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HomeMy WebLinkAbout030-410-014I 30-41-14 AVID A. NEIL 1265 Zack Circle, Oroville Perm't #1693-76P(bldg. sew inst) S F I NO V ?1A // )w �0-41-14 Permit##59-79B (reroof) SF 030-41-0-014 #98-2118 RICHESON, CHARLOTTE 1265 ZACK CIRC. OROVILLE ALLADIN ROOFING' REROOF COMPG/W44_ IOIZ6/�5 ' 030-410-014 06-0364 WILLIAMS 1265 ZACK CIR, OROVILLE Cont: GALLAGHERS HVAC C/O, REDUCT PERMFT NO. BPO60164 B. C. building vermit ui-io,u4 pg ! .' " LICENSED CONTRACTORS DECLARATION I hereby affirm under .penaity of. perjury that I am licensed under of Chapter 9 (commencing with Section 7000) of Division 3 of. Issued Date 02/16/2006 APN 030=41 O 0.14 000 - „ provisions the Business andProfessions Code,'and my license is in full force and effect: —1 Class License Number.0 Site'Address 1265 ZACK CIR-.ORO License :.1 ' /�l " l C-�q l c� V Date: Z� 1h✓J 'Cl .Contractor. rS Map Index Description 'CHANG E.OUT ,HVAC &"'REDUCT '.OWNER-Bu1LDER DECLARATION ;: I hereby affirm under penalty of perjury that.l 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: WILLIAMS` DEAN G & JEAN A. permit to construct;, alter; improve,,demolish' or repair any structure, prior to .its issuance,'also requires the applicantfor. such, permit to, file a ; 1972 LOS;ANGELESAUE signed statement,that he or she Is licensed pursuant to the provisions of, BERKELEY CA ' the Contractors State. License Law (Chapter 9 commencing with.Section 94707-2419 ` 7060) 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;,Busine.ss;and Professions Applicant GALLAGHER $ HEATING & AIR Code: The Contractors'. State License. Law does not apply to. an PO BOX 35 owner.of property who builds or improves thereon,'and who does' such work himself.or herselfbr through his•or her own employees provided that such improvements are not. intended or'offered for LOS MOLINAS, CA 96055 sale. -If however, the building or improvements, are sold within one $OO -$92=3556 year ;of compietion, the .owner -builder will have the, burden of proving that -he orshe did,not build'or improve for the purpose of ❑ I, as owner of the property, am exausively contracting with licensed contractors to construct the project (Sec. 7044,• Business' and Professions Code.: The; Contractors': State License Law does" Contract.or .GALLAGHER'S HEATING & Al .. not apply to an owner of.property who builds or improves thereon, ` PO: BOX:35 and who contracts for. such projects with -a contractor(s) licensed pursuant to the Contractors` State License Law) 'I LOS 3S, CA 96055 ❑ . am Exempt under Article 3.of the Business and Professions Code $0Q-89.2-3556 ` Date: Owner . LICef1Se # 777,334 .WORKERS; COMPENSATION DECLARATION .' ; I hereby affirm under penalty'of perjury one of the following declarations: ❑ `'. ` 1 fiave and:will maintaina certificate of consent to:self-Insure for workers' compensation,. as provided. for .by Section3700 of the Architect: Labor Code, for the performance of the work for which this permit . . is issued: , Engineer II.I have and will maintamworkers' compensation insuranc1.e 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:' G'1�1j1G{ Total Square: Ft 0 .S.F Carrier: Poi #. l nb 13 s valuation $0.00 6y Census Code. ❑'. I certify that in the performance of the work for which thispermit is issued; ;I hall not employ any person in any manner so as to become. subject to the workers' compensation laws of California; and, 'agree that if 1 should become subject .to the workers'. compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Dater Applicant:. A: WARNIN Failure tos cure 'workers'. compensation. coverage, is. unlawful,.and shall subject an,employer'tocriminaf.penalties and one Hundred .'thousand dollars ($100,000), ' in addition . to: `the' cost , of " comp ensation,, damages' as.provided for in Section 3706 of the Labor code, interest, and attorneys fees.. " CONSTRUCTION LENDING' AGENCY,, ` ' This permit is hereby issued under the applicable provisions of the Butte County Code and/or.' Resolutions t w Indicated above for which fees have been paid I hereby affirrrrthat there is.a"construction lending agency for the the for which this'permit is issued (Sec 3097 Civ.) I � IlP' performance of work By Date Name: . ' -R • . E PERMIT EXPIRES Address. 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 19827.5of 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.l 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,fo or document of Butte County -I hereby authorize" representatives of Butte County to enter upon"the.above .mentloned property for inspe urposes. Print Nam.e: l (/(y Signat e: .� Date:' n n,., e ❑ Cnritractor = ❑ Agent for Owner Agent: for, Contractor. , B. C. building vermit ui-io,u4 pg ! .' ;Website: www.buttecounty:netldds '°PLEASE PRINT .CLEA.RLYrY Address APPLICANT INFORMATION EXPIRATION OF APPLICATION. Name " rl Applications for which a permit'has not been issued .will expire one ear after the date of application. ' In order to renew action on an Y PP . . Addresso 3 application after expiration, a new application, plans and fee will be City State required. REQUEST FOR REFUNDS ; . Phone '' 11 Fax 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. E-mail permit and no construction work 'has been done. Filing fees, plan ` check fees for workplan checked and other department costs are note refundable. APPLICANT SIGNATURE Received by; ~Amount Bldg For office use only: SRA Zoning Flood Zone SRA Yes No Occ. Type Const. Receipt She nff (# �.�0 SMIP Subdivision Name Map Book Page , Lot # : ,`t"[ /t Other Planner Date Approved Total nv�A Gnp c11 IRnniTTA1 {?1=n1 IiRFMFNT.q 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 El 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). O 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. Workers 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 KAFORMSOUILDING FORMS\BldgAnolSubRamts.doc Paoe 2 of 2 RFV 5-12-05. 030-41-0-014 #98-2118 RICHESON, CHARLOTTE 1265 ZACK CIRC. OROVILLE ALLADIN ROOFING REROOF COMP COUNTY OF,'BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT ,�-- ,SSE u4i"—J14 ZON1NO BUILDING PERMIT °`"" E11," 'RICHESON TELEPHONE SO. FT. OCC. BUILDING VALUATION °W" ER>"'MOON DR, OROVILLE 959$5 CONTW TQR'iS,[ NE ROOFING TELEPHONE CONTRAACC�TJO,�R SSf�MAAIILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS - x Total Valuation $ 1380 ARCHITECT OR ENGINEER - LICENSE NO. 'Flirt Fee $ 20.00 Permit Fee $ 33.00. ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDING Es 12�iT TACK CIRCLE, 0", VILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00' LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 .' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CC Describe Work: 11000FAM ? ( Gas piping syste!]n 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS G W 920.00 PERMIT FEE S I ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter'. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I full force and effect. License Class '�' LIC.' No: `S % �1� a OWNER -BUILDER DECLARATION r 1 hereby affirm under penalty of perjury that I am'e_xempt from the Contractors License r Law for the following reason: - . , ❑ [,as owner of the property, or my employees with wages as their sole compensation; will do the work, and the structure is not intended or=�offered for sale. f ❑ I, as owner of the property, am exclusively contracting with -licensed contractors to construct the project. ❑ 1 am exempt under Sec. ,-_ Business and Professions Code for -,this reason Main Service TO 46.00 NEW CONST. DWELEDWELLING OCCUP. SO CU OR ADDNs. ( a Act- BUDS. NoRCOES p. MULTI-OUTLETU. 67,50 PO ER'APPARATUS 8 SINGIE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 ® I.00 -Ex. Occu ounE50 " FD D PPLNS. OR Ts EsID. Ew 5.00 Temporary Service 23.00 ' MoL, Home Facilities 20.00 Misc. Wiring 23.00 _ PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the- Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My. workers' com ensation insurance carrier and policy number are: Policy Number / '/'77- (The above section treed not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become.subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �g c X ,.. Date ��' / ` / Signature of Applicant'- ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep. and demolition or construction of structures over 3 stories In height. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 53,,OC HAZ- D FEES IMP FLOOD CDF PARCEL PD HD ISSyE A This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. B y Date11-7ke PERMIT EXPIRES ON Receipt No. 250585 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :. -. 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMI N (Rev. 12/96) APPLICATION.AND PERMIT . ASSEbTAR4E `tTEb ZONING BUILDING PERMIT OW""CHARLOTTE RICHESON TELEPHONE TSQ., OCC. BUILDING VALUATION OW"'nT'G° T SDR , OROVILLE 95965 ROOFING TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 1380 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ "'TW TACK CIRCLE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ '53.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF R3 Duplex ❑ Mobilehome ❑ Other SPEDIFY Each Tra 7.00 Solar or heat pump water heater 2 3. 00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: ROOOF/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oon DOR' mss 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 i full force and effect License Class - Lic. No. �� Z 3 �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 workerg:�comppnsatioq ince carrier and policy number are: Carrier �j �`rt]' % _ Policy Number �j3 // - (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith with those provisions. �� ., (1� X Date 7 Signat a Applicant'- ❑ Owner )NGContractor ❑ Agent An OSHA permitis required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLINGOCCUP. So OR ADDNS. a ACC. BLDS. 3.50 NEW 1. NON,RFSIp. MULTFOUTLET g7.50 POWER APPARATUS h SINGLE OUTLET CIIL 20 @ 1 E X. OCCU OUTLET OR FIXTURES BAL so Ex. Occu . D°TsMaID,OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 53.0 IiAz p FEES IMP PLOOD 1 CDF PARCEL PD HD This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ByOU� DateL PERMIT EXPIRES ON provisions to do work paid. LO 411-7 (��of to Receipt No. 50565 WHITE-D.D.S.-B.D. , CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -: BUILDING DIVISION.' 7 County Center Drive, • Oroville, California 95965 • ,Telephone (530)538-7541: PERMIT No: (Rev. 12/96) APPLIC&IONAND PERMIT ASSESSOR PARCEL NUMBER ZON�,�- _ BUILDING PERMIT O1MNER TFLEPHONE SO. FT. ,' OCC. BUILDING VALUATION ` OWNER'S MAAING ADOR98 T . '8 NAME - TELEPHONE .. .. CONTRACTOR'S MAILING ADDRESS - - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS �. Total Valuation 5 ...ARCHITECT OR ENGINEER _ LICENSE No.. .. _ Filing Fee".. - S 20.00 Permit. Fee ARCHITECT OR ENGINEER -91 MAILING ADDRESS .: . - Plan Checking Fee S BUILDING ADDRESS - Energy Plan Checking Fee S • r OVl �,LeS PERMIT FEE t. _ LOT NO. BUBDNL9ION'SHAME - - PARCEL MAP PLUMBING ( PERMIT _ Filing Fee 20.00 USEOFSTRUCTURE SF )§, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tr 7.00. Solar or heat pump water heater 23.00 Water. piping 15.00 Each gas water heater or vent TYPE OF WORK New ❑ Addition ❑. Remodel 0 Uti ' ❑ Inslaktion O Other Describe Work: Gas plping system 1 - 5 outlets . 15.00 Buildingsewer 15.00 Mobile Home I S G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing'Fee 20.00 Main ServicezoeoovoA =S. 23.00 LICENSED CONTRACTOR'S DECLARATION ` I hereby affirm underpenafty 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 _ z= .... License Class Lk:. No.- DECLARATION I hereby affirm under penalty,cf perjury that I am exempt `from .the_Contractors License. Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, - will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ; ❑ I.am exempt under Sec. Business and Professions Code for this reason + WORKERS' COMPENSATION DECLARATION I hereby, affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for -workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section. 