Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
030-461-006
A. P. Dick Burks 2142 Tehama Ave., Oro 1 CONTR: S.John Voorhee . i Permit 1120-70B (extend g rage) A.P. chard-Burks- . .. .. ... .. . .. ........... ------------ i Tehama F2142 Tehama Ave. C T CONTR: S.John Voorhees OrAville Permit Permit 848-73 (addition) %\�" q Z-73 Contr: Waibel AC Permit #2941-77P,E,m(inst 4A'd� htg & ele ser ch) SF Contr: Foothill Const, Chico Permit #5322-78B(reroof) SF Permit#3581-79B(replace windows Al & siding) SF Ily A U Contr: Lagrone Heating & AC Permit#1586-81P,,E M(evap cooler) SF ' 0 3 0 - 4 6 - 1- 0 0 6 .93 3200— B BURKS, RICHARD 2142 'TEHAMA ST,,ORWlIdE CONTR- GEORGE RFG REROOF/SF 030-461-006 05-2928BURKS, ALITTIA 2142 TEHAMA AVE, OROVILLE Cont: CRYSTAL AIR HVAC 030-461-006 BURKS, RL & . ALITTIA 05-3029 2142 TEHAMA AVE, OROVILLE Cont: O'kANER STUCCO 0 i r � i4 -030—k tr 3-3200 B -06 4 k 1-0 BURKS, 'RICHARD c '0 U E 2142 TEHAMA. ST, CONTR: ,GEORGE_ .0G F REROOF/S 44 -i - `r s �'x ^ :" s. c1" �',,q.*9R!'�I"es %A► t r .. r( k rr "r / COUNTY OF".BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Csnter Drive - Oroville, California 95965 - Telephone (916)1538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER + O ZONING _142 BUILDING PERMIT OWNER • rr� TELEPHONE SQ. FT. OCC. BUILDING VALUATION ~ 0. n OWNER'S MAILING ADDR�cSS ti 'E -a ., h'• 3 96,/ CONTRACTOR'S NAME i �- TELEPHONE - 3-393 - CONTRACTOR'S MAILIN ADDRESS (`) _ / p Fireplace CONSTRUCTION LENDER I - I UNKNOWN Total Valuation 1$ Q Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE . NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ 1 1 - PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 n.. ,.,b,. ,f Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME t PARCEL MAP Each gas water heater or vent 15.00 '%I,,USE OF STRUCTURE SF S2r., Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISIG W @20.00 TYPE OF WORK �^ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 GO v OR LESS Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 .. NEW CONST. DWELLING OCCUP. - So. OR ADONS. ( & ACC. BLDS. ) 3.50 FT. - t CONTRACTORS LICENSE LAW I d cJare under penalty of perjury (check one) ���-am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and eff ct. License No. 1�_1 Classificatoh �- b ❑ I, as the owner, or my employees with wages as their sole co pensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1.00 P• ( I BAL. 50 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 " WORKER'S COMPENSATION INSURANCE declare under penaltyofperjury (checktone):. a_'„•q.-,; ;^L.. ,.._ , ; ,. ,, ., ❑ This permit is for S 100.`00 (valuation) or less. a ” �I have placed on file with the County of Butte Dept. of Development Services, / building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ ;..contractor,. , _ •� ,, . , _ -w;_,_, .:� , MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County iq consequence of the granting of this permit. c rDate �- - Signature`of Appli ant - ❑ Owner ContractorA ant An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE. TOTAL FEE $ CLOD HA2. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HDISSUE 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 PUlB_LI�C%WORKS By rC�! C �!`% `�C °�f Date PERMIT EXPIRES ON IDete) n Receipt No. '-(9 (7_� WHITE-D.D.S.-8�. TSCA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Butte County Department of Development Services. eurrf ARFA V ® T E S I 7 County Center Drive, Oroville, CA 95965 �^ (530) 538-7601 www.buttecountynetidds RESIDENTIAL W APN: Permit No. Owner. 030-461-006 05-3029 BURKS, RL & ALITTIA - - - - — -- Site Address: 12142 TEHAMA AVE, OROVILLE j Cont: OWNER - - Contractor ].STUCCO_ Type of Permit SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE I DATE JOS FINALE�D: 3 1 SIGNATURE: -g = OK = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Br_cing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls ° ms °� °ss DATE jPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg 136nes-Encisrs-pnlboards4risultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex)- UAit JUNDERFLOOR UAlt IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First Hr -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub.Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s` S` p c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rffr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Cliannel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolls 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes [::]No 87 Stucco Brown -Finish o`er o'er c?� 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector Butte County Department of Development Services. eurrE aR Fi N O T E S 7 County Center Drive, Oroville, CA 95965 t (530) 538-7601 vnvw.buttecounty neVdds RESIDENTIAL AP N: 0-46"L V I ---y Permit No. 9 - 3.2-0 Owner? Site Address: C– e*— Contractor Type of Permit: CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED•/— y /v i'j01s tryl . =OK o = Not OK MANUFACTURED HOMES PERMANENT FOUNDATION " SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers Pool Drawing MISCELLANEOUS 0ECKS`C0VERS'CARP0RTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg;.SiIIs-Anchrs-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Lath 10 Roof Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal wfT-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg 136xes-Enclsrs-pnlboards-insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide = OK = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth, 55 DWV; Test Fittings & Anchr Nail Prtctn .4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Ace 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Ace 6 Stemwalls Garage; Steel-Bfockouts-Wrapped• 58 Gas Pipe; Sz & Anchrs 61 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-lnsultn 61 AC Ducts lnsultn & Support 14 Girders-Sills-Anchr BoltsJ oists-Vnts -Cripples 62 Vent Fan, Exhaust abv lnsultn 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic UAIt IFRAMING 17 Sills Proper Materials & Anchrs 1 B Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Arc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 lnsultn-Walls-Ceilings 39 Infiltration-Walls-Wndws s' DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or 0 A AC Wire Sz 9a ❑ CU or ❑ AL 48 Range Circ ga 0 C or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes 0 N 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector °90 0 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 lnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Drnge Planters ❑Yes ONO 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImi: to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptd-(Jndrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous lnspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert4)ther Certs 98 Address Posted 99 Fire Sprinkler o` 41 o'er os, Y County Department of Development Services. eurrF�• aaea N ® T E S 7 County Center Drive, Oroville, CA 95965 ;aco (530) 538-7601 www.buttecounty netldds RESIDENTIAL 3 ? APN: Permit No. 030-461-006 05-2928 Owner- _ _BURKS, ALITTIA — - 1 2142 TEHAMA AVE, OROVILLE Site Address - _'Cont "I rCont: CRYSTAL:-AIR— Contractor RYSTAL AIk—Contractor. �HVAC Type of Permit: 9 I + fit +I F i 9 I + fit +I CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE �Y_4_13_3 DATE JOB FINALED: SIGNATURE: �h PP Mary Burks 052928 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Pae 1 of 8 CF -4R Project Address Butte Bailey 95965 533-8288 Builder Name Crysral Air Builder Contact Reno Tel hone 623-100 Plan Number 1IERs5o9n Williams 26�10�� SampleGrou Number 3 Pass if Leakage Percentage 5 6% ( l 00 x L_ _(Line # 1) / Line # 2)11 Compliance Method ri tive ❑ Pass ❑ Fail Climate Zone Certifying Signature� - S -OD to Sample House Number 2 Fit'"Starr Energy CHEERS CHEERS Street Addres2695 Bechelli Lane City/state/zip:Redd ing, CA 96002 Copies to: BUILDER, HERS PROVIDER AND BUILDOU ]MIrAK MEN L HERS RATER COMPLIANCE STATEMENT The house was: ✓ ❑ Tested ✓ )Q Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this Norm. The HERS rater must check and verify that the new distribution system is fully ducted and correct taQe is used before a CF -4R may be released on every tggg building. 'the ti1rKS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. 17 The installer has provided a copy of CF -6R (installation Certificate). O New Distribution system is fully ducted (i.e., does rant nee hiulding ctAvitiec ac rlennnc nr rlatfnrm returns in lieu of duct-,). D New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ O MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedums for*1d ver*ation and dlagaostic testing of air distribution *wtoms aro availablo in )ACM, Appondix RC4.3. Duct Diaenostic Leakaee Testine Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Ps) Measured Values } Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ O Heating) or ✓ O Measured Enter ToW Fan Flow in CFM-. 