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HomeMy WebLinkAbout025-220-017Al' 25-22-17 R- ��3— ® ��• rQ L.D. STEVE 42 - /(a - % w/s Stimpson d. 3rd place N,;—.,of turn, Gridl Permit# 644-75B(stucco exterior_ A jr re laceoe e 'roof) 25-22-17 NEW OWNER J. McCARTIN Stimpson Rd, app 2�I0 ' & N of Watt Lane, Gridley Contr: North Valley F ctric, Gridley Permit #4785-79E( ele ser & misc wirin . SF s 25-22-17 Perm,fMH) - Electric -704 -- Gas) b-/ 3i �IA PI - 1' Support struct a req1 b Compac,t8dan test 9 Alfw-- 2rM Permit 2747-82M�II :o[ Beich MH Serv,Chico sS�,�d /e/ice Y> � - 25-22-17 l 344 Stimpson Rd., Oroville AYQ f � 5�►`" IU Permit #2097-88B(open & cov. decl£y�fFi) I cjn COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 rZ APPLICATION AND PERMIT ASS EXIC 91 ty1MB ER ZOX Cys.. P) 'P)- J\ BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION IOWNER; A I AD RES (�� C 01, ,S79 '.y rrN-- ``RACTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Contractor CONST.TYPC ELECTRICAL PERMIT Fireplace PARC[L CONSTRUCTION LENDER NO UNKNOWN Total Valuation $ Filing Fee $ 10 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Permit Fee Plan Checking Fee ; $ I el ARCHITECT OR ENGINEER'S MAILING ADDRESS NEW CONSTR MULT '-OUT LET NON-RESID BRANCH CIRC ITS Energy Plan Checking Fee $ ' Penalty $ License No. Classification BUILDING ADDRESS 2005098AL030 Permit fee s 2.00 -vinpah 04, PLUMBING PERMIT Filing Fee 10 Each Trap 2,00 Mobile Home Facilities nrmvi Solar or heat pump water heater Misc. Wiring 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Permit Fee 5,00 Each vas water heater or vent 5,00 USE OF STRUCTURE SF [:1Duplex[]MobilehomefM Other '� SPECIFY Gas piping system 1 - 5 outlets Filing Fee 1C 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK) New U Addition ❑ Remodel ❑ Utilities ❑ installation[] Other of Consent to Self -Insure. Permit Fee $ Describe work. Contractor CONST.TYPC ELECTRICAL PERMIT Filing Fee 1C PARC[L Main service 100 AMP OROOV OR LESS10.00 NO Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OC c".a` OR AODNS. ACC. / , �tQSQft I declare under penalty of perjury (check One): BLDGS. ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ NEW CONSTR MULT '-OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea and Professions Code and my license Is In full force and effect. POWER APPARATUS S SINGLE OUTLET CIR. I License No. Classification Ex. OCCU OUTLETS OR FIXTURES P� 2005098AL030 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR 1 Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1C ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Ventilation 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 permit Fee = provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. 1 agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot . Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ Y 1 also agree to save, Indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and exp uses which may in any way accrue agafafs�said County i onjequercA�of ttte�grartting of this peryiit. f OCCUP. CONST.TYPC ISC ...1. 1 11.000 PARC[L PD NO �+' �� p This permit is hereby issued under the applicable p X XIMU/) v� lV%� ate sions of the Butte County Code and/or resolutions 1 SignatuApplicant — Owner ❑ Contractor [3Ownerwork indicated above for which fees have been An OSHa ermit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. -7 R I �-,O�a -(n COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S 7 County Center Drive — Qrgvjlll je, California 95965 r Tel ephgne: 534-4541' VVV APPLICATION AND PERMIT !VVIcacnrau vca 01 Me UUUMy ui mUe io enier upon ine above-mentioned property for inspection purposes. XDate $ignatu of Permitee or Agent Receipt No. Z-�peyg 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. DIREC - R OF PUBLIC WORKS BY Date -Z 8 Building permit expires Date .......... "1, BUILDING Owner Ap, SQ. FT. OCC. BUILDING VALUATION c"O Mailing Ad Telephone No. �y Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address �� �� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. a �� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW❑ ADDITION ❑ UTILITIES ❑ OTHE, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) OF Single Famil�dg up1 ❑ Mobil Home Oth rs ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ball20025 Receps., switches & fix outlets 20 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring 414 I am exempt from the Contractors License Laws of the State of California. Permit Fee is WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PFEE PERMIT $ �' !VVIcacnrau vca 01 Me UUUMy ui mUe io enier upon ine above-mentioned property for inspection purposes. XDate $ignatu of Permitee or Agent Receipt No. Z-�peyg 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. DIREC - R OF PUBLIC WORKS BY Date -Z 8 Building permit expires Date .......... "1, PERMIT NO. 644-75B P E i M I nMH UTIL. PERMIT NO. t PERMIT EXPIRES .J OWNER L.D. Steve t CONTR. 'LOCATION (A.P. w/s Stimpson Lane, 3rd place N. of turn, Gridley s t i i i Temp. Power P le Called PG& Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB-� FINALED (D to (Signature) t COUNTY OF BUTTE — DEPARTNIt:NT OF PUBLIC WORKS BUILDING INSPECTION RECORD Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Bond Beam Stucco Mesh 01— Scratch Brown„ FinishT Interior Lath Door Closer BUILDING I BUILDING (Cont'd) I PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & T Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole 'r Ducts Under round Ventilation Permanent Final Final DATE REMARKS OR CORRECTIONS 75 z .S L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number a --for the following location: Owner Owner's'rAddress^ ' µ Mobilehome Mfgy,-/,'" Z • Model 2'/ "- s cJ Year 9" Insignia No. - Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director, f Public Works Dace By. �v THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE orf 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. ��/ fff .j , f Inspector r � Date 1 J = OK 0 = Not OK - = Not Applicable = Nottleady RESIDENTIAL 4Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -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. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel .LF �• 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts Temp. Power Pole 9. Gas Pipe; Size -Anchors I 10. Water Pipe; Test -Anchors -Regulator -Service Test Called PG&E 11. Electric; Underground ! (dv 12. Plenums & Ducts; Clearance -Material -Support -Ins. Called PG&E 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date _ - Card -BI �~��L Date, Card -BI Date i. F Signature � Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels .1 - 9. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic L] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Cvrcuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hale Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes EJ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Perrr,it) OK except q's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval ____22:_ 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date 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 FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing Walls over Girders & Floor Nailing_ _38. 39. Stop in Walls (rat proof) �_ 40. _Draft Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41.Header 42._ 43. & Beam -size & Bearing Hangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ _ _44. 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _46. 47, Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) =4e j 2339-82P,E !�I PERMIT NO. `+ PERMIT EXPIRES OWNER James McCartin CONTR. Owner ASSESSOR PARCEL 25-22-17 LOCATION 344 Stimpson Ln, Gridley area 1 1 1"35 w "a � Y _ 1 5 d. .LF �• f Temp. Power Pole I i Called PG&E Temp. Elec. Service ! (dv Called PG&E Temp. Gas Service i Called PG& E, - - JOB FIA (Date) �~��L I t i. F Signature � , �-1 y MOBILE UTILITIES (Plans) OK except h's Date DECKS, COVERS, CARPORTS, cTC. (Plans) ut, oAcept h - oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements I Special MH.-Support—Sketch /1/� L, 2. _ Footings; Size—Depth—Spacing—Connectors ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails — ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—RIIrs.—Con nec.—Shthg.—Rfg.-Bracing LS!'€le 'city; Location—Clear es—Grnd.— Amp—Concrete 5. _ Alum. Awn.; Columns—Connections—Splice—Decal—Enc,os res as; L tions T / /"L"fL/ P'Nat.or/ "L" ft./ "LPG 6. Carports; Windows—Doors 60: y Clearance 7. Elec. <<Cb •/ NJS LCA cc/� �� - -- -- - C -B ate LIOM6d-BI e Card -BI S C -BI Dateefd-BI ate Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (P*rf9) OK except h's Date POOLS (Plans) OK except N's .