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Home My WebLink About026-192-006C AP 26-192-06 James Vincent JJ dl�%� 2452 Williams, Palermoil�/� /7v/ Permit 4628-75B (replace EQ damaged r 26-]_92-06 Contr '- "'' -�" �, - Permit#24$ �,87B(new carport) 13 j' 026-192-006 PERMIT #95-1032 VINCENT, Cleo Ann 2452 Williams Ave., Palermo Cont; right -Way (� 'll Replace Windows/SF ' — 1307-0353) 026 -192 -006 - MISCELLANEOUS Window/Glass Door REPLACE 9 WINDOWS, 50' ROOFING 2452 WILLIAMS AVE j STEVE AND JENNIFER SADRIN - -- B07-0695 _ 026-192-006 MISCELLANEOUS Electrical i1 MISC WIRING, PLUMBING IN KITCH. k 2452 WILLIAMS AVE SADRIN, JENNIFER & STEPHEN f 9 G6 il l r• m BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2452 WILLIAMS AVE Owner: Permit NO: B07-0695 APN: 026-192-006 SADRIN, JENNIFER & STEPHE Issued Date: 04/04/2007 By KCG Permit type: MISCELLANEOUS 2450 WILLIAMS AVE Subtype: Electrical PALERMO, CA 95968 Expiration Date: 04/03/2008 Description: MISC WIRING, PLUMBING IN KIT (530) 532-6480 Occupancy: Zoning: U Contractor Applicant: Square Footage: SADRIN, JENNIFER & STEPH Building Garage Remdl/Addn 2450 WILLIAMS AVE PALERMO, CA 95968 Other Porch/Patio Total (530)532-6480 FEE INFORMATION DBE Misc Residential Wiring $55.00 DBP Water Pipe Repair/Replacem $55.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B2489 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a 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 the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 04/04/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED EI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: ple (This section need not be comted if the permit is for one hundred dollars ($100) or less. ❑ I EXEMPT under Section B. & P.C. for this reason: �{ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X J41V L 04/04/2007 (JG�`1 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' s of aeon 3700 ofthe Labor Code, I shall forthwith comply with those Owe Signatur Date (r7 X 04/04/2007 I h6reby certify that I have read this application and state that the above information is correct. I agree to comply with alt City and County ordinances, rules, regulations, and State laws relating to building Sig t e Date construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless W R G: FAILURE 0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Butte County, its officers, agents and employees from any and all claims and liability for personal A HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,issuance of this p it. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND us or occupan of n sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. C my to ante ea e menf ned property for inspection purposes. I hereby certify that I am the pr pertyowne ram oriz toe ntheproN o ers ,,elf. [ 11^04/04/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me of P rm ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 11 Owner 1:1 Contractor OR; Agent for Owner DAgent for Contractor FILE COPY Lender s Address City State Zip Butte County. Department of Development Services ,z TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 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 $500 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 government 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 to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your. obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL.L THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL/O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. AAYES R NO) (HAVE VE 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 THE 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 Description: MISC WIRING, PLUMBING IN KITCHEN & BATH Reference Number: B07-0695 Applicant Name: SADRIN, NNIFER & STEP Owner's Name: SADRIN JE NIFER TEPH N AP # : 026-192-006 Signature of Property Owner: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530)5_38-754I FAX #: (530) 538-2140 A FEE WILL BE REQ UIREDfAT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name First Name ( Mailing Addressf o W l 1 GA,,,�S UC City u� State' Zip Gj / R l �Jtf Phon�_ `( 1 " e3 Fax E-mail S mil S SQi-b �e .lily! APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCI-ll TECTIENGI NEER Name City -Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail W/ I PERMIT NO. BIN # �n//±±API OPROJECT LOCATION 119 — 0006 Property Address S /2� �j�' City ( vl"Lo , v 9cs 1,,m WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. LL4 LAL G 11, Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I ay.. Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2452 WILLIAMS AVE Owner: Permit No: B07-0353 APN: 026-192-006, STEVE AND JENNIFER SADRIN Issued Date: 02/23/2007 By KEJ Permit type: MISCELLANEOUS 2450 WILLIAMS AVE Subtype: Window/Glass Door PALERMO, CA 95968 Expiration Date: 02/23/2008 Description: REPLACE 9 WINDOWS, 50' ROOFI (530) 532-6480 Occupancy: Zoning: U Contractor Applicant: Square Footage: STEVE AND JENNIFER SADA Building Garage RemdUAddn 2450 WILLIAMS AVE PALERMO, CA 95968 Other Porch/Patio Total (530)532-6480 FEE INFORMATION DBMSC Window/Sldng GIs Dr-Repl $220.00 Total Charged: $220.00 Fees Paid: $220.00 Balance Due: $0.00 Receipt No: B1949 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 02/23/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date [Vrl. 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 WORKERS' COMPENSATION DECLARATION - OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not be completed if the permit is or one hundre dollars ($100' or less. ❑IAM EXEMPT undo Se 'on B. 8 P.C. for this reason: I CERTI THAT IN THE PE RMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE I h In employ a y rson in any manner so as to become subject to :he Workers' Compos io laws of Cal'rfo ia, nd ree that if I should become subject to the workers' X 02/23/2007 cempen io rovisions o' S cti n 3 0 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisio ^ X 02/23/2007 - .. -_ I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, that issuance of this permit does not authorize the the issuan f this pe9side DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use cy of absidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. LacknovAedge Co my nt r the abfor inspection purposes. I hereby certify that I am the pro r amprope owners beh . CONSTRUCTION LENDING AGENCY A /23/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name Permittee [SIG Print V Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; Agent for Owner ❑Agent for Contractor 1—� FILE COPY Lenders Address City State Zip lb BUTTE.COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name < fit// Mailing Address First Name qS_0 , 9Jr !N 1 City I Q.� A113 APhone Address Stat Zi 9 6 6-3 Z —b qS0 State Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City .Address. Zip City Fax State Zip Phone Fax E-mail ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): State License Number APPLICANT INFORMATION Name Oc.�n�e n IC Address City State Zip Phone Fax E-mail I Uro PERMIT NO. off. 6353 BIN # PROJECT LOCATION AN O b 6 Property Address o2 Ll 5 oq- CO �/ , CA � MS A ut CityAl I Cry 1579 & f WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: iA)�JC.) (__0S e, ��CFLM&0-� FloodZone i SRA Yes No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. 026-192-006 PERMIT#95-1032 VINCENT, Cleo'.Ann 2452 Williams:Ave., Palermo Cont; Right=444 Replace Windows/SF. • f i f w i i 026-192-006 PERMIT#95-1032 VINCENT, Cleo'.Ann 2452 Williams:Ave., Palermo Cont; Right=444 Replace Windows/SF. • f i f w i iI 026-192-006 PERMIT#95-1032 VINCENT, Cleo'.Ann 2452 Williams:Ave., Palermo Cont; Right=444 Replace Windows/SF. 1 . .r ,' -.'=. t .1 .^... .. i - - r , � r ire ♦ .. r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISI a 7 County Center Drive - Oroville, CaVewnia 95965 - Telephone (916) 538-75 / PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-192-006 ZONING BUI ING PERMIT OWNER CLEO ANN VINCENT TELEPHONE SO. FT. OCC. BUILDING VALUATION m OWNER'S MAILING ADDRESS P.O. BOX 206 PALERMO 95968 + + 3,700.00- CONTRACTOR'S NAME RIGHT WAY TELEPHONE CONTRACTOR'S MAILING ADDRESS 422 TURNER AVE GRIDLEY `' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 3 700.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS I Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESs 2452 WILLIAMS AVE I PERMITFEE $ 83.00 PALERMO PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USE OF STRUCTURE t SF 111 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas' water' heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other } Describe Work: _ REPLACE WINDINS Mobile Home I S I G W 1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.'00 I Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 Seca Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FUTURES ) 20 0 1.00 BAL .00 EX. Occup. OUTLETS. PPLNS. OR ( 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation " PERMITFEE $ Contractor 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 forthwith comply with those provisions. Qom,-�L;„_ Date �n{/�rj� —.. ^ pplicant - ❑Owner ❑ Contractor ❑ Age LOSHA is required for excavations over 5'0" deep and demolition or constructioner 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 83.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have \ By rP PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Dat l4 7 Date) Receipt No. 0 WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive - Orovillp, Ca'_P6fnia 95965 - Telephone (916) 538-75 _ / PERMIT NO, APPLICATION AND PERMIT l ASSESSOR PARCEL NUMBER 026-192-006 ZONING BU ING PERMIT OWNER CLEO ANN VINCENT TELEPHONE SQ. FT. OCC. BUILDING VALUATION NN)>IEX OWNERS MAILING ADDRESS P.O. BOX 206 PALERMO 95968 CONTRACTOR'S NAME RIGHT -WAY TELEPHONE GONTR 3,700.00 CONTRACTORS MAILING ADDRESS 422 TURNER AVE GRIDLEY Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,700.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 2452 WILLIANIS AVE PERMITFEE $ 3.00 PALERMO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF U Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 10 Describe Work: REPLACE WINDOWS Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 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. 