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003-211-040
_ _ --- _— -- —-- -- AP 3T 11-40�- - .,JANNI�NK, .Robert -�iS ' 30 -211 - ROBERT JANNINK ••NAS -----F-----------------------------, 1710 Fresno Ave .""0&5rov 'le 1 STRE 554-758 Permit# 554-7 B (reroof) /9 Z/ 30-211-40 1710 Fresno Ave:, 0rovil1e I� FR) f194-76P(IMST. BLDG. sEw- (reral�f')xF;/,v c 3-9-9� ��_� (*Ill NST. BLDG. SEVIER) LOT BLOCK SUBDIV. ' 30-211-40 1 Pe mit #6907-7 B(fireplace/SF) IYPE OTF PERMIT NO. PLAN NO. DATE ISSU 4 _ _ _ c_ — - -- y • 30-211-40 Contr: A-1 Masonry, Oro �~ Permit#3013-82B(ma.sonry chimney for wood stove)SF 0307117040 A LOWER, MICHAEL OS -285 1710 FRESNO AVE, R ILLE ' Cont: OW .E I RE ROOF F — c '.r I i 1 :1 PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D -DEMOLITION 600.1 LLLJJJJ�w�� I, � INSPECTION RECORD BUILDING A PPMV AEC f -w Ki a� Z z o O:AF Q UOZ O W 0 IL z U.� Ir w4S0 O W Z0 W Z f a 1. O WF 1-g 2 O WF- g _OW Ky WF Z a O_W ( ry FXa W IL IY WY p U ZJ U m W`� Oa �W E U W y. LL Q = LL SIG. BATE SIG. DATE SIG. DATE DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ivff_ " Kiev ni v PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE 81G. DATE SIO. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL /.1.161:7-/C11:A1. Ai-i1K11V 4/..\ PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE 'ROUGH -IN FIXTURES & APPLIANCES METERS FINAL PERMIT NUMBERs DESIGNATION `, BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!! I,' DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: _ Address: Phone Number: The above information is not available to the public!!!.".'.'. (2) KAFORMS\Complaint Form revl.doc BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPO52855 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 10/17/2005 APN: 030-211-040-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1710 FRESNO AVE ORO Date: Contractor: Map Index: Description: RE ROOF COMP 23 SQ.'S p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LOWER MICHAEL & KAREN to its issuance, also requires the applicant for such permit to file a 1710 FRESNO AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business a•id Professions Code: The Contractors' State License Law does not apply to an Applicant: LOWER MICHAEL &KAREN PP owner of property who builds or improves thereon, and who does 1710 FRESNO AVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code cc�� Date: 1(2���-Owner: License M WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy M JII l certify that in the performance of the work for which this permit is Valuation: $0.00 Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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. Date: /0 Applicant:�— WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3705 of the Labor code, interest, and attorney's fees. mwla/ v� CONSTRUCTION LENDING AGENCY is permit is h eby issu/Ned under th appf able provisions of the Butte County Code anndd//or I hereby affirm that there is a construction lending agency for the Resolutions o work indicated a e�fowhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /, ld_z��7 Name: 11A7 By: GL Date: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ` Print Name: Signature: Date: Lyr�/�'d Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor t- cS Butte County Department of Development Services. NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 v~.buttecounty ngydds RESIDENTIAL APN-. Permit No. Owner. Site Address: 1 7 lo Contractor. (✓�f/,C- l Type of Permit: -1 r DATE JOB FO SIGNATURE: i aro Ol (PlT7l'/sT )NDITIONS CHFCKFn RY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r DATE JOB FO SIGNATURE: i aro Ol (PlT7l'/sT )NDITIONS CHFCKFn RY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat[] or LPQ Inch Sz Ft Lngth 7.Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S`C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Be ams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns -CnnctnsSpiice-De cal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE POO L S 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt,Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide \ 's oa0 m 090 0` Pool Drawing = OK 0 = Not OK I RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped- 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn _ 14 Girders-Sills-Anchr BoltsJoists -Vnts -Cripples 15 Acc & Vntltn 16 Insulation O'er 0 O O\ DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist -RW Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Walt pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws o' 0� o'er do DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ga ❑ CU or DAL 48 Range Circ ga ❑ CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub•Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping I DATE (MECHANICAL I 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes [—]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (53,0) 538-7636 • CHICO: (530) 891-2834 OFFICE a#: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds *"PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Lasj Name Address First Name Address to ko City Le Zip State CA— Zip Spm r Phon�O ` _ - Fax E-mail 5 o, G APPLICANT NAME CONTRACTOR Name Address ' )� v Address City City StaZip75 State Zip Phone- Fax Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address ' )� v Address City City StaZip75 State Zip Phone Fax Fax E-mail Planner State License Number APPLICANT NAME Name Al Zcvj / rq Address ' )� v �e City Yes StaZip75 %G Phone_ �� -l/65 Subdivision Name Fax E-mail Lot # APPLICANT SI NATURE X For office use only: Zoning Property AddressT617 Flood Zone Cross Street 6 �Gl v!