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026-070-010
„ ,� - --,--••••• ++."vim 26-07-10 i o Daniel Horner } 6924 Upper Palermo Rd., Oroville } PUFPE, Lyle Permit #18. 3-78B(new private d ached i garage) & %1Q 3 026-070L010” r PERMIT#97=1702 i �i 1737B 1349P WILMOTH, .Juanita A',44 /ef/7/o d �,/Sl Upper Palermo Rd. 500' south of Bohemia; 6924 Upper Palermo Rd., Oroville Palermo 'Cont: Dixon Construction j - �a 3 Replace Porch W/Laundryrm/SF '026-07-0-010 '99-0458 B, � . CRAIG, William & Christine.-,- - I i Q_ Q - 6924 Upper,Palermo Road, Oroville (complete 97-1702). 026-070-010 04-0031 I. CRAIG, WILLIAM 6924 UPPER PALERMO+F.1`OOO' LE � J 1 SIV Cont: OWNER I GAS PIPING & HTR/SF 026-070-010- w 06-0303", CRAIG, WILLIAM, 6924 UPPER PALERMO RD, PALERMO. Cont: K DESIGNERS SIDING 7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060303 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 02/09/2006 APN: 026-070-010-000 the Business and Professions Code, and my license is in full force and effect. 8fo6 License class : C 6' License Nu r: Site Address: 6924 UPPER PALERMO RD PAL Date: 2 `%- 06 Contractor: Map Index: Description: SIDING (23 SQ) OWNER -BUILDER D CLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CRAIG WILLIAM F 8, CHRISTINE E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a . signed statement that he or she is licensed pursuant to the provisions of 6924 UPPER PALERMO the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: K DESIGNERS such work himself or herself or through his or her own employees, 2440 GOLD RIVER DR provided that such improvements are not intended or offered for GOLD RIVER, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95742 proving that he or she did not build or improve for the purpose of 916-631-9300 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: K DESIGNERS pursuant to the Contractors' State License Law.). 2440 GOLD RIVER DR ❑ I am Exempt under Article 3 of the Business and Professions Code GOLD RIVER, CA 95742 Date: Owner: 916-631-9300 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 498806 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policynumber are: > /vim "/ / �l2,(-- /" C'- Carrier. ./ O Policy #: 5 y $p U b0� Total Square Ft: 0 S. F. Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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 00 forthwith comply with those provisions. Date: IZ _ ' d6 Applicant: WARNING: Failure t_/secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions o do work indicated above for which fees have been paid. - n- q - O G Name: By: Date: !! 2— - G - D-7 PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of BuIt County to enter upon above property for inspection purposes. /gthe mentioned Print Name: Signature: — / -o61 Date: ❑owner O Contractor El Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Na irst Name City �-�C / t Address Fa 16 (o OS�13 ` City DV -Z:) U LL State Zip 'r-) !�no Pho D 3 3 b Fax --, E-mail CONTRA 11 Name t�Ajol D* Gold River, CA 95670 Address ��� City (f.'a►�St�atee�C� l� City �-�C / Zip � ')0 ne �� Fa 16 (o OS�13 E-mail L'c # , CjaSs APPLICANT NAME ARCHITECT/ENGINEER Name City �-�C / Address Zip ��8 z 7— City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name /, Address City �-�C / State/-) / Zip ��8 z 7— Phone �- Z - �(3 Fax E-mail APP CANT SIGNATURE X JJIF For office use only: Zoning gPajdros _ p �� n �, ray Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc 11 PERMIT NO. BIN # LOCATION AP#O _ o-010 gPajdros _ p �� n �, ray City o >j t 1 LL Cross Street WORKER'S COMPENSATION Policy Number _:z_1� Carrie(, 4 J-P,o t✓, If hiring anyone other than license contractors, ertificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description orScopeof Wor : f Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: b , Amount: � I n ll0 Bldg SRA Receipt V'? Sheriff SMIP Date: 2 q- Qjjc Other bo Total REV 2-24-05 N SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required)., ❑ 9. Site plan and business license approval from the.City of Biggs. El 10. Letter of intent for non-residential buildings. � � - I ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees,. 113. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING IVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530),W-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04-'003 ASSESSOR02�LN6%6-010 ZONING BUILDING PERMIT OWNER CRAIG WILLIAM TE534N 0936 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6924 UPPER PALERMO RD. OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [,Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING 6 924 UPPER PALERMO RD. OROVILLE 95966 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DZW CAS PIPING & HEATER Gas piping system 1 - 5 outlets 15.00 19-00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OR LESS 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUP.s0 OR ADDNS. ( s ACC. nS. � 3.5QFT; NEWCONST. MULTI -OUTLET NON-REs1D. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 Q 1.00 Ex. Occup. OFlxUr�rs as OR... 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 orthwith comply with thos ,provisions. ' P 1 Date Signature of Applicant ne - Owr Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation WALL HEATE4 1 15.00 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ %0.00 HAZ. --- D. FEES IMP --- -- FLOOD ---- CDf --- PARCEL --- PD -- HD — ISSUE Thi permit is hereby issued under the applicable Of eleButte unty Code and/or Resolutions indIca 11 o e f r wh' h fees have been By Date PERMIT EXPIRES ON Dee provisions to do work paid. / 0� Receipt No. 394-Zglq 470.E WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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. personally plan to provide the jor labor and materials for construction of the proposed propertyim YES NO 0 I HAVE.t'�HAVE ovement : NOT 0 signed an application for a building permit for thero osed work. P P k. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: PROPERTYOWNER: &,, DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our offue before we are permitted to issue the permit. �. 0.B.- 1;. I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourselZ you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you . are aware of these matters. The building permit will not be issued until the verification is returned. rely, / #. Mic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner-Builderinfomudon is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT ��x S � �Q � ► 4n 04-.0031 (Rev.12/96) ASSESSORPARCFINUMBER ZONING BUILDING PERMIT , �-7O . � ( O TELEPNON SO. Fr, p`,C,, BUILDING VALUATION OWNER ' OWNER'S MyIUNGPDD S CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCMTBCT OR ENGINEERS MAILING ADDRESS Total Valuation $ Firing Fee $ 20.00 Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ $ � PERMIT FEE $ PARCEL MAP Filing PLUMBING PERMIT Fee 20.00 LOT NO. SUBDNSIDN'SNAME Each Trap 17.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 SF [3 Duplex ❑ Nlobilehome 13Other SPECIFY �� as Water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 � �+ New ❑ Addition 13Remodel ❑ Utilities E3 Installation 1313tion Other Building ding sewer S G W eO 20.00 Moble Home Describe Work: PERMIT FEE $. PERMIT FEE PAID SHERIFF OTHER AMOUNT RECEIVED $ DATE RECEIVED ELECTRICAL PERMIT Fiing Fee 20.00 Main Service o0 oa LEnss 23.00 Main Service ( �� To Io�A �_ 46.00 Ex. OCCLI . OvnET OR FDmARES SAL (d .50 FDCEDEx. Occup. �APRESIDM. °EA 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Misc. Wiring 23.00 N PERMIT FEE I S MECHANICAL PERMIT I Filing Fee 1 20.00 Hood 6.50 Ventilation WArf..l.. 44 E<FTEP—— .........� Moble Home Installation Fee $ Energy Inspection Fee $ c°c --T- TYPE TOTAL FEE $ Q . ca NAZ I D. PEES I IMP I FLOOD I CDF I PARCEL I PD 11 H -D I SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ; APPLICATION AND PERMIT 04,0031 ASSESSOR6oAR�CFL.N�AABER��O ZONING BUILDING PERMIT OWNER 1} CRAIG, WILLI , TE ,.HANE ` 3w_0936 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 6924 UPPER PALERMO RD. OROMLE CONTRACTORS NAME V Wl\Lii�. TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 6924 UPPER PALERMO RD. OROVILLE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Np"Id 1:45 PIPING R. WF:ATF.R Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT I Filing Feel 20.00 Main Service 500V OR LESS 200A OR LESS 1 23.00 a 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, ( g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: W1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. So 3.5¢FT; NEW CONST. MUl 01IRCET NON•RESID. @7,50 POWER APPARATUS a sINGLE 0 T. CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q 0 0 1.50 Ex. Occup. . ED g'.,6.OER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 F PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number I f (The above sections need not be completed if the permit is for work of a valuation / of one hundred dollars ($100) or less.) j 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 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. - . ✓� 4.� ` Date �� Signature of Applicant - &-Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation WALL WATER 1 15.00 PERMIT FEE S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ consT. TYPE TOTAL FEE $ 70.00 HA2. 'D. FEES IMP T , "�' �"" `------ 'FL000 CDF ��4--l— PARCEL — PO —forthwith HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Eounty Code and/or Resolutions to do work indicated Bove f • r wh'ch fees have been paid. By Date / T/� ' PERMIT EXPIRES ON Dele ReceiptNo. .6e74ZeJe,? $*70,x'',, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "ti'.�.�;"'Te.tNr".�"`".r•`,�slfr"w r-,.,..�...a'.r'r-.�ah;r+...._..+ni mr 7�„ty�•7�^.�+'�.�.�y,cA.�+.lY "."".-..�.r _ r.. '„�... ... _ ... 'rw--. �.. .-xo «x .S.�(6q-oz3l �ac�-pro-of o OFFICE COPY Address GAS _ Meter By Da�--J, ELECTRIC: Meter By Date 1 026-07-0-010 99-0458 B CRAIG, William & Christine 6924 Upper Palermo Road, Oroville (complete 97-1702) Ilk I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754- PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-070-010 ZONING BUILDING PERMIT OWLELLIMI & CRISTINE CRAIG TELEPHONE SO. FT. OCC. BUILDING VALUATION °o9Ei4""bpffD cc SPAI,PRMU RD., OROVILLE CONr,_ �C.TO 'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6924 UPPER PALERMO RD., OROVIUB Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 9XD,ple, ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: CWLEn BP#97-1702 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors LicenseEx. rLaw f r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW ,%NO OCCUP. 3.5Q�0. . OR ADDNS.n�iuLOC. NEW CONST. NON.RESID. C 97.50 APPARATUS SINGLE OIJILET CIR. .11N.. OUTLET OR FIXTURES 2 1.00 Ex. Occup.BAL .so Occu ..FIXED RESiD.OER.L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,y 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 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 %i►//,"` % /rj�,� ^' �r r Date %� �' i� Signature of -Applicant - qJ,0Wner tractor ❑ Agent ' An OSHA permit is required for excavations over 60" deep and demolition or constructionI�L of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 45.00 HAz. D. FEES IMP I FLOOD I CDF PARCEL PD 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. B Date i `7 f c 41 It :3z PERMIT EXPIRES ONl Qty to Receipt No. WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT x . L RESIDENTIAL s, 026-070-010- PERMIT#97-1702 WILMOTH, Juanita 6924 Upper Palermo Rd.�' Oroville _ j PERMIT Nt Cont: Dixon Construction PERMIT EX Replace Porch W/Laundryy /SF OWNER i _ CONTR. J ASSESSOR PARCEL LOCATION u F� w� f C` J� .A k i Temp. Power Pole Called PG&E , Temp. Elec. Service {, Called PG&E Temp. Gas Service i Called PG&E JOB FINALED (Date) r Signature V=OK 0 = Not OK Not • = Applicable MOBILE HOMES NotReady Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements - Setbacks - Easements Card B-1 Date Card B-1' 2. Soils; Special MH Support Sketch ■ POOLS (Plans) OK except #'s 3. Sewer, Location -Test -Fall -C/O -Concrete 1. Setbacks -Easements 4. Water, Location Test -Easement Needed (Sketch) 2. Soils; Compaction -Structure Stability 5. Electricity; LocatiorrClearances-Gmd-/ /Amp-Cte 3. Pod Structure; StselConnections-Thickness ..Dead Men -Lining 6. Gas; Location-1est4Nrap; / pLfL / /Nat or/ M fL/ /LPG 4. Elec.; Receptacles and Lighting, Distance -GR 7. Well Clearance & Disconnect 8. Utility Clearance 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10. Plumb.; Cir. TestWater Supply Test 1. Zoning Requirements- Setbacks Easements 11. Light Niche 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemamWahe4Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FWA !MISCELLANEOUS Date DECKS, C" PORM GARAGES(Plans) OK except #'s 1. ZoningRequirernentsSetbadks-Easements' 2. Footings; SoiWSize-DepthSpacngConnectxs-Steel 3. Decks, Girders and/or Joists Decking BracinprtStairs Rails 4. wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.:tfg.