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030-140-025
5 1 30-14-25 ALBERT MOSELEY 355 12th St., Oroville Permit #1744-76P( Mg. sew inst) SF V1yt&l 21i 97 30-14-25 2989-.90B VAN KURAN, Gretchen 1355. 12th -St, ^Oroville, I q) '`• (rer6of/SF) -030=140-025• PERMIT#95-0879 CLINKINGBEARD, O1. .W.' 13551,12th St., Oroville• Repair/SF. :030-1:40-025' PERMIT#95=2627' 1.CLINKINGBEARD, O.W. _1355 12th St. , Oroville /�7 Add'1 Val,Wtr Htr,Gas Line &yH�-VAAC/SF' t 030-140-025 PERMIT#96-1 11 CLINKINGBEARD O.W. 1355 12th St..W,. `Oroville Add Open Decks/SF G (3 ► S- 0��1 lY \ RESIDENTIAL ,� �S- d ., t1 96 f. f tI I —7 s� OFFICE COPY pp Address�� i d GAS q Meter By-19—�� Da 3� ELECTRIC Meter By Date i JOB FINALED 113atpl- Signature V=OK 0 = Not OKNot rT Applicable Not ReMOBILEMOMES, - Date MOBILE HOME UTILITIES (Plans) OK except#'s -' Card B-1 , Date Card B-1 1. Zoning Requirements Setbacks = Easements' " Card B-1 Date , Card B-1 2. Soils; Special MH Support Sketch MOBILE HOME INSTALLATION (Plans) OK`except#'s ` r` ' 3. Sewer, Location-Test-Fall-C/D-Concrete ` 1. Zoning Requirements- Setbacks Easements 4. Water, Location -Test -Easement Needed (Sketch) « i 2. Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearances-Dmd-/•. /Amp -Concrete 3. Gas; MH Test-Demanda/ahe-Connector ' 6. Gas; Location-TestaMrap; / /°L'ft. / /Nat. or/ /"L°tt./ /LPG 4. Electricity; MH Test -Crossovers -Breakers -Clearances 7. Well Clearance & Disconnect 5. Drain; MH Test -Fall -Flex Connector, I 8. Utility Clearance Date y • ;MISCELLANEOUS.' Date Card B-1 , Date Card B-1 ' Date Card B-1 Date , Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK`except#'s ` r` ' 1. Zoning Requirements- Setbacks Easements ' 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demanda/ahe-Connector ' • 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Wood Awn:; Posts-Beams=Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Drain; MH Test -Fall -Flex Connector, I r 6. Water; MH Test -Regulator -Connector 7.' Water and Sewer Connected -C/O to Grade -HD Approval �' 4 6. Carports; Windows -Doors 8. Gas and Electricity Tagged: 9. Tie Downs -Type -Installation Cert. f' i ' 10. Exits; Insp.-Sketch 8. Frmg.;Sils-AnchorsStuds-Rttrs-Trusses €+ 11. Cert of Occupancy 9. Siding; Nailinga/eneerStuccb-Mesh- =" Date Card B-1 Date t•.Card B-1 Date Card B-1 Date Card -B-1 .�T 4 Date y • ;MISCELLANEOUS.' ;. Date DECKS,.COVERS, CARPORTS,•GARAGES (Plans)'OK except #'s " 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel ~ 3.: Decks; Girders -and/or Joists -Decking -Bracing -Stairs -Rails' "' 4. Wood Awn:; Posts-Beams=Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors a 7. Electric •� . i ' M 8. Frmg.;Sils-AnchorsStuds-Rttrs-Trusses €+ 9. Siding; Nailinga/eneerStuccb-Mesh- =" 10.- Roof; Shthg-Roofing _ 11. Ext.; Steps -Doors -Landings J C V Date Card B-1 Date Card B-1 Date Card B-1 Date ' +; Card B-1 Date POOLS (Plans) OK except,#'s ' 1.- Setbacks -Easements . r 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness ' Dead Men -Lining - i , 4• 4. Elec.; Receptacles and Lighting, Distance-GFI } 5. Elec.; Pool Lighting; 15 Volts-GF1 :� 6. Elec;.E_nclosures; ConduitEntries-Terminals-Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater --, 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Iris. to Main iri Conduit; 9: Health Department Approval 10. Plumb.; Cir. Test Water Supply Test,-- est• { Date Card B-1 Date Card B-1 Date Card'13-1 Data Card B-1 { • .re , a M Y J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except If's j I Date. 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors _ X46-Ctng. J ist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ----- ---------- ------- place Ties or Type A Flue -Fireplace Throat clearance --rt - At Access; Size & Romex Protection -Draft Stop -Ins. Baffles ---------- ------ drm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------- - 50. Garage Fire Protection Framing & Duplex) FRAMING (Continued) 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/- /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------=------------------------------------------ - ---- - - -- - ----- - K -Water Pipe: Test & Anchor -Nail Protection ---------- ------ ----------------------------------------------- - - - - 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ----------------------------------------------------- --- --- - Gas ------------------------------------------ - --------------- Gas Pipe; Size & Anchors -- - -- ----- - - -- -- -- -- Date Date Card 13-1- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection 3. Elec. Receptacles Spacing -Lights & Switches at Doors -----=----------------------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to-Edge-of- oEdgeof Studs & C.J. ---------------------------------- - 26. -Equip Ground made up wrMech. Fastners-Bond --------Gas &- Water --------- - ------------ - V 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------------------------------- --- --- -- 28. Subteed Wire Size ga. Cu or AI-A.C. Wire Size • r ga. Cu or AI ------------------------------------------ -- ..... ........... .. 29. Range Circ r , ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ----.----------------------------------- --------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect -------------- - .- - ------------------- -----.. ....... J14!Equip. Clearances Panels-Motors-Mech. Equip, -------- -- -2. --Clothes -------Closet - - ..Light -Shower.... -- - -- -- Light -Spa Light - 3 33. Smoke Detector --- - ---- - •-------- Date �( Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date ;MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------------....... .---- ............ ... .. - ... . . .. . . 35. Vent Fan: Exhaust above insulation on ondensate Drain & Overflow: Sze & Grade 3 'mance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 3'd ttic Access & Platform if Furnance in Attic ------------- --- ------- _ . . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Y's ' • 39 Sils. Proper Material & Anchors 40. Walls Studs -Nailing....... pacing & Bracing -Plates -Sound 41. Bearing Walls over. Girders & Floor Nailing 42 Draft Stop m Walls (ral proof) re Stops. Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 51. Property Line Firewall & Openings tf�Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers - ------------------ 55. Siding -Nailing Veneer --------------56,-Stucco Mesh -Drip- Screed -Fd. Vents-Underflr. Access -------------------- - 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- ------- ----- 58. ear Walls: Nailing -Bolts Insulation -Walls -Ceilings ---------------------------------------- - 60. Infiltration -Walls -Windows Date- j-& -Card B-1 e/ �y:!�ard B-1� Date rd B-1 at \ Card B-1/ Da L (Plans) OK except a's �. i - _81 t. Steps Door & Sidelig�P�o'te�cN�n-Landings -- 2. Smok D tector - - � �Furnace: Vents -Clearance Comb. Air -Connector- ` r In Garage: Above Floor -Ducts -Meth. Protect' n LI---------- ------- ---------------------------- 64 Broom Exiting- �6 F.I. & Bath Fixtures & Tub Access -Spa -.--- ----------------- & - ------------- ....-- � -------- ---- - V 66. El--- Trim & Subpanel Breaker Sizes &Labels s & Rails - ---• - ----------------------- ce or Stove: Clearances -Hearth (12.* ec. Outlets at Wood Panel: Int. & Ext. 70. Fixt & Appliance Grnd.-Air Gap -Cooking Clearance r ------------------------------- --- -- -1. lec. Outlets & Receptacles at Kit. Counter 2. Garage Fire Door: Swing -Landing -Closer - -- --- - - ---------------- =------ C. Duct in Garage -Damper 7 r encs -Clearance -Comb. Air-Connector-P.R.V. arage: Above Floor -Meth. Protection -- - -------------------- ---- Elec. &Mech. Equip. Listed for Location . ... - - _ - - - - -- ---------------------- - eptacles in Garage: (G.F.I.)-Romex Protection sulation-Foam-Looked in Attic ❑ Yes - ------ ------ ------------ 7d. G aril Rails & Deck Construction -Post Caps ----------- - 7 --- dn. Ve------------------------nts & Crawl Hole Door -Drainage & Wood -Earth ------- Clearance Looked under Floor ❑ Yes ---------- --` *-- ollowing instld.:. Drive /❑ Yes 8-AT6: Walks ❑ Yes l - Planters ❑ Yes �No _ ----------------------------- 1. ---_--. ---------------------------- ------ -- t d1. S Co. Brown -Finish A U V'Disconnect. Electrical, Plumbing -- 8 ents Above Roof: Plbg -Appliance-Fireplace.-Clearance to S' . .. ...... ... - - - - - - --- - ----------------------------- 84 r ell: Disconnect. Electrical, Plumbing 85 E r Elec. Trim: G F.I Receptacle -Underground .. ------------•----------- ------------------- a6 Ven hroughout House ---- --- ------------------------------------- Glass Prot ction orrections from Previous Inspections ......... .. - --------------- <89 Gas eters Tagged: Gas -Electric ----- - --------------------------------------- 90' ter -&-Sewer Connected-CrO to Grade -HD Approval nneergy Compl an Cert ficate-Other Certificates Dat r7Y� 1/ rd B 1 ---.2�ate-- - Card ---1----------- Date „ f Card B-1 Dale Card B-1 Date C -I Fin rd B-1 Date .. �.. -- -- --------1 - ------ aCard B-1 Comments at Final r 030-140-025 �,zPERMIT#95-0879 •CLINKINGBEAR , 0.W. 1355 12th St., Oroville ; Re'pair%SF. zdl4z' Vs •� t OFFICE COPY Address GAS , i ter y a _ '. ELECTRIC r Meter By y �t pr. 4i� w :i• fli " i 00 �1. e COUNTY.OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI SION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538- 41 4nL,, PERMIT INO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-140-025 ZONING BUI ING PERMIT OWNER 0. GREARD TELEPHONE SO. FT. OCC. BUILDING VALUATION CONTR 500.00 OWNERS MAILING ADDRESS 1465 12111 ST OROVITIE, CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ 500. M Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15,W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS �_. 1355 1i S� , a3 PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 OROV11U. - Each Trap 7.00 4V w.UUI LOT NO. SUBDIVISION' I'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 y.p USE OF STRUCTURE SF ]J Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.bO Gas piping system 1 ; 5 outlets 15.00 Building sewer 15.00 TYPE OF WORKyyyy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othexg _ — R�� PLUMBING & SIMM(CK Describe Work: r SI 1 tom• Mobile Home S G W @20.00 PERMITFEE $ • Contractor ELECTRICAL PERMIT Filina Fee 20:00 (Main Service 000v OR LESS 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: El I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SD. OR ( a ACC. BLDS. ) 3.5¢ PT. CNS. NEW CONST. I -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 AXY ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1'00 BAL .50 Ex. Occup. FIXEDAPPLN .OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ • Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section q 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 the60*0 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. "� ' X . *' �n---- Date ���r`�,�� � *'�'.; _ -Signature of Applicant,, Owner ❑ Contractor ❑ Agent An OSHA permit is regUirded for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 190.85 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. P '� pY Date Date) Receipt No.top 357-PERMITEXPIRESON WHITE-D.D.S.-B.D. 'CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L_ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING 7 County Center Drive - Orov ie, CNifornia 95965 - Telephone (916) 5 P RMI T O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-140-025 ZONING BUILADINGPERMIT OWNER KINGREARD TELEPHONE SO, Fr, OCC. BUILDING VALUATION C ONTRAC' 500.00 OWNERS MAILING ADDRESS 11469 12TIJ ST OROVIT.I.E. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation $ 500.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1355 12TH ST PERMITFEE $ 35.00 OROVILLL PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF J] Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other .8 Describe Work: REWIER, PLU111BIjdG R SHEETROCK, -S t, Mobile Home ISI GI WJ @20.00 PERMITFEE i 69.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 aw for the following reason: k'41 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. - ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.SQ FT.43 25 NEW CT CONST. MULTI-OUUTLETLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 50 FIXED TS ((RESID.OEEA ) Ex. Occup. ( OUTLETS R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 86.35 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Heatkg Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person -M 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. �� Date 9�— ignature of Applicant Owner ❑ Contractor ❑ Agent PAn OSHA permit is req ' ed for excavations over 60" deep and demolition or constructionIX— of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 190.85 HA2. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date S (Date) Receipt No. WHITE -D.D.S 9.D. A A -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Insulation Certificate F BUILDING OWNER: d BUILDING PERMIT. BUILDING LOCATION: Description of Installation ROOF -Material Brand Name Thickness (inches) Thermal Resistance (R-Value jCEILING Batt or. Blanket Type Brand Name 6 ff'" Thiclrncss (inches) Thermal Resis�tance (R -Value) ^� Loose Fill Type Brand Name - Contractor's minimum installed weight/ft lb = Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name, Thickness (inches) Thermal Resistance (R Value) RAISED FLOOR Material Brand Name Thickness (inches) The -Value), SLABS FLOOR Material Thickness (inches) _ Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Signature and Title License Number Date Sub-Cotjractor lnsulatio Installer) License Number A /'6-97 Si eandTitle Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL 3E POSTED WITHIN THE BUILDING. JANUARY 1993 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. ' Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ ]. I HAVE[`] HAVE NOT[ ] signed an application for a building permit for the proposed work. _ 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, -and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5 . I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: Q P ' SOCIAL SECURITY NUMBER: DATE: 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 [A - 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 -builder" 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 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: 0 If you employ or otherwise engage any persons other than your immediate family, 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. 0 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. 0 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. 0 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 "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico; CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916)1538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWN R 'r PERMIT NO. ., A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work , is completed. If you have any questions pertaining to this matter, or need additional explanation, s please^c-ontact this office immediately. > 5- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE r OWNER & % I W PERMIT NC A routine inspection indicates that the following violations of Butte County Ordinances, exist at, the above address and should be corrected. Please notify this office when correction of work idcompleted. If you have any questions pertaining to this matter, or need additional explanation; pleaseicortact this office immediately REV 10/92 .. e � r• - • ,..,< "` ♦ a r� ...� i3 ti .. y,. �. ��+f . , .'i . 7 ....� ' `.4 $;(t .{R�^Y_ t-.:, r iaT r '.j„' \- .t. _.. 4 yC.x i,Y R .t..' f�"•.�'"-fes "8•�}'"w .�•..J• � - 30-14-25 VAN KURAN 2989-90B_ 1355 Gretchen = 12th Sty Oroville (reroof/SF) Y f ,e %^�=�'=1' 3a'..�c�;'�;;:AiC�AK 7�Y�+''�? yf"'�'?fi9+�.°�AR�'"�'t i:�.i .) lF# rv�i'fjU''!rX�{rif'r.� �crlw� yT,�,-A'•n: s COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS PERMITLNO. 7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541 j���r7i �%� APPLICAT16 ANI), PERMIT f ASSESSOR PARCEL NUMBER ZON NG %�,. BUILDING PERMIT OWNER 12 �� HEti ��N ,�v���i TEL P s SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A�= ESS M T q�4 is CONTRACTOR'S NAME TELEPHONE CONTRAC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN• ?; / TotalxValuatlon $ F Iing, Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17, S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS fT T T Permit fee $ -2— 7. S -D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ ReemodeI ❑ Utilities [:1 Installation[] Other Describe work: ��i ���% Ulm' _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the Owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.g OR ACDNS. ( ACC. BLDGS. 2h¢sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20@50C 9AL&30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject L� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,land expenses which may in any way accrue of this permit. against s d County in conse ue ce =DateF� � Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ %. HA2 CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or work in ted above for which fees IREC�6 PUBLI BY PERMfT EXPIRES Date the applicable provi%�sions resolutions to do have been paid. ORKS Date _ Receipt No. —%0Sf 10 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y a.uuw I i ur ou I I C DEPARTMENT OF PUBLIC WORKS• • 196 Memorial Way, Chico — Phone: 891-2751 ♦ 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER -yo =RMI T 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. Date v _�� Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLUTift AND PERMIT PERMI,T�NO. ASSESSOR PA 0 NU/BEg0 _'2 � zO�,"�I BUILDING PERMIT OWNER TEL �P_y SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING A'' ESS / CONTRACTORWA E, TELEPHONE CONTRAC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,S—D ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S / 2_7- Permit fee $ Z , S -D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W t0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: 1�2_F to ,!gF _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): -1I 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 NV I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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.OCCUP.tr OR ACDNS. (ACC. BLDGS. OR , 2/z¢sgft NEWCONSTR ULTI-OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL0ALs30 Ex. Occup. our OUTLETS (RESID IRE 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.0 0 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit•es, judgments, costs and expenses which may in any way accrue against s d Count in conseque ce of th granting of this permit. X ate /J�--/U Signoture of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -EC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE AL TOTAL FEE $ HAZ CUA PARK L ELD PAR I PD I Ho I ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or worain' above for which fees PUBe7ee BY PE T EXPIR S Date the applicable provi- resolutions to do have been paid. RKS Receipt No.70k WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUM =°L-Depaftme.nt of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-53$-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for 4.n 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. I.personally plan to provide the major labor and materials for construction of J/7. the proposed property provemen yes or no) _ �2. (hav /have not) signed an appl'cation for a building permit f e proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ City _ Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License. No. 5. I will provide some of the work but I have contracted (hired,) the following persons to provide the work indicated: Name Address . Phone Type of Work .e�— S ig ned : Property Owner 2v Social Secu ity Number Datele �4 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 PERMIT NO. ASSESSOR PARS -SL NUMBER p/5 ZONI BUILDING PERMIT OWNER_ C�/V 2 y TELEPHONE SO. FT. OCC. BUILDING VALUATION O OWNER'S MAILING ADDRESS CONTRACTOR'S.N AM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 71S-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S Permit fee $ a2 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 'Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.008 TYPE OF WORK New❑ Addition[] remod I Utilities ❑ Installation[] Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 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. / DWE,LLING OCCUP.s;) OR AOONS. l ACC. BLDGS. y,¢sgft NEW CONSTR ULT'.OUTLET NON-RESID,BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e SINGLE OUTLET C'R. ) Ex. OCCUp(OUTLETS OR FIXTURES 20QS0t eAL030 FIXED Ex. OCCUp. OUTLETS P(R ESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building. Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of;. Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7 HAz I CUA PARK I SCHL I FLo I PAR PO HO ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ve Receipt No. r ) M WHITE-O.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT RESIDENTIAL 1-630-140-025 PERMIT#96-1811 CLINKINGBEARV, �.O.W. J 1355 12th Sti, Oroville fi Add Open Decks/SF JOB FINALED (Date ,;Signature .i IN RESIDENTIAL 1-630-140-025 PERMIT#96-1811 CLINKINGBEARV, �.O.W. J 1355 12th Sti, Oroville fi Add Open Decks/SF JOB FINALED (Date ,;Signature .i _" - .. I - �x V OK 0 = Not OK Not Aplicable Not Reapdy MOBILE` HOMES MISCELLANEOUS, Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MEC )(S,jCOVERS; CARPORTS, GARAGES. (Plans) OK except #'s 1. Zoning Requirements- Setbacks -'Easements 1 _Zo ng Requirements -Setbacks -Easements, 2. Soils; Special MH Support Sketch tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete �A tmcks; Girders and/or Joists-Decking-Brai:ing-Stairs-Rails, 4. Water, Location -Test Easernent. Needed (Sketch) 1 4. Wood Awn.; Posts-Beams-Rftrs.-Cohnecto rs -5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap; / /Tft. 5. AJum.'Aym(- Columns-C6nriecfiohs-Splice-Decal-EndlosUres /Nat. or/ /Lft./ /LPG 6. Cag;drts; Windows Doors 7. Well Clearance & Disconnect Z!� Frectric 8. Utility Clearance !Prmg.; Sils-Anchors-Sbud,s-Rftrs-Trusses L.9 .. c;A::I; %I- 0LA 6 ng;,�a ng neer_ Icco- es - I Shthg-Roofing - t.; Steps -Doors -Landings E Date i Card B-1 Date 4'Card B-1 ii Date Card B-1 Date -Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 3. Pool Structure; SteeI-ConnktioAs-Thickniss- Dead Men -Lining. 1. Zoning Requirements -Setbacks Easements C 4. Elec.; Receptacles and Lighting, Distance-GFI 2. Footings; Size -Spacing -Marriage Line 7- 5. Elec.; Pool Lighting; 15 Volts-GFII Yry 3. Gas; MH Test-Demand-Valve-Connector4. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Electricity; MH Test-Crossovers-Breakers-Clearances5. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater Drain; MH Test -Fall -Flex Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lbhtg. Boxes-Enclo'su'res'-Panelb6ards-ins't'o Main in Conduit 6. Water; MH Test -Regulator -Connector 9. Health Department Approval 7. Water and Sewer Connected -C/O to Grade -HD Approval 10. Plumb.; Cir. Test -Water Supply Test 8. Gas and. Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date IiCard B-1 Date Card B-1 Date Card B-1 I ng;,�a ng neer_ Icco- es - I Shthg-Roofing - t.; Steps -Doors -Landings /9 - Da (2_ Card 13- Date 'Card B-1 Dat4 Card B-1 Date Card B-1 nz Date- POOLS (Plans) OK except #'s 1., Setbacks -Easements 2. Soh; Compaction-StrUcture Stability 3. Pool Structure; SteeI-ConnktioAs-Thickniss- Dead Men -Lining. 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFII Yry 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lbhtg. Boxes-Enclo'su'res'-Panelb6ards-ins't'o Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 I 'J OK O=Not OK = Not Applicable r ` Not Ready RESIDENTIAL (; = , Date UNDERFLOOR (Plans) OK except It's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth, 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test , 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ; i 15. Access & Ventilation r 16. Insulation - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except O's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ------- ------- -------------- ------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------------------------- ---- -- --- - -- - - -- --- 19. Shower Pan; Test. First Floor -Tub Access - - - - ---------------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------------------------------------------- 21. ----------------- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------ - - ------ --------------------------- - - 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------_ ._._...-- 25. Romex Installed Close to Edge of Studs & C.J. ------------...------------------------------------------- ....... 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --------- -------------------------_-------------I- --- ........ .......... 27. 2 Appliance Circuits in Kitchen & Conductor SizerGFI ----------------------- -...................... ... .. 28 Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or AI 29. Range Circ. r ' ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------- ...-- .......... ... 30. Service -Riser Conductors & Ground -Main Disconnect -------------- 31. ------ 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- -- - - - . ... .. ------ ......-----........ ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------- ------------- ----- ---. . ._..... 33. Smoke Detector -------------- ------------------------------- -----------.-------- --- _ ---- ....... .. Date Card B-1 Date Card B-1 ....................................... .. .....----_..... ... ... ... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------------------- ............................. .... . . ... . 35. Vent Fan: Exhaust above insulation --------- ------ - --- -..... --............... .. 36. Condensate Drain & Overflow: Size & Grade ------ - ---... ............... ........... ........... .. .. . 37. Furnance-Vent: Access -Comb. Air -Return A r Vent -115 outlet ..... ....... ... . - 38 Attic Access & Platform If Furnance in Attic ------ ------ --- ----- _. .. I.. . ....... .. Date Card B-1 Date Card B-1 Date Card B -I Date Card B-1 Date FRAMING (Plans) OK except P's - 39. Sils. Proper Material & Anchors . ... ... ... ... ... .... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ... ... .. ................... ...... . 41. Bearing Walls over Girders & Floor Nailing -- ........ - .. ... ... .. 42. Draft Stop in Walls (rat proof) - ...... -....... ... ..... ....... 43. Fire Stops: Furred Ceilings -Stags -Chases -Tub - - _......_ ... -------------... ....... ......._.. .. .. _ .. 44. Headers & Beam -Size & Bearing ►ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ - 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles ---------------------- --- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -- -- -- ---------------- ---------------------- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection -------------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------- 55. Siding -Nailing Veneer ------------------------------ ------- - 56. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60 Infiltration -Walls -Windows ------------- ------------------------------------------------Date Card B-1 Date- Card B-1 ---------- -------------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings --------------------- - -- 62. Smoke Detector 63. Furnace Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------------------------------------------- 64. Bedroom Exiting ---------------------------------- 65. G.F.I & Bath Fixtures & Tub Access -Spa .. -- ---. ------------------------------ 66. Elec. Trim & Subp anel: Breaker Sizes & Labels ..---- ------------------------- 67. Stairs & Rails ------ -- ----------------------------------- 68. Fireplace or Stove. Clearances -Hearth ..... ---..---------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. --- ..--------------------------- - --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - - - ---------- ------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter . .... ... ...........------------------------- ----- --- 72. Garage Fire Door: Swing -Landing -Closer ------ --- ------------------------------------ - - 73. A.C. Duct in Garage -Damper .... ...... - -- - - - - -------------------------- ------ 74. Wtr Htr.. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ......-------------------------------------- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location ... ------------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. . _ .------------------------------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes ----- ----------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps . ... ---------------..--------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------- -- 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ..... ------- - --------------------------- - --------- 81. Stucco; Brown -Finish ..... _ .... I — -- -- --------------------------------------- 82 A C Unit: Disconnect. Electrical. Plumbing ... ... ... ... ... ...---.-------------------- ------------- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . .............. ._..---------------------------- 84 Water Well: Disconnect. Electrical. Plumbing . ... ..... . ..------------------------- ------------- - 85 Exterior Elec Trim: G.F.I. Receptacle -Underground - ----- ------------------------------ 86 Ventilation Throughout House 87 Glass Protection - --------- ------------ 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric .... .. .........--------------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval ----.------------------------- ---- 91 Energy Compliance Certificate -Other Certificates -- -- -- - - ------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: v COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 APPLICATION AND PERMIT (p / l ASSESSOR PARCEL NUMBER 030-140-025 AR ZONING BUILDING PERMIT OWNER OW CLINKINGBEARD TELEPHONE SO. FT. OCC. BUILDING VALUATION 120 0 840.00 OWNERS MAILING ADDRESS 1465 12TH ST OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 840.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1355 12TH ST PERMITFEE $ 66.00 PLUMBING PERMIT Filing Fee 20.00 OROVTLLE Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF K] Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ U81ities ❑ Installation ❑ Other ❑ Describe Work: _ X.X13i 5 X 16 & 5X8 OPEN DECK Mobile Home IS I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: JJ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exemp; under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( & SIINGLE OUTLETT CIH. ) Ex. Occup. (OUTLET OR FD(TURES) BAL @',SO Ex. Occup. (OUTLETS (RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) Ef 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 r Date (iu�� _ Signature of Applicant VU Owner ❑ Contractor ❑ 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 Is OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. \ /i1 By Date 0 7 PERMITEXPIRESON 91 Date) Receipt No. 202502 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F tc'xiYr� k� ¢jc. a.Tw• ti ?14-1 COUNTYOF BUTTE - DEPARTMENjOF,D,EVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER CA In l�1 s A. P. No. O-60"- Proposed Building Use 0 S F-BuildingInspector Date 8 g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: }/ _ DATE RECEIVED BY t`f 1. � 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. ' 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. A. 29. 30. All items have been submitted. .........` ............................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets signed by preparer of plans ........ . Engineered plans and calcs, 3/14 sets, with wet signature on plans . ............. Hazardous Material Ford.,. . . Energy Design Compliance and'supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation, instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flopd) byCali ornia Engineer . ................. . Sanitation and plot plan approval cOELU Health Department . ............ City of Chico plumbing permit . ........................................ . Plot plan and'business_license approval from City of Biggs/Gridley. ............. Planning approval for (A) UUser , (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). .. . . Preanspedion request- Pre�inspection for ...- - . -.1'1 required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of %4orkmans Compensation Insurance . ........................... r Owner -Builder Verification (Given to owner , Mail to owner, ........... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... ; .................. Documentation of 50% subdivision developed or (A) Road irpprovements completed and (B) Parcel meets zoning area and frontage require m nts. ........T.. ... . 31. Existing violations/expired permits . ................................... .. . 32. Plan checklist ..................................................... . 33. 34. Whery ou issue the a m� r ss as follows: M to ow r Mail to contractor. ✓ y Telephone%995MI and hold for pickup E office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 of above required data by - phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by (,-/ B 30�J!� Date Sets of plans on hold in File cabinet - AP folder Copy - Department of Public Works 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 V] NO[ ]. 2. I HAVE[] . HAVE NOT[ ] signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS• Com' AD • E; CONTRACTOR'S LICENSE NO. DR 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA- E: ADDRESS: CITY:PHRE CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pro,,ide'the work indicated: NA�SE ADDRESS PHONE TYPE OF WORK SIGNED: yDPROPERTY OWNER: LfI SOCIAL SECUR.I TY NUMBER: ATE: 6&8 / 9 NOTE: This owner -Builder Verification is required by Section 19331 and 19332 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 This set of plans- and-apeeiScations-MUST be kept on -the -job -ate aTi`�ime8 and`i� fs unla;�vfiil Lo .."_ _ 'f •. make atky c4anges or alterations on game witho t , written peTmIn.ginin froja tbA pepeRtMeftb Ct Works, County, of BL}te. A.U." • atierfalp—& briffi nShip Shall Be In Aacorice. rt -hr co}Xne'l GaWo"l Prat.i. cS. eJs L ` J r''o. .2' �Ta,�.i ac .,�.