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Home My WebLink About026-172-010` �- '`�=� 4- � ---�: � �� - - - -- - - - -� y .tom.-�.--•--^ , � _.:_ _. - � . £ " -- AP 2 -172-10-!__------•- TOMLINSON s/ s worth Ove . , 33501 E. of Lincoln B -roville- ------- •- Permit# 3/ 81-7 util. , MH) `rJ GAS SUPPORT STRUCTURE REQ._ COMPACTION TEST 26-172-10 sell Guiver 2075 Kenilworth Ave., Oroville contr: Assured Quality -Const., Oroville Permit #1094-77B,P,E,M(new single family) fs 14,4��i� ' ��.. 26-172-10 contr; Assured Quality Cast., Oroville Permit #1566-17B,E(enlargel garage/SF) o 26-17.2-10 5*Permt #4410-7ewal) I 026-172-010 ,, 99-0786 CARRILLO, Olga 2075 Kenilworth, Palermo' Contr:Owner fi r gas line and fixture 5I31�� t y 12, r I t ' 4 �` i S r I t ' 4 �` i Rr'�, CN 0 t , 1 '-1-1094-77B,P,E,M PERMIT NO. *' a r, PERMIT EXPIRES _ 3-a3 -79 a .OWNER Russell Guiver fi CONTR. Assured Quality Const., Oroville Y LOCATION (A.P. 26-172-10 ,'r 2075 Kgnijworth Ave., Oroville a Pu+ Temp. Power Pole ..I Called PG&E ' Temp. E/I c.. Serv. ` Ca l ll.�re//d'' P PG&E 1` jTem Gas Serv. - Called PG&E , JOB FINALED J, t. (Date (S,9 r w Z. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont' PLUMBING Setback i / Firewall Soil Piping Forms Parapets 1st Floord9'%1 Main Bldg. Restroom Finish 2nd Floor Footings Windows % r 3rd Floor Stemwall Siding To out Slab Roof Sheathing 3 Water Pi in Piers / Roofing 7% Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents go Insulation Water Htr. Heaters ` Slab Carport p Footin s Provfor physically handica ed Conformance of ex. structu a Appliances Gas PI Ing & Test — Temp. Gas Slab Fin Sanitation Patio FIREPLACE Final Footin s Footing ELECTR Masonry Walls ThroatRou h -�LZ Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framln-q Test Water Htr. Stucco Final Subpanels Mesh 15 MECHANI L Grd. Fault Prot. . Scratch Heatinq `ZN'7 Service Brown / S %/ Cooling - 6-7b� j5 Temp. Pole Finish -% Ducts Under round Interior Lath Ventilation Permanent, Door Closer FinalFinal MOBILEHOME UTILITIES ------------------ Elec. Service Elec. e --- Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMARKS OR CORRECTIONS,�ri>/ t,7 0/2 fill /011 d� So x,133 ( C°� t,(57,5Sir �� fW -ro Zq Fez- T/ S S fp I< DR/aiV Grr� L(i D2 1R,� /A-) J'1ak.* Ak f34 7)/ - ��. d hey ? � c`0179 A � /a/ e- aj /v,� (NOTE: An entry must be made on this form each time you visit the job site.) dERMIT NO. •1566--77B,E PERMIT EXPIRES7�// OWNER Russell Guiver CONTR. Assured Quality Const., Oroville LOCATION (A.P. 26-172-10 2015 Kenilworth Ave., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. ' Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) r-raming COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph e.1 handica ed Conformance of ex. X structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation" Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam _ FIRE SPRINKLERS Motors r-raming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown VCooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) CERTIFICATIONS As required by the State.regulations,•both the builder and the insulation applicator must sign a card certifying that.the.proper "R" values for all insulation locations have been installed. An example of a certification card, which is furnished by the builder or insulation applicator is.shown in Fig. 13. THIS IS TO CERTIFY THAT INSUWITION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT. ENERGY REGULATIONS, CALIFORNIA AMIN1STRgIYE CODE, T TLE 25. STATE OF IFORNIA. IN THE BUILDING LOCATED AT: _ Tract ;:... EXTERIOR MALLS Manufacturer el:ness/Type- Z R Value I 1 �. CEILINGS . Batts: Manufacturer* ' Thickness R Value ....:. Blaen: Menufaeturer 1' Hess .t ./1 No. Bags_ Wt./Bag. ... Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRACE Manufacturer Thickness/Type R Yaluei Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value ENE CTO NUMBER CG \ 1 TITLE1�-- DATE_ 4 Q&- 7 INSULATION CONTRACTOR LICENSE NUMBER BY TITLE DATE Fig. 13 .8-14 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me Toned property for inspection purposes. Date '— '- 9 Signature of Permitee or Agent Receipt No. / 17 4� - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above ff hich fees have been paid. / , DIRECTOB10F PUBLIC WORKS Date BUILDING Owner tJ�u� SQ. T. OCC. 4,9 BUILDING VALUATION -_ Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuatio Telephone No. Permit Fee V12 V&O f Building Address a02— Plan Checking Fee &/or Penalty Permit Fee (o,C>�I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 lJe L. L IS Repair drainage or vent piping 1.50 A. P. No. -. ` O Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees �yiYE. Seff a I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE b (� _ 7 7 PERMIT FILING FEE $3.00 Main service 100v OR LESS 10AMP OR LESS 5•00 0 Single Family g�l Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC cup- Ik OR ADDNS. ACC. BLDGS. 2�Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y ULTI NEW CONSTR RANCH -OUTLET NON-RESID (BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS B NON-RESIDSINGLE OUTLET CIR. Ex. OccuoiOUTLETS OR FIXTURES 5 L� Ex. OCCU FIXED APPLNS. OR Occup.((RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 a( I am exempt from the Contractors License Laws of the State of California. LAEWORKMEN'S Permit Fee $ $ COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any *person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me Toned property for inspection purposes. Date '— '- 9 Signature of Permitee or Agent Receipt No. / 17 4� - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above ff hich fees have been paid. / , DIRECTOB10F PUBLIC WORKS Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W KS 7 County Center Drive — Orovi lie, California 95965 1/ Telephone^ 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m do ed property for inspection purposes. Date Signature cff Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date 7 --,?-3 —7 7 Building permit expires Date 3 —Z3 - -7j' BUILDING Owner ✓ USQ. FT. OCC. BUILDING VALUATION Mailing Address 2 Telephone No. Fireplace Contractor Total Valuation a p V /I t i2� / Ole— Mailing Address ll l Permit Fee Plan Checking Fee&/or Penalty IleTelephone o. � Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 041-0 Each Trap 1.50 Z,tft Repair drainage or vent piping 1.50 Water piping 1.50 �,5U Each gas water heater or vent 1.50 A. P. No. �0 Zoni Gas piping system 1 - 5 outlets 1.5U Each additional outlet 30 Fees W.C. I Stmionj Fire Dept. Fiirr�eZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration f��arCel 10fa� 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Ions Rec'd L"Permit Parce pproval P s Approval Fee $ $ z NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 LE10V ORSS Main service 100 AMP 5.00 Main service EA. ADD'L 100 AMP 2.50 r� Single Family l9 Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 1Q00 AMP 1.00 OR ADDNST (ACCLBLNEW CONS. LINDGS./ &) 20sgft � 2O ' NEW CONSTR. MULTI-OUTL NON.RESID. ( BRANCH CIRCUITS) 2.50ea - NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name s le of: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2j Ex. Occup ( FIXED APPLES. OR • 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 $ , 2 (? $ v MECHANICAL No. @ 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. 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. PERMIT FILING FEE $3.00 Heating O Cooling 2 Ventilation Hood 2.00 ,�0-0 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 C(. c7c TOTAL PERM(T FEE is/ authorize representatives of the County of Butte to enter upon the above -m do ed property for inspection purposes. Date Signature cff Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date 7 --,?-3 —7 7 Building permit expires Date 3 —Z3 - -7j' COUNTY OF BUTTE.- — DEPARTMENT OF PUBLIC WORKS F ' 7 County Center Drive — Orovi lie, California 95965 Tel ep6one: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %� �►�� Date`�� Signature/oo`f``Permitee or Agent Receipt No. �c �(0 ZCJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod --Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT,PR OF U LIC WORKS B Date permit expires ate -7 BUILDING el tZZ;1 Owner Ver �e SQ. FT. OCC. BUILDING VALUATION Z 6 Mailing Address Telephone No. Fireplace L 7 1. ®' .S%_. ContractorAm U eEv . Total Valuation 3 to 00. Mailing Address % 9' . ClyeGc A , Permit Fee -- Plan Checking Fee &/or Penalty 0(f / LLr lhone Tee o. 3-,9V Permit Fee $ Building Address 0V5- ke C� / L �.tlp�%hl PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ve - . , Each Trap 1.50 O LLQ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 eq f 7 2 „/ 1 A. P. NoO� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Few I Vrc-. Sa it Io Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel arcel Ma Plans Declaration p 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. P s Recd Parcel Approval Plan poop rovaI Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _3— Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 .{� Single Family L.al Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 / � Cr L`-7 NEW CONST. DWELLING O Upp & OR ADDNS. ACC. BLDGS. L 20Sgft NEW CONSTR. MULTI -OUT ET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name s le of: CG �` Ex. Occup(OUTLETS OR FIXTURES) BAL@1¢ Ex. Occu FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 7Q 11 (7 Classifications I Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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 No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE 9 le -02 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %� �►�� Date`�� Signature/oo`f``Permitee or Agent Receipt No. �c �(0 ZCJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod --Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT,PR OF U LIC WORKS B Date permit expires ate -7 M 'Util. %PERMIT NO. 3481-75P,E P M MH UTIL PERMIT NO. . PERMIT EXPIRES 7-QQ - 76 'OWNER Larry tomlinson p CONTR. LOCATION (A.P. 26-172-10 ) �1 s1s Kenilworth Ave., 3501 E. of Lincoln Blvd. Onoville• I: r i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel. Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test 'Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish. Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS Owner I.A94 Mailing Address COUNTY OF BUTTE J DERARTMENT OF PUBLIC W �. 7 County Center Drive — Orovi Ile, California 95965 " Telephone: 534-4541 APPLICATION AND PERMIT BUILDING /j' I SQ: FT. I OCC. I BUILDING VALUATION A-GY elephone No. Contractor Mai I i ng Add ss Telephone No. Building Address 19i A. P. No. —7 1O Zoning F a t ' Fire Dept. FireZone Use Permit EQA I Parking Parcel Plans Declaration Parcel M 1. p 60' R/W Im rove ents p PI ec'd Parce pproval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ry OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No. Classification ['I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this k4; 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinance's and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. ou"Date Signatureofif % Permitee /or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps„ switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump 6 / Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i Ventilation Hood Permit Fee $3.00 2.00 $ FEE TOTAL PERMIT FEE $6 w This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date? -"7 7' _)i ilding permit expires Date 7--17s7> -7 44 Setback sWl be 5 ft. fry the side property line and 50 ft. frotr► the centerline of the road, perm&. irV a maximum of a 2 ft. eave overhai*'. All utility, connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. BUTTE COUNTY., BUILDING DEP RTMEN T APPROVED A �:x L -C - Septic system to be a Per --7�— Butte County Health Dept Re- qufrements, Phis set of plans and sp8cificaatiom MUST be kept on the job at all times and it .ia unlawful to make any changes' or alterations on same withoo written permmon from the Department of PubMc Works - County County of "e. W' ,firo The t'.. Setback shall be 5 ft. . -from the side property line and 50e ipg the centerline of the road, p 'i maximum of a 2 ft. eave overhbV' 11 All utility connections shall be located within 4 ft. outside the rear third section of the mobile home ,on the left (road) side of the mobile home. INS set of plant and specifications MUST be cepa on the job at all tiro es and it is unlawful to make any changes or alterations on same wWWO w tten permisson from the Department of Pub#c W wks, County of &trite. oL= BUTTE COUNTY BUILDING DEPARTM APPROVE Septic system a_JEA - ng in UM b-ot to be as Butte County Health Dept. Rutrement$. i1,�! t � r �rtmK4� tr-At�... j 1 i �,.i.} th .'' � �1♦ .d+.L�"t1►: {i_ iir4 i}i S4`t• l .. #'�� 1 .•�.� if (ir f i �!�i,.•!-1..� riia�'i �1 � T rCi f :.%��i •.,'"I_ 7:1 .'11 r�1y v . .'•iM.+ 1.. i `r.i. t � r 026-17-2-010£ • • r 99-0786 E' OLGA�CARRILLO M r : 2075•,Ken,il4o"rth., Palermo r (gas ;piping and' fiftur - r s. ,I :j r, F + N OFFICE COPY 1 _ t Address i CC_ ) GAS Dam Meter By ELECTRIC Date Meter By 1Y y r 5 jr 1 • y 1 t � lAw wl% e COUNTY OFFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County,Center Drive • Oroville, California 95965 • Telephone (530)-538-7541OE�tMIT NP/ (Rev. 12/96) APPLICATION AND PERMIT* �l jJ ASSESSDR�PARCELNUMBEA - - , - 0Z6, 1 2-010 ZON1N0 BUILDING PERMIT OWNER OLGA CARRILLO - TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2075 KENIL14ORTH CONTRACTORS RR'NAME OWNER , TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS • Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2075 KENILWORTH. PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. o-. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 - USEOFSTRUCTURE SF ON Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 15.10() TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: GAS LINE AND FIXTURES Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ZoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I herebyaffirmunder 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 � U6. No. � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'O' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale." ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Main Service Zoog TO L000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS.. S° 3.5QFT; T. MULTI- ' NOON-RESID. CIRCUITS OUTLET @7.50 PSOWERINAPPARATUS GLE CIR. a OtfTLET Ex.,Occup. OUTLET OR POLTURES zo @ 1.00 BAL@ .50 Ex. Occup. OP'xtnEis R p,°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating GALL FURNACE 15.00 Cooling Hood Ventilation Mobile H' Energy II occ , HA , This permit is of the Butte G indicated above / sy pf V �V w • f .4+ PERMIT EXPIRES 6.50.. 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 C C, CQ ( Y� f) Date (.1 Signature 'of -Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or, construction f of structures over 3 stories in height. Receipt No. u ei7 1..l g. 0 `�%� WHITE-D.D.S.-B D. CANARY.ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSQfi�/,BCEL� 7M 2 O10 l ZONING BUILDING PERMIT OWNER OLG OLGA CARRILLO TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 2075 KENILWORTH CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2075 KENILWORTH PALERMO Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF d Duplex ❑ Mobilehome ❑ Other SAIF` Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: GAS LINE AND FIXTURES Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 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. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f the following reason: 1, 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 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5Q�: T. NOµpESID. MULT.' CRR UITS T @7,50 POWGERLE APPARAUTLETTUS 8 SINOCIR. Ex. Occu OUTLET OR FIXTURES 20 SAL Q . '50 Ex. Occup. OUTFIXLETS R p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i 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 hof one hundred dollars ($100) or less.) 6d• 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 —_ 0— Date 4 –IQ -9f Signature o pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating WALL FURNACE 15.0 Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee is Energy Inspection Fee I $ occ CONST. TYPE TOTAL FEE $ 85.00 HAz. I D PEES IMP I FLOOD COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. W" Date PERMIT EXPIRES ON ate Receipt No. WHITE-D,n S. -BD. CA A -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ��`�No. (Rev.12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBEAO / —74-0/'D C7V L ZONING BUILDING PERMIT ��`� ` ! TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING DRESS % 57f^(1— ..•lll(��G�YY� G/ CONTRACTOR' CIONAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS y / ^ ^ - (� I/ 1` Energy Plan Checking Fee $ $ PERMIT FEE t LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap.7.00 Solar or heapump water heater 23.00 Water piping 15.00 /Each gas water heater or vent 15.00 -5 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CI Gas piping s stem 1 -_5 outlets 15.00 _i Building sewer 15.00 Mobile HomeS G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 MOVOR LE Main Service zoOA OR LESS 23.00 ' Main Service 200A TO 100 -OA 46.00 NEW CONST. DWELLING OCCUP. 3.50so OR ADDNS. ( 6 ACC. BLDS. NEW CONST. MUITI.OUTLET NON-RESID. 97.50 POWER APPARATUS b SINGLE OUTLET CI0. 20 Ex. Occup. OUTLET OR FDITURES SAL O I.00 O .50 EX. OCCU FIXED APPLNS. OR OUTLETS RES10. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICA PERMIT Filing Fee 20.00 Heating 4,1QU/ Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD 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. Date Dela Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT