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030-410-033
30=41=3teCAAL BEERS 1231 14th. St . , Orovi ePermit #884-76P(bldg. se) SF n } 030-41— 92 3655B' BEERS; `Carl 1231 14th. ST; Oroville , 0 •reroof/sf 030-410-033 05-1239 BEERS, RICHARD / 1231 14TH ST, ORO! Cont: PF,,REILLY & CO REP 2I'WNDWS Woq oc�z /06=/�-o�,� LReers; le'•hat-d 17-31 COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTWN 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-SheathIn Water Pi in 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 Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framihq 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 (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO,JOIGATION DISTRICT -, 41.0 GRANEr AVENUE 3i OROVILLE, CALIFORNIA 95965 TELEPHON,E 533-0740 CSA 26 SEWER SERVICE APPLICATION AND .CONNECTION PERMIT Service Address: 3 1 1 !-/ — <�S� . Owner's Name: Date: 2;2 �� -2 17.� Address: 1 ,3 `► i y ` ��. Acct. No: X1336 CL q A.P. No.: CO - eDV/ - Lt? --3 Phone: -7 No. Units: / Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage. PreliminaryReview.By:'-4�Date: ,-2-b-7 --7 CSA 26 ` Remarks: SC -OR 1 st mo. S.C. t` Other f Total Fees llk& ) Collected By: OF Date: Field Review By: Date: Remarks: - v -s- ,.MONTHLY SERVICE.CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0 Date of Tib approval of completed buildingsewer (early connection). ❑ 30 days after date above, or on date of`D.P.W-t-approval of completed building sewer, which ever comes first ("existing construction", prior to Mara 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 - TIC, YELLOW- APPLICANT, PINK - DPW, GOLDENROD - DPW to TID .. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7_6".". ;C enter_ Drive - ';UroviHe,_Cal ifornia.95965. Telephone: 534,454] popy'=lam • { APPLICATION-AND.PERMIT Owner, ' BUILDING Mailing Address i��h SQ., FT.."' `'OCC: BUILDING VALUATION •, �,[ Telephone No Contractor Fireplace• Total Mai liValuation ng Address' , . Permit Fee'. Telephone No Plan Checking Fee'&/or Penalty ' Building Address •°' Permit Fee, , PLUMBING . No. . @ FEE PERMLT•FILIN0 FEE • .. 3.00• 'Each Trap l Repair drainage,or vent P I P In 1.50 9 .. 1.50 Water piping . . A. P. No. 0' 7.50 Each gas water heater or vent 1.50 Zoning & Planning Gas, pi ping systerri.l'.- 5 outlets 1.5U F s?fl+-'at� Parking Fire Dept. Fire Zone ' : Use P.ermii Each additional outlet' Building sewer •30: 'EQA . Plans.. Parcel.. Declaration Parcel Map 5.00. Lawn'sprinkler_system ' 60' R/W Improvements BI fvrtsft`�9id . 2.00 Parcel Approval `Plans Approval NEW. 0 Permit Fee ADDITION ❑ UTILITIES Q' OTHER.' ELECTRICAL No... ' FEE FILING - FEE•' Main serviOR LES' ce' _ 100 A'MP ORS SLESS 5.00 - - '•. NIaIn.SerV IC,eEq'•_ADDIL 100 AMP- ;irigle Family rVI Main service OVER sooV 2.50 Duplex 0 Mobil Home 0100 AMP OR LESS 25.00 Others El '' - Main serViCe ''E.A; ADD'L 100 AMP •NEW CONST.' ,DWELLING,OCCUP• &\ 2Q. S•UU OR. AD DNS. ( ACCNEW • BLDGS, / q ' ' BRANCH NEW CO ID R. l BRANCH CIRCUITS) 2.50ea .` ' CONTRACTORS LICENSE LAW '• ,NEW CO POWER APPARATUS & NO !i (SINGLE OUTLET. CIR. ;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. Occu P(OUTLETS - OR' FIXTURES) @ 25T " EX. OCCU FI XED-APPLNS-.pR BAL@1 - P (O.UTLETS (R ESID,)'EA) 2:00, .. , .. 'Tempora'y js'ervice 10.00 Mobile Home Facilities ' License No. Classification 15.00 Misc. Wiring '' ,�� Lam exempt from•the'Contractors License Laws of the`State'of Callfomia.. 6.25 Permit WORKMEN'S 'COMPENSATION INSURANCE' Fee ., MECHANICAL No. am aware.of'the P�Ovisioris,of'Section3700'of the California Labor 'Code which requires. every employer PERMIT FILING FEE @ FEE $3.00 to be insured agaihst`liability for Wor.kmen's-Compensation. Heating f have placed onjf le with the County of Butte a certificate of 'Workmen's Compensatiominsurance. Cooling . (,certify that in the.perforrnance of the for perib:- .., .work which this'' is issued I shall not employ any person in any manner' to become subject to the Workmen's Compensation Ventilation C if California ' Laws of Hood .' .'_ :• certify that' 1` have+read this application and state 2.00 Permit Fee �. that the•aboJe Information 1s.corcect:r I agree -to comply to"all County' Ordinances and State Laws relating to-. building construction; -1 and" hereby, Y authorize representatives of the County of Butte to enter upon the above-mentioned property. for,inspection.purposes TOTAL PERMIT FEE . ;. . r'permit This ls,hereby issued under the applicable. the provisions. of But Counfy'.•Code and/or' resolutions to do work'indicated above for, which fees have. been paid: ' Signature of Permitee or'Agent Date .' -. DIRECTOR OF PUBLIC WORKS. ieceipt No�'`7 �'Y off- tilt.