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HomeMy WebLinkAbout030-220-028a 0 0 0 4 11 LOT I BLOCK TYPE OF PERMIT I PERMIT NO. PLAN NO. A.P. 30-22-28 ISAAC G. MILLER - -- STREE 950 !14th St., Oroville CONTR: North StatAhuniri , Chico Permit 25$6-73B (awning for mobile- me) 30-22-28 SUBDIV. Permit ##6034- 75P,E (relocate uti on existing site/MH) 5 DATE ISSUED CLEC . -7- SUPPORT SUPPORT STRUCTURE RBD — GUMPACTION TEST REQ. 30-22-28 ICONTR : Erni�b's' MH Service, at e' Permit ##6099-75MHI I/N Issued 1,2 —/Q — 30-22-28 CONTR: Ernies MH'Trans.,Marysvill Permit ##24-76B(reinstall awning/ MH) a i �� 30-22-28 Permit#3809-84P,E(gas piping &pie ll—e_ aser/c, 30-22-28 �Ii16'►� Permit #3189-85E(Z& ser/SF)�� PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY B—BUILDING P— PLUMBING T—TRAILER 30-22-28 366-91E MILLER, Mabel 9502 14th St, Oroville q' (electrical ser)SF 30-22-28 603-91P MILLER, Mabel 9502 14th St, Oroville (gas pipe/sfO 030-220-028 03-2859 THEUS, LAURA 950 14TH STREET, OROVILLE C/O ELEC/GAS H2O, & MORE J 030-220-028 THEUS, LAURA iWAL 950 14TH ST, OROVILLE r -1(0-0'f Cont: OWNER SINK,TUB,SHOWER,SHT ROC 030-220-028 04-2056 THEUS, LAURA 950 14TH ST, OROVILLE eNA1,ED Cont: OWNER 6�O WALL HEATER 030-220-028 06-0037 THEUS, LAURA 4hW 950 14T-F.I. ST, C Coll[: OWNER ADDITION E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-S/LDEWALK NOTICE S- SIGN PERMIT B08-1039 030-220-028 MISCELLANEOUS Room Addn-First Stry PERMIT TO COMPLETE. 06-0037 ADD 950 14TH ST HOFFMAN, MARV/GELLER JANICE .„. HM —HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 - i f PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY B—BUILDING P— PLUMBING T—TRAILER 30-22-28 366-91E MILLER, Mabel 9502 14th St, Oroville q' (electrical ser)SF 30-22-28 603-91P MILLER, Mabel 9502 14th St, Oroville (gas pipe/sfO 030-220-028 03-2859 THEUS, LAURA 950 14TH STREET, OROVILLE C/O ELEC/GAS H2O, & MORE J 030-220-028 THEUS, LAURA iWAL 950 14TH ST, OROVILLE r -1(0-0'f Cont: OWNER SINK,TUB,SHOWER,SHT ROC 030-220-028 04-2056 THEUS, LAURA 950 14TH ST, OROVILLE eNA1,ED Cont: OWNER 6�O WALL HEATER 030-220-028 06-0037 THEUS, LAURA 4hW 950 14T-F.I. ST, C Coll[: OWNER ADDITION E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-S/LDEWALK NOTICE S- SIGN PERMIT B08-1039 030-220-028 MISCELLANEOUS Room Addn-First Stry PERMIT TO COMPLETE. 06-0037 ADD 950 14TH ST HOFFMAN, MARV/GELLER JANICE .„. HM —HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS I- w Wm D aZ DESIGNATION SIG. Z ZO IQjOz OBD J O LL z 0: wOaiF UJ 1h @� w D Z a Ir O WF zg O Ow WI Wy _ Xg ?a W H OOId I wy Xa W uU Um WJ C7Q QV J Q LL SIG. DATE SIG. DATE SIG. DATE i SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. ATE SIG. I . DATE SIG. DATE SIG. DATE SIG. DATE P%.>I1NW A74 r A DD0/1T7 A t Cr PERMIT NUMBER't SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES 3 VENTS FINAL ^ff. r.ff: i K.in:wi, A0-flor L/ ai..v PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE r 0 -4-4 MAY -13-2008 10:43 FREEDOM FINANCIAL FUNDING 530 273 9300 P.01i01 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive S331AIUS Oroville, CA 95965 Lm3RTa0113Aaa (530) 538.7601 Telephone $00Z £ ` OW(530) 538-7785 Facsimile www.buttecounty.net/dds AJ.Nf10D www.buttegeneralplan.net a,1 R BUILDING"PLANNING"ADMINISTRATION "REL � :log -a �tiy AFFIDAVIT REQUESTING DUPLICATE PLANS (California Health and Safety Code Section 19851 - 19853) 1-' The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner: "I hereby request duplicate copies of the building plans on file with the Butte County Department of ` G Development Services, Building Division t? Ot/---//p D i Assessor's Parcel Number: _� �0� Permit Number(s): ' 00 3 Located at: `I �� 7 �t-j ,_ , D L2 V L (Address) (City) (Zip Code) am aware of the following three provisions of the California Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That the drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local government agencies, are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not`cftyreasonably withheld by the architect and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. Jar C i LF r , W. Q ✓V H-0 G -'M a �, b -Q1 Current Building Owner: I 01i A 0 2 ' ' Design Profession of Record II tt 0 S Signature of person requesting copies: E / Printed name of person requesting copies. (J To K L C V tTI Ge `Vr ' tv Date: .� Contact Phone Number: 537%Qy t // Address: �Gi' - l� 1_rk Y c� -71 Reason for requesting duplicate set of plans: G DIVISION USE -owner Permission- Date Sent: /13 _ Date Received O Professional Permission- Date Sent:/A- Date Received 12/7/07 )c;'i r ieclr--P pd1%10 TOTAL P.01 1 KECORDING REQUESTED BY { Mid Valley Title & Escrow Company �V-4 TA x Sewn �sj', AND WHEN RECORDED MAIL TO: Freedom Financial 563 Brunswick Road Ste 7 Grass Valley, CA 95945 A.P.N.: 030-220-028 Loan Number: The Undersigned Grantor(s) Declare(s): Grantee(s) [ x ] was / [ ] was not the Foreclosing Beneficiary Consideration $ 0.00; Amount of Unpaid Debt $ 148,848.80 Non -Exempt Amount $; DOCUMENTARY TRANSFER TAX $; CITY TRANSFER TAX $ [ ] computed on the consideration or full value of property conveyed, OR Recorded I WC FEE 2108 Official yyof Records I CooutteI CK All J. blim I County Clerk-Recorderl I I JC IM:W141 b4-!~ipr,-M I Paye 1 of 6 Space Above This Line for Recorder's Use Only File No.: 0403-3002968 [ x ] computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale [ ] unincorporated area; [ x ] City of Oroville SURVEY MONUMENT FEE $ DEED IN LIEU OF FORECLOSURE FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Laura Theus, a married woman as her sole and separate. property, also known as Laura may Theus dba Telesis Development Group hereby GRANTS to Mary Hoffman, a married man as his sole and separate property, as to an undivided 3.571% interest and Janice Claire Geller, Trustee of The Janice Claire Geller Trust, dated June 19, 2002, as to an undivided 50.00% interest and Robert K. Ambrose, Trustee of The Robert K. Ambrose Trust, dated September 23, 2004, as to an undivided 46.429% interest the real property in the City of Oroville, County of Butte, State of California, described as: SEE LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT B �..........,,:. . This Deed is an absolute conveyance, the grantors) have sold said real property to the grantee(s) for a fair and adequate consideration, such consideration in addition to that above recited, being full satisfaction of all obligations secured by that certain Deed of Trust executed by Laura Theus, a married woman as her sole and separate property, also known as Laura may Theus dba Telesis Development Group, as Trustor(s), to Redwood Trust Deed Services, Inc.,.as Trustee, for Mary Hoffman, a married man as his sole and separate property, as to an undivided 3.571% interest and Janice Claire Geller, Trustee of The Janice Claire Geller Trust, dated June 19, 2002, as to an undivided 50.00% interest and Robert K. Ambrose, Trustee of The Robert K. Ambrose Trust, dated September 23, 2004, as to an undivided 46.429% interest, as Beneficiary, dated June 1, 2006 and recorded June 9, 2006 as Instrument no. 2006- 29411 of Official Records of Butte County, California. r vrail urkSj UCCiarCkaj that Ulf-) t-UllVCya11t,C IJ IrCCIy a11U lairly IIIaUC, allU tllat "LIMIC arc 1IV ayICC111CI1tJ, G101 Or written, other than this Deed and the attached Estoppel Affidavit, between the parties with respect to said real property. SEE THE ESTOPPE AFFIDAVIT ATTACHED HERETO AS EXHIBIT A Date: ✓ lao ' Laura Theus Mail Tax Statements To: SAME AS ABOVE S R.P.N.: 030-220-028-000 File No.: 0403- 3002968 (AM) STATE OF California )SS COUNTY OF Butte ) On 3/10/08 before me, Angela D. Mastelotto , Notary Public, personally appeared Laura Theus who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ` My Commission Expires: Notary Name: Notary Registration Number: ANGELA D. MASTELOTTO Commission #F1696870Q cacti Notary.Public - California Butte County My Comm. Exp. OCT. 22, 2010 This area for official notarial seal Notary Phone: County of Principal Place of Business: A.P.N.: 630-220-028-000 EXHIBIT A TO DEED IN LIEU OF FORECLOSURE ESTOPPEL AFFIDAVIT State of California ) ss. County of Butte Date: 2/20/08 File No.: 0403- 3002968 (AM) Laura Theus, being first duly sworn, each for himself and/or herself, depose and says: That he/she/they are identical parties who made, executed and delivered that certain Deed in Lieu of Foreclosure to Mary Hoffman, a married man as his sole and separate property, as to an undivided 3.571% interest and Janice Claire Geller, Trustee of The Janice Claire Geller Trust, dated June 19, 2002, as to an undivided 50.00% interest and Robert K. Ambrose, Trustee of The Robert K. Ambrose Trust, dated September 23, 2004, as to an undivided 46.429% interest dated 02/20/08 ("Deed"), conveying the following described real property in the City of Oroville, County.of Butte, State of California, to -wit (the "Property"): AS DESCRIBED IN EXHIBIT B ATTACHED HERETO. The affiants) now are, and at all times herein, mentioned were Mortgagee; That the Deed is intended to be and is an absolute conveyance of the title of the Property to the grantee(s) named therein, and was not and is not now intended as a mortgage, trust conveyance, or security of any kind; that it was the intention of affiant(s), as grantor(s) in the Deed to convey, and by the Deed affiant(s) did convey, to the grantee(s) named therein all his/her/their right, title and interest absolutely in and to the Property; that possession of Property has been surrendered to the grantee(s); That, in the execution and delivery of the Deed, affiant(s) were not acting under any misapprehension as to the effect thereof, and acted freely and voluntarily and was not acting under coersion or duress; That the consideration for the Deed was and is payment to affiants) of the sum of $0.00 ("Consideration"), by grantee(s), and the full cancellation of all debts, obligations, costs, and charges secured by that certain Deed of Trust heretofore existing on the Property executed by Laura Theus, a married woman as her sole and separate property, also known as Laura may Theus dba Telesis Development Group, as Trustor(s), to Redwood Trust Deed Services, Inc., as Trustee, for Mary Hoffman, a married man as his sole and separate property, as to an undivided 3.571% interest and Janice Claire Geller, Trustee of The Janice. Claire Geller Trust, dated June 19, 2002, as to an undivided 50.000/o interest and Robert K., Ambrose, Trustee of The Robert K. Ambrose Trust, dated September 23, 2004, as to an undivided 46.429% interest, as Beneficiary, dated June 1, 2006 and recorded June 9, 2006 as Instrument No. 2006- 29411 of Official Records of Butte County, California ("Deed of Trust"), and the reconveyance of the Property under the Deed of Trust; that at the time of making the Deed, affiants) believed and now believe that the Consideration represents the fair value of the Property so deeded; This Affidavit is made for the protection and benefit of the grantee(s) in the Deed, his/her/their successors and assigns, and all other parties hereafter dealing with or who may acquire an interest in the Property, and particularly for the benefit of Mid Valley Title & Escrow Company, which is about to insure the title to the Property in reliance thereon, and any other title company which may hereafter insure the title to the Property; A.P.N.: 030-220-028-000 File No.: 0403- ' 3002968 (AM) EXHIBIT A TO DEED IN LIEU OF FORECLOSURE ESTOPPEL AFFIDAVIT -continued That affiant(s), and each of them, will testify, declare, depose or certify before any competent tribunal, officer, or person, in any case now pending or which may hereafter be instituted, to the truth of the particular facts set forth herein. L a Theus ANGELA D. MASTELOTTO 53 Commission #IWW70o U Notary rcriayliiorMaButte 'I My Comm: Exp. OCT. 22, 2010 State of California County of Butte Subscribed and sworn to (or affirmed) before me on this loth day of March 200E , by Laura Theus ,proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signat al) A.P.N.: 030-220-028-000 File No.: 0403- 3002968 (AM) EXHIBIT B TO DEED IN LIEU OF FORECLOSURE PARCEL I: A PORTION OF LOT 2, BLOCK 139, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT A POINT ON THE WEST LINE OF SAID LOT 2, A DISTANCE OF 225 FEET SOUTH OF THE NORTHWEST CORNER OF SAID LOT 2; THENCE EAST AND PARALLEL WITH THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 200 FEET; THENCE SOUTH AND PARALLEL WITH THE WESTERLY LINE OF SAID LOT 2, A DISTANCE OF 10 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH AND PARALLEL WITH THE WESTERLY LINE OF SAID LOT 2, A DISTANCE OF 140 FEET; THENCE EAST AND PARALLEL WITH THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 90 FEET; THENCE NORTH AND PARALLEL WITH THE WESTERLY LINE OF SAID LOT 2, A DISTANCE OF 140 FEET; THENCE WEST AND PARALLEL WITH THE NORTHERLY LINE OF SAID LOT 2, A DISTANCE OF 90 FEET TO THE TRUE POINT OF BEGINNING. PARCEL II: A RIGHT OF WAY FOR INGRESS AND EGRESS OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT A POINT ON THE WEST LINE OF LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, A DISTANCE OF 375 FEET SOUTH OF THE NORTHWEST CORNER OF SAID LOT 2; THENCE EASTERLY, PARALLEL WITH THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 200 FEET TO THE WESTERLY BOUNDARY OF THE LANDS NOW OWNED BY GEORGE W. CUSTER AND IRENE V. CUSTER, HIS WIFE; THENCE NORTHERLY ALONG SAID WESTERLY BOUNDARY 15 FEET; THENCE WESTERLY AND PARALLEL WITH THE NORTH LINE OF SAID LOT, 200 FEET TO THE WEST LINE OF SAID LOT 2; THENCE SOUTHERLY ALONG SAID WEST LINE 15 FEET TO THE POINT OF BEGINNING. PARCEL III: A NON-EXCLUSIVE PRIVATE SHARED ROADWAY EASEMENT, 15 FEET IN WIDTH, OVER AND ACROSS THE FOLLOWING DESCRIBED PARCEL: ` BEGINNING AT A POINT IN THE WEST LINE OF LOT 2 IN BLOCK 139, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887, LOCATED 375 FEET SOUTH OF THE NORTHWEST CORNER OF SAID LOT; THENCE EASTERLY AND PARALLEL WITH THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 100 FEET; THENCE PARALLEL WITH THE WEST LINE OF SAID LOT, NORTH 15 FEET; THENCE PARALLEL WITH THE NORTH LINE OF SAID LOT 2, WEST 100 FEET TO THE WEST LINE OF SAID LOT; THENCE ALONG THE WEST LINE OF SAID LOT AND THE EAST LINE OF 14TH STREET, SOUTH 15 FEET TO THE POINT OF BEGINNING. Freedom Financial Funding, Inc. Real Estate Loans & Investments May 14, 2008 Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 RE: Permit Number 04-1688 and 06-0037 To Whom It May Concern: The undersigned are the current owners of the property located at 950 14th St., Oroville, CA 95965 (APN: 030-2207028). We are hereby requesting duplicate copies of the building plans on file with the Butte County Department of Development Services; Building Division. We are also authorizing MD Construction Co. (Mike Davis) to complete this project. Thank you, Janice Claire Geller Trust, dated June 19, 2002 ICE CLAIRE GELLER, "r - The Robert K. Ambrose Trust, dated September 23, 2004 ROBERT K. AMBROSE, TRUSTEE 1 Phone: 530-273-9800 563 Brunswick Rd. Suite #7 • Grass Valley, CA 95945 Fax: 530-273-9806 Real Estate Broker • CA Dept of Real Estate Lic#01243588 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060037 B. C. Building Permit 01-16.04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 04/04/2006 APN: 030-220-028-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 950 14TH ST ORO Date: Contractor: Map Index: Description: addition (500), COV (138) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: THEUS LAURA AKA to its issuance, also requires the applicant for such permit to file a THEUS LAURA MAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 16 SHARP RD 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-9271 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: THEUS LAURA AKA Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does THEUS LAURA MAY such work himself or herself or through his or her own employees, 16 SHARP RD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966-9271 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ° ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: ��166 Own License #: WORKERS' c6dPENSATION 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 Architect: is issued. , ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrie: otal Square Ft: 500 S.F. Policy#: Valuation: $32,500.00 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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 fortthwith comply with those provisions. Date: 414 U Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars addition to the cost of n compensation, damages as provided for in Section 3706 of the Labor provided for code, interest, and attorney's fees. - 94 CONSTRUCTION LENDING AGENCY This- p it is ereby issued under applicabl..e provisions of the Butte County,-Codc:and/or I hereby affirm that there is a construction lending agency for the Res. utions do work indicate3KaboYe for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . Zxa= Name: By: Date: l/ PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am.the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte C!, n ;to enterupon the above mentioned property for inspection purposes. �_ L� %C► Z Aee Gj LZae Print Name: �/�.� Signature: G /-­, • ��'�y Date: C7 ,owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4:(530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Name ng.)'e­c Last Name. E ^ ` irst Name LQ U Y c2 Address Y, p r h sly- State City ILL StateGa Zip CtV76 Phone 2 Fax Class E-mail APPLICANT INFORMATION CONTRACTOR Name ng.)'e­c PV I rte_ Address Zip,151�4�S City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip,151�4�S City Fax State Zip Phone Book Fax " E mail Planner State License Number APPLICANT INFORMATION Name Address City Sta�e , Zip,151�4�S Phone3q /J Fax E-mail Ay APPLICANT SIGNATURE X cG For office use only: Zoning Property Address �,�0 prL�l� ll I —1f5t. Flood Zone I I SRA Yes No Occ. Type Const. Subdivision Name . Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\F(IRMC\RI m niw(-, FnPhAC\RIrinAnnlCnhRr..mts rinr PERMIT NO. :' PROJECT LOCATION AP# Property Address �,�0 prL�l� ll I —1f5t. City Oya)Iae C� Cross Street WORKER'S COMPENSATyON- Policy Number Carrier /o9_ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Iv, Address A - Description or Scope of Add+•.lan +,o bx6+tn ho,� [,+ �►,rl� 1.35 ••I- C vel' Parch ` Sq FT- Liv g 560 Garage Open Cov I ❑ Structure Built without Permits Cr Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by-- Amount: Bldg SRA Receipt #, -1 Sheriff ���(� / SMIP "0 Other Date:, A ��'�� / Total Paae 1 of 2 . . REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). r_17. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire 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. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\8ldgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA'`95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / '/1 zfy.!S ASSESSOR PARCEL NUMBER Proposed Building Use: � ��y i v CSG a�) Permit Technician: � � Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 01i 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. \ O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. IN 4. Engineered truss details and layouts in duplicate. No faxesl 5. Letter from Engineer or Architect for truss design review. fhl 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... \ O 18. Erosion Control Plan Required........................................................................ 40. Fees asshown on the attached Schedule of Fees Due❑ City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forest plan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use:+ (B) Parking: (C) Parcel Check: ............ l O I4A ❑ 24. Contact Land Development about _ Improvements, _ Drainage :....................... ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... �p 1 Al 26. NPDES Form............................................................................................. ❑ 2T. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑29. Worker's Compensation Carrier and Policy Number .......................................... rJ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone nd hold for pickup. I have been informed of the / above items and requirements for obtaining a building permit. Applicant:(�, 62,&f D -4x4 Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required I Cl Contractor, designe, o e was advised of the above data by ❑ phone, Pfrnail, ❑ counter, by .J F Date: 1131 1 04 Contractor, design , was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer,-o'Vrer, was advised of thea ove qata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 12-1. 