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�__ 2191-88E
4, r
M. Hic ey,
1690 Sweem `5t .
Oroville
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OFFICE COPY
Address
GAS
Meter By
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Meter By
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COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS". PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.��1/�
APPLICATION AND PERMIT
ASSESSCYR PARUNUMBER
�j
ZONING
fl.
BUILDING PERMIT"
OWNER - -.
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
ADDRESS
OWNER'S MAILING E
I&a swA LL 9579
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee -
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee `
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
/ n <w -e - cell
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
- f
Each Trap
2.00
OeoI L L"Ir
Solar or heat pump water heater
20.00
LOT NO.7-=N NAME
PARCEL MAP
A
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF `j. Duplex❑ Mobilehome❑ Other r
i SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10-00 ea
TYPE OF WORK r
New ❑ Addition ❑ Remodel ❑ Utilities, Installation❑ rOther
Describe work: 1A 9904 TF Ie e- Y ,fr ru'.0 -0 .
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soot/ DR LESS
100 AMP OR LESS
10.00 dG
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW t '
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of thelBuslnesS
and Professions Code and my license is in full force and effect.
License No. Classification I
I
21- 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason 1 1`
NEW CONST. / DWELLING OCCUP.5II ,
1
OR ADDNS. ACC. BLDGS. /2(tSgftNEW
CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. I
zoesoe
Ex. Occup OUTLETS OR FIXTURES .20@030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.I EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 by
.- Z'eaq A 0,
Permit Fee g $ iznA�
Contractor
WORKMEN'S COMPENSATION INSURANCE t
I declare under penalty of perjury (check one): !
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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. 1
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property, for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, 'and expenses which may in any way accrue
against said County inconsequence of the granting of this permit. ;
%� g,% /� r / �,/
X Juf-� Date/15
Signature of Applicant — � Owne�;0. contractor ❑ Agent EJ�
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories In height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ r
occu P.
CONST,TYP1J
SCHOOL
FLOOD
PARCEL
P11
ND
1590E
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
�
DIRECpTOPI/OF.PUBLIC
BY T/
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
`fees have been aid.
p
WORKS
—7
VI
Date / — 13 J]y
—7- �� A +
Receipt No. t `% 1/ /,.,. /
WHITE-O.P.W., YELLOW-ASBEOeOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
.?+15
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWN
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.-
Inspector
mmediately:
Inspector ' Date
COUNTY OF BUTTE -
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
X747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWN
-9�-
ERMIT N0.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
�Li a 4 i 5 `l o v, e 6 fry /yd'vc -Ir 4.�
all
/ V f
,bZ2 44 -�
Az et,J _5eru; c p &.'v oryy:�,Qo
nJ e- IJ 5 eT tl c p Do N c d aH .o le'4 ! .-) 07P
Inspector Date 116M
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
L
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
;natter, or need additional explanation, please contact this office immediately.
Inspector Date_
J - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER
NO
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541.
APPLICATION -AND PERMIT
ASSESSOR PARE NUMBER
0` D^ uv--
ZONING
A.
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OWNER'SyMAILING ADDRESS
)& wR&rLL i 95�
CONTR CTORR-5 NAME
k
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS f ,• /
.J V—
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
0WOOILLIr
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 � Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G 1W 1
110.00 ea
TYPE OF WORK
New ❑ Addition ❑1 Remodel ❑ Utilities Installation❑ Other j
Describe work: 64, V `DATE IPI' , fir_rU+<-,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP LESS
10.00 17
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one
p Y p Y( k : )
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessIPOWER
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)
❑ 1, 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.al
OR ADDNS, Acc. BLDGS. /
, /z¢sgft
NEW NJTPU TI.OUTLET
NON.R ESID .BRA CH CIRC ITS
2.50ea
APPARATUS 6
(SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES
SAL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID,) EA.
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00 /
"
?,e.
E'd
Permit Fee
; O
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
ISI I shall not employ any person in any manner so as to become subject
J� 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
g
Hood
3.00
Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co ty in consequence of the granting of this permit.