-D.P.W._ By.- Date•—�/ Yellow -Assessor _ Pink -Inspector — Goldenrod -Applicant ; 130 Oft: permit, expires Dateo'Z -2 = 7—.'77 y ✓ .�. .. .. ,s •*•..i :..:w`.°X�^.h :r..'.1.. `.,,+t. �Ik4+x�,�'i11: a 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 PROJECT INFORIVIATION 'd ry - - Site Address: .1231 14TH ST ' Owner' Permit Nd:' B09-0002 APN: 030-410-033 BE RICHARD, ^' Issued Date: 01/02/2009'; By TM_ P Permit type: MISCELLANEOUS 1231 14TH ST Subtype: Fireplace/Wood'Stove '` OROVILLE, CA 95965 ., Expiration Date: 01/02/2010 .Description: INSTALL WOOD STOVE + (530) 533=5881 z ' ' Occupancy: Zoning: AR Contractor Applicant Square Footage: BEERS, RICHARD Building:- ,Garage Re`mdl/Addn 123114TH ST' OROVILLE, CA 95965 Other ; ; Porch/Patio Notal' ; (530)533-5881 f FEE INFORMATION DBMSC Fireplace Pre-fab/Meta( $119.00. + Total Charged: ,. $_119.00 Fees Paid:. $119.00 J Balance Due: $0.00 Receipt No: B9451 g .^ LICENSED CONTRACTOR -'S DECLARATION :. ;. OIfVNER-- BUILDER DECLARATION_ Contractor (Name) State Contractors License No: / Class'/, Expires. � _ I hereby. under penalty y p ty of perjury, that) am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.6, Business and Professions Code: Any city -or county thah'requires a permit to construct, ,alter, improve, demolish, or -repair any structure, prior to, its issuance, also requires the I HEREBY AFFIRM UNDER PENALTY OF PERJURY that l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license' applicant for the permit to file a signed statement that he or she is licensed pursuantto the provisions is in full force and effect. of the Contractors' 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 from licensure and the basis for the �/ X 01/02/2009 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 o er of the property, or m emplo eek with,wages as their sole con, nsation, PeRY Y Y Pe will do all of or U portions of the work, and the structure is not intended or offeredforWORKERS'' sale (Section 7044; Business and Professions Code: The Contractors' State License Law does not apply to an owner of, property who, through employees' or,personal effort, builds or Contractors Signature, 'Date _ , . `.. COMPENSATION ,DECLARATION' ' '' '' h .. _ ... _ — I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: '. improves the property, provided that the improvements are not intended or offered for:sale. If, ` .'' '' ❑I have,, and will maintain a certificate of consent io' selfansure for workers” however„the building.or improvement is sold within.one year of completion, the.Owner-Builder' will have the burden of, proving that it was hot built,or ',improved compensation, issued by -the Director'of Industrial Relatlonk-as provided forby.Section for the purpose of sale) • , 3700 of the Labor Code, for the performance of the work for which this permit is issued_ Policy No. ' ' I, as owner of the propeAy, am exclusively, contracting with, licensed Contractors to' ❑ I have and will maintain workers' compensation Insurance, as required'by Section 3700 of the Labor will maintain the erfrkers' err the work for sunithis s eecl is issued. of p My wo kers', construct theproject (Section, 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 the projects with a licensad:Contractoc pursuant to the Contractors' State License- . .., ". Law.). .. .. Carrier. Policy Number Exp. Date lam exempt from licensure under the Contractors' State License Law for the following El I ca that,, In the performance of the work for which this certify pe permit is issued, l shall not reason: , X 01/02/2009 employ , any person in any manner' so as to. -become subject to the •, workers", compensation laws of California, and agree that, ifl. should become,subject to the workers' compensation provisions of Section 3700 of thetabor Code, I shall forthwith' comply wdh Owner's Signature Date' :. .. , PERMIT;APPLICANT•DECLARATION' X 01/02/2009 Signature Date By my signature below, t certify.to each of the following: WARNING:.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS -SHALL I am U a California licensed contractor or U the property owner` or U authorized to UNLAWFUL, AND SUBJECT AN .EMPLOYER TO CRIMINAL PENALTIES act on the property owners, behalf".• AND CIVIL FINES UP TO. -ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I,have provided is ADDITION TO THE COST OF COMPENSATION;. DAMAGES AS PROVIDED FOR IN correct SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. I agree to comply with all applicable city and'co1 .1unty.ordinances and state laws relating to building construction. 