^Si ) < SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT N '� S BIN 0 LOCATION AP# Property AddressT617 ity l Cross Street 6 �Gl v!^Si ) < WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: s S Sq. Footage O Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receive/Ld�}r/oy)- Amount: -13 / � f�c� Bldg Receipt #: 1111016-s—. Sheriff �/ TTS / �i SMIP I I Dat 0 �� 7 oS / f 'so I I v..rr�n�nrvn�ui ".nil. rr�neat•�ou_n...,�c..�o.......a.. .a.... D�..e � r.f7 RF\/7-7d-n5 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Leiter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0R1v1SS1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 ,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 material for construction of this proposed property impr vement: YES [ �NO [ ]. 2. I HAVE [ �J HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: 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 SIGNED: PROPERTY OWNER: DATE: /C -- c 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING `GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your naive listing yourself as the builder of the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contractor 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, C-` Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. �.. .+�-�at•�• ��+�•�tr.��e?'•+x�5, ''1` r �{ .yi,rby�/r� S+^r�-f.�' +.tp6.,;;N`a�lQels•'•f►•+'-�.;o- t }er+.-. i.* °.. Fi:..�+�va;va+�ncr� �+r'�•,...+.vn,�..�, ! ; 1• ( Robert Jannick r �= r �Permit#30.1�=82B r • 5 r i t t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER OWNER ZONING BUILDING PERMIT TELEPHONE O 533 WNER'S MAILING ADDRESS SO. FT. OCC. BUILDING VALUATION CON T RAC T OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �'� '' . Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 10000 AMP ORsLESS 5.00, Main service EA. ADD -L. 100 AMP 2,550 CONTRACTORS LICENSE LAW I declare tinder 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. y" -, 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) ElI, 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.81 OR ADDNS. ACC, BLDGS. , 22 sq ft NON-RESID R BRANCH CIRCTITS 2.50 ea NEw CONST R. POWER APPARATUS / e� NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BL� 250 A EDCCUp.OUIXED APP LNS.DOR x. TLETS (RESI.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. XThis `'� " Date, Signature of Applicam//_ Owner ❑ Contractor ❑ Agent ❑ An OSHA permit i5Jequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ F OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which / DIRECTOR OF PUBLIC Byf/ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date " Receipt No. °�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AAD PERMIT- _64� PERMIT NO. / ASSESSOR PARCELNUMBE ,30 -Z/� - ZONING BUILDING PERMIT O Q6cev A1, 111,10 TELEPHONE SQ. FT. OCC.1 BUILDING VALLTATION OWNER'S MAILING ADDRESS CO R qC,TORS ✓ #p�3UH0 CONTRACTOR'S MNG ADDREA„/�/•V// Fireplace4C 6 CONSTRUCTION LENDER UNI/KN WN Total Valuation 1 $ Z!'j®e Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 5_ 6, 0 ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ pp BUILDING ADDRES '71(, �65it/O 4 V PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent. 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litie Install tion e�ther Describe work: �O/ietvl_N5 l`CJ%— /tl00D 57—OV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST'(DWELLING OCCUP.y\ OR ADDNS. ACC, BLDGS. / 2¢ sq ft CONTRACTORS LICENSE LAW are I declnder penalty of perjury (Check One): I licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and -,effect. eLicense No. O Classification ” l, 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 CONST11 •OU LET 2,50 ea ESID B NON•RRANCH CIRCITSam NEW CONSTR. /POWER APPARATUS 61 NON•RESID. `SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. Dccu IXED APP LNS. OR p'(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation T� 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 again s aid Cfunty,'Wbequence of of this /permit. Date / ®"- ~� Signature Applica Owner ❑ Contractor ❑ Agent ❑ OSHA permit is Squired for excavations over 5'0" deep and demolition or construct- ion of structures o r 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Up OCCUP. GROUP I TYPE OF CONST. PARCEL PO NO I ISSUE This permit is hereby issued under sion f the Butte ounty Code and/or wo i Ica Wve for which RAn ROR OF PUBLIC By vZq:,�,s"� PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE -O. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _ PERMIT NO. 6907-76B PERMIT EXPIRES OWNER Robert Jannink CONTR. owner LOCATION (A.P. 30-211-40 1710 Fresno Ave., Oroville. 1 . t r Kp r Temp. Power�P61e Called �P-G& E Temp. El/r. Serv. Cathed PG&E Tem Gas Serv. r Called PG&E JOB FINALED (Dat c (' na re) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION-R,ECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicap ed Conformance of ex. structure Appliances Gas PipingTest Tem Gas Final Sanitation FIREPLACE Final Footing Al Throat 9z Final FIR11 SPR NKLERS Test Final MECHANICAL Heating Cooling Ducts Ventilation Final .REMARKS OR CORRECTIONS_ ELECTRICAL Rough Fixtures Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 %� Telephone: 534-4541 76 APPLICATfON AND PERMIT A I QUUIUIILe rep esenLat ves of Ine County of Butte to enter upon the above.mentioned property for inspection purposes. �J X L, Date O "/ Signature of Permitee 0 Agent Receipt No. / �i'J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of� the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By cam% Date j Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address e Tele hone No. Fireplace Q Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address file PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �- s 41 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 B149.-Rr&-l%&cLc6 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD -L' 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service100 VEAMP oR LEss 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( DACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON -RES ID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: BAL@1 2@SQ Ex. Occup(OUTLETS OR FIXTURES)@ 00 FIXED APLNS Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE is QUUIUIILe rep esenLat ves of Ine County of Butte to enter upon the above.mentioned property for inspection purposes. �J X L, Date O "/ Signature of Permitee 0 Agent Receipt No. / �i'J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of� the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By cam% Date j Building permit expires Date ' T .. e .1�s R L PERMIT NO, 194-111 P E . t M MH UTIL. PERMIT NO. PERMIT EXPIRES 114/77 OWNER ROBERT JANN I NK CONTR. OWNER LOCATION (A.P. _50-211 -40 1710 FRESNO AVE., OROVILLE Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB FINALED (Dat (Signatur ) Bond Beam 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 Stemwall Siding To out Slab Roof Sheathing Water Pipj'ng Piers Roofing 09 Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS_ C,)_. �/ THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: '�—)10 rF?, F --s 0 0 AVE Owner's Name: RC`) P)E-8T C7liNN'i W— Date: `Mry in Address: I n F7,as)V b kye. Acct. No: �S- I U�,r V 1 L• 1..( Cts 9 5U.E A. P. No.: Phone:. — �' 2 No. Units: i Applicant/Agent: N% �t4, Agents Proof: 1.10 /A Address: Fees: Phone: Application $ j Preliminary Review By: ��� Lr/L!> .[ r Date: bi OV 11, 11 / Arrearage r CSA 26 r Remarks: SC -0 R ' 1st mo. S.C. Other Total Fees Collected By: Da Field Review By: Date: Z Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). r 30 days after date above, or on date of D?P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — eroville, California 95965 Telephone:' 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t Date Signat r of Permitee or Agent Receipt No. 1 T 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. �DEC�TYORF PUBLIC WORKS By Date' J6 BaNdOtg permit expires Date— _ BUILDING r Owner SQ. FT. OCC. BUILDING VALUATION '6 Mailing Address al__eJ Telephone blo. t 3 Fireplace Contractor Total Valuation -Pe Mai I i ng Address rmi f Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address !�� / PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3,©0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 v� �� A. P. No. �� �� Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sawi_t t FireDept. Fire Zone Use Permit Building sewer 5.00 S ©U EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 g. an Parcel Approval Plans Approval Permit Fee $ 4r. ` NEW ❑ ADDITION [:]UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1$3.00 oof Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures lb2o 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring Cal am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t Date Signat r of Permitee or Agent Receipt No. 1 T 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. �DEC�TYORF PUBLIC WORKS By Date' J6 BaNdOtg permit expires Date— _ PERMIT NO. 554-75B P E M t MH UTIL. 'PERMIT NO. '* PERMIT EXPIRES —c?,—1 OWNER Robert Jannink CONTR. LOCATION (A.P. 30-211-40 ) 1710 Fresno Ave., Oroville ' 1 i I , r ' l r• i i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E i Y , JOB -.7 7s k FINALED _ (Date) (Signature) � a 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 Stemwall Sidinq To out Slab f Sheathing Water Piping Piers oofing Sewer Garage Fdn. Vents Fixtures Footings C4 a Vents Water Htr. Stemwall Slab Prov.r ally handic p Heaters Appliances Carport Footings Con ance of ex. _ structure Gas Piping & Test Temp. Gas Slab Patio Final qa —2: 0FIREPLACE Sanitation Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors r-raming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORN1\5 5 7 County Center Drive -A Orovi�Me, California 95965 Tel epF onac 534-4541 APPLICATION AND PERMIT all orze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1 ate 7 Signature of Permitee or nt Receipt No. s.-2- -, 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 bee id. DIRECTORVUBLIC WORKS .�- gy r+ Date_ Z- -,X!x4f uilding permit expires Date ............................................ BUILDING Owner Q 6 &A197- Q. . FT. OCC. BUILDING VALUATION 9L o 00 .(9 p - Mailing Address LO te 67 S © Jeo Telephone No. 3.3 Fireplace Contractor Al E 12, Total Valuation o , CD Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee O' Building Address D E.S (/C PLUMBING No. @ FEE PERMIT FILING FEE $2.00 %eo CJL [, = Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / — a Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 IVB' I V. S Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans • Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 c I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 O p F Main service incl. 1 meter Additional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbai Bio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under. the provisions of Chapter 9, Div. 3, 'of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring QUI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ® permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ©I all orze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1 ate 7 Signature of Permitee or nt Receipt No. s.-2- -, 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 bee id. DIRECTORVUBLIC WORKS .�- gy r+ Date_ Z- -,X!x4f uilding permit expires Date ............................................