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HomeMy WebLinkAbout030-170-065SIRJESSE, Henry W. L: Next- to -1040` Middlehoff Lane Oroville 229 30-17 ,S` 30-17-65 10 "A" Middlehoff Lane, Oroville Permit 11-88E(misc wiring/SF) 1068 "C" %(ddlehofff Lane, Oroville Permit#51228 E n el se &ss V wiring/SF) a`--1 Wa6 F 1068 "D" ddlehoff ln, Oroville Perms 13-88E(misc wiring/SF) -10,6,8-"F"-M ddlehof --Lan`,• ORoville - hermit#514-88E(misc wiring/SF) 30-17-65 I) i GAY FRYER 1046 Middlehoff Lane, ORoville ContR: Mountain AIr, YC Permit#423-89M(replace gas furnace)SF 863-89M 30-17-65 BRILEY, Cloyd 1068 B Middlehoff, Oroville �\ Contr: Mountain Air in 0 i (replace furnace)SF %-� FINALED: 30-17-65 1122-89M WEEDON, James 1068 Middlehoff Lane, #E, Orovill Contr: Mountain Air �,�'ql (replace wall furnace)SF la, A.F.30-17-65 HENRY SIRJESSE 1040 Middlehoff Ln., Or e • CONTR: Acro -Lune W. Shifflet, Oroville .. 1<� Perini 2-73B n / , �C/ ���' 30-17-65 ne for ex. oncrete s ab) ! 30-17-65 pErmit#3031-87E(new circuits/ ��OWNER } � II TOM Mc NUS 1040 Mid d hof f Lane (unit #5)' Cont- G & c�on,tracting, Oro '1 �ermit##345-80B,E repaire burn damage)SF 30-17 Contr: G & S Contra tinTT g,�;oa/ 1040 Middleho n unit ##4)SF Permit#3 66-80B,P,E,M(repair urn dada` e) SF Al 30-17-65 l6 D, Middlehoff Ln, Oroville reraiit#3895-84P,-E(ele. & plbg/SF), 10 2 B, Middlehoff Ln, Oroville Perms k3896-84E(ele ser ch & clean upSF) SBC, iddlehoff Ln, Oroville Permit#389�-84P, E(ele & lbg/triplex) 1068A,, Mid— ehoff t_ Perini # p 84E(eI?f�^or g-arage) �o. 1044ABC Middlehoff Ln, 0o v' +Permit #1156-84B,(remodel/triplex) 30-17-65 __. _ Cloyd L. Briley 1040-A Middlehoff Lane, Oroville _ 30-17-65 -' Permit #2946-80B,P,E,M(remodel bath, Permit#4092---83B(new private detached rewire,inst.gas lines, re sheetrock inter & garage) F ���/� new ategf !�! r��) _ 30-17-65 30-17-65 Permit #12-8 M (mech for 355- 8 ) Contr- Waibel AC, Oroville Permit##326�-80M (dual pack/ 46-80) 30-17-65 1042 B Middlehoff Lane, Oroville ..� V - _ ! Permit#488-84B (replace exist deck & consr 30-17-65 { ermit ##5156-8OP,M(install new stairs/duplex) 4'J_406 L wa"11 T- - � furnace)SF ` _... __30-17r65 _-� — - 1 1068 A Middlehoff 30-17-65 Perm- 835-'t#835 2- water heater- & 1 wad -,l` heater/triplex) Contr: M H Electric aermit#2972-83E(repair.fire + 1044 B_&� Middle damaged ele/Bldg A), fit, + Qls���yla. _ 30-17-065 Permit#1146-84B,(r-epairs/SF). _ � _ 6/ Gf 4 i]_ 30-17-65 30-17- 30-17-065 Permit#1114?-84B( repairs /Tri-plex), �1068A -Nid leho f f, -Ln, _ .Orpyi Permit#352-83 E(repairfire damage/SF)" . 30-17- 65 A;wn % L ,I 1x68 -B Mi, 'f Lane,. Oroville �� `,Permit#3.525-83B�E(repair fire damaget i1 7 a a R ,.. THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 959,65 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: A.P. No.: Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: - r - -' . SC -0 R 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: a Remarks: f MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). r ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which e r i comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID � 1 1 I i �i 1 r � Al2 3 _COUNTY OF BUTTE - DEPART,MENT OF PUBLIC WORKS PERMIT IND ..' 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541. APPLICATION W PIERMIT ASSES(SSOR PAR7CEL NUMB R. ���1.� ZONING BUILDING PERMIT OWNER-+' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN �� /�P/ 4 M (LING ADDRESS /j' // � j,��`'I 1 / / I CONSR"AC'TOR'S NAME f A0 I1,14 /e, 1 C TELEPHONE ? - CONTRACTOR'S MAILING DDRE S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ (fn J� OWBUILDING ADDRESS Aj' ll�fr/! Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK Remrotdel ❑ MMUtilities[] Installation ❑ Other I New ❑ Addition ❑( f Describe work: r`f1 � (' f` i J A G U 1r n 6 C e Permit Fee $ Contractor ELECTRICAL PERMIT FilirigFee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business//POWER and Professions Code and my license is in full force and effect. License No. 22 161 9 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 DWELLING OCCUP.61\ 'hQSgft NEW CONST. (OR ADONS. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) APPARATUS e (SINGLE OUTLET CIR. / tq EX. OCCUp( OUTLETS OR FIXTURES eA 030 FIXED EX. Occup. OUTLETS PR (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 f_ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as. to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating (� Cooling Hood 3.00 . Ventilation Permit Fee $ Contractor " I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I 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. -✓�_ , ,bat@""� - %� j ` ❑ S gnaturejof Applicant —� ' Owrjer�❑ 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.t Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL ' I PD ND 39UE This permit is hereby issued under the applicable provi- sions ofrthe But County Code and/or resolutions to do work indicated above for which fees! have been aid. „- „_ e .� %! P DIRECTOR OF PUBLIC WORKS f _ PERMIT EXPIRES Date v Receipt No.I ro />1Da� WNIT[-D.P.W.. YELLOW-ASecSSOR1PINK-IN SPCCTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oro ville, California 95965 - Telephone: 916/538-7541 AFPlACATION AND PERMIT /; Z MIT N / � �—0 -1 // ASS R P EL NUM moo. — ZONING BUILDING PERMIT OWNLTall TELEPHONE SQ. FT. OCC. BUILDING VALUA ON OW ER'S NG ADOR S ` , M /^+. C N OR'S AM TELE ONE C NT ACT MAILING ADDRESS* Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee . $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/D d Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 r© v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Additi Remod ❑ tiliti s Installation[] Otherx Describe work: Permit Fee $ Contractor - ELECTRICAL PERMIT Filing Fee 10.00 LE00V ORSS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. License No. C-3 "' // q7 Classification Elas 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.m` , OR ADDNS. ACC. BLDGS. / /20sq it NEW CONSTR. MULTI -OUTLET 2.50 ea, NON.RESID BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2090 0 eAL0 30 FIXED ALISIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. X1 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. ❑ 1 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shat 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 1s 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 Iiabili ' s, judgments, costs, and expenses which may in any way accrue against a' County in consequence of the ting of this permit. Date "l l/ 7. �� S' nature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permitis required for excavations over 5' "deep and demolition or construct- ion of structures over 3 stories ip height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 0CCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD I ND I 1 9UE This permit is hereby issued under sions o Butte County Code and/or work nd lted above for which DIR F PUB Y I EXPIRES Date the applicable provi- resolutions to do fee have been paid. YC ORKS to Receipt No. 3L 2KI I- WHITE-O.P.W.. YELLOW-ASeE�SOR PINK -INSPECTOR. GOLDENROD -APPLICANT ;���;�� t� zt ^ .vim s...,•, ro'. . �: � Y' h f Permit#423-89 r Gay Fryer 1046 Middlehoff Ln,Oro -Ya I 9 e + R i `t { S i• i 1 M . 1 . A 1. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSa,. PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND 'PERMIT ASSESSOR PAF • EL N4M9F J " ZONING BUILDING PERMIT OWNER) TELEPHONE SQ. FT. OCC. BUILDING VALUATION ' OWNER'S M IL G AOD SS © v;l CONT A TOR'S N ME j.,'01% -- ITELEPHONE 4 , . 1nan 41 1 CO A T MAIL G ADD, SS I 1�!!& S tI 1cj,.f' Fireplace CONS RUCTION LENDER („ v + i�j. /-i)4f :, 1 UNKNOW Valuation I $ TotalFiling Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 tSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF �I Duplex❑ Mobilehome❑ Other r ` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition ❑ RemodelUtilities❑, Installation ❑ 'Other Describe work: i h�A �+ F Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, DIV. 3 of the Business and Professions Code and my license is in full �rce and effect. '� , j� License No. Classification El 1, as the owner, or my empl yees 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.611 1�2QSgft OR ADDNS. ACC. BLDGS. I NEW CONST, mUL TI.OUTLET2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. I 20esoe EX. OCCUp�OUTLET4 OR FIXTURES eAL@30 FIXED APLNS EX. Occup. OUTLETS P(RESID )KEA.) 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): r ❑ 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 suchVs provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating a 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 liabilities,,judgments, costs, and expenses which may in any way accrue against, aid County in consequence.. f the granting of this permit. X% /.r�- , f ��� _ - Date Signature of Applicant — Owner ❑ Contractor ❑ Ayent An OSHA permit is�required for excavations over 5'0" deep and demolition or co struct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy inspection Fee $ TOTAL PERMIT FEE $ occuP, CONST.TYPIJ �SCHOOLJ FLOOD PARCEL PD HO 590E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica above f which fees have been paid. / IRT F PUBt�IWORKS y � Dat P fli IT EXPI ES Date M Receipt No. WHITE -0.10 W., YlLLO -A3e L33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califrorn'j'a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI4T 40. i ASSE OR PAq,C L NUF.aB. / ZONING BUILDING PERMIT OWN a V Fr V 6(` TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S M IL G ADD SS ` © V &(I- CONT TOR'S N ME TELEPHONE e) IJ 17 CO CT MAIL DDR S /\ (`/!_ Fireplace CONST UCTION LENDER OF UNKNOWA Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ca�dk ba yl Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFrDuplex❑ Mobilehome❑ SPECIFY Other (CCCC Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New❑ Addition[] R odel Utilities Installation❑ Other Describe work: & ` ` Gt rnas(� i Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e01v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP - 2.50 CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. License No. Classification ❑ I, as the owner, or my empl yees 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 OCC up"'), DR ACDNS. ACU. BLDGS. /z¢sgft NEW CONST R.U 2.50 ea CIRCUITS) NON RES .BRA BRANCH ITS POWER APPARATUS e (SINGLE OUTLET CIR. 0 Ex. OCCUp(OUTLETS OR FIXTURES DA 0 300 FIXED AP Ex. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Penult 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 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. also agree t save, indemnify and keep harmless the County of Butte against all liabilities, 'udgments, costs, and expenses which may in any way accrue Wantsid C unty in consequenc f the granting of this permit. Date f Applica Owner❑ Contractor ❑ Agent. An OSHA permit is required for excavations over 5'0" deep and demolition or co truct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON ST.TYP! ISCHOOLIFLOODIPARCELI PD ND 139UE This permit is hereby issued under sions of th Butte County Code and/or work i Niel above f which IR F PU J. P IT EXPIRES Date the applicable provi- resolutions to do f have been paid. 1 ORKS Da Receipt No. WHITE-D.P.W.. TELLO -ASOC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT I -~ PERMIT. NO. 1156-84B PERMIT EXPIRES �1(3 OWNER CLOYD BRILEY r -. CONTR. OWNER ASSESSOR PARCEL 30-17-65- LOCATION 0-17-65-LOCATION 1044ABC Middlehoff Ln, Oroville _ t 4 t i 1 r Temp. Power Pole ' 'Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&Ey JOB FINALED (Date) 2— 1 Signature_ V = OK 0 = Not OK - = Not'Applicable RESMENTIAL (Single a nd Duplex) k - Not Ready Date UNDERFLOOR (Plans) OK excepta's _ 1. Zoning requiier ents-Setbacks-Easements 2. Fig., Main; Soils-Steal-Elec. Grnd.- / /' Fig. Depth 3. Fig., Garage; Soils -Steel- / /" Fig. Depth -4.-Fig Porches & Decks: Soils -Steel- / /" Fig. Depth 5. Stemwalls-Main_ Steel -B lockouts-Vlrapped-Slab_ Stemwalls, Garage; Steel -Blo_c_ko_uts_-Wrapped-Slab _ -_7. Piers -Fireplace_ Fig. -Steel 8. D.W.V-: Fall -Fittings -Test -2 way C/0 -Sewer Test -- 9._ Gas Pipe: Size -Anchors _ ---_ - -- - - __ 10. Water Pipe: Test -Anchors -Regulator -Service Test _ 11._ Electric: Underground _ 12. Pl_enum_s_& Ducts; Clearance-P:taterial-Support-Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits___ 50. Stairs; Width -Headroom -Rise -Run -Landing --Fire Protection_ 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Sid ing_Nailing-Veneer - 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Gard -BI Date Card -BI Date Gard -BI Date Card -BI Date t Card -BI Date _Card -BI Date Card -BI Date Card -BI Date - Date FINAL (Plans) OK except q's Date PLUMBING (Permit) OK except it's 14. Water Ht.:_Vent- Access -Combust ion Air Alec Receptacles Spacing -Lights & Switches at Doors Water Pipe: Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI _Date Card -BI Date Card -BI _ Date Card -BI Date Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection___ - -_ 21. Alec Receptacles Spacing -Lights & Switches at Doors - _ 22. - Size Boxes & No. Conductors -Stapled _- 23. _ R_ome_x Installed Close to Edge of Studs & C.J. 2.1. Equip. Ground made up w/Mech. Fasteners --Bond Gas & Water _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 26_. _ Subfe_ed Wire Size i- / g_a. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ.: / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ___Yes No _ 28. -- - --- _ _ Service -Riser Conductors & Ground -Main Disconnect 29. _ Equip. Clearances: ls-_PA_otors-_Mec_h. Equip. 30. _Pane Clothes Closet Light -Shower Light Card B -I -B-I Date Card -Bi Date -- Card -Date--- ----Card-BI --- -Date ----- ------ Date MECHANICAL (Permit) OK except Y's 31. A.C. Ducts_: Insulation Support 32. _& --- ---- ,- - Vent Fan: Exhaust above Insulation _ 33. _Condensate Drain & Ovenlow, Size & Grade 34. Furnace-Vent_Access-Comb. Air --Return Air Vent -115V outlet 35- Attic Access & Platform if Furnace in Attic Card -BI Date --Card-Bl Date -- --- - - - Card-[ tr' pate - - Card -Bl -- Date- - ------ Date. FRAMING(Plans) OK except P's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. _Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance - 66. Elec. Outlets & Receptacles at Kit. Counter _ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb, Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection _ 70. Plb., Elec. & Mech. Equip. Listed for Location -^ 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _ 72. Insulation -Foam -Looked in Attic ❑Yes _ 73. Guard Rails & Deck Construction -Post Caps - 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes _ 75. Following instld_: Drive ❑ Yes rr No; Walks ❑ Yes [j No; _ Planters ❑Yes E, No 76. Stucco: Brown -Finish _ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof: Plbg.-_Appliance-Firepl.-Clearance to Opngs.! _ _ 79. Water Well; Disconnect, Electrical, Plumbing 80. _Exterior Elec. Trim; G.F.I. Receptacle -Underground - _81 Ventilation throughout House 82. _Gla_s_s Protection_ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged: Gas -Electric _ - 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate --Other Certificates Card -BI _Date__ Card -BI _ Date_ _ Card -BI Date_ Card_ -BI _Date Card -BI Date - Card -BI Date - Comments at Final: 1 36. Sills, Proper Material & Anchors - 37. 'Halls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls ov^r Girders & Floor Nailing 39. Dial( Stop in Walls (rat proof) 40. Fite Stops: Furred Ceilin s_Stahs_Chases-Tub - - -- --- -- --- - 41 Header & Beam -Size & Bearing -----'- ----- -- -- 42. Hangers -_Post Caps -Anchors -Connectors 43. Clog. Joist-Rltr. Ties-Purlin-Roof Brac.-Truss -Shthnq.-Rlnq. 44. Fitepiar:e Tics ur Type A Flue -Fireplace Throat 45. PNic: Access Size & Romr.•x Protection -Draft Stop -Ins. Baffles 46. Bdrm. Wmtlaus or Exiting Door, -Sill Hgt_ & Dimensions 47. Garage F tre Prrilection Framing - - --- I ----------'----------- - - ---- -- . (NOTE Air enuymust be made, each time you visit job sile) J = OK 0 = Not OK -=.NbiApplicable MOBILEHOMES MISCELLANEOUS = Not Ready ' Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, .CARPORTS, ETC. (Plans) OK except tt's 1. Zoning Requirements -Setbacks -Easements 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. F'ootings..Size-_Depth-Spacing_-Connectors _ 3. Decks: Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer: Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance _ 4. Wood Awn.: Posts-Beams-Rftrs_Connec.-Shthg. _Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -Bl Date Date .. MOBILEHOME INSTALLATION (Plans) OK except #'s. Date _ POOLS (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils: Compaction -Structure Stability _ 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel-Connections-Thickness_-Deaa Men_-Lin,ng _ 4. Electricity; MH Test -Crossovers -Breakers -Clearances P' .4• Elec.; Receptacles and Lighting; Distances -GH 5. Drain; MH Test -Fal! -Flex Connector 6. Water;'MH Test -Regulator -Connector 5. Elec.: Pool Lighting: 15 volts-GFI 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 8. Gas and Electricity Tagged 8. Elec.; Grounding: Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval _--- --- 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -Bl Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r'f""".'f.•''y""iy:d-ti...'�""I',Y°"i'i�'.+'''r"'►"�`'tA.. t`L�YSi.r'^��.».J�1-+1ti^v.....'!t'r"'�` `.+.e .. (.t'+c^'1.�,'+J�,=,tri. BRILEY, Cloyd • _ - - Permit#11.47-80 ' 1044 A,B,C Middlehoff COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r - - 7 County Center Drive - Oroville,ICalifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A01,41 ASSESSOR PARCEL NUMBER ASSESSOR ZONING BUILDING PERMIT OWNER (J� (Jr'JI % j�,� rr j(`j',` f�i V]'✓l 'i•� ' 5 ! (f[A.V"1 TELEPHONE / ^ / .S 1 ^ '-' rX , �!' �i SQ. FT. OCC. BUILDING VAALUATION �..] A 1 OWNER'S MAILING ADDRESS 11)(1 r'1 41 , dy, G,+�l CONTRACTOR'S NAME�I re TELEPHONE CONTRACTOR'S MAILIN((GN��~A'DJJ}D��R.rfESS 1 _ Fireplace CONSTRUCTION LENDER j 1 UNKNOWN Total Valuation $ /p(,Yj, &4) Filing Fee$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /[:, /Lo ARCHITECT OR ENGINEER/ � LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S''MAILING ADDRESS Permit fee $ liL F, BUILDING ADDRESS 10 q 4 C . IV IPOI.EI&&FE ( PLUMBING PERMIT Filing Fee 10.00 -'41 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 � Mobilehome❑ Other -USE OF STRUCTURE ' -TRI-Pt� ` SF ❑ (6up--lex[] , ( _ ) \ � ` � \ SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e ` - \ TYPE OF WORK New E 'Addition[-] Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ti�1��iUG���I�/.l%,G�S ML(wr�iQ„r��+� /,r��(�/)�? �/�%�r=1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/Z0sgft _ +tj `CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification t �© I, as the owner, or my employees with wages as their sole compen- \ sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEWCONSTR.( POWER APPARATUS &'1 NON .RESID. SINGLE OUTLETCIR. / Ex. Occup(OUTLETS OR FIXTURES DAL@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 MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject j a to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation rpermit 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 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 liabilities, judgments, costs, and expenses which may in any way accrue[ /saidCount[y� in consequence of the granting of this permit. against ( `�(9��D/ r� X Date - Signature of App.licant — 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. -I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of :the Butte County Code and/or k indicated above for which work f DIRECTOR OF PUBLIC By— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS (f a j Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .�...,,�.s't;�.q..e-.-..-t4�;�'y��-^r.-.- a. - - n,�.,,-..,.r•'��r.."'�rtrr""Kw bt ' '*tet-r^'^R�'F�..n�....+�.,.r.-•. 14Lty� m % BRILEY, Cloyd, Pemit#1146-84B 4, 1046 Middlehoff Ln., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil,le, Cali)ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT " ' = i► ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER%) r t k��i� . I�t?,Jl%A TELEPHONE C-,� _ 6624S0. FT. OCC. BUILDING VALUATION CS OWNER'S MAILING ADDRErySS� �/) �/7rs//'���� I ') -i ,�/ r iK-�1.! �Q,i. l �f,! V'. rte'- `^.-. �� i 4 CONTRACTOR'S NAME �� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 61490. 0�0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /5',0-0 ARCHITECT OR ENGINEER 41.l9-7/Lf_- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0-6 BUILDING ADDRESS 1. PL�//0EF /moi !J !r /�/ Lll/ PLUMBING PERMIT Filing Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ° SF Duplex[] Mobil_1/ \ ❑.'Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ rR�eemodeI ❑ Utilities 0 Installation❑ Other Q- Describe work: ?� t' `r��r! ����w s �+ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 V _ Main Service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. I q ft 2/zQsea CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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- f 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) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONTOUTLET 2.50 ea NON-RESISR D BRRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. 'F Ex. Occup(OUTLETS OR FIXTURES BA 50 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 MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 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. 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 /A ® � 11,2 _ ! '� �X 11 / ,t t Date i ° ❑ Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- i(nn height. I ion of structures over 3{ss Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0`T1 OCCUP. GROUP I TYPE OF CONST. JPARCFLJ PD No ISSUE This permit is hereby issued under sions of ,the Butte County Code and/or work indicated abovetifor which /DIRECTOIR OF PUBLIC B `j/yf'.�y y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date d. / ?•e7 rtories Receipt NO. �/x �� Q WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i�,,.,(�'..�,:�:�Y,1'�r-'•-r,"nc...tr: t..,T�.,,,yr-,..r-r"•"'�"Zfi',...�y`T^'��'Yai�+rr��+lfrp ,:��. �•-•:H., 4R2 93dA;r�-� Iry "-� ��("}y'l'*",%�„;r ��M!^^�t'h•""�'iii�"1+Y'rY*'yl+��..-.r=.���' �i t .; Permit ��83�-84P,M Cloyd Briley Middlehoff, Oroville r � , � 4 f i t r ' 1 t A-� Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 i APPLICATION AND PERMIT " 17-`" ASSESSOR. PARCEL NUMBER ,:R ti r7 _ fir-- ZONING BUILDING PERMIT OWNER ` 0 raF r 1 lel ,r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S-MAII�LING aADURE55 CONTRAC101,'8'NAME •i P° Vy TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER _ n"^ UNKNOWNTotal Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee f $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS' r✓ Permit fee $ BUILDING ADDRESS 1 If r F 1-,7- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �. Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent ,., 5.00 1,,,, �►, Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [IDuplex ❑ Mobi lehome ❑ Other �h - (,, '' - I "SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK ❑ Remodel Utilities ❑ New❑ Addition ElInstallation❑ Other E] Describe work: `"��� -�'_� �. U 4 1 v-- Permit Fee $ -1 contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ACCLBL GS.CCUP.&) 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification .❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS. 2,50 ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR.20@/ Ex. Occu P.OUTLETS OR FIXTURES AL BAL@30Q Ex. DCCUp. OUTLETS FIXEDAPP(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1� 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 ,, oto 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 shal I be deemed revoked. Heating s� arm v � j b • �r v Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /^� I � 1 X ( /,�� `� r, r �� Date _77 – - C' �� r6i `-' - T Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is�equired 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. PARCEL PDQ yHD SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r By Dat 01 PERMIT EXPIRES `e �Dat�e-0 .= ' Receipt No. / — WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 mer, or need additional explanation, pl se contact this office immediately. // _ /I . Date_ Inspector '��!�.��^.7 -��' FP 5 N i tr OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNERPrEffMIT 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. �. 3-4t'• �� q�. -mercy _ -� Date Inspector ✓ s"'/� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov', 01 California 95965 - Telephone 916/534-4541 APPLICATION AND PENT PERM T NO ASSESSOR PARCELN BER 3Q _ �65 ZONING BUILDING PERMIT OWNER 1 I I L- T LEPHONE 3.2 —®ca SO. FT. OCC, BUILDING VALUATIJO ao� o -v OWNER'S MAI LI I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDS UNKNOWN Total Valuation $ n /y 00 Filing Fee $ 10.00 LENDER'S MAILING A 'DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINES 'S MAILING ADDRESS Permit fee $ BUILDINOG ,yDfy-REss e ,� AIDDLEA)FF t f I `� Y /"l it PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water.heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE —IEL19C SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobi le Home S G W 10.00e TYPE OF WORK New ❑ Addition Remode�l %� Utilities ❑ Inst Ilation Other ❑ De cribe work:L�C��" /0 4V1� NPI — nnn ''.. JJ / � �r�� �✓% _ew, �+ - l�L��%CT!� /� - ��r� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. No. Classification SCI 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 NON -RES o PL R BRANCH CICTITS. 2.50 ea NEw CONSTR POWER APPARATUS IN) NON-RESID. SINGLE OUTLET CIR. / Ex. Occu 20®$0` P1 ouTLETs OR FIXTURES 9AL®30 FIXED APLNS.License Ex. Occup. OUTLETS P(RESID )REAJ 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 ori 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. Not ce 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 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 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 liabilities, judgments, costs, and expenses which may in.any way accrue against said County in on ence o the granting of this permit. X Date Signature of App cant — Owner ❑ Cont. ctor ElAgent❑ An OSHA permit is required for excavations o er 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. PARCEL PD ND ISSUE This it is here issued under sio of a tte ounty Code and/or wo i to a ve fpr which CTOR OF PUBLIC By. j PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS a� � `7ri Receipt No. Iso WHITE-O.t'.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilte,�California 95965 - Telephone 916/534-4541 APPLICI-TIQNAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER I ZONING BUILDING PERMIT OWNER G TELEPHONE 532-06� SO. FT. OCC, BUILDING VAL ATION OWNER'S MDA1 ADDRESS 'e / CONTRACTOR'S NAME w efficx VV TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ V� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1 d -f) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee C /y �` $ Z/ 1 Y �• BUILDING ESS �•�' Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home 110.00e TYPE OF WORK New El Addition E:1 Remodel❑ Utilities Install/ataion❑ Other Describe ork: (✓!r!��� �il Ud�iC>� &i -600V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 100v OR LESS 100 AMP OR LESS 10.00 4Z Main service EA. ADD'L 100 AMP 2:50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLOGS. Z1hQSq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$$ 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) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET NON•RESID BRANCH CIRC TS. 2.50 ea NEW CONSTR NON•R ESID, ( SINGLE OUTLET CIR. POWER APPARATUS &). EX. OCCUp(OUTLETS OR FIXTURES SA ®30 FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. No ice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee I $ 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 liabilities, judgments, costs, and expenses which may in any way accrue against saiq County in copse ence of the granting of this permit. X Date 4-17 Signature of App 'cant — Owner❑ Contr cror❑Agent ❑ An OSHA permit is required for excavations ov 5'0" deep and demolition or construct -R ion of structures over 3 stories in height.'//ry�}Y' Mobile Home Installation Fee $ TOTAL PERMIT FEE $0'0 OCCUP, GROUP TYPE OF CONST, I PARCEL PD 1 HD 1 ISSUE issued under TWtheutte siunty Code and/or wNfor which fees OF PUBLIC BDa)p7 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ^/Receipt 11-17-,f No. �ljj li(J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. syv�_�i ASSESSOR PARCEL NU BER 16-1r7— S_ ZONING BUILDING PERMIT OWN R I Q B� TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING A RESS CONTRACTOR'S NAME txi tier TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ^ww VIl UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 0 L' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 S,01D LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent . 5.00 .Ob Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other !&I -Q L' eY SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ R model ❑ Utilities ❑ In tallation❑ Other ❑ Describe work: :08 l) ` Permit Fee $ 6 49-D Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. , 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.MULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC TS. NEW CONSTR POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. 20®50C Ex. Occup(o OR FIXTURES BAL®30 IXED A Ex. Occup. our OUTLETS PLNS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ftrl shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating ^ Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidCounty in cons que of the ranting of this permit. X Date o� ^ R lL Signature of Applica — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories//in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oe� OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR I (::� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS D. ate' 2 ,— Receipt No. �`► �� f� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT s - � .•}. ter;*. PERMIT NO. ASSES _PAR r- / L NUMBE ��_ ZONING BUILDING PERMIT ow I TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAPLING ADDRESS ONTRACTOR'S NAME Q..Y— TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $/' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ A' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILDING ADDRESS loq-q Aovi. C7 j2 V� PLUMBING- PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 0 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTU E SF ❑ Duplex❑ Mobilehome❑ other �f I ? °1. SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00+ TYPE Of WORK New ❑ Additio ' Remodel Utilities ❑ Installation Other ❑ Describe work: lJ --- +� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. / 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business2®s0a 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 CO ID R BRANCH C.IRCTITS. 2.50 ea NEW CONSTR.POWER APPARATUS &) NON.RESIO. (SINGLE OUTLET CIR. ) Ex. Occup(o FIXTURES\ SA0L®ao A POR FIXED LNS K Ex. Occup. OUTLETS (RESID IEA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. 1 shall not employ any person in any manner so as to become subject to the W., C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 liabilities, judgments, costs, and expenses which may in any way accrue against s id Coun y in consequepce of the granting of this permit. %� Date Signature of Ap licanr — Owner ElC nrracrar EJAgent❑ 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 FEEID U OCCUP. GROUP Ft Tr E CONST. N F PA CEL N 15s/E t� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9"F PUBLIC By PERIVT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .ti r ��, ���� Receipt No. p / ��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i j _ � �1 - �-�_ .J i + ' . �, � fi,��� _ ' Ii i � � ll ® - . t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT PERMIT NO. i /. ASSESSOR PARCEL NUMBER :� (r) - 1~7- ZONING BUILDING PERMIT OWNER 1,4 NQJ TELEPHONE' S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME nr�t��Y TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER / (� 1/1VI UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Rn � LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ J (l' BUILDING/ r)c, Li"tl@�i 1.1 JA �iTkwN \i ^ PLUMBING PERMIT FiIingFee 10.00 A? �\ Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 ,n(l LOT NO. SUBDIVISION NAME PARCEL MAP ' Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ff Duplex❑ Mobilehome❑ Other SPECIFY d i Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 9 n0'VV\T►V V G\to[' i -z -nn o e l f rc t)(+--'r,,,A tQVYca�+^r 1 rC�! ���'`I�Sc`Z !I`. \ n Y Permit Fee $ Contractor 11 1 ELECTRICAL PERMIT Filing Fee 10.00- 0.00 - Main Main service j00 AMP OR00V OR SLESS 10.00 ,^ t Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.&\ OR ADDNS, ( ACC, BLDGS. / 27/4sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q 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 NEWCONSTR ULTI.OUTLET 2,50 ea NO N•R ES, D BRANCH CIRC ITS POWER APPARATUS &) NEW CONISTR /SINGLE OUTLET CI NON•RESD. (R. / zo@soe Ex. Occup(ouTLErs OR FIXTURES BAL®30 Ex. OCCUp. OUTLETS PIRESID,)REA.) 2.00 21100 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 15.00 [_ti ,nry 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 - 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, and expenses which may in any way accrue against said County in consequence of the granting of this permit.. X�*`�*✓� �' Date I - % Signature of Applicant — Owner ❑X C'ontractor ❑ 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 $ ,U OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRE�CC-TOR OF PUBLIC WORKS B is , i;JA/it� Date y .� PERMIT EXPIRES Date Receipt No. '; � /C WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIMAND PERMIT PERWT y0� ASSESSO PARCEL NUMBE ZONING - BUILDING PERMIT Ow TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIVem INGA D 55 ok�(c C NTRACTOR• 14-ATAE CD p � 1 TELEPHONE _ r• CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR"ENGINEER all LICENSE NO. Plan Checking Fee $' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR s5 ,• •, fj 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 , Solar Water Heater 20.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent IL5.00 5.00 Gas piping system 1 - 5 outlets " 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: V r t — T�Main �-d v 1 ` .-+insy C l l `, O Y Permit Fee $ I ISD Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLIG OCCUP.&` OR ADDNS. N ACC. BLDGS. I / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am. licensed under provisions of Chapt. 9, Div. 3 of theBusiness 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 NON -RESIT R BRANCH TLETITS 2.50 ea NEw CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 6A 50 300 FIXEDAPPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 t� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r' Permit Fee $ Contractor IF 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. N ice tD 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ' 5 �- V IL �p¶ Date Signature of Applicant — Owner I01 ontroctor ❑ 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 PARCEL PD I HO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CT OF PUBLIC BY PERMIT EXPIRES D to / the applicable provi- resolutions to do fees have been paid. WORKS Date �'` Receipt No. 19 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT k, ) PERMIT NO. 4092-83B PERMIT EXPIRES OWNER CLOYD BRILEY CONTR. owner ASSESSOR PARCEL 30-17-65 LOCATION 1068 A Middlehoff Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. Sery ice Called PG&E Temp. Gas Service Ca IledPG&E JOB FINALED (Date) Signature=. •J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MIS CE4LXREOUS Date MOBILEHOME UTILITIES (Plans) OK except N'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; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams=Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./-/"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures �^ 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except k's 1. Setbacks -Easements 2. ,Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 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 -Regulator -Connector 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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures-Panelboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI . Date Card -BI Date Card -BI Date x r V = OK 0 = Not OK - = Not Applicable -RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements ine rrewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth JSe-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 2. Siding -Nailing -Veneer •6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab ucc - ip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 5 - lass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55 ShP^r t"'^rr "'ailing -Bolts 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 C I ate Card -BI Date Card -BI 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 57. Smoke Detector Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test &.Anchors -Nail Protection _ 16. D.W.V.: Test-Fttngs & Anchors-NailProtection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61yEiec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors,,, 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -B I' Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking'Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrr.it OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In rage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 7 Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled lec. 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 E] Yes Guard Rails & Deck Construction -Post Caps - _ 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - _ 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, _Insulated Neutral ❑Yes El No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0-No28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - -_ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _- 30. ClothesClosetLight-Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing ----------------- --- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date _ 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date -_ MECHANICAL (Pertr,it) OK except #'s 31.A_C. Ducts: Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. Vent Fan; Exhaust above Insulation _33. Condensate Drain _& Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI ----- - -------- -- -- -_ Date_- _ _ Card -BI Date Date Card -BI Date Card -BI Dat BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date!:�;*Plans) OK except p's Comments at Final: _ 6. Sillj oper Material & Anchors / �j, ails: Studs -Nailing, Spacing & Bracing -Plates -Sound aring Walls over Girders & Floor Nailing____ 38,-_-6_rjn-Ttop in Walls (rat proof) - _ 4 ops;'Furred Ceilings -Stairs -Chases -Tub 4 _ eader &_B_eam-Size &_Bearing _ --T 4 . angers- st Caps -Anchors -Connectors 43 - g. Joist-Rftr. Ties-Purlin-19o ac.-Truss-Sht `-Rfnp 44-.-F4rMM'dL-T-iC!`or Type A -Flue -Fireplace Throat _ 4Size &_ Romex Protection -Draft Stop -Ins. Baffles 46�raa=itlirfUIIws or Exiting Doors -Sill Hg_t. & Dimensions 47;--Qaragr-Fere-Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center O:ave, Orovi I le — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3d - r�y 1 S 4-1 t i -3 RF2 VNIzH PERMIT Ni 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. have any question pertaining to this matter, or need additional exp9pollon, please contact this office immediately. I'S - C.- Inspector"� t} ` 1 ✓/ (� �C.Date— /� C� COUNTY OF BUTTE ,r -DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 C/7 -t4 ECT - N I�OTICE �9-- $"i 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 questio •pertaining to this matter, or need #itional explanation, please contact/t 'I) office immediately. 1 Inspector/� Date—/2 • � OFFICE COPY Address I . d Gds -M er 8 - ELECTRIC Date —• Meter By _ 1 Daf I sr 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 - - ZONING- - BUILDING PERMIT OWNER +( I M TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS_t� o r n C ONTRACTOR'S NAME - ' '0t►iha TELEPHONE CONTRACTOR'S MAILING ADDRESS r ,-';• Fireplace CONSTRUCTION LENDER' ,-• C� ! X, �� p UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty •$ ARCHITECT OR ENGINEER'S MAILING ADDRESS - - �,. Permit fee $ BUILDING ADDRESS` PLUMBING PERMIT Filing Fee 110.00 Each Trap 2.00 ") n h "`"�°' �`"•`{' ? ~" 't` Solar Water Heater 20.00 j"" t� ;I;.ik�u��iR ��"' � i J Y?', Water l5iping 5.00 4 -At LOT NO'.3y,; �i`.fi SUBDIVISION NAME .,,y,�. r' I. A.;4 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 r` -USE OF STRUCTURE�- '. 3_�� t SF ❑ Duplex t Mobilehome ]t,,,Other Y .^29" rY.�IL i"S1ti 1.4w ', A+�.r"..-d'LY'.�w„ -ti-Sd .rte SPECIFY Building sewer 5.00 d► ,�,� Mobile Home S G W 10.00e '.TYPE OF WORK W' New LJ" Addition❑ ',yRemodel❑C.;Utilities❑ Installation❑ Other❑ Describev ork�°j' =� �� �, Q Wit^ h l I../�ta�Y\Qn. - rt,lonr A rr r ] t� Permit Fee $ at 1) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS .Z 10.00 ry - +- Main service EA. ADD'L 100 AMP 2.50 v v NEW CONST. DWELLING OCC UP.& OR ADDNS. ( ACC. BLDGS. 21/20sq ft - CONTRACTORS LICENSE -LAW ,R ! I declare under penalty of perjury (Check one): �t `i, ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y 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) F]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 ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. Occu BAL030 P�ourLETs OR FIXTURES 6AL®so FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 4/ nn Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring F15.00 fA: /V) T Permit Fee $ _Ty nrN Contractor t MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building -construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �1�/J Date ! 17 �.RR_ �4- Signature of Applicant__ Owne ,Z /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 $ TOTAL PERMIT FEE $% �>J OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD ISSUE under the aicable sols ofrthelButte Countyhrebued Code and/or esolu ionsPto do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS q� By n_ "` Dater PERMIT EXPIRES Date I Cr Receipt No. % C WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y. "r"Y .�. .-� � .. ... w,�� ar •r,dj-•••,.. �, �• ,a,� ,.....�..s -t* '+...7�, r r� -`..., -..+..-n r r-.� .- .,,. ,... .�. ,,�, .-.� � . 3fln s �.-® OFFICE COPY. Address pate 2 G AS Meter BY pate - E�EG'f FSG Meter BY U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , 7 County'Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT, NO. ASSESSOR PARCEL NUMBER 130-1,Y-0 0 ��.� ZONING BUILDING PERMIT OWNER U, TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Ib(JV� l W () CONTRACTOR'S NAME_ n la) in P Y, TELEPHONE• CONTRACTOR'S MAILING ADDRESS �,.•."'� Fireplace CONSTRUCTION LENDER . -S IC, �� w UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER J' N LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ J 11 \y BUILDING ADDRESS r S J�1 �/"1 \��A %ti ` '�i ' 1 �-f /` „ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL' MAP - _ Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex Q Mobi lehome ❑ Other SPECIFY / Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel[]', Utilities ❑ Installation ❑ Other ❑ Describe work: `_, �� G — t(� >a fa1^.t� f - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS !�q 10.00 /film ? Main service EA. ADD'L 100 AMP 2.50 NEW CONST" DWELLING OCCUP.& OR AODNS. ACC. SLOGS. 2th2Sgft CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ❑7� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended_ or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) - ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2.SOea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20@S0C P�oUTLETSOR FIXTURES Bwl@30Q FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 J-!� .1;1 D - Permit Fee $ _!3_A;, 1) 0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O I shall not employ any person in any manner so as to become subject i ",to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 4 �� Y�n�� f 7 �_ 1 (4 _ Date Signature of Applicant — Owner �r Contractor ElAgent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $S (�D OCCUP. GROUP I TYPE OF CONST, I PARCEL P11 1 HD 1 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. rDIRECTOR OF PUBLIC WORKS ('� ,,Cif \ `,(�/ By `-:. f1'I�i.�'1. "' F/V Date( 3_/-Py PERMIT EXPIRES Date V I •� % `t •S !o'ver Receipt No. 1_'' WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO./ ASSESSOR PARCELI UMB - 6 ZONING BUILDING PERMIT owNf.{i TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING CONTRACTOR'S NAMETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I- L4p cin PLUMBING PERMIT Filing Fee 10.00 Each Trap, 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP • Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF E]Duplex Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home Fs - -G W 10.00 e • TYPE OF WORK New ❑ Addition • Remodel Utilititi{es ❑ Installation El Other ❑ Describe work: G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service .10Ov OR LESS10010.00 1AMP OR LESS t �� Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044)Misc. ❑ 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 -CUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. / POWER APPARATUS &\ NON.RESID, (SINGLE OUTLET CIR. / Ex. Occu P�o OR FIXTURES zo�soc BAL®30 FIXED A FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities. 15.00 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. PkI 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 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County inconsequence of the granting of this permit. %�-- / Date. Signature of App cant — Owner ntractor ❑ 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 $ ,� OCcu P. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under -the sions of the Butte County Code and/or work indicated above for which fees IRE TOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. � A 12! WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 `• - APPLICAT40N AND PERMIT PE MIT N0. ASSESSOR PARCEL UMBER r �-- ZONING BUILDING PERMIT OWN 1 r, TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILIN A SS g -C 20 CONTR C . TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS . 1 1 d 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 C7 Solar Water Heater 20.00 Water piping 5.00 _67- LOT LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Tr-% V 1 (?_ x SPE IFY Building sewer ' 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition ❑ Remodel Q Utilities q Installation❑ Other ❑ Describe work: �1 °� S C C 0-- h v N �1 Y'C U 1� Permit Fee $ aa. Do Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.& OR ADDNS. % ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness 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 CONR. ULNON•RESID NILE BRACH CRCUITS 2.50 ea NEw CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCcu 20®50C P�oX OR FIXTURES 13AL®ao FIXEEDD APPLS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 r D Temporary'service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,00� Permit Fee $ lop 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. 16 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.,l 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. 1 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 �� �� ' 5 �J, Date Signature of Ap icant – Owner` Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of.structures 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL PO HD IesuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR%OFF PUBLIC PERMIT EXPIRES D to 'I� the applicable provi- resolutions to do fees have been paid. WORKS PIV f= PA_ iover Receipt No. / 6 9L I WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT40N AND PERMIT PERMIT�NO. ASSES P RCEL NUMB r `S ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER'S (LINGE_61�ESS 1 AZ/T CO A O 'S NA r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING D KESS 1 PLUMBING PERMIT9 Pilin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUFXVRE SF ❑ Duplex❑ Mobilehome❑ Other r% p� olo SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e i I I TYPE OF WORK New ❑ Addition ❑ Remodel ❑ lities ❑ Installation ❑ Other Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/22sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTF MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONST R. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup /oUTL 20@50C \ OR FIXTURES BAL®So A PP LNS FIXED A OR Ex. OCCUp. OUTLETS (RESI.D,) 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. Vi 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 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Appli nt — Owner ❑ Yontractor ❑ 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. PARCEL PEr HD IesuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE,TO ef PBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ` Receipt No. l tap_, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPANTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroville, CvLlifornia..95965 - Telephone 916/534-4541 APPLICATJDN AND PERMIT t : .r PERMIT NO. '31da ASS SOR PARCEL NUMBER ©_ 1%7_ _6S'— ZONING BUILDING PERMIT OWNSTELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILI G DDR SS S C3 CONTRACTOR'S AME '^ n� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ '' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ,.Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRES Al 10 PLUMBING PERMIT Filing Fee 1,Q40 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRU URE SF ❑ Duplex❑ Mobilehome❑ Other I t'Daapled ai'r SPECIFY Building sewer 5.00 Mobile Home I S FGJ W �-00 TYPE OF WORK New leAddition ❑ Rf9deiE1 Utilities Installat'onOt a Describe work: - h S t rxn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS 1 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS.1 220sgft 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 11 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 CON5TR.. U TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. EOccup(z0050c x. / P\OUTLETS OR FIXTURES eALmSo Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 onsequence of the granting of this permit. X_Date 1I —q —$3 Signature of Applicant — Owner Cont ctor ❑ Agent ❑ An OSHA permit is required for excvations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.o Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP �( I TYPE 01 CDN T. �, PA CEL ND 1ss E This permit is hereby issued under sions of the Butte County Code and/or k indicated abfor which worcaabove MDICTOR F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date — �� Receipt No. 0969 � WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,I' � � "- '�� .. �. . � Y, . t.� � `�•�' .'�. .Y.-rY . '�' .. .�y^!1+ Ir-+✓S.A `v-i't.Yr ti't..,j'�,"-�.�'h"r�j�r.y+.-''�..� Permit#3031-87 1 ' C, Briley. ' -1068 B Middlehoff, Oro 14 l s • 4 t � 1 1. S• s w� i f L I! ,1 ^ .i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT *� PERMIT NO. ASSESSOR PARCEL NUMBEl. ZONING BUILDING PERMIT OWNER^ 1 TELEPHONE -•, SO. FT. OCC. BUILDING VALUATION �'"1� OWNER'S M'AIL'ING ADDRESS CONTRACTOR'S NAME • 'k) w F V_ TELEPHONE' ' CONTRACTOR'S MAILING ADDRESS _ l Fireplace CONSTRUCTION LENDER ]UNKNOWN //. g11C' Total Valuation___F$ Filing Fee 10.00 LENDER'S MAILING ADDRESS t n Permit Fee $ ARCHITECT OR ENGINEER , I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee. -- ' $" - ARCHITECT OR ENGINEER'S MAILING, ADDRESS _ Penalty $ BUILDING ADDRESS/_nj ^J\) (/•/yj fir(/` ++r- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ) Yp ✓) �, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00ea 1' TYPE OF WORK New ❑ Additi f 4/ Remodel[:] Utilities ❑ Installation[] Other � Describe work: l/Vr f+ 1 1. � 1 Ki I gr{� l��JI �;�/yf - C`l" AIIISIIE-<� I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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.y) ,�2QsQft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI.OUTLET 2.50 ea NON-RESID .BRANCH CIRCUITS) POWER APPARATUS e1 SINGLE OUTLET CIR. / Ex. OCCup OUTLETS OR FIXTURES SAL@ 0 300 FIXED APPLNS, OR11 Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service {y '10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /, yce Permit Fee $ ZS•dL1 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. k MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation F 7 - permit Fee $ Contractor I certify that I have read this application and state that the above iriformation is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 01 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 liabilities, judgments, costs,•.and expenses which may in any way accrue against said County in consequence of the granting of this permit. +t.o�1 Date T X / _ 1����/ Signature of Applicant — Owner ❑ Contractor ❑ _Agent ❑ ` An OSHA permit is required for excav tions 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 ISCHOOLTFZFTRCELI PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. OF PUBLIC WORKS DIREZEWDate By �� ` `C/4 �� PERMIT EXPIRE S Date �/ /,/� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT f I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS *. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSE SOR PARCEL NUMBE r / •/ / ZONING A BUILDING PERMIT ow R/ Wel r' TL#LEPHONE SO. FT. OCC. BUILDING VALUATION OWNE 'S M IL AD RES r Ixo 11`1 LID !Is CON ACT/^IOpR'S NAME TELEPHO - CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total .Valuation $ Filing Fee $ 10,00 LEN 'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oro ✓ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Additigp❑emodel ❑ (�Jti lities ❑ Installation[] Other ! Describe work: C= u) f �J (d� f S — 41 T, 5 �f}, �T ��¢ el, W/.}�'Mbe, � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR01 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions 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.N\ , OR ADONIS. 1 ACC. BLDGS. / /20sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC S /POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occ Up(OUTLETS OR FIXTURES 5AL03 t wL00 FIXED APLNS-® Ex. OCCUp. OUTLETS P(RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring V g 15.00 S 0 Permit Fee ' $ Zs-ov 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 becomesubject 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. 1 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 permi - X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excav tions over 5'0" deep and demolition or construct- ion of structures over 3�st-ories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.TYP[ ISCHOOLIFIL0001PARCELI PD HD Is3uE This permit is hereby Issued under sions of the Butte County Code and/or work indi I above for which IRE C PU By PERMIT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. I ORKS Data 1911 Receipt No. =��d� � WHIT[-O.P.W., YELLOW-A389330M. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive.,'Uroville., CA 95965 Phone: 916-538-7541 J ' OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder',' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit, No building permit will'.be issued until this verification is received. 1. I personally plan to provide the.major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: .Name Address City Phone Contractors License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work•but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property'Owner Social Security Number " Date 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. c 4092-83 PERMIT NO. — PERMIT EXPIRES OWNER CLOYD L. BRILEY CONTR. Owner ASSESSOR PARCEL 30-17-65 LOCATION 1042 B Middlehoff Lane,. Oro F r f F I r _ r Temp.- Power.Pole Called PG&E 4 � Temp. Elec. Service l Called PG&E Temp. Gas Service Called PG&E ~ JOB FINALED (Date) Signature V. = • OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/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.-Con nec.-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 Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's - 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel-Connections-Thickhess-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 -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures- 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 -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIA1 (Single and Duplex) t` Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg: Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / ' /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings. -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 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 Card -BI Date Date FINAL (Plans) OK except N's �. 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date ` PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15.. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access' 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth 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 - v-'- ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. ElecReceptacles Spacing -Lights &Switches at Doors 22. Size Size Boxes & No. of Conductors -Stapled _ 70. Plb., Elec. & Mech. Equip. Listed for Location 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. 73. Insulation -Foam -Looked in Attic EJ Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size 7 / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes EJ No 75. Following instld.: Drive ❑ Yes E] No; Walks C] Yes E) No; Planters ❑Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. -77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light - 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --------------------- --- 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I --Date -----.-- Card -BI - •Date _- 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 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 _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --35..-Attic Access & Platform if Furnace in Attic Card -Bl Card -BI ---- -- - ---------- ---- --- Date -- _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Si IIs; Proper Material & Anchors - 37. 38. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) - 40. 41. 42. 43. 44. 45. 46. 47. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing -Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -_ Garage Fire Protection Framing - (NOTE: An entry must be made each time you visit jobsite) t16 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ./©�'9 F'"r OWNER PERMIT NO. !/ 4 jrg-_ k 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 �"".f/tf Date -;Z/- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONrAND PERMIT P RMIT NO. ASSE SOR PARCEL N6E ZONING °%-- (p BUILDING PERMIT OW R TELEPHONE r - SQ. FT. OCC. BUILDING VAL ON " QW 'S M fIG ADORES ,j{. r_ 9. 41 R TOR S NAME ow TEL 'CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESSM BUILDING ADORES 16 = Penalty $ Permit fee $ 0 tm PLUMBING.PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex X Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New❑ Additi ❑ Remodel❑ Utilitie 1:1Instal ation Other Describe work: S y� G ■ 1 r� t 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 ONTRACTORS LICENSE LAW I declare under pen(ry of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 OCCUPM , OR ADDNS. L ACC. BLDGS. / 2/20sq ft NEW CONST R. U TI -OUTLET NON-RESID BRANCH CIRC ITS. 2.50 ea NEW CONSTR. POWER APPARATUS &') NON-RESID, I SINGLE OUTLET CIR. Ex. Occu 20®50a p�ouTLETs OR FIXTURES BAL®30 FIXED APLNS.License Ex. OCCUp. OUTLETS PRESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE K I declare I nalty 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. r 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 Filing 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in consequence of the granting of this permit. 22 q X Date 2--Z/ — Signature of Applic t - Owner Cont actor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- bion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP M _ TYPE of ON ST. T -j ]L PAR EL HO ISS E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date �` 2 P�-" MIT EXPIRES Date 7<-z�'rp.S �ipt No. / � / /fE-D. P. W,. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT . • y Fwd 1 � 1 This set of plans and specifications MUST bt kept on the job at all times and it is unlawful to mak any changes or alterations on same with- out ri" t -n permission from the Department of Pub is �'V©rks, County of Butte. i.f -- � I { f I v - 2 3 Q O V11 4 - AO h INOM—All Materials & Workmanship Shall Be in Accordance with P.ocognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing 8. Mcchanical Codes and the National Electrical Code. - - BUILDING DEPARTMENT - - - - A.P.P 7n�G . NI yU.i ,�_. ,. C�»tR /SFE[.T/z" �Uc acwv. 2X51 d a SNIGing I 1N — - Top rail to be 36 in. highwith rnrrRY Top rail tq, e l6 iYl. high with intermediate rails to be o I inteatrned t 'i ails to be note over 9 in. apart. art. ov*'r 9 in. , al. ZA 3 r l yam. ---- - - — r• - 52 P- (0all 4 M73r,0 I - ,: vide adequate brad zwz. rovide adequa a 1. bracing. f i- �Q�� AR ANCNa� I r v a liv &dere'% o o b 1-01 . v U OuCcrirelLE7E 3'/a.� C.dNGREf� 2x�f 2w. ��cA� l�i2Dnl.T ELE1/AT/OM %yx2" 2gw�$ SIDE EL,. �l1lDS te4 t t F-AWIT NO. 345-80B,E PERMIT EXPIRES 124/81 OWNER, TOM McM nus a .CONTR. G & S Contracting LOCATION (A.P. - 30-17-65 Y 1040 Middlehoff Lane, unit #5 J y r� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 1,11/ 'Temp. Gas SeFv. Called GE 00e FI ALED (Date) (Signature) Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOhAEC10RD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Pipin Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing f7Sewer Service Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Tea Temp. Gas Final Sanitation FIREPLACE Final Footing ' E r-raiming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---------•-------- Elec_ Service Elec. Pedestal. Water Piping Sewer Gas Piping. MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) WAF J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviI1e,'Ca)ifornia 95965 y Tele,phonP: 5,34-4541 APPLICATION AND PERMIT v BUILDING Owner C SQ. FT. OCC. BUILDING VALUATION b� Mai I ing Address 10!/0 Telephone No. Contractor �,t}7-�.��� G Mailing Address �j`�j� 0120— Q AJLA_.4 LiO Fireplace Total Valuation 5 Q� d iZ.p Telephone No. &31_3 Permit Fee Building Address QG Q �Q� �`� Plan Checking Fee&/or Penalty Permit Fee y i✓ wen -/L. -t&,r —t&, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ' C�— (- (o ZAV& Planning Water piping 1.50 Each gas water heater or vent 1.50 Fi®,'-s I W. C. -Saartat+en Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 131 g. ans ec'd Parcel Approyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 11� Zim 1�YO6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP OESLS R ESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O Y / OR ADDNS. ACC. BLDGS 22 sq ft (Or 6v 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 st le of y NEW T RESID, ( 2.50ea BR NON ` BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS.6, NON RESID. ,SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. Occu // FIXED APPLNS. OR p•I OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g +� License No.:J J j% ;�� Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability Lfor;Ork en's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. EJI certify that in' the performance of the work for which this permit is issued 1 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 f r inspection purposes. / Signature of Permitee or gent Receipt No. 3q6 Zy White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ /If, a O $ ICZ MECHANICAL No. @ FEE PERMIT FILING FEE Heatina Cooling Venti Iation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 51 �- 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. RE TOR OF PUBLIC WORKS By D to yZ Building permit expires Date x... •"7 r'•("t�'ti,,.: f• .-f .,'I�� ''"`�M17:"'•r-•-r},-.,�-r-.•. —r"'""'.,.,..a..i1 f �} ���-•.-..rv.-.r,a•.+rte.>r"1-...-"'p„`-�.r:-rT�_��1: �F ,e,... �., 3 Permit#2972=83E Cloyd Briley ti 4' 1 • i' �9 1 �OFFICE COPY.` Address GAS ELECTRIC� Date Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or'oville, California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO./ ASSESSOR PARCEL NUMBER '3:b-i-7-6�_" ZONING BUILDING PERMIT OWNER/n.�J J y r' I reL4 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I CONTRA CT OR'S NAME S A H IP I P_r I Ir I C_ _ TELEPHONE -3,-/- ,PqA 3 CONTRACTOR'S MAILING'AODRESS -7 t (� P u t p1.. 1 t, Y T) rz; Fireplace CONSTRUCTION LENDER UNKNOWN- Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE PM �' No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ADDRES � I'� � � � (' /� BUILDING S (!D CES \` 1\ PLUMBING PERMIT Filing Fee 10.00 •/1//�, Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFZ' ' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New ❑ Addition 0`) Remodel [:]Utilities [:1Installation❑ Other Q� Describe work: t'� 0A –,1 VV%�� F' � — ,<>I � _ ` (^�'�� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 v Main service EA. ADO'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ACDNS. C ACC. BLDGS. 2,/z0sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Fil I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. e %� License No. �3 /� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS IN) NON -R ESID, X SINGLE OUTLET CIR. Ex. Occu / 20®50a P\o rs OR FIXTURES 3ALO 300 FIXED FIXED APPLES, OR EX. OCCUp. OUTLETS (RESIDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �f ��� 3 J. 5 X . A Date 1 Signature of Applicant — Owner ❑ Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 1550E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS CZ0 By. �_"'� Date PERMIT EXPIRES (IDate / �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT SOF PUBLIC WORKS 7 County Center Drive - Oroville, California.95965 -'Telephone 916/534-4541 APPLICATION AND -PERMIT PERMIT N0. ASSESSOF PARCEL NUMBER— Jj - (/� ZONING BUILDING PERMIT OWNER R 1-1 (21 6411 TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILIJG ADDRESS CONjj2AC AI�V�� OR•S AME - �T TELEPHONE r f CONTRACTOR'S MAIJLING ADDRESS Fireplace CONSTRUCTION LENDER UNKN�P� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty- $ ARCHITECT OR ENGINEER'S MA-ILING ADDRESS Permit fee $ BUILDING ADDRESS B — ' , /! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,- ,/ USE OF STRUCTURE SF �I Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ lities ❑ Installation ❑ Other ® Describe work: a T7) Ly , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,&` OR ADONS. ( ACC. BLDGS. 1 / 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi Cade a d /� my license is in full force and effect. % License No. -S % Classification C —/ 1/ry ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR., ULTI-OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS. NEW CONSTR. (POWER APPARATUS & NON . RES I D. (SINGLE OUTLET CIR. 20®60C Ex. Occup(o TS OR FIXTURES BAL®30 FIXED APPLNS. OR ED EX. OCCup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .� Misc. Wiring 15.00 j 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accrue uence of the granting of this permit. against said CountgoT) X �� � �°✓� 3�. �� Date t Signature of Applicant — Owner ❑ Contractor 44 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. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTOR -OF PUBLIC WORKS % By A Date PERMIT EXPIRES Pbate Receipt No. � WHITE-D.P.W.. 7ELLOW-ASSHSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT c,l.©s�, . ,%�2�.c %MOW PD,u PP-4rs7P,-. 0 - /-7 S E,:e t1l e -E BUTTE COUNTY DEPARTMEN -A AJBLIC. WORKS SPECIAL INSPECTION REPORT Owner: Addres Tenant: Building Location: . Type of Inspection requested: -� 1" Housing.' . 2. Financing •L( 3. Change of Occupancy to :. 0 Other (specify) ' Present use of building: A. Sanitation (Housing) 1. Water closet: -, 2. Lavatory: 3. Bathtub or shower: 4.: Kitchen sink:' 5. Hot and cold water to fixtures: 6. Heating' facilities:.. 7.Natural light and ventilation: 8. -Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior.�to sewage disposal: 12. Connection to water -,supply: .13. Rubbish and garbage facilities: 14. .Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3: Wall construction: .4. Ceiling and :roof construction: 5. Fireplaces:' 6. . Coimnents: C. Electrical. - 1.. Service and groundf ' 2. Receptac: es• 3. Fusing: 4. Co=ents D. Plumbing 1. FLYtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E: :Other, 1. Maintenance and repair: , 2.. Fire hazards::-. 3. Safety hazards: _ We`aV?er,protec.tioxi: 4' 5. Tjude.rfloor .and attic ventilation: i F.` Umm►ercial Buildings 1. Roof covering:- Distance to property lines: 3. Physically handicapped: ".4_. Restroom floors and walls: 5. Exits: . W ..ti�:._..Improvements: ..7. '"Zoning:' 8.'..., Comment G. ' MFieli Pro6l.eiis' or_Viclatior,s ' 1. ' Problem or :►iolati.on (give complete description) ,..T..,-.•...,.?.. What •action taken (give complete-.i.escripti.on) .3.., Wh it action fecommended: - 4 , %% A. ' lnfot ation only - fil .. ' B., Hold for te:i (10) days, then wri-L. latter. C. Write letter. t, 77 D. other: ' ` 7,3 C D PURE' REPO.RT FC -18 (1/80) r_ /7NMIMN I ACeTInAI SEC. TOWNSH RANGE 1 ACRES BURNE0 ❑S :3 ❑w RT O. DATE,- sXEAFt I COUNj� r �1440 r 4r.. MILES IRECTIO []FROM NATIONAL FOREST. FIRE' DIST , CITY d STREET NO.. 1 ACRES BURNE0 �,; , ETC. , TINCNT TYPE FALSE ALARM ., ❑ to GO TO 10 4A RESPONSIBILITY (Ar ORIGIN) t`4B IR T PROT, RESP.(•D.P,R•) . STATUTORY Ref- STATE ZONE RESPONSIBILITY O❑ WILDLAND BURNED OR THREATENED ©❑ SCHEDULE A D.P.R. ❑ , STATE 0 ❑ UNPROTECTED _ y .t ; []DISTRICT O� OTHER AGENCY D.P.R. CITY ; OCAL ZONE . ❑COUNTY 0 SCHEDULE_A D.P.R. ❑U.SFS. O❑ OTHER AGENCY D.P.R. (Unlncorp) • ❑ B.L.M. FEDERAL ZONE "' -`.` ❑ B-LA- t0- ❑ FEDERAL(except Military) D.P.R. ❑ N.P.S. 08 ❑ SCHEDULE A D.P.R. ❑ OTHER FEDERAL 40 MISC./OTHERCZONE•i r ❑ OTHER 5 CAUSE(STARTS.IN, 1O 2 a OR 8 ONLY) Oldnot start 1 2 t) 0r a ❑ SMOKING _,❑ EOUIPMENT Q LIGHTNING : ❑ DEBRIS` '; ❑ P Y W/FIRE • ` [] CAMPFIRE , ` ❑ ARSON OTHER/MISC. +` D_USE(_STARTS IN ,OV VOR BOONLY) ✓ L J Did not start In i >) orl VOMESTIC Vp a ❑ RANCH -FARM ❑ DUMP ❑ ROAD [7 UTILITY. RAILROAD ❑ UTILITY. ELECTRIC 'DAMAGE (0. a OR< Lob", DAMAGE IN Number 1 2 OOR 8O %bh/D01wlg ❑ FOREST INDUSTRY [:]RECREATION ❑OTHER INDUSTRY- COMRCL. ❑WILDLAND ❑NON-WILDLAND ❑OTHER ONL d/or TIMBER d/OR YOUNG GROWTH <'•E<r?:<`: ?'E 1 ACRES BURNE0 �,; , WILDLAND VEGETATION (Other than Td Y0) F_ FEET WEATHER (ESTIMATE AT SCENE)" AGRICULTURAL PROD (Other then Td YG) B.L.M. • WIND DWELLINGS d/OR CONTENTS 2. f.TEMPERATURE, W.P.R.S. Aj3 OTHER STRUCTURES d/OR_CONTENTS` :?fs;;:;;?;yp OTHER 1 TOTAL VEHICLES d CONTENTS r OTHER _ -TOTALJ.......:::....< s n 1gnnI 1r FiL. • VEGETATION FIRE ❑ OTHER. GO TO 10 OISTANC - -- . E (Griot" to ho■ai- 1 ACRES BURNE0 �,; , ACRES F_ FEET WEATHER (ESTIMATE AT SCENE)" , +. B.L.M. • WIND DIRECTION FROM , f.TEMPERATURE, W.P.R.S. Ex -GOR) OTHER FED. OTHER 1 TOTAL ❑ OTHER. GO TO 10 OISTANC - -- . E (Griot" to ho■ai- �,; , ACRES FEET WEATHER (ESTIMATE AT SCENE)" .�+ -" ' `'► WIND DIRECTION FROM , f.TEMPERATURE, M.P.H. t' I r, of OVER PLEASE P Cl)F 7640130-011 n P00% ORDER Nl1MRER tJ REQ. R.U. INCIDENT NO. YEAR FIRE,RECORD OUTSIDE 1 22 FIRE STARTED Enter 1ST. CDF INSIDE 100C FIRE DISCOVERED a I=IYA �Imxw_mrm 00 TO 12 PIRST REPORT - ORGAN— IZATION MAN HRS. 7y SITE NAME: SECOND REPORT MAN HRS. AIRCRAFT FLT. HRS. A SITE NAME: FIRE CONTAINED S 3 r'1CREW/0VFRHFen QFnnan,,,., s a nnoRC9) -=---- -----....- - - BCHEDULE A. S. OR Co CREW NAME, AND OTHER AGENCY TOTALS - ORGAN— IZATION MAN HRS. --- AIRCRAFT FLT. HRS. - SCHEDULE A, B. OR C. CREW NAME, AND OTHER AGENCY TOTALS ORGAN— IZATION MAN HRS. AIRCRAFT FLT. HRS. 18T. 11Y CDFDF I VOL G P& CDF OVERHEAD (Schedule A. S. d C) U.S.F.S. (Incl Overhead) OTHER FEDERAL Uncl. Overhead) FIRE DIST. d OTHER LOCAL PAID HOURLY W.F.) VOLUNTEERS (Unpaid) FC- 1811 (Additional crew activity) ATTACHED REPORT BY: r &rONE SECTION FOUR SECTIONSATTACHED A yy FAAIr 8 m MARA`. s Y. i Gzy 0® I*t �� • 1. Tt`�' ." a, ^, ,-�^.--.st'+-.---.. _ .. " " . � - oar.. "M-. r r " Ya.. rr� •..r . :. , ., r .. ...- �.�.n.'� r((l''�r. =,i..r'rYrr� `4+» ,. COUNTY OF BUTTE -. DEPARTMNT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, CAiforN 5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A SSOR PARCEL U R 7OR PARCEL(� — ZONING BUILDING PERMIT R v 0 1 TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER-' AIL . G D[y, R E SS � (/' `� y.r• ///J�j �//%/ CON R IT 'S NAME �� {�/'� /TELEPHONE CONTRACT R'S MAILIP44 ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. 1 Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS lq Penalty $ BUILDING ADDRESS 1 j Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other1[t] Describe work: r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ?. If Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dela e under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. License No. C:L Classification s n,yi!) ❑ 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 OR ADONS. ACC. BLOGS. / , OCCUP,a` �20sgft NEW CONSTR U TI.OUTLET 2.50 ea N- . ONRESIO BRANCH CIRCUITS) POWER APPARATUS tr (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 venffamn i A permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 liabilities, judgments, costs, and expenses which may in.any way accrue against said;County in consequenncce of the granting of this permit. r Date j " �e7 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 $ TOTAL PERMIT FEE $ occu CON3T,TYPfJ ISCNOOLI FLOODJ / PARCEL PD I ND This permit is hereby issued under the applicable provi- sions-of the Butte County'Code and/or resolutions to do work indicated. above for which fees have been paid. DIRECTOR • F PUBLIC WORKS By _ D(/at PERMIT EXPIRES bate '"'�/a Receipt No t WNITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR.IaOLDENROO-APPLICANT rc. Ste„ 0-17-65 863-89M BRILEY, Cloyd 1068 B Mi-ddlehoff; Oroville Contr: Mountain 'Air (replace furnace)SF FINALED: COUNTY OF BUTTE - DARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville al.ifoNia 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N A-SSF5SOR PA CEL U514 ZONING BUILDING PERMIT R TELEPHONE SQ. FT. OCC. BUILDING VAL06ftION O N R' I G A RE S NCT 'SNA TELEPHONE CONTRACT R'S MAILLI DDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � 4Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Al 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS G W 10..-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other o Describe work: A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de tare under penalty of perjury (check one): ' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Code and m license is in full force and effect. � License No. ` Classification _0 `2 F] 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) ❑ 1,a (Seo. owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` , OR ADDNS. ACC. BLDGS. / /20sgft NEW CES'.. C. CTIRET 2.50 ea NON.RESID .BRA CH CIRC ITS /POWER APPARATUS h (SINGLE OUTLET CIR. 0@50t EX. QCCUp�OUTLETs OR FIXTURES .AL930 eAL93O Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 V'9riTT1 ftn If TA,�n Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilitie , judgments, costs, and expenses which may in any way accrue against sai ounty in consequence of the ranting of this permit. ^ Date - r ature of/Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an� demolition or construct- ion of structures over 3 stories in height.All Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! ISCHOOLIFL,00.1P.11C.] PD ND 159U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC -A Y P MIT EXPIRES ale the applicable provi- resolutions to do fees have been aid. P WORKS — Receipt No WHIT!-D.P.W.. YELLOW -Ase Ee SOR. PINK-INSP ECTOR, GOLDENROD -APPLICANT A. Y MQUNTAIN AIR '"moating & Air Conditioning 30 � /7,�"'3, TO01-112LI�U'lf- V- nR CURRENT OCCUPANT! THISIRS 29 Td INFORM YOU THAT THE FURNACE S THBR , t�LINGe h�HIOR WAR IWALUD DY MOUNTAINA tr I�A�k` RRRN INSPRCTSD $Y THE gUILDINa (916) 671-6625 P'LgARt�b At�TNg �J C.( RHI%%il i''m92PR0T09 r TO 1W A DATE AND TIMB;Ytt HIR iN8�gi1TtON. YOUR PNUMBER IB , IT Y O�i!RIOPOND, AFT99 RE091PT of CHIS NOTICE, mid 8 Q WPIC Tod MAY HAVE N&F TURN YOUR aAS oEE. Rd PLIABNOT DELA WE AitR RY .SCR ANY 1900KYHRIENC9 SPHIg MAY CAUSE, RRSPBCT�'ULtiY, MObN'�AY�t..AtR 3340 Industdat brive South - Yuba City, CA 95993 - Lic. 377199 NO. 346-80B 'R E M PERMIT EXPIRES 1/24/81 .- l OWNER TOMMCMANUS " CONTR. G & S Contracting .''LOCATION (A.P. 30-17 65 ) 1040 Middlehoff Lane,, unit #k4 Temp. Power Pole X-eAed PG&E emp. Iec. Serv. ailed PG&E Temp. Gas Serv. on Called PG 4 FINALED�_/ (Date) 0 .. Y (Signature) r. � r i 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) -PLUMBING . Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII SidingTo out IL Slab Roof Sheathing Water Piping Piers 'Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I 1 Insulation Heaters Slab Prov. for physically Appliances Carport handica ed - a Po Conformance of ex. Gas Piping &Test Footings structure - Temp. Gas Slab Final Sanitation Patio FIREPLAC Final `? - Footings Footin ELECTRICAL Masonry Walls Throat Rough -_T d Reinf. Steel Final Fixtures Bond Beam FIRE SeRINKLERS Motors Framing -- V10 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp.42ei e- Flnlsh Ducts Underground Interior Lath_ Ventilation Permanent Door Closer Final Final '7 - - 11 MOBILEHOMEUTILITIES -----"------------ Elec. Service Elec. Pedestal . Water Piping Sewer Gas Piping • OBILEHQMEINSTALLATION-------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE - - o D 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 Drive — Oroville, California 95965 Telephone: 534-4541 y J/� • APPLICATION AND PERMIT ' BUILDING Owner YVt�NL�.�J S0. FT. OCC. BUILDING VALUATI Mailing Address 1 "U 0 O Ll; ORIF b4lot3 013Z) Telephone No. Contractor Mailing Address 5 -Sp 090 --per PAX D. Fireplace Total Valuation U O!J ' Telephone No. Permit Fee Building Address, 1 040 atep&eAxec L,4e, Plan Checking Fee &/or Penalty Permit Fee 4, 6 wu s7 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ?,G -C) Each Trap 1.50 G' 20 Repair drainage or vent piping 1.50 A. P. No.©� 1 — (�, �] 1 Doing & Planning Water piping 1.50 Each gas water heater or vent 2190 -),00 F W.C. -6enitatFom Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 7,80 0 d EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsEach additional outlet .30 Building sewer 5.00 13189. F oons F%Td Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES [:]—OTHER Permit Fee $ k7efd; V, hsKw A a4mar 6 a CrCA r -e A)'.r a ELECTRICAL No. @ FEE I� _5r.�_, ILO+ PERMIT FILING FEE $3.00 6,.00 i Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER sOOV 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r C ACCDWELBLDGS.LING 0C UP. N) 20 sq ft / ,Q0 / 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 st le of y NEW RESID,CONSTBRANCHMULTI-OCIRCUITS) NON.RESI D. � BRANCH CIRCUITS 2.50ea NEW CONSTR. /POWER APPARATUS a NON -RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES) 5B L� EX. OCCU // FIXED APPLNS. OR P• (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.:9 3//, Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 19,66 $ 4Q WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 15.®® Heating �, -Td—(–J , a 0 666 x,,, Cooling C06Wx, ezi 7j, erp Ventilation Hood 2.00 Permit Fee $ 0-00 $ Q OG 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 Land Development Fee $ TOTAL PERMIT FEE $ dG authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,S JdA Date U Signature o(ffPee�rmitee �r Agent Receipt No. ` "�`Y1/", White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D EC OR OF PUBLIC WORKS v / � By Dat c Building permit expires Date 2' I 1 I t COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC.WORKS' 7.County Center Drive = Oroville, California 95965 - Telephone 916/534-4541 AP.PLIRATIQN AND PERMIT _PERMIT NO. ASSESSOR PARCEL UMBER ZONING A-- "2-1 I BUILDING PERMIT OWN R TELEPHONE S0. FT. OCC. BUILDING VALUATION OWN/ERR"S AI ING ADDRESS CONTRACTOR'S NAME, "' t11 war TELEPHONE CONTRACTOR'S MAILING -A DRESS - CONSTRUCTION LENDER J UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ., BUILDING eAQ(4 � f ` PN Permit fee $ PLUMBING PERMIT Filing Fee X00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME [PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets 4" USE OF STRUCTURE SF ®/ Duplex❑ Mob ilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel r❑ Utilities ❑ Installation❑ Other Describe work: ��.�-� 1 f a � l} r V,\ -4C e _ Permit Fee $ / Ino Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. // 2¢Sq ft • CONTRACTORS LICENSE LAW declare under penalty Of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S 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 CON5TR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR / POWER APPARATUS &\ NON RES (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES BAL@C AL@10t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 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. 1 shall not employ any person in any manner so as to become subject I' 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 lt(!00 Heating _.M -I& 7 0 1 0 Cooling Hood 2.00 Ventilation 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. X n � - f>� -Age—.— Date �� - i' - C'D Signature of Applicant — pOWner� Contactor 11Agent ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS //ll BY Date )0-6-96 V PERMIT EXPIRES Date"��� Receipt No. u -A. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 41�j1/ r(PD APPLICATION AND _ , ERMIT v w c� ASSESSOR PARCEL UMBER TING BUILDING, PERMIT OWN rII ELEPHONE SQ. FT. OCC. BUILDING VALUATION NER' I IN G AD RESS 1 1 Ucisis i CONTRACTOR'S NAMOTELEPHONE CONTRACTOR'S MAILING DRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUILDIN ADDR ss PLUMBING PERMIT Filing Fee �f4j00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets / USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ R odel j Utilities In Ilation ❑ Other Describe work: � j �/ 1A rVh _ Permit Fee $ / Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR ULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS 9 NON.RESI D. (SINGLE OUTLET CIR. Ex. Occu 5AN1 P(O TB OR FIXTURES BAL@10S (FIXED FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service. 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 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 Filing Fee 00 Heating 0 Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unty i consequence of the granting of this permit. ^� X Date 0-1 J � Signature of Applic t – Owner X Cant octan ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR ion of structures ove�sr,�3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE- $ occuP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above. for which TOR F PUBLIC By PERMIT EXPIRES DatV. /// the applicable provi- resolutions to do fees have been paid. WORKS �^6 Date -3 r Receipt No.6,,�� `7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT d � COUNTY.OF BUTTE - Department of Public Works 7 County Center Drive,,9rov A le, 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not)signed.,an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address ' City Phone Contractors License No. 4. I plan to provide portions of this w , but I have hired the following person to coordinate, supervise nd provide the major work: Name Address Phone Contractors License.No. C ity. 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 i Social Security numbe .Date 1 Ute« - C.r� 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. 1 � PERMIT NUMBER _ B 1092-73B P ss. E 1 i PERMIT EXPIRES OWNER _Henry W. Sirjesse CONTR:. Acro-Ltmie .- R. W. Shifflet, Oroville LOCATION (A.P, 30-17-65 1040 Middlehoff Ln., Oroville I • COUNTY OF BUTTE Department of Public Works BUILDING INSP,�ECTIOR RECORD Zoning _ Setback Forms Foundation _ '!� i7' '1 Piers & Girders - Fireplace Rgh. Plumbing Bond Beam Lath taster Rein. Steel Gas Piping .& Test Found. Veikis Framing n Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Final 2'`7 Temporary Final Cert. of Occup. _ Final V DATE (REMARKS -OR CORRECTIONS COUNTY OF BUTTE — C9EPAR`fMENT OF PUBLIC WOR 7 County Center Drive .— °OroviIIe, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT PUUIVIILG ICPICJe11tOtIVeb ui uIe wunty U1 nude to enter upon ine above-mentioned property -for inspection urposes. c X OFDate (—/O r 73 ignoture of Per ee or Agent Receipt No. ! ::�, Z S 7 2 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT? IRECT R OF PUBLIC WORKS BY Date Building Permit Expires Date BUILDING Owner /�-� SQ. FT. OCC. BUILDING VALUATION Mailing Address A k Ego /„yam AI VE , Fireplace Contractor C, o 14,c —/F!rxc7-. Total Valuation t Mailing Address?1 r_ %(�'%� /.3- a' Permit Fee P I an Checki ng Fee &/or Penalty )i_tz �3 o y- Permit Fee $ $ Building Address(5 �v �� s G PLUMBING No. @ FEE PERMIT FILING FEE $2.00 J— 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. (9— 17— 0-06f —n lJ Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sa itation�y— I Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION OTHER ❑ Permit Fee $ $ LAJ M'/ A16 �G` ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7-/ N i90 dNei ,e7 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12)• USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 2 Receps., switches & fix outlets 25 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: �C°�® �� 14� ' Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. R2!ClassificationS.u� L��J ❑ 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. 471 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify ,that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT _ FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ I certify that I have read this application and state that the above Y pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby $tate Fee For Strpng Motion $0.07/$1000 Evaluation Inst rum rogram $ TOTAL PERMIT FEE $ PUUIVIILG ICPICJe11tOtIVeb ui uIe wunty U1 nude to enter upon ine above-mentioned property -for inspection urposes. c X OFDate (—/O r 73 ignoture of Per ee or Agent Receipt No. ! ::�, Z S 7 2 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT? IRECT R OF PUBLIC WORKS BY Date Building Permit Expires Date PERMIT N0. 2946-80B,P ,E ,M • ., P PERMIT EXPIRES WNER Cloyd L. Briley owner CONTR. 30-17-65 LOCATION (A.P. ) 1040-A Middlehoff Lane, Oroville `Y r _ 1 u� • i . Temp. Power Pole Called PG&E Al Temp. Elea Serv. Called PG&E i Temp. Gas Serv. Called PG&E' 1 1 JOB FI L ti i (Date) • r (Signature 6 i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION�RECORD . BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping _ Forms Parapets 1st Floor ` Main Bldg. Restroom Finish 2nd Floor Footings -- Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. CIA Stemwa l l A Insulation Heaters Slab Prov. for ph sically A liancen Carport handica e.1 Conformance of ex. Gas Piping & Test Footin s s e Temp. Gas Slab Ina Sa •on Patio T _4_4 LACE nal Footings' Footing ElfECYRIOAL Masonry Walls v Throat Rough % ? -r• Reinf. Steel. , "� Final Fixtures J ' Bond Beam " FIRE SPRINKLERS Motors - ----------- Framing Test Water Htr. Stucco Final A Subpanels ~` Mesh -. M CHA IC Grd. Fault Prot. Scratch Heating Service -" Brown Cooling Temp. Pole v Finish t. - Ducts Under round Interior Lath tion nent 4 -� A Door Closer ' final inal' MOBILEHOME UTILITIES - - - - - - - - - - - - - - - Service Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping .' DATE REMARKS OR CORRECTIONS Alrv-� � 6-hL (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County' Center Drive, Orovi I le — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROP ERT Y'AbDRESS 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. r Inspector Date � ,7/ v P 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 Ci` 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, 9r need additional explanation, please contact this office immediately. t JV d - i �'�i.i� 4A� %�� /rte r''G.� 1 ./rT. ,/-' ✓'r� 1'., Jr/' ^"i..-+��' .• L y 10 • F .e! i s !�"%•- � !'.•r,w 9i,:t /' �' ��'i :',.,r�e.i:!�;«/w�ts%: � . ,t.�c.✓� � � � �-�-'! /ice-. ;f 1:�7 • Inspector �,-`%r�/-. ��=-r �.----''Date_ i f / � z• 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 NOTI[Cf E T--/ "�j- .,,,fo J/ BUILDING OR PROPERTY AD ESS / 0 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 ./y^Jcontact this office immediately. ti r%61-4-71 rt -e o ,Inspector r �( �``�✓ W/ Date \f RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE W„�T, i� CU REST E RGY CONSERVATION ION REGULAT IONS BU ILD ING PERMIT NO 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 14 A Walls /V R Ceiling/Roof P, — A y Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Ansulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED 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 �. ��'�� i C o f S e ✓i Signature of (please print) Insulation Applicator State Contractors //** License No.. 1.,., General Contractor/Owner Name W Y b L. , 0 : ( kr (pleaseprint) Signature of General Contractor/owner-c4"1/Date 5-- 7 �6 State Cntractors 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. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO ^ 7 C9 ty Center ;rive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES /O OR PARCEL r13_ER iV —/7` ZONING BUILDING PERMIT 2410 n> L , BRILCC T sg S0. FT. OCC. BUILDIN2 VALUATION S S O OVj1�l e),EFJ'MAI INDG ADDR-03 ^_ L S� 117-03, ///w•y CONTRACTOR'S NAME W TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING AIODRESS Permit Fee $ too ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $. Penalty $ ARCHITECT OR ET1IGIrrEE 'S M LING -ADDRESS /DEQ-/ Permit fee $ 3 z o © BUI i G ADDRESS LeA4/T-F PLUMBING PERMIT Filing Fee 3.90 Each Trap 2.00 � 06 Repair drainage or vent piping 2.00 Water piping :2 .00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 , 00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ,_ SF lam' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer L awn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Imes [4 Installation ❑ Other Describework: 1n/S_14L-L /`-.S ^.S/fj� —� Permit Fee $/ j , C70 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service e00 100 v OR LESS AMP OR LESS 5•00 (�.([ - J �1�-- �[ (//A✓/ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC OR ADONS.. ( ACC. BLDGS. 20Sq ft ,�o CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification , as the owner, or my employees with wages as their sole compen- K1ation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. _ Ex. Occu 50@� OR FIXTURES BAL@10¢ P(OIXED A FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring j 6.25 Permit Fee $ t Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. 1 shall not employ any person in any manner so as to become subject P1�' oto 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 3.00 Heating 749.10,00 00 W A LL_ Cooling Hood 2.00 Ventilation permit Fee $ , pp 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq nce of the granting of this permit. ,_9•�� X Date Signature of Appl' nt — Owner ❑ Cont actor ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ `7 . (pQ ocCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O BLIC ,. q BY 4 PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date 16 fyZL139Z Receipt No. 5705-6, WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ri•+!.+.r..b.rq �.+�•�+`r 1...-V.M.-...r+'..:�..'r'.rt'�'".`""-1h'�-...r...•.w��-...��v.+.--..�,.;ti+... `'. 1 � v I V I I. . . �. 1C COUNTY,,OF BUTTE — DEPARTMENT OF4PUBLIC WORKS — BUILDING DIVISION •_"° 7 CountA6e—nter Drive — 0roville, California 95965 — Telephon,e ~534-4541 ' PERMIT APPLICATION DATA SHEET /% / -`Permit No. OWNER (—'r ,-' Yb � A.P. No. Proposed -Building�llse---) rL Permit fee based upon -.*Complete Contract Price DPW Valuation ther(( n) ' Building Inspector • ` Date /I time of permit application, I was advised the following data must be su Issuance: 1. y 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. x.12. L�K--13. 14 itted prior to permit processing and, DATE RECEIVED , APPROVED All items have been submitted.................................................................... Plot plans in duplicate/triplicate............................................................... Complete plans in duplicate/triplicate................................................... Complete engineered plans and calcs..................................................... Plans with Energy Design Compliance Statement ............................ State Energy Forms No. .................... Statement of Intent for Non -Heated & AC Buildings ................... Feesof $.................................................. Letter of signature authorization............................................................ Sanitation approval from Health Dept.... Planning approval for ............. G e a ifiof Work '//e- Compensation Insurance •Gentractor'L`icense Information (no., name style, classification) .................. :............ Improvements may be required. Contact Land Development Section of Dept. Public Works (see address below)...............:.................)i� ..p..................ed..............i5ec.. 1 Pre -inspection for�Gy/�� F—OgUlred. Pre•inspec. request to U Other % bldg. -inspector hen you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone an@ho dIfor pickup a�� office. Deliver w/inspection. Other Applicant 0 o j 'e-J'Ai Date U — Copy of plans sent Health Dept., Fire Dept., Other Dater 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 Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW .I 0 i v 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. I personally plan to provide the major labor and materials for construction of the proposed roperty improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction• Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name�- Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to_provide the work indicated: Name ' , � r Address Phone ' Type of Work Signed: Property Owner Social Security number — Date 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. ' � � COUNTY DEPARTMENT PsRmnm0 ' - . ,*» ' � County Canm,Drive 'Omvi||o. California 95965 -,Telephone 916/534.-4541 APPLICATION — 47 BUILDING PERMIT SQ. FT. OCC. BUILDIN�3 VALUATION OWNER'S MAIL.ING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEN DER IL4& -4 K N C; V�N LENDER' — AILING D _SS Fireplace Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER LICF_N5E NO. ARCFIITL:.C' OR E INEE 'S MAILING ADDRESS Plan Checking Fee $ Penalty $ Permit fee $ Ic L/04�,,, IDDLE 14e) —F PLUMBING PERMIT gig Ile– 'APE #//to ILI) Repair drainage or vent piping 2.00 Water piping LO SU13OIVIStN NAME ARCEL MAR Each qas water heater or vent 2.00 Gas piping �ystem 1 -- 5 outlets SE OF STRUCTURE `F LIJ i OX CJ M 'il -1 Othe Bui ng sewer Lawn sprinkler system 200 CONTRACTORS LICENSE LAW I deciare Linder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prolessions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees wittl wages as their sole compen- 1�2�saiion, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F] I, as tile owner, am exclusively contracting with licensed contract - I am exempt under Sec. Business and Professic for this reason ELEC'rRICAL PERMIT FilingFee 3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADO -L 100 AMP 2.50 NEW CONST OWELL!NG O,ST-t) 20 sq ft NEVI_CONSTR ( MULT 1 -0 -UT LET 2.50 ea NON RESID. BRANCH CIRC UITS) N F W_C 0 NIST R. ( POWER APPAR ATUS a NON RES D. OUTLFT 6R. _ _SINGLE �x. Occup( OUTLETS OR FIXTURES 1 13 At 0 101. Ex. OUTLETS(R ESI 0.) EA.) 2.00 OCCUp.(F:XED APPLNS. 0 R Temporary service 10.00 Mobrile Home Facilities 15-00 Misc. Wiring 6.25 $ Contractor MECHANICAL PERMIT Fi ling Fee 3 000 WORkMEN'S COMPENSATION INSURANCE I declarp 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 0 f Consent to Self -insure. 1 shall not employ any person in any manner so as to become Subject to the W. C. laws of California. Notice lo Appl:Icantt: It after making this statement, should you become subject to the W. C. provi-sions of the Labor Code, you must forthwith comply with Such provisions or this permit shall be deemed revoked. Heating 7- 01- 0- 1 Q A) A) Cooling Flood 2.00 Ventilation Perniit ;::ea I — C�ntractor 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 crjnS1r'LJCti0n, and hereby aLithOrize representatives of the Cuufttyul Butte to enter upon the above-inentioned property for inspection purposes. I also agree to save, inderrinify and keep harmless tile COLInty of Butte against all liabilities, judg,nents, co�ts, and expenses 'which may in any way accrue against said County in co9seqyance of the granting of this permit. X__ D a I e Signature a f A., , I ij.', 'nt' — 0 w n v r C a n t tor E] Agent An OSFIA permit is required for excavations over 5'0" deep and demolition or construct- ion of structur�.s over 3 stories in heigh !z Mobile Honne Install3tion Fee $ Land Developmert'Fee $ TOTAL PERMIT FEE OCCUP. GROUP IYPE: OF CONST. I Pu I'D '55 Iss E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ece COUNTY OF BUTTE - DEPA' iTMENT OF` PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,• � Imv- • ASSESSOR'ARCE N BER ' Q – E 9 ZONING 14 BUILDING ERM OWN R �dyZ) Z. 801-e T LE PHONE sA SO. FT. OCC. BUkL.QiKG VALUATION OVJy�O , 13 NG AD2 o 3 &L -61S,4/ 3 -,7,CjOONN.T ACTOR'S NAME ! � aL � �Ve . TELEPHONE CO%RSM-ING ADDRESS 70Q 91 VC9tA/P. ®IWo . CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL r�G,goAR�E /l,1 (��/C�. + U'�(� rf' PLUMBING PERMIT Filing Fee 3.00 ! 11.9E 13��+,A s/�' `ry N v Each Trap 2.00 Repair drainage or vent piping 2.00 4%e_4D Water piping LOT NO. SUBDIVISION NAME • PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE —f D/uplex❑ Mobilehome❑ Other SF � SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel Utilities Installation❑ Other. Describe work: DIV 4-4-- A4 /4► — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Z�l6r�v Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST ( ACCLBLLING GS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 X-17 for sale. (Sec. 7044) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR.MULTI-OU TLET NON .RESID. BRANCH CIRC', TS2.50 ea NEW NON CONSTR. POWER APPARATUS & -RESID. (SINGLE OUTLET CIR. . ExOccup(OUTLETS OR FIXTURES e and (FIXED APP LNS, OR Ex. Occup.OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 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. 1 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 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 .00 Heating 1 Opp , U v DU/}L PA -K Cooling ~LT .00 Hood 2.00 Ventilation Permit Fee $ Ile V 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X LV? 1-101 Date CO—� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 00 �/ OCCUP. GROUP TYPE OF CONST. JPARCFLJ PD MD 99UE This it is hereby issued under sio of the Butte County Code and/or woajicpabve for which TOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date eo v �O Receipt No. 3�30o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE —Department of Public Works 7 County.Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIF ICAT ION 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for'a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed const ru tion: Name LA I—le Address City Phone' Contractors License No. qA7 7 4 2, 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 S igned : Property Owner Social Secu it number Date �- 2 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. - 3524-83 Permit #12-84M 3525-83 Cloyd Briley a 4092-83 J E r COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orgville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER : ff f >7_ ��`� ZONING BUILDING PERMIT OWNER" f TELEPHONE S0. FT. OCG`, BUILDING VALUATION OWNER''Sj MAI LfN G' ADDRESS CONTRACT'OR'S NAME - ° I'10 y f�) TELEPHONE" CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER i p UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 11 r% 1^ p LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS '+ PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 f Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water. heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF �o�Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK - New❑ .Addition❑ RemodeIP utilities [:1 Installation❑ Other 2" Describe work: R00,e#A �-^ — \` K7 Y 1 ^.�1 M11.) I r 1/1� {r_ P A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 %"//�� . 1 w "r 011-) T /Y/ �:n-�C, mT e N!(� I(`eo /A �. 1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUPM OR ADDNS. C ACC. SLOGS. / 1 2/20sgft I- , .( ` CONTRACTORS LICENSE�LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. %) License No. Classification �❑ I, as the owner, or my employees with wages as their sole compen- f` 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 CONSTFi.. ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS &1 NON- (POWER SINGLE OUTLET CIR. / Ex. Occu SAL@30 P�o OR FIXTURES BAL®30 A FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®jl shall not employ any person in any manner so as to become subject `N 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 1)ri -,2,-r( J V W Cooling Hood 3.00 Ventilation permit Fee $ Contractor v 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence ofthegranting of this permit. Xt y� ��< +► !t R,�(�-+r Date --/( Apned&/ContiEl actor Agent ❑ Signature of pliC_ / I— Ow An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveer3 ssttories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcu P. GROUP I TYPE OF CONST. PARCEL PD HD SSVE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ODI�REFCTOOF PUBLIC WORKS � f� Date - PERMIT EXPIRES Date F ✓ p ��—l`�! � �..By Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN7OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95N - Telephone 916/534-4541 APPLICA,TItON AND PERMIT PERMIT NO. ASSESSQR PARCEL NUMBER _I1- ,5- ZONING BUILDING PERMIT OWNE� TELEPHONE SQ. FT. OCC, BUILDING VALUATIO SS +.ye 1 OWNER'S/MAIL G A RE,� il CON R T R'S NAME y— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER p LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILINGESS AD R Permit fee $ BUILDING A DRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 • USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 ea. TYPE OF WORK New❑ Additioode 1,R Utilities [I Installation❑ Other Des ibe work: 3 Ci; rL Yermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR ESS 10.00 (41D 97m.y �, Main service EA. AOD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1hQ$gft 2 . CONTRACTORS LlCkNSEILAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- !' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS IN\ NON.RESID. (SINGLE OUTLET CIR. ) Ex. Occup(ouTLETs OR FIXTURES 200500 BAL®30 \\ Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring' 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Qd 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. 1 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 conse ence of the granting of this permit. Nl X , Date — �" Signature of Applic — Owner Contctor ❑ 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, PARCEL PD HD 159UE This permit is hereby issued under of the Butte County Code and/or work indicated above for which O C O OF PUBLIC By � PERMIT EXPIRES Dat D—/Cl the applicable provi- resolutions to do fees have been paid. WORKS �-3p y Date ru S/ n l�gq I Receipt No._ ` WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE i 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 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. I personally plan to provide the major -labor and materials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) 1AZIA signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person`to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work E I Signed: Property Owner Social Security number Date /_ �2 — ELI 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. l J. . t. 3525-83 Permit #31524-83 It Cloyd Br ley f OFFICE COPY 1 Address /404 4 GAS Meter By Date ,.,,ELECTRIC - Meter By Date%��3 ' I .34 I t r 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 ZONING . � BUILDING PERMIT OWNER, t r-: TELEPHONE 77 '/, S0. FT. OCC. BUILDING VALUATION E��. OWNER'S MAILING ADDRESS ./ �•I, 1615 �ctitiEe 9 � ! iL CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS) Fireplace CONSTRUCTION LENDER /j� c 1/L/�! UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ' Permit Fee $ r, 0 ARCHITECT OR ENGINEER /OV� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ ,0�.�00ObQ BUILDINGRE /J .. . PLUMBING PERMIT Filing Fee�1 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME V 1 ` PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE*OF STRUCTURE SF 91 Duplex ❑ Mobi lehome ❑Other n SPECIFY Building sewer 5.00 Mobile Home S G W 110-00el TYPE OF WORK — ' \ New Addition Remodel❑Utilities❑. Installation❑ Other Describework: �-[=..�,��fIWIX)G45- P��il,�/. � ,eS, CG . 1V S. S. S1�/A/ ��+c ' SHTI _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00 AMP OR10V OR SL ESS 10.00 fin_ / Main service EA. AD 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. (ACC. BLDGS. 1 Zh¢SQft SIVUL!E DE^E('TLCONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y J i'N License No. Classification . I, as the owner; or my employeelwithywages-as1 threir sole compen- `Q s i sation, will do the work;and the'structure is not intended.or offered for sale. (Sec.,7044) � ; �, �, � ❑ I, as the owner,�am exclusively contract ng with licensed contract- ors. (Sec. 7044) U ❑ I am exempt under Sec. },� Business and Professions Code for this reason r �1r� NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. I BAL@3 m Ex. Occup(o TS OR FIXTURES eAL030Q FIXED APPLNS. OR FIXED EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ctilJ Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE - I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �❑'�, I�shall not,einploy any person in any manner so as to become subject to the W. C. laws of`Calffornia. '11* ki�,, - 1 Notice to Applicant: If after making this statement, should you become subject to the W.•C.1provis.ionsFof the Labor Code, you must forthwith comply with such provisions or this pertnit shall `166`deemed revoked.z6 Heating Cooling Hood 3.00 Ventilation ' r _• f , ' Permit Fee n $_ Contractor t I certify that I have read this applicatione� 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, ins'pection purposes. I also agree to save, indemnif•;ands 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. n i� �� �,� �� l 7 _r r �'Z X �� 1 Date -.1 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'tories in height. Mobile Home Installation Fee $ _ T,OTALLPE__RMIT FEE,. $ Bj, 00 OCCUP. GROUP TYPE OF CONST.` / PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated .above for which DIRECTOR OF PUBLIC B y � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date".) I If- w' 7 -' ��� 7 il Receipt No. r % WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Fri a� 3524-83 At Permit #3525783 z _ Cloyd Briley OFFICE COPY Address GAS Meter By -- y Date ELECTRIC Meter By i COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 4. 7 County Center Drive- Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ ✓V /' �� ZONING BUILDING PERMIT OWNER gel�TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS W/R SMAILIIIA// V!I/ G -t. Z , !YI V15 , M I)ON CONTRACTOR'S NAME 7/'/ /��C✓ f% fN 416 TELEPHONE r _ CONTRACTOR'S MAILING ADDRESS Fireplace - CONSTRUCTION LENDER '/%�?1�V -"'' '�� ('/ UNKNOWN Total Valuation $ t/. iii Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ .x�• 0 0 ,�/}/fl���/ per• ARCHITECT OR ENGINEER 1�/ W it/" LICENSE NO. Plan Checking Fee $ 'Renally r-/IVSII $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee; -•- BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ��LL ��, / r 6242V& 62422&t G. Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ®., Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 0E 10.0 TYPE OF WORK New ❑ Addition ❑ /1RemodeI [] Utilities ❑ Instal lation ❑ Other Q, Describe work: �nf t`�'G �%i 1�r�/E�CS���L� VG✓S�.Sr ,s/(�/ ,QF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6o0v oR LESS 100 MP OR LESS fU• fluA 1000 . Main service EA.100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. � ACC. BLDGS. , 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET NON -REBID BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. RES\\ BAL030 Ex. Occu SALO30 p( 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 $ �J�I0.0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. !4«0 7 ")!. ` ��' { G _ I Z ,_ n X Date Signature of Applicant — Owner El Cor tractor El 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 $ 7Vr09a OCCUP. GROUP I TYPE OF CONST, PARCEL PO HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO��1 OF PUBLIC WORKS 1�y ByDate ) J PERMIT EXPIRES Date Receipt No. oy WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER r. PERMIT N0. 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. /2 �'/'o` /�cn —n '�— k , Inspector__ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone:�534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ro.6 3-1 W �-_ OWNER PERMIT 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 s�matter, or need addi conal expl nation, please'contact this office immediately. c Inspector litl�fliC�������%r�r .//'/Date COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'talifornia 95965 - Telephone 916/534-4541 APPLICATION AN*D PER PERMIT NO. �� 3/21-112 ASSESSOR PA CEL NUMBER �t>— ZONING BUILDING PERMI OWNER el-OYD T LEPHO E SO. FT. OCC. BUILDING VALUATION 9577 DW �%5 LlIhJG ADV SS CONTRACTOR'S NAME •V 04 ) TELEPHONE CONTRACTOR'S MAILING ADDR- SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDR s Permit Fee $ ,�O�OO ARCHITECT OR ENGINEER LICENSE NO. Plan Check'ng Fee $ --' SR $ / r00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee � BUILDING -A Q /D�E /// 1(/(O/ !Y� CJ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition [I/Remodel�j Utilities ❑ Installation Other � Describe work: O /PAAIQ f '� P_�ME �' ✓(,/s�S' ���� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000 AMP ORSLESS 10.00 . 0CJ !,.Q //c. FSG F�C.r— �(/ r�[�t Main service EA. too AMP 2.50 DWELLING NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. � 1 2h0Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 CONST- U TI.OUTLET 2.SOea NON.RESID BRANCH CIRC ITS. NEW CONSTR. ( POWER APPARATUS &'1 NON-RESID. SINGLE OUTLET CIR. / EX. OCCUp�OUTLETs OR FIXTURES SAL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15,5 U Permit Fee $ 40 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce 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 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. G i X Date G Signature of Appliant — Owner ❑ Co ractor ❑ 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 $ COQ (i� OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC ByQl� P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/-,:)—/ _ , Receipt No. ��ll. CJ WHITE-D.P.W.• YELLOW -ASS SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 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 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. I personally plan to provide the major labor and materials for construction of the proposed proper t improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number - Date 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. RV IS P n t ` m COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 9�aAV_ d r' APPLICATIO14 ASD PERMIT "-L4 ASSESSOR PCO EI, U.yr3EERR /eat- ZONING BUILDING PERMIT OW2� yv T�$�oN� SQ. FT. OCC. BUILDING VALUAT O t7 6 I �t�/a D R E S 4 2 CONTRACTOR'S NAME . AI TELEPHONE . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ CiVr mfj Filing Fee $ 10.00 LENDER'S MAILING ADD SS Permit Fee $ r 0 0 ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN 'S MAILING ADDRESS Permit fee $ 5Q, BU ILDI N/OAgy Egg MOW6 / l�ldJY /T PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ®R4CX11Z_L4C Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF� Duplex ❑ Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addit' n ❑ Remodel Utilities ❑ Installation ❑ Other Describe work: Pg�� � 1D1Wqe.' 67 �A�I' ei�rOOV i�s�7 . �s/5. �l%�(�Fs'ffT�, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LES Main service 100 AMP ORS SLESS 10.00 Q,®.p W/KP� C - �6' r- Main service E 100 AMP 2:50 NEW CONST. /DWELLING OCCUP,& OR ADDNS. % ACC. BLDGS. 2�120sgft $:IdL..E D67_&7Z&'§NTRACTORS 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.. u TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTF POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR \ EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Permit Fee $ , BU Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's, Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notic to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X /�,L,�-s L6r -11 _ q Date Signature of Appli nt - Owner CK Co,tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stores in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ©O OCCUP. GROUP TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE EXPIRES Date PE09WHITE-D.P.W., the applicable provi- resolutions to do fees have been paid. WORKS Dat-/-- "64 73 Receipt No.%3%_/ YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT rA i. COUNTY OF BUTTE - DEPARTMENT OF:.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, tAL'RdIRNIA 95965 * TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET I OWNER e6QIV Proposed Building Use 7-)AIV19-6, (Z� Permit Fee Base.d U Complete Contract Price Permit No. A. P. No. -:' 67 'v DPW Valuation !/ Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 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 owner[], Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . ./ 6. Mobilehome Installation Data. •Pre-Inspec. request to 17. Pre -Inspection for/�Q �a� Required. Building Inspector Date) 18. Other // f V 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 Applicant Date 1 - I Z - 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 Telephone Mail By Date Plans checked by Date Plans approved by Date Other: Copy -DPW Other 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 44 Z42 2. I (have/have not) LO.4 A 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address, City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name . Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner a -e_ Social Security number . ^ Date I 0 — 12- -a , 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. r }� u: r: ,ftil t '1 ;e. z �• D.0 ftp '7� -?'i' ..2 - ' _. :.FT':n`. .'t^�O-►Ai:. L[�EiION(I'17 ! S '7 a t. ). ,' '€ SII. w�X-- --t»• pr PT X IT 4 P: a 1 , � }• � / i I r 7 .1 7. IS J 4 '_ .. � .. `. 2 � .. _ .. s t .. • I >C Ate.. t � . '. ti: ."1(.-.'� '� � 1.: ` 1 , � � !� � � ',.u:� . :rS... k ... rkti �� { S i f'�. �� � � �� } ti.,�� r. ,��. .� �> � .g Y • .�, � { 1 � 4, ti s �y�� ��`' ���� �� 1 �, << 4 Permit#511-88 Cloyd Briley 1068 "A" Middlehoff, Oro r • i { Permit#511-88 Cloyd Briley 1068 "A" Middlehoff, Oro COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i PERMIT NOW County Center Drive - Orovil le," California•95965 - Telephone: 916/'538-7541 V APPLICATION AND PERMIT D GGG ASSESSOR PARCEL NUMBER �/• ZONING BUILDING PERMIT OWNER., , TELEPHONE, SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING-A'DoORESS - i' C r .• /'y CONTRACTOR'S NAME - 111,E �1 iC a TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit y L�� fee, $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UVilities ❑ Installation❑ Other ❑ y T. Describe work: �. ' �_ 4�. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EII yZ¢sgft OR ADDNS. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS el (SINGLE OUTLET CIR. / Ex. OCcup�OUTLETS OR FIXTURES 20050t BAL930 EX. Occup. OUTLETS FIXED P(RESID )LNSREA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring j 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 tto Self -Insure. ® I shall not,employ any person in, any manner so as to become subject 1 to the1W. C: laws -of California. t 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 Fili Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 I certify that I have read ,thik,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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequerce of the granting of this permit. X r Date Z ZL 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 - $ TOTAL PERMIT FEE $ .-�P- Ud OccUP. CONST.TYPL ISCHOOLIFLO07=7 No ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS l B �i r( r/ c Date y,. r / PERMIT EXPIRES Date Receipt No. �/ j S�S� WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PIT NOV.,) _10— ASSESSOR PARCE NUMB -7, (e -5 ZONING BUILDING PERMIT OWNER / TEL HOr,I� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILG A RESS s CONTRACTOR'S NAME TEL`F_PI4ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6 Y16 Solar or heat pump water heater 20.00 LOT NO. - SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S f G W O.00ea TYPE OF WORK New ❑ Addition ❑ Rempdel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( a DWELLING OCCUP.) ,�s¢sgft OR ADDNS. 1 ACC. BLDG$. NEW CONSTRMULTI-OUTLET 2,50 ea NON.RESID .BRA C CIRC S POWER APPARATUS S) SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES e�L030 FIXED P Ex. Occup. OUT LETS (RESINS.D )REA.) 2.00 Temporary service 10.00 Mobile.Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ �- d 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. -Ventilation Notice to Applicant: If after making this satement, 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 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 2-1 2-L Q Signature of Applicant — Owner E Cntractor ❑ Agent ❑ An OSHA permit is require for exctions over 5'0" deep and demolition or construct' ion of structures over 3 stoiie(+s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S�v OCCUP- CONST.TYPEJ ISCHOOLIFLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DlRECTOp F PUBLIC By 4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �5� Receipt No. Vd � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Dri,�e,'Otoville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 _z 538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit., No building permit will be issued until this verification:is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,.supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date L 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. Petmit#512-88 Cloyd Briley 1068 "C" Middlehoff J" " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'L- i:'•t:f.V.•:,:;PERMIT N0. ,. J 7 County Center Drive - Oroville. Cajltornia-,,45965 - Telephone: 9x16/5387541�V APPLICATION AND PERMIT GGG A SSESSO-R..P.A R C EL EN.UM BE R % J ZONING BUILDING PERMIT OWNER/n / l VI / 7 i 1� TEELE�^PHONE�)/ J7 / SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME J-" TELEPHONE CONTRACTOR'S MAILING ADDRESS I•, ( Fireplace , CONSTRUCTION LENDER -�� UNKNOWN Total Valuation Is Filing Fee -• $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. f ' Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - ' Penalty $ BUILDING ADDRESS (f / t% Permit f@@ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP �. Mater piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE •SF E? Duplex❑ Mobilehome❑ Other SPECIFY f Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ ;Other ❑ Describe work: --21,64 ./ 1-,-2122 -K;t '�- I i CCS j t� �, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the,BuslnesS 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. OR ADONS. \ ( DWELLING OCCUP.y) ACC. BLDGS. yZ¢sgft NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC TS POWER APPARATUS el SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES .2AL020, FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _ �. ()e,) 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 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 author! ze'.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 liabilities, judgments, costs„ and expenses which may in any way accrue against said County in consequence of the granting of this permit. / X Date z Z ZI �S SS 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 $ !, TOTAL,PERMIT.fEE Oc Cu P. C0115T.T7 SCHOOL PLOOD PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for_which fees have been paid. DIRECTOR OF PUBLIC WORKS C� i�l i By h.� ..N /� � i�.i.f��� Date ;2 PERMIT EXPIRES Date '�' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville., Calif%pia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER � /le TELEPHONE C CQ SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING A G q CONTR AC O • AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. [SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF LCA' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 1000. . Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F]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.EI) , OR AODNS. ACC. BLDGS. h2sgft NEW CONSTR 1 -OUTLET 2,SOea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. I 20050t EX. Occup OUTLETS OR FIXTURES eA 030 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ S. Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I 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. / c' 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 $ TOTAL PERMIT FEE $ 3;��_ OCCUP. CONST.TYP6 JSC1IOOLJ PlaoD PARCEL I P11 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECT R OF PUBLIC BY PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date � Receipt No. WHIT[-D.P.W.. YELLOW-A38C313011. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916x538-7541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) eIIZL 0 2. I (have/have not) ka�c signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired'the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date � /7 2 / 65K ' 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. '�1- '. y L1lly�.� r�sri� �. }1;,� N i; t. j�-i �Yi. - - 1 .�'T • IV Y. '� f j\.a _ " y'�' -v`./� ►`fit f'Y"''a, ' 1✓ir'' Permit#513-88 Cloyd Briley 1068 "D" Middlehoff, Oro �e 0 _COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION=ANJ PERMIT PERMIT NO. _5-/ 2- W ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERt < "l"-` ,,y�.. •�� ,.� Lv� / TELEPHONE �7?�} ��� SQ. FT. OCC. ''BUILDING VALUATION OWNER'S MAILING 'AlDDRESS % CONTRACTOR'S NAME - `` - '- - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A]Lv L /,fire. Permit fee $ PERMIT Filing Fee 10.00 u /PLUMBING Ila 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 SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIme$S 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.y) yZ¢sgft OR ADDNS. ACC. BLOGS. NEW CONSTR.U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS .&) SINGLE OUTLET cIR. ) zossoa Ex. Occup(OUTLETS OR FIXTURES DAL@30 FIXED . OR EX. Occup. OUTLETS TS (R(RESESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notlbe 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 ' 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 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 irl consequence of the granting of this permit. ,' i 1M X vy�t - ' Date Signature of Applicant — Owner ❑ Contractor ElAgent El 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 InspectionsFee , $ TOTAL PERMIT FEE $ occUP. CONST.TYPEscNooL PUDOO PARCEL PD I NO I ISSUE This permit is hereby issued under the applicable provi- sicof the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS y y By. _'�Yl cr�;�:.`�y�.r Dat�e7 < < 7 PERMIT EXPIRES Date Receipt No. iA ,1 J yY WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCELMBER �� � / 5' ZONING BUILDING PERMIT OWNER / TELEPHONE o 'Si]. FT. OCC. BUILDING VALYJATION OWNER'S MAI A D SS CONTRA NAME TEL HONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. , Plan Checking 'Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $$ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea JJ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ , Utilities ❑ Installation❑ Other ❑ Describe work: `ice -e/y cy," Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - ie00V OR LESS Main service 100 AMP OR LESS' 10.00 Main service EA. ADD'L 100 AMP 2.50. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with WflgeS as their sole compen- sation, will do the work,and the structure is not intended or offered_ for sale. (Sec. 7044) ❑ 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 OCCUP EI) '/zQsgft oR CONST' ( DWEACCLLIN GS. NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) /POWER APPARATUS e (SINGLE OUTLET CIR. 20ee0e EX. OCCUp OUTLETS OR FIXTURES 15AL030 FIXED S, OR EX. Occup. OUTLETS TS (RE(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. NotlrI shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 ofd 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County ir) 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPe SCHOOL I FLOOD PARCEL I P13 I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC /�I/(/ By ,/moi/�/��L-� � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 'a_ 9 Receipt No. WHITE-O.P.W.. YELLOW-ASSESSO PINK-INsPECTOR. GOLDEN ROD-APPL I CANT J COUNTY OF BUTTE - D,gpartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 ®538-7541 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. r 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 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. aid! Fa-•I'�J-�,�,`''.y,-.�.� t��✓r'� � 'S..*.�'Yt'�irr•-�•z" o Permit#514-88 Cloyd Briley 1068 "E".Middlehoff, Oro L"-, ; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATIAN-AND PERMIT 'PERMIT NO. ASSESSOR PARCEL 'NUMBER '`,":F i,3��' ZONING - _ •. •.- BUILDING PERMIT: OWNER/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME`- "" ('( ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �/' USE OF STRUCTURE SFE, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Gr/I'A f f � Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F]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) ❑ 1, as the owner, am exclusively contracting with licensed. contract- ors. (Sec. 7044)Misc. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. / OCCUP.OI) , �20sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS &I SINGLE OUTLET CIR. zoesoe Ex. Occup OUTLETS OR FIXTURES .20@030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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 ❑ 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 shallibe deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling r Hood 3.00 Ventilation penult Fee t $ Contractor - .+ 1 certify that I have read'this application,and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 ��/1 iM7 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC ' ' JS t FLOOD PARCEL " ND 39UE This permit is hereby 'issued under sions of the Butte County Code and/or work indicated above for which DIRECTORIOF PUBLIC By ,-.`� �- / _�..r%_.Gl PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date � � ^7- Receipt No. /�"; 7S p i WNITL-D.P.W.. YlLLO W-ASeCSeO R, PINK-IN3P lCTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICA-'ION AND PERMIT PERMIT NO.. ASSESSOR PARCELNUMBER 30 _/ 7 S ZONING BUILDING PERMIT OWNERO / TELEPHONE, SQ. FT. OCC. BUILDING VALUATION OWNER' MAIL ✓ DR CONTRALTO NAME a TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee - $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy.Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS l Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20,00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W 1 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ , Installation ❑ Other ❑ Describe work: 49,z,e°- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SDDv OR LESS 00 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- LP sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 CONST. / DWELLING OCCUP.Nj '/2¢Sgft OR ADDNS, 1 ACC, SLOGS. II NEW CONSTR. '.OUTLET2.50 ea NON-RESID .BRA C CIRC I S /POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES ew 030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Yirin 15.00 g i I - I 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 LP 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, 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC 1,SCIIOOI-IFLOODIPARCIILI PO ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date��j-�� a Receipt No. O /�7'- WNITE-O.P.W., YELLOW -ASSESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT •,, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916" 8 -754; - An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)i 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the .following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date 24 L 7,41Q 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. 030-170-065 PERMIT#96-0522 BAILEY, Cloyd 1068 B Middlehoff Ln., Oroville Add Closet/SF .✓7 p/ap'9i6 I „vim' i Is t i i 030-170-065 PERMI #95 2533 BRILEY, Cloyd7,yuQ- ��o1S95 1068 C Middlehoff Ln., rove le Replace Furnace 030-170-065 PERMIT#95-698 1068 E, James ' 1068 E Middlehoff Ln, 0' oville `7fp Cont; Mountain Air Htg & A/C Replace Wall Furnace/SF 030-170-065 PERMIT#95-3057 BRILEY, Cloyd 1068 B Middlehoff Ln., Oroville Add Laundry Room/ IF M4 7 1 030-170-065 01-0525 BRILEY, CLOYD 1042 A & B MIDDLEHOFF OROVILLE CONT: UNK V/ REPLACE WINDOWS, w� 030-170-065 PERMIT#95-0922 030-170-065 PERMIT#96-2159 BRILEY, Cloyd F�, II•Z0,c0 BAILEY, Cloyd 1068 A Middlehoff, Oroville 1040 A Middlehoffn., Oroville Replace Furnace/SF Replace Ele Idtr htr w/gas/SF 030-170-065 PERMIT#96-2160 030-170-065 PERMIT#95-0987 BRILEY, Cloyd FinoJ ll•Zo-9`1 BAILEY, Cloyd t 1068 C Middlehoff, Oroville }. 1044 B & C Middlehoff Ln., Oroville Reroof/SF } 7 `' l ��i Cont; Jim Marazzo Q Ele ser Ch/Duplex �1�..r 'J'q ^� ! � •; 030-170-065 PERMIT#95-10p9 030-170-065 01-0203 I I' BAILEY, Clod vy, �q/ iL I} BRILEY, CLOYD 1046 MIDDLEHOFF,OROVILLE CA 1068 C Middlehoff , Oroville le Reroof Garage,Misc Ele,Wtr Htr,windows, CONTR: NA G� OI STUCCO (TWO STUCCO SIDES) Insul walls/SF 030-170-065 PERMIT#95-2379- 030-170-065 01-0204 JENSEN, Leslie — BRILEY, CLOYD 1068 Middlehoff Ln., Oroville Cont: Advanced Htg & A/c 6115 �j 1042 A & B MIDDLEHOFF OROVILLE-'{ CONTR: NA Replace Wall Furnace/SF 6 WINDOWS STUCCO 2 SIDES,+,1�! 030-170-065 - PER14IT#,?572532 - BRILEY, Cloyd 1--iroj- 11..7�.C1-I 1068 B Middlehoff Ln., Oroville 030-170-065 01-3099 BRIL i replace Wtr Htr & Windows & Misc Ele OID 030-170-065 PERMI #95 2533 BRILEY, Cloyd7,yuQ- ��o1S95 1068 C Middlehoff Ln., rove le Replace Furnace 030-170-065 PERMIT#95-698 1068 E, James ' 1068 E Middlehoff Ln, 0' oville `7fp Cont; Mountain Air Htg & A/C Replace Wall Furnace/SF 030-170-065 PERMIT#95-3057 BRILEY, Cloyd 1068 B Middlehoff Ln., Oroville Add Laundry Room/ IF M4 7 1 030-170-065 01-0525 BRILEY, CLOYD 1042 A & B MIDDLEHOFF OROVILLE CONT: UNK V/ REPLACE WINDOWS, ..., ..._ _ 0 1042 A & B EHOFF, ORO CONT: GREEN/SO �'��;, REROOF I , 0370-065 02-0039 ` r BAILCloyd 1068 Mid offLn., Oroville Change out w1n` mist wiring, nC,�leeSL 1 I J. oe 030-170-065 s 02-0039 BRILEY, Cloyd 1068 Middlehoff Ln., Oroville Change out windows & misc wiring (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 •, Telephone (530) 8-7541 APPLICATION AND PERMIT 02-0039 PERMIT NO. ASSESSOR PARCEL NUMBER 030-170-05 ZONING BUILDING PERMIT OWNER CLOYD L. B TELEPHONE 53"155 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS IM 725 cwt .. CA .T F rA v 5�s. contr. 10015.w CCO77N��TRRA�AC)�TOR'S NAME TELEPHONE \J�fi7Td1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 19w . -5.W ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS- AST MICAN.E. fr-fff 114, t Energy Plan Checking Fee $ $ . PERMIT FEE S' 49.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK { New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C1 Other ❑ Describe Work: WINDM a*%E Otfl' 4) WINM MISC. WIRMNG Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ( ELECTRICAL PERMIT Fling Fee 20.00' Main Service loon oA LESS SS LICENSED CONTRACTOR'S DECLARATION I 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION i I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of*the work for which this permit is issued. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. BIDS. 3.50FT. NEW CONST. MULTI.OLm.ET @7 5O =R ID I cu OUTLET COWELER APPARATUS 8 IR. 20 p ,.ao Ex. Occup. OUTLET OR FIXTURES BAL @ .50 FIXED APPLIVS. OR 5.00 Ex. Occup. O.P91. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • 43.001 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I ce11 rtify 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 with4ibse provisions. /+, � I X l /�✓Hh f' ` I ' Date r .. O�6 ' Z. Signature o— f p ant -,WOw er ❑ 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 $ X-3 Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD DF PARCEL PD HD ISSUE This permit is hereby, issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ( 9 -8-2002 By � Date PERMIT EXPIRES ON 1-8-2003 Dere Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE 4. 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 IL of OWNER PERMIT NO. A routine inspection indicates that the following violations 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 pertaining to this matter, or need additional explanation, please contact this office immediately. YR • tJ r Tz A r t $A Date Z Z -- UZ-Inspectory�� REV 10/92 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVPELOPMENT SERVICES - 7 County Center Drive • Oroville,kalif 1, is 95965 • Telephone APPLICATION AND PERMIT BUILDIN DIVISION (530) 8-7541 02-0039 PERMIT NO. ASSESSOR PARCEL NUMBER 030-170-0 ZONING BUILDING PERMIT OWNER MOND L. BRMEY TELEPHONE 914-4199 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS -eTNFst. con r. , CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1,0 5.00 ARCHITECT OR ENGINEER UCENSE NO. FilingFee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1069 EAST MIDME HOFF IN- CA Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WINDOW CHANGE OUT ( 4) WINDOWS & MISC. WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 0*0OR LESS Main Service zo.A 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. 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: �1, as ownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors .to construct the -project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 VT200A CCU000A NEW coNsr. DwELLINo Occup. 3.52sFr°: OR ADDNS. NEW CONST. MUALCrC O�iS. NON-RESID. @7.50 powFR APPARArus 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAS @' o Ex. Occup. ouri FL4DAAo .oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 23.00 PERMIT FEE $ 43.00 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation ne 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 l ` _ Date — O�6 —C Z Signature of A plicant -,Wowher ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. rrPE TOTAL FEE $ gz2.,.gO ,,,,�. D FEES IMP FLOOD CDF pARC0. Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for whit e s have been paid. ByDate1-8-2002 PERMIT EXPIRES ON 1-8-2003 Date Receipt No. 337LIS2� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PTVINSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive *, Oro4le,.C.)3lifornia 95965 • Telephone (530)5 38-7541 PERW (Rev.12Ne) APPLICATION AND PERMIT BUILDING PERMIT awKa "a SO. FT. OCC. BUILDING VAL Owlas I e DATION 00s vaso aoo"ea OOMrnaxr H URAM uuoors WARM MOWN Mawrccr ORV404 l ueo+ee No Masrssr 0" COMMS vaso A0oiw Fireplace Total Valuation Filing Fee 11�. Permit Fee Plan Checkin Fee � 23. euaoNoaoo f 7 111 Ile Energy Plan Checking Fee i PERMIT FEE =77 o MUMtusoersnwe�wat PAW& hW PLUMBING PERMIT Filing Fee 20. USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Wbiehome O Od w Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 -5 outlets 15.00 New O Add tlon O Remodel O URtles Cl htdltUr O on O Other Building sewer 15.00 Describe Work: Moble Home I S I G I W020.00 PERMIT FEE _ ELECTRICAL PERMIT FIIIn f Fee 20. Main Service 23.00 Main Service soon To woos 40.00 ' �w co►s . owsuo o0cu►. o" �OOI+s. a roc. eu». 3.SC17. wwn®ic.'h0r 07.50 Iowsi avr�rts i of EX. Occup. 0VW OR Rrnae SAL • �.se Ex. Occup. s om.0"e� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 . PERMIT FEE _ 5, "O MECHANICAL PERMIT Fling Fee 20. Heating Cooling Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee $ occ COMT. rTVE TOTAL FEE $, f K11Z 1 0. IM 1 I A=O OOf /MNCLL /0 r0 This permit is hereby Issued under the appficable provlsx of the Butte County Code and/or Resolutions to do w indicated above for which fees have been paid. .. �� QU By Date ReceiptNo. PERMIT EXPIRES ON 030-170-065 01-3099 BRILEY, CLOID 1042 A & B MIDDLEHOFF, ORO CONT: GREEN/SON 9'. .. f 030-170-065 01-3099 BRILEY, CLOID 1042 A & B MIDDLEHOFF, ORO CONT: GREEN/SON 9'. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965' • tTelephone (530) 538-7�5�41 APPLICATION AND PERMIT f.. PERMIT NO. ASSESSORPALLCELNUMBER ZONING BUILDING PERMIT OWNER MID MUM 707 TE °N SO. FT. OCC. BUILDING VALUATION 19, .OWNERS IS �LL1ir7LJ�� WAV=i CA 95687 CONTRACTOR'S NAME & SM RING TELEPHONE 8733%0 CONTRACTORS MAILING ADDRESS .P.6. BaK 2467 PARADI5L CA 95%7 CONSTRUCTION LENDER Fireplace . LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSENO. Filen Fee $ 20.00 Permit Fee $ MOO ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 3530 BUILDING AgDIM A & B CfiDfJiMWMW.90LK1t.■M Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex M Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: im 'A" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G IW @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V OR S Main Service A 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.POWEPUS License Class 6!-3Y' Lic. No. � a� OWNER' -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ElI am exempt under Sec.`. Business and Professions Code for this reason Mein Service TO 46. 00 CCU000A NEW CONST. DWEWNG OCCUP. DWE200ALLING OR ADDNS. ( e ACC. stns. S° so 3.50FT; gESDT' MULTI.OUTLET @7,50 8 SINGLER AOUTLETPARATCIR. EX. Occup. OUTLET OR FUTURES .00 aAL @ '.,50 Ex. Occup., OUTLETS Aa oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS'. COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to 'self -insure for workers' t compensation, as provided for by section- 3700 of the Labor Code, for the performance of the work for which this permit is issued. 7I have and will maintain workers' compensation insurance, as required by Section. _13700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation ins,Lilance carrier and policy number are: Carrier _. 4�. ?�� &C fe°dl Policy Number s -+ a26? 2.3'6 7. (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) . `� , l ❑ 1 certify that in the performance of the work for which this permit is issued, I shallEl not employ any person in any manner so as to become subject to workers'HAz. 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 complyfwith those provisions. I I ' ! X Zrj�^ 'I�t'I.t=--r~" ' Dated �i _ Signature of Applicant 0 Owner- -contractor 13Agent 'IN An OSHA permit is required for excav tions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT; Filing Fee 20.00 Heating I - Cooling' Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ coNsr. TYPE TOTAL FEE $ � .10 D FEES IMP r ,.... FLOOD �- CDF •�^ PARCEL ✓ PO �• HD ,,,. ISSUE 4,100 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/a/1,0/o // I PERMIT EXPIRES ON �Z hoA Z-- % Det) Receipt No. % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n (Rev. 12/96) CbUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT 01-3099 PERMIT NO. ASSESSORPARCELNUMBER 030-170-065 ZONING - BUILDING PERMIT OWNER CLOID BRTi.F.Y 707--447_5866 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS9470 179CHRISTINE DR. VACAVIf T.F CA 95687 CONTRACTOR'S NAME GRME & SON ROOFING TELEPHONE 873-3940 CONTRACTORS MAILING ADDRESS -P.O. BOX 2467 PARADISE CA 95967 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee s 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35. 10 BUILDINGADDRESS 1042 A & B MIDDLEROFF LANE OROVIU.E Energy Plan Checking Fee $ $ PERMIT FEE - $109-10 LOT NO. LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex (R Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other N Describe Work: TEAR -OFF RE -ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".AD.' 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. License Class il�- Lic. No. .� �S �j OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the p1erformance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 00 of the Labor Code, for the performance of work for which this permit is issued. My workers' me on insy"nce carder and policy number are: Carrier Policy Number IV J2 O (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) th those provisions. X Date — D--�%_ Signature of Alfplicant - ❑ Owner ntractor ❑ Agent An OSHA permit is required for exca tions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. �nS. 3.5¢FT: rN1OµpID MULTI -OUTLET 97.50 POWER APPARATUS B SING E OIlr. CIR. EX. OCCU OUTLET OR FIXTURES B20 Q 1.00 Ex. Occup.oFirTLFTs A=) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 109.10 HAZ. D. FEES IMP �- FLOOD ✓ CDF PARCEL Po HD ,�. ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON �� the applicable provisions Resolutions to do work been paid. L C Date D v 2 ate Receipt No. -337 3 5 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES'- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 iRev 12/96) APPLICATION AND PERMIT PERI, ASSESSOR PAPCQ MUMS" D �e BUILDING PERMIT OWNER ��JJ ' l3Y/� T•io�bNE SO• FT. 0 C C 7BUILDING OWNIM'S WUVALUATION ADOAESS �fO CONTRA/�; qy NAA! � . 14 Ne------------ CONTgACTOR7 kvju AD0499/•3— c CONSTRUCTION LfiNDr LENDER'S MAauND ADDRE9e ARCHITECT OR MUNEER LICENSE NO. AACHfTECT OR ENONEMI MAa1N0 ADDRESS OUaOwO ADDRESS 7/ J/ 7 ,OTNO eueona DN7►NME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex Mobilehome ❑ Other TYPE OF WORK i New ❑ Addition O Remodel ❑ UC6ties ❑ Installation O Other . Describe Work: %.�j¢ y_ ��' / r 142 `' l "PERAAIT FEE PAlb SRA • - SHERIFF OTHER AMQVN'T' RECEXM : I *RECEIPT NVAOM J 3 3 07:4 51 * TO eE PVT XWO COINPVM I Fireplace Total Valuation S _Fling Fee $ Permit Fee E Plan Checkin Fee E Energy plan Checking Fee E E PERMIT FEE S PLUMBING PERMIT Each Trap Solar r hent Dum water heater Water piping Each gas water heater or vent Gas piping system 1 -5 outlets Building sewer Mobile Home SIG W PERMIT FEE 1 $ 7.00 23.00 15.00 1 5.00 15.00 is 00 X20.00 20.00 V 20.00 ELECTRICAL PERMIT I I Filing Fee 20.00 Mein Service WOO OR LESS EX. OCCU 1.D OIfttET9 ESID. EA 5.00 xoA OR LE 23.00 Mein Service w0A TO I000A 46.00 NEW CONST, oWEUJNO OCCUP. DR ADONS. a ACC. ELD9. 3.5¢FT. NON•RESID. YUITI.OUTtET 97.50 EX. Occup. ovnEr OR n7n mes ad 0 1.00 BAL SO EX. OCCU 1.D OIfttET9 ESID. EA 5.00 Tem orer Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE t MECHANICAL PERMIT Fling FesT 20.00 I Hood 8 50 Ventilation 1 PERMIT FEi: I S Mobile Home Installation Fee t Energy Inspection Fee E OCC ICONST. TypC TOTAL FEE _ -T, . n:E9 HAP 1,=0 1 COf I PARCEL I Po I NO 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 Date PERMIT EXPIRES ON r . � t :•-CyGC3,v 030-170-065 + ;ri 01-0204 BRILEY, CLOYD 1042 A & B MIDDLEHOFF OROVILLE CONTR:NA 6 WINDOWS STUCCO 2 SIDES nP--o�z-S • n •.rr+'-..,.-�.�...'�,.,."t„^.'V��_.`..�"`°yw'�'�+rdii''A.1"-rti+MYicT�'d4 i''Y�,•tir� __ _ _ -. .. .. -_ `•►. t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT ,SERVICES — BUILDING.DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538=7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT "- ASSESSOR PARCEL NUMBER 1 ZONING AR BUILDING PERMIT' OWNER aRU". CLM - 707 TELEPHONE 447-5866 SO. FT. OCC. BUILDING VALUATION "+/+"'• tan . OWNERS MAILING ADDRESS . . 725 CHRISTIM DR. VACAVIW. CA7 """` • CONTRACTOR'S NAME NA TELEPHONE 534-4415 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ r _ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS R (atrri t.. P/� g15A+~5 Energy Plan Checking Fee $ $ PERMIT FEE S AK An LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE + SF V Duplex ❑ Mobilehome ❑ Other + SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 -Each gas water heater or vent 15.00 TYPE OF WORK 1 t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ + IMobile Describe Work: 6 � � I1�i SIMS Gas piping system 1 - 5 outlets 15.00 Building . sewer 15.00 Home S G W @20.00 PERMIT FEE S % 1 ELECTRICAL PERMIT Fling Fee 20.00 600v 0 Main Service 200AORLEN 23.00 LICENSED CONTRACTOR'S •DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions -of Chapter, 9 (commencing with Section 7000)'of Division 3 of the Business and Professions Code,: and my license is in full force and effect... ' -a• License Class Lic. No. i OWNER -BUILDER DECLARATION I 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: % , ti • ❑ 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. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason I Main Service zooA to t000A 46.00 NEW CONST DWELLING OCCUP. OR ADDNS. ( a ACc. BLDs. SO 3.5¢Fr: Hp,yR°�,pT' MULTBRANCI.OUTLET @7,50 POWERAPPARATUS 8 SINGLE OUTLET CIR. EX.: Occu OUTLET OR FIXTURES zo @ ,.00 64L @ .SO PP FIXED ALNS. OR Ex. Occup. DUTLETS RES, D, 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CarrierPERMIT Policy Number JI (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. A,, X c"t(VA% 4- A la,A..Jb--, Date T 1— Signature of Applicant - ❑ Owner f❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. .1 --MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation I , . •.� r ; ` FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 000coNST. � TYPETOTAL FEE $ , HAZ. D. FEES IMP I FLOOD I CDF PAR6EL P6 HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have —By PERMIT EXPIRES ON�9 ` 1^'- the applicable provisions Resolutions to do work been paid. %. Q Date ReceiptNo. 314548,E 65.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT/- � ASSESSOR PARCEL NUMBER 030-170-069 ZONING AR BUILDING PERMIT OWNER BRILEY CLOYD 707 TELEPHONE 447-5866 SD. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 725 CHRISTINE DR., VACAVILLE CA 95687 CONTRACTOR'S NAME NA TELEPHONE 534-4415 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 65.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF J1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6 WINDOWS STUCCO TWO SIDES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' 00A OR' "S 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 Main Service 46.00 WEU200A NG CC NEW CONST. DWELLING OCCUP. 3.5QF°: ( ACC. ORw corgi . M uBnFS�r NON-RESID. C 97.50 POWER APPARATUS 8 SINGLE OUTLET CTR. Ex. Occup. OUTLET OR FIXTURES 6AL p .50 FIXI Ex. Occup. OUTLETS RES D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 �� 1 —0 Signature of plicant- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructio%of structures over 3 stories in height.A4 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 65, Q0 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE -This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Vindicatedbove for ch fees have been paid. IReceipt XPIRES ON t �" "— Date No. 314548/ 65.00 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AF (Rev. 12/96) Assn= 0 IN OWNM w COUNTY OF BUTTE - DEPARTMgNT.OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT lmfr�30 ._C ��� nD1a BUILDINGPERMIT "s SO. FT. L OCC. I BUILDING VALUATinN wwt AOORess Master a 040114M AR4wrt6T a Comem'S W L Ma AD01104 LOT MM tueOM10nwAa ` ►AWILMA► i USEOFSTRUCTURE SFU3 Duplex O Mobilehome O Other Ivecn TYP E OF WORK New O AdditionORew0lee O Inste lation O OteO Describe Wor� y/J *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER % L� �,- L� * TO BE PVT INTO COMPVTER lace Permit Fee = Plan Checkina Fee = Energy Plan Checking Fee = i PERMIT FEE _ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each as water heater or vent.. Gas piping wetern tr-S outlets Building sewer Mobile Home I S I G I W Main Se Main Se Ww C301 OR AOOMf. PERMIT FEE S PERMIT aoav an Los 2"A an oris 200A To IOWA 1 20.001 +g Fee 20.00 7.00 23.00 1.5:00 15.00 15.00 15.001 1 ng Fee 20.00 23.00 ,.48.00 3.5isa x7.50 Ex. Occup.,,"( ounsr OR FMAEs Ex. Occu . ' r%*, o10 a 5.00 Temporary Service 23-001 1 Mobile Home Facilities 20-001 1 23. I PERMIT FEE I S /'' MECHANICAL PERMIT • Filing' 00 20.00 6.50 Moble Home Installation Fee $ Energy Inspection Fee S °C TOTAL FEE $ MAL O. FEEL I r/ I FL000 I COF I ►MCCL I FO �O tf1+E 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 (Drn1 NOTES J RESIDENTIAL LREPLACE 01-0525 , CLOYD& B MIDDLEHOFF OROVILLE UNK k WINDOWS t i it r qz tJ- SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 r JOB FINALED (Date) Signature L-44 I,/ ,/ = OK t OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cent. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK = Not Applicable = Not Ready r RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral G Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int, Ext. 72. .& Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive :1 Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: -•'•"_'��,..-�1-��-y.�-+...-v--r+.yt-...�--^v._-^.�.++^".,,-.a'�-ti:...+;.+�.-r-."7tt.-..--•�-•..-.^..s....--vr'�..Iti'w-w� .^y" `.-'"_ "` c� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND -PERMIT ASSESSORPARCELNUMBER 030-170-065 ZONING AR BUILDING PERMIT OWNER CLOYD BR= 7 TELEPHONE 7-447-5866 SO. FT. OCC. BUILDING VALUATION 500.00 . OWNERS MAILING ADDRESS 725 CHRISTINE DR. VACAVnU 95687 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1042 A & B MIDDLEHOFF OiROVIL LE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑: Duplex [1X Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 10 Describe Work: REPLACE 3 ADD WINDOWS FOR BP#01-0204 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service EOMA 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. 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: 1� 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. I, as owner of the property, am exclusively contracting with licensed contractors r0cto construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 10ooA 46.00 NEW CONST. DWEL.ING OCCUP. W: OR ADDNS. ( 6 ACC. eLnS. SO 3.5¢FT, -RID. muLTI.OUTLu @G 7.50 —NON PowER APPARATUS asINGLEOurLETCIR. EX. OCCu OUTLET OR FIXTURES SAL O I_w Ex. Occup. o is R6 D.OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 0 23.00 PERMIT FEE S 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 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.) L / ncertify that in the performance of the work for which this permit is issued, I shall ot 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 omply with those provisions. 1 Date 3 — ��"—diL' "hatur�elicant - ❑ Own r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 35.00 TOTAL FEE $ HAZ D FEES IMP I FLOOD I CDF 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 in I ted a f r which fees have been paid. B Date / D PERMIT EXPIRES ONLo1 I ate Receipt No. y WHITE-D.D.S.-B.D. CANARY -AS PECTOR GOLDENROD -APPLICANT 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. I personally -plan to provide the major labor and materials for construction. of the proposed property improvement: YES[,*,*- NO[ I HAVE*oorrk. ' HAVE NOT[ ]signed an application for a building permit for the proposed 3. 1 have contracted with the following person. (firm) to provide.:.. :..the proplqs.6d construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO.* 4. 1 plan to provide portions of this work, - but I have' the following pdftdiftioi .. ... . . .. .,: 'I 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 followin. &4;ersons to provide the work indicated: NAME ADDRESS PHONE TYPE OlFV6kk-": SI(;N"ED: PROPERTY OWNER: SOCIAL SECURITY. NUMBER: DATE: iy. Roo 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. Vik 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 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 risksfor-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 Divisioa'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. R A frequent practice of unlicensed persons professing fo be contractors is to secure an rbuilder" 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. .A C. Vifira, C.B.O. ', Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. .y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-754 0. (�iirt?1�,6) APPLICATION AND PERMIT BUILDING PERMIT aw�A i r DSO. � Vr c5 FT. OCC. 8UILOINO VAL ON oomnucrWra ONE s S^ aar.>w�+cr+o»unoa Fireplace �� aoonaa Total Valuation = om Domm ucuaQ NO' Filina Fee = 20.00 Permit Fee = S, McrsrscT an orom9=1 waa+° ADOWN Plan Checkin Fee = e"eD"a/00"ae 'e . Energy Plan Checking Fee i PERMIT FEE = iOTN0. ttlaaN�DMtraNL ` PAMCCL IW PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O Duplex Mobilehome O Other *man Solar or heat purnp water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Li O Inetdatlon O Other � ®ascribe Work: Gas piping system 1 - 5 outlet 15.00 Building sewer 15.00 Moble Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT FlUng Fee 20.00 Main Service =a Li 23.00 *PERMIT FEE PAID $ SRA ' ' $ SHERIFF $ OTHER $ $ $ AMOUNT- RECEIVED $ *RECEIPT NUMBER v * TO BE PVT INTO COMPUTER Main Service 20" To IOWA 46.00 WW COPST. owm.#4 occur. 3.5t'a am AD(M. a.=. wonaaro.' === @7.50 rower wrruu►Tue ` a Ex. Occup. oursT ost nman ea"i a i r°o o ware. °" 5.00 Ex. Occu ovrtrrs aro. ea Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Coon, Hood 6.50 Ventilation PERMIT FEI: S Moble Home InsuUation Fee $ Energy Inspection Fee $ occ CONST. rym TOTAL FEES S ""Z a rem .,. n.O°a cor I '""a .o This permit Is hereby Issued under the applicable provision° of the Butte County Code and/or Rewtutbns to do work Indicated above for which fees have been paid. By Date __---- PERMIT EXPIRES ON 'D�tiJ �,�^..••-.^..rpt„+ ��rs.e;.rw;.t,.:. r+^s. r, •r V�.�.r;..�+�. ps;,,, . ,y...r,.e Sr :. a..s......,s...-�-y--.:..--� ,•,Uzi.�r"'"""`RW,Piiv`At_.•.'+5:4'�j'm1+dnp^'�ro1;36ci.�A••xxL'"s•.�a,swhsn;yr{[.�-.o+4,rt'.h.'r:lYieaS.�`�=g 030-170-065 01-0203 BRIL'EY, CLOYD 1046 MIDDLEHOFF, OROVILLE CA CONTR:NA STUCCO (TWO SIDES) COUNTY-OFIBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIUDING`DIVISION i 71County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541' PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT:. 1�"'- ASSESSOR PARCEL NUMBER0-10-170-065 nn 010- i' ^ — nnLL 65 ZONING s eR BUILDING PERMIT OWNER t M707-447-5866 TELEPHONE SO. FT. OCC. >� BUILDING VALUATION OWNERS MAILING ADDRESS --1.006.00 ADDRESS 725 cmmmp nit.. V C Vti T R CA q,90;87 CONTRACTOR'S NAME tir•" NA - �-- TELEPHONE 534-"15 -tiF CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. , Filing Fee $ 20.00 Permit Fee $ 27,W ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ DRESS BUILDINGAD1046 lL:'r;L17/L1 L.. f LU CA 95%5 Energy Plan Checking Fee $ PERMIT FEE $ 47.W LOT NO. SUBDIVISIONS NAME PARCEL. MAP 1 PLUMBING PERMIT Flin Fee 20.00 9 Each Trap 7.00 USEOFSTRUCTURE v } SF ❑ Duplex ❑ Mobilehome ❑ Other I • SPECIFY + Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent * 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SM= (1%SIDES) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ +j. ELECTRICAL PERMIT Filing Fee 20.00 600VOR UE Main Service A 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. License Class Lic. No. OWNER -BUILDER DECLARATION i I hereby affirm under penalty of perjurythat I am exempt from the Contractors License Law for the following reason: , .4%. "N ❑ 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. G< I, as owner of the property, am exclusively contracting with licensed, contractors I to construct the project. i ❑ 1 am exempt under,Sec. Business and Professions Code for this. reason Main Service To 46. 00 NEW CONST. DWELLING OCCUCUP. OR ADDNS. a ACC. BUDS. so 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID.BRANCH CIRCUITS 97.50 POWER APPARATUS a SINGLE ounET cIR. Ex. Occu OUTLET OR FIXTURES. SAL Ex. Occup. ounEDrs A.1UNS6) E 5.00 Temporary Service 23.00 Mobile Home'Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE '$ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ! ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by -section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 i MECHANICAL PERMIT Fling Fee 20.00 Heating I. . Coolie Hood 6.50 Ventilation ; PERMIT FEE $ Policy Number --- 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.), 01' 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in anylmanner 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. `� I I X f, A tt i?a i�� �..i Date -1 U t Signature of Applicant - ❑ Owner 1p 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 $ OCC CorsT: TYPE TOTAL FEE $ 47.00 W D � `IMP FLOOD CDF PARCEL PO HO 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 W v/Datefff�����w EXPIRES ON t _ 0 Defe Receipt No. 314W/47.00.'tPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-170-065 ZONING �7� AR BUILDING PERMIT OWNER RE 707-447-5866 TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 1 000.00 • OWNERS MAIUNG AD DR SS 725 CHt CONTRACTORS NAME NA TELEPHONE 534-4415 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1046 MIDDLEHOFF OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 47.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STUCCO (TWO SIDES) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "'.A 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 7 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00SO CCU000A NEW CONST. OWEILNG OCCUP. DWE200ALLING OR ADONS. 8 ACC. BLDS. SO 3.5¢FT. T. rNjOµpESID. MULTI.OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I'50 BAL p .so Ex. Occup. OUTLEEDTs a o OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 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 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 6]( I certify that in the performance of the work for which this permit is issued, I shall 1� 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. 4 X_ Date Z — — o 1 _ Signature of Ap icant -0 Owner IP Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 47.00 FEES IMP I FLOOD cDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for ich fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. +_01 at -d Date ReceiptNo. 314548/47.00$ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller CAlifornia 95965 • Telephone (530) 538-7541 PERMIT No. (Pw.lyge) APPLICATION AND PERMIT -' ffWM"0RPA'1CK7, BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CrolEe 5-- 771 5- ccr/n1ACT0111 NAtJ110 AD01Ete cotermoc. upoot unooM WARM ADOMS Fireplace Total Valuation _ X%cwmcr OR V"NM ucome ►a. Fifing Fee = 20.00 Aac►ercr am amUMI waaa Aooaaa Permit Fee _ Plan Checking Fee $ VAM4AWMS Energy Plan Checking Fee _ !_ _ q 6? C PERMIT FEE _ LoTwa sue0WsKM1xkW I PAdICEL SIA► PLUMBING PERMIT USEOFSTRUCTURE Each Trap Solar or heat pump water heater SFLO' Duplex O Mobilehome O Other Water pipin ePWOr Each gas water heater or vent TYPE OF WOR yK Gas Dfoina wetem 1 - 5 outlets New O• Addition O Remodel ID' UtiGtles O Inddation O Other O Building sews Describe Work: Mobile Home *PERMIT FEE PAIb SRA SHERIFF OTHER AMOUNT RECEIVEb *RECEIPT NUMBER I * TO BE PVT INTO COMPUTER iGng Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 PERMIT FEE _ AIT I Filing Fee 20.00 Main Service ;Zo 7Ta tisi 1 23.00 Main Service 200A To 100M 44.00 co►6. owEii 00WP. 3.5tS OR ADONS. i • ACC- etn*. EX. OCCV . OUn r 011 WME7 QK '.;p EX. Occup. oM0- o,c a L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood e.s0 ventilation PERMIT FEE f Moble Home Instailation Fee $ Energy Inspection Fee = aC OOKT.Trro TOTAL FEES oma_ K%L 0. no I WP I AMD I COP I PMCV. 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 r— �`'�'�t'.'"1�'1(�..'".d?`'�i'"'..,-,rjsa�.m.....:,s'9iMAF-,cA,^t�a7.+4'.old„wL.7�r�^•`��ir'�,r.n7Ulr'�1f7��N�?;irff.`�T� 030=170-065_.+ 1 PERMIT#95-2532 BRILEY, Cloyd , 1068 B-Middlehoff Ln.', Oroville rep ace tr Htr & Windows & Misc Ele n c a COUNTY OF BUTTE -DEPARTMENT OF DEVIELCP:IAENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-755A_ PERMIT NO.- APPLICAWNAND PERMIT ASSESSOR PARCEL NUMBER f„-' 0301--170 -M ZONING BUI G PERMIT OWNER CLQYD BRILEY ` ,� - ; T53G-E4422 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 725 CHRISTINE DR `'VACAVILLF, CONTRACTOR'S NAME OWER �� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER ' UNMOWNTotal Valuation $ LENDER'S MAILING ADDRESS r Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 1 1 1068 $ , ,1ID,DLEHOFF PERMITFEE S 37. 00 • PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME - \ , 1 PARCEL MAP f Solar Or heat pump water heater 23.00 \ , USEOFSTRUCTURE SF'❑ Duplex ❑ , Mobilehome�❑ Other - � ” - SPECIFY + Water piping 15.00 Each gas water heater or vent 15.00 15-00 Gas P�P� 9 Y piping system 1 - 5 outlets 15.00 400 Building sewer * 15.00 _F_s1­G1 TYPE OF WORKS New ❑ Addition ❑� Remodel ❑• Utilities ❑ Installation ❑ Other ❑ REPLACE H/W HEATER 4 WIIMWS Describe Work_: i MISC:- �ELECTRICL,, , ,, Mobile Home W @20.00 PERMITFEE S . Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service aoov oR LEss ( 2ooA oR LEss ) 23.00 i 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. Lic. No. License Class ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: r ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project.- ' . I ❑ Iram exempt under Sec. Business and Professions j de for this . NEW CONST. DWELLING OCCUR.sO. OR ( 8 ACC. BLDS. ) 3.5Q FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q I.00 BAL .50 LNS. OR 5.00 Ex. Occup. OUTLETS PI Temporary Service 23.00. Mobile Home Facilities 20.00 Misc. Wiring 23.00 23@00 PERMITFEE $ 43.04 Contractor WORKERS' COMPENSATION DECLARATION 1 I•hereby affirm under penalty of perjury one of the following declarations: YHeating F ❑', 1 have and will maintain a certificate of consent to self -insure 'for workers' t.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 I Policy Number t (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100)•or less.) I �C I certify that i&t- pert. ormance Of the work for which this permit is issued, I shall. not employ any!pergn irl an htganneh so as to become subject to workers' compensation-lawg of (i{ rnl -a$d� reeNhat if I should become subject to the �, g 1 workers' comperistwraplovlslor$ p�sectio0 3700 of the Labor Code, I shall . fo.itliwith comply with thn proyisibn .�`iytw—, t .': &`'\.) X _� � `�-�� ?! ?' �'_ Date 110—if _C� Signature of %Applicant '-. ❑ wner4Z `Contractor ❑ Agent An OSHA permit is required for e�%vations`over,5'O".deep and demolition or construction of structures.6o ei`, ories in t ;^ >=a - MECHANICAL PERMIT Filing Fee 20.00 Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEEL$ •155.00 ' -' Haz° y D.'FEES° ` ` IMP' 'F100D �;.. I •� r CDF •PARCEL PD HO .- ISSUE This permit Is hereby, issued -under the applicable provisions of the Butte CountyCodeand/or_Resolutions to do work indicated above for which fees have been paid. ,.` •r,�� ::r6: AAL r : BY wit... --- -Date•./,/} . ,% PERMIT EXPIRES ON / A _ - —_= / / (Dat�e) Receipt No. .` Y �+6 .��� �••`� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1f`17, COUNTY OF BUTTE- DEPARTMENTOF'LEVE=LOPMENTSERVICES- BUILDING DIVI ION 7 County Center Drive - Orovi e, CA' -i CA' -95965 - Telephone (916) 538-7y49S PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-170-065 ZONING BUI G PERMIT OWNER CLOYD 3RILEY T534N4422 SO. Fr. OCC.A BUILDING V LUATION OWNERS MAILING ADDRESS 725 CHRISTINE DR - VACAVILLE, CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 17.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 1058 B MIDDLEHOFF PERMITFEE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISDNSNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 • 0 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 0 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ REPLACE H/W HEATER , 4 WINDOWS Describe Work: _ MISC. ELECTRICL Mobile Home I S I GI W 920.00 PERMITFEE s 75.00 Contractor ELECTRICAL PERMIT Filing 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 IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) s0. 3.50 FT. NEW CCONST. MULTI.OUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CI R. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 aAL .50 Ex. Occup. OUTLEETS RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23. 00 PERMITFEE $ 43.00 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 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 PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I)CI 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 �Q_l ff — Signature of/Applicant - ❑ wner ❑ 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 I TOTAL FEE $ 155.00 HA2. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ti� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date -AF (Date) Receipt No. Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT > r` .'Y'�4 ,ij .•. ,'tY'•`gc7.,�' a's�+'i'?#'o,!�F, .a y _S. yiS'i'.`I` �' j'3; q�djlq-'+'=yww4w, ro�91sf6' 41+e7 +aH6:gj t�fk. � n:`;v`c j 4S:, u �.`' �J�?'591 1" i �r"F` _ "`� . { ,' :,j;' .'",',' ' a'A° Ywnr A'. H .�q, ,1 jy,..�" �i''�. �)•. Y y `� � ?.1 }'A. •', , _.. .. .yr' ..�J a'•^t�O��i rli•� "Attention Property Owner.. • An "owner -builder" building permit has been applied for in your name and bearing your r signature. � .... ......._... -ti_..-.: �.�•�:::�:' Please complete and return this i ormation 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. 2. 3. 4. 5. I personally plan to provide the major labor and materials for construction of the'. proposed property improvement: YES�f NO[ ]. 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: ADDRESS: Com• PHONE: CONTRACTOR'S LICENSE NO. 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: CTTy: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NADM ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: '°-"✓� �..c. SOCIAL SECURITY NUMBER: DATE: lo -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. e Dear Property Owner An application for a building permit has been submitted in your mane listing yourself as the builder of specified- nstble of mord PmP�3' improvements r ��yaw you should be aware that as "owner -builder" you are the tespo party on such a permit Building permits are act 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 pmt 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 planto do your own work, with the cmeption 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 x300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, thea 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 workers 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 Adminisaration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.licensed contractors are allowed to if the structure is intended for sale, property owners who are not 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" that the property owner is providing his or her own labor and material building permit, erroneously implying 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. Sincirrel Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. i 4 rr r% COUNTY. OF BUTTE BUILDING -DIVISION DEPARTMENT OF DEVELOPtMENT. SERVICES 1469 Humboldt ReadrChico, CA - (916) 891-2751 7 County Center Drive, OFoville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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 11 is completed. If y9p,Kave any questions pertaining to this matter, or need additional explanation, please contac this office immediately. �Z 4C A j Date lnspectortGw REV 10192 - 71 1. COUNTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI=VISION 7 County Center Drive - Oroville, California- 95965 - Telephone' (916) 538'`7541 ,,PERMIT NO. APPLICATION AND PERMIT �' o2 ASSESSOR PARCEL NUMBER 36-170—M5 ZONING .'BUILDING PERMIT owNER =CLUED BRILEY - _�'_. rE+ Ng e, ,�� So- FT- OCC - BUILDING VALUATION OWNERS MAILING ADDRESS 725 CHRISTINE DR : VACAVILLE, 95687 R CONTRACTOR'S NAME• q. l/Y TELEPHONE - ' CONTRACTOR'S MAILING ADDRESS T Fireplace CONSTRUCTION LENDER { UNINOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS '- Penalty $ BUILDING ADDRESS 1068 A DEE R"WER PERMITFEE $ Of PLUMBING PERMIT Filing F& 20.00 - --.--Y j Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE �} SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY I Each gas water heater or vent j' 15.00 piping I system 1 - 5 outlets p p g y 15.00 ! Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I Describe Work: WFURNACE REPLACEMENT� — i ! Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 aOR LESS Main Service ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.60 t 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License La7fo the following reason: `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. ❑ 1 am exempt under Seca Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST: MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL a .SO FIXED APPLNS EX. Occup. (OUTLETS (RESID.) R 5.00 Temporary Service Z 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 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: e Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor - Policy Number (The abovetsections need not be completed 0 the permit is for work of a valuation �°f one hundred dollars ($100). or less.) \❑/1 certify that in -the performance of the work for which this permit is issued, I shall not employ any person in *any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation' -provisions of section 3700 of the Labor Code, I shall forthwith comply with those'provisions. - X Date � Signature of 4 plicant - ❑ Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE ; TOTAL FEE $ 35.00 HAZ.D. FEES IMP - FLOOD CDF PARCEL PO HD -�---. ISSUE - This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B , �""-"' y PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 11 s� (Date) Receipt No. t7 f"!a WHITE-D.D.S.•R D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 9 COUNTY OF BUTTE- DEPARTMENT OF -DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, !'aliforr" a 95965 -Telephone APPLICATION AND PERMIT BUILDING4541 <;Z (916) 5 �I c/ ASSESSOR PARCEL NUMBER 30-170-065 ZONING WILDING PERMIT OWNER CLOYD BRILEY 'Z+NE4422 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 725 CHRISTINE DR VACAVILLE, 95687 CONTRACTOR'S NAME OWNERTELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS EHQFF PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,Volar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ 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 ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: W/FURNACE REPLACEMENT — Mobile Home I S I GI W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EDOV 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f he following reason: 's 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. SD. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET 7 NON•RESID. ( BRANCH CIRCUITS 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FDCTURES) 20 @ 1.00 BAL Q .SO Ex. Occup. FIXEDINS. 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 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 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed 0 the permit is for work of a valuation f 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 , Dateiq.— Signature of pplicant - ❑ Owner ❑ rontractor ❑ 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 $ 35.00 HA2. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B . / "`� Date Y PERMITEXPIRESON M 7 (D..) Receipt No. `0633! • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �, .,,: a7;Ci�1d. n._ ..' .. _ ._ •- k ,�. c ;ry t' i7' _ , •,+ ,1.a Cr.. r+ -iM. F:c --:[.rrcPY r`,t i�rt Y � Y • r t � i IytS . !1 n I ..f 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[X"'NO[ - ]. 2. I HAVE[ HAVE NOT[ '] signed an application for a building permit for the proposed work. N - 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: SOCIAL SECURITY NUMBER: DATE: 01— (gj -- Jl' 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 off -ice before we are permitted to issue the permit. OVER Y t Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the Wilder, 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 yourfwork.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-la�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. 1 . " r If you plan to do your own work, witii''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,, -'4 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 Industrial44'yi '."- Accidents. .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 matenal?,. personally. Building permits are not required to be signed by property owners unless they are performing their owns' 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. } r - Sincbrel 41 1- 4ZC_-_f Michael C. Vieira C.B.'O. Manager;' Building Inspection .t`a NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. a C ` OVER r, ' 1' � f . � . •• 4 i r . �. � F ' 1 :Y 'v „�.. ,_! r { r 1 ' F' N r rnrw.v�tSef!re���'^,.-.�-.v,....�.•.�..rr-` .. �Fll%rl, a • r.--.-., t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUIL IN l ISION " PERMIT_ O. 7 County- Center Drive - Oroville, California 95965 -Telephone (916)538 754;1L APPLICATION AND PERMIT -A .AISSESySOR ,N+ C '-"' r'°�•"�' ZONING " _ ­ BUILDING PERMIT , = TELEPHONES .1114-4422 t,.. r`• SO. FT OAC: . BUDDING VALUATION .•7 i� ��. 12 so MP .OWN R/G1%DIES Lbi �l�}Tr�L TpJ- x... . ° .. ONECONfjUOW.jLLME = .,zv CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIPIOWN Total Valuation $ Filing Fee $. 20.00 LENDER'S MAILING ADDRESS ,.- Permit Fee $ 21.00 ARCHITECT OR ENGINEER '" LICENSE NO. F Plgn Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty t $ BUILDING ADDRES �( , � i PERMITFEE S �1.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO., rr - k SUBDNIS ION'S NAME i i PARCEL MAP . Solar Or heat pump Water heater 23.00 Water piping 15.00 , i fb USE OF STRUCTURE, `• r —SF ❑Duplex ❑ Mobilehome ❑ Other `- ,7t ` SPECIFY ! Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 , Building sewe'i' 15.00, .- TYPE OF WORK t 4= CIC New O Add'Ition�OY Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ",� RER(WCOMP Describe Work: •-u .� y �.:' ..Jr - Mobile. Hole •. S G W @20.00 A' "` PERMITFEE g Contractor - ELECTRICAL PERMIT- Filing Fee 20:00 .g ,.• _r .� .....y!' i : '`Main Service OOOV OR LESS ( 6.0.0VoR LESS ) 23.00 Main `Service ( '200A TO 1000A ) 46.00. } •� „. •-•+� LICENSED CONTRACTOR'S DECLARATION' i I hereby affirm under. penatty�f-,perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000). of Division 3 of the Business and Professions Code, ;^ ` and in license is in full force and effect. 1. 1. ; License Class Lica. No. z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for -the following reason: �1 _ "Di 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. ❑ I, as owner of the` -property, am exclusively contracting with licensed contractors to construct the project. '. "moi` ❑ 1 am exempt under Sec,\ Business and Professions C ode for this reason f NEW DWELLING OCCUR s0. OR ADOS.1...-,—...•(�-. 8 ACC. BLDS. N ' ) 3.52 FT. NEW C•NS MULTI -OUTLET NON;R SID."^""•(`-PBORW CCH�CIIRACCUU U3`) 97.50; (& SINGLE OUTLET CIR. ) 20 @ 1.00 Ex. Occup. (OUTLET OR FIXTURES) BAL w FIXED APPWS. OR Ex -"Occup. ( OUTLETS (RESID.) EA ) 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 o p rkjury 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'wolrk fo'r which this permit is issued. ' ❑ 1 have andwill maintainworkers'+compensation insurance, as required by Section 3700 of the•Labor Code, for the performance of work for which this permit is issued. re My workers', compensation insurance carrier and policy number a. _Carrier _—MECHANICAL PERMIT Filing Fee 20.00 9 �� —Heating" Cooling Hood 6.50 Ventilation PERMITFEE $ '`" `Contractor Policy Number r� ,- !' (The above sections need not be completed 'rf.the permit is forwork-of a valuation of one hundred dollars ($100) or less.) _ `04e1 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 Labo "Pode, I shall forthwith comply with those provisions.' °°-' 6X Date ��/ S� Signatu a of Applicant - 0 Owner t❑ Contractor ❑ Agent. An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. µ Mobile' Nome Installation Fee $ Energy Inspection Fee$ occ 3 coNs :.TYPE TOTAL FEE $ HAZ. D. FEES' IMP FLOOD CDF PARCEL PD HD Esu 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 _ µpv�.-.. /Date/ PERMITEXPIRESON I I / (Date) Receipt No. 2 ZI O LY4 WHITE-D:D.S.'=B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF.,DEVikOPMENT SERVICES -BUILDING DIVISIKPEFR 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ASSEbMA_4Tr-211T65 ZONING BUILDING PERMIT GWNTLOYD, BRILEY T"114-4422 SO. FT. OCC. BUILDING VALUATION 12 SO COMP 720 OWN / LJ'uMM I'INE DRIVE VACAVILLE 95687 CONTWf1WME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAULING ADDRESS Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESs PERMITFEE 41.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1A REROOF/COMP Describe Work: — Mobile Home SG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service500V 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. L OWNER -BUILDER DECLARATION I here y/affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason:. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. ) SO. 3.5Q FT. NEW CONST. MULTI.OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAL @ 1:50 FIXED APPLNS. OR Ex. Occup. p• ( OUTLETS (RESID.) EA 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: I❑ 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 1 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 Drone hundred dollars ($100) or less.) •J<T 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 �l / S -C _ Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionj/ of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC ��3 CO"NS� .`TY�E l/'/� TOTAL FEE $ HAZ. D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON / applicable provisions Resolutions to do work been paid. ` Date/ �6 (Date) Receipt No.® �� WHITE-D.D.S.-B.D. CANARYASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 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. rl. I personally plan to provide the major labor and materials for construction of the proposed prope improvement: YES NO[ ]. 11-2. I HAVE HAVE NOT[ ]sign an application for a building permit for the proposed wor . 3. I have contracted with the following person (firm) io 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 I ADDRESS _ PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: orl SOCIAL SECURITY NUMBER: DATE:—5 —` q —!26 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 - �-� O.B.-1 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 lawao 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 maybe 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 contributins. 0 There may be fiziancial' 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 We, 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. Biiilding 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. r. �, .�, • . , Sincerel ' � _ }'• t . �st:c;��-fit✓ i%� ��- " J Michail 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 .yn��7�cayRf;�tq'�":q�'i....: ^f+i-c.y�st—°. �'.iTc'i%i'! ' A. _� � c.•.4►tyt7w�7'{F -3 q- •yT•�,tp�,����:. �� f �:., 030-170-065 PERMIT#95-2533 BRILEY, Cloyd - 1068 C Middlehoff Ln.,-, Oroville Replace Furnace 13 i h v E� _ l C ' _. �. . �f ft 4akq. 0040 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING.,;, 7V�ISIOW 7 County Center Drive - Oroville',"Califoraia 95965 - Telephone (916),53.-7541 'PERMIT NO. APPLICATION Ah—d-PERMIT 2!s ASSESSOR PARCEL NUMBERZONING 0 r 6, BtJILDINGPERMIT A'� OWNER fhi, CLOV-D BRITe-��-- TELEPHONE 5111-4,622 SO. Fr. BUILDING VALUATION OWNERS MauNo AooREss VACAVTIJ,F,- - 97 7— 725 P CM1-TSTTNV. PIP %6 CONTRACTORS NAME', TELEPHAEr OWHR CONTRACTORS'"MAILING ADDRESS ,.1 11. , I , / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDERS MAILING ADDRESS Filing Fee' $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE A NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068 C MIDDLE11OFF PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL. MAP Solar or heat pump water heater 23.00 I USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other fa 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'0­9A dition '0 Remodel 0 Utilities 0 lrisQlation.0 Other 0 Describe Work: W/RWACE REPLACEMT . . . ................ Mobile Home IS I GI W1 A,@20.00 P . ERMITFEE $ Contractor ELECTRICAL PERMITFiling Fee• 2 0.'0 0 V OR LESS Main Service 6�0.0. OR LESS 1 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATIONOR 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 . I License Law for the following reason: I- 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 safe.23.00 0 1, as owner of the property, am exclusively contracting with licensed contractors to I construct the project. i 0 1 am exempt under Sec. Business and Professions Code for this NEW CONST. DWELLING OCCUR so ADDNS. & ACC. BLDS. - I - Fr._ _3.50 NEW CONST. MULTI -OUTLET NON-IESID. BRANCH CIRCUITS .97.50 & POWER APPARATUS SINGLE OUTLET CIR Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 ( BAL Q .50 FIXED AP WS. OR I�X. Occup. ( OUTLETS (PRESID I El 5.00 Temporary Service 23.00 Mobile Home, Facilities 20.00 Misc. Wiring PERMITFEE Contractor .reason WORKERS' COMPENSATION DECLARATION J 1 hereby affirm under penalty of perjury one of the following declarations: L 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 5. 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 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 bject to the workers' compensation provisions of, section 3700 of the Labor Code, I shall forthwith comply with those provisions.' X Date Signature cfAp�licant Owner, 'D Contractor 0 Agent An OSHA permit is required forexcavationse 0" deep and demolition or construction of structures over 3 stories in height ovr 5' Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ITOTAL FEE $' 35.00 HAZ. I D. FEES I IMP I FLOOD ] COF 1. PARCEL I PD HD ISSUE This permit is hereby issued under ti6 applicable provisions of the Butte County Code and/or •.Resolutions to do work indicated abOve for which fees have been paid. ByA 7� Date PERMITEXPIRESON Rdc6iptNo. IS',516z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V ) .r :f COUNTY OF BUTTE -DEPARTMENT DEVELOPMENT SERVICES -BUILD/-754J;;1S_ ON 7 County Center Drive - Orovjll California 95965 - Telephone (916) PERMIT NO. APPLIC`''ATION AND PERMIT ASSESSOR PARCEL NUMBER 30-170-065 ZONING B &DING PERMIT OWNER CLOYD T TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i CONTRACTOR'S NAME OWNER T ONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ • ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1068 C t1IDDLEHOFF PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ 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 ❑ Describe Work: WFURNACE REPLACE - ENT Mobile Home S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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.so. OR ADDNS. & ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 50 EX. Occup. ouTLEEDrs Pa ES D.°EA. ( ) 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 1b. IJU Cooling Hood 6.50 Ventilation PERMITFEE $ 2 35.00 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. A X (d Date �d=i I' SignatUre� pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 35.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMITEXP ESON provisions to do work paid. Date ffie) c� Receipt No. ��i �/ �i Z— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `+'"":i w �v1 d r w.ir4 .rq,^�7A/ Cia (r,�G �, �ys�_yyy' c; f V ;,A t� to � t,rl ,f .:w.J �t�!'s�'y�A!'•`+,n �: �6g} a t 1 • � ,rraxr�y �,rs�n� � ,'iRiWItYP C�• �.... -. tt*l Attention Property Owner. An "owaer-builder" building permit has been applied for in your name and bearing your Y signature. .: this information at your earliest opportunity'+ to Javoid Please complete and retain unnecessary delay in processing and issuing your building 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 : YESO NO[ ]. 2. I HAVE[?] HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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:, LTA: 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: NAINE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: ((J ^ l ` -- cit S 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. r Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements your protection, �u should be aware that as "owner -builder" you are the responsible party of mord For your pronation, yo 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 proms 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 tion of various trades that you plan to subcontract, You should be aware of the following information for your do your own work, with the owep 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 S300 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 tar 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 con centractors 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. SincoreI r ,u _ Michail 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 v i A OFFICE Copy t.Addressa 7:1 .,GAS Dates ..Meter By-------. ELECTRIC/- ?T Date_ -'gam Meter LECTRIC-?TDate_- Mete, By OFFICE COPY Address GAS''DateMeter- By ELEdT'RIC Da semis-�� An r -sry+v �.h{A.K.1W'i-+rlD'P`7'[Y�i'�!I•p+:'Y,*�n a�T..s.,+ � >� COUNTY OF BUTTE- DEPARTMENT OEi DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Ciliforlia 95965!. Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-170-065 ZONING e BUILDING PERMIT OWNERC l Briley TELEPHONE Sp, FT. OCC. BUILDING VALUATION M/opy�d',e� GWNEgSoYIY t'lLaatehoff Ln., Oroville CONTRACTOR'S NAME Jim Marazzo TELEPHONE 589-5567 CONTRACTORS MAILING ADDRESS 299 Plumas Mr., Oroville, CA 95966 Fireplace CONSTRUCTION LENDER •`4 UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1044 B & C Middlehof f Ln. Oroville PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ' LOT NO. _ SUBDIVISION'S NAME PARCEL MAP L Solar or heat pump water heater 23.00 USEOFSTRUCTURE 1 E SF ❑ Duplex MX 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 CfflX Installation ❑ Other ❑ Describe Work: _ Ele Seer Change Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main ServiceEOOV OR LESS ( 200A OR LESS 23.00 46.00 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 — 6 Lic. No. ��( (.I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( s ACC. BLDS. ), SO. 3.50 FT. NEW CONST. MULTI -OUTLET NDN-RESID. ( BRANCH CIRCUITS' ) 97.50 POWER APPARATUS ` (a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL so Ex. Occup. ( OUTLETS (RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 66,00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I ❑ 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.) I certify that in;fthe°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 agiee 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:, �" 1 G X Date I v ( l I �� Signare of Applicant -UO Owner j Contractor ❑ Agent�� An OS A"permit is required for.excavatlons over 50" deep and demolition or construction of structures over 3 stories in Height. Mobile Home Installation_ Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE$ 66 00 HA2. D. FEES I IMP FLOOD CDF PARCEL PD I HD I ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ! PERMITEXPIRES ON V//k/a, I f provisions to do work paid. / r - Date / tf 1eJ Receipt No. 176192 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 -.County Center Drive - Oroville, •-Califorla a 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-754 PERMIT NO. ASSESSOR PARCEL NUMBER 030-170-065 ZONING BUILDI G PERMIT OWNER Cloyde Briley TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MA UNG ADDRESS 1044 Middlehoff Ln., Oroville CONTRACTOR'S NAME Jim Marazzo TELEPHONE 589-5567 CONTRACTORS MAILING ADDRESS 299 Plumas Dr. Oroville CA 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1044 B & C Middlehoff Ln. Oroville PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ®x 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 qX Installation ❑ Other ❑ Describe Work: _ r,l e Ser Change Mobile Home ISI GI W1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 800V OR LESS Main Service ( 200A OR LESS ) 2 23.00 46.00 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 C— 6 Lic. No. q ��1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 APPARATUS ) LE OUTLET CIR. ( 8 SINGLE Ex. Occup. (OUTLET OR FIXTURES ) 20 BAL Ex. Occup. (OUTLETS (RES o.j EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 66.00 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 9 Fee 20.00 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 the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. N,� G c, X Date 1 V `44 I / ,5 Signa re of Applicant -6bobwner ;9C Contractor ❑ Agent (UI An OSNA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE I TOTAL FEE $ 66.00 HAZ. I D. FEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMITEXPIRESON provisions to do work paid. Date ate) Receipt No. 176192 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �-.-..�.- COUNTYOF BUTTE - DEPARTMENTOF DE�VELOPMENTSERVICES -BUILDING DIVISION .� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector P. Date At timeof per it application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail too er. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other ' /tet/ Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from . the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE - DEPARTMENTO�F,D E PMENTSERVICES - � IL`, WIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPH , NE(916)538-75A1 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector o3a-170��6S Date At timeof per it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 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, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ 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 flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . .......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: .. ....... . Contact Land Development about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). .. .. ... . I 1,1,spedion request Pre -inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . ............... Certificate of Workmans.Compensation Insurance . ......................... . 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......................................•1' . . Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......::`'. 31. Existing violations/expired permits . ...................................... 32. Plan checklist . .....................11 ................................ 33. 34. r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold jor pickup at office. Deliver with inspector. Other jN Parcel Creation Acreage Applicant Date t Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date r - 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: By 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 , Z41i ' rCounter by _Dater ,� Plans checked by Date - Plans approved by " _ I ;Dater r . Sets of plans on hold in File cabinet AP folder Copy - Department of Public°Works_, V. 2. 3. t 4. 5. 6. 7. t 8. 9 10. 11. ' 12. 13. 14. +: 15. 16. ' r ! 17. 18. 19. 21. 22. 23. 24. 25. .26. 27. 28. 29. 30. Plot plans, 3/4 sets, signed by preparer of plans. .......... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ 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 flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . .......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: .. ....... . Contact Land Development about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). .. .. ... . I 1,1,spedion request Pre -inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . ............... Certificate of Workmans.Compensation Insurance . ......................... . 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......................................•1' . . Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......::`'. 31. Existing violations/expired permits . ...................................... 32. Plan checklist . .....................11 ................................ 33. 34. r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold jor pickup at office. Deliver with inspector. Other jN Parcel Creation Acreage Applicant Date t Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date r - 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: By 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 , Z41i ' rCounter by _Dater ,� Plans checked by Date - Plans approved by " _ I ;Dater r . Sets of plans on hold in File cabinet AP folder Copy - Department of Public°Works_, V. R':-�t .ro'^�-«'zi;Ye:��+r;�s�agrs�tsRt..ra�e. _,-;wy:ci�-or,+2.•.::.. :�• r-rsr f030-170065 =PERMIT#95-1009 BRILEY, .Cloyd t 1068 C'Middlehoff Ln:, Oroville Reroof Gar•age;Mis'Insul Ele,Wtr Htr,windows, walls/,SF V c R':-�t .ro'^�-«'zi;Ye:��+r;�s�agrs�tsRt..ra�e. _,-;wy:ci�-or,+2.•.::.. :�• r-rsr f030-170065 =PERMIT#95-1009 BRILEY, .Cloyd t 1068 C'Middlehoff Ln:, Oroville Reroof Gar•age;Mis'Insul Ele,Wtr Htr,windows, walls/,SF V COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI ION 7 County Center Drive - Oroville, Ca*/forliia 95965 - Telephone (916) 538-7 1 PERMIT NO. ..APPLICATION AND PERMIT a As6P °aQ65 i ZON1AR B DING PERMIT °CLOYD BRILEY 707 WNERT 447N--5866 SO. Fr' 0,6C. BUILDING VALUATION 6 @60 360 OWNERS MAILING ADDRESS r 725 CHRISTINE DR., VACAVILLE CA EST 1000 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN - Total Valuation Is 1360 Filing Fee $ 2Q,QQ LENDER'S MAILING ADDRESS - = Permit Fee $ 33.00 ARCHITECT OR ENGINEER .I NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068C MIDDLEHOFF OROVILLE PERMITFEE $ 53.00 1 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP I Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE at t SF;te] Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK ( New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other REROOF GARAGE MISC ELEC WIRING Describe Work: � — H/W HEATER, WINDOWS, INSUL WALLS Mobile Home I S I G W 1 920.00 PERMITFEE $ • Contractor ELECTRICAL PERMIT Filing Fee 20:00 jMain Main Service ( 200A oa LEss ) 23.00 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)'6f Division 3 of the Business and Professions Code, and my license is in full force and effect. E 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: I, as owner of the property, or my employees with wages as their sole compensation, ill 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. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( & ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID.( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 9 1.00 BA.00 Ex. Occup. (oFIXEEDrs RESD.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • 00 PERMITFEE f-, ' 43.00- 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 f one hundred dollars ($100) or less.) 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. t X �--- __ -Date ' `=� (s_� _ Signature of A licant - Owner ❑ Co tractor ❑ 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 Is Energy Inspection Fee Is DCC CONST. TYPE TOTAL FEE $ HA2. 1 0. FEES IMP FLOOD cOF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate above for whi fees h ve PERMITEXPIRESON the applicable provisions Re lutions to do work en paid. 5/16/95 Date 5/16/96 (Date) Receipt No. �' / t��. Ad ' WHITE-D.D.S.-B. C ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Kr COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVI ION (916) 538-7 1 PERMIT No. 0 ASSESSOR PARCEL NUMBER 030-170-065 ZONING AR ?>RIDINGPERMIT OWNER r CLOYD 3RILEY 707 TELEPHONE 447-5366 SO. FT. C. BUILDING VALUATION 6 X60 360 OWNER'S MAILING ADDRESS 725 CHRISTINE DR., VACAVILLE CA EST 1000 CONTRACTOR'S NAME 04INER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is 1360 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 33.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1068C MIDDLEHOFF, OROVILL17, PERMITFEE $ 53.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF X3 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other M Describe Work:REROOF GARAGE, PIISC ELEC WIRING, — H/W HEATER, 1--I1TDOWS, _iPdSUL 4JALLS Mobile Home I S I GI W @20.00 PERMITFEE S 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 6OOV OR LESS ( 8O0. OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION L 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 Law for the following reason: I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONIS ( 8 ACC. BEDS. ) So. 3.5¢ FT. NEW CONST.ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FDCTURES) 20 @ 1.00 .50 Ex. Occup. ( OFIXEEDrPPLNS. OR s PES D.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring " 23.00 43.00 PERMITFEE $ 43.00 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 on 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. n X ! 1�__ Date -- (, ^ "1 _5 ------ Signature of A iicant - Owner ❑ Cctractor ❑ Agent An OSHA permit is required for excavations or 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 131.00. HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for whi fees h ve PERMITEXPIRESON applicable provisions Re lutions to do work en paid. 5/16/95 Date 5/16/96 (Date) Receipt No. 1%6CS:1 — /34 a® WHITE-D.D.S..-B.1). — C ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 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. , I personally plan to provide the major labor and materials ,for construction of the proposed property improvement: YES NO[ ]. 2. I HAVE[ HAVE NOT[ ] 'signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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: SOCIAL SECURITY- NUMBER: DATE: S—(6-75 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 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 "ownerbuildee, 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. Sincerel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code. OVER PERMIT#95-0922 . BRILEY; Cloyd• 104.0-A" M.idd.l&hof Ln., Oroville Replace Ele Wtrhtr w/gas/SF COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, Califarnia.9k965 - Telephone (916) 538-75 i PERMIT NO. APPLICATION AND PERMIT T 0 2 ASSESSOR PARCEL NUMBER 030-170-065 ZONING AR BUILDI U G PERMIT OWNER CLOYD BRIM (707) T 'i=E5866 SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 725 CHRISTINE DR VACAVILLE, CA CONTRACTOR'S NAME OWNER l�il TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ° CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 - i� Penalty $ BUILDING ADDRESS PERMITFEE $ i PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN5ION5 NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF XJ[ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15 00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK + y i New ❑ Addition ❑ Remodel If Utilities 13• Installation ❑ Other ❑ t i Describe Work: REPLACE ELECTRIC WATER HEATER W/NAT.GAS — Mobile Home I S I GI W I @20.00 PERMITFEE $ 50.00 y Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service ( 200A OR LEss 23.00 Main Service ( zooA To K000A ) 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 Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 ( 8 ) SO. 3.51t Fr. CNSS. LTI-ACCUTLEBUDS NEW CONST.'.y MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS S @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FUTURES ) 20 @ 1.00 BAL .SO Ex. Occup. (oFIIX ETA (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 i 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 the workers', compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XI Date 5'-- 4' -a—_ Signature of plicant - Owner Contractor ❑ AgentAn OSHA permit Is required for excavations over 5'0" deep and demolition or,constructlon of structures over 3 stories in height. Mobile Home Installation Fee $ ' Energy Inspection Fee ,, j $ 4 OCC w CONST. TYPE ' I '• TOTAL FEE $ 50.00 HAZ. D. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ab a for whZfhave (.J��Dates PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ID& Receipt No. / �/_ I,& WHITE-D.D.S`.-B.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 .County Center Drive - Orovillq� California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVI ON (916) 538-75 ^ O PERMIT NO. ASSESSOR PARCEL NUMBER 030-170-065 ZONING 9R BUILDI GPERMIT OWNER CLOYD BRILEY ( 707) NE Tom+% -5866 SO. Fr. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 725 CHRISTINE DR VACAVILLE, CA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1040 A MIT)T)LEH0EF IN PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF X$ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel it Utilities If Installation ❑ Other ❑ Describe Work: REPLACE ELECTRIC WATER HEATER W/NAT. GAS Mobile Home I S I G W 1 20.00 PERMITFEE $ . 00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR & ACC. BLAS. SD. 3.5Q FT. CNS. NEW CONST. MULTI.OUTIET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES zo @ I.5 BAL .00 0 EX. Occup. (oFI FIXED RE Iso°ea) 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 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 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 the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 5-4-- � Signature of plicant - ❑ 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 Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES I IMP I FLOOD I CDF 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 ab o a for which f have been paid. ! at� PERMITEXPIRESON fDffi Receipt No.76 WHITE-D.D.S.-G.D. —CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ulm 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. i. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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:,, ^n PROPERTY OWNER: LiC DATE: — 4 -q S 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 / 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 federaLincome 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. Sinicerel , -Michail C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is`required by Section 19830 of the California Health and Safety Code. OVER f f COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 t 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 02 OWNER PERMIT NO. A routine inspect!n 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, please cont this office immediately. r Z12 z? c 117 v r: Date REV 1 // ' Inspector 3 • .:,•+-..r t*...�r.r5�;�w�+- YprF -.;,-� ' --r .s .,,. ;� , a F , - .. -. 9�.r•ai;� �_..+.r..,,-sw�� ,.� .,ic ✓wr -cr. t.�r. _ _ -. COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7. County Center, Drive..--Oroville, California 95965 Telephone -:(916) 538-7_541 PERMIT NO. APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER030-�.d`-065: ' ZONING.. AR BUILDI PERMIT ,i OWNER - T y�SLIE y�ENSF1i T,53:7.0898 /�p�� J4 -"VCS SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1068 MiDDLEHOFF LN OROVILIF, CONTRACTOR'S NAME ADVANCED A/C (707) TSFL853242 CO MRACTOR. M+IUNG ADORES 1755 WOOLNPR AVE #3 FAIRFTEMo 94533 Fireplace CONSTRUCTION LEN DER - UNKNOWN Total Valuation is Filing F@@ - $ 20.00 LENDER'S MMUNADDRESS G Permit Fee $ ARCHITECT OR ENGINEER ^� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3068 MIDDLFJ[Q F LN �' - y• ;°.- PERMITFEE $ OROVZLLE 1 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE { SF ❑ Duplex ❑ Mobilehome ❑ Other i SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 �.. Gas piping system 1 - 5 outlets 15.00 .Building sewer 115.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U hides ❑ Installation ❑ Other ❑ Describe Work: REPLACE WALL FURNACE Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 -EOOV ,S7 OR LESS, Main Service ( p00AORLESS ) 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'lp full•force and effect. 1 License Class - A -- Lic. No.�,9/0�/ 0 \7. I � - w ter` - OWNER -BUILDER DECLARATION ' -�; � • { f 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: - ❑ I, as owner of the property, or my employees with wages 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. 4 ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO . OR ADON ( s ACC. BLDS. ) 33.50 Fr. NEW CON ST. MULTI.OUTLET S - NON-RESID. ( BRANCH CIRCUITS ') 97.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. j ( OUTLET OR.FKrURES/ ". B20 O 1.00 50 + FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.. Wiring 23.00 ° PERMITFEE A$ , -Contractor j•,' 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' erformance of the work for which this permit is issued. p1ompensation, as provided for by section 3700 of the Labor Code, for:the, 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 PERMITFEE $ 35,00 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ 'any person in any !manner so as to become subject to -workers' compensation,laws of California, and agree that if I should become subject to the workers' compensation' provisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. - `i•-.-. ' .' ', X__ _�� Date �°" Signature of Applicant - ❑ 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 $ occ CONST. TYPE TOTAL FEE•$ 1 35.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE `,, This permit is hereby issued under the applicable provisions of the Butte County•Code and/or Resolutions to do work indicated above for which fees Have been paid. f -• By �'J _ Date . PI ESON �. PERMITEX-77 (Date) ��1 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M 030-170-065 :PERMIT#95-23'79 1068 Middlehoff Ln., Oroville Cont: Advanced Ht'g & A/c E Replace. Wall Furnace/SF I , C r1 i f �i 3•� +rf Y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive '�`Orovill e, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-170-065 ZONING AR BUILD!PdPERMIT OWNER LESLIE JENSEN TELE 0898 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1068 MIDDLEHOFF LN OROVILLE CONTRACTOR'S NAME ADVANCED H&A/C ( 707) 128 N3242 CONTRACTOR'S MAILING ADDRESS1755 WOOLNER AVE #3 FAIRFIELD, 94533 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAJUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068 MIDDLEHOFF LN PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ 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 ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WALL FURNACE Mobile Home ISI GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( zooA 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 full orce and effect. p ® 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: ❑ 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. ( & ACC. BLAS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCHCIRCUITS .) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ L 00 BAL .SO Ex. Occup. ourieDrs PLNS. OR Ea ( ) 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' ompensation, as provided for by section 3700 of the Labor Code, for the pIlPerformanceof the work for which this permit is issued. 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 Hood 6.50 Ventilation PERMITFEE $ 35.00 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.) ❑ 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' 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 tho provisions. ' X Date_ �) _ Signature of Applicant - ❑ 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 $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PDPHDIEcompensation This permit is hereby issued •under the applicable pr of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByDate PERM ITEXPI ESON (�a� Receipt No. 185578 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Ni" 030-170=00, PERMIT#95-2698 s 1068--E MiddleihoH-Ln, Oroville" eCoNEVITountain Air-Htg & A/C Replrice'Wall F'urnace/SF ^'' �,":rl' i:n., ;n.' 'a1�R • L9y , - •j: .. „+i•.NyLQ. .: i�� X' �L'^i.u�¢d� "1:-"eH Fw �� a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES --BUILDING DIVISIO 7 County Center Drive - Oroville, tCalif6mia 95965 - Telephone' (916) 538-7541 PERMIT NO. -APPLICATION AND'PERMIT ASSESSOR PARCEL NUMBER - 1L 030--17--0-065 ZONING BUILDIN PERMIT OWNER JAMES t iF,ED IN TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 10618E MDDLEROFP LANE OROVILLE CA 95965 CONTRACTOR'S NAME - MOUNTAIN AIR HT & A/C TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NITNE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ " ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068E MTDDLEHOFF LA E . OROVILL•R PERMITFEE $ I PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF .b,� Duplex ❑ Mobilehome O 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 O Addition ❑ Remodel O UtilitiesT® Installation O Other O JXX Describe Work: REPLACE 14ALL ,rMNACE Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing 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 i full force and effect. ! License Class ( ej Lic. No. . y / OWNER -BUILDER DEG ARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i ❑ 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. O I, as owner of the property, am exclusively contracting with licensedl contractors to construct the project. I O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESI'D ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) �0 Q° 1 Ex. Occup. (OFIXED UTLETS PRES DJOR ) 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. O 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 15.00 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.) ilkI certify that in the performance'ofthe 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 wofkers'-Compensation provisions of section 3700 of the Labor Code, I shall forthwith 'comply v✓ith those provisions. �., j 11�• ' - , ;1 '\ X p _d�Yt� _ Date �/��� `-- 7-��`'— ignature of Applica t - Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy •Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES I IMP •' . FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued.under,the applicable provisions of the Butte County Code and/or Resolutions to do work indicate �a Ove for which fees hav been paid. / 10/26/95 BY A Date PERMITEXPIRESON 10/26/96 (Date) Receipt No. ta"025T WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, Caitforrtia'',55965 - Telephone (916) 538-7541 PEM F. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-17-0-065 ZONING BUILDI PERMIT OWNER JAt4ES WEEDON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1068E MIDDLEHOFF LANE OROVILLE CA 95965 CONTRACTOR'S NAME MOUNTAIN AIR HT u A/C TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIOJOWN Total Valuation Is Fling Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS MIDDLEHOFF LANE, OROVILTE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF 11 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 R Installation ❑ Other ❑ Describe Work: REPLACE WALL FURNACE Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000p 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 i full force and effect.20 License Class Lic. No. �� �j OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O 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 ADDNS. ( a ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLET sUS ) 8 EX. Occup. ( OUTLET OR FIXTURES ) p 1.00 BAL SO Ex. Occup. OUTLFIXETS PRESID. 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 Heating 15.00 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.) 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' sation laws of California, and agree that if I should become subject to the Wcompensation provisions of section 3700 of the Labor Code, I shall comply with those prop' jons. _ Date� 4naturpplica t - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TY PE .• TOTAL FEE $ 35.00 HAZ. 1 D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicate ova for which ees have BY PERMITEXPIRESON applicable provisions Reso tions to do work b n paid. Date 10/ 26/95 10/26/96 (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n ..•rf"ftit;"y�':`��•'t"r°i*"'r�p'(Tr �Y'ea�: �t/',T'+^Cr``PRvil���i�,.�".''.l''b`'�zW' :glftQjii%;';RiiT qwp?t!+1iiOcin!W4Y?:1C3,�� 1 G :4 r t r y 1 k. N `~ n i' i..c, .. ..� a � -..� _.. �. .._ a .s '.. � � +. �1+ �.. •n S • RESIDENTIAL (.030-170-065 PERMIT#95-3057 BRILEY, Cloyd 1068 B Middlehoff Ln., Oroville M --Lau dry Room/SF /-i7 17 . F F t A � F f t tt r ; S F C r' t i JOB FINALED (Date) �✓ `3 M ` 7 Signature Insulation Certificate BUILDING OWNER: . 0 �j Q 'L .4'L r- y BUILDING PERMIT #: _g_q — 36 S 7 BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING s Battor Blanket Type _ Brand Name Thickness (inches) �, Thermal Resistance (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 T!,ermal Resistance (R -Value) EXTERIOR WALL Material _ 23A4wi, Brand Name Thickness (in es) 0J Thermal Resistance (R -Value) RAISED FLOOR Z Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) _ Declaration Brand Name ; RcSosance (R -Value) Brand Name Thermal Resistance (R -Value) t 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. neral Contractor (Buil ) Signature and Title Sub -Contractor (Insulation Installer) License Number Date License Number Signature and Title Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN;THE BUILDING. JANUARY 1993 ties � ..• � 5 k .i' y • j jq 3,. 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; M H %Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date V=OK Date Card B-1 0 = Not OK -Not Card B-1 ' = Not Ready MOBILE HOMES .. MISCELLANEOUS' Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 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.-Connectors 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Shthg: Rfg: Bracing 6. Gas; Location -Test -Wrap; / P'L'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /Nat. or/ /'L'ft./ /LPG 6. Carports; Windows -Doors , 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; M H %Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils;.Compaction-Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wIS-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to 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 B-1 J =I -w O=Not OK = Not Applicable Not Ready RESIDENTIAL" (Single ' = Date UNDE OOR (Plans) OK except If's on' - etbacks-Easements-Flood-Slope tg_ Main; Soils-Elec. Grnd.42-411-Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ft.g., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 1. 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_ -p -qt Card B-1 )I t3 Date Card B-1 Date Card B- Date Card B-1 Date PLUM G (Permit),DK ex ept a's �DW.V.: ater Htr.. V t -A ss-Combu n Air B i' Pipe: Test & Anchor -Nail Protection -- --- -- - ------ - Test -Fittings &Anchor -Nail Protection --------- --------------ection ------------------- loo�-Tub Access ------------- -------- ------------------------ --- r. Second Floor -Tub Access --------------- ------------------------------------------------------- gJ/C as Pipe: Size & Anchors -------------------------------- Date'j-j3 `7L Card B-1 f2pj Date_ Card B_1 Date'7 '5J�'`f. Card B-1 /2�j Date Card B-1 Date ELECTRI L (Permit) OK except a's 2. xture & Transformer Clearance -Ins. Protection - ------ --- -------------- ---------------- - lec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------------------- ze Bo s & No. of Conductors -Stapled 5 o x Installed Close to Edge of Studs & C J. /�zJO quip. Ground made up w'MecIn. Fastners-Bond Gas & Water tits in Kitchen & Conductor SizerGFI -------- - - - - ------------------------------------ ............. _.. 2'. ze r r ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------------------...----- --- ----- .... - - - 29. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ------------- - ------ - - 30` e ser Conductors & Ground Main Disconnect 31 Eq Clearances Panels-Motors-Mech. Equip. I es Closet Light -Shower Light -Spa Light --- - Smoke Detector ---- - - qn. - .-.......... ...... ....... ....... Date -�6 Card B-1 !` Date Card B-1 - -- ... ....... Dat �3o-9y Card B-1 (L!?5 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support --------------------- -------.-. _ ........_._.._ ............ ... .. .... .. 35. Vent Fan: Exhaust above insulation --------------------- ---- - ._...... ........ 36. Condensate Dram & Overflow: Size & Grade ----------- -- ................ ........... ........... .. .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ....... ....... ... . - 38 Attic Access & Platform if Furnance in Attic ------ ....... ... ....... _.. _. Date Card B-1 D_ . ate Card B-1 ------------- -- _. ..._ ... Date Card B-1 Date Card B-1 Date FRA ans) OK except n's Si Proper Material & Anchors ._.. - .... ... ... ... .. alls Studs -Nailing. Spacing & Bracing -Plates -Sound Bear ails over Girders & Floor Nailing It Stop in Walls (rat proof) Fir Stops: Furred Ceil ngs-Stairs-Chases-Tub ----------------- .. .. ..._... .. .. .. .... .. ... .. 4 eaders & Beam -Size & Bearing & Duplex) Date FRA"d (Continued) 45.ers- st Caps -Anchors -Connectors 9 -------------- ----- --- - In cis -Rftr. ies-Purlin-root Brac-Truss-Sh4h11g.- ---------------------- - ce or e A Flue -Fireplace Throat clearance ------------------------ --- - 48. is ccess; ize Romex Protection -Draft Stop -Ins. Baffles ---------------------------------- 49. rm. Exiting Doors -Sill Hgt. & Dimensions 'SO-Garage-FITe' Protection Framing 64--2 c.p24ty_L= Firewall & Openings xt. (5_oor_s One 3 -Check Garage -3rd Story, 2 Exits ----------- - - Meadcoom-Rise-Run- Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------------- ------------- - 56. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access 5l. azing Area -Glass Protection -Skylights -Plastic ------------- ------- ---- 58. She r Walls: NailinBolt ----------- -n tion -W -Ce ngs ------------- ------------ nfiltration-Walls-Windows - q _...---------------------------------- - -- Date Card B-1 Date Card B-1 ----- - -------------- --- ------ Date �'�If- Card B-1 Q2 Date Card B-1 Date FINAL ans) OK except a's LY"Ext. Steps oor & Sideligh r6lection-Landings -_ -------- - ----- Sm Detector rnac learance-Comb. Air -Connector - In Garage. ove Floor -Ducts -Meth. Protection ures & Tub Access -Spa .............. ------------ 6B1115ec. Trim & Subpanel: Breaker Sizes & Labels - ---------------------- 6 ars Halls ...... _ . . ------ ---------------------- rep ace o learances-Hearth ec. Outlets at -Wood-Panel--Int. & Ext. -------------------- ------------ 70. Ki1.Flx1. & Appliance: Grnd.-Air Gap -Cooking Clearance -------------------------=----------- -- T ec. uutlets eceptacles at Kit. Counter age re oor Swing -Landing -Closer ---- 7 uct in Garage -Damper ------------------- ---------------- ----- tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection - ---------------------- ---- 1 Elec. &Mech. Equip. Listed for Location 76.. ec. Receptacles in Garage: (G F.I.)-Romex Protection sulation. Foam Looked in Attic - ❑Yes - -- -- 7 Construction -Post Caps __ ..----------------- ---------------------- -- n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - ------------------- 80. ve ❑ Yes ❑ No. Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - - - - -- - --- --- - - - ------------ ------------------ 8 7town- inish .. .. ..... _ ..... - - -------------- -------- --------- 8 A C Unit: Disconnect. Electrical. Plumbing . ... ... ... .......... .-------------------- -------------- - L-L_V,e s Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings . . . .. ... .............. _.._ --- ------------------------------ d nnect. Electrical• Plumbing xterior Elec. Trim: G.F.I. Receptacle -Underground -- ------------------------------ tilation Throughout House a7 Glass Protection �'r�ns ,tom Previospections�/fes s-Electric ------------------------------------ rO to Grade -HDA roval --- ------------------------- Certificates --------------------------------- .................. - - - - ------------------- Date/�, ,2p -`%G Card B-1 Date Card B-1 .. _ .... ---------- Date ----- Date Card B-1 Date CardB-1 Date 1-/3__%V Card 6-1 Date Card B-1 Comments. at Final: f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBER 030-170-065 Z°NI^1G BUILDING PERMIT OWNER CLOYD BRILEY T S3ONE4422 So -FT OCC. BUILDING VALUATION 66 3,3Qq.00 OWNER'S MAILING ADDRESS 725 CHRISTINE DR VACAVILLE. CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS + Filing Fee' $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. PlanChecking Fee $ Plan Checking Fee $ECT ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1068 B MIDDL%HOFF LN PERMITFEE $ 123.95 OROVILLE PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 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 CK Remodel ❑ U5lities ❑ Installation ❑ Other ❑ Describe Work: _LAUNDRY ROOM (UNHEATED) (SEE #95-2532 FOR PLEG & ELEC) Mobile Home I S I GI W 1 920.00 PERMITFEEs Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceE00V 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of, the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. BLOS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( SIPOWER APPARATUS ) 8 NGLE OUrLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 Ex. Occup. oFIXEEDTSPPLNS. 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 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 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 the workers' compensation provisions of section 3700 of the Labor' Code, I shall forthwith comply with those provisions. X i Date -1-L_ —q5 Signature of Agplicant - ❑ 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 $ Occ CONST. TYPE TOTAL FEE $ 150.95 I HAZ. D. FEES _ M FLOOD CDF PARC PD HD ISSU 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 to /j PERMITEXPIRESON A� / (Pate) { Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i .G k '.'•"a�.Y.%'y'.,�"€vF�/I �F':'u�'i is �.-R..•�t�.��.,,,ff � .� t.:, 'yr : :.. �4.. _ _Y, *1�.s .. ,�' SA`re "11. Si; n{,� .+iitii W�u>; .ti..l �!✓f"l s �.. t �:f4)� Vip .�x4'{� ) 11 )6;� .,lis )\ �..b. �4 .1`r' Vi I;�X r.)`,. :/�� i Y i•.�, +'�ri(.4 �'.(V) .: !'. 1,,j1 eni.;.•.1 j i�t Y.. y.. ;�+� dyll. iyi yl*X_ �..7y .rS... 1'4 )'.j•. )n' N .y1W..rn. z.l., m COUNTYOF BUTTE - DEPARTMENTOFDEVLLOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, w ad ised of above required data by _phone _mail Cou b Date Plans checked by Date Flans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I!! �l© �✓', !Ca A. P No. OWNER V �roposed Building Use Idd m • Building Inspector Date / c7 / 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 1. 2. All items h been submitted. Plot sets, signed by of - plans preparer plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. r, 5. Hazardous Material Form . ............... I*******-*-* .............. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . ............................... " 12. California Department of Forestry plan approval/fees. .....::•.................. - 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... ' 16. Plot plan, and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ......... ' - 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . F 19. Driveway permit (construction approval required prior to occupancy). . . 20. Neanspedion request Pre for required. .. to Building Inspector (Date) 21. Contractor's license information. No., Name Style, Classification . 22. Certificate of Workmans Compensation`Insurance. .......................... i 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . •=" 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization........................................I 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................... :............... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ r 31. Existing violations/expired permits. 32./Plan check list . ................................................ . . . 33. '- 34 When you issue the p r it, pr cess as follows: Mail t owner. i Mail to contractor. Telephone and hold for pickup at p4 eq V ' office. Deliver with inspector. + Other Parcel Creation Acreage Applicant - O' Date 1 2.- 1 4 S 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: �T Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, w ad ised of above required data by _phone _mail Cou b Date Plans checked by Date Flans approved by 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES [>d NO[ ]. 2. I HAVE[]- HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person- (firm) to provide the proposed construction: NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE N.O. 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: NAIME ADDRESS PHONE TYPE OF WORT{ SIGNED: PROPERTY OWNER:_ SOCIAL SECURITY NUMBER:_ DATE: G 2- — '! L( — 2 5' 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 Dear Property Owner: 1 { ` An application fWa 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 woik 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. i 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 grader State Law, contact the Department of Benefit Payments and the Division of Industrial- Accidents. If the struculie is intended fcr sale, property ow::ers who are not licensed Contractc are allowed to ' perform their work personally or uh oua h their ow:, 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. t; 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. ti Michail C. Vieira, C.B.O. Manager, Building Inspection ` °+ A . .r. NOTE`. This Owner -Builder Information is'required by Section 19830 of the California Health and Safety Code.:: , v � �y. OVER 6. All construction shall be done in accordance with plans as approved by this office. If structural or other significant code related changes to the plans and the construction are proposed, the following procedure must be followed prior to allowing the change: 1. If the plans are prepared by a registered engineer or architect, the.plaa change must be resubmitted for approval with the consent of the engineer or architect. 2. If the plans are prepared by other than an engineer or architect, the plan change must be resubmitted for approval. 3. If the change is simple enough to not require resubmission of the plans, the changes may be made verbally through our plan checkers. 4. Energy revision will require resubmission oofuern energy design compliance hodocumentation. ocu � p�ved NOTE: In all cases, both the job set of plans and P changes even if only accomplished by a written and initialed note on the plans. 0 When taking in revisions, charge for one hour ($46.00) for most revisions. Occasionally there will be major changes that will require more than one hour charge, those will be charged accordingly by the plan checker. However, collect the minimum $46.00 before accepting the plans for revision. Also there will be times when a v_= minor change is requested. This may involve one beam change or maybe a door or window change or one or two trusses. This type of minor change may be charged at 1/2 hour (or $23.00) only, if revised 121an is clear of exact change to be made, without client having to explain the change to you. 0 There are very few changes that can be done in 1/2 hour because of your time at the counter, our time pulling A.P. files, pulling original plan, comparing new with old; checking proposed change, re -filling A.P. jacket and plans, making deposit, etc. Therefore, collect enough money to cover the r, /611 DATE: 4 Permit Number: A:P * [ ]Residential[ ]Non -Residential Received by: Receipt 9: JFrom Data [ ]Requested by Pian Checker [ JEnghreeru�g[ ] her: [ ]Requested by correction notice: T4uem• fits_ Location in building where change When approved, process as follows: ]Mail to owner: !R�r Q it - P/(?— Y d 0J1(2- [ ]Mail to contractor: [ ]Call: and hold for pickup at office. [ ]Deliver with next inspection. REVISED PLAN CHECK FEES PAID [ ]$23.00 [ ]$46.00 [>QAdditional fees not required A ii- :� � :fir �' < +�• a ,� S.. 4y3, i .. � .��� .. .. ' 1 �'` � r '�fIt�- ,. � '� r, 'r .. � - t a�:, � i�. '�'A ., �'�.`, i a r.( • , �� / � . a r � �'1>� ( ��+.j �. .,1� i r 'M f r `If • � . ` � ♦� h . J r. ' �,�`� -� ',.y: � f ` �� Tl .r _ _ .. _• � f �� y �= t" �' + '� i � ,�... , � * _, f .� s � �-��� i � p, �; }fJ'a • J w ,� � �4 .. t � .l.t: t ... A-� i � � + � � 'f �`_. •tik�+[ a ..i � 1 : i r'.' 3 0.. d -� .•'* f 4 -�� '�✓ _ e i�vq. jY. � �` . f ,�y � ` 4 h •N�".Tri �� .. j �. %� CORRECTION NOTICE v 1 �S- OWNER PERMIT NO.�, shY 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, a_ r C. 11 --�o/ J-2 ' S nt�e�-; 5,.j Date — a —9 Inspector REV 10/9 4 +I COUNTY OF BUTTE .: BUI-DING,DIVISION -;NX DEPARTMENT OF DEVELOPMENT SERVICES 'r'= �? 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 v 1 �S- OWNER PERMIT NO.�, shY 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, a_ r C. 11 --�o/ J-2 ' S nt�e�-; 5,.j Date — a —9 Inspector REV 10/9 '7 COUNTY OF BUTTE _,.. BUILZING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES r 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 w 4': -'' CORRECTION NOTICE OWNER J 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, please contact this office immediately. r G4 i t - r c ti.�-, r a e-4-; d-"/ Date % ap_ %.� Inspector x;.• , REV 10/92 I rS COUNTY OF BUTTE ti BUI,LD,ING, 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 OWNER 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, please contact this office immediately. J Date?— �}(% Inspector REV 10192 l RESIDENTIAL 030-170-065 PERMIT#96-0522 BRILEY; Cloyd 1068-B Middlehoff Ln., Oroville I� Add Closet/SF j f f 1 fi K, r t .r 1 i i. JOB FINALED (Date D67 Signature f V=OK ^ O = Not OKNot '=Not Readyble MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / NL'ft. / /Nat. or/ /"Lt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to 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 B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL'(; = Date UND FLOOR (Plans) OK except If's Z ng -Setbacks -Easements -Flood -Slope 12-'Ftg., Main;'Soils-Elec. Grnd.-/'PRFtg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. D15;i4h 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 ti�`��c 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 ------------------------------------------------------------ - - - - - ------ 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. Gas Pipe: Size & Anchors --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------- ------------ ----------------------------------------------------- Date ------------------ - -----------------------..Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------------- - - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------------------------------------------------- --- ------ 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------------- - .. .......... 25. Romex Installed Close to Edge of Studs & C.J. -------------..---------------------------------------- - ---------- 26. Equip. Ground made up w'Mech. Fastners-Bond Gas & Water ----------------------------------------------------------- - ---- -------- ---- - -- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------- ----------- - --- - ---....... --- -- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ga. Cu or At 29 Range Circ. ga. Cu or AI -Oven Circ. r ga. Cu or Al. Insulated Neutral 0 Yes 0 No -- ----------------------------..._.__..._----- .. 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ---- ---- - - - - - - I ---...... _ ....._ ..-... 31. Equip. Clearances Panels-Motors-Mech. Equip. -------------- ----------------------- .----- ---- 32. Clothes Closet Light -Shower Light -Spa Light .............................-_....__... -- ---- 33. Smoke Detector -------------- --------------- --------- --- - ------ _ ------------- --I..... ............... .. Date Card B-1 Date Card B-1 - -- - ....... ... .... ... ....... ... ... .. Date Card B-1 DateCard B-1 Date MECHANICAL.(Permit) OK except a's 34. A.C. Ducts Insulation & Support . - - . .. ......................... ........ .. 35. Vent Fan: Exhaust above insulation -------------------------------- ..... ...... . . ... ... ...... 36. Condensate Dram & Overflow: Sze & Grade -------------- -------......... ..............--- --.. ....... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - .. ....... ... ... .. 38 Attic 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 1r's 39. Sils. Proper Material & Anchors ...... ....... 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ... . _ .... ... ............... ...... .. 41. Bearing Walls over Girders & Floor Nailing -. .._.. ........... 1. _.._.. ... ... .. 42. Draft Stop in Walls (rat proof) ...... - ........ ... ... ....... ..... ... 43. Fire Stops: Furred Ceilings -Stags -Chases -Tub -----...-----._ ....... .. ... .. 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ------------------ ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----------------------------- -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------------------------------- -- 50. Garage Fire Protection Framing ------------------ 51. Property Line Firewall & Openings -------------- 52. Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits -------- --------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------- ------- 55. Siding -Nailing Veneer -------------56.-.Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------------- -- 57. Glazing Area -Glass Protection - Skylights- Plastic 58. Shear Walls. Nailing -Bolts 59.- Insulation -Walls -Ceilings ------------------------------------------ 60. Infiltration -Walls -Windows --------------------------------------------- - D -1e 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-Mech. Protection 64. Bedroom Exiting ...... - . ---- --- ---------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ................ -- -- ------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails --------------- 68. Fireplace or Stove. Clearances -Hearth ----------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. .... ------------------------------------ ------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ... . .....-. ---------------------------- ---------- 72. Garage Fire Door: Swing -Landing -Closer - --- --- -- ------------------------------ -- - 73. A.C. Duct in Garage -Damper ... - - - --- - - - - - -------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection ..... ........................................... -_. ..._------------------------ ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location ._..-_----------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --- -------------------- --------------------------------- 7,. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps -------------- ------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes g --------------- -- 80. Following instld� Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters 0 Yes 0 No . -------- ------------------------------------------- 81. Stucco: Brown -Finish - -------------------------------------- 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 66 Ventilation Throughout House _----- ----------------------------------- 87 Glass Protection 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric _. .. ------------------------------ 90. Water & Sewer Connected-CrO to Grade -HD Approval -------------------- - ---------------------- 91. Energy Compliance Certificate -Other Certificates -------------------------------------- Date Card B-1 Date Card B-1 ------------------------------ Date ----------------------------Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION " 7 County Center Drive - Oroville, California;, 95965 - Telephone (916) 538-754 PERMIT O. APPLICATION AND PERMIT _ �� ASSESSOR PARCEL NUMBER 030-170-065 ZONING BUILDING PERMIT OWNER CLOYD BRILEY TELEPHONE SO. FT. OCC. BUILDING VAL 54 R 2,916.00 OWNERS MAILING ADDRESS 725 CHRISTINE DR VACAVILLE, 9453 CONTRACTOR'S NAME ota>1,JN ER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION ENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERSMAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ 315 10 Energy Plan Checking Fee $ - ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068 B MIDDLEHOFF LN PERMITFEE Q PLUMBINGPERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF EX 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 EY Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CLOSET — ( SEE #95-3057) Mobile Home SG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO IoOOA ) 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 Law )br the following reason: 15�,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. ( & ACC. BLDS. ) SO. 3.5¢ FT. 1.85 NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) @7.50 WER (aPs NG E OUTLETTUS C R. ) Ex. Occup. (OUTLET OR FIXTURES) BAIL @ I:w Ex. Occup. FIXED PPLNS. PES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 21.85 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 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.) `17hI certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��,(�%! Date Signature of Applicant - ❑ O ner ❑ Contractor ❑ Agent An OSHA permit is required for cavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 130.q5 HAZ. D. FEES .� IMP FLOOD `�- COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or in c ed ov or which fees have PERMITEXPIRESON applicable provisions Resolutions to do work been paid. 3.�9• Datepp �,�+ 3 �1 – / (Date) ReceiptNo. 194758 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT °#FMM+; (�I�7�Y4p-.Q �iM�t'�,"'''�K'7N:�li �k"�*+Y'.and9w'�'e"�7'^:�k�TySNi{F'-="��!�ri�li!�j{tp&t�'�'�^"• `_ x .....,r, wv'*r^nC'�r�'�!'fL„�54�F+fMi"tri+Wv�rl"..A . r.� : , OUNTYOF BUTTE -DEPARTMENT OF DEVE; , WENT SERVICES -BUILDING DIVISION 'v 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 • a PERMIT APPLICATION DATA SHEET OWNER �l p C (C� P No. Proposedf'Building-Use CIO's E Building Inspector Date At timeof pit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ...: ................................... . 2. Plot plans, 3/4 sets, signed by preparer ofplans . 'z.,.. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .........� 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and. A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .............. ....................... . 11. Impact fees as shown on attached schedule. .. r'.` ........................... ............... 12. California Department of Forestry plan approval/fees. ' 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . ' 19. Driveway permit (construction approval required prior to occupancy). . . r. 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. No., Name Style, Classification . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization. ........................................ 26. Copy of recorded deed of parcel creation and -60 right of way to a public road. ..... 27. Letter of intent on building use . ..........................• ............... . ` 28. Mobilehome utility clearance. ......... 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed - and (B) Parcel meets zoning area and frontage requirements . .............` .. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. W e you issue the,,,pip r its�pprocess as follows: Mai owner; Mail to contractor. Telephone) UaQ%3 and hold for pickup at r rO Ui office. Deliver with inspector. Other sr) s a Parcel Creation C, Acreage Applicant `�"� �� Date - I6 - 1,6 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 Co ter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ! _ O.B.- I v: ..w..; <. S. n . t '� •J. •:vn?�:?�•<+�?i}�'^``:<ii rrti;,:;??:v::it';{:i�.:iv.v: v.v.: •: i::•}w:•v'tiff:::::.:.::::.: 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 !hat 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 S300 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 uniiceased persons professing to be contractors is to secure an "ownierbuiider" building permit, erroneously impi;.ing 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. 95314. 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 19330 of the California Health and Safety Code. OVER