��'JftY;. ..�, r. �..�;f o -•J y b 5 n,�WS :'i. �4w; .',�. tL t w'�` ►. and of a Quaty me' sBduiAild6ingfoxrPtTuhnec�bS�pu-cshe M1;4M ue �in he Uifo Codes eido'nal, Electrical Code. } 1' ��� � �. .-_...mow,-.... �_.. : Va� �Y �` .. .r w..w._........._........_,+i. .._ ...a.•+N•--.. w..M.p:.v.w+.l:.y... .. .,.wly:..- S. ,. t e 3 } 31 O ALL SMOTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL. BE CLEAR OF AL.L- EASEMENITS. A SET BACK OF FT • Fi�C? i THE SIDE AND FT. FIjOtA -r. HF. s -.EAR pROpEM-Y LINES AND FE ROAD CENTERLINE SHALL. 13E T. FROUCTURES AtV® M TH EQU PMENT EXCEPT GEAR OF ST FOR A 2• F1'. EAVE OVERHANG' BUTTE COUNTY UILMI DEPARTMENT 0 %,w 03d - I q0 -oz5 I C01.� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISI N 7 County Center Drive - Oroville,,,Uif6finia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 2�4 22 ASSESSOR PARCEL NUMBER 030-140-025 ZONING BUILDI PERMIT OWNER i�INGBEARD TELEPHONE SO, OCC. BUILDING VALUATION rFT. EST , 000.00 OWNERS MAILING ADDRESS .1465 12TH ST 0 OVILLE CONTRACTOR'S NAME T OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1355 12TH ST PERMITFEE $ 83.00 OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK YY New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1=] Describe Work: ADD'L TO PERMIT #.95-0879, WATER HEATER, GAS LINE AND NX HVAC Mobile Home I S I GI W 1 920.00 PERMITFEE $ 50.00 Contractor ELECTRICAL PERMIT20:00 Filin Fee Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �7 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUR OR ADDNS. l & ACC. BUDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 0 t.ao BA50 FIXED PES D.) Ex. Occup. (ouEDrs R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMITFEE $ 50.00 Contractor 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.) 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. W, ____ Date L/J9 11(S X - di"A�p—licant Ignature of❑ Owner ❑ Contractor ❑ 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 TT Energy Inspection Fee Is - OCC CONST. TYPE I TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicate above for which s have PERMITEXPIRESON - �/ applicable provisions Resolutions to do work been paid. nn Date /V (p Receipt No. WHITE-D.D.S.-E. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rf 1iCC -rte. , . v.zglwe._- r• Attention Property Owner:. • . -'An "owner -budder" building permit has been applied for in your name and bearing your _..Y . signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your budding permit. No budding permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES] NO[ ]. 2. I HAVE[ / ] HAVE NOT[X ] signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: A ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _ , . _ PROPERTY OWNER: d -X ,, SOCIAL SECURITY NUMBER: DATE: 3-15--9S_ 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. Dear Property Owner: t has been submitted in your name listing yourself as the builder of An application for a building permit , specified- u are the respo party PmP�Y For your you should be aware that as "owner-buil you unless they are personally on such a permit Building permits are not required to be signed by property owners performing their own work- If your work is being performed by someone other than yourself, YOU may Pmt P le liability if that person applies for the proper permit in his or her name. yourself from Ppb law to be licensed and bonded by the State of California and to have a Contractors are required by by law to put their license number on all permits business license from the city or county. They are also required for which they apply. W do your own work, If you plan with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: and the work ('including 0 If you employ or otherwise engage any Persons other than your immediate family, materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. - 0 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. 0 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. 0 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 "ownerbuilde 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 a Sacramento, be obtained 958b contracting the Contractors State License Board in your community or at 1020 N please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. !iin,&rel Nfichail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA = (916) 891-2751 7 County Centei-Dfive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE qj jri1 I A routine inspection indicates that the following violations of Butte County Ordinances exist at thea ove address and should be corrected. Please notify this office when correction of work is c leted. If you have any questions pertaining to this matter, or need additional explanation, ple s contact this office immediately. ,� • '- i LJIK� �� Dae Inspector � REV 10/92 1 f PERMIT NO. 1744 -76P. - PERMIT EXPIRES 4/12/77 OWNER ALBERT MOSELEY CONTR. owner LOCATION (A.P. 30-14-25 ) 1355 12th. St., Oroville l Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signa ure) FIRE Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - Subpanels Mesh BUILDING BUILDING (Cont'd) Grd. Fault Prot. PLUMBING Setback Firewall Soil Piping Cooling Forms Parapets, 1st Floor Underground Main Bldg. RestroomlFinish 2nd Floor Footings.' Windows 3rd Floor DATE Stemwall Siding To out Slab Roof Sheathl Water Piping Piers Roofing Sewer ' ,00; 7 7 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov, for physics ly hon edd Confforormance of ex structure Appliances Gas Piping Temp. Gas & Tes Slab Final ` JLACE Sanitation Iz Patio FI Final 3 Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures FIRE Stucco Final 1 Subpanels Mesh MECI ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish ! Ducts Underground Interior Lath 1 Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center D,•ive .—. oroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Date `2 �7 Signature of^Permitee or Agent Receipt No. p4T < 0 L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the tsutte county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date—^�Z-7� Build g permit expires Date �'�12-7/ BUILDING Owner L -BEP- L..e SQ. FT. OCC. BUILDING VALUATION Mailing Address 13S�5 2T'4 Q- `7.10 �v LLAF. QSQ � Telep oneNo4_O Fireplace Contractor ©V4&A P,) Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address `?jS'�;- tEnA gT' PLUMBING No. @ FEE PERMIT FILING FEE $3.00��� Qo i L- _E Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. w ��_�'� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Flljges— &2-. I MrMtfiV Fire Dept. Fire Zone Use Permit Building sewer 5.00 fJO EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BI g ans ec Parcel Approval Plans Approval Permit Fee $ (m ©( NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 LA—__Vt{ e k_ " (LA`(_70,l1IJ Main service io°°V OR o AMP ORLESS5.00 1 ' �e Main service EA. ADD'L too AMP 2.50 Single Family 9 Duplex ❑ Mobil Home ❑ Others ❑ Main service 1 OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNS%// CONST.DWEACCLBLDGLING OCCUP. &) 22sgft NEW CONSTMULTI-OULET NON•RESID.R ( BRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL 2t Ex. Occup.(F I XED APPLNS. OR OTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. 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 of Butte to enter upon the AhnvP-mPntinn PH nrrlv f- in ..fi.,.. .. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE s This permit is hereby issued under the applicable provisions of Date `2 �7 Signature of^Permitee or Agent Receipt No. p4T < 0 L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the tsutte county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date—^�Z-7� Build g permit expires Date �'�12-7/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 elephoipe: 534-4541 APPLICATION AND PEiWT / G,,....... — r , Owner /; L Mailing Address l 3 r Contractor Mailing Address ) Telephone No.5 C E Telephone No. Building Address 1r�j �S 1 ir1. A. P. No. 3- C /q — z __ Zoning & Planning ' F- d_C? T-07 Fire Dept. Fire Zone Use Permit Parking Parcel EQA Plans Declaration Parcel Map I 60' R/W I Improvements ens NEW EI Parcel A rowel PP Plans Approval ADDITION [:] UTILITIES OTHER n Single Family `Duplex Mobil HomeR Others CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classificat _ BUILDING SQ.FTTr BUILDING VALUATION Fireplace Permit Fee ELECTRICAL Total Valuation PERMIT FILING FEE — Main service 1,01101 oR LEss'— — Permit Fee----` 100 AMP Ort LESS Plan Checking Fee &/or Penal ty J Main servi_:Oe VER EGOV Pennit Fee _—, 100AM-P OR LESS_ PLUMBING No. C FEE PERMIT FILING FEE M1!EY• C'C?'JSTP /r^OWER APPARATUS & NON.-Es;D_ [Saner_: r: 1111, — ��-, 53.00,�,�, Each Trap _ 1.50 Repair drainage or vena piping 1,50 Water piping 1.50 _ Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 7.U0 Lawn sprinkler system2.00 c $3.00 5.00 2.50 25.00 1.00 2c sq ft 2.50ea FEE Ex. Occup OUTLETS OR FIW625 Ex. OCCup. OUTLETS P(RESLNS Temporary serviceMobile Home FacilitiesMisc. Wiring f L�1I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL I am aware -of the provisions of Section3700 of the California Labor PERMIT FILING FEE Code which requires every employer to be insured against liability Heating for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 14orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 of Butte to enter upon the above-mentioned property for inspection purposes. 1r(—_Dale .Z��— ! Signature or Permitce or Agent Receipt No.—_jy�•, �V___ 1'%hite-D-P. Vi - Y:•Ilo'.v-Assessor --,Pink-Inspector - Goldenrod -Applicant Cooling Ventilation Hood Permit Fee S3.pU 2.00 5 FEE v TOTAL PERMIT FEE This permit is herebyissued under the a;. plicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS —1-�--,��t�.� --- D2te—_. Eiuild�J g permit expires Date Permit Fee ELECTRICAL — PERMIT FILING FEE rV Main service 1,01101 oR LEss'— 100 AMP Ort LESS Main service EA. ADO'L 100 AMP — Main servi_:Oe VER EGOV _—, 100AM-P OR LESS_ Main seiviCe EA. ADC'L 100 AMP NEV/ CONST. ! CO1 Ll_1!JG OCCUP. & OR AJDNs_ ACC. BLCGS. 10 SFR. MULTI -OUTLET ' vOr:-P E510. ERAN_CH C{RCU.ITS, - M1!EY• C'C?'JSTP /r^OWER APPARATUS & NON.-Es;D_ [Saner_: r: 1111, — ��-, c $3.00 5.00 2.50 25.00 1.00 2c sq ft 2.50ea FEE Ex. Occup OUTLETS OR FIW625 Ex. OCCup. OUTLETS P(RESLNS Temporary serviceMobile Home FacilitiesMisc. Wiring f L�1I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL I am aware -of the provisions of Section3700 of the California Labor PERMIT FILING FEE Code which requires every employer to be insured against liability Heating for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 14orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 of Butte to enter upon the above-mentioned property for inspection purposes. 1r(—_Dale .Z��— ! Signature or Permitce or Agent Receipt No.—_jy�•, �V___ 1'%hite-D-P. Vi - Y:•Ilo'.v-Assessor --,Pink-Inspector - Goldenrod -Applicant Cooling Ventilation Hood Permit Fee S3.pU 2.00 5 FEE v TOTAL PERMIT FEE This permit is herebyissued under the a;. plicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS —1-�--,��t�.� --- D2te—_. Eiuild�J g permit expires Date 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 538-2140 4/4/96 O.W. CLINKINGBEARD 1465 12TH ST RE: Building Permit # 95-0879 OROVILLE, CA 95965 Expiration Date: 5/1/96 A.P. # .030-140-025 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been -made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307