-Zoning Requirements—Setbacks—Easements J OK , 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS 14 Date MOBILE UTILITIES (Plans) OK except h's Date DECKS, COVERS, CARPORTS, cTC. (Plans) ut, oAcept h - oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements I Special MH.-Support—Sketch /1/� L, 2. _ Footings; Size—Depth—Spacing—Connectors ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails — ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—RIIrs.—Con nec.—Shthg.—Rfg.-Bracing LS!'€le 'city; Location—Clear es—Grnd.— Amp—Concrete 5. _ Alum. Awn.; Columns—Connections—Splice—Decal—Enc,os res as; L tions T / /"L"fL/ P'Nat.or/ "L" ft./ "LPG 6. Carports; Windows—Doors 60: y Clearance 7. Elec. <<Cb •/ NJS LCA cc/� �� - -- -- - C -B ate LIOM6d-BI e Card -BI Date Card -BI Date C -BI Dateefd-BI ate Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (P*rf9) OK except h's Date POOLS (Plans) OK except N's .-Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements �/�ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability a/Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining__ 4f-IffIectricity; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI Z -15 -rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 2�-4-ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7 ater and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit omits; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date C B-1Date r and -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE — QEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 'Oroville', California 95965 Telephone: 534-4541 / APPLICATION AND PERMITS above-mentioned property for inspection purposes. v y y Iry X ! (! Date Signature of Perfmitee or Agent er Receipt No. _ / /7' 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. DIRECT OF PUBLIC WORKS By.. Date Buil�g permit expires Date ----11.1 BUILDING _I " Owner1 �� �j7 '�� SQ. FT. OCC. UILDING VAL UATION Mailing Address 40 02 • Telephone No. Fireplace Contractor �� G/U jyyj� ��� S/l Total Valuation Mailing Address' % %q u q /fie _y, C Permit F e anCheckin ee&/or Penalty fi4lM GO Telephone No. 3�S— a // Permit Fee $ Building Address 24fL` '�� Vim' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 420 tJ,f y 6 S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /J5— / % A. P. No. !l��/ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es .W. . -6eni-ta'tTaTi Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' RW Im prove nts Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 rVe V i_ C u 00V OR Main service 10000 AMP ORSLESS 5.00 P Z�J p Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR AODNST ( ACCLLINO OCCUP. & BLOG) 20sgft NEW CONSTR. MULTI.OUTLET NON -RES ID. BRANCH CIRCUITS) 2.50ea D. NEW CON POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: f� n / 41 C A/ /z9loQ'IIl/f�� "'� — � /E�� Ex. Occup (OUTLETS OR FIXTURES) BAL Imt Ex. Occup.(FIXED APPLNS. OR2.00 IRESID.� EA) Temporary serviceOUTLETs 10.00 X y exp J,9 1,/9oe Mobile Home Facilities 15.00 License No.. 4 0/f7 '� �1 Classification C 6 / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 0_k" TUU TOTAL PERMIT FEE i$70 k above-mentioned property for inspection purposes. v y y Iry X ! (! Date Signature of Perfmitee or Agent er Receipt No. _ / /7' 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. DIRECT OF PUBLIC WORKS By.. Date Buil�g permit expires Date BUTTE cOUT_iTY ]:;.?Pl:F_'?'1L N.i.'_0'I• 1U1;_T.1-1-C; VIORVS �! Count _Center Pri.ve� Orov_.illc,_ C�\. -- - PRONE: 5'14-454l MBI.L.E1i0,Z11 I':STALL.ATTON STIEtT 2. Installer's na;ne: Q��;c/� i��%Q-�� ���� � S'9 A` 3. Is the sjte currently under pcnnit? Yes /Cj= No (If ye. , furnish pei-mi.t number � 7- �� !) OR ���� �-p�o� - l -7 Is, the site an existill- site? Yes / / No / (If yes, •furnish two (2) plot plans.) 4,; 1,•!1.I.1 the.iiOh.l.l_C:11(11i10 I've' Loc.ate(1 itt LCaSt r _) ft. away from septic , t t1t'?r: ?n!1 lE:aCrl i_Ea s an clear of all setba.cks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ------- ----_- G. 411+c(t is, t.i+i-. wobJJ(.:hom:l iii.Cc ::;i r.vi.ci r:ttir+.l;;?---------------------- 7. I•lhat is the mobilchome site circuit breaker rating? ------------- 8.• Is'there any other electric load to be served by the mobi_lehome site. service? --------------------------------------------- ------ Yes / / i:.Y AMPS d. Amp s Arap s z No (If yes, identify the load and size: _(Load) (Amp a �4. . 11 � 9. What is the mobi'lehome site: gas pipes s7_ze?---------------------- 10. Wi+.;\t.: .i!: the tYpe. of p, ., a':rv.i..i:c? -- -- __._____.._.