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030-430-017
FN3-17 6!Ar Construction Norrtr- r a, or 1660 Leta Lar� �,�11�e P I it M ermit # 02 - 7 6 B,P, E, M (M -ft -,s4 le f il m y .'famil -------------- Permit #3453-80B(add patio cover/SF) I 030-430-0.17 93-176B LOSETH, Ken &'Roma 1660 Leta Ln, Oroville ..(sf/reroof ��dth, comp) 030-4307017 01-2463 FABBRO, CAROLINE 1660 LETA LN, OROVILLE CONT: GEORGE ROOFING REROOF 7 030-430-017 01-2463 FABBRO, CARO'LNh - 1660 LETA LN,, OROVILLE CONT: GEORGE ROO�ING REROOF J f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 CountyCenter Drive', Oroville, California.,. 95965 Telephone �(530)1538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND-PEIRMIT. ASSESSOR PARCEL NUMEIJ�, '�7 415� QZ zO"NG WR BUILDINPPERMIT OWNEI/� Jill .11E.N. S11. FT OCC. BUILDING VALUATION 12:2 PQ OWNER-9411AILING ADDRESS . 11,40 1 ff-. 0 1 'Ile 1 11114 "A /d CONTRACTOR'S NAME f A,re� -e;,e TE.NE CONTRACTORS MAII-IINGdFDORESS A GONSTRUCTiON LENDER Fireplace LENDERS MAILING ADDRESS Valuation $ 13 .7e, ARCHITECT OR ENGINEER LICENSE11O., —Total Filing Fee 20.00 Permit Fee ARCHITECT OR ENGWEERS MAILING ADDRESS Plan Checking Fee BUILDING ADDRESS Energy Plan Checking Fee': PERMIT FEE $ LOT NO. SUBDIVISIONS RAW 1PARCEL MAP PLUMBING PERMIT Filing FeNe-1- 2 0.00 USEOFSTRUCTURE SIX Duplex [I Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump,water heater 23.00 piping, 15.00 —Water Each gas water heater or vent, 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 13 Installation 0 Other Describe Work: Gas Piping system i '- 5 outlets 15.00 Buildi ng sewer 15.00 Mobile S G W 920.00 Horne PERMIT.FEE $ ELECTRICAL PERMIT Filing Fee 20-00 in Servic4 "'0, LE ma 800V OR LE:: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I arti licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3,of the Business and, Professions Code, and, my license is in full force and effect. License Cie.- Lic. No. - ;P . . I I I ",4. OWNER -;BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt,from the,Contractors License Law for the following reason: 0 1, as owner of the Property, qr'my employees with wages as their sole compensation, will do the work, and the structure is hot intended or'offered for sale. 0 .1, as owner of the property, am exclusively contracting with licensed contractors to construct ' the project.. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. Dw P. so. OR ADDRS. .0CCU 3.50FT. NEW —NON- 97.50 (..PS0=APWPARATUS — . JEr CIR. Ex. OccUp. ourLET OR FwruREs 20,@ 1.00 11 BAL @ .50 Ex. Occup�. P(PR =1 D.) 5.00 MD.A O�R. Temporary Service 23.001 Mobile Home Facilities 20.00 Misc. Wiring 23.1501 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one.of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers', compens ation,'as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will mainWn workers' compensation Insurance, as required by Section 3700 of the LaborPode, for the performance of work for which this permit is issued. My workers' compensa n ins e carrier and policy number are: Carrier 7c Policy Number -A9 jb,,7 lq',93 Z47 iThe above.sections need not be completed if the permit is for work of a.valua.tion of one hundred dollars ($100) or less.) 0 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 p . rovisions,of section 3700 of the Labor Code, I shall forthwith comply with those provisio . ns.",,. X ,�,POOZ, Date Signature of Applicant 0 Owner QFContractor 0 Agent pirmit is r quired for excavations over 60" deep and demolition or construction An OSHA p a of structures.over 3 stories in heig� t MECHANICAL PERMIT Filing Fee '20.00 Heating Cooling Hood. 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE TOTA TOTALLFEE $ F79F PARCEL PD] HDJ7UE This pe . rmit 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 sy PERMIT EXPIRES06./. _12PA111111110 ReceiptNo WHITE-D.D.S.-B.O. CANARY-A.SSESSOR PINK -INSPECTOR GOLDENR -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 7 County Center Drive & Oroville, California 95965 ' Telephone (530) 538-7541 ae-7 MIT NO. '0 7:2 (Rev. 12/96) APPLICATION AND PERMIT 61 - ASSESSOR PARCELNUMIlar ZONING�� BUILDINGPERMIT OWNE�4 Lro &6 E SO. FT. OCC. BUILDING VALUATION OWNER'S -MAILING ADDRESS � I/ / -e yf-o—w-1-2f)o e &0 10L a GONTRACTOR'S NAME 6 egf, 12 e Ifoo vi- CA TELEPHOP�r CONTRACTOR'S MAILINGOWDRESS JEW 1// J� 1,0 -Z t'Zi e22 ila CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ J 3 ?991 11117 ARCHITECT OR ENGINEER LICENSE N 0. Rlina Fee $ 20.00 Permit Fee $ SUIX ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS RAW PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEO FSTRUCTURE SIX Duplex 0 Mobilehome 0 Other SPECIJ:Y Solar or heat pump water heater 23.00 Water piping .15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 13 Ublities 0 InstaUation 0 Other Describe Work: A�iO7 0. Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 Main Service = '.R 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 Isj�full for? i d effect ,)n License Class K, Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST OWELLM OCOUP. so OR ADDNS. S. 3.50FL- NEW rUMT. NOWRESID. @7.50 PSO.W.ER APPARATUS 0 '. C'. 20 @ 1 00 OUTLET OR FIXTURES Ex. Occup. BAL @ �50 Ex. Occup. M. '(g.,&)ERA� 5.00 Temporary Service 23.001 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of workforwhich this permitis issued. My workers' compensa n e carrier and policy number are: Carrier Policy Number-& JILIJS,0-37Z7�� (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to workers" compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner 91*Contractor 0 Agent An OSHA permit is required for excavations over 5'0"dGep and demolition or construction of structures over 3 stories in heigpt. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ OONST. TYPE TOTAL FEE $ IL HAZ. I D. FEES IMP I R.00D I CDF PARCEL I PD 7T�70E 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. PERMIT EXPIRES� I Receipt No. WHITE-D.D.S.-B.D. CANARY-&6SESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT 030-430-017 93-176� LOSEW, Ken & Roma Ln, .0roville 1660 Leta (sf/reroof with,comp) COUNTY 01 7 County Center UTTE - DEPARTMENT OF PUBLIC WORKS :. we - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIMAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 030-430-017 ZONING X AR BUILDING PERMIT -- C5 —W Ken &. Roma Loseth TE,LEPHOiT-E-' 533-0490 SQ.FT. OCC., BUILDING VALUATION OWN S Wesl0roville 95965 C 0 N T6;�Z U K'b N AM I- r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace, CONSTRUCTION LENDER Total Valuation $11800.