X s5 7- rI _
--Date
Signature of Applicant — Owne Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee . $
TOTAL PERMIT FEE $ ,
OCCUP,
CONST.TYP6
SCHOOL
FLOOD
PARCEL
PD
HD
ISSUE
'This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above f r which fees
E 0 OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 1 —7 e/6 11
WHIT[-D.P.W.- YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
%. + .-r-^.-••Y.'^'y17v".Yv`..`.�".rtiY^^,--sY-•. -tb ��i- a.�..in'r a.J'ia. M�<hn.+�... ...:.,.v-:.,+7�.-r...'�iy�"`t�i'��`-rti+.fX15r'-�1.-.•� .�•-.;'Z .-,... �t
COUNTY OF BUTTE - DEPARTMENT OF 'PUBLIC WORKS - BUILDING DIVISION
�E K
7 COUNTY CENTER DRIVE- OROVILLE, CALIFQRNIA 95965- TELEPHONE: 916/538-7541 a
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �� >g"/ A. P. No.b 3d—
Proposed Building Useg/eCt C4P 0 A T�5 Building Inspector, Date7'
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan. �e
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
_15. Improvements may be required. . . . . . . . . . \
16. Mobilehome Installation Data. 9 . . . . . ....
Pre -Inspection for
Pre-Inspec. request to
_ C �eefr%c-� ! Required. Building Inspector ate)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses 'in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: ail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above"items No.
2. Additional items required: 6'
Contractor, designer, owner, was advised of above required data by_phone---�nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _/mall—counter by date
Plans checked by
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
Copy—DPW T
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)
2. 'I (have/have not) signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons.to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property,Owner
Social Security Number
,—Date
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
APPLICATIOK AND PERMIT
PERMIT NO. 4
3F-SSOR PAR E NUMBER
I D^ — I
ZONING
Y -
BUILDING PERMIT
NER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
NER'S•M AI LING ADDRESS y
0& a LL (,t�LT'L�
NTR CTOR'S NAME
.. !M
TELEPHONE
NTRACTOR'S MAILING ADDRESS
Fireplace
NSTR UCTION LENDER
UNKNOWN
Total Valuation Is
NDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
CHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
CHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
ILDING ADDRESS
Permit fee.
j
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
OP 0 C4 j., Lid
Solar or heat pump water heater
20.00
T NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
55,00
Each qas water heater or vent
5,00
/ USE OF STRUCTURE
Gas piping system 1 • 5 outlets
5.00
Duplex❑ Mobilehome❑ Other
Building sewer ,
5.00
SPECIFY
Mobile Home .• S G W
0.00
TYPE WORK —
:w❑ Addition Remodel ti lit' Installation❑ JOer
Permit F
$
ascribe work: `r
o a for
ELECTRICAL MIT
Filing Fee 10.00
Main service 100V OR 000 AMP ORLESS10.00
0GL,
CONT'RAC'TORS LICENSE LAW
eclare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license Is in full force and effect.SINGLE
' License No. Classification
1, as the owner, or my employees with wages as their sole compen-
Main service EA. AOD'L 100 AMP
NEW CONST. DWELLING OCCUP.EI
OR ADONS. ACC. BLDGS.
NEW CONSTR. U I.OUTLET
NO N.RESID BRANC CIRC ITS
POWER APPARATUS S
OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES
p
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
2.50
, /z¢sgft
2.50 ea
20050t
eALe 3o
2.00
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)
Temporary service
Mobile Home Facilities
Misc. Wiring
10.00
15.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
= o P
Permit Fees
v0
O
WORKMEN'S COMPENSATION INSURANCE
Contractor
aclare 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.
MECHANICAL PERMIT
Heating
Cooling
Filing Fee 10.00
fel I shall not employ any person in any manner so as to become subject
J� to the W. C. laws of California.
tice to Applicant: If after making this statement, -should you become subject
the W. C. provisions of the Labor Code, you must forthwith comply with such
visions or this permit shal I be deemed revoked.
Hood
Ventilation
Permit Fee
Contractor
3,00
s
ertify that I have read this application and state that the above information
Mobile Home Installation Fee
$
correct. 1 agree to comply to all County Ordinances and State Laws relating
building construction; and hereby authorize representatives of the Countyot
tte to enter upon the above-mentioned property for inspection purposes.
Iso agree to save, Indemnify and keep harmless the County of Butte against
liabilities, judgments, costs, and expenses which may in any way accrue
linst said Coytlt�-m consequence of the granting of this permit.
I'll
Energy Inspection Fee 4
TOTAL PERMIT FEE $ 00
OCCUP. CON7T.T7P( 7SCmooLl I'LOOD PARCEL PD No I ISSUE -
Date �� r� ' This permit is hereby Issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
nature of Applicant — Owne Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
of structures over 3 stories in height.
celpt No. I % By Date
TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, COLDENROO-APPLICANT PERMIT EXPIRES Date
�:_. • .
r
r-