HomeMy WebLinkAbout030-132-02330-132 P nwwwzly
t chael & Ca I yn Edwards
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ermit #2094-85B,-P-,E(pri.swimmi-ng pool) -c-
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EDW-AkDS, Michael
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Cont: ky- Enterpri e, _7
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ERMIT#97-in!��'
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EDWARDS, MICHAEL
1219 10 TH ST OROVILLEJ
CONT: OWNER
REPAIR ELEC TO LIGHT
CWD
rl"O
COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
030-132-023
ZONING
BUILDINGPERMIT
OWNER
MlaAEL L. EMIARDS
TELEPHONE
533-0740]
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
—Permit
Plan Checking Fee $
BUILDINGADDRESS 1219 10M RIRM� ORMILLE,
Energy Plan Checking Fee $
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
I I
PARCEL MAP
—
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF110* Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Ulilities; 0 Installation 0 Other
Describe Work: REPAIR RE TO I.Tr.W
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.001
PERMIT FEE $
I!-
ELECTRICAL PERMIT Filing Fee 20.00
500V OR LESS
Main Service 200A OR LESS 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.
Licenseblass 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:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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 declarAktions:
Myo' I have and will maintain a certificate of consent to self-insu're 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.
0 1 h and will maintain workers' compensation insurance,,as required by Sectoni
37%vOe )fthe Labor Cdde,for the performance of work for which this permitis issued,..
0
w orkers' compensation insurance carrier and policy number are: 1.
Ck�ie
arr 1 r
Policy Number
(The above sections need not be completed If the permit Is for work of a valuation
,/Iof one hundred dollars ($100) or 16ss.)
I certify that in the l3erformance of the work for which this permit Is issued, I shall
not employ any,person in d6y manner, so as to become subject to workers'
compensation laws of California, and agr;e 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.
Date 4 Ile, z7e,, I
I�Sighatu're of Applidint'- 0 Owner 0 Contractor 0 Agent
Ai4 OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DW:�LJNG UP. so
OR ADONS. 3.50Fr.
�. ff
NEW CONST
NON-RESID. muQ'-0,V& @7.50
OWE.RAPPARATUS
PSIN. 0 ". C..
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES SAL @ .50
FIXED AP - 0"
Ex. Occup. OUTLETS (P.M.) E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood f 6.50
Ventilation
0 f
PERMIt FEt
Mobile Home Installation Fee s
Energy Inspection Fee s
occ
CONST. TYPdE
TOTAL FEE$ 25.00
E
=1A
lm�
FLOOD'41
CDF
I PARCEL
I pD
I HD
I 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'All", Date K]WO I
PERMIT EXPIRES ON A
I i�Da ta)
ReceiptN 031728
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENRO=
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 9 Telephone (530) 538-7r-41 PERMIT NO.
9,(Rev. 12/96) APPLICATION AND -PERMIT 51 — I 1�7
ASSESSOR PARCEL NUMBER
0 30-132-023
ZO , NING
BUILDING PERMIT
OWNER
MICHAEL L. EDWARDS
TELEPHONE
5133 -07.410 -
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
)WM
CONTRACTORS NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
F
I ireplace
LENDERS MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
BUILDINGADDRESS 1219 1 01H STREET, GROVE I.E.
Energy Plan Checking Fee
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF)(X Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 13 Utilities 0 Installation 13 Other
Describe Work: REPAIR TET R M I IGHT
piping system I - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LIE
Main Service .A 0. LEN
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
LIawor the following reason:
1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason WORKERS' COMPENSATION DECLARATION
1 herqby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selMnsure 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.
13 1 have and will maintain workers' compensation Insurance, as required by Section
If the Labor Code, forthe performanceof workforwhich this permitis issued.
3 17000
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
/of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date a,>e-� —
S�i �hature of Appli(5a-nt-- [3 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigpt.
Main Service 200A TO 1000A
46.00
NEW CONST. so.
OR ADDNS. DW= .0crSCUP. 3.50FT.
NEW CONST.
NON-RESID. MULTIID� 2CUIT.
@7.50
R
POWEL AP= US
I. E CIR.
j 200 1.00
EX. OCCUp. OUTLET OR FIXTURES SAL @ .50
O.FL(EDAPP - OR.
Ex. Occup. (RM 5.00 5. on�
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
I
PERMIT FEE $ 5 -no
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
6.50
—Hood
Ventilation
PERMIT FEt $
Mobile Home Installation Fee
Energy Inspection Fee
Occ
CONST. TYPE
T TALFEE$ 25.00
HAZ.
I D. FEES IMP I
FLOOD
I COF
PARCEL
I PO
I HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat d above for which feeps hhaXe been paid.
B D
y 1�7e
PERMIT EXPIRES ON OV f)
-7 Zp, t,)
Receipt No331 728 —,Z-, 00/
WHITE-D.D.S.-B.D. CANARY-�6SESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
(Rev. 12/96) 7 County Center Drive 9 Cirovil1q, California 95965 - Telephone (530) 538-7541 PERMIT NO.
- APPLICATION AND PERMIT
zomma
OWNER d, DQ:� BUILDINGPER r
TKUWMNE sQ. Fr. occ.
CO b] BUILFING 'vALUATIO,,
OWNIM,111 MU -00 ADDPJM% I — A W-1. I '% I
CONTRACTOR% &VAJNG ADOMS
CONSTRUCTICHLOVER
LEWEA'S "LM ADDRE89
AACHVTECT OR ENWNEER
ARCWECT OR ENOWEER'S MAJUNG ADDRESS
I LOYNO. I que"WiNue
USEOFSTRUCTURE
SF X Duplex 0 Mobilehome 0 Other
TYPE OF WORK
Now 0 Addition 0 Remodel 0 Lftkia 0 Instalat
Describe Work:
*PERMIT. FEE PAID
SPA
SHERIFF
OTHEK
AMOVNT RECEIVED
-2-21 -?"-1 '��
"RECEIPT NVMBER 0 D C-/- �
* TO ilE Pvr Iwo compvTER
PERMIT FEE
Fireplace I I
Total Valuation 10
Filina Fee
Permit Fee
Plan Checkin- Fee
Energy Plan Checking Fee
ELECTRICAL PERMIT
20.00
LESS
Main Service 6.00.11 ON LESS
Main Service 2o*A To sowA
LICENSE NO.
KIEW C DWELLM P.
OA ADONS. AOC. KDS.
NM
CONST.
NON -R 310. MULTI-oun.LT
-"M�
Q7.50
POWEMR AppApAnn
in.
JO�iZift
MAP
PERMIT FEE
S
—47
5.00 5
PLUMBING PERMIT
20.00
Mobile Home Facil les
Each Trap
Sol or heat Pump water heater
Misc. Wiring
7.00
23.00 -
Water piping
1S.00 -
PERMIT FEE
S
MECHANICAEPERMIT
Filing Fee 20.00
0 Other
L 1�
Each gas water heater or vent
Cooling
15.00
Gas piping system 1 - s outlets
15.00
Building sewer
L
1 S. 00:
rQ?
Mobile Home I S I G I W I
-
2 0. �OO 0
-2-21 -?"-1 '��
"RECEIPT NVMBER 0 D C-/- �
* TO ilE Pvr Iwo compvTER
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
LESS
Main Service 6.00.11 ON LESS
Main Service 2o*A To sowA
23.00
46.00
KIEW C DWELLM P.
OA ADONS. AOC. KDS.
NM
CONST.
NON -R 310. MULTI-oun.LT
-"M�
Q7.50
POWEMR AppApAnn
in.
Ex. Occup. (I ouTLET on FKnon
—APPLNG.
2001.00
IIAL a so
16 OR
Ex. Occup. 0 � �MM16.1 E,
—47
5.00 5
I Temporary Service
23.00,
Mobile Home Facil les
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAEPERMIT
Filing Fee 20.00
Heating
Cooling
Hood
PERMIT FEE I I
Mobile Home Installation, Fee 1 $
Energy nspection Fee
occ
I""' J�OTAL FEE$
—T I -z I'PEES f IMP I P-000 I COP I PARCEL I PC 41M JISSUME
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
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bea mi
g your signature.
Please complete and return this information at your earliest opportunity to avoid unnecissary delay
wi e i
in processing and issuing your building permit. No building permit 11 b.. i.ssuea ufiti ihis
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES al" NO 0
I HAVE a�/ 'HAVE NOT 0 signed an ap p*lication for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hire d the following person to coordinate)
supervise, and provide the major work:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 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:
PROPERTYOV;NER:,,:,
SOCIAL SECURITY NUMEBER:
DATE: V, 4 Z,,,:f
NOTE. This Owner -Builder Veriji"cation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be -completed. and
returned to our office before we are permitted to issue the permit. ,
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
z
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 pprmits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract� you sh6uld
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate fan-dly, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including'state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors ar� allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+ i rely,
Micel C. Vidira, C.B.O.
P
so
M ger., ituildtng CInspeCcition
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health andSafety Code.
I
OVER
030-132-023 0 1;;j 6 3
EDWARDS, MICHAEL
1219 10TH ST., OROVILLE
CONTR: OWNER
REROOF
OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive e Oroville, California 95965 e Telephone (530) 538-754 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
AS SESSOh PARCEL NUMBER
A?;o -3 o -13.2 -02 3
ZONING
BUILDINGPERMIT
TELEP ... E
Sy �_ f& k)
C)
SO. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADORE S
� 4117 11 S �7 0 ru b Ac C
__0 4a
0 49
X
CONT14ACTOR'S NAME
owl) e r.
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF 900Duplex 0 Mobilehome 0 Other
SPECIFFY
Each Trap
7.00
Solar or heat pump water heater
23.00
. Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Utilities 13 Installation 0 Qther &K,
Describe Work:
de
Gas piping system I - 5 outlets
15.00.