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER NO. Filing Fee $ 15.00. Permit Fee $34.50 Plan Checking Fee $ ARCH,ITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 49.50 1660 Leta Lane, Oroville PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IPARCEL MAP -- Water piping 7.00 Each qas water heater or vent 7..00 USE OF STRUCTURE SF[X DuplexF� Mobilehome[:] Other SPECIFY Gas piping system 1 - 5 outlets ---5.00 Building sewer 15.00 Mobile Home S G W .00 TYPE OF WORK New F� Add i t i on E:1 Rem . ode I E] ..Ut i I I t i es [:1 instal I ation Other Describe work: Reroof — Comp. Permit Fee $ Contractor ELECTRICAL PERMIT 1.FJ ing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provi'sions of Chapt. 9, Div. 3 of the Busine 9 and Professions Code and my license is in full force- and effects Lic'ense No-, Classificafibn I as the 6wner,or�my employees -with -wages as' their sole . compen- sation, wil) d6 tbe.�tork,and the struct-ure is not intended�or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed C�Ontract- ors. (Sec. 7044) I am exempt under Sec._, Business and Professions Code for this reason i Main service 200A TO 1000A). 37.501 NEW CONST DWELLING OCCUP.aj) OR ADDNS. ACC. BLDGS. 3.54 sq.ft. NEW CONSTFL N O..RES'.. . RANCH CIRCUITS) @ 5.00 (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES 2 !A '? S,71. FIXED APPLNS. R Ex. Occup. OUTLETS (RESIDO.JIEA.) .3.00 Temporary service Mobile Home Facilities 15.00 Misc. Wiring "15.00 Permit Fee WORKMEN'S�COMPENSAT ION INSURANCE I declare under penalty of perjdry (6he*1ono, I -J The permit is for.$100.00 (valuation'j or I e*ss. I have placed on file with the'County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 15.00 Heating Cooling Hood 6.501 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 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 Counqrin cons 'guence of the granting of this; p9tmit 71 X Date e of cant or Signolt`ur� ' Appli� wnerg] Contractor El, Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC -T CO ST TYPE TOTAL FEE $49.50, . HAZ I D FEES I IMP FLOOD I CDF PARCEL RD H D ISSUE This permit is hereby issued,wnder the applicable provi- sions of the Butte County,-66/de and/or res olutions to do work indicaf'eld a ove"for"which fees have been paid. P 61 1ffCT'QR"0F PUBLIC WORKS By Date PEKWI-T'EXPIOES Date Receipt No. WHITE-D.P.W.. YFLLOW-ASSESSOR. PINK -INSPECTOR, GOLD Em FtOD-APPL I CANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS County Center Drive - Orov I I I e, Ca I! forn I a 95965 - Te I eph one: 916/538-7541 APPLICATIOW-ANZ PFRMIT' PERMIT NO. ASSESSOR PARCEL NUMBER ZON . �030-430-017 AR BUILDING PERMIT OWNF : - ---I ITELEPHONE. Ken & Roma Loseth 533-0490 SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORES s 1660 Leta Lane, Oroville 95965 1,800.OU CONTRACTOR'S NAME Owner ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1.800.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $34.50 ARCHITECT OR ENGINEER E NO. P Ian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 49.50 PLUMBING PERMIT FilingFee 15.00 1660 Leta Lane, Oroville Each,�Trap .00 Solar or heat pump water heater LOT NO. SUBDIVISION NAME I I PARCEL MAP, Water piping Each Cias water heater or vent 7.00, — USE OF STRUCTURE SF DuplexF� Mobilehomeo other SPECIFY Gas piping system 1 - 5 outlets 5.001 Building sewer 15.00 Mobi 16 Home S I G I W @ 15.00 TYPE OF WORK NewO Addition[] Remodel[:] UtilitiesD InstallationE] Other [M Describe work: Rproof – Comp. Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed �under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen-' sation, will do the work,and the structure is not intended or offered Kfor sale. (Sec. 7044) El 1, as the owner; am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 I am exempt under Sec.—, Business and Professions Code for this reason Main'service 200A TO 1 OOOA), NEW CONST DWELLING OCCUP.8d) OR ADONS. ACC.BLDGS. 3.54 sq.ft. N E W C ON S T RL M U -OUTLE T N 0 -R ES, D BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS SINGLE OUTLET CIR.al Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 AL (a 4F FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.001 Misc. Wiring -15.00 E_ I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [ ] The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shal I not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT— FilingFee 15.00 Heating Cooling Hood 6.50 Venti lation I Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against s e"r all liabilities ',udgp s c' apinst/ai! J do, ts, and expenses which may in any way accrue s I u nn cei�s� jence of the granting of this p9i'mit. 7 X Date Z 71.'_ 'IV Signa u App Agent El rre of licant — Owne ContractorEl 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 i En.ergy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $49.50 HAZJOFEESJ_IMP I FLOOD JCDF I PARCEL I PO I HD ISSUE This permit is hereby issue rider the Sion I s of the Butte Counjy?6 e and/or work indic�,4d a v 1),o,09(which fees I OF PUBLIC 110, By PEMMWEX PIRES Date applicable provi- resolutions to do have been paid. WORKS Date – 135154 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PIN K-INSPECTOR.7�GbLDENROD-APPL I CANT p COUNTY OF BUTTE -DEPARTMENT OF- PUBLIC VORkS 7 County Center Drive Oroville,* Cal.i - fornia 95965'_ Te lephone:',916.,.'538-7541 a APPLICATION- ANDOERMIT. p PERMIT NO. ASSESSOR PARCEL NUM5ER 6SC) )130-: 0,17 �.BWLDING PERMIT, OWNER >1 'TELEPHO E N Occ�.:] BUILDIN&VALLIATION OWNER'S MA14-ING ADDR ESS 1496PO te I ZA 6) o CONTIRA-t7'OR'S NAME OU/ TE -L E -PH 0 N E �CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN I .. Total Valu �t;on — / LENDER'S MAILING.ADDRESS ARCHITECT OR ENGINEER 'rl.0 E N S I- NO. Filing Fee 15.00 Permit Fee i Plan Checking Fee- s 2 _>q r S C> $ ARCHITECT OR ENGINEER'S MAILING ADDRESS. Energy Plan Checking Fee Penalty $ . E�UILOING ADDRESS Permit,fee $ 60 PLUMBING PERMIT. Fi ing Fee 5.00 Each Trap 5.00i Solar or heat pump water heater 20.00 LOT NO. UBPIVISION NAME PA.RCEL -MAP is Water piping 7.00 Each,qas water heater or vent 7.00 USE OF STRUCTURE SFb;� DuplexF� Mob i I ehome Other— SPECIFY Gas piping system 1 5 outlets 5.00 Building sewer 15.00 . Mob i I e Home _4S I GJW7 615.00 TYPE OF WORK, New.F� 'Addition emo'dei Uti li'i - s 'In e& ..t e Sta I la t ion Oth Describe Work: Q040p, Qbm f Permit -Fee Confractor ELECTRICAL PERMIT Fi ing Fee 15.00 Main*service 600v OR LESS 200A OR LESS 18.501 CONTRACTORSLI CE -NSE. LAW I declare u y rider penalty of-perj* ury,-(check one): . �., : 1 am license I d und er provisions of Chapt. 0, Div. 3 of the Business and Professions Code and my license is in full force and ef fect. Licen s " e No. Classification F� 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sal.e. (Sec. 7044) 1 ; - � 11 .�, I - : 1, as the owner, am exclusively contracting with. licensed contract- ors! * (Sec. 7044) F� I am exempt under Sec. Business and Professions Code for this reason Main service 20CA-TO 1000A) 37.501 NEW CONST. DWELLING OCCUP.