-------------- 1;atural / LPG 11. What is the f;as pipe lcn�;tii from me.tc n�'.� �,` ~' •-(� _-- 'np? (ft.) , �1LTW% _ ASL IAP>te (BTU) 12. 4;'i+at. is the tao!�ilehoma gademand? - --- B'CiJ J � 0 (This i.n.f.ormatio �0_ f required if pipe length less than �4ZL7./rjT ju�a1 gas 66 or less th- 50 ft. on I,PC.) ` I'�"( 11 0 du l 1 wU[w POP. k BUILDING DEPARTMEN T9 - aA.PPROVL%..._ (K -U", S 11 P F`016,' D.TA Year Width t Box Length Tal along ,alon, or Ex (a[05�_ SUPPOIRT DETA-CLS BELM) Oct:01)Cr. 7, 1.9-/3, furriisli and -StrUCLUral. setup sheets not ()n file- with the ccunt.; of P'litte) At'l ,7-0 F00L-['L'&!s (checl: (.j,, -)e) 73. n _p, I e AJ p P e - Center support r JoCatio 'n s -"V center J _ picrs are other than dr,­wn -above, L(] --I-. , Wood either ro Coe,4PE L.45VEL- Pressure, treated o' foundation grade. 2. Other (spec,ify) Supports (check one) . Concrete block. .' 2. Other (specify) Tagalong or Expando, !i shcrw support details., C c r-'ojg� /Y6 typical Support in. in. Footing Size Pier Spacing- i i 1 COUNTY OF BUTTE - DEPART.MENT OF PUBLIC WOR 7 County Center Drive - Oroville, California 95965 - Telephone 916/ 4-4541 " APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU BE — �—. ZO ING . 6—BUILDING PERMITri ow I TE EPHONE 6- SQ. FT. OCC. BUILDING VALUATION OW ER'S MA LINGDRESS �{4 5,rIMvs0>� ��-Duflle CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ J.9_e&' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 46^66 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD SS PLUMBING PERMIT FiIingFee 10.00 'k Each Trap 2.00 Repair drainage or vent piping 5.00 g� Water piping LOT NO. SUBDIVISION NAME PAR EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets/0.00 USE OF STRUCTURE SF ❑ - Duplex❑ MobilehomeE?""'Other SPECIFY Building sewer Lawn sprinkler system TP-00 TYPE OF WORK New Addition❑ Remodel❑ UtilitiesB Instal lation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 110,00 0r00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST.- DWELING OR AODNS. (ACCLBLDGSCCUP.y\ _ 20 sq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p ( y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Ines$ Professions Code and my license is in full force and effect. No. 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 I -OUTLET NoN.RESID BRANCH C C Ts 2.50 ea NEw CONSTR. (POWER APPARATUS 6� NON.RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES L� g BAL@100 and (.FIXED APPLNS. OR Ex. Occup.UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S 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 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 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 a st said County in consequence of the granting of this per it. X_�lL a_MCk$ ----���SSSS���� Date 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 3 stories iin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCJ IPISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '�— ��� r Receipt No. Ll t r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT QFFIG14L RE'.;f}RU: , COU;,7 Section 26-8:1 of 'the Butte County Code requires this acknowledgemen AUG "*be recorded prior to issuance of a building permit. 26 26 J4% The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of ELEANOR H. BFCKF:RWE j{] this property may be subject to inconveniences or discomfort arising CLERK RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 11 ACCORDING TO THAT CERTAIN MAP ENTITLED "MAP OF WATT'S GRID.LEY COLONEY" W117 -11 -CH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 9,1'+11, IN BOOK 7 OF MAPS, AT PAGE 34 Date: PROPERTY OWNERS: State of 'A— ) On this the S day of ( 0 41) S , 19 SS. before me, the undersigned Notary�Public, personally County of. _ ) appeared Mc CvG r*, n 0 oclDFREtEMAN known to me to be the person(s) whose name(s) C�Y2 MARY E. subscribed to the within instrument and acknowledged NOTARY PUBLI-JButte that executed the�same for the purposes My Commission Etherein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r*+ ary Public Present A.P. NO. o< <J 020`— i Z END Of DOCUMENT *6441 hQ- rn 06 I-Q, Q- , arl-e� n n This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department pt Public Works, County of. Butte. A setback of 5 ft. from the ' property lines and a setback of 50ft. from the road ' centerline shall be clear of UnXtures or equipment except for a 2 ft. eave overhang, NOTE:—All Materials & Workmansh� Accordance with Recognized Good Pra Shain t clesBand tee_ of a quality prescribed for the Speci 'ed use in the Unifon,n Building, Plumbing and the National Electrical Code'. apical Codes AlTVP 4,Er7 C Z oiv )r/cE %N144- 1349 ' GO/1/t/C-e7�S Iii b TDRA414C G,2 D�it�l0ush'ED G✓�i�t/ 30 D/ of A41. /�PPieodgL. N, ,Utility c nnections shall be w 4 ft. of t e mobilehome, eith; directly behind or within the half of the roadside (left) of tl A permit will be required f13�� installation of the mobilehome. ......_..50.0-SQ,F-T; • MI NI V FOR MOBILES r-3 Pr Q 5o vi 25'59 -az BUTTE COUNT "Y J1691NGaDEPARTMEN APPROVED �I 1 COUNTY'OF..BUTTE = DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive Oroville, California 95965 Tel ephosr534-1541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Da A. au��, 979 Signature of Permitee or Agent / Receipt No. r C-) � I White-D.P.W. - Yellow -Assessor - Pink-Inspeckor - 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. D RECTOR OF 'PUBLIC WORKS / By !/ ✓' Date '6~.,n,g permit expires Date BUILDJNG N Owner J. MoCartin SQ. FT. OCC. BUILDING VALUATION Mailing Address Rt 2 Box 2443 Oroville CIL, 90465 Telephone No. Contractor North Valley e Mailing AddressFireplace P.O. Box 911 Total Valuation Gridley . C Telephone No. Permit Fee Building Address(� { r Plan Checking Fee&/or Penalty Permit Fee Roy, " PLUMBING No.1 @ FEE L !� PERMIT FILING FEE J$3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 \ A. P. No. — , ~- ` / 7Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fee's Wed. I 'Sa�Non Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Each additional outlet .30 Each Building sewer 5.00 Bldg: P13"—Reed. Porcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ // ELECTRICAL NO -1 @ FEE PERMIT FILING FEE J$3.00 "'Ju - 100 AMP . 1 SS 5.00 - GV Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 { Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NrEW CONST. / DWELLING OCCU S. 5% l20 sq ft OIR ADONIS.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 style of: North Valley n'1 antra a NEW CONSTR. MULTI- UTL T NON-RESID BRANCH CIRCUITS 12.50eai ' NEW CONST R /POWER APPARATUS &'J NON-RESID. SINGLE OUTLET CIR. " Ex. Occur)(OUTLETS OR FIXT(IPES g 251 7L 0 100; Ex. Occup. ( OUT LETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ;?S License No.274683 Classification C-10 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ K MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section37.00 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued l 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 A Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Da A. au��, 979 Signature of Permitee or Agent / Receipt No. r C-) � I White-D.P.W. - Yellow -Assessor - Pink-Inspeckor - 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. D RECTOR OF 'PUBLIC WORKS / By !/ ✓' Date '6~.,n,g permit expires Date COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel epl�one:-moi-4541 APPLICATION AND PERMIT --2 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1979 Signature of P rmitee or Agent Receipt No. C) 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 pa' ECTOR OF LIC WORKS / BY Date `� 7 permit xpires Date /�ZZ BUILDING BUILDING Owner J- McCar:Wm SQ. FT. OCC. BUILDING VALUATION Mailing Address Rt 2 Telephone No1 846-3984. Contractor North Valley le Mailing AddressBOX Fireplace Total Valuation GAdley Ca. 95948 Telephone No. 84&9081 Permit Fee — Building AddressPlan `r �� Checking Fee&/or Penalty Permit Fee AWNRAW )60,.A d� e�> PLUMBING No. @ FEE W `141,44 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P.No. J — pZ oZ — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fvs tL-6. 'Sftle*on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans on Declarati' Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bm—g-pTams-R.....4Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ a %� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �O I 100 AMP ORSIS.ESS 5.00 '00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST OR ADONS. ACCLLING BLOGS,CCUP. '!') 2¢sgft 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 le of: Nnrtb Val l evy El eCt7dC NEW CONSTR -OUTLET NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR. EX. OCCuo {OUTLETS OR FIXTURES) �@ BALrl Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.22 4683_ Classification C-10 Mise. Wiring 6.25 aS ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 16 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1979 Signature of P rmitee or Agent Receipt No. C) 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 pa' ECTOR OF LIC WORKS / BY Date `� 7 permit xpires Date /�ZZ 1*- J Cl U619 Dnv C�,aW,ti� �IlAfld d0 `ld94 3C? �Nfi4r�� jY,�t, M17 . 