3700 of the Labor Code; for the performance of work for which this permit is Issued. My workers' compensation insurance carrier, and policy number are: , Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation ' of one hundred dollars ($100) or less.) ❑ :1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to workers' .compensation laws of California, and agree that if 1 should become subject to the! workers'• compensation provisions of section 3700 of the Labor Code, I shall forthwith Comply with those provisions. X Date Signature. of Applicant - ❑ Owner.r ❑ Contractor 0 Agent An OSHA permit is required for excavations over 50' deep and demolition or construction. of structures over 3 stories in height. ; -. Main Service WEA TO 1000A 48. NEW cso CCU oNs T. DwEli.e+G oxuP. 3.5Q OR ADDMs. a ACC. mos. NoµRetO,MULTI-0UTI-Er' 07.50 ` POWER APPARATUS d SINGLE OUT Er Ex. ' L ®1.00 • Occu OUTLET OR FIXTURES eAL @ •'° Ex. Occup. o sAPPL�ID 5.00 Temporary Service 23.00 Mobile Home facilities 20.00 Wisc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heatin Conlin Hood Ventilation PERMIT FEE $ "Mobile HomeInstallation Fee S Energy, Inspection Fee S occ CONST. TYPE TOTAL FEE $ D FEES IMP FLOOD CDF PARCEL PO NO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ,. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pf_'RMIT N0. 59-79B r_. E , PERMIT EXPIRES. 1/3/89 >OWNER FIAT, WHF. TTMAN CONTR. owner {LOCATION (A.P. 10-41 —14 ) 1265 Zack Circle, Oroville t i' ,t t f Temp. Power-Pole Galled PG&E Temp. Elec.. Serv. n Called PG&E T mp. Gas` Serv. Called PG&E JOB FINALED (Date) ,s (Signature)' I ' I .F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING -- Setback Firewall Soil Piping Fors Parapets 1st Floor Main Bldg. Restroom Finish IS"IdingTo 2nd Floor Footings Windows 3rd Floor Stemwall out Slab Roof Sheathing Water Piping Piers Roofing Sewer - ewer-Gara Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Car rt Footings Slab Prov. for ph sically n or edance of ex. Conflcor� .. � structure Final Appliances Gas Piping & Test Tem . ' Gas Sanitation Patio ;,FIREPLACE Final Footings - Footing ELECTRICAL Masonry Walls 'Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin • Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. "Fault Prot. Scratch Heating Service Brown CoolingTemp. Pole Finish Ducts Unde round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATi - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) , .... -.rte ..:.':• -. n'.f. . .. ..-., r..- - .. -. ., y COUNTY OF. BUTTE `DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone, 5y4-4541 g APPLICATION AND PERMIT 41 BUILDING, Owner. S FT. OCC. BUILDING VALUATION Mai I i ng Address S T e)_pgone No. Contractor Mailing Address 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'Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. O �- / — 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 1.50 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ ELECTRICAL NO -1 @ I FEE PERMIT FILING FEE J$3.00 Main service' 600V OR LESS 100 AMPORLESS 5•�� .. Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service. EA. 'ADD•L 100 AMP 2.50 Main service 100 A a M P OR LESS 25.00 100 AO Main service EA. ADD'L 1.00 AMP '1.00 NEW CONST. DWELLING OCCUP. B) 2¢Sq ft . OR ACDNS ACC. BLDGS. 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 CONSTR. I MUL--T'I.OUTL T NON.RESID % BRANCH CIRCUITS) Z.50ea ' - NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTHRES B 11 FIXED APPLNS.. OR Ex. Occup. OUTLETS (RESID:) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit•Fee 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 12.00 Hood Permit Fee; $ $ I certify that l 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 buLLdinq construction, and hereby Land Development Fee - $ TOTAL PERMIT FEE $ authorize epresentatives.of t e co ty of tsutte to enter upon me This permit is hereby issued under the applicable provisions of above'' -me ioned property for i spect• n purposes. the Butte Courity Code and/or resolutions to do work indicated �. above f hich fees have been paid. X Date DI C F PUBLIC WORKS atur f ermitee:or A'geent'. - " . ' - / /' Y B ate/ Receipt No. � � ' •'... :.. •/ White-D.P.W. — Yellow -Assessor — Pink -Inspector =. Goldenrod -Applicant Building permit expires Date v •' _ _ - _ COUNTY, OF BUTTE _ DEPARTMENTOF PUBLIC, WORKS BUILDING INSPECTION RECQRD - BUILDING BUILDING (Cont"d) PLUMBING .Setback Firewall Soil Piping -Forms'' Parapets Ast Floor Main Bldg. Restroom Finish 2nd Floor F,00tin s'_ Windows 3rd Floor f Stemwai I-SidingTo out Slab- Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footing's Gara a Vents Water Htr. Stemwall Slab • Prov. for physically handicapped Heaters Appliances Carport Footings - Conformance of ex. structure Gas Piping & Test Temp. Gas. Slab Final Sanitation Patio FIREPLACE Final Footings Footing' ELECTRICAL 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 y (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITOf'IRRIGATION DISTRICT �0 330 416 GRAND 'AV ENUE OROVILLE,'CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION. PERMIT Service Address: /,:2(oS Owner's Name:-./7�r ; ; ��, �. - /'� c Date: Address: A n Acct. No: /�JA_Cua! A.P. No.: Phone: z) "3 3 No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ ; Preliminary Review By:a-u7-r- Date: `��S/7G Arrearage CSA 26 i Remarks: SC -OR 1st mo. S.C. / Other Total Fees Collected. By: + Field Review By: Date: Date: -Q Remarks: l� G n . JQ 111X0_ C -- -� l'in c Z -Z MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: {'C 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 const -ruction"',' 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). DISTR;BUTION: WHITE • TIC). YELLOW -.APPLICANT, PINK - DPW, GOLDENROD - DPW to TIO COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, 6alifornia95965`• ' Telephone:, 11;34-4541 APPLICATION AND PERMIT • BUILDING . Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ' ZACr , CIRCLE_- ' / Tel e h r_e. oma• Fireplace .Contractor Env Total Valuation , Mailing Address Permit Fee • " Plan Checking Fee &/orPenalty . Telephone No.. Permit Fee': $ Building Address PLUMBING No. @• 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. ©_ i ^ �4 1 Zoning & Planning Gas piping system 1 -.5 outlets 1.50 'Each additional outlet .30 F �W!E. SaftrT3 i0 Fire Dept. FireZone Use Permit Building sewer• 5.00 �O EQA Parking Plans ParcelLawn Declaration Parcel Map 60' R/W Improvements sprinkler system 2.00 Bldg. -121m r-RtT'd Parce'l.Approval Plans Approval Permit Fee $ like,00 $ (x IO NEW ❑ ADDITN ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ ` FEE PERMIT FILING FEE $3.00 -JI 0. 00V OR L 'Main service 100 AMP ORSLESS , 5.00 • I f l Main service' EA. ADD'L 100 AMP 2.50 OVER 800V Main service , 100 AMP OR LESS' 25.00 ' Single Farni.ly ., Duplex ❑ Mobil Home ❑ Others❑ Main service EA, ADD'L 100 AMP 1.00 " • _ _ - NEW CONST. DWELLING OCCUP. & OR ADDNS, (ACC. BLDGS, - •� 2�Sy ft . NEW CONSTR. (MULTI.OUTL T NON.RESIhD, l BRANCH CIRCUITS) 2.5Oea " NEW C ONST R (POWER APPARATUS &. 'NON.RESI D, SINGLE OUTLET CIR.. CONTRACTORS LICENSE LAW. 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) @230 BAL@ 109 Ex. Occup. APPLNS,OUTLETS (RESID,OR I EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 - License No. Classification Misc. Wiring 6.25 7C 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 whicli requires every employer. to be insured against. liability for Workmen's Compensation. aI have. placed on file with ;the County of -Butte a certificate of , Workmen's Compensation Insurance: )< 1' certify, that. - in the performance.of the' work for which this ermit is issued (::shall not employ any person, in any manner so aceto become subject to the Workmen's Compensation Laws of Cali forni a. MECHANICALNo. @ FEE PERMIT FILING FEE $3.00 Heating ' Cooling Ventilation. - Hood :. 2.00 Permit Fee $ $ '. ''I'certify,that'l have read this application and state that the above ihfo.rmation,:is correct:.) agree to comply to all County. Ordinances and:, State is:relating • to building construction, and hereby TOTAL PERMIT' FEE $. durnurrce UI uIe -,,UUrrry Ur auuc LU enrerupun 1ne above-mentioned. property for inspection purposes. X X ^I Date J L7 7 Signature of Permitee or A-7 nt ' Receipt No. ` White-D.P.W. .— Yellow -Assessor — Pink -Inspector'=,Golden rod -App licant This permit is hereby issued under the applicable provisions of', the Butte County Code and/or resolutions to do. work 'indicated. above, for which -fees have been paid. D . ECTOR OF PUBLIC WORKS" By Date v —�' _7L Buil ing permit expires Date 1 �i t� .�i M1yr '�`�;�k f1 �T ,+: ��t}a � } a r•• �. �l-\ � -� r. T�".'L/ �^ ,t ice~ ?�� � r .. . :�IV,