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HomeMy WebLinkAbout030-350-049``C r 3035-49 r� BILLIE (Hyatt) Sisemore 1524 Keko St., Thermalito Permit ##5681-75P(install mower bne / } 30-35�9 Permit 111.6'2E �.� —... (ut it . UK . GAS SUP RUCTU Q. CO ACTI T REQ. r 30-35-49 �= ~ JOE JIMENEZ 524 Ke to,"broville 1 Contr: Waibel Inc, Oroville PErmit##2044-80P,E,M (AC inst . & gas heater) SIF • '�/� %-35-49 , ' Cofitr: Pryor Contracting; Oro Permit#3432-80B(reroof) SF 030-350-049 - OS -2395 WAGNER, DAGMAR IKENE 1524 KEKO ST, ORi j O Cont: OWNER (/ l(f� RE ROOF M 0 Ln 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. BPO52395 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/06/2005 APN: 030-350-049-000 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. Site Address: 1524 KEKO ST•ORO License Class : License Number: Map Index: Date: Contractor: Description: re -roof 25 squares 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 Owner: WAGNER DAGMAR IRENE permit to construct, alter, improve, demolish, or repair any structure, prior 1524 KEKO ST to its issuance, also requires the applicant for such permit to file a OROVILLE, signed statement that he or she is licensed pursuant to the provisions of CA the Contractor's State License Law (Chapter 9 commencing with Section 95965 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 Applicant: WAGNER DAGMAR IRENE pp intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 1524 KEKO ST owner of property who builds or improves thereon, and who does OROVILLE, CA such work himself or herself or through his or her own employees, 95965 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 Contractor: 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.). ❑ I/�a�m Exempt under Article 3 of the Busine and Professions Code Date: ' –(p _0 &wner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued, ❑ I 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: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy #: Census Code: C^/ / 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 laws of California, and agree that if I should become subject to the workers' I/ I / compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. h ! ( Date: — ec -- p0 Applicant: Q_ a' /�✓L�l� WARNING: Failure to secure workers' compensation 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. CONSTRUCTION LENDING AGENCY This permit Is reby issued under t'app le provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolution o do work in ' ated ove r wh' fees have been paid. performance permit Name: Bv: Date: ` / I � —OCA Address: PERMIT EXPIRES ON: 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: b.b`, zr/ vn e�n 2z Signature:&6' �" d Date: Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR RJSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLYrr OWNER INFORMATION Last Name km2 e -z First Na e ko S,L` Address ��� L /<K7 City D 1 I' P Slate 7 (O PhoneS3 3 ,SL D p Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City, rO vl I l�e Address Zip��y City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City, rO vl I l�e Address Zip��y City Fax State Zip Phone Book Fax E mail Planner State License Number APPLICANT INFORMATION Name /'�_ j„ f_ rl CJ IJ :5 e h -eZ f� Address 16- -1 k e 90 5/f r City, rO vl I l�e StateL Zip��y PhoneS3 3 —5 61 v vv Fax E-mail APPLICANT SIGNATURE X For office use only: - Zoning Propert Address 7s a y � K-0 S �, Flood Zone Cross Street // ca V Vt G�" SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner 7 -Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION API 75 Propert Address 7s a y � K-0 S �, C Ci' -")co Cross Street // ca V Vt G�" WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address --Description or Scope of Work: J Sf� L A-r(L. 6--1, — 7c�-- Sq FT -Living Garage Open Cov ❑ 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. Received by: Receipt 5n Amount: Bldg I � D ate: � Other � Total Page 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 A/C 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 -signed 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). ❑ 7. 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 question's 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 KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ;:,f-V ed�n.•«".�c . 'lf �•� i4'i"•fi7?�:-`C-�'�-�=j.t • '•i:.'c:: '��'_ . •�''�_ � ;fit "��i - �a •t, � � •-� %VJi�• �.�',�:. '� 'Fr _ .'�F `I', Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES •[� NO [ ]. 2. I HAVE �>Q 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 DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. , Rev'd 11/4/2004 Butte County Department ofDevelopment Services ADMINISTRATION E BUILDING' GIS ° PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile +i�y�.=a6-+�z'iK�.rr.-mss, s� 2�s - a:�c"�"'qu�.���a��aVs1+ t".L+tt7:.w``r --tit-�i.`.L?ryw•�r,,;`�... h�—+!�. �� ^ .�d.L� ' �a �u—�iF.L•.+..^`.�'-ru_eyEk�� v+.�--u.i .3'.ki�uhaa�.ww� .c.~: x . ���? Dear Property Owner: T LVIVIRAMMIImIM11 ao�uv�'%G An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal govemment as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Ad hinistration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material. personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i6� C. Vieirl C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. NOTES RESIDENTIAL PERMIT NO. 030-350-049 05-2395 WAGNER, DAGMAR IRENE 1524 KEKO STN, OROVILLE Cont: OWNER RE ROOF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS I� SUB -STANDARD HOUSING LETTER j��EI�'vt �4LrTo . } s JOB FINALED (Date) l �� __- Signature S� = OK =Not OK = Not ReadApplicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /' L'fL / P Nat or/ /" L 'ftJ P LPG .7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test=Regulator-Connecto? 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged - 9. Exits 10. Ucense Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 uate Gard B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns-Connections-Splice-Deca[-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card 13-1 Date Card 13-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Sols; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA S. Sec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elea; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' C"trculating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applimbfe = Ndt Ready RESIDENTIAL (Single & Duplex) late UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3_ Ftg., Garage; Soils-Steel-Elec. Gmd -/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Stab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fdting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventlation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nal Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip.. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfic Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. ICd. Fixt. & Appfiance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at M Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following hAdJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fueplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.FI. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ' OERMIT NO. 3412-8-0E PERMIT EXPIRES OWNER JOE JIMINEZ - CONTR. Pryor Contras -incl, Oroyi ] 1 e LOCATION (A.P. 30-35-49 1524 Keko St, Oroville S. r r r t t r /Pe Pol ' erv. &Eerv.G&Eate) (Signal ) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONRECORD BUILDING BUILDING (Cont'd) Sb V t ack Firewall Soil Piping Forms Parapets 1st Floor \ Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor _ Stemwall Siding To out Slab Roof Sheathlqg Water Pi int Piers Roofin S _ Stemwall Slab larport p Footings I Slab PAlo Footings Masonry Walls Relnf. Steel Bond Beam Framing Stucco Mesh Scratch • Brown Finish Interior Lath V ewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically Appliances Footin Throat Final Heating Cooling Ducts Ventilation Final ----------------- Elec- Service F E Gas Piping Temp. Gas Sanitation Final F Water Htr. Subpanels Gird. Fault Pro Service Temp. Pole Underground Permanent Final Elec. Pedestal Water Piping . Sewer Gas Piping MOBILEHOME INSTALLA P - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS J (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELECTRICAL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ^ Telephone: 634-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. (!%A X Date A./r $ignat re f Permitee o gent 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. PUBLIC WORKS By \`=r�I�J/ Date — / Building permit expires Date BUILDING Owner .,�. „r SQ. FT. OCC. BUILDING VALUATION 73 a0 Mai I i ng Address �� ���i T • ' Telephone No. Contractor y Mailing Address S' Fireplace Total Valuation r Telephone No. iregy_132Rj Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee ..r S -1 / r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — s ---- Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 B Parcel A rdval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ g „& a Y i ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5•00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 6 25.00 100 AMP O OR LESS Main servlce EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLOGS.LING CCUP. Y� 20sgft 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: �% /� ..� 1� ✓/� 1� C� o N / 1� et �' / J of Cl T NEW CONSTR / BRANCH CIRCUITS) NON.RESID ` BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. 50@25C Ex. Occuo(OUTLETS OR FIXTIIRES BAL@1 FIXED APPLNS, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2 72 Je9 7, Classification � Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. (!%A X Date A./r $ignat re f Permitee o gent 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. PUBLIC WORKS By \`=r�I�J/ Date — / Building permit expires Date ib IRO CT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS d County Center Drive — Oroville, California 95965 Telephope: 534-4541 4: APPLICATION AND PERMIT autnonze representatives or the tuounty or butte to enter upon the above-mentioned property for inspection purposes. X M Signature of Permitee or Agent J Receipt No. - Date 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 PUBLIC WORKS By Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date BUILDING Owner f SQ. FT. OCC. BUILDING VALUATION Mailing Address �J'V /t t, Telephone No. Contractor Mailing Address i / , - ,' Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. f • " U p r Zoning &'Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W:C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets t1. 50- %. (, J EQA Parking I Plans ParcelEach Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. PI aR c'd Porcel Ap royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®' Permit Fee $ 'S 'C' $ l.•C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 v Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 - Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST V ACCLBLDGS.LING CCUP. 4\ •z0Sq ft / 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: NEW CDNSTR MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI,RES) 50@250 'BAL@ 1 FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESID.) EA) 2.00 � Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification f t. Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ . L $ ', MECHANICAL No. @ FE_ E 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. 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. PERMIT FILING FEE $3.00 1 Heating c t. i /i °, Cooling t' iv Ventilation Hood 2.00 Permit Fee $ $ r , I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE autnonze representatives or the tuounty or butte to enter upon the above-mentioned property for inspection purposes. X M Signature of Permitee or Agent J Receipt No. - Date 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 PUBLIC WORKS By Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date - v- 4.0 -- F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,. 7 County Center Drive — Oroville, California 95965 Tel epho: 534.-,4541 APPLICATION AND PERMIT`�-�)l authorize representatives of the County of Butte to enter upon the X a property for inspection purposes. Date F0 e of Pe mi`teee or ent 3 l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated he fo whij i fees have been paid. eeTOR OF PUBLIC WORKS Date ;t—Z3 Big -permit expires Date BUILDING Owner L. SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address /o2-/ Q Telephone No. Contractor Mailing Address 17,00 %,¢T PN Pel- &4PW. Fireplace Total Valuation O v/ 4 Tlh ee one No. v'~,f J F/a J7 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee ©le PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,, o Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3Q — 35- 49 Zoning ning /S� lan� Water piping 1.50 Each gas water heater or vent 1.50 F U SaRi-tatierr FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 87 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pi s Recd I Parcel A royal I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES ❑ OTHER ®' permit Fee $ 00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C Main service 600V OR LESS 100 AMP ORLESS 5.00 Single Family © Duplex Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST � ACCLBLOGS.LING CCUP, ek) 2¢sgft 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 le of: style ` , L NEW CONSTR. BRANCH CIRCUITS) NON.RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTI[RES g @251'00 EX. OCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 1,2,10 0 Temporary service 110.00 1,706 6547,/« Mobile Home Facilities 15.00 License No., -.24% %'S`_? Classification �07 O Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,00 $ 01 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. EJ 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 30 0 Heating `5-4, 4 ALS Mee— Cooling a TOAJ Ip Ventilation Hood 2.00 Permit Fee $ $ ff e0 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ !�G authorize representatives of the County of Butte to enter upon the X a property for inspection purposes. Date F0 e of Pe mi`teee or ent 3 l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated he fo whij i fees have been paid. eeTOR OF PUBLIC WORKS Date ;t—Z3 Big -permit expires Date t* eounf* of ✓Jami OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: #' s'i,gt' 910 ADDRESS: 1524 Keh sC. CITY & STATE: 0MA110, "• 92965 IMPORTANT: MUl,� 2pi,. 19% SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Unable to Uwe pemit f*r stoond living =4 oto parcel. ail lumbi tg poriaft fait ,.