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026-113-014
113=.1.4,_ ...r_ -r....... ROBERT IMI` 1922 Esperanz , { Contr: Sharp Elec c PErmit#349-88E(relocate wer po 26-113- , Permit#784-88B(demo ski/deck) �•�g� j'"� 26-113-14 j P,emit#949-88B;'E(new'garage) = f r i3O t . 5 { • t _ - y '9 a • t � i� 113=.1.4,_ ...r_ -r....... ROBERT IMI` 1922 Esperanz , { Contr: Sharp Elec c PErmit#349-88E(relocate wer po 26-113- , Permit#784-88B(demo ski/deck) �•�g� j'"� 26-113-14 j P,emit#949-88B;'E(new'garage) = f r i3O t . 5 { • t _ - y t Temp. Pow Celled Temp. Elec Called t Temp. Gas Called JOB FINAL Signatu =.Olt ' 0 = Not OK = Not Read�yable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . 1. Zoning. Requirements-Setbacks-Easements q7 . oning Requirements-Setbacks-Easements 2. -Soils; Special MH Support-Sketch _ _ ootings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete, 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails .• 4. Water; Location-Test-Easement Needed (Sketch) 4., Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-% / Amp-Concrete Shthg.-Rfg.-Bracing 6. Gas; Location-Test-Wrap: / PV ft. 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures. . / /"Nat. or/ /"L"ft./ P'LPG 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-131 Date 10. Roof; Shthg-Roofing Card-131 Date. Card-61 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-131 Datd/-?_Frj7 Card-B1 Date 2. Footings; Size-Spacing-Marriage, Line Card-81 U Date Card-B1 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability -7. Water and Sewer Connected-C/O to.Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy. 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;, Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater Card-131 Date Card-81 Date 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-131 Date Card-B1. Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test ` Card-131 Date Card-61 Date Card-131 Date Card-131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) -=Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Fig., Porches & Decks; Soils -Steel-/ /"Fig. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 79. Following instld.; Drive O Yes 0 No; Walks O Yes O No; Planters O Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) .'�..�'.� .s. - M. •:'y� . i:}•rr{ • '.t�. •�•,-Y,:ylt.�..�<..9# rT-a,.;r-c�1,Ys,`".5 �kt�r.4t'1Y,ri-laJ +tk 5+.V=^*�c'yhF�rp.4� r;�r"�.. •rt•J."! xfi�y..• ..1 r•i 349-88E {i it Robert F. Simi 1922 Esperanza it :^ Palermo .��� �� •, � IIS • .. � • �` ... .. �•_ • . • � � • ki { y FGA - ,OFFICE COPY Meter. 13— Y ----:r T Date t ELECTRI ? 3i �} Meter By Dat : oil :• is . :. _ . S � a ;,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WJDRKS -r^•f 7 County Center Drive - Oroville, California 95965 - Telephoner 916!538=7541 APPLICATION AND PERMIT ASS ESSO —P'ARGELM ``/ ZON BUILDING PERMIT .n OWNER�Gw af' f �' \ I, �. _ VSELTEL P U—NE SO. FT. OCC.;, BUILDING VALUATION ' OWNER'S MAIL'IING ADDRESS l `1 i � 0 I-,-, �� CONT R ACTOR'So AME' / 1ei� "t V, ,� /0 CI r " TELEPHONE CONTRACTO`R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Cy i rn 'J F4. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 P .f m p 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 1C Duplex❑ ❑ MobilehomeOtherL %��, -•.. SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home -S 10.00 ea ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑, Installation tF 11 .JJ ❑� tfiOthef � '�, Describe work: f�F 1!1 �. �+ 1 C Ix 1. 1` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 t� Main service 100V 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): ' ❑' I am licensed under provisions of Chapt. 9, Div. 3 of the•Business and Professions Code and my license is in full force "an`d effect. License 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 ' ' �. 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 I NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. / OCCUP.51 , /20sq ft NEW CONSTR. U I -OUTLET 2.50 ea NON.RESID .BRA C CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20950t SALO Ho FIXED ALISIS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _S !7%% PlIp - J 14S /!� Penult Fee $ !)_ /) Contractor 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 complyowith such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the,County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,sald County -inconsequence of the. -granting of this permit. X e`// 7- ` . r/� ..-- ! 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 -in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.TT SCHooLJ FLOOD PARCEL I PD F0 I ISSUE This permit is hereby issued under sions of"the Butte County Code and/or work' indicated above for which _ 1/ DIRECTO(` OF PUBLIC / By .CSL---� PERMIT EXPIRES Date/�� the applicable provi- resolutions to do fees have been aid. p WORKS Date � , fi'8 f/C,` �� Receipt No. ��5.3 WHITE-D.P.W.. YELLOW-ASeCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial•�Way,�hi ive, Dco — Phone: 891-2751 7 County Center Drroville — Phone: 538-7541 747 Elf'iott Road, Paradise — Phone 72-6307 :, CC�RRECTI®111 NOTICE OWNER'. A PERMIT N0. A roufne 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 pertai,nirtg'to this matter, or need additional explanation, please contact this offl'ce immediately. Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville. California 95965 - Telephone: 916/5.38-7541M 77 APPLICATION- ANO`PERMIT ASSESSOR PARC NUMBER, ZO G BUILDING PERMIT OWNER - T PHONE 6471 SO. FT. OCC. BUILDI G VALUATION OWNER'S M � NG ADORE //1( CONTRACTO 'S NAME -HON 7-7-- CONTRACTOR'S MAILING ADDRESS • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ -50 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 Filing Fee 10.00 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or. vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPACI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea J_ TYPE OF WORK' i New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ I Describe work: X r - Permit Fee $ Contractor ELECTRICAL/PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /000 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): i ❑ 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 ❑ 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 CONST. DWELLING OCCUP.ad) , OR AODNS. ACC. BLDGS. / /20sgft NEW CONSTR. TI.OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCup OUTLETS OR FIXTURES eALO 30 FIXED - Ex. Occup. OUT LETS (RESID )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15..00 Misc. >,Yirin 15.00 g Permit Fee $ J - 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 becomesubject 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Ilabiliti judgments, cost nd expenses which may in any way accrue against ( C my ' c e e e of thering of this permit X %/ Date 34 Ignature of Applicant — Wner ❑ Contractor ❑ Agent ff An OSHA permit is required for excavations over 5'0" deep and demolition or construct -OR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE S Occup. CONST.TYPI1 SCNOOL I VL AR E PD I ND I uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF P B�Date By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �^ Receipt No. WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. O LDEN ROD -APPLICANT >.., w . . .e .r •q.•. n'GR; :fin( M„�.1s Y-9_ . r ,*.e�.� .., 4Y`.�j,.,)T 1 yf S: r"`�ryr! `.4: })!'.A '..etk. i COUNTY OF BUTTE -DEPARTMENT 61F"PMLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CAL1Fg5NIA 95965- TELEPHONE: 916/538-7541 r `� PERMIT APPLICATION DATA SHEET Permit No. OWNER `,L�%% A. P. No. �P(0-���'�/f Proposed Building Use ���i�.-� Building Inspector 4'2� Date 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 Pian. 7 Statement of Intent for Non -Heated and AC Buildings. , 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . 10. Sanitation approval fromHealth Dept. 11. Planning approval for (A) Use: v(B) Parking: 12. Certificate of Workmen's Compensation Insurance. s 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑,) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Prn-Inspec. request to 17. Pre -Inspection for Required. B,ilding Inspector (Dole) 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. 1 When you issue the permit, process as follows: Mail to ownar, Mail to contractor. lephone and hold for pickup at office, Deliver w/inspector. Other Applicant 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. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—rlail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date _ .Sets of plans on hold in File cabinet L/AP folder Copy—DPW .:s^, - T TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location– AP# Plan Approved for: Sewage Disposal � Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom mobile home. Other NOTE Sanitaria— . Date T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT I /N�_ / ASSESSORPAR/ NUA1 R ZONI BUILDING PERMIT ow R f /� br r/ 1 TELE ON SQ. FT. OCC. BUILDING VALUATION OWNER'S AILIN ADDRESS / � S c --rani le, r s1� CON RAC T.O^�R'S-N AAM /L Y TELEPHONE CO TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 'Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ O. O PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r 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 y USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ 'Addition ❑ Remo ❑ Uti%ities ❑ Installation❑ Other e ' Describe work: e` L42 C2 1 �f l� !� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v 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): El 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, 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.0 OR AODNS. C ACG. BLDGS. ,/20sq ft NEW CONSTR. TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e\ SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES SA0 0 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilltu'ies, judgments, costs d expenses which may in any way accrue against i my i ,mac u n of the gra t' g of this permit X - Date Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. I CONST.TYP[ SCHOOL I FLOOD PARCEL I P;71 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi above for which EC PUB 01 13 P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date Receipt No. C/ F O WHITE-D.P.W.. YELLOW-ASSESSoII. PINK -INSPECTOR. GOLDENROD-AP►LI CANT 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. 1. I personally plan to provide the major labor and m terials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 Address 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 Security N mber Al,/ Date 3 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. V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' JPTERMIT t��/,./J 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.�r X �/ APPLICATION AND PERMIT ASSESSO PARC JU^BEg /TELEP ZON BUILDING PERMIT OWNER o ert NE �3 - / SO. FT. OCC. BUILDING VALUATION 01N�ER'S MAI NG �D nRE55 n r m 11 GC 5S9 CO T ACTOR'S AME - ie-C-'fr TELEPHON CONTRACTO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19t2g P-5 P,Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a r m o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1. 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 0.00ea TYPE OF WORK New ❑ Addition ❑ R odJgl ❑ U ilities ❑,(//� Installation❑ he9 Describe work:(' `0 C(a� / ®lt% 1�f� ! El I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 1 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/POWER and Professions Code and my license is in full force and effect. License 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 . a) , NEW CONST. DWELLING OCC UPh�Sgft OR ADDNS. ACC. SLOGS. NEW CONSTR. T' -OUTLET 2.50 Be . NON.RESID .BRA C CIRC ITS APPARATUS e \SNGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 5AL990 Ex. OCCUp. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis . Wiring 15.00 S ,, Fee -1 Permit Fee 1 $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil' ' s, judgments, costs, and expenses which may in any way accrue Ince of the gfanting of this permitXDate again s id Cou=�4;z ignarure 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, CONST.TYPa SCHOOL FLOOD PARCEL P11 I No I ISSUE This permit is hereby issued under sions he Butte County Code and/or war in sled above for which TOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date QY�� Receipt No. t� �� WNITE-D.P.W.. YELLOW -ASS E33OK. PINK -INSPECTOR. GOLDENROD -APPLICANT ``'i".J`,Y�rp'j4 w',,--qr.�<' i''..j"i" F.,_r a:-:'"I'T'tif{F„W: .•.„t..+�. w- ;a• -,.s s k` ti r� t %f N,r .+,{.t+`!�f` . COUNTY OF BUTTE - DEPARTMENT.OF'PUBLIC WORKS'- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 . PERMIT APPLItATfQ-.119-ATA SHEET ' ---= Permit No. OWNER �Dit�C' ►^ I Si 1 Proposed Building Use F7 P d r l C_ 1,Sr' Building Inspector aW Date 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. Letter of signature authorization. 10. Sanitation approval from _ Health Dept. 11. 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 owner❑, Mail to owner ❑ ) _.__..._15. Improvements may be required. . . . . . . . . . . . 6. Mobileho Install I Dat . . . . . . . . . . 17. Pre -Ins ���C_ i t Required, Pre-Inspec. request to o% ^ ar p �✓ --- - - -- q Building Inspector 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: Mail to owner; Mail to contractor_ Telephone and hold for pickup at—off ice, Deliver w/inspect•or. nthar 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. 2. Additional items required: —_ Contractor, designer, owner, was advised of above required data by—phone —mail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date Plans checked by Sets of plans on hold in Copy—D.PW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF UBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 9596k) -Te phone: 916/538-7541 APPLICATION'. AND PERMIT ASSESSOR PARC Lu-BEg - `f / ZON1 BUILDING PERMIT OWNER(/} o c r t S; H-► TELEP NE, S 3 - Q. Fl OCr`C.`, BUILDING VALUATION 7y ER'S MA1 "jNG ADDRESS 1 C/j Cl ►^ Gt r n� 95 CO T ACTOR'S AME TELEPHON :t CONTRACTO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS rQ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Pee e I^ m o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFg Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ RJ�od I ❑ U Ilities ❑ Installation❑ he% Describe work: t le To Cc"l T e �© iA-) F ►^ �q / r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Q / Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICEN4 LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BU$IneS$ and Professions Code and my license is In full force and effect. License 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) contract-I, (� I, as the owner, am exclusively contracting with licensed ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.8 , OR ADONS. ACC. BLDGS. iosgft NEW CONSTR LOUT LET NO N-11 I- BRA C CIRC ITS 2.50 ea /POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eA 0 0 Ex. Occup. OUT LETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis . Wiring g 15.00 S ; PrIe ._ 1m 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabil' ' s, judgments, costs, and expenses which may in any way accrue again s id Count - irk gnseq fence of the gPanting of this permit./ %� / �! �— Date n �r _ ipnature 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP, CONST.TYP( ISC ...L FL000 PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PFRNIT FYPtRFC data the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 11 •.,,..1— .. , I—, -._.----. � .._ ....._ .. _ --....