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I _ ohn D . Drake-37-7� Q ` 3178,Coronado Rd., lot 44, Joshua Tree #2, Chico Pdrmitrj.�752-78B( ew si gle family) Ln� I aid P_e.r_mi-t_##7253--7 -(0-clear-a-nce fireplace) SF 144 wVELDA--HAYT-ER - - r3178'Coronada, Chico Permit#61.56-80B ( instal -l: -wood--- - --. )44 stove)SF ' 44: ` A14-41 C'AA ,Contr',Servamatic Solar -Sgste C ic!'9r j Permit .#2976-82P(install-.solar-wtr -htr-) } e o 007 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 'Cl ASSESSOR PARCEL NUMBER w V/ ZONING, BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER*MAILING ADDRESS ��% �II Y /,P7r► ��i / Ccs CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A11A A 7S"0.090 CONSTRUCTION LENDER UNKNOWN Total Valuation $ %( A Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER t/f— LICENSE NO. Plan Checking Fee "/A $ Penalty $ ARCHITECT OR'ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �IR 4 s>nXJA r4v 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 pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE / SF[e Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑,—Remodel ❑ Utilities ❑ Installation ❑ Other Q- Describe work: —7�� �� !�/��� �7�/�� Permit Fee $ `Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST'(DWELLING OCCUP.6) 20 Sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): El 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 Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. IPOWER APPARATUS D1 NON-RESID. \SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL@'; 00 IXED APPLNS. OR Ex. OCCup.�OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 1yl r • l ��I .. f =� Date _Q I y l G O Signature of Applicant -/ Owner 91, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 1S9UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B f ,i t�.!!� Date Q y --^ PERMIT EXPIRES Date- , r ,:- l Receipt No. �.. .3S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Velds Eayter P.O * Box 1878 Chtto, CA 95.926 Jnm,• u= 1982 ' { 615.6-80 (WOoastove) U/19/81 44-65-41 Attachments 'fie are .also attaching an O %ner-Builder info tion Sheet and an Owner -Builder VerificationForme Please complete the -Ovmer-B;ailder Verification Porm and retrn it with the renewal application and Pees.. t Ohi.4a -COUNTY OF BUT4E - DE"AT%AENTJ1QF,PUBLIC WORKS PERMIT NO. 7 County Center Drive -roville, California 95965 - Telephone 916/534-4541 APP ICATION ANQ REMIT ' ASSESSOR PARCEL NUMBER - V"/ - I /-, ZON)N BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER' AILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACT R'S MA 1 G ADDRESS Fireplace ' U U CONSTRUCTION LENDER �w UNKNOWN Total Valua ion $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER :.? - LICENSE NO. Plan Checking Fee $ Penalty $ • ARCHITECT OR ENGINEER'S MAILING- ADDRESS r - - Permit fee $ BUILDING ADDRESS / Fili PLUMBING PERMIT ngFee 10.00 Each Trap -` 2.00 _Repair drainage or vent piping 5.00 ^-f Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE.OF.STRUCT.U.Re_ SF © Duplex F-1Mobi lehome ❑ Other SPECIFY Building sewer' , Lawn sprinkler system 5.00 _ TYPE OF WORK New F1 AdditionemodeI Utilities❑ Installation❑ Other Describe work:--L�'�- �� Gc-L'?��c'�—' s�'/nv - - Penult Fee $ Contractor + ELECTRICAL PERMIT Filing Fee 10.00 001 OR Main service 100 AMP OR LESSLESS 5.00 • - Main service EA. ADD'_L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.. 20 Sq ft OR ADDNS. \ ACC. BLDGS. I NEW CO11,S;TR u L T 2.50 ea NON-RESIb BRA CH CIRC IT -CONTRACTORS LICENSE LAW .t _ I declare under penalty of perjury (check oneP.r ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businessaoeasc and Professions Code and m license is in full force and effect. License No. Classification y Q 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 NEWCONSTR POWER APPARATUS e NON .RESID. (SINGLE OUTLET CIR. ) '. Ex. Occup OUTLETS OR FIXTURES BAL@t PIXED Ex. Occup.(o UTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under 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. 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 s id County in consequence of the granting of this permit. Signature of Applicn(14 Ow&r X Contractor ❑ Agent E]work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. - Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST, I P11RCELJ PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. CTOR OF PUBLIC WORKS f By C-�� 7Date//�/ 2F O PERMIT EXPIRE —_ ate /�2— /•—!J f � Receipt No. 41,7 Z76 � WNITC-D.P.W.. TEL LOW -ASSESSOR. PINK -I `' GOLDENROD -APPLICANT ,6 o cd S7v S- I Or 7"c> 7TDGcs- 6z�-,7' 0:4 rd,-r4,tN J1djr ji PERMIT N0. hl riFi—f3 (1R iR r`, PERMIT EXPIRES 12/19/81 OWNER VELDA HAYTER �,• CONTR. nwner - ASSESSOR PARCEL —� --n LOCATION 3178 Coronada,, Ch1Co tj b � � Temp. Power Pole - Called PG&E • Temp. Elec. Service Called PG&E rt ' Temp: Gas Service Called PG&E JOB FINALED (Date) Signature � j� . �r w a �• V =. 