6 (o Plans approved by: �'i Date: 2 11 (.1 No Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner theus, laura Application Date 1/9/2006 1 2 3 4 5 6 6a APN No: 030-220-028 Permit No: BP 060037 RECEIPT DATE Tech/Asst BUILDING PERMIT FEES ESTIMATED AT APPLICATION $852.35 511.41 Plan Check portion of Permit Fee $340.94 FEMAeYes Flood Elevation Review $109.98 0 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $340.94 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 7 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Applications After 2/14/05 SFD a MFD County 4096.87 3071.14 MH 3117.43 4889.56 2326.36 7633.49 7726.49 7236.49 6475.49 $100.00 RECEIPT DATE Tech/Asst $340.94 $3.25 S� RECEIPT DATE Tech/Asst 9 9a 10 10a Chico Urban Area 5372.09 3995.45 771 Comanche Creek $8,069 EI Medio Fire District 3128.31 2297.77 774 Lindo Channel $8,139 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.08 R-1 8031.53 6850.08 ° R-2 7541.531 R-3 6780.531 6360.08 5599.08 11 SCHOOL DISTRICT FEES* 11a RECREATION DISTRICT FEES* Processing Fee is automatically added to impact fee total 0 8 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# DRAINAGE FEES* MH 3117.43 4889.56 2326.36 7633.49 7726.49 7236.49 6475.49 $100.00 RECEIPT DATE Tech/Asst $340.94 $3.25 S� RECEIPT DATE Tech/Asst 9 9a 10 10a CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 11 SCHOOL DISTRICT FEES* 11a RECREATION DISTRICT FEES* Oroville High/Thermalito 104 1 BFevblie.. 1AJ 1A c&d4L. At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) School District(O f, ✓rl� l l) i Building Department No. . A.P. Number Jurisdiction: City ®County Property Owner Property Location • Subdivision 1. /0� Lot No. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 Now Addifinn Sq. Footage (Including Exterior Roofed Areas) -11-11:11k Date District Identification No. , School District certifies that ' Ll (Applicant) (Stree ddress) (Phone Number) kz V1 (City) (State) (Zip Code) has complied with the requirements of Resolution No representipg 56 t) square feet. School District Representative Paid by Check # 0 1 A Remarks: 166C-470- - by payment of $ �(l /A 1�13$ ULL MITIGATION $ b to Date Notice: You may protest the Imposition of the fees Identified above by submilting a written protest to the District, In compliance with Government Code Section 66020(a), within 80 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. if, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate Its I.. on the school distrlcrii'schoois. White (school district), Yellow (building department), Pink (applicant) Neto m.xls (3105Wnm Residential Development 0 0 © Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # ...............................................................................0........ '(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 Now Addifinn Sq. Footage (Including Exterior Roofed Areas) -11-11:11k Date District Identification No. , School District certifies that ' Ll (Applicant) (Stree ddress) (Phone Number) kz V1 (City) (State) (Zip Code) has complied with the requirements of Resolution No representipg 56 t) square feet. School District Representative Paid by Check # 0 1 A Remarks: 166C-470- - by payment of $ �(l /A 1�13$ ULL MITIGATION $ b to Date Notice: You may protest the Imposition of the fees Identified above by submilting a written protest to the District, In compliance with Government Code Section 66020(a), within 80 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. if, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate Its I.. on the school distrlcrii'schoois. White (school district), Yellow (building department), Pink (applicant) Neto m.xls (3105Wnm ; 4 `'`• \ Department of Public Works o u n t y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Prograrn o 11 N-( / 7 Cbuny Center Drive A g Orowlle. CA 95965 Uc WOF� (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE) Project Description: nvY\J/ S� Project Location and/or Parcel Number: Cg'> 2 2o —C) 2 C5 By signing below, I, the project owoer/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit f em the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: r I,, OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YESJ/ 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person -to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: 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: _C DATE: I ` 9 - 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. Rev'd 11/4/2004 0vT,TF° Department of Development Services • , °Building Division r ` :-�v~ ° 7 County Center Drive ° . _�.� :: _ ° OroviUe, CA 95965 \° _" __ ° (530) 538-7541 (530) 538-2140 FAX- _ GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -8-1. Lumber shall be at least Douglas Fir #2 or better (D. F. #2)., Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4' Max. T4-36" Min. SIDE VIEW Min. 2x pressure treated ledger Min. 2— 3/8" x 2 " lag bolts or screws. —� TYPICAL LEDGER If the deck/porch is 30" or greater above the finish grade a guardrail is required. Pier posts greater than 3 feet in height need to be diagonally braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.xis Min: 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4' Max. Top of 3/4" clearance Joist to the edge of �he wood member joist Min. 2 - 1/2" dia. thru bolts required. \ GUARDRAIL An approved post cap connection Girder •• or connect girder and post with 1!2" plywd gussett Past and 3 16d nails top & bottom —1 6" Min. 12*'-- 12" Footing I 8" Min. embedment TYPICAL PIER FOOTING BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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: License Number: Date: Contractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder, will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of.the Business. and P f ssions Code Date: I� Owner:, WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: 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 workers' compensation taws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: & L Appli WARNING: Failure to se a workers tion coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. I r Issued Date: 06/10/2004 1 PERMIT NO. BP041688 APN: 030-220-028-000 Site Address: 950 14TH ST ORO Map Index: Description: SINK, TUB, SHOWER, SHEET ROCK Owner: THEUS LAURA AKA THEUS LAURA MAY 16 SHARP RD OROVILLE, CA 95966-9271 Applicant: THEUS LAURA AKA 1 1 'Contractor: License #: Architect: Engineer: Total Square Ft: iValuation: Census Code: kf: CONSTRUCTION LENDING AGENCY I This permit is I I hereby affirm that there is a construction lending agency for the Resolutions to performance of the work for which this permit is issued (Sec 3097 Civ.) Bv: PERMIT EXPIRES ON: 0 S. F. $0.00 ie applicable provisions of the Butte County CodR ar A for which fees have been paid.- I6 `6 `I 1 /� J r l/ �% 9 INIiII Address: u (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize re res tatives of Butte County to enter upon the above mentioned property for inspection purposes. V T'e`c'ry M . 'T F-4 5 Print Name: E J Signature: DtN� ra . =Jr,& ❑ Owner - ❑ Contractor 'A' Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. JBP042056 LICENSED CONTRACTORS 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 Issued Date' 07/13/2004 APN: 030-220-028-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address' 950 14TH ST ORO Date: Contractor: Map Index: Description: NEW WALL MOUNTED DIRECT VENT OWNER -BUILDER DECLARATION from the I hereby affirm under penalty of perjury that I am exempt Contractors' State License Law for the following reason (Sec. 7031.5 HEATER Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner'' THEUS LAURA AKA signed statement that he or she is licensed pursuant to the provisions of THEUS LAURA MAY the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 16 SHARP RD she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966-9271 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant' THEUS LAURA AKA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor' pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. Valuation: $0.00 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I i "1V �(���1 / ,, - -LO�•e(��l� Applicallpt.Am ''e &v ll Uu 56' G c� ARNING: Failure to secure workers' compensation coverage is outi unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of e D compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here y issued under the apokcable provisions of the Butte County Cods snrVor I hereby a irm that there is a construction Iending agency for the Resolutions to d9 ork indicated abov for hich fees have been paid. rforma a of the work fpr this permit is issued (Sec 3097 Civ.) gy. Date: Na - --X-i1( �-7 �� PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby Butte County to the above mentioned property for inspection purpo authorize representatives of enter upon 4 L ' 1 J 'E? Signature Print Name: au , Ni y) <::E! T Date: y Abwner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042056 LICENSED CONTRACTORS 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 Issued Date•' 07/13/2004 APN: 030220-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 950 14TH ST ORO Date: Contractor. Map Index' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW WALL MOUNTED DIRECT VENT Contractors' State License Law for the following reason (Sec. 7031.5 HEATER Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: THEUS LAURA AKA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section THEUS LAURA MAY 7000) of Division 3 of the Business and Professions Code) or that he or 16 SHARP RD she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the OROVILLE, CA 95966-9271 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: THEUS LAURA AKA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer' the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy#: Valuation: $0.00 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Amoui1�' R-eeferu-ed : � 567 G: Failure to secure workers' compensation coverage is and shall subject an employer to criminal penalties and one thousand dollars ($100,000), in addition to the cost of rA/C ation, damages as provided for in Section 3706 of the Labor rest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here y issued under the a able provisions of the Butte County Code and/or l a i hereby rm that there is a construction lending agency for the Resolutions to d ork indicated abov for hich fees have been paid. rforn a of the work f r this permit is ' s (Sec 3097 Civ.) Na By: n 5 Date: L (J " —� Address: PERMIT EXPIRES ON: / J Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document ooff�Butte I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos —���"— /County. �t L Print Name: ri GweZ M �' (Tl t:.) Signature, _ Date: ,Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 ■ CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY* APPLICANT NAME OWNER Last Name— - City irst Name v Address .(/— R4, citycyGv 1 F L@ State State,,_,, Zip 52 66 Phone � ` , sy � Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name City Address Zp City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zp City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X Cec / Cr For office use only: AP# 0,30 2'e (f5 Zoning Vity Flood Zone SRA Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION AP# 0,30 2'e (f5 Property Addressf Vity Cross Street � WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed ❑ 3. calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ S. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to ❑ 7. mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in ❑ 11. triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ig_neer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site.Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041688 LICENSED CONTRACTORS 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 Issued Date' 06/10/2004 APN' 030-220-028-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address: 950 14TH ST ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: SINK, TUB, SHOWER, SHEET ROCK Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: THEUS LAURA AKA to its issuance, also requires the applicant for such permit to file a THEUS LAURA MAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 16 SHARP RD 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-9271 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: THEUS LAURA AKA Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of a Busines , and P f ssions Code )� Date: Owner: License #: 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy a: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: & I b L T_r Appli WARNING: Failure to se a workerstion cr✓toe g is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees' CONSTRUCTION LENDING AGENCY This permit is here y ed rider the applicable provisions of the Butte County C.odP andlor- I hereby affirm that there is a construction lending agency for the Resolutions to d in ' ated above for which fees have been paid1,,,2-16-6 performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Dat )6 Address: PERMIT EXPIRES ON: -QS Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize re res tatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: T 14 Ey S Signature: Date: I 1 16 ❑ Owner ❑ Contractor 10 Agent for Owner 0 Agent for Contractor 'BUTTE COUNTY ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION - APPLICANT NAME OWNER Name L aura (,, Ic Address Zip CityC�YaV �-� Fax State G� Zips Phone �� 3_5 7 Fax E-mail A-)11 Planner APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail}- Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type.Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT BIN # LOCATION AP# Property Address ci S 11) 1 Cross Street I Lf +h WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 3 w IV) dn3w TL),. bdW42 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. KAFORMS\BUILDING FORMS\BldaAoolSubRannts.doc Paoe 1 of 2 Receipt #: Lo'%� 0 Date: tQ i U o Amount: l� ° tY Bldg SRA Sheriff SMIP 1Other ` C`(40—Total REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to' apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ ' 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped acid wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 Y January 31, 2006 Terry Theus 16 Sharp Rd. Oroville, Calif. 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 030-220-028 Building Permit Number: 06-0037 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. �Y Provide energy Certificate of Compliance, 2005, showing the correct square footages, the room addition \ ' is 500 square foot not 638. Also need the mandatory measures summary sheets (MF -1R). 6 Submit 2 copies of each. COMMENTS: If you wish to discuss any of these requirements, please call (530) 538-7541. Refer to the Data Sheet for remaining non -plan check items. (You should have received this form when you applied for the permit) The counter staff will answer any questions concerning the Data Sheet. Jim Peterson Plans Examiner 1 of 1• i 036` -*220-028 03-2859 THEUS, LAURA 950 14TH STREET, OROVILLE- C/O ELEC/GAS H2O, & MORE C/ 6 g'q 6 5-6 Address GAS Meter By Date ELECTRIC Meter B Dat'4-4/-fo� 4 COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 9 Telephone (530) 538- 54 PW (Rev712/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ©� 1 w w Q �O ^Q� y L V ZONING BUILDINGPERMIT OWNER L&Wra. The u 45 TELEPHONE P4 -7 SO... FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14 Snk9CV .- C5Y4v�ct�Cgq 4& 7 SO 420.00 CONTRACTOR'S NAME r ) I `V TELEPHONE EST1 • 00 00 �. w CONTRACTOR'S MAILING ADDRESS 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDR.. Total Valuation $ 1.920.00 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 $ 950 14Th STREET, OROVIUE 95%5 $ PERMIT FEE $ LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE I SF,,q 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 ❑ Unities ❑ Installation ❑ Other Describe Work: C/O E= & GAS V R HRf RE- NEW SIDING i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 e00v oR LESS Main Service 200A OR LESS /� 23.00 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.P 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 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 200A TO 1000A 46.00 NEW CONST. DWELLING OR ADONS. ( i ACOCCUP. C. BLDS. SO 3.5¢FT. NON.q�,pT mu LTH' 97,50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'50 BAL @ .50 PPLNS Ex. Occup. OFUTLEEDTSA RES p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ �i3.00 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.Hood ❑ 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 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 r7AAA,eti•,�-yo Date % �) Q )Signature of Applicant - Q Owner ❑ Contrac0o 4.,Q A§ent / An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over`3,stories in' height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 158.0 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte un Code and/or Resolutions to do work indicated ab �fo which fees have been paid. �j I ! G -3 y Date PERMIT EXPIRESON ! 4/- (Da (e Receipt No. �✓ C�'b� V WHITE-D.D.S.-B.D. CANARY-AOESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.D. .............. 66UNTY OF BUTTE BUILDING DIVISION Fy. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA * (530) 891-2751 7 bounty Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT No. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should bo'corrected. Please notice this office when correction of work is completed. If you have anSrquestions pertaining to this matter, or need additional explanation, please con1pef this office immediately. 7 152 1' 4�ax Zff -K 6 7 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530),891-2751 7 County Center Drive * Oroville, CA & (530) 538-7541,,;X CORRECTION NO!_ICE o5,2871 OWNER PERMIT NO. A routine inspection in i ates that the following violations of butte county Ordinances exist at the above address ould be corrected. PIdase notice this office when correction of work is completed. If y . ave any questions pertaining to this matter, or need additional explanation, please cont —his office' �/ di t I ::j,7me ia e y. CA 4:� 01-2, <4 2 w /9/— L4 1.4 04- ct At q 11tX 4-v C eoe�,Cp I yly F__ �LA di C e_�A^Jcle-_ e ;(Tea, s. j C, CA; // 4 1�ee rA_ f C,0� it 4 . C "Orl llfa s.-- 0 Date ��eoY — Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER e u S TELEPHONE • —, SQ. FT. OCC. BUILDING VALUATION 7 S 420.00 Dis s»a°css 6�a�t t �t e c 9•- CONTRACTOR'S NAME - N TELEPHONE EST 1 500.00 CONTRACTORS MAIUNG ADD11 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRES Total Valuation $ 1,920.00 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 $ 950 14TH STREET OROVI= 95965 $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF �< Duplex ❑ 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 15 00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other QJ Describe Work: C/O ELEC & GAS WIR HTR, RE -ROOF • NEW SIDING Gas piping system 1 - 5 outlets 15.00 00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service qoR LESS 23.00 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.PO 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 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 xooq To L000q 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a qCC. BLDs. SD 3.5QFT; NOWREOSDT' MULTI -OUTLET @7,50 L APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. o x ur�TsRa D oERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 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. p ' % Date a-tr e of Applicant - ❑Owner ❑ Contracto t 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 $ 158.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU LK This permit is hereby issued under of the Butte my Code and/or indicat daboor which fees have PERMIT PIRES ON - the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. L! WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 1 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER®/J �� D �� 20WN0 BUI WING PERYViIT DWNE !//� !!// " SQ. FT. OCC. BUILDING VALUATION CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCMrTECT OR ENGWEER'S MAILING ADDRESS BUILDING ADDRESS LAT NO. I SUBDMSIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFr TYPE OF WORK New 13Addition ❑ Remodel ❑ ,,es ❑ stall ❑ Other ❑ Describe Work: 0 .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ DATE RECEIVED. 9 l RECEIPT # �� 6 te 0 MAP Fireplace I 1 1' PERMIT FEE $ .jv Total Valuation $ Filing Fee 20.00 Main Service Filing Fee $ 20.00 Permit Fee $ NEW CONST. ( Plan Checking Fee $ OR ADDNS. Energy Plan Checking Fee $ NEw aoNs . MULTI -OUTLET $ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001).9, Gas piping system 1 - 5 outlets 15.00 J Building sewer 15.00 Mobile Home I S G W 920.00 EX. OCCU OUTLET OR FD=RES PERMIT FEE $ .jv ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 A OR LESS 23.00 '� Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP- 3 rJ¢ OR ADDNS. & ACC. BUDS. NEw aoNs . MULTI -OUTLET @7.50 EX. OCCU OUTLET OR FD=RES BqL .50 FILED APPLNS. OR Ex. OCCU OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 3.