'I authorize representatives of this city or county to enter the above -identified property for inspection purposes., California Licensed Contractor, Property Owner` or Authorized: CO_ NSTRUC_TION _LE_ NDING_-AGENCY:DEC_ LARATION a a l s I hereby affirm under penalty of perjury that there is a construction lending agency.for the performance of the work for which this permit is issued (Section 3097, Civil Code). . . & GLSP �.. s 01(02/2009 am[ Q% Lender's Name and Address ' Name of Permittee [ I Nl - Print Date h , ' FILE COPY Lenders Name 8 Address city , State zip ' _ Bute County ,,Department of Development Services o �V T TFo TIM SNELLINGS,'DIRECTOR I PETE,CALARCO, ASSISTANT DIRECTOR i O 7 County Center" Drive ° p Oroville, CX95965 (530) 5,38-7601. Telephone (530) 538-2140 Fax www. buttecounty. net/dds IMPORTANT!.NOTICE. TO •PROPERTY OWNER Dear Property Owner: 'An application fora building,permit has been submitted inyouriname listing yourself as the buIilder of the property improvements; , w specified at 1231 14TH ST; OROVILLE. We are providing you with, an Owner Builder Ackriowledgment and Infprmation-Verification' Form to make' you aware, of your responsibilities and possible,risk you may incur by.having, this.permit issued in your'name as the Owner -Builder, We will not issue;a building permit until you have. read, initialed; your understanding of each provision,` signed, and returned this form to us,at,our. official address, indicated: An agent�of the owner cannot execute this notice unless you, the property owner'; obtain.the"prior approval ofahe permitting authority: OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read, and initial each statement.below to signify you understand or verify thiSL information. 1. I understand -a frequent practice of unlicensed persons is to have the property owner obtain an "Owner Builder" -building permit that erroneously' implies that the property owner is' providing his or her own labor and material personally. I;, as an Owner -Builder, maybe held liable and subject to serious fnahcial risk for any -injuries sustained ,byan unlicensed"rson nd•his a or her employees while working on my property. My homeowner's insurance may not provide coverage for. those injuries. 'I ,am-` willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on,my property.". a2. I understand, building permits'are not 'required.'to.be signed.;by property,' owners unless they .are responsib for.. the. ...; construction and are, not hiring a.licensed Contractor to assume this responsibility.: 81 understand as an "Owner -Builder' .I'am the responsible party'. of'record on the,peemit ;•l understand that l may protect myself from potential financial risk by hiring -a licensed Contractorand having_: the permit filed in his'or her. narneJnstead of my. own. M4.'l understand Contractors are required bylaw to.be licensed and bonded in Califorhia and to.list their -license numbers on permits and contracts. . I understand if l employ or otherwise engage any persons; other than California licensed'Contractors, and the•totalYvalue, of my• construction is at .least five hundred 'dollars ($500), including 'labor and niatenals, 1,,may_ be considered an employer" under state and federal law. M6._ I understand if I am considered an -"employer"' under -state and federal law; 1:must• register with the state and federal government; .withh61d,••p6yroII taxes, provide .'workers' :compensation_ disability , in'surance, and • contribute to unemployment compensation'for,'each °employee." I also -understand my.failure to 'abide'by:these law's may subject me to.:serious.financial'risk.•' 1, understand *under California Contractors'' State' License Law, an Owner -Builder who builds single-family,•'resident al :structures cannot legally,build them with the intent to offer them for sale; unless all work is performed by'licensed subcontractors and the number.of structures does not exceed. Jour within any calendar year, or°all of the work is performed under contract with a licensed, general building Contractor: , I understand as an Owner -Builder if I'sell'the, property for., which this, permit is .issued, I may be held; liable for any . financial or'peisonal injuries .sustained by any: subsequent:owner(s). that result from -any latent •construction .defects.• in'.the, workmanship or materials. I understand 1, may, obtain more information regarding 'my obligations as an employer"�from, the Internal Revenue ? Service, the United States Small Business`Administration, the California Department of Benefit Payments,and'the.ba- lifornia- Division of. IndustrialaAccidents. ' I, also understand I may contact,ahe, California Contractors' State License Board' (CSLB) at,: 1=800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed:contractors: r - • 10. `:arn.aware of and consent to an Owner -'Builder building permit• applied for my name and`understand'that I am the partylegally and financially responsible.for proposed construction activity at the following address 1,11 I agree that" as the party legally and financially responsible for this proposed construction. activity, I .will abide by;all applicable laws and'requirements that govern Owner -Builders as well as• employers, . f12. 1 agreeto notify the issuer of this form immediately of 'any additions, deletions o, change'sto:any of the information I have provided, on this form:-• Licensed:contractors',areregulated.b •.laws designed to protect,the public. If• ou.contract with, someone who does not have, a license, -the Contractors' State License- Board may be unable to assist you with any financial:loss you may sustain as a result of a complaint. Your; only remedy aganst'unlicensed'Contractofs may be'in civil ..court. -It is. also important for you to, understand that if an unlicensed,Confractor or employee of,that individual orfirm is injured while working on your property, yourmay be held liable for;damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you,will be responsible for verifying whether"or not. those Contractors•.:are properly licensed and the 'status of theirworkers'. compensation.insurance . cove rage'' :'. Before a building1' . permit can,,be issued; this form mustbe completed and signed by the property owner and returned ' ' • to the'agency responsible for issuing the.permit. Note: A copy of the property owner's"driver's license, form notarization, or other verification acceptable to'the' agency is required to be presented when the permit is issued to verify the property owner's signature., Description: INSTALL WOOD STOVE Reference Number: B09-0002-• Applicant Name: BEERS; RICHARDN Owner's Name: • BEERS, RIC . ; AP # : 030-410-033 Signature of Property. Owner.' 4 Date:.' Note: 'The following Authorization; Form is required to be completed by the propertyowneronly when designating an agent of the property owner'to apply, for a construction permit for. the, Owner -Builder. �THQRIZATIO'N OF AGENT TO ACTON PROPERTY OWNER'S BEHALF Excluding the'Notice t Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize1he ' following person(s) to.act as my agent(s) to apply for, sign, and file the documents, necessary.to obtain an, Owner -Builder Permit for my project. Scope of Construction'Project (or Pe' scriptiori' of Work): Project Location, or Address:' Name of Authorized Agent: f .,P;:.: r Tel No Address of Authorized Agent: I declare under penalty of Perjury that, I am'theproperty owneir'for the address listed above and ,I personally filled out the above, information and .certifyAsa=racy._ Note:,A copy of,th'e owner's driver's license, form notarization, -or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. : Property, Owner's -Signature: >Date: ° BUTTE `.COUNTY o�uTr .0 DEPARTMENT; OF.DE'VELOPMENT,SERVICES- 0 0, s BUILDING .PERMIT: APPLICATION* * a OFFICE#:• (530) 538-7541 FAX #. (530)' 538-2140 ' 0.. o A FEE. WILL BE REQUIRED'AT TIME OFAPPLICATION , C •� W.ebsite: www.buttecounty.net/dds PLEASEPRINT, CLEARLY "When filed, this application and all supporting material becomes subject to the Califorma-Public Records Act All, public informatiod' related to,this application is subject to public inspection and.will be posted•,on,the County's website for electronic access OWNER INFORMATION Last Name , s.air FI Mailing Address �3 S City �; State��. ZIP 9S Phone - State - E -mail ` .,ARCHITECT/ENGINEER Name Address City State r Zip, ' Phone Fax E-mail SW6..Ucense-Number APPLICANT INFORMATION Name . f.�, ' .. Address r �: City, ; State Zip, y Phone 'Fax . E-mail PROJECT.LOCA/TION AP# Property Address city / X5'9 WORKER'S COMPENSATION Policy Number Carrier,. If hiring anyone other than, licensed contractors, a certificate of worker's compensation must tie shown at the time of pennit issuance. , ❑ Structure Built`Without Permits ' ❑ Proposed Change of Occupancy. (Note previous, use): . • .. -CONTRACTOR Name; FloodZone " ,Address SRA City No State - Zip Phone Faz E-mail Lic..# Class .,ARCHITECT/ENGINEER Name Address City State r Zip, ' Phone Fax E-mail SW6..Ucense-Number APPLICANT INFORMATION Name . f.�, ' .. Address r �: City, ; State Zip, y Phone 'Fax . E-mail PROJECT.LOCA/TION AP# Property Address city / X5'9 WORKER'S COMPENSATION Policy Number Carrier,. If hiring anyone other than, licensed contractors, a certificate of worker's compensation must tie shown at the time of pennit issuance. , ❑ Structure Built`Without Permits ' ❑ Proposed Change of Occupancy. (Note previous, use): . • Zoning FloodZone " SRA Yes No Oct.. Type Const APPL/ ANT,SIGNA URE X for. office use only: J -OK l) = WOK -NotReaAcaWe ,= Ready MOBILE HOMES. MISCELLANEOUS-. Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s " 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements 2 ,Sols; Special MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer, Location-Test-Fa11-C/0_Concrete 3. Decks, Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water, Location-Test-Easement Needed (Sketch) 4. 'Wood Awn.; Posts-Beams-Rftrs-Connectors " 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete Shthg-Frg-Bracing 6. Gas;'Location=Test-Wrap;=/ P' L'ft. 5. Alum_ Awn.; Columns-Conriections-Splice-Decal-Enclosures / P Nat'or/.." /" L W P LPG,. 6. Carports; Windows-Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance` 8_ Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; -Nailing-Veneer-Stucco-Mesh " 10. Roof Shthg Roofing ;r Date Card B-1 Date Card B-1 11. Ext.; Steps-Doors-Landings Date Card B-1 Date ' Card B-1 12. Braced Wall Panels Date MOBILE HOME INSTALLATION (Plans) OK except #'s ` ' 1. Zoning Requirements-Setbacks-Easements Date Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line Date Card B-1 Date • Card B-1 3. Gas; MH Test-Demand-Valve-Connector Date POOLS (Plans) OK except #'s 4. Electricity;, MH Test-Crossovers-Breakers-Clearances 1. Setbacks-Easements 5. Drain-, MH Test-Fall-Flex Connector 2. Soils; Compaction-Structure Stability 6. Water MH Test-Regulator-Connector 3. Pool Structure; Steel-Connections-Thickness 7. Water and Sewer Connected-C/O to Grade-HD Approval, Dead Men -Lining 8. Gas and Electricity Tagged , _ ' 4. Elec.; Receptacles and Lighting, Distance-GA 9. _Tie Downs-Type-Installation Cert 5. Elec.; Pool Lighting; 15 Volts GFI ' 10. Exits; Insp: Sketch 6. Sec.; Enclosures; Conduit Entries-Terminals-Listed 11. Cert of Occupancy 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8: Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool Lghtg. " Boxes-Enclosures-Panelboards-Ins. to Main Conduit . D Date _ Card B-1 Date Card B-1 9. Health Department Approval ` Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test-Water Supply Test ' Date, PERMANENT END SYSTEM (ONLY) 11. Light Niche I' 1. Zoning Requirements-Setbacks-Easements 12. Enclostue;•Fencing-Alamo 2. Footings; Size-Spacing-Mmrtiage Line 1, 3. Bkx king Date Card B-1 Date Card B-1 f 4. Gas; MH Test-Demand-Valve Date Card B-1 Date. Card B-1 �< 5. Electricity; MH Test. 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged r ` x 9. Exits ' 10_ License Decals 11. • Verify #'s with Office Date Card B-1 Date Card B-1 . Date- Card B-1 Date Card B-1 J=OK 0 = Not OK - Not Appkable . = Not Ready RESIDENTIAL (Single & Duplex) Date 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. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 57. Siding -Nailing V 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 Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFl 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or AI Insulated Neutral 0 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. Fumace-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. Ging. Joist-Rftc Ties- Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -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 V 58. Stucco -Drip Screed -Fd. Vents-UnderfIr. Access 59. GIVhg Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #s 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. Kit_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. 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 (FF.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 0 Yes 83. Following InstldJDriye 0 Yes 0 No/Warks 0 Yes 0 NwPlarrters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. 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 ard -1 Comments at Final: PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK 1SDONE IN VIOLATION OF ANY COUNTY OR STATE LAWS, LICENSED CONTRACTORS DECLARATION ^ I hereby. affirm under penally;,of -perjury that I am licensed under provisions of Chapter 9 (commencing with Section7000) of Division 3 of issued Date: 05/10/2005 AM 030-410-033-000 the Business and Professions Code, and.my license is in full force and .. effect. -License Class: L� � � C= Lice Number:..' Site \ ess , ' Address, 31 12 14TH`ST ORO' S ' , c I % Map Index' Dale: Contractor. Description: replace 21 windows 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 QWner: BEERS RICHARD C.ETAL permit to conslnicl, alter, improve, demolish, or repair any structure, prior to' its issuance, also requires the applicant for such permit to file a 5782 VISTA DEL CERRO . signed statement that he or she is licensed pursuant to the provisions of: QROVILLE, CA the Contractor's State ,License Law (Chapter 9 commencing with Section 7000) of Division 3 of the-Businessand.Professfons Code) or that he or ... 95966=7259 , 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)):.t ❑ 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: P F, REILLY & COMPANY -'INC pp Code: The Contractors' State License Law does not apply to, a6 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 3028 ESPLANADE .provided that such improvements are not intended or: offered for' SUITE F 95973 sale. If however, the building or improvements are sold within one' 530-898-0833 year of completion, the owner,builder will•hdve the burden of- proving that he or she did not build or improve for the purpose of ❑ I: as owner of the property, am exclusively contracting with licerised contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractolr:.P F REILLY & COMPANY INC. 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.). 3028 ESPLANADE E.), I am ' Exempt under Article.3 of the Business and Professions Code SUITE F 95973" 530-898-0833 Date: Owner: License #: 711037 WORKERS' COMPENSATION DECLARATION;` hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for compensation, as provided for by .Section 3700 of the ,workers'. Labor Code, forthe,performance.of'the worlFjor'.which-this permit; Architect: Issued. Engineer: Z-111111 have and will maintain workers"compensation insurance, as required by Section 3700 the Labor Code,. for the performance of the.work for which thls permit is Issued. My'wojkers'.compensation 'policy insurance carrier and numgbeer are: Carrier' S�/f� TotafSquareFt: 0 S.F. Valuation: $0.00 Census Code: ) Policy #: l35� y.:� �� ❑ 1 certify that in the performance of the work for which lhis.permit is (— (rte J 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 tabor Code, I shall ( v forthwith comp with those provisions Date: Applicant: �. .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 by issued under the plicable pr visions'of the`Butle County'Code and/or„" . I hereby affirm that there is a construction lending agency for the. ReSVI4tlo work Indica b or whit : fe have been paid _ ;i• � performance of the work for which this permit is issued Sec 30 P P ( 97.Clv.) _.- Date: r' . gy. Name: . • PERMIT EXPIRES ON: 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._ O' Notification, In accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this projects ❑ Attache'd are copies of the required E.P.A.'nofification forms.. - -' lyauthorized agentofthe o�C•�e to comply with I hereby certify that I have read:this,application, that the above information is correct, and that I am the owner or the pit county and state laws relating to building construction. I acknowledge it Isunlawfulto alter the. substance of any, aTform or document 9..f Butte ounly. I hereby _ authorize -representatives of Butte County to enter upon the above mentioned property for inspecilonpurposes. Print Name: Signature: Date: f r0 Owner. Contractor ❑ Agent for Owner- � Aid -Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT` 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS, LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that 1 am licensed under .provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/10/2005 APN: 030-410-033-000 . • the Business and Professions Code, and my license is in full force and effect. `' License Class: 1 Lice Number. Site Address: 1231 14TH ST ORO Date: Contractor. ' ;�, % l Map Index: Description: replace 21 windows 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 -structure, OWner: BEERS RICHARD C ETAL permit to construct, alter, improve, demolish, or repair any prior to its -issuance, also requires the applicant for such permit to me a 5782 VISTA DEL CERRO signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966-7259 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and' the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: P F REILLY & COMPANY INC Code: The Contractors' Slate 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, 3028 ESPLANADE provided that such improvements are not Intended or -offered for SUITE F 95973 sale. If however, the building or improvements are sold within one 530-898-0833 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:: P F REILLY & COMPANY INC 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.). 3028 ESPLANADE SUITE F 95973 ElI am Exempt under Article 3 of the Business and Professions Code 530-898-0833 _Date: Owner: License #: 711037 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 Architect: issued. Engineer: 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: s���. f- �'L Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: J`��-✓?3S- Q v v �� O 1 certify that in the performance of the work for which this permit is r issued, I shall not employ any person In any manner so as to t"(' 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 / j forthwith comp with tho provlsio I Date: Applicant: 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 permitgls;�by issued under the plicable prvisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re!'cArk indica b or whit fe have been paid. _ performance of the work for which this permit is Issued (Sec 3097 Civ.) ��_ 7 Date: Name: BY PERMIT EXPIRES ON: Address: Dale ❑ 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. - aterials_❑' 0 "Notification In accordance with Section 19627.5 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 ly authorized agent of.the o agree to comply,with all county. and state laws relating to building construction. I acknowledge It is.unlawful to alter the substance of an a form or document utte ounty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ~/r-- Signature: Dale: ❑ Owner EI Contractor ❑ Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS I 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION _ Website: www.b6ttecounty.net/dds , **PLEASE PRINT CLEARLY** _P_LI.CANT IGN TURF r X For office use only: OWNER Last Nam Name irst ame G S C-4 aK-cY Address Address City V , l State C� Zip Phone o 3 SS $ I Fax E-mail Fax S- _P_LI.CANT IGN TURF r X For office use only: CONTRACTOR Name Name Address _ >, City No State Address s11 -le CityC G State Planner Zip ci� 3 Pho o ySl D�33a Fax S- L E-mail Lic. # 3 I ss lG _P_LI.CANT IGN TURF r X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address _ >, City No State Zip Phone Q 3 3 Fax E-mail Planner State License Number _P_LI.CANT IGN TURF r X For office use only: APPLICANT NAME Name Flood Zone Address J CityState. No Occ. Zip�� . Phone Q 3 3 Fax E-mail Planner _P_LI.CANT IGN TURF r X For office use only: Zoning Propert Address 31 Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner .-Date Approved: PERMIT NO... BP 65-tZ BIN # LOCATION' AP# Propert Address 31 Cross Street WORKER'S COMPENSATION Policy Number S;)L Carrier 01 iring anyone other than license contractors, a certificate of worker's mpensation must be shown at the time of permit issuance. r LENDING AGENCY Name Address Descr'loi ion or Scope of Work: 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 required. 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. OVER FOR SUBMITTAL XI=WUIKtMtN I, U KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received b Amount: v Bldg �� SRA �\ Receipt #: b Sheriff SMTP Other Date: Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS r 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 inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 030-41-0-03392-3655B BEERS,, Carl - # .. 1231 1'4th ST, Oroville .i reroof/sf ; f OF BUTTE - DEPARTMENT OF PUBLIC WO S' PERMIT NO. 7 County.Center,Drive - Oroviile,''C4Igorvia 95965 - Telephone:'91'6%538-7541 Z APPLICATION AND PERMIT' r ASSESSOR PARCEL NUMBER - 030-41-0-033 ZONING" - AR - BUILDING PERMIT OWNER-- CARL BEERS TELEPHONE TELEPHONE, SQ. FT. OCC. BUILDING VALUATION •; OWNER'S MAILING ADDRESS - 1231 14TH ST. OROVILLE 95965' iSSQ t 35: 525.00 CONTRACTOR'S NAME � '" - VYVIY R ... TELEPHONE ' . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee{ $ 15 .00 Permit Fee', $ ARCHITECT OR ENGINEER. LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy Plan Checking Fee $ Penalty $ DRESS BUILDING1231 D14TH ST. OROVILLE Permit fee $ 31,'$© PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater 20.00 LOT NO.—i SUBDIVISION NAME PARCEL MAP Water piping 7.00 -. Each qas water heater or vent 7.00 USE OF STRUCTURE SF©� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 g Mobile Home S G W + @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other= Describe work: REROOF FJI'i'1i ROLLED ROOFING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p prove dons of Cha t. 9, Div. 3 of the Business and Professions Code and my license IS in full force and effect. License No. Classification ❑ED 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) LlI, 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 200A To 1000AI _37.50 ! NEW CONST. ( DWELLING oCCUP.