Building sewer
15.00
Mobile Home I S I G I WF_
920.00
PERMIT FEE $
ELECTRICAL PERMIT '
Z
Filing Fee 20.00
500V 0 R LL
EE
Main Service .. OR
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;or the following reason:
1, as owner of the property, or my employees with wages as their sole compensabon,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licenserd contractors
to construct the project.
0 1 am exe ' m#pt under Sec. Business and Professions', Code for this
reason
. 1, WORKERS' COMPENSATION DECLAAATION
1 ereby affirm under penalty of perjury one of the following declarations:
JV, �h I have and will maintain a certificate of consent to self -insure for workers'
�qmpensaton, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0111 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 e�� Z 1��4'*__Z�Date V.Z4-411 7',.
Sigriattire of Applicant--. 010wner 0 Contractor 0 Agent /
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Ser�'Ice 2— T 46.00
NEW CONST. DWELLING OCCUP. 7i) 3 so
OR ADDNS. & ACC. Mb&� .50FT.'
MULTI -OUTLET 97.50
=RESID.T CIRCUITS
-BRANCH
POr AP=TUS
.0 C..
20 @ 1.00
Occup. OUTLET OR FIXTURES aAL @ .50
—Ex.
Ex. Occup.� PPM.J E 1 5.00
..FIXED A - ORA_
Temporary Service
23.00
Mobile Home Facilities 1 20.001
Misc. Wiring
23.00
I
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
W
FEE $
A
[TOTAL
=.
CDF
PARCEL
P0
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.
Date 'Z)
PERMIT EXPIRES ON 6 Q,
pata)
Receipt No.. aw n5a TS �F-
WHITE-D.D.S.-S_.137 CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROE --APPLICANT
-T-0
(4
c8p
'( r gX
A
A
Date -6 - Inspector
REV 10/92
COUNTY OF BUTTE:'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA (530) 891-2751
7 County Center Drive Oroville, CA (530) 538-7541,
CORRECTION NOTICE
E D:��2 630
OWNER
A routine inspection indicates that the following �iolations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions perta'i6ing to this matter, or need additional explanation,'
please contact this office immediately.
-T-0
(4
c8p
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A
A
Date -6 - Inspector
REV 10/92
030-132-02-3.� -PERMIT#97-1563"�
EDWARDS, -Mfcha'el,
1219- -10th, St. Orbvill:e
Cont: Skyline Enterprises
HVAC/SF- 41 q8
�I
'7
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS ON'
7 County 'Center Drive - Oroville, California 95965 - Telephone (916) 538-7 ;1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 7 _,,0 (?'7-Ja&,9
ASSESSOR PARCEL NUMBER
030_132-023 1
ZONING
BUtEDINGPERMIT
OWNER
MICHAU MWARDS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1219 10TH ST.,OROVILLE
CONTRACTORS NAME
SKYLINE ENTERPRISES
NE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace I
LENDERS MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSEVO-.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 1219 10M ST., PROMME
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO. _T��
NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
1 7.00
USEOFiTRUCTURE
SF QNXDuplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: HVAC
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Home TS I GI W1
@20.00
—Mobile
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800 0 R LESS
Main Service �..VA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �4ith Section 7000) of Division 3 of the Business and Professions Code,
and my license isgfull force and effect.
License ( Lic. No. !N'? 0 / -7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP
OR ADDNS. & ACC. BILDS.
so
3.50FT.'
N CONST. UT��
OEWN - CR
RES'D .=O
@7.50,
_N
OWE.AAPIPARATU
( &PSIN. 0 r. C SIR.
Ex. Occup. OUTLET OR FIXTURES
BAL @ .50
UFITXLE D S� P UNS OAA�
Occup. , (PES,6.) E
E
5.00 5.00
—Ex.
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I
PERMIT FEE
$ 2561JU
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
El. 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' comp ti n, insurance carrier and policy number are:
.ensa io
Carrier 4 :rc Eu A) C)
Policy Number -7.-L!j
(The above sections need,not be completed if the permit is for work of a valuation
of one hundred dollars ($fOO) or less.)
0 1 certify that in the performan6e of the work for which this permit is issued, I shall
not employ any person in an� manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' co pensation provisions of section 3700 of the Labor Code, I shall
0
forthwith c 'ply with those provisions.
X Date
Rignatr2of 11P licant - 0 Owner 0 ZontractorpQ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20,00
Heating 15.00
Cooling 15.00
Hood 6.50
Ventilation
PERMIT FEt $ 50. 00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 75.00
D
I CDF
PARCEL I PD
I HD
IS!�p
This permit is hereby issued under
of the Butte County Code and/or
Indic ted above for whi s have
y x, C)7
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Dat
D&6)'
Receipt o.
WHITE -D. S.-B.U. PINK -INSPECTOR GOLDEN ROD -APPLICANT
"I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS
7 County Center Drive - Oroville, Califofnia -9�965 - Telephone (916) 538-7 q PERMIT NO.
(Rev.l�/96) APPLICATION -AND PERMIT �7 q /7 a,3
ASSESSOR PARCEL NUMBER
030-132-023
ZONING
BUitDINGPERMIT
1 .
OWNER
MICHAEL EDWARDS
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1219 10TH ST.,OROVILLE
CONTRACTOR'S NAME
SKYLINE ENTERPRISES
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
E NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1219 10TH ST., OROVILLE
Energy Plan Checking Fee $
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
I
PARCEL MAP
I
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF CXXDuplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other ]g(
Describe Work: HVAC
—Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W I
-
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service , o.R '.'s s'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �fith Section 7000) of Division 3 of the Business and Professions Code,
and my license isjq full force and effect.
License Class Lic. No .
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. I
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. & ACC. BLDS.
so.
Fr.
NEW CONST MU TI-OUTL T
NON-RESID. MANL" CJRCtEJLTS
_3.50
@7.50
&PSOWER APPARATUS
INGLE OUTLET CIR
—Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
. UFIT)l ED A M OR"
Ex. Occup. PPLS16.) E
5.00 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
25.00.
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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
A,,7 performance of the work for which this permit is issued.
I& I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performanceof workforwhich this permitis issued.
MY workers' comoensation inwrance carrier and policy number are:
Carrier , -�,TATC t L� Al Q
Policy Number 2-74 - q_1 LIVI%W () 0 ) 0 y 0 -1—
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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
worke!ts' cc"pen'sation provisions of section 3700 of the Labor Code, I shall
. h
forth y 'ith those provisions.
—7-7
V Date.
signaiijr-e—oT-Viicant - 0 Owner 0 _Eo_n�7acio`rpI,1,r_A
. gent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling 15.00
Hood
6.50
Ventilation
PERMIT FEt $ 5U. UU
Mobile Home Installation Fee TE
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$ 75.00
IMP
I FLOOD
I COF
I PARCEL
I PD
I HD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic t above for whi h I s have been paid.
y Datpr
MIT EXPIRES ON
fDAf
I !]A W,
ReceiptNo._7=(4
I
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
C4
�030-132-023 PERMIT#97-1740
030-
32 23 ERMIT"
# 97-1 40
oyllle,
-0 p
EDWARDS', Michael
2 19 lo S
1 29 10th St. ,
Oroville
G s pi
p g #9
as 'Pifing.BP#97-1563
q;
'711YI'l-7
OFFI"CE Cope
I
GAS
Meter,B
ELEC-rR,C
e er, y Da
te
A
COUNTY OF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES - SO , ILT 'DWISION. t
.1,6 39-754 ;V. PERMIT NO.
- Oroville, California 95965
7 County Center Drive Telephone, N�_
(Rev. 12/96) APPLICAPONAADPERMtT
ASSESSOR PARCEL NUMBER
030-132-023
ZONING
'Ott"; -:tU'1'ILDMG PERMIT
OWNER
MICHAEL EDWikDS
TELEPHONE
SO. -FT., BUILDING VALUATION
OWNER'S MAILING ADDRESS
9ROVIJI�, - CA
1219 I(M 'ST.,. '05965
CONTRACTOR'S NAME
OWDER
TEL�PHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONP
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
NOW,
LICE I NSE NO.
— -Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING A6DAES
g
Plan Checking Fee $
BUILDINGADDRESS
121 0_10 IRT-.-:,�
Energy Plan Checking Fee $
$
PERMIT FEE
LOT �O." 4
SUBDMSION'S NAME
PARCE I L MAP
PLUMBING PERMIT Filing F66 20.00
USEOFSTRUCTURE
SF Mo Iii qe 0 �0%e r
1%, �h � ,
SPECIP,
Each Trap 7.00
Solar -or heat' pu mp water heater 23.00
Water P.iping 1141
—,
B6�'rgas water h'e'ater or ven't' lvf6.00
TYPE OF WORK I
New 0 Addition 13 Remodel 0 LIfilitiesg" installation 0 Other 0
"ING-MR #97-1563
Describe Work: GAS, PfP
Gas Piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 920.00
PERMIT FEE 35.M
ELECTRICAL PERMIT Filing Fee 20.00
v OR LE:'
Main"Service �.�A OR LE s 23.00
J
LICENSED CONTRACTOR'S DECLARATION
'�khereby 0airm under penalty of perjury that I am licensed under provisions of Chapter
9 (c&ffi�4ncing With Section 7000) of Division 3 of the Business and ProfiBS'Sions Code,
and my, license is in full force and effect.
License Class Lic. No.
OW ' N ' ER -BUILDER DECLARATION
I he#reby affirm under penalty of-p—er'juty that I am exempt from the Contractors License
Law or the.following reason:
# 1, as owner bf,�e property, or my employees with wages as their sole compensation,
will do the worR, and 1he structure is not intended or offered for sale.