511, 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 NEW CONST. DWELLING OCCUP. \ OR ( 8 ACC. / SO. 3.50 FT. CNS. UTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FDRURES) 20 Q 1.00 BAL 0 .50 Ex. Occup. (ounEEDTs RES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 forthwith comply with those provisions. X P _ Date y' Ignature of Applicn o Owner ❑ Contractor ❑ Age—�— 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 Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 83.00 HAZ. I D. FEES IMP FLOOD777 CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have AJ PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Da �� Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i PERMIT NO. 4628-75B P E M MH UTIL. :PERMIT NO. PERMIT EXPIRES OWNER James Vincent CONTR. owner LOCATION (A.P. 26-192-06 2452 Williams Ave, Palermo ti Temp. Power Pole 1. Called PG& -E Temp. emp. Ele c Serv. Call PG&E TempGas Serv. alled PG&E JOB FIN LED 2, ate)— (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 Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov..for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio A FI Final Footings o in (J4P ELECTRICAL Masonry Walls Thro t Rou h Reinf. Steel Final7/0,9?—; Tri FiYturas FIRE SPRINKLERS I M Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address Z d clo- Telephone No. Contractor Mai I i ng Address Telephone No. Building Address A. P. No. Zoning &Planning QFee&�W491San'-FireDept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ 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 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 'nspection purposes. 71 Signature of Permitee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I,-**' BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fir6place 1 r 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 Mair 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 Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee S� FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE TOTAL PERMIT FEE $ 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 P LIC WORKS By -nlk< s•"/ Date%- Bu ing permit expires Date �`� �� I BUTTE COUNTY PUBLIC WORKS � DEPT. -1 REQUEST FOR EARTHOUAKE I&,2ECTION Date Name��C e�� rTelephone (last name) (first name) Address r�� 5 Vis"/, 17� G)�?'l C' ,T12e- k-- 7 Directions ITEMS OF CONCERN: C AJ e n 0 INSPECTION Date NATURE OF DAMAGE: Danger: `Q Action: Inspector �. PERMIT N0. 248-87B i PERMIT EXPIRES d OWNER JAMES VINCENT CONTR. Sparks Const ASSESSOR PARCEL 26-192-06 LOCATION 2452 Williams Ave, Palermo Y �III I Temp. Power, Pole e Called PG&E Temp. Elec. Service Called PG&E r✓ Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature .. JOK 0 Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DE KS, COVERS, CARPORTS, ETC. (Plans) OK except N's . 1. Zoning Requirements -Setbacks -Easements 1.. Zoning Requirements -S tb k s-Eas ents 2. Soils; Special MH Support -Sketch _ 2. Footings; Si.p4eWfr-SpacjAj-bonnectorVEW 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Po -Bea" -R gapeE-Shth i .-Bra ng 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ P' LPG Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date — Card -BI Date Card -BI Date Card -BI Date Card -BI DateQ r Card -BI, Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date LS (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining.. . 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater. 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards- Ins. to Main in Conduit . 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -B1 Date- - = QK = Not OK = Not Applicable RESIDENTIAL (Si'hgle bnd Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage: Soils -Steel= / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise=Run-Landing-Fire Protection - 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6.Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7_ 8. Piers-Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums &_Ducts; Clearance -Material -Support -Ins. -rd 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access-Combustion Air Water Pipe: Test _&. Anchors -Nail Protection D.W.V. Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size &_Anchors Date Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. - Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed.Wire Size /- / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes __L . _ _ __ Service -Riser Conductors & Ground -Main D_isconnect_ - Equip. Clearances: Panels-Motors-Mech._Equip. _ Clothes Closet Light -Shower Light ----- - --- - ----- --- --- Date Card -Bi _ Date Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic EJ Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl 4ole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 75. 76. Following instld.: Drive O Yes O No: Walks O Yes ❑ No; Planters ❑Yes ONO Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas ;est -Meters Tagged; Gas -Electric Card -BI Card -Bt 31. A.C. Ducts. Insulation &Support _ _ _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Date Card -BI Date - Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates -- - ---`- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stairs_Cha_se_s-Tub _ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shillnp.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size _& Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - (NOT E- An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �PE /�nz 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PAR/CEL NUMBER ZONING BUILDING PERMIT OWNER C t5 TE EPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 097/.�--_ `e,) CO TRACTOR'S NAMETELEPHONE —" RTr2 L� CAul CONTRACTOR'S MAILING ADDRESS / id 039 j///�.(� y �3G' Fireplace CONSTRUCTION LENDER n UNKNOWN Total Valuation $ O Filing Fee $ 10.00 LENDER'MAILING ADDRESS Permit Fee $ ,6 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a 111LI/lE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pipingi 5.00 Each qas wat r heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �� r SPECIFY Gas piping sy tem 1 - 5 outlets 5.00 Building sewe 5.00 Mobile Home S G W O.00ea TYPE OF WORK New PN Addition ❑ Remodeel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �a X �54 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 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): 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. -r• ✓ 47Z�lJlassification �aI ❑ 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.& , � 2/z2sgft New CONNSTR.(A LOGS. 1 ULTBI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS el SINGLE OUTLET CIR. / 0@50t j Ex. Occup(ou LETS OR FIXTURES BALO 30 Ex. OCCUp. OUFI)ETS P(RESID )ALNSREA.) 1 2.00 Temporary servic 10.00 Mobile Home Facil ties 15.00Misc. lyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 01 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co se uence of the granting of this permit. X Date % :� "/ - g 7 Signature of Applicant — OwnerRf Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- an of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ASS OCCUP.CONST.TYPC I FL PVL (/ PD ;_%l 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC en By P EFfkflT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 99 `` Receipt No. � 77�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIULE, CALIFOARIA 95965 - TELEPHONE: 916/5341 PERMIT APPLICATION DATA SHEET Permit No. OWNER &S y/ 1'1)CE-xJ A. P. No. ;P Proposed Building Use K77�842/Z Building Inspector 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. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , LO.Sa tter of signature authoriz tion. . . , . , . , , nitation approval from _Health Dept. anning approval for (A) Use: (B) Parking: rtificate 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. . . . , , , , , , , , 16. Mobilehome Installation Data. . ... . 17. Pre -Inspection forRequired. �,ild;^ e�^.�^Pq}^stto 18. 19. 20• 21. 22. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of (Dare) When you issue the permit, process as follows: Mail to owner, Mail to contractor. _Telephone r�9-J3 and hold for pickup at office, Deliver w/inspector. Other tr Applicant � 1 ate 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---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Z, Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW 0 TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locationq_ AP# Plan Approved for: Sewage Disposal !!' Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile home. NOTE * * * Water Supply Water Supply Water Supply Other Sanitaria Date x �y. LL_ N T' .9 i NOTE:—All Materials & Workmanship hall Bein j-Accordar;ce WH Recognized Good Pro fices, 3nd lof a cjucllity prescribed for the Specified se in t . e Uniform Building, Plumbing & Mechani ate National Electrical Code. �0 WA>=F-R SOAR 15 � S Pty LT vr 0 LU ROLL ROOF 2452 \V I LL— IAM `7 A\/5-- IA setback of 5 ft. from the property lines and a setback of 50ft. from the wad -z centerline shall be clear of structures or equirlment except t;Xl��(,�y(� �� fora 2 ft. eave overhang. I I' o'' 2 x � RAFTERS QZ4`11c T STRAPS 2x% F/�CIA 4x 12 BEAMS 2 X 4 BRACT=S Phis set of plans and specifications MUST be a __-4% 4 POSTS sept on the job at all times and it is unlawful to 0 lh nake any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. F2.�vrStED ,_ ANS I r2 �,�avrv� r•.,�, vF �sr BUTTE COUNTY �-2'X 2'# 112" FOOTINGS BUILDING DEPARTPIENT AP P � .._ _ , . 2¢$ -$ 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 26-192-06 ZONING BUILDING PERMIT OWNER JAMES VINCENT TELEPHONE 533-3723 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2452 Willians Ave., Oroville CONTRACTOR'S NAMETELEPHONE (�enm�n ntTmnnnnTn�c+_ 589-5336 1st renewal ermit ---_ CONTRACTOR' �j NG ADDRESS P.O. BoxFj=39, Oroville Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ i FEE $ 19.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2452 WILLIAMS AVE. Permit fee $ 29.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 PALERMO 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 [:1 Duplex❑ Mobilehome❑ Other c,ar=nrt SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: lst renewal of permit #248-87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 ONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Buslnes$ 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 eason NEW CONST. DWELLING OCCUP.N) ,/22SQ ft OR AODNS. ACC. BLDGS. / NEW CONSTR. TI.OUTLET NON.RESID 2.50 ea BRANCH IRC TS (POWER APPARATUS .&) SINGLE OUTLTECIR. / EX. Occup(OUTLETS OR FIXTURES eAL0e30 FIXED PR Ex. Occup. OUTLETS (RESID IEA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.�Viring 15.00 Permit Fee $ Contractor -ItVORKMEN'S COMPENSATION INSURANCE I declare under i5elialty 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 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 liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consequence of the granting of this permit. X 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 $ 29.25 oCCUP. CONST.TYPC SCHOOL I F1000 PARCEL I PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 2-5-89 Receipt No. WHITE-D.P.W.. YELLOW-ASOE33001. PINK -INSPECTOR. GOLDENROD -APPLICANT