&) 3.64 sq.ft. OR ADONS. \ ACC. BLDGS. / NEW CONSTR. U TI.OUTLET ^ 5.00 NON•RESID BRANCH CIRC ITS l (POWER APPARATUS h� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764, APLNS Ex. Occup. OULETSP(RESID,)REA.) 3.00 Temporary service 15.00 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 F-1 a Certificate -of Workmen's Compensation Insurance or a Certificate .of Consent to Self -Insure. © .I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 coo�n�sequence of the. granting of this permit. X t' � //T `6k t`n� Dafe '�6/ f11�/g. Si nature of Applicant — Owner 9 PP � 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 5 Energy Inspection Fee $ Occ CONST TYPE ITOTAL FEE $ 31.50 HAz 1 0FEES IMP I FLOOD CDF PARCEL I PD I HO ISSUE This permit is heryby issued under the applicable provi- sions of the Butt County Code and/or resolutions to do i work indicated/above fo�hich fees have been paid. DIRECTOR OF PUBLIC WORKS By "�� � 1Date (/ PERMIT EXPIRES Date J4 I& / _ +'�� jr ' Receipt No. 126245 WHITE-D.P.W., TEL LOW -ASSESSOR, PINK -INSPECTOR, f.OLDENR00-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califorriak95965 - Telephone: 916/538-7541 APPLICATION ArIO PERMIT ASSESSOR PARCEL NUMBER 030-41-0-033 ZONING AR - BUILDING PERMIT OWNER CARL BEERS TELEPHONE 533-6705 SQ. FT. OCC. BUILDING VALUATION OWNERLING DRESS 1231 14TH ST. OROVILLE 95965 15SQ @ 35. 525.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 16.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1231 14TH ST. OROVILLE . Permit fee $ 31.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ki Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: REROOF WTTH ROLLED ROOFING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): V1 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 Main service 200ATO1000A) 37.50 NEW CONST.OR ADDNS, ( / ACC. BLDGS. DWELLING OCCUP. Ik 3.6Q sq.ft. NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 IAL FIXED Ex. Occup. OUTLETS PAPLNS (RESID .)OR EA.) 3.00 Temporary service 15.00 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectperrnit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood A 6.50 Ventilation Fe— e $ 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 ' again/t/sai�%Cou ty in c/oequence of the granting of this VWC�.f X _� KJ g?nD — Date Signature of Applicant — Owner F Contractor V 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 31.50 HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is her y issued un r the SIOnS Ut C0utntod nd/or wor indica a vech tees T RB C BY applicable provi j resolutions to do have been p id. WORKS DateReceipt No. 126245 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR,' GOLDENROD -APPLICANT ?q 3C.)COUNT Y OF.BUTTE - DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive - Oroville. Califorma,95965 - Telephone: 916/538-7541 Ingo -4,W) APPLICATION AWD�PERMIT PERMI T. NO. ASSESSOR PARCEL NUMBER - ZO BUILDING PERMIT OWNER(J &&�� TELEPH � /Q SO. FT. OCC. BUILDING VALUATION 1 CJ. .7 OWNE MAIL.! G AQ,QR ES 4 CONTR T R'S NAME -TELEPHONE - CONTRACTOR'S MAIING ADDRESS Fireplace . CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee .$ 1.5,00 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 1, s Permit fee $ �T 5D PLUMBING PERMIT Filing Fee. 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 —� USE OF STRUCTURE SF (moi Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobi.le Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑i Other ❑ Describe work: -_Lz w- agmw- 1dtfo61 C':yrtry _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.501 Main service 200A TO 1000A1 37.550 . CONTRACTORS LICENSE LAW _ I declare under penalty of perjury (check onej: ❑ I am licensed under provisions of Chapf. 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 NEWADDNS. ACC. BL'DGS. CONST. ( DWELLING OCCUP.&� OR 3.60 sq.tt. NEW CON5TR ULT' -OUTLET -R ESID NON BRANCH CIRCITS @ 5.00 (POWER APPARATUS 8, SINGLE ou TLET CIR. Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76d \\. Ex. Occup. OUTLETS (RESID IREA.) I .3.00 Temporary service 1 15.00 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-1 I have placed on file with the County of Butte Building Department U 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 15.00 . Heating Cooling g Hood 6.50 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 ail liabilities, -judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si 9 PP ❑, Contractor ❑ - Agent ❑ Applicant 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 1 0FEES IMP [F7 DF PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated -above for,which fees DIRECTOR OF PUBLIC :. ,' EXPIRES Date applicable provi- resolutions to do // _ have been paid. ' WORKS Date- Receipt No� 12-6 "t 45'ey. -6 WHITE-D.P.W.. YELLOW- Ase E33OR• PINK -INSPECTOR. GOLDENROD -APPLICANT