«» 0331.00 SAL ran M13 $ 6.00 TOTAL ' I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................ , 19......, at....... Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that tiye is a Budget Appropriation ID or Spec•fic Board Appro 1 (Checkone) for the same. July. 6 � PRI Datedthis .................................... day of ............................. 19......, at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. i INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 1w ;F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive!' — 1$roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon Vie above-mentioned property for inspection purposes. /% Q / 7 n O Signature orPerrn/eee�orrAgent Receipt No. � 7� 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 PUBLIC WORKS By Building permit expires Date Date BUILDING )wner SQ. FT. OCC. BUILDING VALUATION Mailing AddreJJs��s((�� Q0V IL.L� ,Teale hone No.4 aJ Fireplace 3ontractor OK" Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 3uilding AddressPLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 3,©® Each Trap 1.50 P—Q_ v` Repair drainage or vent piping 1.50 Water piping 3;:F@ /0,06 Each gas water heater or vent 1.50 A. P. No. ��' ��" Zoning 8 Planning Gas piping system 1 - 5 outlets 1 /p. 0 0 Each additional outlet .30 F Sanitation FireDept. Fire Zone Use Permit Building sewer E_A@ /0.00 EQA I Parking Parcel Plans Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval %� Plans Approval Permit Fee $ .x,3.00 $ :33 O NEW ❑ ADDITION ❑ UTILITIES'_ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _,.0 Main service 11 OR LE 100 AMP ORSLESS 5.00 0 0 Main service EA. ADD•L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( DWEACCLBLDGS.LING CCUP. &\ 20sgft / NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &� NON•RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) _BALOM Ex. Occup. ( OUT ETS PRESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 CC) License No. Classification, Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califcmia. Permit Fee $ ;2.,go $ o MECHANICAL No. @ FEE 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. 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. 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ S6 no authorize representatives of the County of Butte to enter upon Vie above-mentioned property for inspection purposes. /% Q / 7 n O Signature orPerrn/eee�orrAgent Receipt No. � 7� 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 PUBLIC WORKS By Building permit expires Date Date PERMIT NO. 5681-75P P I E M MH UTIL. PERMIT NO. 1 PERMIT EXPIRES OWNER Billie (Hyatt) Sisemare CONTR. 0 e t LOCATION (A.P. 30-035-49 .1524 Keko St., Thermalito" t Temp. Power Pole Called PG&E 'Temp. Elec. Serv. C lied PG&E Te p. Gas Serv. Called PG&E JOB FINALED 10 THERMALITO.IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address:. 9;,9 a kEun Owner's Name: t L et.. t F H' -JA Ti"Date �w I q�`•-� Address: 1 UF' I•C /`> Acct. No: �Od OR E LA qrs,-1 A.P. No.s30" b✓s— L461 Phone: No. Units: Applicant/Agent: 1 t/, Agents Proof: WA Address: Fees: Phone: Application $ / C nP Preliminary Review By `�`�IiV�tAl.� Date:)nla 1Q Arrearage U CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees al�� Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to.Mar. 5, 1974). ❑ 180 days after date above, or on date of.D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID PLUMBING ELECTRICAL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final . DATE REMARKS OR CORRECTIONS PLUMBING ELECTRICAL ►1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �/ .Q 75' Telephone: 534-4541 (�0 / �J APPLICATION AND PERMIT ^ BUILDING Owner �L s, V S�s�o 2 SQ. FT. OCC. BUILDING VALUATION Mailing Address 4S � y K (3 /,tf r ' r Tal ephone CS 20UI L-l.L� 9 . r• Contractor o W ry Mai I ing Address elephone No. Building Address A. P. No-,iQ 3Zoning & Planning Fee W. . ryiion Fire Dept. FireZone Use Permit EQA Parking I Parcel on Map Parcel Ma 60' R/W Im p rovements Plans Declarati ans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family rKI Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style. of: License No. rVI I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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. Classification Fireplace Total Valuation Valuation Permit Fee PI an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12; Range, Cook -top or Oveh Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring 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-� �� • Date s/� •� Signature of Permitee or Agent Receipt No./ 3 -72 9 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood Permit Fee FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE TOTAL PERMIT FEE $ 61 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. I ECTOROF PUBLIC WORKS By D A 5- 2Ift Hildimig ptrmit expires Date s'