0 K Cha.. N� OK - = Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING Continue 1. Zoning requirements -Setbacks -Easements 48. Property Line Fire II & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils teel- / /" Ftg. Depth 50. Stairs; Width- eadroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches'& De s; Soils -Steel- / /" Ftg. Depth 51. Plywood on Ro Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel lockouts -Wrapped -Slab 52. Siding-Nailing-Ve-itler 6. Stemwalls, Garage; Steel Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip reed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .- eel 54. Glazing Area- ass Protection -Skylights -Plastic 8. D.W.V.: Fall-Fittin -Test-2 way C/O -Sewer Test 55. Shear Walls; N ' ing-Bolts 9. Gas Pipe; Size -An ors 10. Water Pipe; Test- nchors-Regulator-Seryice Test 11. Electric; Undergrou 12. Plenums & Ducts; Cle'Isence-Material-Support-Ins. 13. Girders -Sills -Anchor Bo s -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK exc t #'a 56. 57. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 14. Water Ht.; Vent -Access -C bustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors ail Protection 16. D.W.V.; Test-Fttngs & Anc ors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First FI or -Tub Access 60. G.F.I. & Bath Fixtures &Tub Access 18. Test Tub & Shower, 2nd F oor-Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchorq 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -'RI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -81 Date Card-BDate 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clear nce-Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Cond ctors-Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to dge of Studs & C.J. 72. Insulation Foam -Looked in Attic E) Yes 24. Equip. Ground made up w/ h. Fasteners -Bond Gas & Water 73. ) Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitche'rtq& Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ^ 26. Subfeed Wire Size / / ga. Cu AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No Stucco; Brown -Finish 28. Service -Riser Conductor & Ground -Main Disconnect 29. Equip. Clearances; Paneis-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light-Sh er Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date and -BI Date 81. Ventilation throughout House Card B -I Date rd -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK a cept q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & upport 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust abov Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Over low; Size & Grade 34. Furnace -Vent; Access- mb. Air -Return Air Vent -115V outlet 35. Attic Access & Platfoqrn if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date rd -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK excep 's 36, Sills; Proper Material & nchors 37. Walls; Studs -Nailing, S acing & Bracing -Plates -Sound _ 38 Bearing Walls over Gird rs & Floor Nailing 39. Draft Stop in Walls (rat roof) 40. Fire Stops; Furred Ceili s -Stairs -Chases -Tub 41. Header & Beam -Size & earing _ 42. Hangers -Post Caps -A hors -Connectors 43. gAng. Joist-Rftr. Ties-Purli oof Brac.-Truss-Shthng.-Ring. 4*r10Fi.eplaeaLe r Type lue-FiMV4Ao-T-Frroat s 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) = OKE t. = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men=Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -81 Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Co-,lifornia 95965 - Telephone 916/534-4541 f ' APPLICAT(ON AID PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ,!+ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME �. �- JF.rv4 f��� u r s- :.�,s . _4"e TELEPHONE 'P7 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 7/ 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 ❑L' Duplex❑ Mobilehome❑ Other_ SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑- Utilities ❑ Installation ❑ Other Q" Describe work:_ '�/ " �� /�-'�%G�' C:i� :� ;`'� si �15'/} � Permit Fee ' $ fU f; r -Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS 5•00 ! Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.8i) OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (Check One): Q 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 I' `� �� - Classification `- (- ' � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR 'OULET 2,50 ea NON•RESID BRA CH CIRC ITS NEW RES D. (POWER APPARATUS 6) NON -R RES D. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 5 L� 00 IXED AP LNS. OR ` Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a` 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 inconsequence of the granting of this permit. i X Date fl // ' Signature of Applicant — Owner ❑ Contractor ❑ Agent•Q'• An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By JG���'�C�.C/ PERMIT EXPIRES "Date �� the applicable provi- resolutions to do fees have been paid. WORKS Date iJ_ % k•�'� Receipt No. % �,l�d WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, �alifonTja 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSORP RCEL NUMBER / L ZO G .. BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION O WNE 'S MAILING ADDRESS CO RACTOR'S NAME G Tf�is G TELEPHONE 3— CONTRAAC�TOR'S MAILING/ADDRESS Sf7(/ /C 0 Fireplace CONSTRUCTION LENDER WNE UNKNOWN _ Total Valuation Is FilingFee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 440k/C LICENSE NO. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 7 o V 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 O TYPE OF WORK New Addition Remodel EJ Utilities Installation[] Other Describe work; G �sL Penult Fee $ p Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. (DWELLING OCC P.M) OR ADDNS. ACC. BLDGS. 20 sq it 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. L License No. 3�G� /S Classification 5 C �� ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR (POWER APPARATUS IN NON-RESID, (SINGLE OUTLET CIR. W @ 28¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. OCCUp. �OUTLE TS FIXED P(RESID,)RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under 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. Heating Cooling Hood 3.00 Ventilation penult 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 save, indemnify and keep harmless the County of Butte against all liabili ' udgments, costs, and expenses which may in any way accrue against unty in onsequence of the granting of this permit. 1C_ X Datesions Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3rstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE, $ 39 Occup. GROUP TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I ECTOR OF PUBLIC WORKS By Date PERMIT � Receipt No. ZZ d 47 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To: Building Department From: Enviroasuental. Health Subject: Sanitation Clearance 0_ 24 6 o., .3 [2Z ak_re_.,1 104 owner Location AP#. Plans approved for: Sebe Diaposal dater Supply Hold find for: Water Supply Final clearance O.K. for: Water Supper r:r Clearance for a � be&,00m °fie hme. Other Clearance for -addition of- lU�o/�" ��C ?ate a..��. ER- C R -C Q M`P A Y LICENSEDCONTRTOR Phone: 342 64 P. O. Box 3506 Chico, -California 95926 INSULATION (Batted or Blown) Date To�%�- l/� THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot u/ Nmber Tract No. EXTERIOR WALLS Manufacturer(nr� /� Thickness/T- R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer kness No. Ba Wt./Bag ` zu Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value c GENE CONTRACT R N O pty'-E LICENSE NUMBER Z�� {C7 BY T TLE DATE INSUL ION C TRACTO LICENSE NUMBER TITL DATE / e� SAVE ENERGY - INSULATE! ACCEPTED SETH CO :ANY (Authorize Representative) CQUNTY OF BUZT -: -DEPARTMENT OF -PUBLIC WORKS ' BUILDING INSPECTION.RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Para ets 1st Floor Main Bldg. - Restroom Finish 2nd Floor: Footings Windows 3rd Floor Stemwal I Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings / Garage Vents Water Htr. Stemwal l Insulation Heaters-- ' Slab Prov. for physically A, Appliances Carport handicap ed Gas PI In & Test ' Conformance of ex. . Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final -'7 AZ Footings* Footing EL CTRICAL Masonry Walls Throatk�Rou h Reinf. Steel Final Fixtures Bond Beam FIRE RIN "E Motors Framing 'Test Water Htr. ' ,Stucco Final - Subpanels Mesh. MECHANICALGrd. Fault Prot. Scratch Heating Service Brown — —7 Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventllat on Permanent Door Closer Final a Final's MOBILEHOME UTILITIES ---------------- Elec. Service Elec. Pedestal Water Piping - Sewer _ Gas Piping ' MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support - Elec. Continuity Water Piping — 'Drainage Gas Piping - DATE RE ARKS OR ORRECTIONS d (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 — , Ofoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for 'ns ection purposes. X Date 49 �{ Signature of er i or Agent Receipt No. OL 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 PU,&LIC WORKS By Date Buil Ing permit expires Date —G 7 BUILDING Owner pjff D�e��� SQ. FT OCC. BUILDING VALUATION 03 ao& 8b QQl Mai I i ng Address P �o I�JOl� �s a 730 e"41 G!JeA /O Poe 1/0 Contractor 001 Mailing Address Fireplace Total Valuation o23 U Telephone No. Permit Fee Q i(ytp Building Address �%7� ��� ��� �+ Plan Checking Fee&/or Penalty Permit Fee 0814-0 O 9lt. PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 T� Os,qu�E m( Repair drainage or vent piping 1.50 ���/_ 73 A. P. No. d 3 ^ P�nr Zoning & Planning D1 Water piping 1.50 Each gas water heater or vent 1.50 Fe I`Sa i on Fire Dept. Fire Zone Use Permit o Gas piping system 1 - 5 out 1.50 EQA Parking Plans arcelEach I Declaration I Parcel ap 60' R/W Improvements additional outlet .30 Building sewer 5.00 #.-w;L I Parc A roval Pla Approval Lawn sprinkler system 2.00 NEWER" ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST ( ACC` BLDGS.CCUP. 51 20 sq ft LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: Y NEW NON.RESIESID, MULTI -OUTLET ( BRANCH CIRCUITS 2.50ea CONSTCONTRACTORS NEW CONSTR (POWER APPARATUS.5 NON.RESID. `SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES BAL� Ex. Occu FIXED APPLNS. OR p. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice se No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. Errcertify 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. 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 Land Development Fee $ as ov TOTAL PERMIT FEE $>.3._ 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for 'ns ection purposes. X Date 49 �{ Signature of er i or Agent Receipt No. OL 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 PU,&LIC WORKS By Date Buil Ing permit expires Date —G 7 NOTE :All Materials & Workmanship Shall Be in' ' Accordance with Recognized Good Practices and of, a •quality prescribed for the Specified use in the 'Uniform Building, Plumbing & Machanical Codes and aI Electrical Code. ------ -- Phis set of plans and specifications, MUST 1p,��r~ kept on the job at. all times and it is unlww,�fotl'°k make any changes or alterations on safne`AtIfout ! written permisson from the Department of Public y Works, County of Butte. '7x, 34 4 7' 1 12' In 1V • 2C 4S 74. 24 74 The Bldg.rff. hall be rom the side propine and 50 ft rom fhe centerline road, permift n a maxi- mum of aave overhangentirely out of allments. Septic system and location of build- ing drain stub -out to be as per Butte County Health Dept. Re- quirements. //2 AI -7 74.19 3 O o I See MasterPlan on file for building r)Ianc 75-�2 - 74' BUTTE COUNTY BUILDING DEPARTMENI APPpOVp:n _... .. _ .►.u.-.. inp-'�'1+M'^�waRY."a+ar�Ft..r►"�_ .`T:NMaas.[..'7Ywv..++.'IY++.�+,+aM..y,q.�y�,�,,+..,...�,..,., // 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. - Orgville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6 -/J 0 -760 A V / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C�i�%v Date Signature of P -r tee or Agent 1plp Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ^ DIRECTOR g�LIC WORKS V. Date b -'7,P B 1lding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor "'G T(y u Mailing Address L 1,/ Fireplace Total Valuation e T lhN ep�ne o. y - f Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00' Each Trap 1,50 � �� 4 --c1oSfi ILI,+ Repair drainage or vent piping 1.50 r 573- 73/�_,� A. P. No. OZoning &Planning Water piping 1.50 , Each gas water heater or vent 1.50 F Santtatinom- Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 -a EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JA Permit Fee $ 4. q, 6 $ gg, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR -L01 OR LE SSESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST %ACCLBL GS.LING CCUP. S� 20sgft CONTRACTORS LICENSE LAW. I am licensed under the provisions of Chapter 9, Div. 3, of the State Of California Business & Professions Code un er the a style of:. T NEW CO (MULTI-OUTLET NRESID, BRANCH CIRCUITS, 2.50ea NEW CONSTR. POWER APPARATUS a NON-RESID. %SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIPES BAL@10Q FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 y License No. `a � G� Classification � ' 3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. r -1I 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. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I,agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C�i�%v Date Signature of P -r tee or Agent 1plp Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ^ DIRECTOR g�LIC WORKS V. Date b -'7,P B 1lding permit expires Date J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enterjupon'.thet, 4 Th'iVermiNs hereby issued under the applicable provisions of above entioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated 1;. abov riwhich fees have been paid. ' '� e 1�, I C—TOR OF PUBLIC WORKS X Date /v ' ' ' 40k hfl' C °�e�r %tx� Signature of fPjermiteeee` or Agent By(,}g pJwv Date /O /V ! V Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor " Mailing Address a r Fireplace Total Valuation Telephone N . Permit Fee Building Address - Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE / ^ /� Z -0T O.s/iUl4 � E Z- C l(-lC0 PERMIT FILING FEE $3.00 Each Trao 1.50 T -® ✓,�-73 /®�%. Repair drainage or vent piping 1.50 A. P. No. - - Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F041 . .Saa"a4ien Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI sec Parcel AEproyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑/ Permit Fee $ Is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS,CCup- Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business'& Professions Code under the name style of: - NEW CONSTR.S,., MULTI.OUTL T NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES 5 L2j FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. t 1�1 1 Classification -1 Misc. Wiring 6.2,5 ❑ 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. 011, have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 Q Heating L Cooling Ventilation Hood 2.00 Q Permit Fee $ $ `%+Cariii'1De.elop I certify that I have read this application and state that�,3he above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and)7herebyt Tent Fee $ TOTA�LPERMIT FEE $ U authorize representatives of the County of Butte to enterjupon'.thet, 4 Th'iVermiNs hereby issued under the applicable provisions of above entioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated 1;. abov riwhich fees have been paid. ' '� e 1�, I C—TOR OF PUBLIC WORKS X Date /v ' ' ' 40k hfl' C °�e�r %tx� Signature of fPjermiteeee` or Agent By(,}g pJwv Date /O /V ! V Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date �� y 9�����Ei�it��t�tt�Ot�6�g� j� U� �� q . J � u, ' 6i�tlo�1 �I�O�id d®'LQD� �� � ° ` ��na �© t�.�n�� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.. — Orgville, 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 ' Date ® Zo Ignature of3 �Kerfwfitee r ge t Receipt No. / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated 9P 49or which fees have been paid. I EG -TOR OF PUBLIC WORKS AL By D to Building permit expires Date BUILDING Owner ,4rJ Z> 2AIL C SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor rp5( ELEG772./C /NG, Mailing Address 3995 OL -I(/16 14-4w%i Fireplace Total Valuation 0eoV/LI_E G� . RS9�� Telephone No. Permit Fee Building Address 3/7g�QpgJ�7>O 12D, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lar "Q4 J®SNUA I T ke,5 t C -O Repair drainage or vent piping 1.50 A. P. No. 4y 6 3 —73 (P.0 0-T. P_ -Z_ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees I Mel Samson I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld ec d I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [1� _ Permit Fee $ $ �L EGTLIG/31L �p� 8 P7""- 4 7 7$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,Op Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ®/ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O OR ADDNS. % ACC. BLDGS. 2(tsgft 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: /�� C��t1.�'d,CjC NEW RESID, / BRANCH L T NON•RESID ` BRANCH CIRCUITS) J2.50ea NEW CONSTR (POWER APPARATUS.8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L2; FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,_ C -/C) License No. 3c�s 366- Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 32,'76- $ 3 Z %5 MECHANICAL No. @ 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 Wor men's Compensation. 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ 3'L 5 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' Date ® Zo Ignature of3 �Kerfwfitee r ge t Receipt No. / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated 9P 49or which fees have been paid. I EG -TOR OF PUBLIC WORKS AL By D to Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -7 County Center Drive• -. Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner L4 Q SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 ( g Telephone No. -0CJ Contractor Mailing Address Fireplace pp Total Valuation Telephone No. Permit Fee Building Address 3 f%• Plan Checking Fee&/or Penalty Permit Fee $ 0- co PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. .,'j 3 Ia7OfZT) Z i g &2TI`ronning Water piping 1.50 Each gas water heater or vent 1.50 F W . "444aSiAp Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel ApEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Pdlt�zermit Fee $ $ u 11 - _ 7� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER eoov LESS AMP OR 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OC cup- 4) 20sgft OR'ADDNS. ACC. BLOGS. 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: NEW CONSTR. MULTI.OUT LET NON.RESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES g L 250 1� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of Cal ifomIa. Permit Fee $ $ MECHANICAL No. @ 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. ertlfy that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee Is TOTAL PERMIT FEE $ S `s0 author presentatives of a ounty of Butte to enter upon the abov -men ' ned proper for n tion purposes. 1 -70 Date v ` ignature of Permitee or Agent Receipt No. 1856 6 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the t County Code and/or resolutions to do work indicated ve f while fees ave been paid. RE l'Ofl-OF PUBLIC WORKS v By Dat L7tP— Building permit expires Date�% �I COUNTY OF BUTTE - D&ARTMENT OF PUBLIC WORKS PERI NO.n 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r cv ASSESSOR PARCEL NUMBER ZO NG BUILDING PERMIT OWNERTELEPHONE .0 r SO. FT. OCC. BUILDING VALUATION OWNER' AILING ADDRESS r6 CONTRACTOR'S NAME TELEPHONE CONTRACT R'S MA 1 G ADDRESS , Fireplace O e 0 ` CONSTRUCTION LENDER 'ys UNKNOWN Total Valua IOn/$ Filing Fee$ 10.00 LENDER'S MAILING ADDRESS Permit Fee - $ d Qp ARCHITECT OR ENGINEER "AlE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � PLUMBING PERMIT Filin Fee 10.00 9 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 RI Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [Remodel [I Utilities [IInstallation❑ Other Describe work: �a _ ��dg Permit Fee $ Contractor _ ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 5.00 . 9 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.D11 OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification ❑X I, as the owner, or my employees with wages as their sole compen- sation, willdo the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -Ou LET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS e NON.RESID. SINGLE, OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL21 100 FIXED APPLN5, OR Ex. Occup.(OUTLETS (RESID•) EA. 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee* 10.00. - WORKMEN'S COMPENSATION INSURANCE I declare under 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. Heating Cooling - Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply•to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 s id County in consequence of the granting of this permit. X Date - 90 Signature of Applicant Ow erP( Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP, GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IflECTOR OF PUBLIC By PERMIT EXPIR ate the applicable provi- resolutions to do fees have been paid. WORKS Date r dam= p�s� Receipt No. ! WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. ,.Other - �3z'�/C d' zVga—' GGY/.v %yam �/1&�{ _�� !` �('ll.1/� Date 1.2 l / r1/ Applicant ---&&4 �, , Copy of plans sent Health Dept., Fire Dept., Other Date. During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW COUNTY OF BUTTE-wDEPARTMEN-rOF'PUBLIC WORKS — BUILDING DIVISION _ 7 County Center Drive — 0roville, California 95965 — Telephone: 534-4541 _ PERMIT APPLICATION DATA SHEET Permit No. OWNER ►'� � 1`7G. �A. P. No. 4/ Proposed Building Use r Ov000l Permit fee based upon: Complete Contract Price ti DPW Valuation Other (explain) Building Inspector �� �/%/�� ��/ Date At time of permit application, I was advised the=fol-lowinI data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. ���13. Certificate, of, Workmen's Compensation Insurance ........................ � rlr�� Information (no., Contractors-Litense name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre-inspectionfor required. Pre•inspec.request to q bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. ,.Other - �3z'�/C d' zVga—' GGY/.v %yam �/1&�{ _�� !` �('ll.1/� Date 1.2 l / r1/ Applicant ---&&4 �, , Copy of plans sent Health Dept., Fire Dept., Other Date. During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner_: r An "owner -builder" building permit has been applied for in your namie'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building 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 z Yf 2. I ( av /have not) �i'G{11Qi signed an application for a building permfor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed i construction: Name Address ' City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City, ' Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : 1) /� Property Owner Q( GL (.� Social Securit tuber �� Date 17-19 _IW IZ-i9-S0 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 permitted to issue the permit.