0 1, as owner of th oJerty, am.exclusively contracting with licensed contractors
constrKt the pr
0 1 am exQW ..n er Business and Professions Code for this
reas6
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING P. so
.0.0 C U 3.50
OR ADONS. & ACC. Fr.
NEW CONST. UTLET
NON- CIRCUITS @7.50.
FIES'D B=O
ELR AP=
0 . 0 U
&PSINW E C SIR.
OUTLET OR FIXTURES) 20 @ 1.00
Ex. Occup. BAL @ .50
UTX.EO SAPPLNS ORA
Ex. Occup. CRES,6.) E 5.00
Temporary Service 23. 00
Mobile Homo Facilities 20.00
Misc. Wiring 23.001
Vto
PERMIT FEE,*
OAKERS'\COMPENSATION DECLARATION
I hereby affirm u, der penalty4of 'perjury one of the following declarations: . ,
0 1 have and -will maintain a certificate of cons�nt to self -insure for workers'
compensation �Ias provided for by section 3700 of the Labor C�Cle, for the
performance of the work fqr which this permit is i�sued.
0 1 have and will maintain worl�ers' compensation insurance, as required -by Section
3700 of the Labor Code, for tl4e performance of work for.which this perm"It is issued.
My workers' compensation insurance carrier and. poliWiriumber ar;i�.
C aNr-r i e—r
MECHANICAL PERMIT Filin.g�Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sectio6s�need not be completed if the permit i6 for work of a valuation
1/of one hundreedollars ($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 s� as 4obecome subjed'-io workers'
Compensation laws of Ca a,(aocl agree,that if I sl%urld become subject to the -
workers' 6ompensation io of section 3700-� th@ Labor Co cle, I shall'
,its"
forthwith comply wit h those p
X Date
S brfatu-re of -Ap-plica-nt 0 0 w- e 0 _N�t.� �0,
CV0 r '0 1
C or \E
@\0 % '3 niotinn or construc I n
An OSHA permit is required for excavatic4 er %'0 7d e �e a P
of structures over 3 stories in height. ,Z,
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
ONST. TYPE
TOT�,IfJFEE�$, 35.010
HAZ.
D.FE MP
,FLOOD
CDF
�EL PD
J'pARC
HD
I ISSUE
Qlsperirpit Js hefebyJssued under the applicable provisions
of th�e utte County Code and/or Resolu)igns to do work
lVdipat ovedgr �yhich Joes have b eg aid.
7
"1. -
W ate 8/18/97
'I5ERM`1T'EXPIRES'-O`N--- 7/24/98
(Date)
ReceiptNo. -22
WHITE-D.D.S.-B.D. CANARY -ASSESSOR — PINXN�M Ll A
.,PE!$� --,(�OTDENROD-APP C NT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION/
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �, ��17 - / 730
ASSESSOR PARCEL NUMBER
030-132-023
ZONING
BUIL99GPERMIT
OWNER
MICHAEL EDWARDS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1219 10TH ST., OROVILLE CA 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
I
Total Valuation—r$---
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1919 10TH ST., OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
I
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF KK Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 UtilitiesR Installation 0 Other 0
Describe Work: GAS PIPING FOR #97-1563
Gas piping system I - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
' R
Main Service ( '�'.".AGR."s�' )
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing Y�ith 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 or the following reason:
1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP
OR ADONS. & ACC. BLDS.
so.
3.50FT.
NEW CONST. =OUTLET
NON-RESID. CIRCUITS
@7.50
OWER APIRATU
( PSINGLE . T C SIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
L @ .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA)_
5.00
-
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
-
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
— Cooling
-
Hood
6.50
Ventilation
PERMIT FEt.
$
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.)
U/I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�,Z-
X I Date
Sigii-ature of Applicant 0 Ownir 0 Contractor 0 Agent
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
_T_
CONST. TYPE
L TOTALFEE$ 35.00
A,
. FEES IMP
I FLOOD
I C
Hjt2
This permit is hereby issued under
of the Butte County Code and/or
indicat
By A;z:iat2z_
PERMIT EXPIRES ON
I
the applicable provisions
Resolwns to do work
aid.
7/24/98
(Date)
Receipt No. 994975-
WHITE -D. D.S.- B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
O.B.- I
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.
cdI personally plan to provide the major labor and materials for const*ruction of the proposed
property imp, ovement: YES ILI"' NO 13
I HAVE THAVE NOT 0 signed an application for a building permit for the proposed work.
3. 1 have contracted with the follo * (firm) to provide the proposed construction:
person
NAME:
ADDRESS: 121 9 -1a /�"- -5 A CITY: Oki
PHONE:
CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAIME:
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
5. 1 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: I I
PROPERTYOWNER:_,��,��,�
SOCIAL SECURITY NUMBER:
DATE: /,g 5�2
k.11
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be -completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
7 " 0
and other S300 or. -more for the entire p ' r9ject, and such persons are not licensed as -contractor's -or
subcontractors. then you mi ay be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations includinlg'state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+ I rely,
M Mic el C. Vidira, C.B.O.
ic I Vi i C
9
2 soecl
MagerC,BAuildirng Inspection
NOTE. Tids Owner -Builder Information is required by Section 19830offfie California Heaffli andSafely Code -
OVER
L -a
POET NO 2285-81B,P,W
.PERMIT EXPIRES C;21 —9
OWNER Michael & Carolyne Edwards
CONTR. owner
ASSESSOR PARCEL
LOCATION
30-132-4 port.
1219 10th St., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service 2 -/ ;7 - 6'1 k! _,-
Called PG&E
Temp. Gas Servici
CalledPG&E
JOB FINALED (Date), ---
Signature
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFOrCE WITH CUR -RENT ENERGY CONSERVATION REGULATIONS
AT 1,�, Ig I L,�
I (location)
BUILDING PERMIT NO. -Z A P. NO. 4r
THE FOLLOWING HAVE BEEN INSTALLED AS PER-APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ductsf��
Circul.Ating PipesIV4-
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS._
WEATHE'RSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State Contractors
L, 'cense No
General Con tractorfig;;�ame 2
�(plea t
Signature of s print
General Contracto ate�s
State Contractors
License No.
THIS CERTIFICATE'MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
0
CK
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DKKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
t-�ooning Requ i rements-Setbac ks- Easements
2. Soils; Special MH Support -Sketch
o9lings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
Onecks; Girders and/or Joists�Decking-Bracingfs-61-r--O-Rails
4. Water; Local i on- Te st- 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 -BI Date
Card -BI
2:a_Date 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 #'s
1. Setbacks- Easements
2. Footings; Size -Spacing-, Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -C rossovers- Brea kers-C I eara nces v
5. Drain; MH Test -Fall -Flex Connector
2. Soils; Compact i on -Structure Stability
3. Pool Structure; Stee I -Connect i ons -Th ickness-Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
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 -Enc losures- Pane lboards- 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 B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -61 Date
v` = OK
0 = t4ot PK
- = NotApplicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERF-LOOR ( 11 ns) OK except#'s
Date FRAWNG (Continued)
Af'-ZonLrig..s�equirements-Setbacks-Easement
4&.-� ��erty Line Firewall & Openings
Main: Soils-Steel-Elec. Grnd.- Ftg. Depth
4#r'Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
4
3 44, 15 4
50Wtairs; Width -Headroom -R ise-Run-Landi ng -F ire Protection
4' Ftg.,_Porches & Decks; Soils -Steel- Ftg. Depth
3<�Iywood on Root Overhang -Attic Vents -Rafter Outriggers
Ae-Itemwalls, Main; Steel-Blockouts-Wrapped-Slab
5?0diding-NaiIA-Veneer
6. 40eriiwalls,- i9may.,-Olvej-1360eatatits wrapped -4+8b-_
53.jpCotucco M66 -Drip Screed-Fdn. Vents-Underflr. Access
iers-Fireplace Ftg.-Steel
54_011�jazing Area -Glass Protection -Skylights -Plastic
8. W.W.V.: Fall-Fittings-Todr-2 way C1O-jS9W'erjX_,A-�
54 -'Shear Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
0. Water P)pd'Tee--Anchors-Regulator-Sery ice Test
11 . Electric; Underground
P��
2. 'Plenums & Ducts; Clearance -Material -Support -Ins
*,#L.-13.
G0d1rs-SiL1e-`Anch0A?b1ts:]&ts ents-Cripples
Card -BI Dat !7!yr �_ Card -BI Date
Ka rd�-�Bl Datp�,R*!,Xy Card -BI Date
C.rd_13 Date b'-3,Ft' Card -BI Date
Card;5
Z Card -BI Date
ate6;�>4:e
-MEE
Date FINAL (P s) OK Pxrpnt #'.q
C -BI ff4ci::� Datey-4p--TI Card -BI Date
Date
PLUMBING it) OK except #'s
ZZ��. E -Door & Sidglight Protect ion- Land i n-g'sS
kj_;00'S-m_oke Detector
fZr�A4r-We+er*it.;
Vent- Access -Combustion Air
_58- Furnace; Vents -C I eara nce-Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
15_-ftter Pipe; Test & Anchors -Nail Protection
1L-.ff.W.V.; Test-Fttngs & Anchors -Nail Protection
54"Iedroom Exiting
V-A� Pan; Test, First Floor -Tub Access
& Bath Fixtures & Tub Access 141�
1&--T4W-Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes-CTW
Size & Anchors
'62. Stairs & Rails
die'V-ireplace or Stove; Clearances -Hearth
04'Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
;P, Date Card -BI Date
15eKit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
A&e'Elec. Outlets & Receptacles at Kit. Counter
Date
ELE;!E21CAL (Pw-,,-t) OK except #'s
*?Qereje-Fire Door; Swing-Landi ng -C loser
61&r-*.1C-'l5uct in Gara4e-Damper
Fixture & Transformer Clearance -Ins. Protection
*-Wf_rHtr.; Vents -C learance-Comb. A i r- Con nector- P.R. V. -
In Garage; Above Floor-Mech. Profection
44-flec. Receptacles Spacing -Lights & Switches at Doors
7b, -11-1b., Elec. & Mech. Equip. Listed for Location
?i,!!!.-2ize Boxes & No. of Conductors -Stapled
Z&..=&aa_4ZaaeptacIes in Girage; (G.F.I.)-Romex Protec.
