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HomeMy WebLinkAbout030-102-0053 0-102-'5 - EVERETT HILL � � 1498 Grand enue, Orovill��� eV Permit#2339-81B(reroof/SF)- 030-102-005 #98-1973 KLEP, ROBIN M 1498 GRAND AVE. OROVI E R.E.-DAMBER����G iZXlf9 NEW ELECT/PLUMB/REROOF/FOUND. �tS-ol4D I� HILL, Everett 5180B, 1498 Grand Ave.;- roville ( add carport) i �r i � t l� I jf I f F i 6 r,, .. -ti v " �.. v„a�+"r• "+,^ �rri;�sEV"'^' r+....y�ra:-rraa—...'rw �'�R-��F�r.r .n 1 C) -�o� .t 4 030-102-005 #98-1973 KLEP, ROBIN 1498 GRAND AVE. OROVILLE R.E. DAMBER NEW ELECT/PLUMB/REROOF/FODUND. ctwo 1-41e, oK to v G4� JJc ✓ g uoA OFFICE COPY Address li GAS. Date Meter By ELECTRI Meter By Date7�Xj z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT I i r ASSESSOR PARCEL NUMBER 010.-102-005 ZONING BUILDING PERMIT OWNER pt�x+P� D�TfT�./ TC•3 N j Q�� 5'�J(� !,l SQ. FT. OCC. BUILDING VALUATION MT ?700 )O R OWNERS MAILING ADDRESS 1498 Orand Avenue. Oroville CONTRACTORS NAME R.E. Damber TELEPHONE CONTRACTORS MAILING ADDRESS t7 CONSTRUCTION LENDER - Fireplace LENDERS MAILING ADDRESS i7(99. Total Valuation $ Opl ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54. M ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / a at yr Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 51 7.00 :1,% n Solar or heat pump water heater 23.00 Water piping 15.00 15 , Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW FLECTP.ICAL Arm PLTT PT?dC An F'OtiNnATIOr RE -ROOF CARPORT Gas piping system 1 - 5 outlets 15.00 j5, da Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 E00VOR LESS Main Service 200.OR LESS �^ 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. License Class Lic. No. �9 / R �% 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zoo. To l 46.00 NEW coNsr. OwaLING occuP. U ORNEW ADDNS.( & ACCou�TtSr 3.5¢F°: NON-RESID. 97.50 a swaRE OPlTL�Er CSI Ex. Occup. OUTLET OR FIXTURES 20 p t.00 BAL @ .50 Ex. Occup. OUTLEEDTSA RESS1SID.°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 ' ` ' PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Ik 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. ❑ I 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 t�2� 1 rtt 1, i MECH NICAL PERMIT Fling Fee 20.00 Ju Heating ' Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Genf R i a 9n6 (The above sections nee n o`bec mo p el ted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ __- / /,� F-, Date �4 — 97 Signature of Applicant = ❑-Owner- 67. Contractor ❑ Agent r " 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 $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 260. 00 HAz. I D FEES IMP I FLOOD I CDF PARCEL I 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. Byagkl�Date PERMIT EXPIRES ON eta Receipt No. rk- Is- 0 L% 1��`z CvC, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •Y OF BUTTE - DEPARTMENT OF DEVELOPMENT . � COUNT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754inP9�IT NO. (hev.12/96) APPLICATION AND PERMIT `7 � ASSESSOR PARCEL NUMBER 030-102-005 ZONING BUILDING PERMIT OWNER KLEP, ROBIN T�3'�DN1827 SO. FT. OCC. BUILDING VALUATION EST 270 0.00 .OWNERS MAILING ADDRESS 1498 Grand Avenue, Oroville CONTRACTOR'S NAME R.E. Damber TELEPHONE CONTRACTORS MAILING ADDRESS 17=37 Wyandatte CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2700.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �r / 44 �f A-6- v� (.L, Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 51 7.00 35.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NE,1 ,ELECTRICAL AND PLT)NBING AND FOUNDATIOi RE -ROOF CARPORT Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 85.00 ELECTRICAL PERMIT Fling Fee 20.00 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, and my license is i full force and effect.p License Class Lic. No. / I $ ! D 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 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 arrier and policy number are: Carrier ` Policy Number (The above sections nee 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c T X Date " ��{ Signature plicant - ❑ wn EL Contractor ❑ Agent 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 I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. s ACC. S. 3.S¢Fr; NEW T. NONREOMULTI. SID. OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLEr CIR. .00 OUTLET OR FIXTURES .00 EX. OCCU BAL @ 1 Ex. Occup. ountDrs PL.16.) A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 EL PERMIT FEE $ 66 nn MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee I $ Occ CONST. TYPE TOTAL FEE $ 260.00 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 Date PERMIT EXPIRES ON Date Receipt No. v WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT �Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER© 3O� �� _ 05-- ZONING BUILDING PERMIT OWNER T TELEPHONE 2 SO. FT. OCC. BUILDING VALUATION � a .OWNERS MAMWO ADDRESS CO CTOR'S NAME ' O TELEPHONE CO TORS MAILING ADDRESS 9G77 C NS UCTION (ENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ -� ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ S - PERMIT FEE $ , LAT NO. SUBONIS ION'SNAME PARCEL MAP PLUMBING PERMIT Filind Feb 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 f6 Utilities ❑ Installation ❑ Other ❑ Describe Work: "- ti Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (920.00 PERMIT FEE _ ---- ��D ELECTRICAL PERMIT Fill ee 20.00 Main Service .A ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lOooA 48.00 NEW CONST. DWELLING DOC P. OR ADONS. ( s ACC. BLDs. SO 3.5¢FT: R61� RANCH MULTI OUTLET @7.50 P.Or APPAMTUS a swoLE oLmEi clR Ex. Occup. OUTLET OR FIXTURES 20 ®1.00 eAL. @ .50 Ex. Occup. o°� � .D� 5.00 Temporary Service 23.00 Mobile Home Facilities '20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I 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. M I 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.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permitis required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating d=eoG Conlin Hood 6.50 Ventilation PERMIT FEI: $ Z-5-; C96 Mobile Home Installation Fee I $ Energy Inspection Fee $ C CONST. TYPE TOTAL FEE $ �- k�oi D. FEES IMP FLOOD COF pAROEL PO HD ssUE permit is hereby issued under the applicable e Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. ANARY-A SE SO PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 239-81B PERMIT EXPIRES 6/23/82 OWNER EVERETT HILL CONTR. Erwin Roofing ASSESSOR PARCEL 30-102-5 LOCATION 1498 Grand -Avenue, Oroville Temp. Power Pole— Called PG&E — Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG JOB FINALE[ Signature e J = OK �. O = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 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./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 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/O 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 Lghig. Boxes—Enclosures—Panel boards—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 -BI Card -BI Date Card -BI Date Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date V = OK O = Not OK r - = Not Applicable RESIDENTIAL (Single and 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. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., 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 -B loc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 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 Date Card -BI Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58, Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Gas Pipe; Size & Anchors _ _19. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date_ Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ __�_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 Card -BI - _ ------ Date -_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except q's Sills; Proper Material & Anchors _ _ 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45.Attic 46. Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 55965 - Telephone 916/534-4541 �1' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 5— BUILDING PERMIT owN I TELEPHONE t SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A RESS 4 r CONTRTOR'S NA ( TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J0,01D ARCHITECT OR ENGINEERo 1V�►,/`` LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q100 BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF IJ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑Utilities ❑ Install ion❑ Other Describe work: 1l\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR\ Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 22 sq ft 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 ❑ 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 CONSTR. OUTLET 2,50 ea NO BRA ' H CIRC TS NEW CONSTR. /POWER APPARATUS D1 NON-RESID, (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES_ BAL@1 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee. 10.00 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. 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 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 agai aid Count i c equ nce of the granting of this permit. f��/% Date Ile Signature of Applicant — Owner Contractor ❑ Ag nt ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 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. CT R OF PUBLIC WORKS ^� By gDate bC��gl PEEXPIRES to ^oLi� RMIT D Receipt No. ����1/C/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT