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HomeMy WebLinkAbout030-182-005- A.P. 30-182-5 J.B. Grandon [STIR 1124 12th St., Thermalito Permit 3543-`%2 (new sidin ' ,5_i3 -'I C 30-182-5 Per-mit.-#568.1-77B.(fire.place/SF)- t LOT BLOCK SUBDIV. 30-1825 PERMIT TYPE PERMIT NO. PLAN NO. DATE ISS NEW 0 T 0 N BERGEN ermit-83B,P;E,I>(add family rm, ba bath & bedrm, ele ser/5-F,�) 30-182-5 N� Orfiri5#198684B(lst renewal/3889-83) 30-182-5 4322-89P BERGEN, John ' Contr : Rick Mauldin 114 12th"St`, .Oroville .(g - as piping'repair)4 - - 030-182-005 #98-1861 ADAMS, MIKE 1124 12TH ST. OROVILLE DIAMON CONST ? REROOFD FINAL- '51:Z714M 1 R PERMIT DESIGNATION: B—BUILDING DEPARTMENT OF P—PLUMBING BUILDING AND SAFETY T—TRAILER i E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT REMARKS HM—HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 rLit 1 s CA3 = »;, 7 INSPECTION RECORD BUILDING APPROVALS FZ w rcf IL DESIGNATION Z Z O Ouil ago �a7 J 0 z UJ oW zN W C D Z f 4 K O �� �g ? � O �a� FW -J XX W �E Ow rc~ wy Fg Za R'� OW �, w Fa y�4. w 44!! rcU UO Z Um WJ "a Q (7 IL w 1 w WIL LL a Z SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE - SIG. DATE SIG. DAVE SIG. DATE SIG. DATE SIG. DATE SIG,. DATE PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL PERMIT NUMBER, DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES $ APPLIANCES METERS FINAL PERMIT NUMBERt DESIGNATION '-, r, COUNTY OF BUTTE- DEPARTMENT OF IJEVEL6PMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 MIT NO. (Rev. 12'/96) APPLICATION AND PERMIT T4P9- �� ASSESSOR PARCEL NUMBER 030-182-005 ZONING BUILDINGPERMIT OWNER MIKE ADAMS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 16 SQ OMP 960.00 OWNER'S MAU,IfNRE12TH ST. OROVILLE CONTRACTOR'S NAME DIAMOND CONST TELEPHONE ' `NTRAOTn4ILINGffCJS AVE OROVILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1124 12TH ST. Energy Plan Checking Fee $ OROVILLE PERMIT FEE $ 45.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ 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 ❑ Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 - Main Service ioon oa 'ss 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 II force and effect. �-j �+3 to / /' 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. ❑ 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. DWELLING OCCUP. SO DWE200ALLING OR ADONS. ( & ACC. BUDS. 3.50FT, r",MRES.. ANCH CI�CUT @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. ouTLET OR F°cruREs 20 @'•0° Ex. OCCU BAL @ .50 ED Ex. Occup. ouTrs RES O.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE S 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 fort with co ith those p I ' ns. X �--�-_ Date _� //,7 lqs- Signature of Applicant - ❑ Owneir ontractor ❑ Agent An OSHA permit is required for excavation over 5'0'., deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD IS 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 Date ReceiptNo. 244935 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF bEVELOPMENT 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©" ^ _ [(lJJI n D 'Co /�(v{ ZONING BUILDING PERMIT OWNERn VN�I�. TMAPN°Ne FSQ.00C. BUILDING VALUATION OWNA9 MARJ pResa t �J CONTRACTOR'S (O i0© d Q l TELEPHONE CONTRACTOR'SW CONSTRUCTION LENDER LENDER'S MAIUNG ADORERS Fireplace Total Valuation S o !Z ARCHITECT OR ENoueER tx:FrtsE NO. Filina Fee S 20.00 ARCHITECT OR ENGNEEL'S MAIUNG ADDRESS Permit Fee S Z� • D� Pian Checkin Fee $ suwNG ADDRESS SA- Energy Plan Checking Fee S I ►'�N'' PERMIT FEE _ � .dam LCT NO. SUOD"ION'SNAKE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome O Other BPWFY 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 O Addition ❑ Remodel O Utilities O Instikktion O Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W tg�20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service oa OOR t 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 Lk, 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. 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 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 whk:h this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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 Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over TW deep and demolition or construction of structures over 3 stories in height Main Service "*A TO LOOOA 49'00 NEW CONST. DWELINo OCCUP. SQ OR ADS• a ACO. am. 3.5017T. NMW O"ESID. MULTFotmFr @7.50 PowERAPPARATu 8 BNGLE OMET d0. Ex. Occu °LnLETORMURES MLa t: o Ex. Occup. '�41Je,®D 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 9.50 Ventilation PERMIT FEIE _ Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ HAL o FEE'S I WP I ROOD I COP PARCEL. FO HD 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 Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. 2-144 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '- ..- .. ---'.,-. -v. er?n.-^-•.,- a,. -�,. .w.n..�7';�_ . £.�.., _.F�...:-rw!.�:.-,.7.3'.n.•�, , � 5:!..{. ;.r. �n•.¢r.._ �-r'-s�; y r 030-182-005 #98-1861 ADAMS, MIKE 1124 12TH ST. OROVILLE DIAMOND CONST REROOF � m 1) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPWENTSERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7544%� �1PEfIMIT NO. `c (Rev. 12/96) APPLICATION AND PERMIT {(L1 ASSESSOR PARCEL NUMBER 030-182-005 j�L ZONING BUILDING PERMIT OWNER MIKE ADAMS TELEPHONE SO. FT. OCC. BUILDING VALUATION o �' ` 960.00 OWNER'S MAI�1f�Cy,(LL)DRES$ �,�„9 ��♦ ORO*y�- f �,., j �-n Y 1,l•� CONTRACTOR'S NAME DIAN= CONST TELEPHONE ' CONTRACT6MUNG�D�NbS AVE OROVTLLE . (�/, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1124 12TH • ST. j .1-� Energy Plan Checking Fee $ $ OROVIUE PERMIT FEE $ 45.M LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Et Duplex ❑ 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 ❑ Describe Work: REROOF Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home. I S I GI W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service loo oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. C License Class f3 Lic. No. (o4,9 to I OWNER -BUILDER DECLARATION -1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 1000A 46.00 ( TGNG NEW CONST. DWELLING OCCU EL CUP. SO OR ADDNS. ( & ACC. BUDS. 3.50FT. NEW CONST. MULTI.OUTLET 7.50 NON-RESID. BRANCH CI CUTS POWER APPARATUS d SINGLE OlJf1 ET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. OLF,IT%E S RES DOE" 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. ❑ 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.) I 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 compith those p ovvs' ns. X _T �- •--_-+_ "- Date _�-' 7/ Signature of Applicant - ❑OwnerContractor ❑ AgentT An OSHA permit is required for excavation's over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ ' OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSAI� 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 Date ReceiptNo. 49.3o WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIKKAINSPECTOR GOLDENROD -APPLICANT It I 4 PERMIT NO. PERMIT EXPIRES t OWNER JOHN BERGEN I CONTR. OWNER t ASSESSOR PARCEL 30-182-5 LOCATION 1124 12th St, Oroville 1317 .i S .tom. y r y OFFICE COPY Y !` Address ! GAS - Meter By Date sfELECTRI t• Meter By —Date 40-7,k�-1 c r' Temp. Power Pole Called PG&E �• Temp. Elec. Service Called PG&E ' Temp. Gas Service Called PG&E ` JOB FINALED (Date) f Signature C Y 4 A 1 :4; " ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. _ PACKAGE it All (Additions) JOB ADDFPSS TYPE OF WOR Existing ResidenceZ_V_ New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room`additions, . converting. garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA CEILING R-30. R-30 -R-38 WALL R-11 R-11 R-19 FLOOR R-11. R-11 R-19 SLAB R- 7 R-11 R- 7 GLAZING >65 .65 .65 SHADING SOUTH OPTIMUM OVERHANG or .36 S.C. WEST -' '. 36 S. C, LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) 7 DUCTS PER UMC Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LU1,ENS/WATT _._�NIAXIP�,P1 GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC ANDT, DATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 ❑ *2 13 13 (Describe) Btu/hr (cooling capacity at SS°F) Other � (describe) oat, t� t, d Es 4j."a&W c + ° Pep @ . �® � �zoc DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons ' (tank size) Active Solar _ (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type., brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels. Other *I Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the " following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace • BTU Cooling: Summer design temperature °t cooling.load BTU *2 Submit.T.I.P.S.E. chart'or other, approved system (form #5) to document sizing of solar panels. m DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. c. SIGNAT •'E OF BUI�P?NG DESIGNER'OP., APPLICANT *1 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating % ❑ Central Gas Furnace (brand and model number) SF Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP _ Btu/hr (heating capacity at 47°F) ❑ Active Solar _ type (liquid or air) Collector brand and ft2 model number solar'fraction collector area collector orientation collector tilt rated y -intercept rated slope �g Other ❑ (describe) *1 .. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) _ Btu/hr (cooling capacity at 45°F) ❑ Electric Heat Pump �• ' F.F.R .. ❑ *2 13 13 (Describe) Btu/hr (cooling capacity at SS°F) Other � (describe) oat, t� t, d Es 4j."a&W c + ° Pep @ . �® � �zoc DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons ' (tank size) Active Solar _ (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type., brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels. Other *I Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the " following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace • BTU Cooling: Summer design temperature °t cooling.load BTU *2 Submit.T.I.P.S.E. chart'or other, approved system (form #5) to document sizing of solar panels. m DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. c. SIGNAT •'E OF BUI�P?NG DESIGNER'OP., APPLICANT � ..;. _ ` ` ... �,_ y :�f '.�.Y »Y �''A' "!ii^.�''�� 1 - .. _. �!�_.. 1. M� � r A� � . i. �� �� n �. .� • � . Y' , t{ ~ w i. r � �y! � • • . n � � f F� �� M i; ' � � �j �� r N �� S .. r' ..�i r.. �:' �'� h �' ti �i a y. r . � � �:d4y�,,.. 3 ' i r �� .. ,.y ��. - � FA r a ! �� �. r f i L v � - ,i i r � .i - "� F. � � � *. �. ;. .3 .� i � �i i / ,� .. � J, e t j �� •y� i— j v ; J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's r 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.-Connec.-Shthg.-Rig.-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 k'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 -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 j 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged j 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date - Card B -I Date Card -BI Date Card -BI Date Card -BI Date F r J = � 0 Not OK. = Not Applicable = Not Ready RESIDENTIAL (Single' and Duplex) Date UND LOOR PI s OK exce tk's Date FRAMING Continued . Z ng requirements-Setbacks-Easements*'Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors-One,3'-Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel -Blockouts-Wrapped-Slab 52 Siding -Nailing -Veneer 6. Stemwalis, Garage; Steel-Blockouts-Wrapped-Slab 53.Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.,-,Steel 50�,Ilazing Area -Glass Protection -Skylights -Plastic - j�.V.: F -Fit ' gs-T -2 way C -Sewer Test 5 ear 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 Card -BI Date Card -BI Date Date. Card -BI Date d=61 Date/-2.7-:35,Card-BI Date Dat 6. 57. s` L (Plans) OK except N's 1 .0" I. Steps -Door & Sidelight Protection -Landings moke Detector Card -BI Date 'Card -BI Date Date P UMBING (Permit) OK except q's - 1 Water Ht.: Ven Access -Combustion Air Furna e; Vents -Clearance -Comb. Air-Connector- I ar ge; Above Floor -Ducts -Meth. Protection 1�Water Pipe; Test & Anchors -Nail Protection .W.V.: Test-Fttngs & Anchors -Nail Protection hower Pan; Test, First Floor -Tub Access B room Exiting 6a,-G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes abe ' as Pipe; Size & Anchors mails .62rFPrepface or Stove; Clearances -Hearth wfi4. E1er.JL1lets at Wood Panel; Int. & Ext. Card -BI Dat Card -BI Datet t. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date utlets & Receptacles at Kit. Counter Date ELECTRICAL P .it OK except k's • e Door; Swing -Landing -Closer uct In Garage -Damper 29!lixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air -Connector P -.R. arage; Above Floor -Meth. Protection _- z11/C-Jop. Receptacles Spacing -Lights & Switches at Doors 7 . Plb., Elec. & Mech. Equip. Listed for Location 2 ze Boxes & No. of Conductors -Stapled eceptacles in Garage; (G. F.I.)-Rom Protec. 2 ex Installed Close to Edge of Studs & C.J. - -- --- Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 nsulation-Foam-Looked in Attic s 79.-6aerd-R944s &Deck Construction -Post Caps _ 25. 2 Appliance Circuits in Kitchen & Conductor Size Crawl Hole Door -Drainage & Wood -Earth Cleara e L under Floor ❑ Yes - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al _ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, ated Neutral Dyes ❑No Service -Riser Conductors &,Ground -Main Disconnect ollowing instld.: Drive es ❑ No; Walks C es ❑ No; Planters El Yes Uo Win -Finish - - 2�. quip. Clearances; Panels-Motors-Mech. Equip. i,-Clrnces-Brkr. & Cond. Size -115V Outlet -----��--- ,m ,Flothes Closet Light .. -Shower Light - 7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------------ ---- ; Disconnect, Electrical, Plumbing Card B -I _ _D_atee� Card -BI Date 80. Eoefior Elec. Trim; G.F.I. Receptacle -Underground a 'lation throughout House Card B -I Date Card -BI Date I P eq Date MECHANICAL (Permit) OK except q's 8 _ ecti from Previous Inspections 8 st-Meters Tagged; Gas -Electric _- - 31. A.C. Ducts: Insulation &Support - 32. Vent Exhaust above Insulation _ - 33. Condensate Drain _& Overilow; Size & Grade 8 Water & Sewer Connected -C/O to Grade -HD Approval -0e--ERerqy- ompliance 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 - --- - -- -- - - - ------------ - Date- --- - Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date d 15- and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: 3 Si_ils; Proper Material & Anchors -- _37/Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 36 aring Walls over Girders &Floor Nailing----_ 3� " It Stop in Walls (rat proof) - - 4F-j#e Stops; Furred Ceilings -Stairs -Chases -Tub -- 4�Y/Iiea_der & Beam -Size & B_earing- 4� gers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnq 44. Fireplace Ties or Type A Flue -Fireplace Throat At Access: Size & Romex Protection -Draft Stop Ins. Baffles -P70 4drm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ 47. Garage Fire 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 Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ER —) 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. \ l I Z / r 4i /(J M / :51 -41 42 1 /' 4-rd i� i'C 4� - 40 1"atc, 5=1 I✓V ld.iy� ++ rCA,n Buz a�r�� Inspector `\ Date �� — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville, California,,95965 - Telephone 916/534-4541 APPLICATION ANID PERMIT PERMIT NO. 9 -8' ASSESSOR PARCEL NUMBER -6- ZONING ! BUILDING PERMIT OWNERTELEPHONE -a-0kh Be,r5733 � ff 19 SO. FT. OCC, BUILDING VALUA I 7F OWNER'S MAILING KESS IIaw S Dror CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , Do ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 'a Do t Penalty V) S^ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AgDRESS OQ(i /TLSt PLUMBING PERMIT Filing Fee 10.00 Each Trap qJ 2.00 ,dam Solar Water Heater 20.00 • Water piping 5.00 ,tea LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,ab USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 p� W Mobile Home S G 10.00 e TYPE OF WORKPermit New ❑ Additio Remodel ❑. Utilities ❑ Installations] Other E] Describe work: a- �— e � _ ) p�C_S 9( �� l r ol✓ Fee $ 3 ,07Z) Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLIN OR ADDNS. ACC. BL G . , 2/2QSgft 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 ULTI-OU LET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR / POWER APPARATUS &') NON-RESID. \SINGLE OUTLET CIR. / Ex. O 20@500 .,. ccu / P\o OR FIXTURES BAL®30 IXED A Ex. Occup. OUTLETS PLNS R (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 6a, GQ 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 HeatipQ `;< S Cooling WDID Hood 3.00 Ventilation permit Fee $ �' ov 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 ai Cou Ry ' consequenc of the granting of this permit. X Date /0 IyD S•gnature o pplico r ner Contractor ❑ Agent 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 $ N�h TOTAL PEPMfT FEE $ , OCCUP. GROUP I TYPE OF CONST, PARCEL PD HO I 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees. have been paid. WORKS Date/%—Z L F-3 Receipt No. U %�c�V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT PERMIT 4qkL ASSESSOR PARCEL NUMBER 30-182-5 ZONING BUILDING PERMIT OWNER John Bergen TELEPHONE S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 1124 12th St Oroville 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 2 original $ 72.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 82.00 BUILDING ADDRESS 1124 12th'St, Oroville 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[R Duplex ❑ Mobi lehome ❑ Other addition ' SPECIFY Building sewer 5.00 Mobile Home SGW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1st renewal/3889-83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aOOV OR LESS 100 AMP OR LESS 10.00 Main service EA: ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUR.&\ OR AODNS. C ACC. BLDGS. 1 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 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 RENEW COO D R BRANCH CIRCTITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20@50a p�o OR FIXTURES BALG30 FIXED A FIXED APPLNS. OR `` Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 onsequence of the granting of this permit. X 2 Date Signature of Applicant — wner ❑ Contractor ❑ AgAt ❑ 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. JPARCFLJ PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R OF PUBLIC By 70 11 PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS Date 21/85 Receipt NO. 2? iJ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A .11.1,iti-� E PERMIT NUMBER B 3543-72B P E PERMIT EXPIRES 1A -� 7 73 OWNER J.B. Grandon CONTR: owner LPCATION (A.P. 30-182-5 11)24 12th St., Oro-ville 4z. r: Zoning Foundation Rgh. Plumbing Rein. Steel_ Framing Wtr. Htr. Firewall ELECTRIC Temporary Final DATE COUNTY OF BUTTE • _, Department of Public Works BUILDING INsk:i:TION RECORD Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert: of Occup. Final Final REMARKS OR! CORRECTIONS COUNTY OF QUT T E'' — DEPARTMENT OF PUBLIC WORK 7 County Center Drive y— _01;dviIIe, California 95965 Telephone: 223d0M0CRXDCffL1k 534-45/1 APPLICATION AND PERMIT 54 Whit autnunce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Ja X_ Date o2 Signature of Permitee or Agent d Receipt No. _zQ36 pJ a r e-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. DIRECTOR OF PABLIC WORKS By / DatezZ-77—'72_ Building Permit Expires Dat,,/Z—Z-?" 73 BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Mailing Address S' Ov Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ O a Building Address � i P � PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q t 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. — Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 j�///� Plbri-4711-e— Fees ti I W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ el ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 tf c in service incl. 1 meter dditional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures - Receps., switches & fix outlets 2U Ai 25 1 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: 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. Classification ' 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 Wor men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this apermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 tate Fee For $trpng Motion $0.07/$1000 Evaluation nstrumentation Program TOTAL PERMIT FEE d 54 Whit autnunce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Ja X_ Date o2 Signature of Permitee or Agent d Receipt No. _zQ36 pJ a r e-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. DIRECTOR OF PABLIC WORKS By / DatezZ-77—'72_ Building Permit Expires Dat,,/Z—Z-?" 73 'PERMIT NO. 5681-77B PERMIT EXPIRES J., B. Grandon OWNER CONTR. owner LOCATION (A.P, 30-182-5 i 1124 12th St., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. / Called PG&E V JOB •FINALED (Date) (Sign re) I 4 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. f Restroom Finish 2nd Floor Footings �, Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents A Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of e X. structure Appliances Gas Piping &Test Tema. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Ftgoting ELECTRI AL Masonry Walls Throat Rough Reinf. Steel Final Fixtures .Bond Beam FIRF SPAINKI FRS luntnm mesn I MEC NIC L Grd. Fault Prot. Scratch 1 Heating Service Brown , Cooling Temp. Pole ' Finish Ducts Underground j Interior Lath i Ventilation - Permanent Door Closer 1 Final Final MOBILEHOME UTILI IES l Elec. Service Elec. Pedestal ` Water Piping j Sewer Gas Piping MOB16EUOLAE INS ALLATI N - - `; - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping 4 1 DATE REMARKS OR CORRECTIONS V (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' - , 04oviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Tol il 7 Al c.0 Ur&e r6pfe Seniaoves UI the l,.uuniy ai Buiie to enter upon the above-mentioned property for inspection purposes. X v .3/ Date Signature of Permitee or Agent Receipt 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 haveen aid. DIRECTO OF UBLIC WORKS BY Date J/—)- -7 ilding permit expires Date _ 11-_1_,7)7 BUILDING V. r Owner Pa SQ. FT. OCC. BUILDING VALUATION Mailing Address X 4ST— Qr-Oui t� Telephone No. S"3 —j?79 Fireplace A- �Li.7SO-Oc Contractor 4111 Total Valuation 7rct.06 Ed Mailing Address Permit Fee d O Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �.pp Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 t A. P. No. 36 --/ a' �-- .7 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sertitlattie" Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ NEWADDITION ❑ ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 'Ell G.. (,�.. C� p — 6001 OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family � Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER E100 AMP OR Ess 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 22 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CON5TR. POWER APPARATUS&,l NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. OCCup(OUTLETs OR FIXTURES) @25Q 104 Ex. OCCU FIXED APP LNs. OR P. ( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 41 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE s Q c.0 Ur&e r6pfe Seniaoves UI the l,.uuniy ai Buiie to enter upon the above-mentioned property for inspection purposes. X v .3/ Date Signature of Permitee or Agent Receipt 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 haveen aid. DIRECTO OF UBLIC WORKS BY Date J/—)- -7 ilding permit expires Date _ 11-_1_,7)7 e 10-182.-5 "4322-89P 4. BERGEN,. John Contr: Rick Mauldin 1124'12th St, Oroville .,(gas piping repait). •h• p t • r.�.r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovilW,.CaliWrnia 95965 - Telephone: 916/538-7541 1 APPLICATION-A-ND'PERMIT PERMIT NO. ASSESSOR PARJUL NUMB/ Z; 'I. BUILDING PERMIT OWNER110 / T L PHO SO. FT. OCC. BUILDING VALUATION OWN 'S MAILING A DRESS �,, ,: r.-, 4 CONTR TOR' �ME DAI TELEPI•j-O Q7E 5 / I CONTM TORS MAILING AD KESS 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 j '' I 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 -� Building sewer 5.00 Mobile Home I S I G JW I i10 -00e TYPE OF WORK New Addition❑ Remodel❑^�Utitilliitiieess�❑ /�Insstt^allation❑ Other C-"Describe work: & v i' K -C'- p� _ I ,1�� /Q__ &17— Permit Fee `- $.:2S ----- 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 BusineSS and Professions Code and my license IS In full fore and feet. License No. D 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 Iicensed•contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Bt _ OR ADDNS. ACC. SLOGS. 2,h2Sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWEAPPARATUS 61 R SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES 20®SOt .2AL030 \ Ex. Occup. OUTLETS P(RESID IRE A.) 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. 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. .� MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation. Permit Fee $ Contractor 1 certify that I have read this application.a6d.state. that the above information is correct. I agree to comply to all County Ordinances and State Laws:relating to building construction, and hereby.authonze 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. �,. `\:�\�\ '' ) �� ��Q X �•A <. l�tr�titl Date J `- Signature of Applicant — OwneContractor Agent ❑ An OSHA permit is required for excavations over 0' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ -^Energy Inspection Fee $ occ CONST TYPE TOTAL FEE . HAz CUA PARK SCHL FLD PAR PD HD suE This permit is hereby issued under sions or the -Butte County. Code and/or work indicated above for which fees DIRECTO. OF PUBLIC By PER,Y.I-T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ��� r �I Receipt No. C� 2(J WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CEAifornia..95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. D-2 z -el9 ASSESSOR PAR L NUMBE Z YYYYYY```"`��•����•��� BUILDING PERMIT OWNER SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING DRESS CONTR TOR'S NAME TELEPF`O S CONTR TOR S MAILING A D ESS 82�i& 13Zreplace FiIS CON TRUC ION 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 j as 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 OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets g ySFk Building sewer 45.�O_�_USE Mobile Home S G W TYPE OF WORK-� New❑ Addition[] Remodel,❑, Ut�ilitiie/s❑ /�InstallaAtion❑ Other Describe work: le.tl�-te t / IKEP -l.iLE--- Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 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 Busines$ and Professions Code and my license is in ful or and fect. License No. 4 Q4 QJ Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) in 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.8i) OR ACDNS. 1 ACC. BLDGS. +/zQsgft NEW CONSTR. RANCH T LET NON "PBRANCH CIRC ITS CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL®21®50Q 30 Ex. Occup. out OUTLETS (RESID )D APPLNS.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): ❑ 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. ULI 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 g Hood 3.00 Ventilation. permit Fee $ Contractor I' certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws,'relating to building construction, and hereby authorize representatives of the 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. e , X LU - 1'1r1�j,S40� � Date % .Z" V �- �9 . , Signature of Applicant — Owne Contractor Agent ❑ An OSHA permit is required for excavations over�'0'" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ AL E FEE O HAz CUA PARK PAR PD HD rkUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS Date 7 -7 -SF !Z" -Z7-9 c7 Receipt No. L> � � WHITE-D.P.W., YELLOW-ASBESgOR, PINK -INSPECTOR, GOLDENROD -APPLICANT C h h 44 1 I t 1 c mat a� r . 3 F.. �h�FWLM�Mftp I I 1 r ru ' r 7 { 5 , r woo Ve } .a•.n.. :.:.: � r'. _ s ., w �...'..A�w',i, x ..+. �. w. .IIi!'71m okl L) y �r. i Ct tib 4 'p , �5f - 42 WOO , f� r t R. 9, OWN 11 (' y�, , i� 1 � f u�; l K 'C. IY �r i N t Ifa! i NQt .I �e I t ^L, t, v . "w{. >>�r L r I I J A , , r y t. +n Yi A n ! G 1 ' ' r _. _ ,•'1.4'. t f_ r'.Y�'t �� .��Mk. ... _w. MT � u, ',j., .. a., lrrr. r•� i.._, .�., Yi�r. .r : F` I .,,,,.1��, 9