-Bradng S. Alum. Awn.; Columns-Ckxmections-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7'. Electric 8. Fmrg.; Sils-AnchorsStuds-Rfov-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. ExL; Steps-Dcors.Landings 12. Braoed•Wa1LPanels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Data Card B-1 Date Card B-1' Date ■ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; StselConnections-Thickness ..Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.;. Bonding; Metal w/SCirculating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes,Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready _01 - Date NDERFLOOR (Plans) OK except #'s Zo2iRg:�etbacks-Easments-FloodSlope Re -11g., Main; Soils-Elec. Gmd. //2.PFtg. Depth 3. Fig. Garage; Soils-Steel-Elec. Gmd/ /Fig. Depth RESIDENTIAL (Single & Duplex) Date ELECTRICAL (Permit) OK except *'s 23. Fixture & Transformer Clearance -ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled 6 ( omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water s m i c en & Conductor Size GFI moire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 36--Renge460c+/ / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral n Yes n No nductors & Ground -Main Disconect 32. 4. Ftg. Porches & Decks; SoilsSteel-/ P Fig. Depth Clothes Closet Light -Shower Light -Spa Light $,-Sremwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and Special Anchors Card B-1 0 Date Card B-1 7. Slab, �-NNrapped 35. A.C. Ducts Insulation & Support 8. P ireplace Ftg.Steel Vent Fan, Exhaust above in ' 9 D W V a r 1, R __ _y T_ _ y CYC -Sewer Test Fumance-V cess -Comb. Air -Return Air Vent 115 outlet 10 ors - Yard Gas Piping; Size Test 1jofffter Pipe; Test Anchors-Regulator-SeNce Test 12 rele^Me Ua cg- d rialSupport-Ins. irdersSills-Anchor Bolts-Joistsa/ents-Crippies 08"Access & Ventilation 16. Insulation Date 8•e1� �%7 Card B-1 tZ1S, Date Card B-1 Date X j, 97 Card B-1 je* Date Card B-1 Date PLUMBING (Permit) OK except rs C. Water Htr.; Vent-Acoess-Combustion Air Baffle 8. ater Pipe; T ai on 19 .W.V.; Te i & Anchor,ail Protection 9ft Shnwar Pan- lest AFst Floor -Tub Access 211- nd Floor -Tub Access 22._Ga&44pe-S>xe & Anchors Date Card B-1 118 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except *'s 23. Fixture & Transformer Clearance -ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled 6 ( omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water s m i c en & Conductor Size GFI moire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 36--Renge460c+/ / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral n Yes n No nductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date #NjOiR,* ;q Card B-1 Date Card B-1 Date 7 Card B-1 0 Date Card B-1 Date MECHANICAL (Permit) OK except s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above in ' 37. Condensate Drain & ow, Size & Grade 38. Fumance-V cess -Comb. Air -Return Air Vent 115 outlet 39. Attic ss & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date iFRAMING (Plans) OK except #'s AV Sits Proper Materials & Anchors 4�all�ds-Nailing Spacing & Braces -Plates -Sound 42 arina Walls over Girders & Floor Nailina *- 43. Draft Stop in Walls (rat proof) Date AMING (Continued) Hangers -Post Caps -Anchors -Connectors ling. Joi ttr. Ti;Purlin mff Brac.-TNssS 40. pe lue- ireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles or ngDoors-Sill Hgt. & Dimensions ,5 . ming ne Firewall & Openings e 3rd Story, 2 Exits us; iea room- ise-Rund.anding-Fire Protection P on Roof Overhang -Attic Vents -Rafter Outriggers OW'Siding-Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. nt nderflr. Axxre Af6ra-Ang Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date 11-J-9 Card B-1Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #Is 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: f Y.r.�l���'�y;, %� .i, _ ; ,r, 'fir ',.,� f.,�.n��r;'ys-•�`=-'�+^�r.�--.i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 -Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE a 702 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation;. please contact this office immediately. t IIL�Lo.�-�u,'�- f-oe- A so ,,4., / Date Inspector LSS 1 REV 10192 1 COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75 PERMITF. (Rev. 12/96) APPLICATION AND PERMIT \1 ASSESSOR PARCEL NUMBER 026-070-010 ZONING BUILDING PERMIT TfLLIAM &CHRISTINE CRAIG TELEPHONE SQ. FT. OCC. BUILDING VALUATION %V4"affV�ffTALERMO RD., OROVILLE CMir'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fllln Fee $ 20.00 Permit Fee $ 95-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6924 UPPER PALERMO RD., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF INXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other U Describe Work: COMPLETE BP#97-1702 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License rLaw f r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 fo with co ply with provisions. -- Date ���._(�G' 9-eof pp icant-�V.9Gner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO DWE200ALLING OR ADDNS. ( a ACC. BUDS. 3.5¢Fr: Y. NOµpESID MULTI.OUTLET CIRCUITS @7.50 8 POWESWGLER AOImET PPARATUS CIR. Ex. Occu ounEr OR FocruREs 20 @' 00 BAL @ .so Ex. Occup. ountTs Ao .GEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 4 5.00 HAL. I D. FEES IMP I FLOOD CDP PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees ave PERMIT EXPIRES 011 lit the applicable provisions Resolutions to do work been paid. Date !/ bo 00 Date Receipt No. 05d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Co6nty Cehter Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL MUMSER _ � © C m BUILDING PERMIT °NHC" . f Cra( TEU°NONE SO. FT. OCC. BUILDING VALUATION ,► MALwa 7,2=- I,ycc� rz) v1( CONTRACTOR'S NAME TF.IFYNONE COWRACTOR9 MAlJNO ADDRESS CONSTRUcn0N LENDER LENDEWS MAILING ADDRESS Fire lace Total Valuation S ARCNITECT OR ENGINEER LICENSE NO. —Filina Fee b ARCNRECT OR ENG EER'S MA UNG ADDRESS 020.00 Permit Fee Plan Checkin Fee S v -m a v Energy Plan Checking Fee S c ( PERMIT FEE _ LOT NO. SUSOMBDNINAME PARCEL MAP PLUMBING PERMIT Fang Fee 20.00 USEOFSTRUCTURE SF 1� Duplex O Mobilehome O Other f e� Each Trap 7.00 Solar or heat pump water heater 23.00 Water t In 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition 0 Remodel O UUM" O Installation O Describe Work: —Fury qy7— Other 1 . N Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W §20.00 Ti I PERMIT FEE $ ELECTRICAL PERMIT Flin Fee 20.00 Main Service zo°0'voA OOR tFea 23.00 Receipt No. WHITE-O.O.S.-B.O.. SOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. OwBiNO OCCUP. 3.5asso OR ADONS. i ACC. (1LDs. NOWRESID. NtW GUNS 1. MULTI -OUTER POWER APPARATUS 8 SN(XE OUTLET CIR. 20 Ex. Occup. ounEr OR FKTvRES 0 1.00 SAL SO Ex. Occup.o E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood e.50 Ventilation PERMIT FET. S Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ LJS. NAL D. FEES IMP I PLOD I COF PARCEL I PO MD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON to 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 deliji in processing and issuing your building permit. No building permit will be issued until ft. verification is received. 1�6 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES P,-/ NO C3 I HAVE HAVE NOT 0 signed an application for a building permit for the proposed vri�rk; I have contracted with the following person (firm) to provide the proposed construction:.r: NA E: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the'following person to coordiaate; supervise, and provide the major work: NAME: ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prgvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: 7Z / PROPERTYOWNER: SOCIAL SECURITY NUM13ER: , DATE: 2DATE• NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed atd returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. improvements specified. For your protection, you should be aware that as'"owner-buildee, you are the responsible party of fecord on such a permit.. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you.should . be aware of the following information for your benefit and protection: ♦ If you�employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations. including state and federal income tax withholding, federal social security taxes, .,: workers compensation insurance, disability insurance costs, and unemployment compensation contributions: ,. ,.: ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under lirnited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. +1rely, Vi iia, C.B.O. ,uilding Inspection NOTE: This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER oda OVER 4 . COUNTY OF -BUTTE- DEPARTMENT OF DE, ELOFZMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541RMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT q%- I ASSESSOR PARCEL NUMBER 26-070-010 ZONING ARMH 1 BUILDING PERMIT O OWNER JUANITA WI0 H TELEPHONE SO. FT. OCC. BUILDING VALUATION 11,664.00 OWNERS MAILING ADDRESS T - 11 8goo E. INDIAN 85 'J CONTRACTOR'S NAME DIXON CONSTRUCTION TELEPHONE ' 518-5001 CONTRACTORS MAILING ADDRESS 2950 FEATHER RIVER BLVD ORO CONSTRUCTION LENDER ' LENDER'SMAILING ADDRESS ' Fireplace Total Valuation $ 11,664.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Pian Checking Fee $ 87.75 BUILDING ADDRESS 6924 TIPPER PATERM0 RO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 265.75 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF io Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RRMOVE EXISTING PORCH & REPLACE WITH LAUNDRY ROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LE Main Service ..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license !kin full f0 a ✓l ffect. , / j License Class ("E/1l Lic. No. ��3��`� / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWEw EE No OCCUP. CU OR ( 3 5¢so. FT. 7.56 CONST. MUALCTICO UTLET NON•RESID. C C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES 20 Q 1.00 BAL @@ .50 Ex. Occup. OUTLEfSPRESD.OEA. 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 27.96 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worke ' comp�9nnsa,^tio m uranc cau4Land policy number are: Carrier C�.Y�/l ALI le, 1-v1,5• Policy Nu ber (The above sections nee no be completed i the permit is for work of Evaluation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 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. f , X ____ Date 11✓ ��� Signature of Appli ant - 17 Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 60" deep and de (tion or construction%�7 of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 381.31 HAZ. _- D. FEES IMP _ "- FLOOD CDF 1 PgRCEL pO -1_ HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. to f� �/ G 1 -26' yd' De ReceiptNo. Z.4 ? .3 % WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'ly,� l`�{:I . fir. �" i J n �r p f -�Y• r r: ` t , l i ` ' ry f . i� • m r - - COUNTY OF BtTTE -°DEPARTMENT OF DEVEL-OPIENT SERVICES -BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 A- PERMIT APPLICATION DATA SHEET K OWNER: J , G[)tI-m,,,,4 ASSESSOR PARCEL NUMBER: Z �, � .6 —0/ O Proposed Building Use: a / o(a,/c`_ Building Inspector: 5:;' Date: evilA .At time of permit application, I was advised the following data must be submitted prior to permit p ceasing and/or issuance: f•. Date Received By ❑ 1. All items have been submitted .---------------------------------------- --------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ;------------- --------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------;------------------------------ ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ----------== ----- ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated .and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. -------------------- ---------------------------------------------------- 09 ome d installation instructions including Tie Down Specifications.- -`- ~'---------- r . Fees of $ � � .4 -b-ec �----------------------------------------------------------------------------- act fees :ho wn on the attached schedule. �r'�Q�d�l f-------------------------------------- 2. California Deptment of Forestry plan approval/fees. -=----=------------------------------------------------- i ❑ 3. Flood a ation certificate. ------------------- --------------------------------------------------------------------- tion and plot plan approval Health Department. ------------------------------------------- 20 97 ❑ 15. City of Chico plumbing permit. ------------------------------ ---------------------------------------------------- 0 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 1]21. Contfactor's license information '(Number, Name Style, Classification). ------------------------------------- 0 -------------------- _ —� ❑22. Workers' Compensation carrier and policy number.---------------------------=�1-------- ' ------------------- 023. ------------------ h ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ------ ~-------------------------- --- ❑24. Letter of signature authorization.--------------------------------:�------------------_---____-- __-- `- l ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------- =------ --- ❑26. Letter of intent on building use.--------------------=----------------------------------'==--------- 1------------ ❑ 27. Manufactured Home utility clearance. —;------------------------------------'--=------ `---=--------��,;-------- ��': , 1 ❑28. Existing violations and/or expired permits.---------------------------------------=-=---------------------------- [--129.. -------------- s--p--------- ❑29. 0433 A, ❑Grant Deed, ❑, M.H. Title, ❑ Check to H.C.D $ - .`----14/------ -Other: S'G.t c��i� 2G 1�o ii<•vi M ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ` G J�- lephone and hold for pickup at Y� i office. C3Deliver with inspector. S"/ O -0f7� Applicant: Date: 7'"J%L� % 2 l R / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Da By: 'Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: yDate: By: 1. Index permit application for the above items numbered: " ❑ Plan Check List 2. Additional items required: P= Contractor., designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Dlyision counter, by Date: Plans reviewed by: Date: Plans approved by: (/1V\/ Date: �ji iclin Sets of plans on hold in ❑ Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY - Plot Plan Attached Floor Plan Attached Sentto B.D. i�g-2q�97 Owner Locati AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other, / -�, � X /® " , Hold final for: Final clearance O.K. for: NOTE: Environmen"tal Health Specialist Date (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF D1 VELQ.pMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING i 1' a`�� ' BUILDING PERMIT OWNER t 0 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING II[)ORESS, /� /] /I 87 Cjll O — 7 I �L/Pl(/ •� CONTRACTOR'S NAME I,TELEPHON C_ vf3'7t = .. _ � t aloft CONTPACTORS MAILING ADDRESS ,,d 0."a 578 -5w CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ r, S BUILDINGADDRESS /% 9 2✓ Energy Plan Checking Fee $ '23 . U O PERMIT FEE i F LOT NO. SUBONISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF2(,Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 p Solar or heat pump water heater 23.00 Water piping 15.00 Gd Each as water heater or vent 15.00 TYPE OF WORK NeAt ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: `Ce—,�� _ p c t u �� � T Gas piping system 1 - 5 outlets 1 15.00 Building sewer15.00 Mobile Home S G W 920.00 PERMIT FEE el 21, DB ELECTRICAL PERMIT Fling Fee 20.00 MOVOR LESS Main Service 200A 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main TO 46.00 NST.SerWEE200A NEW CONST. DWELLING OCC P. CC OR ADDNS. ( d ACC. BLOS. S^ 3.50,'.' �b R6ID ' MULT 0.tlTLET eG 7.50 POWER APPARATUS a SINGLE DLrtLEr cIR. EX. Occup. OUTLET OR FIXTURES BAL @':005050 O Ex. Occup. OFUTI S .=.1EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ T WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ O occ CONST. TYPE TOTAL FE W '` j HAZ. D. FEES IMP FLOOD CD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By �� PERMIT EXPIRES ON `Z�I the applicable provisions Resolutions to do work been paid. Date 00, Date Receipt No.9_Z�a7� 7 ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .T.—Vv� " �,WC ary�vsr� {�C+QI ►1°y "i'"4'�"'�y" •" iE" '"'^ " Ty;� ti �"_ _ ,,.� ir.vh f«�a r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ' i School District. Building Department No. A.P. Number, Jurisdiction: CityEN County Property Owner 1�r; Property Location/Address�j�--- Subdivision (Street Address) r V Lot No Residential Development 0 / No of Living Units Mobile Home Installation Addition t,{tijl�•� Commercial/Industrial New Addition Buil ing Depart�Representative. (Floor Plans reviewed by School District Personnel) s rict Identificapo o.. 9 8 0 O .19A 0 School District certifies School District Representative 1 Paid by Check # r Remarks: r* Sq. Footage -2-14 (Group R) Sq. Footage (Including Exterior Roofed Areas) R112 -A7 Da .n 2(Ap • lic� t) 0 ( hone Number) (State) (Zip Code) by payment of'S' 2926 $ 11FULL MITIGATION Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the impositionof the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its. impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm (Street Address) r V A f� / t,{tijl�•� has complied with the requirements of Resolution No. i i representing square feet. School District Representative 1 Paid by Check # r Remarks: r* Sq. Footage -2-14 (Group R) Sq. Footage (Including Exterior Roofed Areas) R112 -A7 Da .n 2(Ap • lic� t) 0 ( hone Number) (State) (Zip Code) by payment of'S' 2926 $ 11FULL MITIGATION Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the impositionof the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its. impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm n, A HARRISON TERMITE PEST CONTROL 2950 FEATHER RIVER BLVD., OROVILLE,CA 95965 (530) 533-0727 or 533-0720 1-800-287-0720 CHICO GRIDLEY MARYSVILLE PARADISE WILLOWS YUBA CITY e 10 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUE _44�? rDMITER 7157744 u•a.. oat Dixon Construction Ii �� /:�--r.�-t ` ILI,ttltltltltttlltttltitttlltttlltl�i,tltttllltttl 2950 Feather River Blvd. DI:t0950 959651022 1398 i5 09/03/98 RETURN TO SENDER :DIXON CONSTRUCTION 114 ORCHARD AVE MOUNTAIN VIEW CA 94043-4813111I1ttt11 T�3 r rDMITER 7157744 u•a.. oat Dixon Construction Ii �� /:�--r.�-t ` ILI,ttltltltltttlltttltitttlltttlltl�i,tltttllltttl 2950 Feather River Blvd. DI:t0950 959651022 1398 i5 09/03/98 RETURN TO SENDER :DIXON CONSTRUCTION 114 ORCHARD AVE MOUNTAIN VIEW CA 94043-4813111I1ttt11 IN 10 r j PERMIT N0. 1823-78B • _ PERMIT EXPIRES °OWNER Daniel Horner + CONTR. owner LOCATION (A.P. 26-07-10 6924 Upper Palermo Rd., Oroville �r- F i ( i 's 4 . 4 t l• t r, i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp/*ailed Gas Serv. PG&E FINALED /1-3 (Date) 5J 14 1 (Signature) I . COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION .RECORD Setback Forms Main Bldg. Footings Stemwal I - Slab Piers Garage Footings Stemwa I I Slab ILDING BUILDING (Cont'd) PLUMBING WA Firewall Sol[ Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handica ed Appliances L,arporz Conformance of ex. Gas Piping & Test Footings structure 0 1 Temp. Gas Slab Final n4pSanitation Patio IRiF;LAC&J Final Footings Footing ELECTRICAL Keinf. steel I Final I Fixtures Bond Beam I I FIRE SPRINKLERS I Mntnrc rramIn Test Water Htr. Stucco I Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer. Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /C/7 o,- L 0/C_ 1 (NOTE: An entry must be made on this form each time you visit the job site.) z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS T ' 7 County Center Drive - Oroville, California 95965 p Telephone: R34-4541 -`17 APPLICATION AND PERMIT BUILDING Owner 00&d4� 4e SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �-+ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F // A'C. S I on Fire Dept. Fil'eZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improveme is Each additional outlet .30 Building sewer 5.00 Bldg. P s ec'd Parcel A rova Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ is ` ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 f Main service OVER 600 V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS,CCUP. N� 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR.S'D. MULTI.OUTL T NON•RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS 6 NON•RESID. ANGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11PES 80@25¢ BAL@1 EOx. ccu FIXED APPLES. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 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 N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood F2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property fo=ate es. c � Signature of P. mite. or Agent Receipt No. oZZZ �.a n White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli.cont 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 O'f1JBLIC WORKS BY Dated! -�O Buildingpermit expires Date G% 5-7