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Home My WebLink About028-072-002n 0 i 28-072-02 '1225-90B - GOSS; Phillip �'n10206 Palermo Honcut Hwy, Orov e f(new bay window/s'f) 028-072-002 04-0166 GOSS, PHILIP 10206 PALERMO HONCUT, OROV ELE SER CHISF 0 1 NP-) '7 1 N 028-072 - -002 04-0166 GOSS, PHILIP 10206 PALERMO H ONCUT, OROVILLE ELE SER CH/SF' t-7- OFFICE COPY Address GAS Meter By Date ELECTRIC D q/e Meter By COUNTY. OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75A1f PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT`�fCra �4 ASSESSOR PARCEL NUMBER 028-072-002 - ZONING BUILDING PERMIT OWNEIt tit><1LIP CUSS TELEPHONE SO. FT. OCC. BUILDING VALUATION /7443-�3�1+47 .O1�14 UNk-. ESS LIART= ORV�LU LAJI��►lJl ' CONTRACTOR'S NAME t iW1VIL.tC TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace f LENDER'S MAILING ADDRESS Total Valuation $ ' ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BulVLtJUR HON= tJt) Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE I SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELE;CMC SERVICE CHAFE Gas piping system 1 - 5 outlets 15.00 .� Building sewer 15.00 Mobile Home IS I G 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 60LES Main Service200A0V OR OR LESSS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION „ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for,th4 following reason: ;, 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. a ❑, 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOTA 46.00 NEW CONSTDWELLING . NG OCCUP. WEWEE OR ADDNS. ( a ACC. BLDS. SO 3.5a FT. T. NOµRESID. MULTI -OUTLET @7,50 POWER APPARATUS & SINGLE OUTLET CIR. OUTLET OR FDRURES Ex. Occup.BAL 20 @ 1.00 @ .so LNS Ex. Occup. DFUTLEEDTSA RES p,OEA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin " 23.00 PRE—INSPECPION .23.00 PERMIT FEE $ 6i£i" 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: "`❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �I ❑ 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 w' those provisions. Date _ r ® Signature of A °plicant - ❑Owner ❑Contractor ❑ Ageht An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By i/ ./ ''��GUh - Date ( U i" PERMIT EXPIRES ON zf1.1-f-, — / 'Date rr Receipt No. WHITE-D.D.S.-B.D. '.- O'ANAIRY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `':'"'"y'r.'`•'A;,+°ra``"!'t?%*Nt'"`�`�""�Y�a+.atm'�ti;,c'r.N'�""Y'Y'�'.-..-..,..,--.......:n..._—••--"-------� .. �'�ii��'S{j;.�`t+.{sx'rYw^�r-,wy,,•vN-'K,.r.,,,l�,.``�-1'�„Y'�.r^►.,-'Y-,'�-""'+ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7PERMIT NO. (Rev. 12/96) . ' - APPLICATION AND�PERMIT 541 /C,r (" ASSESSOR PARCEL NUMBER 028-072-M2 ZONING BUILDING PERMIT DW1 ILIP GMS 743-3147 TELEPHONE SD. FT. OCC. BUILDING VALUATION OJUNG ADDRESS `' `jR� COTt�R3R'S NAME TELEPHONE CONNTRRAC'TTOOR:S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING QRESS • IUB p�LI�� i�NCUT Ener Pian Checking Fee 9Y 9 $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping ," 15.00 Each gas water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I Describe Work: II :=C SERVICE MWE Gas i in system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 *00RUE Main Service .A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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, ( 9 ) and my license is in full force and effect.} License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law for thelfollowing reason= ,rF 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:' I7&to I, as owner of the property, am exclusively contracting with licensed contractors construct the project. ❑ 1 arr exempt under Sec. Business and Professions Code for this reason & ` WORKERS' COMPENSATION DECLARATION I.hereby affirm under penalty of perjury one of the following declarations: f] I have and will maintain a certificate of consent -to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall'~ s'` forthwith comply with those provisions. X ii `. w.r� Date i? 94�� Sighature of Ap`Plicaontractor ❑ AgerTt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( & ACC. BUDS. 3.5QFT. NEW CONST. MULTI-OUTLtT NON-REsID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES BAP' @ "00 Ex. Occup..50 FlXED APPUS. OR 0FIXED RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 F M- NSPbU ON PERMIT FEE $ 66.010 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP ,,,,��, ,,,,•„� FLOOD CDF PARCEL pD, HD -- ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By /c{,r/'L- Date PERMIT EXPIRES ON Receipt No. WHITE-D.D.S.-B.D. r CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -..O-Pro ville, California 95965 • Telephone (530) 538-7 4 PER T NO. (Rev. 12/96) ALICATION AND PERMIT �/�6 00 ASSESSOR PARCEL NUMBER 028-072-009 ZONING BUILDING PERMIT PHILIP GOSS 743-3147 TELEPHONE SO, FT, OCC. BUILDING VALUATION . ow0 1T P�DALRERMO HONCUT OROVILLE C06T_RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 10206 PALERMO HONCUT Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC SERVICE CHANGE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AoRLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( y AM. BLAS. 3.5QFT: NEW CONST. MULTI.OUTLEr NON -RE NS 97.50 POWER APPARATUS 8 SINGLE OLRLET CIR. 20 @ 1000 Ex. OCCu oun Er OR FIXTURES BA . Ex. Occup. OUXttETAP p .oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE–INSPECTION 23.00 PERMIT FEE S 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S 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 ars' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply thos provisions. X11 Date ure of Alffilicant - ❑ Ownlar ❑ Contractor ❑ AgerA�— An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. p. FEES IMP FLOOD CDF PARCEL I Pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date / 0 PERMIT EXPIRES ON//ITE-D.D.S.-B.D. '�� ate r ceipt No. C A -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L •'j�+'(1j':.=i,%"'.�i^�r.%iiri^+�'Srw�^i�ry;.rS`:..�.�w+-i..fti."""w�.jr'r'iww:»-.+e..ti6`.y��i:#%.rir�wd.r'"�.�+��:.%i-++."'4`tf.n'.F/a,,,-_R3F«.:r-..:yFM�:-R"..d--..r-.S�3"df...r '�ry �. .�, ,• ,y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET //� v� f OWNER: �0 ASSESSOR PARCEL NUMBER 0 "`f ^ 0 a Po a�.. Proposed Building Use: Counter Technician: Date: �, V Items required in order to apply for a permit. All boxes MUS be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2, ;Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ '1.' -Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4': Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8: Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frld plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ , 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.....................................................................................:...... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24: -Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form........................................................................................... ❑ 27. Encroachment Permit for riveway from the Pubic Works Dept ........................... 28. Pre Inspection for �Q, required....... ";O%•"'f.29. Contractor's license information. (Number, Name Style, ssification)................... 1• ❑= > 30. Worker's Compensation Carrier and Policy Number .......................................:.. 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ ❑ 34. Manufactured home utility clearance................................................I.............. ❑j, 35. Existing violations and/or expired permits......................................................... ❑ - 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been infor ed of the above items and requirements for obtaining a building permit. Applicant. Date: 1. Index permi application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division • ��+ a. .- . 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 materials for construction of the proposed property im rovement : YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for theproposed w ork. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: CONTRACTOR'S 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: CONTRACTOR'S 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 IG D: 4J- OPERTYOWNER.7: S`QCSE R; DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code- This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O- I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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 $300' or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builderinfornutdon is required by Section 19830 of the California Health and Safety Code `t PRE -INSPECTION REPORT OWNER: i l aOSS DATE: 1 a� o LOCATION: _wgoto Paleyft 16cLf i4wq. A.P. # (ag- 07 z - 00;z, CONTRACTOR: o L0V ZONING: REASON FOR PRE -INSPECTION DATE TO INSPECTOR: O PERMIT HISTORY ( ) NONE (SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units Currently Occupied AbandonedNacant: Electric: Gas: ( Yes ( ) No Electric Currently (4 ( ) Off Condition of Electric Currently (eybn ( ) Off Condition Sanitation: Plumbing Worldng (�es Obvious Sewage Problems ( ) Yes ACTION RECOMAMNDED: Hold for permits or verify: Inspector: ISSUE Mobile home # of Units: b ( ) No (,Wes ( ) No Date. SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONDA 7 County Center Drive Oroville, California •95965 • Telephone (530) 538-7541-11_ PERMIT NO. AP P LI CATI CN AND PERMIT (Rev.12/96) BUILDINGPERMIT o� As EESSORPARGELNUMBER-,,,-0� /� O� �1••.E�ELEPHONE OWNER SQ. FT. OCC, BUILDING VALUATION D'"'"ER5 DV TEIF3HONE CPNTRACTOR•S NA6AE CONTRACTORS MAIM ADDRESS OONSTRU=ON LENDER Flreplece ADD� Total Valuation $ UCENSE NO. Ffin Fee $ 20.00 GINEER FEZ $ Permit Fee GWEETS MAKING ADDREss A Pian Checldng Fee $ Energy Pian Checking Fee $ gUp•DDIG ADDRESS 10 ")-o$ PERMIT FEE S PAROEL MAP PLUMBING PERMIT Firing Fee 20.00 SUgDN6IDNAME LOT N5 Each Trap 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 Water piping 15.00 Duplex ❑ Moblehome ❑ Other stein Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 on ❑ Other New ❑ Addition ❑ Remodel D UhGties E3S Building sewer C, W 15.00 @20.00 Moble Home Describe Work PERMIT FEE $ ELECTRICAL PERMIT Fang Fee 20.00 Main Service =A oa n; 23.00 3, Main Service z•a► TO wMA 46.00 NEW CONST. DWELLM OaxrP. OR ADONS. a ACL. — E 3.50'7 cONs . MULTwUTLEt NON•iiF NUSI LAMMMMMMS @7.50 PERMIT FEE PAID $ APPARATUS POWER SINGLE a srNr,.E ouTLET aR u @ 1.00 Ex. Occup. OUTLET OR FD[TUPM SAL .so Ex. Occup. U}TtTSFDMD �P�IEs DD OR 5.00 5.00 SDA $ RL�1 Temporary Service 23.00 Moble Home Facilities 20.00 Misc. Wirin 23.00 SHERIFF $ S PERMIT FEE MECHANICAL PERMIT Ffing Fee 20.00 OTHER $ Heating Cooling u__A F 6.50 AMOUNT RECEIVED $ DATE RECEIVED 31 PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTAL FEE $ HAL 14 FEES IMP I FLOOD I CDF I PARCEL I PD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 28-072-02 1225-90B y:� o GOSS, Phillip 10206 Palermo Honcut Hwy,Orovi e ) (new bay window/sf) R t f 1 4. i r s _ RESIDENTIAL 28-072-02 1225-90B GOSS, Phillip ;10206 Palermo Honcut Hwy, Oroville (new bay window/sf) IJI JOB FINALE 'Signature J=OK O=Not OK Not ' = Not Ready MOBILE MOBILE HOMES " Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s - 1. Zoning Requirements-Setbacks Easements 2. Footings; Size-Spacing-Marriage Line - 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances ` 5. Drain; MH Test-Fall-Flex Connector , 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 •t 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing . 11. Ext.; Steps -Doors -Landings ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (S ' = Date UNDER OR Plans OK except #'s 1. onyg-3€fbacks- Ease ments-Flood-Slope tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ft c. Grnd.-/ /" Ftg. Depth T 4 a s -Steel-/ /Ftg. Depth �mwalls, Main; Steel -Bloc kouts-Wrapped 6. Ste ee - ockouts-Wrapped 6a. HpiclDcwes-and Special Anchors - rapped .. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 . Gas Pipe; Size -Anchors 11. VNtpr Pipe; Test -Anchor -Regulator -Service Test 12. Electn nderground 13. Pi ms & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. lWater Htr.; Vent -Access -Combustion Air -Baffle 17. Vhter Pipe; Test & Anchor -Nail Protection 18. D. .V.; Test -Fittings & Anchor -Nail Protection 19. Shc er Pan; Test, First Floor -Tub Access 20. Test ub & Shower, Second Floor -Tub Access 21. Gas Pi e; Size & Anchors Date Card 8- Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Pe)rmit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Si a Boxes & No. of Conductors -Stapled 25. Ro ex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appli ce Circuts in Kitchen & Conductor Size/GFI 28. Subfeed 11re 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 Neu al ❑ Yes No 30. Service -Riser C ductors & Ground -Main Disconnect 31. Equip. Clearance Panels-Motors-Mech. Equip. 