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HomeMy WebLinkAbout030-131-034 30-131-34 R°:1• JENSEN = tfilyY1�4 r14th. St., Oroville iPe` ilt ##1003-76P (bldg sew. inst ) 1,17 :77 30-13,1-34 r! LaGrone Heating & AC S it 44383-76E,M(duo pac) SF 3 0-131-3' Contr : LaGrone; Ht•g &,•,AC,,;,$ w Permit ##4462-77P (duopac) Flo �i 1 VI��30-131-34 Permit ##3501-79EIele ser,ch) SP N :k 30-131-34 1076=89B JENSEN, Raymond 1214 '14th. St, Oroville (add carport/SF) B08-1084 030-131-034 MISCELLANEOUS Re -Roof REROOF 26 SQ.'S 1214 14TH STREET JENSEN FAMILY TRUST, PENZCK, Henry D. 1919E:, 1544P 2032E n/e corner of 14th & Biggs on 14.th, The .- ' li ©.+ r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FEE INFORMATION DBMSC Re -Roofing $176.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State. Contractors License No. / Class / Expires GOELZ BROS ROOFING 805830 / C39 / 03/31/2008 I HEREBY AFFIRNfUNDER PENALTYQT'PERARY that I am licensed under provisions of Chapter (commegcing with Section 7 0) of visjpn f tusiness and Professions Code, and my license is infulrforce and effect. - 06/10/2008 Date 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 Performa of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0015365 Exp, Date:02/01/2009 (This section nee not a competed if the permit is or onghundre dollars ($100) or ess. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall no oy an person in an -r so as to become subject to the Workers' Compensatio cos of Califo a, and a the I should become subject to the workers' compen�ti n or of ection 3 09f t Labor Code, I shall forthwith comply with those §gDatttre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip 1 otal. Charged: $176.00 lees Paid: $176.00 Balance Due: $0.00 Receipt No: B7625 OWNER /BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that l am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged eicemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon; and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 06/10/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal . injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of thii TME I he -M y ackn�el:y at issuance of this permit does not authorize the use or occupa yof any sidew , st�e sidewalk. I hereby authorize representatives of Butte Cou�nj 0 anter the above ntio p for inspection purposes. I hereby certify that I am the �ycolSerty owner or or ci an t erty-ownefsbehalf: - - -- 06/10/2008 filelfiw-bWertmittee [SIGN] Print Date ❑ Owner ontractor OR: Agent for Owner ❑Agent for Contractor FILE. COPY PROJECT INFORMATION Site Address: 1214 Owner' Permit NO: B08-1084 APN: 030-131-034 JENSEN FAMILY TRUST, Permit type: MISCELLANEOUS 1214 14TH ST Issued Date: 06/10/2008 By TMP Subtype: Re -Roof OROVILLE, CA 95965 Expiration Date: 06/10/2009 Description: REROOF 26 SQ.'S Occupancy: Zoning: AR Contractor Applicant: ISquare Footage: GOELZ BROS ROOFING GOELZ BROS ROOFING Building Garage Remdl/Addn 14 LESLIE LANE 14 LESLIE LANE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0797 (530) 534-0797 FEE INFORMATION DBMSC Re -Roofing $176.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State. Contractors License No. / Class / Expires GOELZ BROS ROOFING 805830 / C39 / 03/31/2008 I HEREBY AFFIRNfUNDER PENALTYQT'PERARY that I am licensed under provisions of Chapter (commegcing with Section 7 0) of visjpn f tusiness and Professions Code, and my license is infulrforce and effect. - 06/10/2008 Date 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 Performa of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0015365 Exp, Date:02/01/2009 (This section nee not a competed if the permit is or onghundre dollars ($100) or ess. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall no oy an person in an -r so as to become subject to the Workers' Compensatio cos of Califo a, and a the I should become subject to the workers' compen�ti n or of ection 3 09f t Labor Code, I shall forthwith comply with those §gDatttre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip 1 otal. Charged: $176.00 lees Paid: $176.00 Balance Due: $0.00 Receipt No: B7625 OWNER /BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that l am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged eicemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon; and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 06/10/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal . injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of thii TME I he -M y ackn�el:y at issuance of this permit does not authorize the use or occupa yof any sidew , st�e sidewalk. I hereby authorize representatives of Butte Cou�nj 0 anter the above ntio p for inspection purposes. I hereby certify that I am the �ycolSerty owner or or ci an t erty-ownefsbehalf: - - -- 06/10/2008 filelfiw-bWertmittee [SIGN] Print Date ❑ Owner ontractor OR: Agent for Owner ❑Agent for Contractor FILE. COPY 1� V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT. NO. gx'10 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name kov I 2VECv, First Name Mailing Address f 2 � � �� � �' City Ovaf ((- State CA Zip y 5 y6 Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Cod e IZ , ps. o 1, 64 Address , �� 5 I' Lt_, City o i)tr State Zip S� Phone 3�_ Fax 5732^011Z? E-mail E-mail Lic. # 8 O 5 d7 7 p Class C_ 9 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name S�h-r Address City State Zip Phone Fax E-mail PROJECT LOCATION AP# O_ j� Property Address / Z 1 q f j I 7,7 T city O iso 01 I � CA - WORKER'S COMPENSATION Policy Number ? o0(5-3&7_ Carrier {R (11 Nhiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 . e V -e (/c,04 - 3 o3 a Ca Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. «;{?ERMIT NO. 30-131-34 PERMIT EXPIRES 3/5/77 OWNER R. JENSEN CONTR. owner LOCATION (A.P. 30-131-34 1214 14th. St., oroville .t - Temp. Power;Pole Called PG&E /TeGa c. Serv. PG&E Serv. PG&E / FINALED �2 (� " (Date) (Signature) s i THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: J4 /1/ /V S� . Owner's Name: 9 . P -1 Date: r a Z 7 Address: / / y Acct. No: �7Q 7v 11-ov, lie CM A. P. No.: ?0 Phone: No. Units: Applicant/Agent: d hq Agents Proof: ��A? Address: " Fees: Phone: Application $ I %-���7h Arrearage Preliminary Review By: �''x (-�- Date: CSA 26 Remarks: SC -0 R _ 1st mo. S.C. Other - Total Fees A)rKJtE, Collected By: Date: Field Review By: Date: 6 Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0 Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes -first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows Stemwal I Sidin Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents StemwalI Slab Prov. for physically, handicapped Carport Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE Test Final MECHANICAL Heating Cooling • Ducts Ventilation Final REMARKS OR CORRECTIONS_ . IleAOW Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer /G Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL ✓. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �cNi c 1-1—S OI IIIc l..Dunly of Butte to enter upon the abo mentio property for ' ection purposes. X Date ignature of Permitee r Agent Receipt No.o�- White-D.P.W. — Yellow -Assessor _ Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �� Date 3-4--,2 4. permit expires Date -3 — S7- ') � BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address / a l -! Telephone No. 533 —L8 8a Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address Py-fg ' PLUMBING No. @ FEE PERMIT FILING FEE 3.00 ,d0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _7d %�j % 7 r 3 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sana r Fire Dept. Fire Zone Use Permit Building sewer 5.00 57-0 arkinEQA PPlans Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ IF, A:9 $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 •0V ....�� OR LE-ae��� Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family J4- Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. &\ OR ADDNS. ( ACC. BLDGS. / 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTF;L POWER APPARATUS &) NON.RESID. -SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW _ I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @Z' BAL@1 Ex. Occu FIXED APPLNS. OR P•( 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE p $ a p0 �cNi c 1-1—S OI IIIc l..Dunly of Butte to enter upon the abo mentio property for ' ection purposes. X Date ignature of Permitee r Agent Receipt No.o�- White-D.P.W. — Yellow -Assessor _ Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �� Date 3-4--,2 4. permit expires Date -3 — S7- ') � � L� u= „ate �t�'.-.'+.3 y",,r's Fis..�,:t^_ftyGx.v� 1'% "k'v:. ��- �. _....— .. �, .+...��,.,,ru4 :.:yam,-'.�.� .4,u,u.• .,,._.,�,�,� .. .�ry:i , ,. ,.. ��� SC -Y1 ��flo� �77 ��iy /� � '_ f f) �i V is A .� � r 4 � ���7 ' ��� COUNTY OF BUTTE — DEPARTMENT QF PUBLIC WORKS N 7 County Center brit/ — QroviHe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwncc represenrduves UI the uuunty ul iDutte to enter upon ine above-mentioned property for inspection purposes. Date n Signature of Permitee or Agent Receipt No. 1 (A L r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been_paid. DIRECTOR OF PUBLIC WORKS By v Date Building permit expires Date J/ -3 J 7 ') BUILDING Owner '� � . / � ' 'r SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor �. -, (-r-r t p f > T� f/ ��,, Total Valuation ! r Mailing Address n,J frrC4 Permit Fee Plan Checking Fee&/or Penalty ii oit C Vf 1 ' �("� Tele hone No. -,3 7f'� Permit Fee $ f Building Address ~� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q0 0 1/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NO. D ....- /� / r Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 /,S-6 Each additional outlet .30 Fees I W,<Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ 0 $ 1,S7 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 (N Main service 600V OR LESS 5,00 100 AMP OR LESS Main service EA, ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 2,tsgft NEW CONSTR. (MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: , G �rr0 M e L`!, l� r1 (1 141 r Ex. Occup(OUTLETS OR FIXTURES)BAIL�SQ L@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 n .j C _�G License No. A3 q_. Classification Misc.,Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Of I have placed on file with the County of Butte a certificate of 441 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. r- MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ �C auuwncc represenrduves UI the uuunty ul iDutte to enter upon ine above-mentioned property for inspection purposes. Date n Signature of Permitee or Agent Receipt No. 1 (A L r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been_paid. DIRECTOR OF PUBLIC WORKS By v Date Building permit expires Date J/ -3 J 7 ') • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driv(; — (roville, California 95965 i.. Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X v �4c : Date Ta _ Signature of P'ermitee or Agent Receipt No. �1, .162— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 b Id. DIRECTOR QlF PIUBLIC WORKS By Bui mg permit expires Date BUILDING Owner ga4(2, e>ASa h SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor p, e-7- 141c, Total Valuation Mailing Address A015-1` rrq v.e , Permit Fee Plan Checking Fee &/or Penalty j C Tele hone No. O D1-0VI !� ► 3'3•% Permit Fee $ Building Address � ' PLUMBING No. @ FEE PERMIT FILING FEE f $3.00 U V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zip-- /3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees Sanitation F1 re Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ D NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 )LAO 04C_Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service •100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACC`BLDGOCCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: , ` ` i Yt li-- ! r Ex. Occup(OUTLETS OR FIXTURES) BAL 111 Ex. Occup. (OUTLETS ((RESID.)REA) 2.00 Temporary service 10.00 Ca�1C�iit0 h �`IVl Q Mobile Home Facilities 15.00 � 3 n �� � (2 , O �� l I License No.Classification [� _/ Misc. Wiring 6.25 [:]I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 04 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ ... $ 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 TOTAL PERMIT FEE $ autnonze representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X v �4c : Date Ta _ Signature of P'ermitee or Agent Receipt No. �1, .162— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 b Id. DIRECTOR QlF PIUBLIC WORKS By Bui mg permit expires Date , 9 r� Tv <<61 6a �n b 3V'I ,J• n Ua�l 7� _, do n8 `!O ,1� floo X34 P f P '•a41 i /K y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ,Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dutnonce representdtives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. x Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1'.50 A. P. No. i Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. 'Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES❑ OTHER 17,71 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service/ EA, ADD•L 100 AMP 1.00 NEW CONST.OR ADDNS. ( ACCLBLDGS,CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Ie Of: - - Ex. Occup(OUTLETS OR FIXTURES) 5BOAL@101 EX. OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. LI I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling , Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ dutnonce representdtives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. x Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive OrovJle, California 95965 e Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �''''Jy r Date < �� , 7, Sign" re of Permltee or Xgent Receipt No. /C//1?UQ/2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Y - Date permit expires Date/f���l BUILDING Owner a r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C� ►�DYr /� Total Valuation Mailing Address �S' '�6 ��' Permit Fee PIanCheckingFee &/orPen aIty o o• J t/ i, v / Tel,2phone No. .c -�{ j�l Permit Fee $ Building Address tZ Al `& PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �' Q — Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r I p ovements Lawn sprinkler system 2.00 �=l Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 4-4. 00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sq ft NEW CONITR. MULTI.OUTLET NON.RESID, ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y �-V 0 �'�Et►'j� `� I rite �Oi�✓/• Ex. Occup(OUTLETS OR FIXTURES)@� 100 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 (7 J Temporary service 10.00 Mobile Home Facilities 15.00 i r ��� q License No. X37 �.sF ! Classification o ��C Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3.00 $ D WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of W11 Workmen's Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 J,00 Heating 0 0 , 00 Cooling ` t —rot-, Ventilation Hood 2.00 Permit Fee $ 7700 $ L 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 TOTAL PERMIT FEE $ DO authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �''''Jy r Date < �� , 7, Sign" re of Permltee or Xgent Receipt No. /C//1?UQ/2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Y - Date permit expires Date/f���l yqj�� prr TT� wn v Snow onand do 'ldaa 3"na dO uNnoo i e v- S�C a CT i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive — Oriville, California 95965 ✓ ~ Tel ephclle: 534-4541' __7 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i f l ti — Date gnature of Pe itee or Agent Receipt No. V �� G - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant _90-1116— 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. f+IRECTOR Orr -PUBLIC WORKS By ._ _4 r -�.. Date f Building permit expires Date c,-/ L� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Ll 0 r -I Telephone No. Contractor ' Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address L% ZIL Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 I:a Repair drainage or vent piping 1.50 A. P. No. -- .. y '5 Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 fps YG!C`. Safri4ati®n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 BI,dg—P-PU"r*a'd I Parcel A roval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E& Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , OD >rrte�,, 600v OR LESS 100 AMP OR LESS 5.00 C.O Main service Single Family ® Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ry `r Main service 25.00 1100EAMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ACDNS. ACCLBL GSCCUP. E\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI. U L T NON-RESID ` BRANCH CIRCUITS 2.50ea N W CONSTR. (POWER APPARATUS e NON.RESID, SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES B L:; FIXED APLNS Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i f l ti — Date gnature of Pe itee or Agent Receipt No. V �� G - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant _90-1116— 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. f+IRECTOR Orr -PUBLIC WORKS By ._ _4 r -�.. Date f Building permit expires Date c,-/ L� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS `a 7 County Center Drive Oroville, California 95965 Telephone: 5`34-4541 APPLICATION AND PERMIT asor-�� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of PF_ a itee or Agent Receipt No. cig L IF, G White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. . /DIRECTOR OVQBLIC WORKS Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUAT �i� Mailing Address I C+ r (vt Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address - Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 tr Repair drainage or vent piping 1.50 g A. P. No. d ©� �j y ✓ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 4s I 42. I Semi-te+len Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bg"P1CR3'RBe'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 5& Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V OR Main service 100 AMP ORSLESS 5.00 d® Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 'Q Main service OVER s0ov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. !i� 21 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI.OUTL T 2.50ea RESID `BRANCH CIRCUITS) NON- ( NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIIRES B L@; Ex. Occup.(OUT ETSP(RESID,)FIXED APLNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 6,L, ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ 7' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of PF_ a itee or Agent Receipt No. cig L IF, G White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. . /DIRECTOR OVQBLIC WORKS Date Building permit expires Date 30-131-34 T _ - - 1076-89B 1JENSEN, Raymond ! 11214 14th. St, Oroville i(add carport/SF) PER PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E_ Temp. Else. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature �� 0 = Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements + a . Zo ' g Requirements -Seth "ks-E sements 2. Soils; Special MH Support -Sketch ootings; SQi i h -S ing-Connectors-Steel 3. Sewer; Location -Test -Fall -C/O -Concrete - or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) ood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG ,a- Alum -Awn -; olumns-Connections-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Utility Clearance -- *. rmg; Sills-Anchors-Studs-Rftrs-Trusses eer-Stucco-Mesh Card -B1 Date Card -61 Date A@*,"Roof; Shthg-Roofing Card -B1 Date Card -B1 — Date -- - andings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date f: Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 DaterZ? Card -131 Date 3. Gas; MH Test-Demand-Valve-Connector y ' 4. Electricity; MH Test -Crossovers -Breakers -Clearances , Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lgitg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -B1 Date Card -61 Date 9. Health Department Approval ' 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date = UK 0 = NotOK RESIDENTIAL. (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground _ 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire 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 Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -Bt Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive •❑ Yes O No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time You visit lob site) I JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND' PERMIT ASS SOR PARCYL NUMB ZONIN BUILDING PERMIT owA TELE H O 14 S0. FT. OCC. BUILDING VALUATION 'S AILI G R, OW E41 1 ® J ` RT) C M CTOR'S NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONS R CTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARC T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ �` ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r _ 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 Gas piping system 1 - 5 outlets 5.00 SF [X Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition vy Remodel Utilities ❑ 1 stallation❑ Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING 0CUP.61 OR ADONS. ( , /20sgff I declare under penalty of perjury (check one): ACC. BLDGS. NEW CONSTR MULTI -OUTLET 2.SOea F]I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS NO N.RESID .BRANCH CIRC ITS /POWER APPARATUS &) I and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. No. Classification Ex. OCcup�OUTLETS OR FIXTURES 20050tLicense eALeao I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ontract- ors. ors.(Sec. 7044) Misc. 4Yirin 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against OCCuP- CONST.TYPE L:J PA;CKl PD ND Iss all liabilities, judgments, costs, and expenses which may in any way accrue 'ng r- i against said County in consequeqdp of the gran of this permit. X ! �_4 This permit is hereby issued under the applicable provi- sions of the Butte County Cod and/or resolutions to do Sign t `7" pp wpner Contractor Agent work indic ed abov for hi h fees have been aid. p �j An OSHA permit is regyiTed fo ¢ovations over 5'0" deep and demolition or construct- I EC OR OF P BLIC WORKS ion of structures over 3 stories in height. " —�7~ Receipt No. By Date WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PERM T EXPIRES Date OWNER COUNTY OF BUTTE - DE ARTMENT OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIP(iRNPA 95965 - TELEPHONE: 916/538-7541 Proposed Building Use PERMIT APPLICATION DATA SHEET it Permit No A. P. No..4 Building Inspector a46 - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re Ulred , , , Pre-Inspec. request to p q . Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... :09 1. Certificate of Workmans Compensation Insurance .. 2. Owner -Builder Verification (Given to owner ❑, Mail to owner) ......... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 4. Letter of signature authorization ..................................... 2 r, 26. When you issue the per it,/pDrocess as follows: Mail to owner. Mail to contractor. Telephone _lob and hold for pickup at/n —_office. Deliver w/inspector. Other Appl icant E� . V11 ��(1�� Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted' rior to p rmi ssuance: (Circle new item not checked above). 1. Index permit for above items No. e 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_Jnail—counter by, date Contractor, designer, owner, was advised of above required data by_phone_mail_counterfby date c� Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Degartment 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 Securityu er _ - Date T- 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.