3 Pass if Leakage Percentage 5 6% ( l 00 x L_ _(Line # 1) / Line # 2)11 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/orHVAC Equipment Chane-Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipwrit Cha o-0ut. 6 Enter Reduction in Leakage for Altered Duct System t (Line # 4) Minus (Line # 5)1 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ R Entire New Duct System - Pass if leakage Percentage S 6% [1 00 x Line 4 r / Line # 2 ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Chaoge-Out Use ne of the following four Test or Verification Stan4ards for compliance: V/ Pass if Leakage Percentage 5 15% [100 x (_ (Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 1 Pass if Leakage to Outside Percentage 5 10% [100 x F Line # 7) / (Line # 2)1] O Pass O Fail l l Pass if Leakage Reduction Percentage 2 601/o 1100 x [(Line # 6) / (Line # 4)]] d Verification by Smoke Test and Visual Inspection t O Pass O Fail 12 1 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection tion Pass C Fail ?ass if One of Lines # 9 through # 12 pass 13Pass 13 Fait Residential Compliance Forms Rpn` aw' +=OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy I 16 HUD Label/Insignia Numbers Serial Numbers q` 4 c MISCELLANEOUS DECKS'C0VERS'CARP0RTS'GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -Anchrs -Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 1 o mac, 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability . 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 9 C O Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -BI ockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/O -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.l Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn _ 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic oma ms o1. m`S c DATE FRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 79 AC Duct In Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn -SkyLts -Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Frtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard ;Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes ❑ No 87 Stucco Brown -Finish o'er o`er 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga Q CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CU or [_1 AL 99 Fire Sprinkler 48 Range Circ ga 0 CU or ❑AL Oven Circ 9a 0 CU or QAL Insulated Neutral QYes 0 N 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #-' (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053029 B. C. Building Permit o1 -1b -U4 Pg i LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11 /09/2005 APP: 030-461-006-000 the Business and Professions Code, and my license is in full force and effect.Sit e Address: Add 2142 TEHAMA AVE ORO se Class : License Number: License Map Index: Date: Contractor: Description: STUCCO APPLICATION(2000) OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BURKS R L & ALITTIA M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2142 TEHAMA ST 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 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 533-8288 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their (` sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BURKS R L & ALITTIA M Code: The Contractors' State License Law does not apply to an 2142 TEHAMA ST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95965 sale. If however, the building or improvements are sold within one burden (530) 533-8288 year of completion, the owner -builder will have the of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3u 8 Hess and Profe ions Code �i Date: fi �e Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Valuation: $0.00 Policy#: Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to fro n/ 11 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' LO e compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f �! Date: D5 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 hereby issued under the applicable provisions of the Butie County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio s to do work indicat d above for which fees have been paid. 1 i Dater Name: . B y �l 1/'' PERMIT EXPIRES ON: {' C1 �l n Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize re �'Le�/atives of County to enter on the above mentioned property for inspection purp� 1Butte 1 <� N" Print Name: l \ Y'� / Signature: L / / -- Date: /� Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit o1 -1b -U4 Pg i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY* OWNER Last Name First Name G (Z Address 2 2 i4_ - City O (f l StateA- C City Zip Phone ,' 3 Z Fax ^ E-mail APPLICANT NAME CONTRACTOR Name City Address Z City State Zip Phone Fax E-mail Lic. # Class Planner State License Number APPLICANT NAME ARCHITECT/ENGINEER Name City Address Z City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Z Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 21 q L e � Flood Zone Cross Street SRA I Yes I No Occ, Type Const. I Subdivision Name Map Book Page Tot # l Planner Date Approved: PERMIT NO. BIN # LOCATION AP# No- - Property Address 21 q L e � City Oae v Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name -Addres. OVER FOR SUBMITTAL REQUIREMENTS 11 K:TORMSMILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Q- SIUM Sq. Foot e 2 000 Sq. k } ❑ Struc ure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: K.6 Receipt#: y4050's Date: I l -q - 015 Amount: 122M"0_Bldg SRA Sheriff SMIP Other '220 °O Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor .plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. . 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS161dgApp1SubRgmts.doc Page 2 of 2 . REV 6-16-04 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [,/ ] NO [ ]. I HAVE [/] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: . 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder. verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. - Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pennit. Building permits are.not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #-' (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52928 B. C. Building Permit 01-1b-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/24/2005 APN: 030-461-006-000 the Business and Professions Code, and my license is in full force and effect. License Class: y License Number: 7,6 Z- 9 -3 3 Site Address: 2142 TEHAMA AVE ORO Date:/O/2 21 dS1 Contractor:r /�L'fr l�� Map Index: Description: HVAC OWNER BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BURKS R L & ALITTIA M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2142 TEHAMA ST 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 7000) of Division 3 of the Business and Professions Code) or that he or 95965 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: CRYSTAL AIR Code: The Contractors' State License Law does not apply to an p0 BOX 1501 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, WEAVERVI LLE, CA. provided that such improvements are not intended or offered for 96093 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-623-1000 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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: CRYSTAL AIR not apply to an owner of property who builds or improves thereon, PO BOX 1501 and who contracts for such projects with a contractor(s) licensed . pursuant to the Contractors' State License Law.). WEAVERVILLE, CA. ❑ 1 am Exempt under Article 3 of the Business and Professions Code 96093 530-623-1000 Date: Owner: License #: 762833 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: AG' Carrier: -G Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy#: 0C ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 1 and agree that if I should become subject to the workers' �!� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 hereby issued under a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' n o ()to wor ' dic d ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) D ate: Name: PERMIT EXPIRES ON. Address: D te) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repre tatives of B/J uttte ,Count yto enter upon the above mentioned property for inspection purposes 1", �� Print Name: eet)y ~ Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-1b-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name Sol irst Names Y Address Z / yZ /¢/1 'k ;_> City o . �z �% :1/�� State, ZIPS s,1 % 6 Z Phone 00 Fax E-mail CONTRACTOR Name G� fTal (�ci Address Address City City Fax 6 2 3 Zips 665 3 Phone 6 z3 /60c) Phone Fax G2 3 1712 E-mail E-mail Lic. 3 Cla s State License Number APPLICANT NAME ARCHITECT/ENGINEER Name / City 0 taJ�.11 Address ZP5 6.6 S City Fax 6 2 3 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address 150 / City 0 taJ�.11 Sta'E 1,�_ ZP5 6.6 S Phone � 2 k6 06 Fax 6 2 3 E-mail APPLICANT SIGNATURE X geix For office use only: Zoning Property Address 21'-12 7"e !7 z� Flood Zone Cross Street 2 0 SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AN T `U Property Address 21'-12 7"e !7 z� C' iv l3� rr,1/may Cross Street 2 0 WORKER'S COMPENSATION Policy Number r,,t c Oa l j e-% 3 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name —Address -- OVER FOR SUBMITTAL REQUIREMENTS K:TORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: C Uva �r Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT.BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ L. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations. in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ineer.• Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1.. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 J 4/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` r 7 County Center Drive - Oroville, California 95965 - Telephone (91 7541PERMIT NO. APPLICATION AND PERMIT 9_3 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER n TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'11�4S-1J1, AILING ADDR SS - �J9 ILIA T` b CONTRA TOR'S NAME" TELEPHONE C33,3-6393 CON T R'S AILIN DDRESS /��^ �fY 9 Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation 1$ CQ 49 16Y Filing Fee $ 20.00 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- PERMIT FEE $ c(� �1 l� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF, Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel ElUtilities ❑ Installation 1:1Other Describe Work: PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS 200A OR LESS 23.00 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. OLDS. ' SO. 3.50 FT. CONTRACTORS LICENSE LAW I d c are under penalty of perjury (check one) m a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my •cense is in full force and eff ct. License No. Classification � �� O I, as the owner, or my employees with wages as their sole co pensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES' OA20 @ 1.000 Ex. Occu FIXED APPLNS. OR Occup. ( OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. XI have placed on file with the County of Butte Dept. of Development Services, _Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of t e granting of this permit. C_ Date Signature of Ap •cant - ❑ Owner O Contractor ent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ , OCC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES ON lDatel provisions to do work paid. Q Date • Z � /� ��?? Receipt No. I 9 as WHITE-D.D.S.-Bb. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;' Y .� _ ` _ � .� � ... _ (. 1-- � ��G G� �O � ` � O0� __ � a�G� t�J� � :'a .4 RICHARD BURKS 2142 Tehama Avenue, Oroville x Contra Lagrone Htg &AC Permit#1586-81P,E �M(evap cooler) c Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER S v - ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 4) G r -f / 4 - TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEN• ER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS—� /Q�,y�f� PLUMBING PERMIT Filing Fee ;'�,i'.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping -`OQ LOT NO. SUBDIVISION NAME PARCEL MAP Each plas water Beater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF2" Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F] Addition ❑ Remodel❑ Utilities❑ Installa�tio�nC Other,© Describe work: i_4-��7�// / .J/ Permit Fee $ ! p0 Contractor ELECTRICAL PERMIT Filing Fee /63.00 Main service 1OOo AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. 22 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. r L �) _,1 _7 : / � 2 / Classification License No. • ❑ 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 exclusive) contracting with licensed contract - 41 ors. (Sec. 7044 ❑ I am exempt under Sec. , Business and Professions Code for this reason ' NON.RESIDCONSTR BRANCH O CIRCTITS 2.50 ea NEW CONSTR. (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR, Ex. Occu g0 @ zsm P('o TS OR FIXTURES` gAL�10C J� ED Ex. Occup.(o"�` LE TSPIRESID IKEA./ 2.00 �c-_ �' Temporary 'sery ice 10.00 Mobile Home F_hcilities 15.00 Misc. Wiring" -,6:25 Permit Fee $ Contractor ECHANICAL P=KNIT,• Fi,ling,Fee /00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty:_f perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the -W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Vt Cooling"✓f�. �:_ Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above informs 'on is correct. I agree to comply to all County Ordinances and State Laws relag 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 i con qu� of the granting of this permit. X _�:;-, Date _ ;/z� — Signature of Applicant — Owner ❑ Contractor F 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR OR OF PUBLIC By(2 _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I., Receipt No. 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AID PERMIT PERMIT NO. NUMBER ASSESSOR .3 0— V— ZONING BUIL G PERMIT OWNER �G/ C!'Oo� • TELEPHONE 3 S� SQ,FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONT ACTO 'S NAME Y- "7 �2 � TELEPHONE 3 3 7� CONTRACTOR'S MAILING ADDRESS ® ` CONSTRUCTION LEN ER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ` �L L2 `QG1Z PLUMBING PERMIT Filing Fee /,000 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping , OQ LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECT FV Building sewer Lawn sprinkler system 2.00 T_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liti s ❑ InstallationEl Other4e' Describe work: �i!/f�Q �e�/'-- Permit Fee $ 5_00 Contractor ELECTRICAL PERMIT Filing Fee /0.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforce 7 and effect. License No. 23f I Classification G !/ v ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON•RESID R BRANCH C.IRLE CTITS 2.50 ea NEw CONSTR. POWER APPARATUS a NON•RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 30@� eALe1°e Ex. Occup.(O UTLETS FIXED P(RESID,)REA.� 4= 2.00 -Qa Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ od Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee J,0.00 Heating Cooling -�o pr? ' Hood 2.00 Ventilation Permit Fee $ Tjpv Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County i con que f the granting of this permit. X Date v O Signature Applicant — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL P HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By QIRJ�IOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date (7�[• Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . V, PERMIT NUMBER - B 1120-70. P E PERMIT EXPIRES -/ OWNER Dick Burks !CONTR: S. John Voorhess, Oroville LOCATION (A.P. 30-036-20 e 21/2 Tehama Ave., Nr�ville COUNTY OF BUTTE DATE REMARKS OR CORRECTIONS Department of,;Public Works BUILDI INSPECTION RECORD Zoning _ Setback !/ Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing eS V - Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE DEPARTMENT OF`�PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phones 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner / % .�- r A. P. No. 1 Mailing Address / �% "' �- wr /" Fire Zone Zoning Contractor . Sanitation Plannin Mailing Address Plans Fees , - W.C. BLDG. Address ± t•r-t' R W Encroachment NEW F-1 ADDITION REPAIRS ED OTHER 0 Others ��� , Single . Multi USE OF STRUCTURE Family [] Duplex Dwelling 0 Others F 0 U N D A T 10 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom / • _ Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists - 1st Floor Joists - 2nd Floor Fireplace Joists - Ceiling a - Total Valuation Exterior Sttlds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee � r� Bearing Walls UUM1KAUiUN3 LIGEN5E LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof.............................................................................................................�:.................... License No. .....•......................Classification.............................................. and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis,. if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................:.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X........................:..................................................... Date ................................ SIGNATURE OF PERMITTEE OR AGENT This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date .............. Receipt No......................................................................................................... 11 Permit Expires Date.. _ _ � � � :� J l �� �,����� 'r ���� � �� ii ���� � / COUNTY OF BUT_ TE —,DEPARTMENT OF .PUBLIC WORKS 7 County Center Drive-'Jroville; California 93965 Telephone: 534-4541 ` APPLICATION AND PERMIT _ BUILDING % Owner \ %./ / !.� � , �•� .�. � V 1 i � ,G ,.tl � SQ. FT. OCC. BUILDING VALUATION Mailing Address /,I,/.�2 �� •/ rr .1/ +r. �) / ( vis f.^/� Telephone No. •�"� �"F' Fireplace /� Contractor ��� l , s�'Ji s i / /.roc • r r , Total Valuation A �/ D f Mailing Address/,,I,,,,)e.� L/�,i/ /(/� .iG.F/�/moi 1• Permit Fee Plan Checking Fee&/or Penalty /J', i / � � / l ! !t-v!� G�� * / .r , eV Telephone Na. ..�-,(�j7 Permit Fee $ Building Address 9 ,Al J c; PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �7 Each Trap 1.50 i Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent - 1.50 A. P. -No. 3o - �; ��- z f Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W:C' Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg-Plans'Rec'd— I Parcel Approval Plans Approval Permit Fee $ $ Ae .SC NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .�,G6 j� _lr_1 JAfl!' 4"/` -4-4r 6.411_41. J� 600V OR LE Main service 100 AMP ORSLESS 5.00 !j,nrj "'l r,/ra J Main service EA. ADD'L 100 AMP 2.50OVER 600V Main service 00 AMP OR LESS 25.00 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 2�syft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ) Y �s "fir. �• .' _ ,!_.� r .F . /�-- p� .r��A i Ex. Occup(OUTLETS OR FIXTURES)@'� BAL@1 Ex. OCcU FIXED APPLES, OR P• 2.00 ( OUTLETS (RESID,) EA) Temporary service 10.00 J 1i, 11 C Y-1.4 1�.f J J / .�i,�/ V Mobile Home Facilities 15.00 - - License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ /Q s, MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every -'employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 �3.nn Heating / r r► A 7 la /i: t)D Cooling*}. Ventilation Hood 1 2.00 Permit Fee $ $ /z -1W 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 TOTAL PERMIT FEE $_fin CLU ttrunce representdtives of the county or tsutte to enter upon the above-mentioned property for inspection purposes. Date /--• -A2- '72 Signature of Permitee or Agent ` Receipt No. /rte 17", White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / Date v 7" ., Building. permit expires Date �- t " - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ���'Orovllle, California 95965 � �//�� Telephone: 534-4541 f 7 APPLICATION AND PERMIT 4 authorize representatives of the County of Butte to,.enter upon the above-mentioned property for inspection purposes. x i Date ` Signature of P itee or Agent Receipt No. 0 �� / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Fi"LIC WORKS By :: Date 16 t % 717 Building permit expires Date 77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Gtr ep��� Fireplace i Contractor Total Valuation Mailing Address/&,oPlan Permit Fee Checking Fee &/or Penalty Telephone No. � Permit Fee $ Building Address �. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3op Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. p — �•— LZoning 8 Planning Gas piping system 1 - 5 outlets 1.50 / • 40 Each additional outlet .30 F s I W.e. I 6ertrraFonn FI re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 B Parcel Approval Plans Approval Permit Fee $ $ C NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,00 e1V OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 p Main service OVER a O 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sgft NEWCONSTR. MULTI'OUTLET NON -RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profess* ns Code under the name Stt ` 50 Ex. Occup (OUTLETS OR FIXTURES) BAL@1 FIXED APP LNS. OR Ex. Occup.(oED TS (RESID.) EA) 2•00 Temporary service 10.00 D ZL Mobile Home Facilities 15.00 License No. Classification Classification (7—,V,9 Misc. Wiring 6.25 El ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ 0 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �( I have placed on file with the County of Butte a certificate of f� Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employe any person in any manner so as to become subject to the Workmen`s Compensation Laws of California. PERMIT FILING FEE $3.00 Heating_0 In A, ' Cooling �o Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to,.enter upon the above-mentioned property for inspection purposes. x i Date ` Signature of P itee or Agent Receipt No. 0 �� / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Fi"LIC WORKS By :: Date 16 t % 717 Building permit expires Date 77 _H > COUNTY OF BUTTE DEPT, OF PUBLIC WORKS I � 1fjgK �, D JUN 15 1977 RM P&9 7181911011111211121341516 H . _ air •- a: �� r i . 1 �i PERMIT NUMBER _ g 848-73 B,P,E,M x P P E PERMIT EXPIRES r OWNER Richard Burks CONTR: , S.John Voorhees,Oroville � LOCATION (A.P. 30-036-20 k. 2142 Tehama Ave., Oroville COUNTY. OF BUTTE Department -of° Public Works BUILDING INSPECTION RECORD Zoning Setback c%1� �� ~%� Forms Foundation Piers & Girders Fireplace Rgh. Plumbing _ p_ Bond BeamLa & Plaster , Rein. Steel Gas Piping,& Test .&=' j Found. Vents +� Framing �oC -- -,7Z- Plmg. Topout a — "�,� Rough Elee. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final �"oZ(O / �-- DATE REMARKS, OR CORRECTIONS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive ' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS !"7 authorize rresentatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above- ti ned pro for inspection pu oses. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. nj' Date 3 a6 DIRECTOR OF PUBLIC WORKS Sign u of Permite/o0Age �c [,/y/ By Date? 2_2 Z Receipt N — y C — IL White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner �� r SQ. FT. OCC. BUILDING VALUATION O Mailing Address Telephone No. Fireplace Contractor �o Total Valuation Mailing Address / •Gss Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ *26 let— Building Address .1—e— PLUMBING No. @ FEE PERMIT FILING FEE $2.00 (e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 M A. P. No. 3G^ _ �v Zoning & Planning Gas piping system 1 - 5 outlets 1.50 /,J0 Each additional outlet .30 Fes Sani FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im I provements Lawn sprinkler system 2.00 Fr Bldg. oPt"ns Rec'd Parc pprovol PI sd{�pprovol Permit Fee $ .$ 0 �( NEW ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G� Ae 0Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Ligh xture 20 :3bal__0 25 Re s., s hes & fix outlets z2o�7a�z55 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style f ca�j�J [2 C2 �r Ili a 011'alrVobil Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Home Facilities 5.00 Temp. Power Pole 5.00 License No. 19.3 2_4 1-- Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 12( �IVorkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 6b Heatingpp Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize rresentatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above- ti ned pro for inspection pu oses. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. nj' Date 3 a6 DIRECTOR OF PUBLIC WORKS Sign u of Permite/o0Age �c [,/y/ By Date? 2_2 Z Receipt N — y C — IL White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date PERMIT NO. 7531-79R PERMIT EXPIRES, 12/18/80 OWNER RICHARD L. BURKS CONTR. owner LOCATION (A.P. 30-036-20 ) 2142 Tehama Aven. Oroville t ;i, Temp. Power Pole /Called PG&E T mp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT..AF PUBLIC WORKS -BUILDING INSPECTION RECORD BUILDING IBUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out 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 phsically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam _ FIRE SPRINKLERS Motors aiucco 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 MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driv&^'=• OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT n vole r —7 Signature of Pe ilear gent r �`� Z ) Date Receipt No. Pte' B— Z /Z _ /OO O � OD v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner R1 &t4P-r_,D SQ. FT. OCC. BUILDING VALUATIO ,/ Mailing Address ���2 -7-451-IA "A AVE /�, 64 q�7,5 $ T 3'N0� 266 Contractor Mailing Address Fireplace Total Valuation • Telephone No. Permit Fee Id.100 BuildingAddress `)'' t't D , / ��� �� ^ V� Plan Checking Fee &/or Penalty Permit Fee ,OD D� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Tragi 1.50 ®I9O VIU45 Repair drainage or vent piping 1.50 / �nj A. P. No. Is 0— 05 (D "" o L Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FJKsJ R=UW ^T Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Aroyal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Q� Permit Fee $ $ —Ll%/,liQo�,t�s BR.I&K M,411J5,*p-4 ELECTRICAL No. @ FEE r>' �r� qeoilE %AJse oA7• PERMIT FILING FEE $3.00 00v OR LESS Main service 1 100 AMP OR LESS 5•00 �/ Single Family 3Duplex ❑ Mobil Home ❑ Others ❑ L Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPaoov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. !)20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON-RESID. � BRANCH CIRCUITS/ 2.50ea NEWCONSTR./POWER APPARATUS B NON -RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES a �@1 (FIXED APPLNS,. OR Ex. Occup. OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the abov tioned property for i spection purposes. Land Development Fee $ TOTAL PERMIT FEE $4c This permit is hereby issued under the applicable provisions of th tte Count Code and/or resolutions to do work indicated County whit fees have been paid. OF PUBLIC WORKS n vole r —7 Signature of Pe ilear gent r �`� Z ) Date Receipt No. Pte' B— Z /Z _ /OO O � OD v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date r �I"PERMI� NO. 5322-78B PERMIT EXPIRES OWNER RICHARD L- BURKS CONTR. Foothil l ConstrLCti_an LOCATION (A.P. 30-036-20 ) ;,.2142 Tehama, Oroville EI i Te" p. Power Pole Called PG&E emp. Elec. Serv. ' Called PG&E Temp. Gas Serv. Called PG&E JOB p ^� FINALED ja (Date) (Signature) 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 M0016EHOME INSTA LATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS t j� t rQ Q f 1�-t�-79- � .��->/ -- J 4WD 1,Y+GC2��Xp'�a• (NOTE: An entry must be made on this -form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTI.A lRECORD' , BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final 'Fivhiraa 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 M0016EHOME INSTA LATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS t j� t rQ Q f 1�-t�-79- � .��->/ -- J 4WD 1,Y+GC2��Xp'�a• (NOTE: An entry must be made on this -form each time you visit the job site.) -1// -.'V 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi.,Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT An � authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee o`rgge7nt Receipt No. 5, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR.9FiRUBLIC WORKS By Date B ' ding permit expires Date BUILDING Owner Lel V SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. IA Contractor r Mailing Address Y Fireplace Total Valuation Telephone No. Permit Fee O Building Address Plan Checking Fee &/or Penalty - Permit Fee B PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 "Ll� 4ZIC,y Repair drainage or vent piping 1.50 A. P. No. D 6 cj Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 fies ftT t- ft Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 ans ec'd I Parcel A royal Plans Approval Lawn Sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Ld ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Single Family EQDuplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 OR ADDNSNEW T // %ACCDWELBLDGS.LING CCUP. 41 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of -,--EX. NEW CONSTR. MULTI-OUTL T NON -REBID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS e NON.RESID. (SINGLE OUTLET CIR. EX. OCCUD{OUTLETS OR FIXT11RES BAL FIXED APLNS. Occup.OUTLETS (RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ,b Classification —� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. IVIVl have placed on file with the County of Butte a certificate of 1V Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE. $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee o`rgge7nt Receipt No. 5, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR.9FiRUBLIC WORKS By Date B ' ding permit expires Date