&1<ftmex Installed Close to Edge of Studs & C.J.
72. 1 aaELe ion- Foam -Looked in Attic Pffol`es
Zp-'j�quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
u��ails & Deck Construct i on -Post Caps
29�'2 Appliance Circuits in Kitchen & Conductor Size
-1
QPOF-dn. Vents &j0FwjjjgLfF�Doo Drainage &Wood'Earth Clearance
Looked under F�_Ioor El `Yes�
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size //a ga. nCor At
27. Range Circ. 14 / ga. Cu o L Oven Circ. ga. Cu or At,
Insulated Neutral Ples r'9,N0
75 o�llowing instld.: Drive ER-Ires No; Walks URI -Yes [] No;
4,:� Planters 9a,fe-s CJ No
I . Stucco; Brown-FiiI
(11)412, Unit; Disc6nnect-Clrnces-Brkr. & Cond. Size -115V Outlet
k!
9 rvice-Riser Conductors & Ground -Main Disconnect
*-'-Equip. Clearances; Pane I s-Motors-Mec h. Equip.
49e`d)othes Closet Light -Shower Light
-1VVents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
716�r 'e; Disconnect, Electrical, Plumbing
!!:_,_kterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
& Date� �--J�Card-Bl Date
aX' Vienti lation throughout House
821 -Glass Protection
Card B-1,
Date
Date Card -BI Date
MECHANICAL (Perrrit) OK except #'s
31. A.C. Ducts; Insulation & Support
83%-,<'o_rrect ions from Previous Inspections A Ado
84. Gas Test -Meters Tagged; Gas-E[%W'tc 70A 1
e!!E���er �C.. nect_e_d-_U77_t_o_6rad_e-HD_ Approval
32. Vent Fan; Exhaust above Insulation
_j�Rgy Compliance Certificate -Other Certificates
__33.
Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
5. Attic Access & Platform it Furnace in Atti�,
10
Card -61 Date Card -BI Date
__SX
Card -BI Date 7-.r-ard-BI Date
;jrd-BI X-17��ard-Bl Date
C Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMIWPIA4514 OK except #'s
Umments at Final:
. SWz-, Proper Material & Anchors
3��atia: Studs -Nailing, Spacing & Bracing -Plates -Sound
31 __�a:r,�TW_alls over Girders & Floor Nailing
3 ra!I-Stop in Walls (rat proof) I
._42t!!!!5ir
Stops; Furred Ceilings -Stairs -Chases -Tub t
.3*
41"eader & Beam -Size & Bearing
42. gers-Post Caps-Anchors-Cori�ec`l�ors
o -Rooi rac.'7��Shthnp.-Rfnq.
ftr.
;C�ln Joist r n
.r
44; ireplace Ties or iyppA Flue -Fireplace Throat
-1.
- �ic Access; Size & Aomex Protect i on-gLaft Stop-ins.i�
Qdrm. Windows or Exiting Doors -Sill". & Dimensions
4;__Q.a+.age Fire Protection Framing
(NOTE: An entry must be madeeach time youvisit jobsite)
COUNTY OF BUTTE
t'�—x DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Inspector 4�
���_zq Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Date7— 2
-35
45
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDR
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Inspec
-1,2-. - /
Date2
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
CORRECTION N.19TICE 11>_�
1 -1 _.� C-4 "_ �� _>
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of w rk is completed If you have y question pertaining to this
matter, -or nec !on I explanation tact this office immedia4�
- Fit
A,
77
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine �inspection indicates that the following violations of ounty Ordinance
of 0
exist at the above address and should be corrected. Plea /,notify this office
when correction of work Is completed. If you have any quedot-on pertaining to this
matter, or need additional explanation, please contact his office immediately.
ex-
Jj
e-
'J�
J
Inspector Date
%M
OUA
L A N D 0 F IN A T U R.i.L. YV;,E -A L3 H A N, Q,
E A U T
LM
OF- PU BL i C WORKS
DEPARTMEN
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965,
Telsohone: di - 6) 534,-4541
H. W. McDONALD
Deputy Director
April .1-1. _0831 --
cc: Building Inspector — Okoville
ha I MOM&
#
RE: Building�,Perm . it ';8i 6. 540"8 2
1219, 10"'Oh, -Striot,
3�
�A.P.' # 3Q"" 2-2
otoijille, CA 9�0_65
With`referenc4i.tq�tthe above subject., we have been advised by.,oneof,,our_buildi`ng
insp.e'*d't o'ts*' -t at.'�here are
items,requiring corrections for -the worki.which.you fi6e
done' as follows:
X.1- Propdtly buOport, thai,601rbt ingoro.,Wi both tdt6 '114'qtafi�d, 4
n
2 iWpXdCe 0 .;sta it
0,trifter. thdt. ft,00�4t4
J
S ince these items must be
corrected, before we can final the,'job "6i';Tis_i�e the r`eq u i re,�J
Certificate of Occupancy,
ii �'A n'� "'c' 5'n"�t a -c 't : t h i s o f f -i c e
please make the above correct on
within ten'(10)-dAys of thd1date of this letter and request finAl-Anspection.
Your cooperation.in resolv.ng
t ime, -m&.nn*er1'wil1 certiTnly'b�e,
es in a '1�
appreciat'ed. 'Sh6uld you have any question's concerning this matter, please contact'
this office.
Ir.y.
-Yours ve trxily,.:
Clay Casti , eberiy.'-
4'
i e 'f P rks
D Direct'or,b"i6 Publ rks
'r ctor-F.' u�
.1
;4
JFG:dd
C i u. cto;:
Chief Build�ihng.In�pect6r
cc: Building Inspector — Okoville
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT bQ0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541
APPtICATION AND PERMIT >44�s� A
AS
_JSSOR AR
jAJMB
01- —
ZO
— —21
'AG
BUILDING PERMIT/YJ
ER
a 9') (1 0-io LJ k, o
SQ. FT. OCC. BUILDING VALUI�TION
A0114n
(a
I .,—
J.PW ER'S_MAILIF4G A
/0 VTJ ro
��CONTRACTOR'S,NAME
T
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /to 0
ARCHITECT OR ENGINEER
IV dtv-, .9
LICENSE NO.
1
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER's MAILING ADDRfSS
Permit fee
$
BUILDING ADDRESS —4
0
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF52"'DuplexF� MobilehomeF] Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [_J Addition R emode I [I Utl lltl()S [:1 InstallationO Other
Describe work: rfx�!Qellnl - r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCLJ1.1)
OR AD.NS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e ffect.
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)
El 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, MULTI-DUTLCT
NO .RES'D. BRA.0 CR U ITS) 2.50 ea
NEW.CONSTF;L POWER APPARATUS.&)
NON RESID. (SINGLE OUTLET CIR
50 @ 259�
Ex. Occup(OUTLETS OR FIXTURES BAL @ 100
OCCUP.(OFIXED APPLNS. OR
Ex. UTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.:5:0:L
1
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I Ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a. Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
No 2ce 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
I
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 ot
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 expgnses w ich may in any way accrue
again aid Co y in consenLigince o ranting of tl�is permit.
:P.15 ?_0,A.A d L -W 7 Dat 2—
e
Signature of Apoicant OwnerEl ContractorEl Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occup-GRoup
I TYPE OF CONST,
I PARCE11 P.
I No
I SS
7
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
B Ole-
PEF�,"EXPI`RES Date—
the applicable provi
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO. (0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIV
E OROVILLE, CALIFORNIA 95965 TELEP,.HONE: 916/534-4541
PERMIT APPLICATION DATA SHEET"""
A I Permit No
OWNER
Proposed Building Use.
Permit Fee Based Upon
Building Inspector
Complete Contract Price
I n)
A. P. N o.
DPW Valuation
Date 5 r- -) ,
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
All items have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate/triplicate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calts . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization ... . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: — (B) Parking:— .
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to owner
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
4 Pre-Inspec. request to
17. Pre -Inspection for Required- Building Inspector
18. Other
(Date)
When you issue the permit, process as follows: __��Mail to owner. —Mail to contractor.
Telephone and hold for pickup at —office. —Deliver w/inspector.
Other
__�'
Date -:�> —
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
M By
Telephone —Mail —Other
Plans checked by k 14 j /_ Date
Plans approved by X Date
Other: t'll /
Copy—DPW
Date
COUNTY OF'BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name 'and bearing
.your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. 1 -personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building
permit for the pr(;-po-sed work.
3. 1 have -contracted with the follow person (firm) to provide the pro posed
construction: 711�K
Address
Contractors License No.
City
4.. 1 plan to providg,portions of this work, but I have hired the following
person to-coor#hate, supervise, and provide the major work:'.
Addres
city,
Contractors License No.
5. 1 will provide som of the work but I have contracted (hired) the 'following
persons to provide)he work indicated:
Name ddress Phone Type of Work
S igned:
Property Owne�
Soci 1 Security
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 ofiice before we are
permitted to issue the permit.
�)V
NOTE -,--All Materials & Workmanship Shall Be in
Accardamee with Recoqnized Good Practices and
of a quality proscribed for the Specified use in the
Uniform Building, Plumbing-& Machanicall Codes and
This sof 61 plans anj sPecificafions MUST to
koll# " ths 106 of all times and ut is unlawful to
"my Chanfies or alterations on some without
Written pormission from the Deparfment of Public
W648, County of BUtte.
) % bq
A set back of 5 ft. f roM +4
propertY limos and a setback
of 50ft. from the road .
centerfine shall be*clear of
silructures or equipment excepi
for a 2 ft. eave overhanq.
BUM COUNTY
BUILDING DEPARTMENT
r
APPROVED'
1 A� St
0
I
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f 0 TYF
Z-2"x(p" DECKWG (AL7)
Z4"),(o" DF*2
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9
GrUARPRAIL
9 " mv-
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DEC,Y,)QG
71VMIN.' F007-1146
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GIRUERS
I Va" Tt G PL"YW80 P C C E XT.
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9
GrUARPRAIL
9 " mv-
PRECASTIF
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DEC,Y,)QG
71VMIN.' F007-1146
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GIWDER
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(r)
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-
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NDT -5140
FOP, LIFIT6
:::::,,_HA1U1[?k7AIL
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AVE T9- D 1A 6 0 NA 1.
T-rPICAL RESIDE-Imw
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
U14
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orov4l le: Cayforria 95965 - Telephone 916/534-4541 -) -) g
APPLICATION AND PERMIT
ASSE OR PARCEL 11111E
0_ / 3 ?_ —, q—
ZONIN
BUILDING PERMIT
L_ 4hROL A)67
Dq�E0141+E L _y 6WAJet) S
L P
�r
I Y.F
SQ. FT. OCC. BUILDING VALUAJION
R'S MAILING ADDRESS
CONTRACTOR'S NAME Jr
,ow/,/ 6--p-
TELEPHONE
I
-
CONTRACTOR'S MAILING ADDRESS
Fireplace
/000 _00P
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
�nL/m 00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1�7 vo
ARCHITECT OR ENGINEER
4t.4_�
LICENSE �O.
I
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 305'_90
BUILDING ADDRESS /am le
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00 &,00
Repair drainage or vent piping
5.00
Water piping
5--00
LOT NO. SUBDIVISION NAME PARCEL MAP
I I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFU;�"DuplexR MobilehomeFj Other SPECIFY
Building sewer
Lawn sprinkler sntem__
5.00
0
, &A 0_1
TYPE OF WORK
New � AdditionEJ R emode I [-] Utilities [:1 InstallationEl OtherEl
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
Main service 10111 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 A MR
2.50
NEW CONST- ( DWE�LILNG Osqft -13,
OR ADDNS. ACC . . 2
..
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e ffect.
License No. Classification
X1, 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)
EJ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW NSTFL(MULTI.OUTLET 2.50 ea
NON-CROE S, D, BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS&
NON . RESID. (SINGLE OUTLET CIR. )
50 @ 25�
Ex. Occup(OUTLETS OR FIXTURES. BAL@10�
(.FIXED A PLNS OR
Ex. Occup. UTLETSP (RESI*O.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15-00
Misc. Wiring 7.50
Permit Fee
$ 70
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare undertalty of perjury (check one):
[] The permit is for $100.00 (valuation) or less.
Ej 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
Wt,70-L>
Cooling Ell 144-
Hood
3.00 5_&O
Venti lation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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 Id C nty in conse nce of;tP4 granting of this permit.
"01
Dat lq� )"/
Signature of Wpl'icont Owner '�e Contractor 0 AgerI?f
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCC
RUP. rRO111
I TYPE OF C*NST,
/V
IPARCEL
ill./I
�l
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC,=TF PUBLIC
BY. - _�_—
PEVn EXPIRES Date —
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat4—_V7_-51/
___J
4 -7,,7, P 2
Receipt NO.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT I
COUNTY OF BUTTE DEPARTME NT OFPUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVJ1`CL'E, C"ALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER L4A4-20Lb1(J6 &DaI440_5 A.P.No.
Proposed Building Use Al C --AJ 5/,C7
Permit Fee Based Upon: —Complete Contract Price P"**'_DPW Valuation
Building Inspector (2mi I Other (Explain) Date 4 -/f -g/
At timelof permit application, I was advised the following data must be submitted prior to permit processing
and/M�issuance: DATE RECEIVED APPROVED
All items have been submitted. 1
2 --Plot plans in q�u p ri �C, / t r i p I i c a t e. 1,W.V016.1k 4�1 "0/
3. Complete plans in duplicate/triplicate ... . . . . . . .
4. Complete engineered plans and calc�s . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
to- . Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
-,r.1 t3. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerE], Mai I to owner R
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to
17 Pre -inspection for Required ,B.ildi.g I (Dote)
j nspect r
Othe C-17 1 _j - -
2-1 X o6 0P_
:2
j/ v IV 7
When yd'u issue the permit, process as follows: —Mail to owner. —Mail to contractor.
Telephone and<L-1�1d�for pickup at 144 office. —De,liver w/inspector.
Other
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of appliqQtion, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Other
By Date
Plans checked by
Plans approved by
Other
Copy—DPW
Date
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in -the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction
of the proposed propert improvement (yes ezne-)
2. 1 (haveAN�� 0 J _ signed an application for a building
permit for the proposed work.
3. 1 have contracted with the following person (firm)*to provide the proposed
construction:
N
Address City.
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following
person i;q�oordinate, supervise, and provi wo�r:
Name A5P " / ., � ,&� .f _/
.1 ��� '5�u -
cza"� ��O/ - , � z City,
Address
Phone__?_4ZZ — <, P64' ' Contractors License No.
5. 1 will provide some of the work but I have contracted (hire following
persons to provide the work indicated-:
N Address Phone Type of Work
C04
S igned:
Property OwneCZ:eZa�.g
Q
Social Security number
Date , 2 z , 7
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
permitted to issue the permit.
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVI L LE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:
Date:
Address: -7
Acct. No:
A.P. No.:
Phone: 7_5 2
No. Units:
Applicant/Agent:
Agents Proof:
Address:
F ees:
Phone:
Application
Preliminary Review By:—A"' Date: 2'
Arrearage
CSA 26
Remarks: * SCOR Regional Fpcility Charap CSAP?6 Connection
SC -OR
Cbarvp to bo Oup and aavhble orior to connection to the
1st Mo. S.C.
oever collector eystem. Charge to be amount in offect for
Other
connection fee at time of connection to the cyatco.
Total Fees
Collected By:
Date:
Field Review By: Date
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY
UPON:
Date of TID approval of completed building sewer-(early-connection)r-
El -30-days-after-date-above;-or-on-date-of-D;P-.Wvapproval-.of-completed-building-sewer,-which,ever-com es-
�-first-(-existing-construction"-prior-to-Mar-:.-5,-1974)-.--
-1 80 -days after-date-above,-or-on�date-of-D.P-.W-.-approval-of-completed.bui Id i ng -sewer, -wh i ch ever.comes.
Ifirst,('-'new-construction'-'Pafter-Mar,-;-5,-1974)7
EXPIA711 S ONE Y*1mz MON i�ATLI 02 lrollsucl
DISTRIBUTION: WHITE - T16, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
WESTERN TiThE ]INSURANCE COMPANY
YUBA COUNTY
SUTTER COUNTY
120 FIFTH STREET
512 SECOND STREET
P.O ' BOX 110
P.O. BOX 312
MARYSVILLE, CA. 95901
9)
YUBA CITY, CA. 95991
[9161 742-5157
[9161 673-5844
-'j
st
01001m
'71
More Than a Century of Title Service
4
THERMALITO IRRIGATION DISTRI(T
410 GRAND AVENUE
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:
Date:
Address:
A c ct. N o:
A. P. No.:
Phone:
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $
Arrearage
Preliminary Review Byi Date:
CSA 26
Remarks: S=7i 116eglorol F,�Cility Chnrnc- C13AOPG Coi.,arction
SC -OR
4-o bt&-r enn rnyl-bin prior to con-4inction to 1* -1-,r
1 st Mo. S.C.
r,r---r collirctov .,7cv-r. Chr,�Lc to bi rc*unz fn Pf7,Ct V07
Other
-!c-inr.c-4inn f(c :,t tl-�. o� coan,:ction to tInc
Total Fees
Collected By:
J), I A,, A i
Date:
Field Review By: Date:
(7 -
Remarks: 41
_4
/V,4
MONTHLY SERVICE CHARGES WILL COMMTCE AUTOMAT.ICALLY
UPON:
Date of TID approval of completed buildin, AO(ear:T�--co tion)7
A,
.30 days after -date -above,-or -on -date 'Cttkp.-P:W.-@Pkri,%#ta-4c,"O,mpleted-building
sewer, -which -ever -comes
first (4-existing.construction—", prior.