0.,C,v Description of Violation OTHER COMMENTS: Approx. Bldg./MH Size 0 Under Construction Built By/For- Q Present Owner 01 Occupied 0 Has Power Describe Action Taken: ACTION RECOMMENDED: Information only,file Letter Other BY Approx. Bldg/MH Age Ej Previous Owner 0 Written Notice Given & Attached 10 Day Letter Hold for Days DATE: l / / o Iii � � � r ` , � / � �` i � • /!� i �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 25 -22-17 ZONING A5 BUILDING PERMIT OWNER James McCartin TELEPHONE 846-3984 S0. FT. OCC. BUILDING VALUATION 312 Open OWNER'S MAILING ADDRESS 344 Stimpson Rd., Oroville, CA 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 26.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$' 15J.00 Ener Plan Checkin Fee gy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS, 344 Stimpson Rd. Permit fee $ 50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.O0e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Open Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 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. Classification 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 CONST. / DWELLING OCCUPM OR ACDNS. C ACC. BLDGS. 2/2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 0 eZALAL03030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Conlin g 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 liabilities, judgments, costs, a expe es which may in any way accrue gal st said Countyo s qln f the anting of this per it. %� ate SigUAof Applicant — Owner ❑ Contractor ❑ Agent ❑ An 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 51 50 AL E HAZ CUA PARK PAR PD H I0 This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF 4BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-0roville, California 95965 - Telephone: 916/538-7541 a APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER +. 25 — — k ZONING A5 BUILDING PERMIT OWNER ) f *y; James McCartin TELEPHONE 846-3984 SO. FT. OCC. BUILDING VALUATION, r� , 312 Open 1560 �t r OWNER'S MAILING ADDRESS 344 Stimpson Rd., Oroville, CA 95965 I. CONTRACTOR'S NAME �, Owner TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER t Norse UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 26.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checking Fee Energy 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 344 Stimpson Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME- PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00e TYPE OF WORK New ❑ Addition ❑ 'Remodel ❑ Utilities ❑ Installation[] Other© Describe work: Open Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license Is In full force and effect. License No. Classification 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 CONST. DWELLING OCCUP.B OR ACDNS. ( ACC. BLDGS. ,2h¢Sgft TLET NEW CONSTRF510, RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS 9) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BL0 2ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. LA I shall not employ any person in any manner so as to become subject to the W. C. laws of California. °A' Notice to Applicant: If after making'this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comp comply with such provisions or this permit shall be deemed revoked. + Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating --- - Cooling g Hood 3.00 Ventilation rmFee Permit F $ 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 liabilities, judgments, costs, aad expe es which may in any way accrue gal st said Countyonsegl�@n �e�bf the anting of this pert /�(f %� ate Sig 71 atu a of Applicant — Owner ❑ Contractor ❑ Agent ❑ _ An A 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 51..50 HAz CUA PARK SCHL FED PAR PD HO ISSUE Th; Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �k+"�f+�i'�r1 +�h�..�"�`��; -•}�'i�►~r��"F'f:r1'LT���%�r���'���1^` �1.ti�1�-''►1•,��+5"'�k:��'",��+'�n�""'"��'�'-s-t'w"�rBK..' COUNTY OFIBUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive— Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER 25 —22-17 ZONING A5 BUILDING PERMIT OWNER 1 James McCartin *-: TELEPHONE 846-3984 SQ. FT. DCC. BUILDING VALUATION 312 Orien 1560 1 OWNER'S MAILING ADDRESS , 344 Stimpson Rd., Oroville, CA 95965 CONTRACTOR'S NAME A Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS 4 .• Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 26.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 vv Ener Plan Checkin Fee gY g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 344 Stimpson Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome X❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: Open Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORV OR LESS10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 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 CONST. DWELLING OCCUP.& OR ADONIS. ( ACC. BLDGS. ) 2/20Sgft NEW CONSTR. ULTI.OUTLET NO N.RES,. BRANCH CIRCUITS 2.50 ea POWER APPARATUS a OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 20®50¢ SAL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 9 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 a.l.l,liabilities, judgments, costs, and expenses which may in any way accrue (agai'nst said Cgonunty i•rr'co�{;n11s1eg�en,c'e//of the ranting of this permit. x�Y .i x im UtA ",��I� X�— Date ) � � f Signaturjje Of Applicant — Owner ElContractor E]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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 51.50 HAz CUA PARK SCHL FLD PAR PD HD_ ISSUE This permit is nerButte Co issued under ins or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the resolutions resolutions to do to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �•�"^.?"r"�'"`�''r^"`wy�.r-'•x�,�...r+3.�.5^�'v±'*1"r'.��.,,o�-,,.#7?.yt..,.Y,.,,.R.-V,rya1��^�`', ,fit._ �,.t�+.��y1't� �f�:r o,-•Y:,� ,...,T.v-,` •- COUNTY OF !BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'-''Oroville, California 95965 - Telephone: 916/538-7541. APPLICATIrON AND PERMIT' PERMIT NO. ASSESSOR PARCEL NUMBER 25 —22-17 ZONING A5 BUILDING PERMIT OWNER Y James McCartin gib. TELEPHONE 846-3984 ,SOS FT. OCC. BUILDING VALUATION C6� 312 0 e 1560 OWNER'S MAILING ADDRESS 344 Stimpson Rd., Oroville, CA 95965 ' CONTRACTOR'S NAME - ,, Omer TELEPHONE " CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ?donee UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 26.50 ARCHITECT OR ENGINEER One LICENSE NO. Plan Checking Fee $ 15900 Ener Plan Checking Fee Energy 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 344 Stimpson Rd. Permit fee $ v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5,outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other ® Describe work: Open Deck _ Permit Fee $ Y Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 OR Main service jp0 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 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 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 CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. /22SQft NEW CONSTRESID, RANCH TLET CIRCUITS) NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®OOS .AL030 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating t 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 alA-,Iiabilities, judgments, costs, and expenses which may in any way accrue aggainstt said County in-consequenceof the granting of this permit. �C t�,�ijr� �� h�%l `�y(@ x r.— Date �� / '� y Signal i)e of Applicant - Owner ❑ Contractor E]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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 51.50 HAz I CUA PARK I SCHL I FLo I PAR PDF PDHD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement .(yes or no) E5 I (have/have not) Looe signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address 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 Address11 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 Signed: ,.—Property Owner Social Secur'ty Nu b r i Date " IC10--) 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �% 0—a Permit No. OWNER Vl'l C"z `S //' `G In �� A P. No. ^� Proposed Building Use Vl C Building Inspector 4Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �1. All items have been submitted. 2. Plot plans inu lic / tate, signed by preparer of plans. 3. Complete plans In u lic riplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. 13. School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements). 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑). 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. Other Applicant GENERAL INFORMATION Mail to contractor. —Deliver w/inspector. Date BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Parad i se . . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 9:00 a.m. Oroville . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m. - 10:00 a.m. Paradise. . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant OWNER tY. .� :�--^•-�..-rc-:.crm-..+�_•r �Y+..,r+ i�-•-s-.a. .;� ...-.....t.��„y...-wspryS„ :>9. {p . �—..-y Ui`t^ �• .n. y.,..^�, COUNTY OF BUTTE, DEPARTMENT tOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' F I PERMIT APPLICATIOWDATA SHEET Permit No. A P No Proposed Building Use Building Inspector Da At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .. 2. Plot plans in plica /triplicate, signed by preparer of plans ....:.. . 3. Complete pla sli in VDICans e riplicate, signed by preparer of plans .. 4. Complete en ineereand calcs wl`—'tbw si n p ' e s g a ure •n plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 4 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... " 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date j 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_maiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner. Location AP# Plan Approved for: Sewage Disposal _d Water Supply Hold final for: Water Supply Final clearance O.K. for: �n Water Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian ate al. f 40 a cru .35-2a-17 a e"49, q ieauue OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. G X Dated this day of 19M at Calif.Ak Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or article a specified above have been performed or Ae- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. Datedthis .................................... day of ............................. 19....... at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM FUND ............................................................................................ DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -.O;oviIle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PPEERRMIIT� NO. Ass - a 17- Rr, :D Zo Nc� BUILDING PERMIT OWNER) n4lpTELEPHONE S0. FT. BUILDING VALUATION �OCC. L.XJV OWNER' A I AD RES L-ONTRA7CTOR'S NAME f 0W K -U01-7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 25 40 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S_ MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIir6Fee 10.00 �t Each Trap 2.00 Nnyi Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New N Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): � ❑ 1 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 I .tel 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 CONST. DWELLING OCCUP.01 , OR ACDNS, ACC. BLDGS, / /:2sgft NEW CONSTRESID. MULTI -OUTLET 2.50 ea NON.R ESID .BRA CM CIRC TS POWER APPARATUS y) SINGLE OUTLET CIR. 00@50 3 Ex. OCCUp(OUTLETS OR FIXTURES e AL@ AL0 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 lxp ses which may in any way accrue aga' s said County i((p.��on e uc f ting of thisitA X `�` ate v Signatu e f Applicant — Owner ❑ Contractor ElAgentwork An OSH ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL I PD I ND ISSUE This permit is hereby Issued under sions of the Butte County Code and/or Indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHIT[-D.P.W.. YELLOW-A3e CS30R. PINK -INSPECTOR. GOLDIN ROD -APPLICANT COUNTY OF BUTTE - 9E1PAFv-TME14rOF`PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI {LEE -CALIFORNIA 95965 - TELEPHONE: 916/538-7541 s A PERMIT APPLICATION DATA SHEET ' \��e Permit No. _ OWNER 1„ �.AA.�No. �^ a�2 Proposed Building Use Building I Date 4 5L;Vl At time of permit application, I was advised the following 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, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . . . , , , 9. ell0 Letter of signature authorization. I L. I . . . . . . . Sanitation approval from Or Health Dept. 1. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec. Pre -Inspection for Required. Building Inspector request to (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: v Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant�MAM v v` L�@ e �Jd b Copy of plans sent Health Dept., Fire Dept., Other Date The following data must 'be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _ 1 2. , Contractor; designer, owner, was advised of above required data by phdCh __nail counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW