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HomeMy WebLinkAbout025-220-005� 25-22-5 Dp ald Smith E/S Watt Lane, app.Z mi/N.of'Stimpson Rd . , Oroville ermit #1914-80B,P„E,M(addition & model/SF) - f25="22-0-005' . r 99-0829 `B SMITH, Donald L.- 2 . . 204 'Watt -Lane,-,Oroville R .4 kreroof/SF). George Roofing` �rnaL 1 -`4 r rr' i -PIIA 'I, 4 n I L= - 4 n I L= - r ^,FRMIT NO. 1914-'80B;V,E,M" c 6 PERMIT EXPIRES I} Donald Smith OWNER ONTR. owner 25-22-5 LOCATION (A.P. ) 2472 Watt Lane, Oroville E/S Watt Lane, app.2 mi.N.of Stimpson Rd., Oroville . 1. . Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Pn Heating Service Cooling Temp. Pole Ducts _ _ % Underarouni Al Temp. Power Pole Ca I Led P G& E Temp/Elec. Serv. - Called PG&E J TeAp. Gas,Sere. E Called PG&E ,t 2 0 eo FINALED (Date) (Signa re) COUNT'>r OF BUTTE — ._DEPARTMENT OF PUBLIC WORKS � • BUILDING INSPECTION'.RECORD BUILDING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel Bond Beam FramingL ""4 Stucco 1 Mesh Scratch Brown Finish BUILDING (Cont'd) Firewall Restroom Fini Windows�J Siding Roof Sheathim Roofing Fdn. Vents Garage Vents Insulation Prov. for phys PLUMBING ' Soil Piping 1st Floor t 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters ally Appliances ex. Gas Piping & Test TemD. Gas FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Pn Heating Service Cooling Temp. Pole Ducts _ _ % Underarouni I ./ O ELEC T—"— Z v Door Closer Fingr V Lv d J MOBILEHOME UTILITIES ----------------- ec_ Service ec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE - REMARKS OR CORRECTIONS e- (f/%��(% � Lam- Gd— L ert"�.PD�t/ 4C��i�-�� Z �•� Co" _ �LC1�� ; �0Y1<1I lug If {!{ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695'OIeander Avenue, Chico — Phone 343-4211, Ext. 70 7'Cotinty Center Drive,-Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION OTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, pleasecontactthis office immediately. � Wit•• �� °�� 9 j o to Inspector Date !'-� - Y-^ v OF BUTTE €PA MENT40F PUBLIC WORKS 695 Oleander Avehue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or -need additional explanation, please contact this office immediately. J I L� Inspector Date —`j . —MINTY OF BUTTE DEPARTMFNT OF PUBLIC WORKS 895 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /'? -. r2 Date - 2- ?--X 3 0' • 9 PI 1(dash) - = OK 0 = Nat OK A . X = NotApplicable RESIDENTIAL (Single and Duplex) (blank) = Not dealt"vithiyet 19/g- sry )ate UNDERFLOOR Plana OKexe t Ws Dale FRAMING Continued 1. Zoning requiraments-So tbacks-Easements 48. Property Line Firewall & Openings - 2• Ftg., Main; Soils-Steel-Elec. Grnd.- " Ftg, Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils-Stsel_ " Ft 2.Depth 50. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Oacks; Soils -Steel- " Ftg. Depth 51. Plywood on Root Overhang -Attic Access -Ra [ter Oulriggers 5. Stemwalls, Main; Steel-8lockouts -Wrapped-Slab 6. Stemwails, Gara ; Steel -8lockouls-Wra ped -Slab 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screod-Fdn. Vents-Undertlr. Access 7. Piers -Fir ' ce Ft .-S 54. Glazing Area -Glass Prolectlon-Skyllghts-Plaslic 8. D.W.V.: Fall -Fillings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. 11. 12. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground Plenums & Ducts; Clearance-Malerlal•-Support-Ins.' 13. Girders-Silis-Anchor Bolts -Joists -Vents -Cripples Card -BI / Date �.� •, Card -81 pate Card -BI Date Card -Bl Date - Card -BI Date Card -BI Date I Date ard-BI Data Date ' FIN Plans) OK except N's ;ard-BI Date ' Card -BI Date )ate PLUMBING (Permit) OK except It's E Steps-Ooor & Sidelight Protection -Landings a Detector 4. Water Ht.; Vent -Access -Combustion Air Furnaco;'Vents-Clearanco-Comb. Air -Connector I aro e;'Above Floor -Ducts -Meeh. Protection . -115.1 Wale( Pipe; Test & Anchors -Nail Pro0action 16. D.W.V.; Test-Fltn93 & Anchors -Nall Protection ..pedroom Exiting 17. Shower Pan: Test, First Floor -Tub Access W. G.F.I. & Bath Fixtures & Tub Access EI c. Trim & Sub anol: Breaker Sizes -Labels est Tub & Shower, 2nd Floor -Tub Access 9 Gas Pipe: Size & Anchors Irs & Rails ka-Fireplace or Stovo; Clearances -Hearth :ard-BI Date Card -81 Date 8++�lec. Outlets at Wood Panel; Int.'&,Ext. Kit. Fixt. & A Iiancnd.-Air a Cookin Clearance :ard-BI Dale Card -81 Data Elec. Outlets & Receptacles it. Counter )ale ELECTRICAL Permit OK exce tp's A -Garage Fire Door; Swing -landing -Closer' <-6B-A. . Duct In Garage -Damper 20. Fixture & Transformer Clearance -ins. Protection Wtr. Htr.; Vents -Clearance -Comb: Alr-Connector-P.R.V.- w- I ISo age; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors •7C, r Plb.• Elec. L.Mech. Equi . Listed for Location 22. Size Boxes & No. of Conductors -Stapled -33.. Elec. Receptacles In Garage; (G. F.I.) Romex Protac.. 23. Romax Installed Close to Edge of Studs & C.J. Insulatlon-Foam-Looked In Attic es ' 24. Equip. Ground made up w/Meth. Fasteners -Bond Gas & WaterGuard Rails & Deck Construction -Post Caps 25. 2'Appliance Circuits In Kitchen 8 Conductor Size Fdn. Vents Crawl Hole Door -Drainage & 1Yood Earth Clearance Looked under Floor El Yes 26. 27. Subleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ONo Followin Instld.: Drive 9 ❑Yes o; Walks Yeses o; P lees OYes �'No; Creating[ .Problems ❑Yes o 28. Service -Riser Conductors & Ground -Main Disconnect Stucco; Brown -Finish .' i _i : .q+l. , Unit; Disconnect-Clrnces-Brkr. & Cond. Slze-115V Outlet 29. Equip, Claarances; Panels -Motors -Meth. Equip. 30. Clothes Closet Light -Shower Light nis Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. _ -W_Vfpaer Well; Disconnect, Electrical, Plumbing . Exterior Elac. Trim; G.F.I. Receptacle-Undem_round ard B -I Date Card -BI Date Ventilation throughout House 42r Glass Protection 89t C erections from Previous Inspections 'ard B -i Date. Card -Bl Date :ate MECHANICAL (Permit) OK except q's Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support W er & Sewer Connected -C/O to Grade -HO A proval _ - 32. Vent Fan; Exhaust above Insulation Wk.Energy Compliance Certificate --Other Certificates 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vern; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform It Furnish In Attic ard-BI Date Card -81 Date Card -BI Date /!% Card -BI Date Card -81 Date Card -81 Date 1 ard-81 Date Card -81 Date Card -81 Date Card -81 Data ate FRAMING(Plans) OK except WS Comments at Final: 36. Sills: Proper Matsrial & Anchors _ 37. Wall;; Studs -Nailing, Spacing & Bracing -Plates -Sound 33. Bearing Y(alls over Girders R. Floor Nailing 39. Draft Siop in Walls (rat proof) 40. Fire Std; Furred Ceilings-Chases-Tuh 41. Header R_Beam-Siza &_Bearing 42. Hangers -Post Caps -Anchors -Connectors 4J. 4. 45• Clog. Jos -Fifir. Ties -Purling -Roof Brae.-Tru_s_s-S_- ng._Rlnq. Fueplacr Ties or Typs A Flue- ireplaco Throat _- - Attic Access; Sizo & Romex Protection -Orap Stop -Ins. Baffels r 46. 8drm. Windows or Exiting Doors_ -Sill Hgl. & Dimensions ' 47. Ga(age Fire Protection Framing �'0 ,D C 0 f:. T�� RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAL ED IN CO ORMANCE WITH CURRENT ENERGY C VLATIONS SERVATION AT (location) BUILDING PERMIT NO. /�%5` �d A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR, a�— GLAZING: Single Glazed 4E5 Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. �h BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name (please print) Signature of Insulation Applicator General Contractor/OwnerName Signature of General Contractor/Own air, ff%f/%i /0", l State Contractors License No. ( e in ;) Date State Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF-BUTTIt - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 334-4541 APPLICATION AND PERMIT autno erepresentat)ves oT the County T Butte to enter upon the abo - entioned pr erty r i cti urposes. %X Date ignature of Permitee or A ent Receipt No. 3 White-D.P.W. - Yellow -Assessor -Ink-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 IUBLIC WORKS BY Date 1%-3/- ,?a Bud�l'ding permit expires Date ��-���-,' BUILDING 711, 'low Owner 1OMAt-D SSI (TA SQ. FT. OCC. BUILDING VALUATION O � 7S • 00 Mailing Address �j�j� 4Z�i� 5'7' �/� _ OO RIC 4MO 1D C4 Telephone No. Y--) 75e)- no 11 Contractor 0 Mailing Address Fireplace 750. 00 Total Valuation Z'3 Telephone No. Permit Fee 105.00 Building Address S4,Z WA -T -i LAO E IanCheck in ee /or Penalty 15 00 &2 Or Permit Fee 1(07-;& S WATT (_t3. _ 2 M 1 . r PLUMBING No. @ FEE F 5-TIMPS00 8D PERMIT FILING FEE $3.00 3,orj Each Trap 4_, r Q�ZO� 1 U Repair drainage or vent piping 1.50 �J /� A. P. No. 5 L G - Zoning & Planning Water piping -4c5e 2, 00 Each gas water heater or vent .1.60 'Z - Do ees W{� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets p� EQA Parking ParcelEach Plans Declaration Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 , Bldg. ns Recd Parcel Approval Plans Approval awn sprinkler system 2.00 NEW ❑ ADDITION Er UTILITIES ❑ OTHER permit Fee $ 2� ADD. 1 "' TZOOM S re-CM.©DeL_ I OT- ELECTRICAL No.1 @ FEE n2� PERMIT FILING FEE $3.00 r 0� Main service 600V OR LESS 10o AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA- ADD'L 100 AMP 2.50 k)rW FVD• Main service OVER 600V AMPOR LESS 25.00 t Main service EA. ADD'L 100 AMP 1.00 NEW CONST. (DWELLING O 4) 120 sq ft Q` OR ADDNS. 1 ACC. BLDGS 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 st le of: y NEW NON-RESIESID.CONSTMULTI-OU T D. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTURES) 50'2sa BA I 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 6.25 131'1am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Vjlorkmen's Compensation Insurance. vrl 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 3.00 Heating 2 O Ori '5PACJ__- t T __ Cooling Ventilation Hood 2.00 .00 Permit Fee $ 9, cc) $ OD 1 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 $ autno erepresentat)ves oT the County T Butte to enter upon the abo - entioned pr erty r i cti urposes. %X Date ignature of Permitee or A ent Receipt No. 3 White-D.P.W. - Yellow -Assessor -Ink-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 IUBLIC WORKS BY Date 1%-3/- ,?a Bud�l'ding permit expires Date ��-���-,' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS l . SPEEC_TIOt'RI PORT Address: A. P. Date of Inspection_/_"� 7-t1 Tenant:"''� / ..Inspector — Building Locativn:�J? PryD - s Type of Inspection requested: housing 7-2: 2. Financing � 3. Change of Occupancy to 04. Other (specify) Preseut use of bui,lds..ng: A. Sanitation Ii�u�ind 1. Vater closet:_ 2 . Lavatory :�- 3. Bathtub o shower 4. Kitchen. sin U 1. Hot and cold water to fixture / p SIZ -4- 6. Heating fa.e :1:tties:re-�� 7. Natural light -and nttlat ion: 8. Rormn and space requirements: -- 9. Bedroom window or door; for second exit.-.- 10. xit:10. Infestation of ilsects, vermis?, or ro& ts: 11. Connection to sewage disposal.: - -12. Connection to ,water supply:I L 13. Rubbish and garbage facilities: 14.' Comments - B. onments: B. Structural 1. P -.ars and footings: 2. Floor ranstnaction:k ed -are-as 3. Wall construction: __ (�K 4. Cei.lin anti r of constffriction': S 5. F r .p1.;ices- -- t s �k ee'iir�� : _ C�' r1 V 7:Zxj e - kn v TA l o v hh o r C. Electrical i. Servicc: end f-ron3:� Vt ro�� 3. 4. Cmim-nnts: D. Plim:bin_g �y • 1. F .xtuxes c.o:i::zcte cd %and vented: T� S� V //0 items► 2. c -as vater heater: 3. Gas i.cat.ing 4. Ccr:menr..s: i E. Other 1. Maintenance and repair: 2. Fire hazards: z, c 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: I ) i,. ,L l— AN— - F. Comm'erX3- c ldin s 1. Rring- 2. Dto roperty lines: 3. Pandicapped: 4. Roors and walls:5. E6. It 7. 7_8. C G. Field Problems or Violations 1. Problem or *iolation (give complete description): 2. What action taken (give coraplete description) 3. What action recommended: 7-7 A. lnfor-iiation only - fili-,. 77 B. Hold for ten (10) days, then write letter. C. Write letter. 77D. Other• vn. - F =00599-0829 B Donald Lt Lane, Oroville /SF) George Roofing i i t � i s �f ,f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Gfalifornia 95965 - Telephone (916) 538-7541 e^ D P�ft�T Nn• (Rev.12/96)APPLICATION AND PERMIT -� X11 ASSESSOR PARCEL NUMB ER a -0 o � ZONING BUILDING PERMIT OWNE sm�.th, Donald L. TELEPHONE 533-8534 SO. FT. OCC. BUILDING VALUATION C W 960.00 NER'S MAILING ADDRESS IT 668 Oro Dare Blvd, Oroville, CA 95965 800 BUR 1040.00 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd, Oroville, CA 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 2000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 204 Matt Ln, Oroville, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 65.00 LOT NO.SUBDNISIONS NAME t 0. i i PARCEL MAP t 1 rR. PLUMBING PERMIT Fling Fee 20.00 �USEOFSTRUCTURE SF IJ Duplex ❑ Mobilehome ❑ Other SPECIFY �"Each Tr'yap ' 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 x❑� Other ❑ Describe Work: Composition Shingles/BUR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LE Main Service 20.AORLENS 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. License Class C-39 ♦ C-1 4 Lic. No. 452256 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 underkSec. Business and Professions Code for this reason -1110 iE t " WORKERS"COMPENSATION DECLARATION "' I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will , aintain a certificate of consent to self -insure for workers' compensation, as'Oprovided for by section 3700 of the Labor Code, for the performance of th'e work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Oode, for the performance of work for which this permit is issued. My workers' compensation insurance carrier andolicy number are: Carrier Viiianova insurance co, Policy Number WC1 20537019Mobile (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � n X y �lc ,rte/ = Date _1/ % _ Signaturefoff Applicant - ❑ Owner (0 -Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. P of Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNG occuP. so OR ADDNS. ( 8 ACC. S.3.50FT. NpN.gEgNIDT MULTI -OUTLET BRANCH CIRCUITS @7.50 POWER APPARATUS '.LE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES SAL 8 .so Ex. Occup. ourLEtDrs (R. o.) OR... 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S -MECHANICAL--PERMIT" Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. D. FEES IMP FLOOD COF PARCEL I PD I HD I 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. /� `Bya�Date PERMIT EXPIRES ON Date Receipt No. > _ / r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75412✓d dT�� (Rev. 12/96) APPLICATION AND PERMIT -,— ASSESSO R PARCEL NUMBERO ZONING BUILDING PERMIT OWNER Smith, Donald L. TELEPHONE 533-8534 SO. FT. OCC. BUILDING VALUATION 1600 Com 960.00 OWNER'S MAILING ADDRESS 1668 Oro Dam Blvd Oroville CA 95965 800 BUR 1040.00 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd Oroville CA 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 2000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 204 Watt Ln Oroville CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 65.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobitehome ❑ 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 ❑ Installations Other ❑ Describe Work: Composition Shingles/13UR Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, 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.PSINGOWELR License Class C-39, C-1 4 Lic. No. 42266 5 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. f{7 I 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 Villanova Insurance Co. Main Service 200A To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT. rNioN RESIDT MULTI- OUTLET @7,50 APPARATUS d E OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES�,� �':� Ex. Occup. OUTEIFTS RESID A D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WC I 2 0 5 3 7 019 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. % X ate _ _ L sign atur pplicant - ❑ wner ontractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or constructiony of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. D. FEE IMP I FLOOD I CDF PARCEL I Po 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. to PERMIT EXPIRES ON y�.271,;z o 6d mate ReceiptNo. WHITE-D.D.S.-B.D. CANA Y-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT