HomeMy WebLinkAbout025-160-036000
025160-036 EIZMIT#94-2480
KISTER, DARELL„liy�-r�-e= 9�/8��j
6317 POWERIL
HOUSE HL -Rb'.-, ORDVILLE
CONT: ADONIS POOLS& SPAS'
NEW .PRI SWIWIING POOL
025-160-036 00-2764
KISTER FAMILY TRUST
6317 POWER HOUSE HILL RD. OROVILLE
CONTR: THOMPSON MAINTENANCE
RE R00FFll,,40 /I,1W1_L/)()
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'KISTER, Darrell 54-67B
38-67E -- -
5-16-3 �I
s/s Powerhouse Hill Rd. -app. -g-`
mi . east of
Hwy. 70, Oroville _...
GIONTR: Moseley & Hill, 385 Hillcrest Ave]
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025160-036 EIZMIT#94-2480
KISTER, DARELL„liy�-r�-e= 9�/8��j
6317 POWERIL
HOUSE HL -Rb'.-, ORDVILLE
CONT: ADONIS POOLS& SPAS'
NEW .PRI SWIWIING POOL
025-160-036 00-2764
KISTER FAMILY TRUST
6317 POWER HOUSE HILL RD. OROVILLE
CONTR: THOMPSON MAINTENANCE
RE R00FFll,,40 /I,1W1_L/)()
i
'KISTER, Darrell 54-67B
38-67E -- -
5-16-3 �I
s/s Powerhouse Hill Rd. -app. -g-`
mi . east of
Hwy. 70, Oroville _...
GIONTR: Moseley & Hill, 385 Hillcrest Ave]
(convert arport to bedroom)
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RESIDENTIAL
25-160-036 PERMIT#94-2480.-
KISTER, DARELL -
6317 POWERHOUSEHILL RD.,-OROVILLE
CONT.: ADONIS POOLS & SPAS
NEW PRI SW - IMMING POOL,
41F.1
i.
JOB FINALED (Date)
I Signature
V=OK
O = Not OK 4
-=NotApplReadyeble, MOBILE HOMES
'
Not Ready
11
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
s�
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fell -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Net. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8.. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
S. Gas and Electricity Tagged .
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftm-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landing§
Date/Initials POO Plans OK except #'s
Set acks-Easements
oil mpaction-Structure Stability
ool Str tura; Steel -Connections -Thickness
en -Lining
Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec nclosures; Conduit Entries-Terminals=Listed
lac.; Bonding; Metal w/5' -Circulating Equip. -Heater
lac.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir T Water Supply Test
� t
V=OK
O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials. UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/: /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls; Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12..Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Mein Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date_ /Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wells over Girders & Floor Nailing
42. Draft Stop in Wells (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nalling-Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpansl; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERM6TNo.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 025-160-036 .,
ZONING /L /
BUILDING PERMIT
OWNER MR & MRS. DARELL KISTER
TrJNN-E[L24444
SO- FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 6317 POWER HOUSE HILL RD .XTH
]Q,800-00
CONTRACTOR'S NAME ADONIS POOLS & SPAS
TELEPHONE9-1197
CONTRACTOR'S MAILING ADDREr2 PHEASANT RUN CT CHICO
1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER CAL BACHMAN
LICENSE No.
Plan Checking Fee $
2300
ARCHITECT OR ENGINEER'S MAILING ADDRESS
ESPLANADE
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 6317 POWER HOUSE HILL RDPERMIT
FEE $
9c;n no
OROVILLE, CA 95965
IN
PLUMBG PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00 15 Q
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF C3 Duplex O Mobilehome El Other SWIM POOL
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New MX Addition O Remodel ElUtilities 1:1Installation ❑ Other 1:1PERMIT
Describework: RESIDENTIAL SWIM POOL
FEE $
35.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
MASTER 91-508
OR LIE
Main Service ('OV200AOR)
LESS
23.00
Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( & ACC. BLOS. )
S0,
3.50 FT.
NEW CONST. MULTI -OUTLET
.NON.RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions d ense is in full force pV effect
License N Classification (� ii��
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
( POWER APPARATUS )4
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 1@ .50
Ex. Occup.FIXED APPINS. OR
( OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities.
20.00
Misc. Wiring
23.00
POOL
30.00
PERMIT FEE $
50.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
1 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 conseq a of the granting permit.
X Date / — L,
Signat re of Ap licant - O Owner ❑ Contractor Agent
An OSHA permit is required for excavations o er 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
LQ
CONST. TYPE
TOTAL FEE $
3119 no
HAZ.
D. FEES
IMP
---��
FLOOD
cDF
i
PARCEL PD
-----
HD
SSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whic s have been paid.
By s Date
PERMIT EXPIRES ON < /
(Date)
Receipt No. 167422
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1j d
{: y i►
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE-0
Plot Plan Anachad a
Floor Plan Attached ,
Sent to B. r-- _ V
3Z7
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
r hom . Other
Hold final for:
Final clearance O.K. for:
NOTE:
Specialist
Qi4I7
0
V I/jV 7
Date
t
CPI NTY.OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
Copy - Department of Public Works
� V fi��' 2 S --�, /-G - 3.6
OWNER
A. P. No.
Proposed Building Use Building Inspector Date 5V7
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 items have been submitted . ....................................... .
2.
Plot plans, 3/4 sets, signed' by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ...................... r� }
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................ T
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule . .............................. .
12.
California Department of Forestry plan approval/fees. ....................... .
14.
ood elevation letter (100 year flood) lifornia Engineer . ................. .
Sanitation and plot plan approval ealth Department . ............
15.
City of Chico plumbing permit. ......... !. ,............................ .
16.
"Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . .........
18.
Contact Land Development about (A) Improvements (B) Drainage.
19.
Driveway permit (construction approval required prior to occupancy). ....
20.
Preanspedion request
Pre -inspection for required. .. to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of WorkmanssCompensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24.
Recorded copy of Agricultural Acknowledgement Statement . ................. .
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . ......................................... .
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
ou issue the permit process as follows: Mail to owner. Mail to contractor.
Telephone 495 ,•/197and hold for pickup at G!�(L ✓ office. Deliver with inspe ctor.
!vOther
,
Parcel Creation
Acreage
_"% q
Applicant' Date (7 `j
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent
Health Dept. . Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit
for above items No.
2. Additional items
required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans by Date Plans approved by
checked Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
PE
FA
8/28/95
MR & MRS DARELL KISTER
6317 POWER HOUSE HILL RD
OROVILLE, CA 95965
;:::....suite Count
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: 1916) 538-2140
RE: Building Permit # 94-2480
Expiration Date: 9/19/95
A.P. # 025-160-036
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[ ] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus'a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
[XX] No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the'work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or shou OROyou have any questions concerning
this matter, please contact the office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Mic el C. Vieira', C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
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025-160-036 00-2764
KISTER FAMILY TRUST
6317 POWER HOUSE HILL RD. OROVILLE
C014TR: THOWSON MAINTENANCE
RE ROOF
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SAT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7,CoUnty Center Drive • Oroville, California. 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION ANDVERMIT Rl "w971,64
ASSESSORPARCEL NUMBER
Ciz5--16@-{?36
ZONING
BUILDING PERMIT �,,/
OWNER
KISTER FAMILY 'TRUST
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
r
. OWNERS MAIUNO ADDRESS
6317 POWER HOUSE HILL RD. OROVILLE 95966
CONTRACTORS NAME
THOINMN MAINTENANCE
TELEPHONE
893-0548
CONTRACTORS MAILING ADDRESS
1479 HOOKER OAK AVE CHICO 95926
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1740A
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $ 20.00
Permit Fee 5 41.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
6317 POWER USE HILL RD OROVILLE;
Energy Plan Checking Fee $
$
1
PERMIT FEE S1110
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.0023.00
• USEOFSTRUCTURE
SF O: Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other I
Describe Work: REROOF i
t
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
800OR LE
. Main Service 2o.A V0.LESS 23.00
i
LICENSED CONTRACTOR'S DECLARATION
1 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.r.,.
License Class j Lic. No. t 0 6) S S
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 coritracting with licensed contractors
to construct the project.
❑ 1 am exempt under Seca '— Business and Professions Code for this
reason
WORKERS' COMPENSATION. DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
\RIO"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 islissued.
❑ 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 a,Pd policy number are:
Carrier J 4- A 4
Policy Number -"7 1 7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or fess.) .
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X f 1 , eq, - Date 1/ -- % 7- o J
Signature of Applicant-: ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To I000A 46.00
NEW CONST. DWEllING OCCUP. SO
OR ADDNS. ( a AGC. aLnS. 3.5QFT;
T.
NON -AID. MULTI.OUTLET @7.50
POWER APPARATUS
a SINGLE oLmer aR.
so p 1.00
Ex. Occup. ovnEr OR FixruREs BAL o .50
NS
Ex. Occup. ouXrLEEors RL.16)OF 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
_, 1 -.MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling' -
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home_ Installation Fee $
Energy Ir spection-Fee $
occ
CONST. TYPE
TOTAL FEE $ 61x00
HA2.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSU
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.
//0"
Byy92M(;a�-/3-oc)ate
PERMIT EXPIRES ON
F Date'
ReceiptNo. X)Vr 5x'UU
WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ,9 PERMIT,NO.
(Rev. 12/96), APPLICATION AND PERM(T�
ASSESSOR PARCEL NUMBER
025-160-036
ZONING
BUILDING PERMIT
OWNER
KISTER FAMILY TRUST
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1/4U. UU
. OWNERS MAILING ADDRESS
6317 POWER HOUSE HILL RD, OROVILLE 95966
CONTRACTOR'S NAME
THOMPSON MAINTENANCE
TELEPHONE
893-0548
CONTRACTORS MAILING ADDRESS
1479 HOOKER OAK AVE CHICO 95926
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1740.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 41.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 6317 POWER HOUSE HILL RD, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing ee 20.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other F1
Describe Work: REROOF
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 @20.00
PERMIT FEE _
ELECTRICAL PERMIT Fee 20.00
RLEFling
600VMain Service 20.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 ' full force and effect.
License Class Lic. No. _L0 �� % S S�
OWNER -BUILDER DECLARATION
1 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.
❑ 1, 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 46.00
DWE200ALLING
NG Dec
NEW CONST. owELUNo Occup. 3.52F°:
OR ( ACC. BLDLDSSi
NEW CONS•
M
NON•RESIO. @7.50
B�NOLE O R.
EX. Occup. OUTLET OR FIXTURES BAL @ X.w
Ex. Occup. ..'ED AM -.OE'A, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
WORKERS' COMPENSATION DECLARATION
1 here affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' comj�ensation insurance carrier d policy number are:
Carrier J�}-�-� �`.i��
Policy Number— S
(The above sections nee not be completed N the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
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
Signa ure of Ap licant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FE1= $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 61.00
HAz.
D, FEES IMP
I FLOOD
I CDF
PARCEL
I Po�1113
ISSUcompensation
This permit is hereby Issued under the applicable prvisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
6 e [
PERMIT EXPIRES ON
ate
ReceiptNo. 309002/$61.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
•0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 Telephone (530) 538-7541PERMIT o.
tRev.12/96) APPLICATION AND PERMIT A) 7iL2
DOMINO
BUILDING PERMIT
OWNM f TIMAP1ONC
SO. FT. OCC. BUILDING VALUATION
owNERs MAUNo ADORe°° / Oji/ BZ�,iJl �Y
CD ✓ e
CONTRACTOR'° NAJAE1�,Q.
` -
COWRACTORs MUM ADORE" Z:fF z
CONSTRXTM LENDER
LFNOors MAPLM AMMS
Fireplace
Total Valuation =
ARCmMCTGRENOINEER UCENSENO.
Filing Fee S
20.00
ARu°rEaT OR ENONEWS MAUNn ADDAM
Permit Fee
Plan Checking Fee L
OUILDWOADDRESS
Energy Plan Checking Fee E
A
S
PERMIT FEE _
LOT NO. 8LIa0N6lON8 NME PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Eh Trap
7.0023.00
USEOFSTRUCTURE
Solaro at pump water heater
SF* Duplex O Mobilehome O Other
Waterpiping-----15.00
Each gas water heater nt
15.00
TYPE OF WORK
Gas piping system 1 -5 outlets
15.00
New O Addition O Remodel O Utilities O Installation O Other
Building sewer
15.00
Mobile Home S G W
Q20.
Describe Work:
PERMIT FEE S
E ECTRICAL PERMIT
Filing Fee 20.00
Mein rvice =ooRR tEss
23.00
n Servi 200A TO IOWA
46.00
CONST. ELLINO OCCUP.
OONS. . OLDS,
3.5CSo
•romf.RESID. MUL
1 7.50
PS0 APPAAA
i SINGLE OUTLET CR.
Occup. WTLET OR FIXTMES
rEx.
82* 0 1QD .1
50
Occup. o EDS �Ip•cew
5.00
m ore Servicebile
Home Facilities
20.00
c. Wiring
23.00
PERMIT FEE _
MANICAL PERMIT
Fling Fee 1 20.00
*PERMIT FEE PAID $
Heating
SRA - - $
Cooling
SHERIFF $
Hood
6.50
Ventilation
OTHER $
PERMIT FEi: t
Mobile Home Installation Fee =
Energy Inspection Fee 5
eJ
occ CONST' TTVE TOTAL FEE $
d
AMOUNT RECEIVED $6 —
1Az D.FEES "'P FL°°° `°F
PARS F° MD Lam" E
This permit Is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
*RECEIPT NUMBER Q D
Indicated above for which fees have been
paid.
* TO BE PUT INTO COMPUTER
By Date
PERMIT EXPIRES ON
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