HomeMy WebLinkAbout025-020-005G. B. Powers -
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025-02-0-'005-, 98-0186 B
LOT BLOCK SUBDIV.
3452'Hwy 70,.0roville t
TYPE OF 6 a �T • -
PERMIT NO. PLAN NO. DATE ISSU ,-(demO, WSF) y� �t SUED
PERMIT REMARKS
i
PERMIT DESIGNATION: B -BUILDING
DEPARTMENT OF P -PLUMBING
T -TRAILER
BUILDING AND SAFETY
E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
TV - RADIO -TV ANTENNA V - VARIANCE EP - ENCROACHMENT
S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION 600.1
INSPECTION RECORD
BUILDING APPROVALS
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PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES & VENTS
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
PERMIT NUMBER:
DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-751M_0,/
�►IT NO.
(Rev.12/96) APPLICATION AND PERMIT 62
ASSESSOR PARCEL NUMBER`
ZONING
BUILDINGPERMIT
OWNER
STATE OF CALIFORNIA
TELEPH N
SO. FT. OCC. BUILDING VALUATION
3UUU
OWNER'S MAILING ADDRESS
CONTRACTpjj't,IM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHfTECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING AY41i 5 HWY 70, OROVILLE
Energy Plan Checking Fee
$
PERMIT FEE
$ 74.00
LOT NO.
SUBDIVISION'S NAME
PARCEL AP
PLUMBING PERMIT
Fling Fee 1 20.00
USEOFSTRUCTIJ
SF IR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: DEMO
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.A0RLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
Will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a Acc. BLDs.
S
3.5¢xO :
TLET9
NON -R S'IDT ANC' CU CU
@7.50
POWER APPARATUS
S SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 ® 1.00
p .50
Ex. Occup.OUTLEETS R s D.) OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
7
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ____ Date — �f
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
I f structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
NAZ.
D. FES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Osie
ReceiptNo.,2ff 7, 3,5"
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER �ZS-OZo-OD-5
zoNl °
BUILDINGPERMIT
OWNER T
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
000
CONTRACTOR'S NAME D
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S "UNG ADDRESS
Total Valuation $ O'er m.
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ &
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
G�f Lot-
Energy Plan Checking Fee $
PERMIT FEE $ , 00
LAT NO.
SUBONISpNS NAME
PARCEL MAP
PLUMBING PERMIT Filinb Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
sPECIFv
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
'New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _�,
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
800VR LE
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for'work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( & ACC. BIDS. 3.50FT:
NON-RESID. MULTI -OUTLET CIRCUITS @7,50
OWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET ORFDMRES 20@''00
BAL @ .SO
FIXED
Ex. Occup. ..APP
ur rsAo.°EA, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
.o
HA2.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(Date)
Receipt No.
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
40;
COUNTY OF BUTTE— DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: en 4, PFI alAC/`§ESSORPARCEL NUMBER: n ss e�;>2 a- o o_-5-
Proposed
sProposed Building Use: -L nT— Building Inspector: 6A- Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted .-------------------------------------------------------------------------------------
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
03. Complete pians, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
❑ 8. Hazardous Material Form. ---------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications ----------
0 10. Fees of $----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
020. Pre -inspection for required Request to Building Inspector on - (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------
022. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
❑2 Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
❑ 3 . Other: , e p C-0 "R_.- S' lcl" 1y -------
When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor.
kLdephone-33 - 57 O 7 C) and hold for pickup at office. ElDeliver with inspector.
533-L7 h.*,...i
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index pen -nit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
Demolition Permits
Asbestos Notification Statement
Date' 9,
AP# U Z S
t
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill but this form.
"19827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to issue
demolition permits as to.any building or structure except upon the receipt
from the permit applicant of a copy'of each'wrltten asbestos notification
regarding the building that has-been required to be submitted to the United
States Environmental Protection Agency or to a designated state agency, or
both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
the notification is not applicable to the scheduled demolition project. The
permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant's.response on the demolition permit appli-
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
C/Signa ure of Applicant
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicable to this demolition project.
ign ' ure of Applicant
-'2/19/91
W
Sue & Gilbert Powers
Permit #2753-84
COUNTY OF BUTTE - DF*PARTMENT OF PUBLIC WORKS PERMIT NO. f
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
l' ,� \1}1 �r`�` �� J`'r�
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
C r
CONTRACTOR'S NAME I
TELEPHONE
-
CONTRACTOR'S MAILING ADDRESS rh�
'N I I t ] * i `- "A t. J )
Fireplace
CONSTRUCTION LENDER A) it n
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ "',I, y r)
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00 -11) 17
Solar Water Heater
20.00
1
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
"_00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0
Describe work:•� `� •� 1 —
•600V
Permit Fee
$ r
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR LESS
Main service 100 AMP OR LESS
10.00
�1
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2,/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I 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. 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 MULTI -OUTLET 2.50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONST R. ( POWER APPARATUS &)
NON -RESID. SINGLE OUTLET CIR.
zo@goe
Ex. Occup(o TS OR FIXTURES 9AL030Q
FIXED
Ex. Occup. OUTLETS P(RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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 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.
Ar
X Date t-! ; r ��
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑X /
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 $ �� V
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By .tC .�7 . 7 i.
—
PERMIT EXPIRES Date)
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date r: t 9
)
`• '+
+�
Receipt No. ✓ 1 ar 4
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
—
ZONING
BUILDING PERMIT
OWNTELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'SMAILING DDRES
'� rD r
S
NT AC ORS AME
r
TELEPHONE
C TRACTOR'S MAILING ADDRESS
U d
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$ zun, O
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 2$J O
Solar Water Heater
20.00
ro
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each Cias water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
�-�/ USE OF STRUCTURE
SFU Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other
Describe work: SI —
4s —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00V OR LESS
1
100 AMP OR LESS
10.00
h St ►^
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50C
and Profession o e a y license is in full fgr�e and effect.
License No. Classification j�
❑ 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. ULTI.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &I
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETs OR FIXTURES BAL®a0e
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
V I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
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.
ve, indem ify d keep harmless the County of Butte against
I also aLa'u
all liabgmen st ,land exp nses which may in any way accrue
againstty in on equ ce ofh granting of this mit.
X � ?
Date
Signatur of Applicant — Owner F1 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 $ 6 ��
OCCUP. GROUP
TYPE OF CONST.
PARCEL PD
H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
7CTAOOF PUBLIC
BY
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No, -Z-6 6
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground
2. Receptacles:
3. Fusing:
.4. Comments:
ko
..
BUTTE COUNTY DEPARTMENT OF PUBLIC
WORKS
A
SPECIAL INSPECTION REPORT
Owner:
SViL 'P0wJ�e1Z.�
_. A.P. S-A7,-O�•-
Address:
I4j L 4WY (sem
Date of Inspect' n T-)
Tenant:
Inspector
Building
Location:
Type of
Inspection requested":
1. Housing / /.2. Financing / / 3. 'Change of
Occupancy to
f
4. Other (specify)
Present use of building:
A. Sanitation (Housing)
1.
Water closet:
2.
Lavatory:
3.
Bathtub or shower:
4.
Kitchen sink:
5.
Hot and cold water to fixtures:
6.
Heating facilities:
7.
Natural light and ventilation:
8.
Room and space requirements:
9.
Bedroom window'or door for second exit:
10.
Infestation of insects, vermin, or rodents:
11.
Connection to sewage disposal:
12.
Connection to water supply:
13.
Rubbish and garbage facilities:
14.
Comments:
n
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground
2. Receptacles:
3. Fusing:
.4. Comments:
a
E.
F.
Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
i . r
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
%% C. Write letter.
/
/_D. Other:
-ley. I
_77"
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1
-� -- COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
BLDG. & SUB,D. DIV.
INST/E'C,T.OR'S
DA1LY R`EPO'RT
INSPECTOR DISTRICT DATE.
PERMIT Nd. J LOCATION OF JOB PERTINENT DATA, REMARKS
Y
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rvu�� '
1,19
TURN IN THIS REPORT AT END. OF EACH DAY. (600.4)
24 Kour-Nottce Required For Inspection Service 723
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
Courthouse, Oroville — Ph: LE 3-1230; Ext. 259
Application # "0 B Permit #
A. P. # 25--02=5 BUILDING PERMIT
Valuation $ 6.,160 Fee Paid $ 24-00
This Building Permit is hereby issued under the provisions of Part 1.5, Division 13, of the Health and Safety
Code and the California Administrative Code, Title 8, Chapter 9, Article 7.
To G. B. Pondore
(Owner, Contractor or Agent)
Routo 2, Box 2249, Orovilio
Address
To Construct addition, oinglo family
Located I1amvillo Road, 80. Pal.o2 "o Rd., Orovillo
As per plans and specifications on file with this department
NOTE: A sanitation Permit must be obtained from the Butte County Health Department prior to construction and
a Driveway Encroachment Permit obtained from the Department of Public Works.
R.P. O'Neill, Director of Public Works: ByDate
r .
(300.1)
Permittee Owner-`'
Mail Address l
Contractor
Mail Address
BLDG. Address
(�) 77s%`
NEW F__j ADDITION
If Others, Specify
RESIDENTIAL
COMMERCIAL
OTHERS:
Remarks:
DIMENSIONS
A. ,.�) 0
B.
A.
B.
24 Hour Notice Required Foi Inspection Service
COUNTY .O -F {BUTTE
DEPARTMENT OF PUBLIC WORKS
COURTHOUSE — OROVILLE — PHONE LE 3-1230 EXT. 259
APPLICATION FOR BUILDING PERMIT
I?— a
Go�UWork
REPAIRS F-1 OTHER
Use of Structure
Single
Family ��"Duplex Q
Retail 0 Ind. 0
SQ. FT.
% ,o A.
B.
BUILDING VALUATION
/i
C. Plan checking fee or Penalty
f -Ipn I State License No.
IA.P. No..,—.).3--a z `C—
S P E C I F I C A T 1 0 N S
MATERIAL
Width at Top
M"la
Dwelling Width at Bottom
Prof. O Depth in Ground
R. W. PLATE (Sill)
Girders
OCC. TYPE Joists - 1st Floor
^r1' Joists - 2nd Floor
f•—
FOUNDATION
Joists -Ceiling
12 X 4
EXTERIOR
PIERS
)( V
/ It
Interior Studs
X T^
Roof Rafters
SIZE
SPACING.
rrr r.._ ,
Bearing Walls
SPAN
/'.
TOTAL VALUATION PERMIT FEE
$ Irr� $
I have read the above application and know the con-
tents thereof; the same is true and correct. I further
agree the above work will be done in accordance with
all State and County Laws and Ordinances.
X✓�...••:/„['.t-/;/..........................................................
SIGNATURE OF PERMITTEE OR AGENT
APPLICATION FOR BUILDING PERMIT
RECEIPT FOR FEE
Received from /
...............................................................:............................................
Permittee ai Agent
$.......................................................Z.FOR BUILDING PERMIT.
u
a
V
v
n,
0
4
a
PLOT AND FLOOR PLAN
Property Line
(SKETCH FLOOR PLAN IN SPACE
ABOVE AND DIMENSION)
Q U
a
�m
W
N
R. P. O'NEILL — DIRECTOR OF PUBLIC WORKS STREET
APPLICATION APPROVED: R. P. O'Neill - Director of Public Works
By.......................................................................... Date .............................................. .
�/�
Treasurer's Receipt No ................................. Account No................................. BY.?!bG
`........................................................................... Date ..............................................
3/5-913 _ I,00.,l
Joists -Ceiling
12 X 4
/111, it
Exterior Studs
)( V
/ It
Interior Studs
X T^
Roof Rafters
Bearing Walls
%� X (�
/'.
TOTAL VALUATION PERMIT FEE
$ Irr� $
I have read the above application and know the con-
tents thereof; the same is true and correct. I further
agree the above work will be done in accordance with
all State and County Laws and Ordinances.
X✓�...••:/„['.t-/;/..........................................................
SIGNATURE OF PERMITTEE OR AGENT
APPLICATION FOR BUILDING PERMIT
RECEIPT FOR FEE
Received from /
...............................................................:............................................
Permittee ai Agent
$.......................................................Z.FOR BUILDING PERMIT.
u
a
V
v
n,
0
4
a
PLOT AND FLOOR PLAN
Property Line
(SKETCH FLOOR PLAN IN SPACE
ABOVE AND DIMENSION)
Q U
a
�m
W
N
R. P. O'NEILL — DIRECTOR OF PUBLIC WORKS STREET
APPLICATION APPROVED: R. P. O'Neill - Director of Public Works
By.......................................................................... Date .............................................. .
�/�
Treasurer's Receipt No ................................. Account No................................. BY.?!bG
`........................................................................... Date ..............................................
3/5-913 _ I,00.,l
24 HOUR NOTICE REQUIRED FOR INSPECTION SERVICE
COUNTY -OF BUTTE
DEPARTMENT OF PUBLIC WORKS
COURTHOUSE — OROVILLE — PHONE LE 3-1230 EXT. 259
PLUMBING
Application 8& Permit
Permittee Owners / _J �,• ��-� ,•/�t�_ _
Mailing Address
Contractor State License No.
Mailing Address
y'vf'1 DESCRIPTION OF WORK
NEW ADDITION 0"__ REPAIRS OTHER
Ifothers, -specify......................................................................................................................................................................................................................
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family 0 Duplex ED Dwelling 0
COMMERCIAL Retail F__� Ind. Prof.
`
OTHERS:
Remarks:
PLUMBING PERMIT
FEES
PERMIT FILING FEE
No.
@
Fee
2.00
• O C7
Each fixture or trap or set of
fixtures on one trap
1.25
Each water heater &/or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Gas piping 6 or more - Each
.30
Ind. waste interceptor
1.00
Installation or repair
water
/
1.50V
Repair or alteration drainage
or vent piping
1.50
I have read the above application and know the contents
thereof; the same is true and correct. I further agree the
work will be done in accordance with all State and County
Laws and Ordinances.
Signature of Permittee or Agent
Lawn sprinkler system
2.00
Vacuum breakers or backflow
devices 1- 5
2.00
Over 5 Each
.30
House Sewer
00
Receivedfrom............................................................................................................
$........................................................................ F� OR PLUMBING PERMIT.
N
l
R. P. O'NEILLf! DIRECTOR OF PUBLIC WORKS
BY.......................................................................... Date ......................................
Treasurer's Receipt No . ................................ Account No........
TOTAL FEE I $ G,
PERMITAPPROVEDAND ISSUED
R. P. O'NE1,LL - Director of Public Works
/U-
Y�.................:.............................................. Date ..........................................
( 300.4)
24 HOUR NOTICE REQUIRED FOR,.INSPECTION SERVICE
COUNTY OF BUTTE l
DEPARTMENT OF PUBLIC WORKS
OROVILLE — PHONE LE 3-1230 EXT. 259 l `
ELECTRICAL
Application & Permit
Permittee
Mailing Address 17
Contractor State License No.
Mailing Address�� -
BLDG. Address/�/ti��.�/1/A l �/ `� J V /I .-%— tw �dt�.P. No..
DESCRIPTION OF WORK
NEW F-1 ADDITION �� REPAIRS 0 OTHER 0
Ifothers, specify........................................................................................................................................................................................................................
USE OF STRUCTURE
SingleMulti
RESIDENTIAL. Family � —Duplex 0 Dwelling 0
COMMERCIAL Retail Q Ind. Q Prof. Q
OTHERS:
Remarks:
ELECTRICAL
PERMIT
FEES
PERMIT FILING FEE
No.
Fee
1.00
�, d p
Permit for fixtures Each
7
1.000,
, 70
Permit for outlets Each
.50
Fixture outlets Each
.10
Receptacles
.05
Mercury arc lamp & EQ
1.50
Projection machine or ster.
1.50
Range or Heater
.50
Temporary Lighting Inst.
' 2.00
I have read the above application and know the contents
thereof; the same is true and correct. - I further agree.the
work will be done in accordance with all State and County
Laws and Ordinances.
✓��
X ... r 4......!%i/...0 C / /.0 Q�?'14�"'......................................................
Signature of Permittee or Agent
Incandescent Electision
1.00 '
Neon Sign or Outline Light
1.00
(more than 4 transt. Each)
.25
X-RayUnit n
2.00
Rectifier & Conv. Peak. W.
Motors
. 2
Received from.........::.........................................................................................
$ ..........:.........................................FOR ELECTRICA--L-'PERMIT.
R P O'NEII.I DIRECTOR niz p"RLIC WORKS
(G.I
r'�CY
/G
�, r
�f V
. ` TOTAL FEE $�,
r
`
BY................��...PERMIT APPROVED AND ISSUED
:..................................... Dille ..............................................
LLy,-�D"irector of Public Works f
Treasurers Receipt No ................................. Account No. B _�X/�ir7r' /�—Ao " (o
y�,..�..... ...............................Dole....;j...........................................
( 300.5)