180days-after-date-above,-or-on-dateof-D.P;W.-approval-of-completed-building-sewer,.which.ever-comes
-first.('-'new-constr�uction"—after-Mar:-5,-1974)7-
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to To
P;�Oljiv?lv
Oft
jot,
14
18
PERMIT NO. 2094-85B,P,E
PERMIT EXPIRES -
OWNER MIKE & CAROLYN EDWARDS
CONTR.— OWNER
ASSESSOR PARCEL 30-132-23
U
LOCATION 1219 10th St., roville
3emp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALE[
Signature
%/ = -OK, . 4�
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Req u i rements-Setbac ks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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; Locat ion -Test -Wrap: / /"L"ft./ /11 Nat. or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -131 Date
Card -BI
Date Card -BI Date
Card -Bl
Date
Date Card -131 Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ i rements-Setbac ks- Easements
Card -1311
Date
Date Card -131 Date
PO$)LS (Plans) OK except #'s
��bac ks- Easements
2. Footings; Size -Spacing -Marriage Line
��s; Compaction -Structure Stability
3. Gas; MH Test- Dema nd- Va I ve-Con nector
tal.-Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
LA-7EIec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5,__E.Lec - Pont Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. lec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -G/0 to Grade -HD Approval
L-� Elec.; Bonding; Metal w/5' -Circulating FAvoi0ment-HdatTr
8. Gas and Electricity Tagged
e)e .; Grounding- E&ip.wo<-Circula�lA Equip.-Pool_LjJa,<
ixd's- E nc I w6re—srane I board s-CQs. to
9. Exits; Insp.-Sketch
10. Carl. of Occupancy
9,44eafth-ftpartmeriA Approval
10r--PhmTtr �irest—Water Supply Test
Card B -I
Date Card -131 Date
Card -BI
rr*l Dateff_-j,"Tard-BI Date le -Y
Card B-1
Date Card -131 Date
Card -131
,&, Date Card -131 Date
cj
= OK
= Not OK
= tot A�plltable RESIDENTIAL'(Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requ i rements -Setbacks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One X -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / / Ftg. Depth
50.
Stairs; W idth-Headroom-R i se -Run- Land i ng- 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-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect i on-Skyl ights-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; C learance-Materi a I -Support- Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
57.
58.
Smoke Detector
Furnace; Vents -C leara nce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
DXV.; 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.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
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 #'s
67.
Garage Fire Door; Swing -Landing -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C learance-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 Construct ion -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or A 1,
Insulated Neutral []Yes [I No
75.
Following instid.: Drive E] Yes No; Walks El Yes 0 No;
Planters El Yes 0 No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-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 (Perrrit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
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 -131
Date Card -BI Date
Card -BI
Date Card -B I 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) OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
40.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
45.
Hangers -Post Caps -Anchors -Connectors
CIng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memo
ty eital Wa. Chico — Phone: 891-2751
7 Coun e, iv Moville --Ph * �31-15411
30�
747 El �o �.' 7
oil r dise P
4 C TICE
OWNER
RMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
COUNTY OF BUTTE - DEPARiMENf OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - T elephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N
ASS�FO PARCE-i,. NUMPE
ZON
BUILDING PERMIT
07mike- 4 C, vo V n U) 0
TE P 0 E
3_
SQ. FT. OCC. BUILDING VALUATI*
0 ER'SbdAILIN.G A
7� i y lo -w4! ESS 81 t Iro o Ile
TOR'SNAME
h I A e--- r
I—COWTRXCTOR'S
IELEPHONE
MAILING ADDRESS
Fireplace
CONITPUCTION LENDER.
a/ n E4 (-1
UNKNOWN
Total Valuation Is 1197
P
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
2Y,
Agn�ECT O#q E14GINET
4,
a &
Plan Checking Fee
$ hq- t9
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER*S/MAI/L/NG ADDRESS
Penalty
$
BUILDING ADDRESS 10 Iq /Ocl
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
5.00 ;-. 0 (9
Each qas water heater or vent
5.00
USE OF STRUCTylRE
SF[:] Duplexn MobilehomeE] Other J�v t,ki
PEC7t_FV
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home IWI
.00 ea�
TYPE OF WORK v
New 9 AdditionF] RemodelEl UtilitiesD installation[] OtherE]
Describe work:
ell
I
Permit Fee
$ 45� 00
Contractor
ELECTRICAL PERMIT
FilingFee
10.00
600V OR LESS
main service 100 AMP OR LESS
10.00
Main service EA. AOO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt'under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS. 2/20sqft
NEW CONSTR. MULTI -OUTLET
NON-RESID, B R ANCH CIRC ITSJ 2.50 ea
POWER APPARATUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES .20050t
AL@ 30#
OCCUP. FIXED APPLNS. OR
OUTLETS (RESID.) EA.) 2.00
-Ex.
Temporary service 10.00
-
Mobile Home Facilities 15.00
Misc. Wiring 15.00
B20
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
Ej 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.
-'5a- I shall not employ any person in any manner so as to become subject
No Cto the W. C. laws of California.
ce to Applicant: If after making this statement, should you become subjec
to the.W. C. provisions of the Labor Code, you must forthwith comply with sucht
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I i rig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
—p
ermit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
Ild,ab,iliSes,�udgments, costs, an_0 expenses which may in any way accrue
._,. _t " .!Ig
st sa do,
un in cons en prof the gran hg of this per It.
'g�el Date:Z 7 Z,
�2
Signature of App/cont Own:��Con tractorEl AgentH
An OSHA permit is require cavations over 5'0" deep and demolition or construct-
C.,,,t,c
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ /69s -c
oc "P,
I CONST,TYPEI
I
I FI.0001
PARCELI
P11 1
110
1 IS3Ur
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Di EC TWI F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. (3 y?",
WHITE-D.P.W., YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD-APPLO CANT
COUNTY OF BUTTE - DEPARTMERT6F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, iCALIFOANIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICAVOk DATA SHEET Permit No.
U
OWNER' Ri 4 6 C/ A. P. No.
Proposed Building Use Po 0
Permit Fee Based Upon: —Complete Contract Price DPW Valuation
Other (Explain) J
Building Inspector Date
At time of permit application, I was advised the foiiowing data must be submitted prior to permit processing
and./o I suance: DATE RECEIVED. APPROVED
1,./ All items have been submitted . . . . . . . . . . . .
Plot plans in t-L71i-cateAriplicate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calas . . . . . . . . . .
5. Plans with Energy Design -Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:— .
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (go., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . ..
17. Pre -Inspection for 4 Pre-Insp ec. request to
Required- Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: —Mail to owner. —Mail to contractor.
K Telephone and hold for pickup at -LD62-office. —Deliver w/inspector.
Othe
V
Applicanta/'W�� �/;t,�Date 'Af'231'1&5
h, .
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, —the fol-1-6wing data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other
Plans checked by.
Plans approved by
Other
Copy—DPW
By Date
Date 7 —e?,T;�
COUNTY OF BUTTE - DEPARTMqNT OF PUBLIC WORKS
PERMIT NO.
7 County Center Drive - Oroville, Qalifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
—A OR P/3)L NUM
ZONIN
BUILDING PERMIY
TELE HQNV
0 Wxi A Pei
SQ. FT. OCC.1 BUILDING V41LUATION
vIds
OW)5,S IL17#WSS 8-+, Oro U IX
CO��ACTOR'S NAME TELEPHONE
(A) ki(�_ Y_
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONST�RUCTION LENDER UNKNOWN
Total Valuation is
,U9 -,L e-
Filing Fee
$ 10.00
LENOER*S MAILING ADDRESS
. /
Permit Fee & u r
$
ARCH.ITECT OR ENGINEER LICENSE NO.
Plan Checkin� Fee
$
.,0 Vt (- —
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ r
PLUMBING PERMIT
F i I i ng Fee 10.00
Each Trap
2.00
Oro v I Ile-
Solar or heat pump water heater
20-00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00
1 1
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF [:1 DuplexF-1 Mobilehomer-1 Other- P I
Building sewer
5.00
�CIFY
Mobile Home S I G
10.00 e�
TYPE OF WORK
L
New FV- Addition Remo"l[:] Utilities[:] In I I ther CK
Lf4, q
Permit Fee
$
�iqn
.
Describe work:
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCCUP..)
2'/20sqft
I declare under penalty of perjury (check.one):
OR A ... S. ACC.BLOGS.
NEW CONSTFL MULTI -OUTLET
ea
F� I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON-RESID, BRANCH CIRCUITS)
POWER APPARATUS 1%)
(SINGLE
.2.50 I
and Professions Code and my license is in full force and effect.
OUTLET CIR.
License No. Classification
Ex. Occup(OUTLETS OR FIXTURES
20050t
15AL0300
1, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESIO.) EAJ
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00
1, as the owner, am exclusively contracting with licensed L;UIILTdE;t-
Misc. Wiring
ors. (Sec. 7044)
4�
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
F] 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
Permit Fee
$
to the W. C. provisions of the Labor Code, you must forthwith comply with such
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 ot
—
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
1 also agree to save, indemnify and keep harmless the County of Butte against
occup. CONST*TYPEI H
FLOOD177
all liabilities, judgments, costs, and expenses which may in any way accrue
I I I
I
against said County in consequence of the granting of this permit.
I
This permit is hereby issued under
the applicable provi-
X_ - _.z X02!�, Date �Zw
sions of the Butte County Code and/or resolutions to do
S ignature of Applicant - Owner L1 Contractor E] Agent E] L�
work indicated above,4or which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
DI .4 OF P26Y
1_�,
WORKS
ion of structures over 3 stories in height. 1
C,,4 21 'n
Receipt NO. 9<-j TU
, - A
V 4e44,�( kW D/tNt,71&n4 -f_
6
r)atA
WHITE-O.P.W., YELLOW-ASSE31O.. PINK -INSPECTOR. COLD ENROD-APPL I CANT
PERMIT EXPIRES Date
COUNTY OF BUTTE -DEPARTMENT_,q�Fj,I�BLIC WORKS -BUILDING DIVISION,
7 COUNTY CENTER DRIVE - OROVILL)E,,C-AL1F6RNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLI CATION DATA SHEET
Permit No.
OWNER .4 kM vrll,�s A. P N
Proposed Building Use t4 )ejl `7 Building Inspector Date __i�
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
1 . All items have been submitted . . . . . . . . . . . . .
2. Plot plans in duplicate./tripli-cate, signed by preparer of plans.
Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design -Compliance Statement . . . . . .
6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings,
8. Fees of $ . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . ..
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: — (B) Parking:-
---ZV2'. Certificate of Workmen's Compensation Insurance . . . . . .
Contractor's License Information (no., name style, classif.)
4. Owner -Builder Veri'fication (Given to ownerE1, Mai I to ownerE]),
—15. Improvements may be required . . . . . . . . .. . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
17. Pre -Inspection for 4 Pre-Inspec. request to (Dote)
Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
2 1'.
—22.
When you issue the permit, process as follows: —Mail to owner, —Mail to contractor.
—Telephone and hold for pickup at—off ice, —Deliver w/inspector.
Other
Applicant Date
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised ot above required data by —phone---jnai I —counter by— date
Contractor, designer, owner, was advised of above required data by—phone —mal [—counter by— date
Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
— Flours: 10:00 a.m. - 3:00 p.m.
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-,7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the ma labor and materials for construction of
the proposed property improvement or no)
t5s)
2. 1 (4ave/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the followin
,g person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work.but I have contracted (hired) the following
persons to provide the work indicated:
Name . Address Phone Type of Work
Signed:
Property Owner
Social Security Number �-
Date 5- &4V
Io
NOTE: This Owner -Builder Verification is sent to you as required by Sect4o S 19831 and
n
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.
AL�
PERMIT NO. 1938-85B,E
PERMIT EXPIRES-'�-7///
OWNER MIKE & CAROLYN EDWARDS
CONTR. owner
ASSESSOR PARCEL 30-132-23
LOCATION 1219 10th St,'Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
V = OK .
0, Noi OK
Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Locat i on -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
4. Wood Awn.; Posts- Beams- R ftrs.-C on nec.-Sht hg. -R fg. - Brac i ng
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 -Bl 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 #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on-Structu re Stability
3. Gas; MH Test- Demand-Va I ve-Con nector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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- Regu I ator-Con nec tor
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc losures-Panel boards- Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -131 Date
Card -BI
Date Card -131 Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -Bl Date
%I OK
0 UoAklt,�
W Llicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UND"FLOOR (Plans) OK except#'s
Date
FRAMING (Continued) -
&/Zoning req u i rements-Setbac ks- Easements
48. & Openings
- Main; Soils-Steel-Elec. Grnd.- Ftg. Depth
-all
4&. -5x -t. Doors' -One 3', Check: Garage -3rd story, 2 exits
3 tg., G_arage; Soils -Steel- / Ftg. Depth
50. -_9_48iFe: Widlh' I leeclmom-R ise-Run-Landing-F ire Protection
tf� �_, orches & Decks; Soils -Steel- / /" Ftg. Depth
Sr Plywood on Roof &verhang-Attic Vents -Rafter Outriggers
2f:;K�walls, Main; Steel-Blockouts-Wrapped-Slab '
52fj�����
e/Stemwalls, Garage; Stee I -B I ockouts-Wrapped-S lab
VJ'_ Stucco MbW-DriO Stieett--4LdA-Vente-UndeaU-Ac4asr--
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54--G+BzTng-Arua--ttass--Protfttion-Skylights-Plastic
55. ShTJrWa7Ts-,--fTa-i7i-n-g---EroM�-
9. Gas Pipe; Size -Anchors
-
10 . Water Pipe; Test -Anchors -Regulator -Service Test
11 . 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 Zitl��k 41rd-B I Date
Date
I
FINAL (Plans) OK e)(cept #'s
516'. Ex't. Steps -Door & Sidelight Protect i on -Land i ngs
'37 --Smoke Detector
Card -Bl' Date Card -BI Date
D aje' PLU'MBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
.51.__Fucaar-e,�V_epts-Clearafice-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
5��� jtjqg
17. Shower Pan; Test, First Floor -Tub Access
_611164�9Ww"A.Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
(Jan Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
_62__51atjcj_&, Fj@ils
63-FiTeplace or.Stove; Clearances -Hearth
k_4.__Elec.-Otfflet4 at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65_K4,FIxt_&,Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66--Eloo.-Out4els & Receptacles at Kit. Counter
'Aeg'? ELECTRICAL (Permit) OK except #'s
-67_---Ga_r4e_Fim Door; Swing-Landi ng -C loser
t68-.A,.C:�DUct1hi Garage -Damper
69.c�;-H4F��vents.-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
70.-R4b_,,EIec..&-Mech-:Equip. Listed for LocAqqg!.
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
e%-')EIec. Receptacles in Garage; (,G.F.L�kom x ProtA.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
'72" LpsulaLion- Foprn- Looked in Atfltr-E] Yes
25. 2 Appliance Circuits in Kitchen & Conductor Size
73. -G`Uard-RalrC&_Di_6k Construct i on -Post Caps
26. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or At
74.--F4o_VgjlLs_& Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under F Fo�r 0 Yes
27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral EDYes 0 No
Z
75, Following instld..�.,Qrive f;,Y , 6s No: Walks Yes E3No;
Planters Q�:Yes '0 No
28. Service -Riser Conductors & Ground -Main Disconnect
q q !q 19=1
76. Stucco; Br#wff-"Fi_�7is_h
29. Equip. Clearances; Pane I s-Motors-Mech. Equip.
-
77.1- ni ; isc -Cirnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
78.-,VL�ntg-AUo-v-e-Rd-of-Plbg.-Appliance-Firepl.-Clearance to Opngs.
79,, Electrical, Plumbing
,7:!Water-We1r-Dl-s,connect,
80._Exterlor'E1ec.Tr1ffi�G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81. -Venti lati6in-6roughout House
82.,,�_Protection-
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
(,(�2?(
P";Xorrections from Previous Inspections
84i--G-a-s-Tes1=MeteFs-Tagged; Gas -Electric
31 A.C. Ducts; Insulation & Support
85. Water-Wlewer,Corinected-C/0 to Grade -HD Approval
32 Vent Fan; Exhaust above Insulation
qp._Energy.Compliance Certificate -Other Certificates
33 condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
N_a5.
Attic Access & Platform if Furnace in Attic
Card -B I(
Date0-2-2,"- Card -BI Date
Card -BI
Date Card -61 Date
Card -81,
:;a Date Card -BI Date
Nrd-Bl
Card -BI
Date Card -BI Date
7kjr�'
Date Card -BI Date
Date
FRA G Plans) OK except #'s
Comments at Final:
Sill5j-Proper Material & Anchors
P -Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38:--B9MTffgW6Ir§ovEFrGIrders & Floor Nailing
39. --9raft1ftP-rhWa1ts-(rat-wof)
1. Header & Beam -Size & Bearing
42--Hengers= Post-C-aps-A nc hors -Con nec t ors
--21T.-44*Wekce-Tib's
Roof Prac.��M�_nq �Rfnq.�
-or Tq�e A Flue-F7ireplace Throat
45. A+t+�-AcrUT§_9_ize & Romex Protect i on -Draft Stop -Ins. Baffles
46. Doors -Sill Hgt. & Dimensions
47. Gacage-Rre-Fr-otect ion Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
4.0
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A A 1-0 93
OWNER PERMIT N
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office ImInediately.
— / —1 —�
Inspector
Date—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
4 .' 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534 -494 -
Skyway and Elliott Road, Paradise — Phone: 872-2961,
CORRECTION NOTICE
Ext. 57
IM -WA
A routine inspection indicateg that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this'*bffice
when correction of work is completed. If you have any question pertaining to this
—mattjg,or need additional explanation, please contact this office immediately.
Y� 0 nxe��J 7t:�U'Z� M11"o
Inspector-- a IQ - Date 1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califomia 95965 - Telephone 916/534-4541
APPLICATI-0� ANTPERMIT
PERMIT
ASSESSOR PARCEL NUMBER
10 /319 - A5
e
ZONI;J
BUILDING PERMIT J
0,
A- kl� ad ee) eju
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING RES t I n 0 1/ 1, It
CONTIRAVTOR
Ou) !no -r
TELEPHONE
1AILING ADDRESS
Fireplace
CON:&CTION LENDER
LA 6L
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENtER'l MAILING ADDRESS
Permit Fee
$ 1�n
ARCHJ)�CT OR ENGINEER
18 &-
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
I
BUILDING ADDRESS Ida Z64h -V
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
(Oro 1)
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT"E
SF[:] DuplexF� MobilehorreE] Other T
IL
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G
_10.00e�
TYPE OF WORK
New y Addition Ej Remodel[] Utilities El instaiiationE] Other EJ
Describe work:
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 11001 OR LESS
100 AMP ORLESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
of the Busines
El I am licensed under provisions of Chapt. 9, Div. 3 S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 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 OCCLA
OR ADDNS. ( ACC. BLOGS.
NEW CONSTR. NIULTI-QUTLET
NON,RESID. 2 RANCH CIRCUITS) 2.50 ea
POWER A PARATUS.&)
(SINGLE OPTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 1.20 @ 50t
AL@ 30t
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 $ OY 5-C)
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[] The permit is for $100.00 (valuation) or less.
E] 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 Sell -Insure,
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Not ce to Applicant: If after making this statement, should you beco e subject
to the W. C. provisions of the Labor Code, you must forthwith complymwith such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all_UaKities, judgments t d s which may in any way accrue
� t .
,x,ps s an expen e
ai st sla d C rp,
A)ty in c�selu e of t2heanting of this per t
C of
, e -CC;
2;z 111Q___ !0— D ate 111-7--
Signature of A/pli'C'ant — Owner 0 ContractorE] Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
occup.
� CONST.TYPEJ
I
F L2TR
C E L
PD
H:+ 131 ISUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTPR)OF PUBLIC
I By
PERL)(4 E(XPIRE'S Date---:—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7---L L-Ri
I
Receipt No. LL 4 -1 a-n
10�d lot J
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET Permit No.
OWNER— A. P. N o.
Proposed Building Use i), Go vo!2 r -
Permit Fee Based Upon: Complete Contract P'r-ice DPW Valuation V
Other (Explain)
Building Inspector Date
At time of permit application, I was advised the folloging data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED. APPROVED
All items have been submitted . . . . . . . . . . .
Plot plans in dup`ficat�e.ttriplicate.
te plans in /tripli t
Comple �Iicafe ca*e
4. Complete engineered plans and calts . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . .
w0_16'0'. Sanitation approval from 00 -Health Dept.
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner El
15. Improvements may be required . . . . . . . . ... . .
16. Mobilehome Installation Data. . . . . . . . . . . .
4 Pre-Insp ec. request to (Date)
17. Pre -inspection for Required- Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows:
Telephone 2Z�and Old fc
Other L?
Mai I to owner. —
at CilC_0 office.
Mail to contractor.
—Deliver w/inspector.
Date
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
—c -i— -
During the plan checking pro ess, he following data musit'be submitted prior to permit issuance;
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other
By Date
Plans checked by Date
Plans approved by ZUW Date__2_—"-A5
Other:
Copy—DPW
COUNTY OF BUTTE - Depattment'of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) \e <3�
2. io� Dtve have not) Nle`� signed an application for a building permit
f proposed work.t .
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 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. 1 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-: J//
Property Owne
Social , S c r*ty Number
Date
NOTE: This Owne ' r -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.
MAX -SPAN -F.
SPAN TOP o*_.
FIR -LARCH
J,.:_L
NAIL SYSTEMS
.752S N.W.
37TH AVE. MI0,MI..FL0RI0A
JOINT 7'
TCH SPL.
BCH SPL-
dOT. CHORD MAX OVH CAMB. PURL.
BRG.
JOINT I
JOINT 2
FT- IN
SIZE GRADE
SIZE GRADE
FT -IN
(IN.) SPACE
IN -SX
INII
PKIZ
INoe
2- 7'
SPI 0
SP 10
(FT.)
WID LEN
WIG LEN
UID LEN
X
UID LEN
WIG LEN
31- 7
2X A NO.2
eX 4 NO.2
3- 9
0-3/8 PSH
3- 8
2*0� 9
X
2211
X
3.9
1.50
4.!
3-2oxi 14*�5
—
32- 7
ZX 4 HO.2
2X 4 N020
3- 9
0-3/8 PSH
3- 9
N.
.21!
12
NX
X 3.9
1.50
-3.OX
3.OX 4.E
34- 6
2X 4 W020
2X 4 N020
3- 9
0-3/8 PSH
9- 8
3.OX 7.9
.25 1
2. 01 2.3
1 4.0X 4.5
3.0X 3.9
1.60
s.ox 5.1
3.ox S-1
.,x
ALL WEDS 2X4 STO DEFLECTION
SPAN LIVE
FT -IN LOAD
99- 2 L/480
NOTE - PSH INDICATES PLYWOOD SHEATHING.
-so-o
S�STEMS PLU8 LMBR'. CO.
1800 S. Barney Street
W,�,_RSON, CALIFCANIA 96007
4.01, 12 - I
T'
36 PSF'—\ UBC r,15 PC
CODES- j&C NAIL VALUESIPST)
C_ 0
SPACING IN TOP H. LL 16 PSF GH CHORDS WEBS 19L_
I R.:24 PC
LBR HC 25 Dd- 10 PSF MAX "IN MAX MIN EQUAL PANELS C;
NAIL INC.- 0 PC SOT CH.� - LL- 0 PSF 20 163 142 163 142
TCH LS. -16 PC / I '4�' 1 10
10CH: LS. - 0. PC TOTAL LO ' 36 PSF SPLICE WITHIN 9 IN. OF 1/4 PANEL L
SPARS SLOP ON 12 MEEL-4/16 OVH SPAN
, Z�p
4 00
7! TO .39- 2
�A 31
"'i"ll a areown 1111mmllonious Informadon Bracing Inforavation Connector Hordwom Lomber all 93md.&I'n.
0-0— �EST
To 09 1,6 W-. w
LEI 9� WATS: fKq 6W.n$6
10 -�C�
R �nd
Dow" or%lodo C�Tm
c3m
z T I_
Com =S?27r
T 76
FORCE COEFFICIENTS(LBS/FT)
REAC. 1- 2 2- 3 6- 7 7- 1 2- 7 q- 7
36 -78 -69 51 74 -12 21
FORCEILBS) - FORCE COEFFICIENT X SPAN:FTJ
C�
t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
30-132-23
ZONING
BUILDING PERMIT 7
OWNER
Mike & Carolyn Edwards
TELEPHONE
533-9237
SO. FT. OCC. 13UILDING VALUATIM
OWNER'S MAILING ADDRESS
1219 10th St., Oroville
CONTRACTOR'S NAME
owner
TELEPHONE
Ist renewal
permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @
$ 43.25
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking 5-ee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1219 10th St.
Permit fee
$ 53.25
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Oroville
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1 1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFFI DuplexR MobilehomeF] Other pri. det. garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
L10-00 ea�
TYPE OF WORK
New R Add i t i on [:1 R emode I [:] U t i I i t i e s [:1 Installation[] Other El
Describe work:
1st renewal of permit #1938-86
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under p: jity of perjury (check one):
-1 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines
F S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
Xsation, 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)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
% of
NEW CONST. DWELLING OCCUPM
OR ADDNS. ACC. BLDGS. 21/20sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESI., 2R;AN Hr C 5C UITS) 2.50 ea
C
�I
P67. TF &)
R . R�TUS
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050t
SAL@300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
M,sc. Wiring 15.00
Permit Fee $
Contractor
-
.*-'WORKMEN'S COMPENSATION INSURANCE
I declare under'Oenalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
)40 f Consent to Self -Insure.
I sha, I not employ any person in any manner so as to become subject
o 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
Fi I ing Fee 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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilimues, Judgments, ts, apd expens which may in any way accrue
sai Coun in com q en of the g riting of this ermit.
ex Da
/.gn.tu of Appvel-nt O-n;� Conl,.cl., El A
An OSHA permit is required for e-- 5'0- deep and demolition or Construct-
L ion of structures over 3 s ries in heiglit.
Mobile Home Installation Fee $
Energy Inspection Fee
—
TOTAL PERMIT FEE $ 53.25
occup.�
CONST.TYPEI
I
I FI-00111PARC21-1
PD
T his permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
'vor
work iindi ted above for ewhich have been paid.
DIR WF ORKS
y te
PaEREXPIRES Date 7-11-87
pin
Receipt No.— 410dwl,19��
WHITE-D.P.W.. YELLOW-ASSE330R, PINK-INSPr.CTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - De�a�tment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 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. 1 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 Qur-A!
Date r—I X
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION'AND PERMIT
PERMI NO./
0 ,
ASSESSOR PARCEL NUMBER
30-132-23
ZONING
BUILDING PERMIT
OWNER
MIKE & CAROLYN EDWARDS
TELEPHONE
533-9237
SQ.FT.
OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
S or
0AA1C9.W'S4AMt
---2—ndrenewal
_"Villp I
0;�CTOR'S
TELEPHONE
permit
MAILING ADDRESS
Fireplace
I
CONSTRUCTION LENDER
NONF,
UNKNOWN
Total Valuation
i$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee C6 -2:�- FEE
$ 43.25
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 121q 10th St-
Permit fee
$ 53.25
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
nrni7i 11 in
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFF� DuplexF-1 Mobilehome[] Other pri.. WE T F �garaggC
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
0.00 ea'
TYPE OF WORK
New R Addition R Remode 10 utilities 0 Installation[] Other
Describe work:
2nd renewal of permit #1938-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
(1st renewal JlJ44-86)
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
1, 1 .
--K'C6NTRACTORS LICENSE LAW
I declare under penali[�%f perjury (check.one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for thij reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS.' ( ACC. BLDGS. 21/20sq it
NEW CONSTR. MULTI -OUTLET
NON*RESID 2 11 AJN H CI 5C UITS) 2.50 ea,
,7
PF — 7
RC P, R�TUS IN)
(SINGLE OUTLET CIR.
0@50t
Ex. Occup(OUTLETS OR FIXTURES 1.2ALO 30,;
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
%-AI'ORKMEN'S COMPENSATION INSURANCE
I declare under fdbalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
E] 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.
-t o the W. C. laws of California.
Not �I shall not employ any person in any manner so as to become subject
ce toApplicant: 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above in
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indem i and ep harmleps the County of Butte against
'd d
all Ii ffL ccrue
os'
-ffe�s,ojudggientsl ost a expense w ich may in any way a
s 5
40"Ies. 7 C un in con equ . e_of the gr ting of this permit.
'd e m ye: Date
L-6 ligncil.,. of Apperclo, - OwnerEl Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion or STf ctures over 3 stories in hei t.
Mobile Home Installation Fee
$
Energy Inspection Fee
—
TOTAL PERMIT FEE $ 53.25
OCCUP.1
CONST.TYPEJ
I FL0001
PARCEL]
P11
I NO
ISSUE
This permit is hereby issued under
sions of the Butte County -Code and/or
work indicated above f6r which
I TOR OF PUBLIC
By
PERMIT EXPIRES Date -7
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date.
21.
IR
Receipt No. �L7 1
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner
An"'owner-builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the, major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) lrlyay4el signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed',
construction:
Name
Address City
Phone Contractors License No.
4. 1 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. 1 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 Secupity Number
/,
Date !2 0 t /) /
NOTE: This Owner -Builder Verification is sent to you as required by Sect4ons 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.