROOF t 1 a i. SPECIAL CONDITIONS CHECKED BY SRA # FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS i SUB -STANDARD HOUSING LETTER 1 OFFICE COPY i i Address t GAS Meter ByDate ELECTRI Meter By D i t JOB FINALED (Date)/� I Signature J=OK 0 = Not OK . = NotReadyable 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 8. Utility Clearance Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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 Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Footings; Size -Spacing -Marriage Line 6. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Electric 5. Drain; MH Test -Fall -Flex Connector . 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 6. Water; MH Test -Regulator -Connector 9. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Roof; Shthg-Roofing 9. Tie Downs -Type -Installation Cert. 11. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Setbacks -Easements 3. Blocking 2. Soils; Compaction -Structure Stability 4. Gas; MH Test -Demand -Valve 3. 5. Electricity; MH Test 6. Water; MH Test Elec.; Receptacles and Lighting, Distance -GA 7. Water and Sewer Connected 5. 8. Gas and Electricity Tagged 9. Exits Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. License Decals 7. 11. Verify #'s with Office 8. 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-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance -GA 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK a = Not - =Not AAppplicable Ready k, � RESIDENTIAL (. Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope PLUMBING (Permit) OK except #'s 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth r Htr.; Vent -Access -Combustion Air Baffle 3. Ftg., Garage; Soils-Steel-Elec. Grnd:-/ P' Ftg. Depth W er Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection Shower Pan; Test, First; Floor -Tub Access 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth je9t Tub & Shower, Second Floor -Tub Access 5. Stemwalls, Main; Steel-Blockouts-Wrapped Gas Pipe; Sixe.& Anchors 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Fire Sprinkler; Test 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped . Card B-1 Date Card B-1 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 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 -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 Date k, Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 90. 17. r Htr.; Vent -Access -Combustion Air Baffle Corrections from Previous Inspections 20. W er Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection Shower Pan; Test, First; Floor -Tub Access 93. 21. je9t Tub & Shower, Second Floor -Tub Access Energy Compliance Certificate -Other Certificates Gas Pipe; Sixe.& Anchors Address Posted t 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date l Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing jingle & Duplex).., 1 Date FRAMING (Continued) 47. H ers-Post Caps -Anchors -Connectors 48"Cling. Joist=Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall &.Openings: . 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. PI ood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59.- Glazing Area -Glass Protection -Skylights -Plastic 60. %Shear Walls; Nailing -Bolts 61. ce Interior/Exterior Wall Panels Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector • I . . . - • 66. Furnace Vents -clearance -Comb; Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting I 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes& Labels 70. Stairs & Rails 1 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic - 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters O Yes O No 84. Stucco Brown -Finish-.' - 85. A.C. Unit Disconnect, Electrical -Plumbing k, 87, Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Date FRAMING (Continued) 47. H ers-Post Caps -Anchors -Connectors 48"Cling. Joist=Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall &.Openings: . 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. PI ood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59.- Glazing Area -Glass Protection -Skylights -Plastic 60. %Shear Walls; Nailing -Bolts 61. ce Interior/Exterior Wall Panels Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector • I . . . - • 66. Furnace Vents -clearance -Comb; Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting I 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes& Labels 70. Stairs & Rails 1 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic - 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters O Yes O No 84. Stucco Brown -Finish-.' - 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87, Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted t 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i Date Card B-1 Comments at Final: l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r6. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7540 3 -Op (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 026-090-030 ZONING BUILDING PERMIT OWNER Tho son Dave cell 559 TELEPHONE 3-5184 SO. FT. OCC. BUILDING VALUATION cont est 1700.00 OWNERS MAILING ADDRESS PO Box 692 Palermo Ca 95968 5.2 sq 300.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2104 Nort-h Villa Paler= Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 ic Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: new windows/siding Partial reroof Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 420.00 PERMIT FEE $ 50,00 ELECTRICAL PERMIT Fling Fee 20.00 EOOV OR LESS Main Service 2OOA OR LESS 23.00 3, 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 f e 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. I 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 1000A 46.00 NEW CONST. DWELUNG OCCUP. OR ADDNS. 6 ACC. BLDS. SO 3.50FT. No R °IDT' MULTI-OIJTLEi 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FD(TURES Ex. Occup.SAL 20 Q 1.00 o .50 0. Ex. Occup. Gur�is-Rt�sl .) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre -Ins ect i O icL- PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation �f 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 shall f with comply with those provisions. ��^03 X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excav %Eons over 60" deep and demolition or c n uction of structures over 3 stories in he' % Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 204.0 HAZ. p. FEES IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the B County Code and/or Resolutions indica above for which fees have By ^7 PERMIT EXPIRES ON J applicable provisions to do work been paid. Date �3 (Da to) [ReceiptNo.-,,�fo7&z-L//111-oc)/I WHITE-D.D.S.-B.D. CANARY - ASSESSOR !K -INSPECTOR GOL E ODA LICANT 3i:Tn-SZ! //Z�5D •cam i a„ z. �i;+... ; # < <i.-,�.. , _. ; .F � •,•3 �. ��- r ems a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I (�G�1 fv�n ! () AU �' ASSESSOR PARCEL NUMBER �P (fes Proposed Building Use: ( (41/,o ,/I C? Counter Technician: Date: Items required in order to apply for a p rmit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signedXy the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:... ❑ 11. Detached Accessory Building Form filled out by the owner ....................... . ............. . ❑ 12. Hazardous Material Form................................................................................ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ........................................ ❑ 15. Statement of Intent for Non -heated and A/C Buildings.° ........................................... ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2j. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for 4-t.r ) t" P%, Girt(/, required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ...... ........:........... ................... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone ("p/ j S'SG%~ / 3 and hold for nickun. S/ ?yl -*• I have been informed of the above items and requirements for obtaining a building permit. fo Applicant: kY 0"-�`-iftDate: a - a8-- 03 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: 9 phone, ❑ mail, ❑ counter, by phone, ❑ mail, ❑ counter, by Plans approved -by: _Structural approved by: Yellow: Buildine Division Plan Check Letter Date: _Date: Date:_ Date OWNER LOCATI PRE -INSPECTION REPORT COMMACTOR.- ntoa e c PRE-INSPETION DATE TO Banding Description: ResidendaW of Units:_ Cturcady Occupied Abandoned/Vaunt Electric: Yes / No Condition of Electric ZONING: PERMIT HWORY:( )NOW BUILDENG INSPECTOWS REPORT c 3 - 9 - G3 Electric currently Oa Offf Gu: Natural / Propane None_ Currently On Off Obvious Problems: Sanitation: Plumbing Worl in Cr Well Wori in Obvious SewageProblems Potable Water_ ACTION RECOMMENDED: ISSUE: HOLD FOR Date 4 Sketch buildings on reverse and indicate location on proper .v.12/96) » COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive • Oroville� California 95965 • Telephone (530) 538-1541 � p �o-r7S, APPLICATION AND PERMIT CJ � P c zorana BUILDING PERMIT xM-7"°"& Sa. FT. O= 5UWWQ VALUATION -Thornfosd/i u netts m=a= oR a=gms MUM AM= USEOFSTRUCTURE SF 0 Duplex 0 Mobbehome O Other TYPE OF WORK +lar 0 Addition 0 R@model 0 UfE6es D h=Wbion0 [, O Other Dess8e Worla - r wf� - - *PEPAIi' FEE P. Alb SRA SE"Ic'FSFF OTT.. !MOV`T RAGE N"cob LL -O c' *REC i H04M � 20Z2-4 a TO ltJi zwo COMM rare race Total Valuation s Fifino Fee S 20.00 Permit Fee Pian Checidna Fee s Energy Plan Checking Fee s s PERMIT FEE s S. PLUMBING PERMIT Firing Fee 20.00 Trap 7.00 Solar hoax p vnder heater 23.00 Water pip 15.00 Each as Molar or vent 15.00 Gas Piping ovatwn 1 • ets 15.00 Bye Seim 15.00 Mobbe Home IS I G1 W 1 020.00 PERMIT M S ELECTRICAL PERMIT Ring Fee 20.00 Mein SWVi'-e =SMI =0 eo MaiRl SeNica Dain► zo 'Dom► 46.00 Neff cwaL" OR AML ° aMan.)9.5GFr. c" aam uurnaus�Q @7S0 � �uuas�s a swag aurL�r Er. • O ounce OR w.•na+a em m Er. � Q 5.00 Tem=wy Service 23.00 Mobile Home FacMes 20.00 Mise,WHno PFRurr FEE 20.00 6.50 Mobbe Home Instaba5on Fee is Energy hsspeelion Fee is ct' `A'Y'E TOTAL. FEE $ /H a' w,z It W I FLr= I =Ff PA=n I Po This perm8 is hereby Issued under the apprr=bie provisions of the Butte County Code and/or Resolutions b do work Incksted above for which fees have been paid. By . Dene Re_-eiptNa PERMIT EXPIRES ON rvHM-n.os.-e.n. G/WARY-RssEssoR PJHK4=?Fr.WF1 POO rj- r y— trox� �00 Oz 0 0HOo �xz zra Or � o cn y�y N r1 In O Goo 0 5 rj- r y— trox� �00 Oz 0 0HOo �xz zra Or � o cn y�y N r1 In O Goo 0 �autCA MWW9-0 71 cq Ci6 D � r� V� 5 � a 5 t4 , O26-090-030 ?'02-2578 THOMPSON, DAVE 2104 NORTH VILLA, PALERMO DEMO PORTION OF.SF ti (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT 02-2578 *PERMIT NO. ASSESSOR PARCEL NUMBER 026-090-030 ZONING BUILDING PERMIT OWNER -�M 1 LHDAVE TELEI'HONE — SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4741 EAST WASHINGTON --) CONTRACTORS NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ _ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 1IDU�t ADDRESS PALERMO CA 95968 Energy Plan Checking Fee $ EnergyVILLA PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IN 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 .0 Describe Work: DET -10 PORTIaN OF SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00VR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.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 CO. to construct the project. I 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; 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 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.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r. 0e f' 9-anIt-1 of Applicant - TEL Owner Contractor '❑ Agent An OSHA permit is requireilf0r excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. -fir—. v Main Service TO IOaoA 46.00so NEW CONST. DWE].LINCi OCCUP. SO DWE200ALLING OR ADDNS. ( a ACC. BLDS. 3.50FT. pNjop}R6Ip. ' TLTS @7,50 APPARATUS a SINGLE OUT1,.Er CI R. .00 20 EX. Occup. OUTLET OR FIXTURES BAL @ X.50 FUZED APPLNs. OR Ex. Occup. ourLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 1 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � yk h L ' r Date PERMIT EXPIRES'ON q /%/3 f Date ReceiptNo. �l '� 1' WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE — ,BU151NG'DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ' CORRECTION NOTICE .0 OWNER PERMIT NO. A routine inspectipri.indicates that the following violations of butte county Ordinances exist at the above addres nd should be corrected. Please notice this office when correction of work is completed. you have any questions pertaining to this matter, or need additional explanation, ;plea,s�e�ntact this office immediately. %I2 1/G4 C �� TO d 07 s� r DDI P,- A-/ h11 ( J--'-, t t v t Z�LAJ I / /-- / A / A0 Date b" 3 Inspect r J REV 10/92 k, . J t (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 02-2578 PERMIT NO. ASSESSOR PARCEL NUMBER 026-090-030 ZONING BUILDING PERMIT OWNER THOMPSON, DAVE TELEPHONE - SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 7 - CONTRACTORS NAME OWNM TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2104 NORTH VILLA PALERMO CA 95968 Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IN 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 M Describe Work: DEMO PORTION OF SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a50V OR LESS 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. I 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: 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 permitis issued. My workers' compensation insurance carrier and policy number are: rCarrier Main Service TO 46.00 CCU000A W:U200A NEW CONST. pWEWNG OCCUP. SO OR ADDNS. a ACC. BLDS. 3.5QFT. UT @7.50 NON-RESID. T. -OUTLET APPARATUS a SINGLE ounce cIR. 0 1 .00 Ex. Occup. ourLET OR FDRURES B4 @ .00 FIXED - Ex. Occup. pU gPP=.)OEp 5.00 Temporary Service ' 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) ;Certifythat 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 f with comply with those provisions. C - 1, - d z- l G.-�,/ QlAgent Igna a of Applicant - Owner Contractor An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �; Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PO HD LSSUE 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. Date PERMIT EXP66-7&N ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i- f -. i rig; OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your 4POMM Please complete and return this information at your earliest opportunity to avoid unneoeaasiry4Waj► in processing and issuing your building permit. No building permit will be issued until d& verification is received. l . I personally plan to provide the ajor labor and materials for construction of the' proposed property improvement : YES a" NO C 2 I HAVE E3 HAVE NOT ®'signed an application for a building permit for the pc+opa sed wadi. ;. I have contracted with the following person (firm) to provide the proposed eonstruedm NAME: ADDRESS: PHONE: COiNF]MACTOR'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: NA�NIE: vl 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 rRvrr-x%1 zvni.rX%.- SOCI.AL SECURITY NUMBER: / J aTE: q NOTE: This Owner -Builder Verification is required by Section 19831 and 198i14fda California Health and Safety Code. This verification must be eompIded and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFOR.IN ATIOr Ceti.- An application for a building permit has beea 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 p&rty oft+eeae+d ousach a permit. Building permits are not required to be signed by property owners unless they are personally perfi nniag i6eir 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcona-actors. then you may be an employer. ♦ 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. ♦ 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. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, i f You wish, the G.S. Small Business Administration). For more specific information about your obligations under State Law, contact he Department of Benefit Payments and the Division of Industrial Accidents. If the strucnx: is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or tltroug,`i their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" 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 communiry or at 1030 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. 1 rely, Elie el C. Vi ira, C.B.O. Iv( ger, Building Inspection NOTE: Ella Owner -Builder Information is required by Secdon l98J0 of *e Calijornla Health and Safety Cods OVER 26-09-30 92-2049P -GONZALEZ, Margie 2104 N Villa Ave, Palermo i (sf/sewer line house to septic) i o � , i . r t 26-09-30 92-2049P -GONZALEZ, Margie 2104 N Villa Ave, Palermo i (sf/sewer line house to septic) i o � , i t r , I • t. t r , , 4 , �t�." —** p 1�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Orovllle, Callforfila 95965 - Telephone: 916.'538-7541; - APPLICATION ANDI'PERMIT C Da ASSESSOR PARCEL NUMBR 026-090-030 ZONING_ ARMH 1 BUILDING PERMIT OWNER MARGIE GON2ALEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION O,WNCR VYUVILPALMO 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2104 N VILLA AVE PALERMO Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 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 SF,�] Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New lr Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: SEWER LINE FROM HOUSE TO SEPTIC TANK _ Permit Fee $ 30.00 contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soot/ OR LESS 18.50 200A OR LESS Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 VI, 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.&\ 3.64 sq.ft. OR ACDNS. ACC, BLDGS. / NEW CONSTRULTI.OUTLET NON-RESID. BRANCH CIRC ITS @ 5.00 POWER APPARATUS SINGLE OUTLET CIR. ( 6 Ex. Occup(OUTLETS OR FIXTURES 20 764 A Ex. OCCUp. OUT ETS FIXED PIRESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 15.00 Heating Cooling 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 prol3*4-y;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 saidCounty in consequence of the granting of this/permit. X C% ` �' ��. Date v — �' l t Signature of Applicant — Owner .Csontrac4r ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 30 OO HAz I DFEES IMP I FLOOD I CD= HD ISSUE d under the applicable provi T permit is herebfeor sions of the Butte Code and/or resolutions to do work indicatOd abowhich fees have been paid. i DIRECTOR OF PUBLIC WORKS By4"-,7, < / ate PE It EXPIRES Date h//, S 9 / ' Receipt No. 117045 p WHITE-D.P.W., YELLOW-ASSESSOR,PINK-INSPECTOR, GOLDENROD -APPLICANT - .. _ Ky;a . w. r ♦ ♦ M ,.,,..,... .meq i. TY-.��... • n �. ..�.-. ♦ -� 41 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ��-A OWNER PERMIT NO. A 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 .x is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / cZ- 071 V14T- ko 0UT r7 r�, T <-i 17 J' G-4� i46 v S -- - :..3 'f M1 F yS V <{1 -' j I� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllw, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. qa-2 -20579 ASSESSOR PARCEL NUMB R 026-090-030 ZONING ARMH 1 BUILDING PERMIT OWNER MARGIE GONZALEZ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2104 N VILLA AVE PALERMO 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2104 N VILLA AVE PALERMO 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 SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system i - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 111 Installation❑ Other ❑ Describe work: SEWER LINE FROM HOUSE TO SEPTIC TANK _ Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A, 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 Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONIS. ACC. BLDGS. 3.64 sq.ft. NEW CUTLET NON.R EESISICI BRRAANCCHHCIRC ITS @ 5.00 POWER APPARATUS6 SINGLE OUTLET CIR. X. OCCU Ep OUTLETS OR FIXTURES 20 �sd EX. Occup. OUTLE �S FIXED PIRESID IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facili?ies 15.00 Misc. IVirin 9 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. 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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. 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 gr, nting of this permit. X Date (/ Signature of Ap'plicant — Owner ontractir ElAgent ❑ 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 $ Energy P OCC CONST TYPE TOTAL FEE $ 30,00 HAz I DFEES I IMP FLOOD CDF PARCEL PI HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work Indic ab awhich fees OF PUBLIC BY PE EXPI T ES Date applicable provi- resolutions to do have been Paid. WORKS ate S Receipt No. 1 17(1/x5 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville C,zW6Pnia 95965 - Telephone: 916.538-7541 APPLIEATION AND PERMIT PERMIT NO. ASSESSOR PARC -EL NUMBER 2&-O?D �-O�O ZONING MH BUILDING PERMIT OWNER / a I e _n I �Z TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LINGLADDRE S Z (0 q- CO NTRAC OR'S M TE EPHONE CONTRA'C'TOR-SMAILINC, ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS�0 „��� ldve_Permlt r fee $ PLUMBING PERMIT Filing Fee 15.00 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 S ! G W @ 15.00 TYPE OF WORK New ❑ Addition ` Remodel L Utilities Installation Other El Other Describe work: � '/(.2�i - /(,,Q a i l[) mGC�.� _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 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 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / OWEL_ING OCCUP.9 OR ADDNS. l ACC. it -OGS./ 3.64sq.ft. CONSTR ULTI.pUTLET NEWNON-P,ESID. BRANCH CIRCUITS @ 5.00 (POWER APPARATUS S1 ,SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 76d 120 464 Ex. Occup. OUT FIXED P TS (RESIO.)REA.T 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I 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 shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date SI nature of Applicant - Owner 9 pp ❑ Contractor Ci 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 Energy Inspection Fee $ OCC CONST TYPE 6 G TOTAL FEE $ d ` HA2 0FEES IMP I FLOOD I CDP PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 70 L!S 'NNITE-O.P.'N.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department 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) 4y'� signed an application for a :building permit for the proposed work. 3. I have contracted with -the following person (firm) to provide the proposed construction: .Name Address City - Phone Contractors License No. 4. I plan to provide portions..of this -_work, --but -I have hired. the following person al 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 :6 Property Owner _)VIAAAAt- ZIJA Social Security umber Date 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.