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 6.50 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TOTAL FEE $ —" HAZ p. FEES IMP FLOOD CDP 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. By Date PERMIT EXPIRES ON ere O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. personally plan to provide the major labor and materials for construction of the proposed Qroperty improvement: YES " NO 0 IU21_VEO HAVE NOT t7 signed an application for a building permit for the proposed work. have contracted with the following personIfirm) to provide the proposed construction: ME NA: L60'6 -a, M 0 '� CCS ADDRESS:_ r 5Y)eY'-P CITY: <)V -OV ► L 4 e I,tea. S1716 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 SIG no DATE: 11b 1 6 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code, This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. 0.�=1 An application for a budding 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 time State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate' family, and the work: (including materials 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 emiployer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations inchrding state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific mon about your obligations under Federal Law, contract: the Internal Revenne 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 lmzited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Budding 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. 95914. Please complete the "Owner Build er 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 retained. ly, Mic 1 C. 4 n -a, C B.O. er, Building hispection t NOTE: T itis Owner -Builder Information is required by Section 19830 of the Cabfornla Health and Safety Code COUNTY OF BUTTE - DEPAR-MENT OP PUBLIC WORKS r 7 County Center Drive - Oroviller Califonia 95965 - Telephone: 916/538-7541 �T Y APPLICATION -MD -PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - - ' 3&-22-28 ZONING BUILDING PERMIT OWNER Mabel Miller TELEPFONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Unknown CONTRACTOR'S NAME Owner TELEPHDNE 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 $ BUIL§ A}TfEs9t• � Oroville 7 11''�'LII Permit fee $ PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP S Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[:] MobilehomeRr Others ! SPECIFY ; Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ ,- Describe work: .� } ✓t+ t%t Penult Fee minimum $ - 25 00 • Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 workand the structure is not intended or offered , for sale. (Sec. 7044) J-P'l as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason t NEW CONST. / DWELLING oCCUP.8d OR ACDNS. C ACC. BLDGS. , /20sgit NEW CONSTR.MULTI-OUTLET NbN-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®50t eALeao Ex. Occup. OUTLETS PFIXED APLNS K (RESID IEA.) 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. ❑ 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. J6 [(],,t'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 becomsubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. i MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Penult 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'lrelating 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 consequen of the g f nting of this permit. /! c� X �''`�/ Date "' `� /% r ' Signature of Applicant — 10 ner [2,/ Contractor ❑ Agent ❑ An OSHA permit is-requirar excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ 25.00 HAZ CUA PARK SCHL I FAD F I PAR PD ) HD. I ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. / p ORE OR OF—PUBLIC WORKS By ��)Date ? y PERMIT EXPIRES "ate y Receipt No. 83556—$25.00 WHITE-D.P.W., YELLOW-A38ES30R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN ERMIT 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. P& 11 0 13 12 kn r -TF111S-]r-- C-04 15- M IN I � .; I Date 7t Inspecto"1744;1' 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Califgrnia 95965 - Telephone: 916/538-7541 APPLICA11ON AND PERMIT PERMIT NO. 6�_3� - 01-1 ASSESSOR PARCEL NUMBEP_ 30-22-28 *` ZONING BUILDING PERMIT OWNER a' Mabel Miller TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS Unknown CONTRACTOR'S NAME Owner 7 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 $ BuILRu�,G, qq tYtt. , Oroville y�U 14 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[]Mobilehomeof Oth SPECIFY Gas piping system 1 - 5 outlets 5.00 9.00 Building sewer 5.00 Mobile Home S G W 0.00 PR TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: t241_5 at?X114a= Permit Fee minimilm $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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, 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 �f r sale. (Sec. 7044) ; E&--,, 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.8 OR AODNS. ACC. BLOGS. , ,Osgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES O O 300 eAL 1.2 Ex. Occup. OUTLETS APP (RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 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. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin 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. 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 consequ of the g nting of this permit.. X Date ^ `� �' �/ -� Signature of App Icon? — 0 ner [onrrocror ❑ Agent ❑ An OSHA permit is requir or excavations over S'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 $ 25.00 HAL CUA PARK SCHL FLQ CDF PAR PD ) HD• ISSUE, This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo for which fees have been paid. 2SD E R LIC WORKS 13 Iq Date ;I, PERMYT EXPIRES ate Receipt No. 83556—$25.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT CIUUIV I "t Vi- DU L I C - UCr mrl 1 IVIt_N I Ur r-"ObL L'; vvuhSKJ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATIONS AND PERMIT PERMIT NO. ASSESSOR PARCEL N M ^� ZONING BUILDING PERMIT OWN j % TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADORE S - ��! r 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 Oj Building sewer- 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare underenalt of perjury p y p f y (Check One): ❑I am licensed under P prOVlsIOnS of Cha t. 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- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) EJI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA, ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUR. &) OR ADDNS. ACC, BLDGS. /20sgft NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea ( POWER APPARATUS e SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES P( 2AL SOC 20@030 FIXED ALNSI, Ex. OCCUp. OUTLETS PIRESID IREA.) 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 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 in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ "Az CUA PARK SCHL FLD cDF PAR PD j HD• ISSUE permit is hereby issued unaer 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 PERMIT EXPIRES Date Receipt No. �? �p e C WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Pl- SIGNATURE !ADDRESS ZIP CODE -QUANTITIES ISSUED v 2. 3. 51 7. 10. ii. 12. 13. 14. 15. TOTALS EFA 7 (7/89) SIGNATURE !ADDRESS !Zip CODE P' 6/ I QUANTITIES I I ISSUED I IF A 2. 3. 7. 8. 9. 10. 12. 13. 14. lof, 15. TOTALS EFA 7 (7/89) •.��i•=,•'+.".;�v'�'i.'-b'.-."w'321:Y7.a'y.-c'r�7rJ..�i�q,�':,'t-:�zN t.F'�.I"Vrt`ti7.'+'�+7rs�+I�.;.l.i•e-,frim.'-,': J.-".`.:� -- --yr.s-;tnt..'1....ri+rk#r..i1�.:«�.j,-kh+.�..; �ta�,v:.�rx+t .^.'.�; i. •j.� � Eabel 36�-91ESt Orovillel ser)SF �a a- /,2 `.'OFFICE COPY -Address�l GAS Meter By - Dates `ELECTRIC Meter By Date; • ; �i o I OFFICE COPY Address GAS Dates Meter ELECT IRD Meter By off••` •(5 �� .. fAicu "y. Sie �•`u�.".sl�l• �;.�".}%""C. ��.��ti. x. mics �4'`tt.yxfKr;; COUNTY OF BUTTE-IDEPARTMEN'T%OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI NO. ASSESSOR PARCEL NUMBER ♦ 30-22-28 ZONING 1 BUILDING PERMIT OWNER MBEL 14IU Ex TELEPHONE 534-6789 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 954 14th st Oroville CONTRACTOR'S NAME unknown 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 $ Bu!1D G �°4 Wf gt. ORoville `j Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SU BOI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF NX Duplex[] Mobilehome❑ Other SPECIFY SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5. Mobile Home S G W TYPE OF WORK Utilities [:l Installation❑ Other ❑ New ❑ Addition ❑ RemWical Describe work: el service _ EA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 10.00 10 00 100 AMP OR LESS Main service EA. AOD'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 ElAP 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.p OR ADDNS. (ACC. BLDGS. 2/z¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCAITS 2.50 ea POWER PARUS e T (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@30 9AL0 30 Ex. OCCUp. OUTTS ((RESID,)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 minimum ee 25.005. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to bjilding 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 wf ich may in any way accrue against said County in consequence -of the granti g of this permit. X _/ % /��(.h-„� j a Signature of Applicant — OwpEr ❑ Contractor ❑ Agenr ❑ An OSHA permit is required f r excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 E HAz CUA PARK SCHL E PAR PD HD Iso This permit is hereby issued under the applicable provi- sions of the Butte County Code andor resolutions to do work i >dic ed aboLveAfor whicq t es have been paid. DI T OF P ! A! WORKS ` 2/12/91 y /Dante P MIT EXPIRES Date ?f 12,1Q9 Receipt No. 83457 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: 916/538-7541 APPLICATION AND PERMIT . Y _ PERMI N0. ASSESSOR PARCEL NUMBER 30-22-28 - -' - =� ZONING BUILDING PERMIT OWNER MABEL MILLER TELEPHONE 534-6789 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 954 14th st Oroville CONTRACTOR'S NAME unknown 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 $ eut}.pd f 1L+tRtt. ORoville yJ�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 qas water heater or vent 5.00 yv USE OF STRUCTURE rrvvlln SF UDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer I 5.00 Mobile Home S G W 10.001 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities OX installation ❑ Other ❑ Describe work: electrical service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 OR LESS 100 AMP OR LESS 10.00 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 FlI, 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 oCCUI.. OR ADDNS. ACC. BLDGS. , 2/20sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH'CIRC ITS 2.50 ea, POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 020@50 3 eAL0 DAL@ FIXED APPLNS. R Ex. Occup. OUTLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 minimum fee 25.00 25.00 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 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 consequenc f the granti of this permit. %� at Signature of App rant - 0 r Contractor ❑ Agent ❑ T. An OSHA permit'is required f r excavations over S'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 $ 25.00 HAz CUA PARK SCHL I ILD PAR PO HD 1 ISSUE This permit is hereby issued under Sions of Butte County Code and work dic ed above or whic DI OF PU . -/ Y P MIT EXPIRES Date 2-111 211Q2 t applicable provi- resolutions to do s have been paid. WORKS 2/12/91 Date Receipt No. 83457 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:'538-7541 i APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ��.., ZONING BUILDING PERMIT . OWN R rr bl TELEPHONE ONE SO. FT. OCC. BUILDING VALUATION OWN R' AIL �pQF�E55 S G T CTOOR'S NAME (/ /I/0 /r✓f TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS - Filing Fee $ 10.00 Permit Fee _ $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - ARCHITECT OR ENGINEE 'S MAI ING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADOLRES�/ 1 Permit fee - $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 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'R Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGTTW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities�Q Installation ❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingF 10.00 Main service 100 OROORSLESS 10-(4 1 - •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 ❑ 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 Main service EA. ADO -L. ilio AMP -2.50 NEw CONST. DWELLING ocCLiP.& OR ACDNS. (ACC. BLDGS. ) �z�sgft NEW CONSTR ULTI.OUT LET NO N.R ESI D. BRANCH CIRC ITS) 2.50 ea _- --- POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 200300 a ALO 30C. Ex. OCCUp. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �V' in g 15.00 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. . I shall not employ any.person in any manner so as to become subject ,�'to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 G An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAZ CUA PARK I SCHL FLD 7R PO HD Issue Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for wffich fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..� • • • t ���u � � • • a _� v • • a� • i s • • • • • A► • • �a �a � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 _ APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER - 30-22-28 - ZONING - - BUILDING PERMIT OWNER MABEL MILLER _ TELEPHONE 534-678 SO. FT. OCC. BUILDING VALUATION I '• OWNER'S MAILING ADDRESS 54 14th st Oroville CONTRACTOR'S NAME unknown TELEPHONE - CONTRACTOR'S MAILING ADDRESS - Fireplace - - CONSTRUCTION LENDER UNKNOWN Total Valuation is I 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 $ B u i.I,.,DJ.f•�G 1`+Dtil tt. ORoville �j��J Permit fee S I I 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 X❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.008 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation[] Other ❑ Describe work: electrical service . - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 8000 V OR AMP LES, 10.00 10.00 Main service EA. ADO'L too AMP 2.50 = CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RE'SID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( oCCU1.� , OR ADONS. ( ACC. SLOGS. 2h¢sgft NEW CONSTFL MULTI.OUTLET 2.50 ea BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 05 0¢ FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 minimum fee 25.00 25.00 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. (G( I shall not employ any person in any manner so as to become subject 7° 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 correct. I agree to comply to all County Ordinances and State Laws relating Ftocertifthat I have read this application and state that the above -information buil'ding construction, and hereby authorize representatives of the Countyot Mobile Home Installation Fee 5 Energy Inspection Fee occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 25.00 I also agree to save, indemnify and keep harmless the County of Butte against HAz I CUAPARK scHL FLo PAR Po HD.I ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequent f the granti of this permit. _ _ Th;s permit is hereby Issued urder. t appiicable provi- X at sions or Butte County Code and resolutions to do Signature of App icant - O _ r Contractor ❑ Agent ❑ I work dic ed above for whit s have been paid. An OSHA permit is required f r excavations over 5'0" deep and demolition or construct- DI OF PU WORKS ion of structures over 3 stories in height. 2/.12/91 Receipt No. 83457 y Date PE MIT EXPIRES Date 2i1 2/0-�--- IN Mck /V 650 s /q- 1Y► e 3 �L � N �=-2o v i �-s N� �" 41 Go^ o 42 56. jyly13 a--/-3-7/ b� ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C;zlifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ Co _ a' - t, ZONING BUILDING PERMIT OWNER M a. b TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME C_ -/ t fJ )C - 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 950 )-Iq 4 s+. e- 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 i USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal:lation❑ Other ❑ Describe work: r-1,s`t �� t`a-���-� / N e- A� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 /Q. 4U 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 Business and Professions Code and my license is in full force and effect. License No. Classification ,.❑til 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.&) , OR ACDNS. ACC. BLDGS. / /2 OSq ft NEW CONSTF MULTI—OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050* eAL030 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r -T.,, 'R5, /S•'o0 Permit Fee $ 7 , 00 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. �Q 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 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 in consequence of the granting of this permit. ,� 1 r X =?+'�' ���-�'`'� ,�+ Date 1 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit -is required for excavations ov r 5'0" deep and demolition or construct- ion of structurgs,over 3 -stories in heSght. Mobile Home Installation Fee $ Energy Inspection Fee $ � TOTAL PERMIT FEE $ �•C,0 Occup. CONST.TYP! FLOOD PARCEL PD HD IssuE t V This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which A DIRECTOR OF PUBLIC By /��� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. q3 1 v WHIT!-D.P.W.. YELLSW-F59CSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT j V r 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone 916/534-4541 APPLICAT110N AND PERMIT ASSESSOR PARCEL NUMBER 3 C - aa 1W ZONING BUILDING PERMIT OWNER b t lle� TELEPHONE S3,/—(o 7.5 SQ. FT. OCC. BUILDING VALUATION OW'NER'S MAILING ADDRESS l L �L S r dr'o CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADOREss Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 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 I SF Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition❑ Remodel[] Utilities❑ Insta ation❑ Other ❑ Describe work:Ac -� 412 C_ I CMain Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service J00v OR LESS 00 AMP OR LESS 10.00 0-� 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 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.61 ACDNS, ACC. BLDcs. ) ��¢sgft NE NE W CONST R. MUCTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS A (SINGLE OUTLET CIR. Ex. Occup( s p OUTLETS OR FIXTURES ALO 30 FIXED APLNS. Ex. Occup. OUTLETS IPRESID,IREA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lvirin 9 15.00 Permit Fee $ OJ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 'o 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% -� Dated D F 5• Signature of Applicant — Owner R Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of s'ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 1, 5. 70 occu P, CONST.TYPE I FLOOD 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 DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. I A3 O g, WHITE-D.P.W.. YELLOW-A3aESSON, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTT E-'DEP'ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, �Pali,!prnJia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER so — _JL_1� - _;1L 7 ZONING BUILDING PERMIT V_ OWNER Majoe,l M I lle,,- TELEPHONE T3,-/ - 67 W SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME (f> Lt ) "ex - E PH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT F i I i ng F ee 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 SFER-__DuplexF� MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00 ea TYPE OF WORK NewF� AdditionEl RemodelEl Uti lities [:1 Insta ationE] Other F] Describe work: Ac-4micL" <�d I Permit Fee $ Contractor ELECTRICAL PERMIT Fi ling Fee 10.00 Main service 6001 OR LESS 1 00 AMP OR LESS 10.00 /6�00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): D 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) El 1, as the owner, am exclusively contracting with licensed cuntract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST DWELLING OCC Up' 21/20sq ft OR ADDNS. ACC.BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50 ea I (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTUREL 1.20050t AL0300 OCCUP. FIXED APPLNS. OR Ex. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.0 — Misc. Wiring 15.00 _V>r-e_ -:1rW.S 0) Permit Fee $ :3 OIL WORKMEN'S COMPENSATION INSURANCE I decl�are under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi ing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the ' above-mentioned property for inspection purposes. 1 also agree to save, indemnity 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�-&Z 22Z'-�� Date 11-5 - F Signature of Applicant - Owner9L Contractor El Agent F1 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 5" C70 occup.1 CONST,TYPEJ I IFLOODIPARCELI PD I H This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 1311=113LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-1v Receipt No. I g.3 o R, WHITE-D.P.W., Y - ELLOW-ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT Mabel Millet Permit .10809-84 ,'' F M1 a4i C 7 OFFICE COPY Address GAS Meter By Date I ELECTRIC i Meter By Date G AS M Date ELECTRIC f Meter By Date(Z OFFICE COPY Address 3 GAS Meter By Date ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, Californda 95965 - Telephone 916/534-4541 APPLICATIOON AND PERMIT PERMIT NO.�,�/ ASSESSOR PARCEL NUMBER [� — , ... �/' ZONING - BUILDING PERMIT OWNERTELEPHONE /U�ko At I ler SO. FT. OCC. BUILDING VALUATION OWNER'SS.M/AILING ADDRESS 7 _s LJI kf" CONTRACTOR'S NAME �(,liNtoT TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER t { � /ILII UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r^i'11 Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILOING.ADDRESS c7.4t-� (IAPLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 U r d 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 Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ .-Remodel ❑ Uti Iities [:1Installation ❑// Other E' Describe work: �1 C���y ^� " II'I �'� caT (C- i1 <� 1N( f ('Main Permit Fee $ 190.06 contractor ) ELECTRICAL PERMIT Filing Fee 10.00 00V OR service 100 AMP ORSLESS 10.00 /�(J t ^^ i • _� �� �� � � ' `p ` if C'I.t Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t ZhQsgft •f vi1 CONTRACTORS LICENSE`LAW under I declarepenalty of perjury p y p 1 y (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) [l 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 & NON-RESID. (SINGLE OUTLET CIR. 20@50• Ex. Occup(o OR FIXTURES 6AL0300 FIXED A Ex. Occup. OUTLETS P( R E S ID.)LNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /, .0o 4--'rh C P ice' �U Permit Fee l $ .11� 0100 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. 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 I..'Date f/ ' I- /� Signature of Applicant — Owner Q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3vstories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE $ "M 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 OF PUBLIC r I By t yttwi�.(✓\ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /•� JF Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEJ[ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, alifornia 95965 - Telephfone 916/534-4541 APPLICATION ANb PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER © ZONING BUILDING PERMIT OWNER TELEPHONE .SO. FT. OCC. BUILDING VAWAftION OWNER'S AILING ADDRESS r� CONTRACTOR'S NAME TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER e' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDR 55 S� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ® �^ C) 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 , a �/ USE OF STRUCTURE SF I Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK New F1 Addition emode Utilities 5 Instal tion /"Other De ribework: C�v� �h W1E�_.c('(CX1& ,e b Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 �e S C Main service EA. ADD'L 100AMP 2.50 NEW CONST. DWELLING OCCU.& P OR ADDNS. ( ACC. BLOGS. 2/4sg1t ONT CTORS LICENS LAW I -declare nder 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 6Q 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 ULT I.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEWCONSTR. POWER APPARATUS IN NON •RESID. (SINGLE OUTLET CIR. 20@50a Ex. Occup(o XTs OR FIXTURES 9AL®ao FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA•1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 t' /-%C r 00 Permit Fee $ 1 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. �1 Q[� %� %%� ��A�J Date ��—��7 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 Mobile Home Installation Fee $ c� TOTAL PERMIT FEE $ ! V OCCUP. GROUP I TYPE OF CONST, PARCEL Po I HD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOROF BLIC /� BY A , PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /,4?2W /inheight. Receipt No. c WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i i 1 PERMIT NUMBER — B 2586-73R P E PERMIT EXPIRES 7`075--/ '— OWNER Isaac 0. Miller t CONTR: North State Aluninu LOCATION (A.P._ 30-22-28 958 -14th St., Oroville s L i f r a 1 Forms Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE, 1 Department ofY�Publis Works BUILDING INSPECTION, RECORD Zoning Setback^ Foundation Piers & Girders Rgh.. Plumbing Bond Beam Rein. Steel Framing / 6 -- �� Gas Piping & Test Plmg. Topout Wer. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Final Forms Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE —"DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au UIUIILe leple5ellldlrVUb of the County of Butte to enter upon the above-mentioned property for inspection purposes. BUILDING ��i Date �I ' Signature of Perme le genu J! Owner s� G / G���f SQ. FT. OCC. BUILDING VALUATION ll' / !� Mailing Address U 1CL f� Telephone No. s L %�� Fireplace Contractor �(�,�5 l' f �:�� �� Total Valuation Mailing Address �1`J ,� � �� S/F9'r Permit Fee Plan Checking Fee &/or Penalty Telephone 'N Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 e� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No �D.-- a p� - a. gGas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W-6. I Sa on ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel A�► o Plans A vol Permit Fee $ NEW ❑ ADDITION ®UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE � PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil HomeOthers ❑ Sub -panel (12 or less) (morethan'12) Range, Cook -top or Oven 1.00 D ��'��`�G Water Heater or Space Heater 1.00 Light fixtures bal__10 Receps., switches &fix outlets 20 02 I(dl 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: f7c'Cl�z�lwa.4r 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 7Classification '4 / Misc. wiring ❑ 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 Work 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 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 $ 7-3 au UIUIILe leple5ellldlrVUb of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �l ��i Date �I ' Signature of Perme le genu J! Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF EUBLIC WORKS BY Date U6filging permit expires Def* 7 z, 7 7 7 PERMIT NO. 24-76B P E M .f• rc MH'UT•IL. PERMIT -NO. ZZ PERMIT EXPIRES �M1,1, ;.,�_.. OWNER Isaac 0. Miller t CONTR.. Ernies Mobile Home Trans . ,Marysville LOCATION (A.P. 30-22-28 ) . ~ i950�r14th St., Thermalito I i I r l . Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. t Cal: edPG&E W'JOB FINALED (Date) (Signature) I .I . e. Setbacks Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab -Patio Footings Masonry Walls Reinf. Steel Bond Beam Framin Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped I Heaters Appliances Conformance of ex. structure Gas Piping & T Temp. Gas Final Sanitation FIREPLACE final Footing Throat Rough Final Fixtures FIRE SPRI*LERd Motors Test Water Htr. Final Subpanels MECHANIC\lk4 Grd. Fault Prot Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS PLUMBING ELECTRICAL - COUNTY OF BUTTE — DEPIARTMENT OF PUBLIC 7 County Center Drive `g----Uroville, California 95965 Tel ephonr: 534-4541 APPLICATION AND PERMIT WORKS au UIor17e Iep esenLat ves of the County OT Butte to enter upon the above-mentioned property for inspection purposes. X ` Date 5 g ature of Permit�.,ent Receipt No. Z_�=la / :?, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 64 PUBLIC WORKS BY Date �— t—% uilding permit expires Date % `� % BUILDING Owner _ SQ. FT. OCC. BUILDING VALUATION Mailing Address CJ c) /ev- h S (0 O �---- —17T �7 -O- lephone No. Fireplace Contractor fi�yic �. Total Valuation �y!/V ✓ / Mailing Address S-70 k- Permit Fee Plan Checking Fee&/or Penalty 114 ±lf / Telephone -7 Permit Fee Building Address�� PLUMBING No. @ FEE PERMIT FILING FEE J$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 —� Z �2i� A. P. No. 3 Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s on Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA Parking -1 Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. PIo4Recd Parcel proval Plans ` roval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ^ Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER Main service 1 0 0 AMP OR LESS 25.00 Main service EA. ADD`L loo AMP 1.00 NEW CONST. DWELLING OCCUP. &\ OR ADONS. ( ACC. BLDGS. / 2esgfit NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTP- POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � ER/Y �' `� /7 J ���' V Ex. Occup(OUTLETS OR FIXTURES) -E, ALM N25Q EX. QCCU FIXED APPLNS. OR P -(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 // License No.. �fl KfClassification Q Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P employ any person in any manner so as to become subject to bject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling I J- 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 is au UIor17e Iep esenLat ves of the County OT Butte to enter upon the above-mentioned property for inspection purposes. X ` Date 5 g ature of Permit�.,ent Receipt No. Z_�=la / :?, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 64 PUBLIC WORKS BY Date �— t—% uilding permit expires Date % `� % `:at PERMIT NO. 6034-75P,E P E. . 'V E M MH UTIL. PERMIT NO. PERMIT EXPIRES /Z OWNER Isaac Miller CONTR. owner 5 :LOCATION (A.P. 30-22-28 ) 950 14th St., Thermalito . i n 1, a . C 1 r r f. Tom. Power Pole / Called PG&E Temp. Elec. Serv. Called PG&E Tom. Gas Serv. / Z %(s -7 Called PG&E JOB FINALED 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 Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping &Test Temp. Gas Z Slab Final Sanitation Patio FIREPLACE Final Footings Footing EtECT ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam t FIRE SPRINKLERS Motors Framing ! Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 1-16ting Service Z Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 7 'Ile 17-dw r � t ,v d441- , 9 Electrical AIs service large enough to provide adequate amperage to mobilehome (must equal rating of` mobi-lehome with a minimum of 100 amp)•and"other facilities on lot, i.e., water pumps, garage,,cabana, etc.? Yes - No— /B . o B. Is there proper clearances around panels? Yes No' /. Is power, supply cord or -feeder assembly properly fused?, Yes No_ 111, I continuity test satisfactory as per the following procedure? Yes_ No - De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, ' 3. Switch all breakers and switches in the mobilehome to the "on" position. r Connect one lead -of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 'All'non-current., carrying metal' parts of the mobilehome '(aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME DATAaL A ; r Manufacturer and/or Namestyle Length G Width Vehicle Serial No. State Identification I3o. ` Additional. Information or Comments: F MOBILEH9ME' INSTALLATION INSPECTION CHECK LIST Is the mobilehome located with required, separation from lot lines and buildings and generally O conform to plot plan? Yes No ?. Does the mobilehome have required clearances above ground? (Sec.5085) Yes _X No Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Yeso/ No If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No Water /// A, Is 4exible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No Test - Does water piping withstand working pressure or 50 lbs. air test? Yes` No Backflow - If coach is not State.of Californi pproved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No' B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No /8 Gas Piping and Gas Vents A Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Ye SAI No $� Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2/ Shut off appliance burner and pilot valves. Air test with manometer to 10" -1411 -waiter column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. G� Are all appliance vents properly installed? Yes < No COUNTY OF BUTTE —► DEEPAR-TMENT'OF PUBLIC WORKS 7 County Center Drive — (3':oville,lCalifornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT X�of .r.�*GG'l� Date — .�-` —�✓r Perrnitee or Agent Receipt No. / / White-D.P.W. — Yellow-Asse sor — Pink -Inspector — Goldenrod -Applicant mu tsutte uounty uoae anoior resolutions to do work indicated above for which fees haJR aid. DIRECTOUBLIC WORKS BY Date f� % i lding permit expires Date BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address t Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 ,Q[� Each Trap 1.50 Repair drainage or vent piping 1.50 J Water piping/,or Ofd Each gas water heater or vent 1.50 A. P. No. �� v � � st 9 �/ Zoning & Planning Gas piping system 1 - 5 outlets -16,0a Each additional outlet .30 F 1 tion Fire Dept. Fire Zone Use Permit Building sewer /Q,p EQA ParkinDeclarration .Plans I Parcel M p 60' R/W Improvements Lawn sprinkler system 2.00 P4014ans Recd Parcel proval Plans Approval Permit Fee $ ._ gg ,NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,0j f Pel100 Main service - 600V OR LESS AMP OR LESS 5.00 1�110 Main service EA. ADD•L 100 AMP 2.50 Single 4mily ❑ Duplex ❑ Mobil Home ul Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sq ft NEW CONSTR. (MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS & NON.RESID. \SINGLE OUTLET CIR. J I 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)`L5 109 Ex.Occup.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a--3 -- 3 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IAI I certify that in the performance of the work for which this V� 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. 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 authorize representatives of the County of Butte to enter upon the above-mBntinneri nrnnarty fnr inenontinn n—nono TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of- X�of .r.�*GG'l� Date — .�-` —�✓r Perrnitee or Agent Receipt No. / / White-D.P.W. — Yellow-Asse sor — Pink -Inspector — Goldenrod -Applicant mu tsutte uounty uoae anoior resolutions to do work indicated above for which fees haJR aid. DIRECTOUBLIC WORKS BY Date f� % i lding permit expires Date . e -- z �. � _... j.• �. �3 D Zv (' y...... -This set of plans a Aepeciopom MUS -460 kept on the job at all times and it is unlawful to make any changes or alterntions on same without written permission from the Department of Public Works, County of Butte. The Set6ack shall be 5 ft. from the side property line and 50 ff. from the centerline or` Ar- rord, permitting a maximum of a 2 ft. eave overheng. NOTE: -All It/ otori'"1` & M/oAmrnship Shall Be in 74'ccordnrce Ali+li Go''cI' Practices and of a quality nre-r-'!. ! r7- +I.e Snocified use in the Uniform Building, Plurnbimg & Machanical Codes and the National Electrical Code. Septic system and location Bu4.tte county hlealto be as per Dept. Re- �, quirernents. 1 r All u ility connections shall be - locate within 4 ft. outside the rear third ction of the mobile home on the ft (road) side of the mobil home.l e ~ v The Set6ack shall be 5 ft. from the side property line and 50 ff. from the centerline or` Ar- rord, permitting a maximum of a 2 ft. eave overheng. NOTE: -All It/ otori'"1` & M/oAmrnship Shall Be in 74'ccordnrce Ali+li Go''cI' Practices and of a quality nre-r-'!. ! r7- +I.e Snocified use in the Uniform Building, Plurnbimg & Machanical Codes and the National Electrical Code. Septic system and location Bu4.tte county hlealto be as per Dept. Re- �, quirernents. 1 r BUTTE COUNTY . BUILDING DEPARTMENT F. APPROVED o DATE Direct Distributor Name Ordering Distributor Name AmwaCORPORATION ADA. MICHIGAN 49301 Personal Shopper's Service Order Form CITY & STATE r ZIP SHIP TO ANOTHER ADDRESS? If you want this order shipped to your customer, or to a different address PRINT directions here: - NAME RESS CITY & STATE ZIP • L FOR OFFICE USE ONLY Cash Rec'd. Pay Type Name Verification Ship'Cotle Tax Code COMPLETE THE FOLLOWING FOR CREDIT CARD ORDERS TYPE OF BANK AMERICARD OR MASTER EXPIRATION MASTER CHARGE INTER -BANK NO. CHARGE CARD: CHARGE DATE / / (4 DIGITS ABOVE YOUR NAME) CHARGE CARD I_ l I I I I I I I I I I I I I I CARD HOLDERS NUMBER till L SIGNATURE The issuer of the card identified on this item is authorized to pay the amount shown as TOTAL upon proper presentation. I promise to pay such TOTAL Itogether with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. Qty. Direct Size/Color Name Of Item .......................................................................... Pt. Val. Business Vol. YOUR ORDER Distributor NUMBER UMBER Your I I I I I I YOUR ORDER ADA Number _ I I I I DATE If your name and/or address I I I I has changed since your last ❑ order, please check this box. CITY & STATE r ZIP SHIP TO ANOTHER ADDRESS? If you want this order shipped to your customer, or to a different address PRINT directions here: - NAME RESS CITY & STATE ZIP • L FOR OFFICE USE ONLY Cash Rec'd. Pay Type Name Verification Ship'Cotle Tax Code COMPLETE THE FOLLOWING FOR CREDIT CARD ORDERS TYPE OF BANK AMERICARD OR MASTER EXPIRATION MASTER CHARGE INTER -BANK NO. CHARGE CARD: CHARGE DATE / / (4 DIGITS ABOVE YOUR NAME) CHARGE CARD I_ l I I I I I I I I I I I I I I CARD HOLDERS NUMBER till L SIGNATURE The issuer of the card identified on this item is authorized to pay the amount shown as TOTAL upon proper presentation. I promise to pay such TOTAL Itogether with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. USE THIS SIDE OF THE FORM FOR ORDERING MERCHANDISE ONLY AMWAY COPY DO NOT USE BOTH SIDES OF THIS FORM AT THE SAME TIME SA -676 L -SA -010-F © 1975 Amway Corporation Ada, Michigan U.S.A. 5X2918 Litho U.S.A. Qty. Stock No. Size/Color Name Of Item .......................................................................... Pt. Val. Business Vol. Cost Sugg. Retail I I I I I I I I I I I I I I I I I I I I I I I I • I •I I I I I I I I r I I /I r ` I I I I _r .�W • I I I LESS CREDIT VOUCHER(s) NO. I I I I I I FOR OFFICE USE ONLY• For Warehouse Use Only Whse. t J ' Reced I I TOTALS I I I 3 SALES TAX I J TOTAL I POSTAGE I TOTAL TO BE I SENT TO AMWAY I r I I BATCH NO.(s) / 9�f l / r / / r j r+, Date Shp'd I I ' ! • How Shpld I I Handling Chgls + I I b1 USE THIS SIDE OF THE FORM FOR ORDERING MERCHANDISE ONLY AMWAY COPY DO NOT USE BOTH SIDES OF THIS FORM AT THE SAME TIME SA -676 L -SA -010-F © 1975 Amway Corporation Ada, Michigan U.S.A. 5X2918 Litho U.S.A. -J COUNTY OF BUTTE - D PARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS BUILD G Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address V Permit Fee Plan Checking Fee&/or Penalty J 01 Telephon No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 206P3� 'd ���� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F - Sef►i-te�+en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im prov ents Lawn sprinkler system 2.00 Rl�aw4-Rec'd ParcpprovaI PI n Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 0 :6-' Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home inj Others ❑ Sub -panel (12 or less) (morethan 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures n I a 10 Receps., switches & fix outlets 120 t25 6M 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 - _ r u< 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 7g j�7 0 flQ / License No. Classification Misc. wiring ❑ 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 $ $ 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- entioned property for inspection purposes. k TOT AL PERMIT FEE $ 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. X Date $i ature of Permiteee or Agent Receipt No. 4J I 11 White-D.P.W. — Yellow -Assess. — Pink -Inspector — Goldenrod -Applicant DIRECT=PUBLICORKS BY -- Building permit expires Date f BUTTE COUNTY DEPARTMENT OF%PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: PNIc'� 3. Is the site currently under permit? Yes -k<l No (If yes, furnish permit number ®3`T` _�� ) OR Is the site an existing. site? Yes% No (If yes, furnish two (2) plot plans.) _ 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes/ No (If no, clarify ) Y4. 5. What is the mobilehome electrical rating? ----------------------- ,J6 o Amps 6. What is the mobilehome site service rating? --------------------- /()p Amps 7. What is the mobilehome-site circuit breaker rating? ------------- - . 1, ij. ,Q� Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural-gas' or less than 50 ft. on LPG.) site service? .--------------------------------------------------- Yes T-1 No IZZ (If yes, identify the load and size: (Load) (Amps) A 9. What is the mobilehome site gas pipe size? ---------------------- -,' - _.. .(in.), 10. What is the type of gas service? ----------------------------- Natural 7,;Z7 LPG'/ 11. What is the gas pipe length ._from meter or tank to the mobilehome? (ft.) .12. :What is the mobilehome gas demand? ------------------------------ /44,060 (BTU) (This information not required if pipe length less than 6 ft. on natural-gas' or less than 50 ft. on LPG.) MOBILEHOlE,_ SUPPORT DATA Mobilehome Mfr. � }� 3`1° pD VVA ' Setup Model No.-, Year Width* (ft.) Length (ft.) Expando`Size" ft.xft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if not .on file -with the County of Butte) . Sin 1e - Footings-(check.one rt =�X .I� iC. O. - _ . _ .. _/y/ •1..Wood :either , 3 pressure treated oY ;fdn:' rade. Center Center Su :ort :g Support Footing izes Locations (' ::: ,. : /,'L 2 lConerete pad. - �- x �O / : / 3.:Other,_: specify in. in. zn. Supports (check one 1. Concrete block x / / 2, 'Concrete piers (ft) in - / 3. Steel piers �. ...y . :... __ 7_1 4. Otaer, speci.fyk, �.. ::. .,.► :, Typical Support: ��- x �: �=11 •1 Footing Size: ... . . (in.) (in.) Max. Pier. Spacing .:i..... _ . (in.) (in.) < Max. - Overhang _Ln. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED