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Home My WebLink About030-110-0441 V 30-11-44 282-90 KELLEY•, -'Jerry 1452 Feather AveD,.Oroville .(SF gas:Piping)"-,. 030-110-044 02-2867 I�� INAL JACKSON; JOHN 1� "-O&FEATHER AVE., OROVILLE L. ATTACHED CARPORT I 1 3 0 f i O NOTES RESIDENTIAL PERMIT NO. 030-110-044 02-2867 JACKSON, JOHN 4**6FEATHER AVE., OROVILLE ATTACHED CARPORT "i z- ,j b , 1 I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I OFFICE COPY I ' Address GAS Date Meter By ELECTRIC - Dat�L-2' Meter By l r JOB FINALED (Date e;? Signature J=OK 0 = Not OK . *�Not Readyable 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; Locatiori-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. - / P Nat. or/ /" L "ft./ . P LPG 4. 7. Well Clearance & Disconnect Electricity; MH Test 8. Utility Clearance 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits Date License Decals Card B-1 Date Card B-1 Date Roof; Shthg-Roofing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Braced Wall Panels 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blockina 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES (Plans) OK except #'s -2-"Footings; 3. 4. ZqFfing Requirements -Setbacks -Easements . Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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 Conduit 9. Health Department Approval . 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK - =Not Applicable Ap . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection ` 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes .83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,-(Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ox - MLIo. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-110-044 ZONING BUILDING PERMIT JACKSON, TELEPHONE - SQ. FT. OCC. BUILDING VALUATION 288 U 5184.00 OWNERS MAILING ADDRESS 1100 TEHAMA, DROVITIR, CA 95965 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ' VV BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 154.00 LAIN . SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: ATTACTIED C'ARDMI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a 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: 10 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Main Service zooA To ,000A 46.00 NEW CONST. DW .NG OCCUP. OR ADDNS. ( a ACC. BLOS. SO 3.50FT. N-ONS9 NON-ReSIDMULTI-OUTLEITST @7.50 PSINGLE OlJT1,.ET CIR.OWER APPARATUS Ex. OCCu OUTLET OR FDRURES 20 @ 1.00 BAL .50 Ex. Occup. ouTE Ao .oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 9 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 c p h those provisions. �/ X /y% Date %Q f 0:::4indicated Signatu of plicant - ❑ Owner ❑ Contractor ❑ Agent An O A 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 Inspe tion Fee $ cc T TOTAL FEE $ 197.0_0 HAZ. o FEES IMP FLOOD CDF PARCEL I PD I HD IS UE This permit is hereby issued under the of the Butte County Code and/or above for which fees have By EXPIRES ON 613 applicable provisions Resolutions to do work been paid. /o �� 2 Date l d -S D e ReceiptNo.PERMIT WHITE-D.D.S.- . AN R PINK -INSPECTOR GOLDENROD -APPLICANT _-^"yp�4'I".ii,-•aiiay."r^'t'.`+r�rfilT7+.W^�+!?T�'NgYP'Y""Ms.d"din'�iy�.Ki�Y'�J�At`7}j�N"t�•-.. 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 OWNER: G Com, O •� ASSESSOR PARCEL NUMBER 0 Proposed Building Use: _ rl�2 a i Counter Technician: P ,6-� Date: f V 1 �T Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. lot plans, 3 or 4 sets, signedty the preparer of the plans. Q'2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. e3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �[I�r 4. Engineered truss details and layouts in duplicate. No faxes! 09-5. Energy compliance design and supporting documentation in duplicate. r� 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. AW7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ........................................... i 6. Sanitation and plot plan approval from the Environmental Health Department in 00 Z. -- ❑ 17. City of Chico Plumbing permit.......................................................................: ❑ 1 . California Department of Forestry plan approval ❑ paid. Sent by: ...................... 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information: (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ................ :.... ❑ 26. Letter of Signature authorization.............................................................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts; ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. 4/d l� I have been informed of the above ritems and requirements for obtaining a building permit. ex7' �2o y tLl�1114' Applicant: �,�� ate,2 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data- by ❑ ph , ❑ mail, ❑ countVby Date:Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co Date: Plans reviewed by: Date: Plans approved by: Date: - Structural reviewed by: Date: Structural approved by: Dat Note transfer by: Date: Yellow: Building Division O`VNER-BUILDER VERIFICATION Anent= Property Owner: An "owner -builder" building permit has been applied for in your name and bearitfg your , Please complete and return this information at your earliest opportunity to avoid tmaeoessagid�irpr in processing and issuing your building permit. No building permit will be issued ttettt his verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property. improvement: YES -M NO C 2. I HAVE 0 HAVE NOT 0 signed an application for a building permit for the proposed w=L ;. I have cong_ac d wide following person (firm) to provide the proposed eonstnx on: NAME: IN&% �I�s0� ADDRESS: CITY: PHONE: 53 3 - 37 3 3 'COIN-MkCTOR'S LICENSE NO. Owney A,, 14, 4. I plan to provide portions of this work, but I have hired the following person to CootdinsLe, supervise, and provide the major work: l ADDRESS: CM: PH0NE: CONYM&CTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAtiiE ADDRESS PHONE TYPE OF WORK Na -c SIGNED: PROPERTYOWNER: SOCIAL. SECURITY 1 E , - DATE: /O� iVOTF: This Owner -Builder Verification isrequired by Section 198.31 and 19831 #F&t California Health and Safety Code This verification matt be tomplAW and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION cea.- Proce^, An application for a building permit has been submined in your name listing yourself as the builder ofpnnmty improvements specified For your protection, you should be aware that as -owner-builder"-you are the responsible petty oft+ecae+doiasach a permit. Building permits are not required to be signed by property owners unless they are personally perfoe:oit��lJ6-ir own work. If your work is being performed by someone other than yourself, you may protect yourself from posiible 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 worts, with the exception of various,trades that you plan to subcontract; you ihould 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 worst (Including material . and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcorcactors. then you may be an employer. ♦ [ f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including *stare and federal income tax withholding, federal social security taxes. workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may i e F.nancial risks for you if you do not car -,y out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For mere sceci,ic information about your obligations under Federal Law, contract the Internal Revenue Service (and, ii You wish. the G.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. I: the strucrut is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or throu&` 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. Budding 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 communiri 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. IIN�,J WC.Vi4ira, .B.O. nspection NOTE: Th 4t Owner -Builder Information is required by Section !9830 of the California Health and Safsry CO& OVER P;030 110_ _e,5 S i I ! PL-ANNINO ,CSI - B.�IILDING PLAN A Date.PPROVAL � fear ng."r_"'_ — ^�S�• ' Signature: , 91 + IF - + I � 1 1 I I 1 F1' w s ; WILDING DEVRARTME T06 :_. APPROVED. I Ii 04 --Q 0� --- T - ;-Z- k--3 - - - -- cj ;)A -r, j 4:7 Zc'— Cl 10, 1 tz BUTTECOUiVry 9UILDj jVG D EPARTjWpjVr 12'0" C\l UTTE couivr BUILDING DEpA,?.TAIENT _ ; �:..PROvCD 12"0" 24'-O" 1C, N O n� /7 a-/ - L 0 4')t /� lJ 1 v N 0 r <` ,n v N 0 RECEIVED OCT 14 2002 BUTTE COUNTY BUILDING DIVISION V 0,L1::�s 0 r 03 o ^ 110- o`f � 1 . -. _. . -.v.. _. „ 1 f . -. _. . -.v.. _. „ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION,AND PERMIT PERMIT NO. ASSESSOR PARCEUMBER 0 — ((- `-` ZONING Alk BUILDING PERMIT OWNERsF (Z fl. Ott. V - T L HONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINGA P.ESS C-, CONTRACTOR'SNAME 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 A $$.' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l s2 FES R—A Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 Ilii USE OF STRUCTURE ( SF (O Duplex❑ MDbilehome❑ 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 i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] 10theri] Describe work: ��'i(/ �_ A41N 10--- ,0 - Permit Fee $ Contractor Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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 reascn oR ACDNS. DDWELLIN GOCCUP.&) S. 2'hQsgft NEW CONSTRMULTI-OUTLET NON -R ESID BRANCH CIRC ITS CU 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 92AL®30 AL@30 FIXED APP LNS. OR Ex. Occup. OUTLETS (RE SID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 place] on file with%the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent tc Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, Should you become subject to the W. C. provision3 of the Labor Code, you must forthwith comply with such provisions or this pernit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to •,omply 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, ndemnify and keep harmless the County of Butte against all liabilities, judgments, cost, and xpenses which may in any way accrue against said County ir, eons q enc the granting of this permit. ?� _ 7(� X _ -_/ Date 1 ' ,2 Signature of�At Iicant i` owner g p ❑ Con ractor. ❑ Agent ❑ An OSHA per.( it is req%1 red for excavations ver S'0" deep and demolition or construct- ion of structures over 3 stories in height.By Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCHE HAz CUA PARK PAR IPDIHDI I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for,, which fees I' DIRECTOR F,PUBLIC U PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS G Date �- ✓-� Receipt No. sXSi('� WHITE-O.P.W•. TELL OW SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AD PERMIT PERMIT NO. ASScSSOR PARCE51UMBER `� 0 ZONING BUILDING PERMIT OWNER p TL PH NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS COONTRACTOR'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 S� Z FES R- A<- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 04 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISIG W 10.00@ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: s�� _ A4Z'Ajt I(Ae -F z &i& !O— 70— Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions node 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- 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 ADDNS. ACC. BLDGS. 2,h¢sq ft NEWCONSTRMULTI-OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS& OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20@50: 9AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I ree to save, indemnify and keep harmless the County of Butte against I liabi ' ies, judgments, cost , and penses which may in any way accrue ainst sa CHt tisyqenc he granting of this permit. X Date Signature of Owner❑ Con rector ❑ Agent ❑ An OSHA pred for excavations ver 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 TOTAL FEE HAZ CUA PARK SCHL FLD PAR PD HD I Th;s permit is nereby issued under sions or the Butte County Code and/or work indicat abov fo which fees E R F PU IC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / Date —30+ Receipt No. I WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Depa"rtm%nt of Public Works 7 County Center Drive, Orovil,le, 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) 4rio 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 Num r Date %— ?e) '-Y 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.