32. Clothes Closet Li t -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent an; Exhaust above insulation 36. Conde ate Drain & Overflow; Size & Grade 37. Furnance ent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (Plans) OK except #'s i roper Material & Anchors 40'Wa!!,tuds-Nailing, Spacing & Bracing -Plates -Sound gl,eaoairWaiis over Girders & Floor Nailing raft p in Walls (rat proof) 4 e Sto red Ceilings -Stairs -Chases -Tub 44 ders & Beam -Size & Bearinq jingle & Duplex) Date FRAMING (Continued) anst Caps -Anchors -Connectors 4 . ng. Joist-Rftr. ties -Pur' - Brac-Truss-Shthng.-Rfng. p ace Ties or Type A Flue -Fireplace Throat clearance omex Protection -Draft Stop -Ins. Baffles ors -Sill Hgt. & Dimensions ion Framing e firewall & Openings 52. a 3' -Check Garage -3rd Story, 2 Exits eadroom-Rise-Run-Landing-Fire Protection t4lKw-ood wRoof Overhang -Attic Vents -Rafter Outriggers 5 ng -Nailing Veneer esh-Drip Screed -Fd. Vents-Underflr. Access 5 zi a -Glass Protection -Skylights -Plastic. e ails; Nailing -Bolts 5 qAr-rn-filtration-Walls-Windows s on -Walls -Ceilings Date and 8- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL PI ns OK except #'s xt. 's -Door & Sidelight Protection -Landings mo etector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 9 a ix ures & Tub Access -Spa panel; Breaker Sizes & Labels arances-Hearth u e s a o d Panel; Int. & Ext. i . ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance utlets & Receptacles at Kit. Counter Swing -Landing -Closer 11 -A -C. Duct in -Garage -Damper r.; ens ranee -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Equip. Listed for Location Garage; (G.F.I.)-Romex Protection a ion -Foam -Looked in Attic 0 Yes 7 .Beck Construction -Post Caps n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 8U.rive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes O No 817StaUZb-,BT6Wr? Finish Unit; Disconnect, Electrical, Plumbing Plbg.-Appliance-Fireplace.-Clearance to Openings nett, Electrical, Plumbing c. I rim; G.F.I. Receptacle -Underground oughout House ss Pr�taetitrn rrections from Previous Inspections ^-- Tact t r Tagged; Gas -Electric 90..- iMter-&-6ewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date � ,Card B- Date Card B-1- Date J Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Building Owner Building Location ROOF Material Thickness(inches) EXTERIOR WALL Material �, C S Thickness(inches) T 2� CEILING Batt or ilanket Type Thickness inc es Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) /01 LG ENERGY.INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) Brand Name H. Thermal Resistance(R Value) / Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Res'istance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) a. I hereby certify that the above insulation was installed in the above building, -.is -consistent _with approved building department- plans- and. --attachments and con= -- forms with requirements of Chapter 2-53 of State of California Energy Requirement . FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ati shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. /LLQ ILDING CO TRACTOR/OWNER (Please Print) NAME) G E OFUILD N CO ACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. Z�` 2 - DATE DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT r wl PERMIT NO. 1225-90 ASSESSOR PARCEL NUMBER 28-072-02 ZONING BUILDING PERMI OWNER i TELEPHONE SO. FT. OCC. BUILDING VALUATION est Cost— 750 OWNER'S k4ffiSA..RESS CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 14.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.50 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 piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF RR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition NY Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: new bay window _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR 0 AMP ORLESS10.00 Main service EA, ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. h¢sgft NEW RES'D, ULTI-OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 0L0 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 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 Departmen- 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a a+ id Count in sequence of the granting of this permit. Date 20 g0 Signature of pplicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocr� rC co ST TYPE _ TOTAL FEE $ 39.50 HAZ cuA PARK SCHL FLD PA PD I HD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date.S� ' p `r 9 v _ �—L� Receipt No. Y2-T� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department !` � FROM: Environmental Health SUBJECT:- Sanitation Clearance 10 20,E / 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 *** ' YeT Sanitarian Y Date w ��M • - `- COUNTY OF BUTTE - DEPARTMEN)T.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL'LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIOWNTA SHEET /. i ' 4 t '- Permit No. OWNER ® ' A. P. No. 421L Proposed Building Use Building Inspector DateWM/9(,/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED .-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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from 42�� Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18.. Improvements may be required. Contact Land Development Section DPW , 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 2. Certificate of Workmans Compensation Insurance .................. JDJE 3. Owner -Builder Verification (Given to owner ❑, Mail to owner. k -y2 Recorded copy of Agricultural Acknowledgment Statement ./..`...... 5. Letter of signature authorization ................................... 26. FoR ir! 7 Si ,Alral 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pickup at office. Deliver w. /inspector. Other Applicantze �� Date -11-03-YO Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. 2. Contractor, designer, owner, was advised of above required data by —phone yJnaiI—counter by8--..date y ?A -96 Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER an2—� ZONING BUILDING PERMIT OWNER aLx TELEPHONE SO. FT. OCC. BUILDING VALUATION C 1• OWNER'S MAILING A DRESS _45//oeo CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ U-- LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ s/ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �•/ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS, N Permit fee $ 3 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 piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFfl- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition] Remodel ❑ Utilities[]t Ilation❑ Other ❑ Describe work:- ��'�i✓ %�4� Lf/T�I� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LE Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 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 F -1I, 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. DWOCCUP.�` OR ADONS. ( ACC. BLDGS. ! ,ELLING vtsgft NEW CONSTR. ULTI.OUTLET NO N.R ESI -,BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES E5AL@ALe 30t FIXED Ex. Occup. OU LETS PIRESIO IREA.) 2.00 \ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith. comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 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 $ occ CONST TYPE J TOTAL FEE $ S61 :9C./ HA2 I CUA PARK I SCHL FLD I PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e 5 2. I (have/have not) hA U e 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 —(29 Social Security Number Date 41201,90 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. This set of plans and specifications MUST be 'kept on the job at all times and it is unlawful to make any changes or alterations on same ith0ut written permission from the Department ®f Public Works, County of Butte. NOTE --`-All Materials & Workmanship Sha# e@ fn Accordance with Recognized Good Practices WW of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical COQes WW the National Electrical Code. ,�4 A setback of 5 ft. frown the property lines and a setback of W-ftfrom the road centerline shall be clear of structures Or egoig mes-@%vqA f9r a 2 fit. e&&ve *vedvM% oz W9�� I�1N�i 1N o 01� 0 3,9 UTT CONTY BUILDING DEP , RTIVIENT A. V E D 6 .? C' � � j�+ 'ami 'ry '� � `� � y�. 4• <I` � -+' to � n, - n + ' w n k2 '„UY ;� � •�\ 10 er- • / `i �µ eN _ r a w c L Z 3y _...ZY "3 z-3y� /L/ —0 BUTTE COUNTY BUILDING DEPARTMENT- APPR®•VED Vf a ilacc pate bra i . _, . r s /L/ —0 BUTTE COUNTY BUILDING DEPARTMENT- APPR®•VED C`s L TIENT E Z >c d OF W-1 WE LN 0 11 BUTTE, COUNTY BUILDING DEPARTMENT A.P P R 0 V E D Q4 %t ZI: Rr Z >c d OF W-1 WE LN 0 11 BUTTE, COUNTY BUILDING DEPARTMENT A.P P R 0 V E D PIDG-f 1 01 0 BUTTE COUNTY BUILDING PfPTMEN� R APPROVED Z%/Foc/r- . r ly 0 ng, COUNTY BUILDING DEPARTMENT ly-O -A--P-" 0 V E I �i U O ng, COUNTY BUILDING DEPARTMENT ly-O -A--P-" 0 V E I OWNER'S NAME:/ O S S RECEIVED PERMIT NUMBER: Idol., A.P.#: _�/� 'per p DATE [RESIDENTIAL NON RESIDENTIAL RECEIVED BY �C TIM O� REQUIRED PRIOR ---------- TO PERMIT ISSUANCE , FROM DATA SHEET RE UESTED BY PLAN CHECKER OTHER 00 7 REQUESTED BY CORRECTION NOTICE r_1 YES F� NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: --------------------- Mail to owner (Address) Mail to.contractor Call (Name and Address) and hold for pickup at office. Deliver with next inspection. REVISED -PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # l z G> —�-'4 OWNER A. P. # Z 0 7 z— 0 GENERAL �Y. Zo ng requirements: (sideyards and Cklanssigned �tio. by designer. Compliance. s ing oa Ions on prepert- PLOT PLAN number of permitted living units). 7 -Comp to parcel size and dimensions. 2/Setbacks, sideyards, easements, etc. 3-.---O—ther buildings or structures. a ing, ills, drainage. o. -g-:---Spetia-l—conditions on -creation map or compliance document. oad setback. FLOOR PLAN Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). 4. Requiredor secon ex ). 4. ap er Sec. 5207). an impact g ass ec. m sizes, ceiling heights (Sec. 1207). s in ahs, garage, and exterior outlets (Article 210-8). 8..-�ight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ql.----tiaus_nf water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10. ge rewall, door size, and closer (Sec. 503(d)(3)). 44—.-r----3'0'exterior exit door (Sec. 3304(e)). d wood stove location, alcoves, and clearance. 13.-Smekee de--t-eTors (Sec. 1210). STRUCTURAL DETAILS dation plan complete enough to construct building. �� oor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. *-"'Roof construction details complete enough to construct building. uction details and. talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ' s: landings, rise and run, head clearance, handrails (Sec..3306). rai Sec. 1711 & 3306(j)). 3.-- B e* ,i-- _—s- cioffe— en.eP (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) pla- c. 4706). P r roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). 7. Rafter—ties or bearing ridge beam. 4-;- ar—ar porch header sizes. gg//Adequate bracing. 1 mea over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. H. s on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Wit-� s and ventilation (Sec. 3205). 10-n-T—nderfloor access and ventilation (Sec. 2516). 41. om u on air for fuel burning appliances. 15 Tolse_requirements on duplexes. 16.Adebe—sem •special foundation design. aining walls requiring design. usua shape, size, or split level house requiring lateral design. 1,9 -.—Flashing at all exterior openings. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541 DATE Phillip Goss . 2295 Coker Butte Road. ,: Permit an In x;1225-90 fba Medford, Oregon 97504 p ' or new y Adcw. With reference to the above subject: 28-072-02 " Attached is: Application for permit Mobilehome Utilities Installation Sheet. Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List bf Codes Enforced OTHER 1_L We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation -Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section*(DPW). sets of plans -in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X.aOTHER 1. Need framing detail of bay window walls. 2. Need roof framing detail. 3. Need type roof covering. Should you have any questions concerning the above, please contact Tom May of this office. (916-538-7541 etween 37Z 5pm Yours very truly, JFG/aj William Cheff Director of Public Works CF. Glander —� hief Building Inspector