&), OR ADONS. ACC. BLDGS. - — .54.sq.ft. 3 1 NEW C*ONSTF1 ITU_ = ET NON-RESIO, BRAN T I- '-OU CI C111C1JTS) @ 5.001 (POWER APPARATUS SINGLE OUTLET CIR.8') Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. UH Ex. Occup. OUTLETS (RESIO.) EA 3.001 Temporary service 1 15.001 Mobile Home Facili'ties 15.001 Misc. Wiring .15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): -The permit is' for $10d.00 (valuation) or less., I have placea on file� with, the County,of Butte Building Department a. Certificate of Workmen's Compensation insurance or 'a. Certificate I of Consent to Self-(nsuee. 1 shall not'employ any person in any manner So as to become subject to the W. C. laws of California. Notice to A pplicant: 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. Con'tractor MECHANICAL PERMIT FijingFee- 00 115." Heating Cool ing Hood 6.50 �Venti lation 7 Permit Fee Contractor I certify that I have read this -application and state that the above informa"tion is correct. I agree to comply-to'all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon'the above-meintioned property for inspection purposes. I also agree 'to save;' indemnify. and keep harmless the County of Butte against all liabilities;� judgments, costs, and.expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection Fee $ OCC I CO NST TYIE I., OTAL FEE $ HAZ I D FEES IMP �LOOD I COF PARCEL PO 'ISSU E 'Date I nis permit is nereoy issuea uncier trie'applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — O�ner Contractor Agent F7 ' ' , '. I , Z I work indicated above for which fees have been p*aid., An OSHA permit is required for excava t ions over 5'0'' deep'and dembli.tion or con'struct- ion of structures over 3 stories i'n height. DIRECTOFC OF PUBLIC WORKS -.,'By Date . - Receipt No. PERMIT EXPIRES Date -"I�E YELLOW-ASSE350R. PINK-I.NSPECTOR. rOLDENROD-APPLIC 3453-80B ',PERMIT NO. PERMIT EXPIRES OWNER Ken Loseth 6ONTR. oWner- 39 30-43-17 LOCATION (A.P. 1660 Leta Lan' e, Oroville Temp. Power Pole A: A, Called PG&E Temp. ;?11,ec. Serv. . CaAled PG&E Temp/Gas Serv. ailed PG&E JO ALED (Date) (Signatur Bond Bea0b FIRE SPRINKLERS Motors Framing Vz L1_ 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 MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1165HOME INS1&6&L1qN -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE -REMARKS OR CORRECTIONS q>e-q 2� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION- RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil �Ipinq Forms V_ Parapets 1st Floor Main Bldg. Restroom Finish 2nd,Floor Footings Windows 3rd Floor Stemwall Siding I Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for 1p�jslcally ndicappe, Conformance of ex. StWQure Appliances Gas Piping & Test Temp. Gas Slab F?fnd >4�' 'Y19 Sanitation Patio FAEKACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou_qh I Reinf. Steel Final Fixtures Bond Bea0b FIRE SPRINKLERS Motors Framing Vz L1_ 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 MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1165HOME INS1&6&L1qN -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE -REMARKS OR CORRECTIONS q>e-q 2� (NOTE: An entry must be made on this form each time you visit the job site.) 4_17� 6: `F�, ��---COUNTY OF -BUT NT OF`,PUBL1C,WO'RK& P"MIT NO. t t,, DtPA�TME S b e,`Califo�rqia 95'9':65 -]1-7- ounty Center -Drive,- Orovill ne bl6oho �916/5j4-454�1,f� APPLICATI Oft ANDTERM1-,T,,,: AS 5, R. �F_L 117,E�_, ZONI _!bU1LD1N` Gi P�?MljL::�_7 -0 W 1. _.F..fZUEPHONE A/ ': i '10 S il��77 A 0 E 'S MA I LI, ,A FT. OCC BUIL§+MG VALUAT.10JINI IC,O,NTR A T,OR NAME CON:rRACTORIS MAILING,ADDRESS,. ..F�O.NST ,RUCTIO,N'.LENDER LINK WN ,LE,NDER.-S'MAIL,1NG ADOR�SS -Fire place -1 Total-:Valuatiob 00 Permit F e ��RCHITECT OR ENGINEE LICENSE NO., Plan -.Checking Fee $ Penalty - $ A R C H I T E r T 0 R ENGINEER'S MAILING ADDRESS . Perinlif6e':" $ BUIL A ESS Z� PLUMBING PERMITI�, Filing,F66 3.00 41. E a6h Trap' .2 00' 'R6pair drainage or vent piping .2.00 Water.piping,, LOT NO.' SUBDIVISIOr� NAM E PARC EL. MAP E�ach qafs wa�er� h'e"ater'6r'Venf --2.00- Gas pibing.system .1 5.outlets.*. USE OF" STRUCTURE:, F [Pr."'D u P'l e'XF-]' Mobi I eho'meF_1 Other .'SPEC�FY. Building,sewer, Eawn sprinklei sysiem - 2.00 T-YPE.,OF, WORK N�ew F-1 'Addition po'*." Rembdel 11 t i lit' Jnstallation D Other- E]; Describe- RAI -0 .-Work: Oe It-Oee I'm Contractor ELEft:T'R ICAL" PER* MIT ,Filing Fee �3.00 600V OR LESS Mahi service 100 AMP OR LESS 5.bo Main service EA. �ADD'L�100 AMR,� -2.50- NEW CONST.`J DWELLING Occ�u P ''k) OR,-ADONS., % ACC..BLDGS. 20 sq ff -CONTRACTORS- LICENSE LAW' 1. dec I are under penalty of. perjury.- (check one): 9 Div. *3 of' the Busin- I am i i censed under provision's-bi f ess, and - Prbfession�. Code and my, -lice s ,is,in full force and e fe6l. e Lic en'se No. Classification 1, as. �hq ow I ner; or . m . y.em I ployees withi _wiades� . .'as, t "he . ir sole compen�.. I sation, -will do tb�, Work,,and the structure is not, i ntefided or off&ed 4 for sale,'(Sec. 7044) a's the 'O"wrier,'am' exclusively coritracting with I,icensed contract- ors. (Sec. 7044) I am exempt'under Sec'.' 136s'i ness- and'Profes 'i onS 0 s -C .. de for this.reason-. NEW C NST-(MUL*,Tl-.OU L ET '0 T" 2.56ea NO N., ES'D RA 4C C , CUITS) NEW CONSTR: (POWER APPARATUS.&) SINGLE OUTLET CIR - -1 -, 50 @ 250 - E�.-Occup'(COJ�-L�TS8�R F'I� X TURES; IBAL@10; X. 06CUP.(,FIXED APPLNS OR �.00 OUTLETS (RESID.) EA; Xein�orary servi c6 _J� '10 -.06" . Mobile Home Facilities. 15.,ob.' 'Mi§ Wiriiig 6.25 -Permit Fee r . CoMiacto, MECHANICAL PERMIT', FilingFee] 3.00 -INSU ANCE WORKMEN'S COMPENSATION R hdeclare under'penalty of,perfury (qh�eckone): The permit' is for $100.00 (Valuation) or, less. :I:.- have, placed on file �iith the' County of- Butte Building Departmen't, a' Workm6n n u an Qert if i cate of 's' Compens6tion li s r ce, or a_CeriifIc6t6 9J Consent to S elf -Insure. I shal I not. emplo�-,�ny:p erson:,in any manner -so as -to become -subject to the W. laws of'California� C iNotice to Applicant: If after' aiiiiking this statement, should you b6coad s -to the'..W.,C. provisions,'of the Labor Code, you' -must f6i�thwith compi - y w i t hu s uch �p I rovision . s . or . this permit shal I be deemed revoked. Heating Cooli ng. Hood 2.Od Venti lation Pirmit Fee $ Contractor, ve read this app I I I ication and -format" certify that -'I 'ha' state that the above' in ion is:*correc't,. I agree to comply.io-'all County Ordinances'and State Laws relati.ng.. to-bui,ldin�j,.6onstru6tion,.-'and hereby,authorizEi'representative§,of the County6t. Butte to, enter upon t h I e above -m entionbd propert�.f6r inspe6tibn..purposes..� Tl-als'o agree o save, indemnify and keep harmless the County of Butte again§t 0 ay acc�rue, 611,.* 1 iabi I ities, judgment. t�/ano expenses which a i n an*w nii y o ang��'a C Y'i ons ce of the granting of thii pe �n .Date 7 Sign of A pli _.�bniic�to�r; Agent cont. - ex"a. An -OSHA permit -is requ ;d f di c`vbti_ons,'�v'e'�r 5 OZ."de'e�p`.cnd'demolition or construc` ion of -structures ovel 3 sto i n hight. '.Mobile Home Installation Fie - Land Development Fee. T OT ALP E R M CT � F -E E OCCIUP. GR��P TYPE,OF CONS,T. V PARC L PD HID, I.S S. r T k is is hereby issued under per siofis of thd Butte County Code* and/or' wor_k�.-.in dicatqd above for whic.h 61Rt , OR OF PUBLIC By pr=# T EXPIRES Dafe the app, ica b e ", pTovi- resolutionsz to:'d& Jee --have been� paid. s WORKS Date Ri�Ze'ipt o WHITE-D.jP.' . YEL`LOW-ASgF;SO1R, PINK-INSPEC.TOR, GOLDEN ROD-APPL.1 CANT.. . �, - : ., � .. . . - � . . - . . 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"' -"--':' ' �-*.'L��.��,-.4�,,,.��"�;-"��-�,����,-4 A � 11 - �*-, - , � � -�, � - C,OU,NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD I BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms "o, Parapets list Floor Main Bldg. Restroorn Finlo 2nd Floor4 Footings Windows L,�-, ez' '3rd Floor Stemwali Siding Topout Slab Roof Sheath lnw (z "I Water Plpl`ngz�X/6���� Plers':�5. �1171w;K:Y- Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph handicapp laically Conforniance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab San I tation Patio —Final FIREPLACE Final Footinqs Footing ELECTRICAJ_ Reinf. Steel I Final . I Fixtures Framing Test Water'Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pri Scratch Agai Heating Service Brown Cooling Temp. Pole Finish Ducts 154. Undergrouni (6terior Lath Ventilation Permanent Door Closer Final Final DAT —REMARKS OR CORRECTIONS 7// 71�z Ai lo U11.1 (NOTE: An entry mu.st be made on this form each time you visit the job site.) P r Nber Glass ft �n, BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as shown: R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above recom- mendations to provide a value of R -using -bags of insula- tion to cover square feet of area. Insulation Contractor (Sign) Builder (Sign) Company Name BATTS AND BLANKET R INSULATION R INSULATION VALUE THICKNESS' VALUE THICKNESS R-22 61/2 R-1 3 3 5/8 " R-1 9 6'/ R-1 1 31/2 " Company. Name Date Meets Federal Specification HHI-521E Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of 4��' in the ceiling, in the exterior Walls, -/e"' in the floor or crawl'space per! InYjlation Contractor (Sign) Builder (Sig n) Company Name Company Name CSG -32-11-C Date CERTAIN -TEED PRODUCTS CORPORATION, P.O. BUX 860, VALLEY FORGE, PA. 19482 C CHUNTO COUNTY -OF BUTTE A MENT OF.PUbCIC WORKS E MIT County Center -Drive .— �Oro`vilhe-'Calitornia%965 Tel ephone�. 534-.4541 7 A APPLICATIOWAND PERMIT authorize-irbpresen-tatives of the County of Butte to enter upon the ab6ve-mentioned property 'for inspection purposes. X 4 Date4_--z__3,7 �o r, i'w�l Agent, TS Z� Receipt White-D.P.W. Yellow,-Assie�so. �'t F.59JAjFbt!or Golclenr��A4�dqR 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-�UBUC WORKS B;�11 in�permit expir�esDe��e BUILDING owner jSQ. FT. OCC.. BUIODlk4G VALUATION 0 Mailin,g Address (Z_6'�j i L, C-1 6-': -- " �'. : .. _I Tel h 2-2—'Fireplace Contractor" Total Valuation Mailing Address Permit.Fee oo PlanChecking Fee&/orPeRalty Te,leph.one No. Permit Fee $ ;Building Addre ss T -A I -A M PLUMBING No. (FEE FILING -FEE $3.00 =3,co Each Trap 1.50 .12-00 Repair draina e or vent piping 1.50 9 Water piping. 1.50. Each gas water heater or ven,t, 1. '50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .�o S t 10, FireDept eZ Fir"' on& U'se, Permii ng.sewer Buildi �.00 .5, 00 EOA Parking P lans Parel I Declaiationi Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 J-1 Ions eiy*'.g!�/ft r PLK�'Approvol Permit Fee NEW,0 ADD ITION UTILITIE� E] OTHER, E] -ELECTRICAL No. @ FEE -PERMIT FILING FEE $3.00 . ..... 600V OR LESS Main service 5.ob 100 AMP OR 'LESS Main service EA. AOO'L 100. AMP 2.50 Single Family DbplexE] Mobi I Home E]- Others OVER 600V '25.00 Main service 100 AMP OR LESS' Main service. EA. ADD -L, 100 AMP* .1.00 NEW C 0 N S T. ( 'A w, CL L 'L",)GG 20sq f.t :3 1 JC) OR ADDNS. NEW CONSTFL (MULTI -OUTLET NON-RESIO. _BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APRARATUS,� NON-RESID. _SINGLE OUTLET CIR CONTRACTORS LICENSE LAW 1. am licensed undei� the provisions of Ch . apter 9, Div. 3, of the State'of California Business.&. Professions Code under the name style of: Ex. Occup(ObTLETS OR FIXTURES) 50@ 25q� BAL@? FIXED.APPLNS. OR - Ex.. Occup. (OUTLETS (RESID.) EA) 2;00 Temporary service 10.00 Mobile Home Facilities i �.00 License No. —7 2z C-lassificatio'n Misc. Wiring 6.25 I am exempt f rom the Contractori'U censeLa'ws of the State of Cal i forn i a.. Permit'Fee, $ WORKMEN'S COMPENSATION INSURANCE I am aware of the.provi sions of, Section 3700 -of the Cal Hornia Labor ,Code.which requires every employe'r-to be insured against liabili-ty for Worrkmen's Compensation. .0I have placed on file with the-County,of Butte a certi'ficate of Work`men's Compensation Insurance. �certify that in the.performance of the work for which this e rm it is issued. I shall not employ,any person in any manner 'so -as to become.subipct to the Workmen's Compensation Laws of alifornip.. MECHANICAL' No. FEE PERMIT FILING FEE $3.6o r-3 �00� Heati nd 7-7 00 ri 400 Q Cooling IEVAP 00 Ventilation Hood 2.00 Permit Feb I certify- that 1. h.ave read - this application and state that the. -above .:`:%information is correct. -1 agree to comply to all County Ordinances� and State Laws, relating to building construction, and hereb . J_ 7 TOTAL, PERMIT FEE authorize-irbpresen-tatives of the County of Butte to enter upon the ab6ve-mentioned property 'for inspection purposes. X 4 Date4_--z__3,7 �o r, i'w�l Agent, TS Z� Receipt White-D.P.W. Yellow,-Assie�so. �'t F.59JAjFbt!or Golclenr��A4�dqR 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-�UBUC WORKS B;�11 in�permit expir�esDe��e VIA STAN n�t;4 A- AT �epfi'c iYsfem and locaf on of 6,ujld-' ing drain sfu6-06f to 6e as per Butte _sCounfy Health Dept. Re- 4uire rrienfs. �Z ' �y' K .4" 'A" kg' �s' Q4, -Q W -k M V A Ip 6 m -j je 151c1q. Setback :S hall- be 6- if, fr ?h 0 MY th 'S' 'pr6pert ,A"." e i N h.:. ;t y ine and 50 ff. f rom I Al�k gj f NA 'M em in,�� the oad, per*mitting 'c6n �!j' r, 4i k'i M U M ma a e overhang-., J' aYe E COUNTy - BUTT OUILDI DEPARTMENT 'A I. t' t &I T 1 77 �_,, WG� ILI V E N, A P RR 4/ AL I �epfi'c iYsfem and locaf on of 6,ujld-' ing drain sfu6-06f to 6e as per Butte _sCounfy Health Dept. Re- 4uire rrienfs. �Z ' �y' K .4" 'A" kg' �s' Q4, -Q W -k M V A Ip 6 m -j je 151c1q. Setback :S hall- be 6- if, fr ?h 0 MY th 'S' 'pr6pert ,A"." e i N h.:. ;t y ine and 50 ff. f rom I Al�k gj f NA 'M em in,�� the oad, per*mitting 'c6n �!j' r, 4i k'i M U M ma a e overhang-., J' aYe E COUNTy - BUTT OUILDI DEPARTMENT 'A I. t' t &I T 1 77 �_,, WG� ILI V E N, A P RR 4/ w 121-,-4^a A.L.1 '"