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Home My WebLink About031-202-0120") a , n AP 31-202712 SAMUEL RICH 1841: 10th St., Oroville CONTR: ACRO-LUME, Oroville Permit# 685-75B(addition-1 a iyg 1 screened room & 1 deck, SF)"" i-15 31-202-12 ermit ##2365-76P (bldg. sew-.inst..)- SF ew_.inst..)SF to /J� % -31-202-12 ermit #1097-77B(add porch/SF) 031-20-2-011'2,x,`' , : :-.1111,1x`92-004'7, LORENZO, . KATHY'& DENN'IsS CONTR: ' 'OWNER'' 18410.1 OTH "'ST•, ,.•OROV I LLE ADDITION/SF `t ri tFL fL #<<'v j Olt '031202-012; PERMIT#97-21'53` SIMD&S, Darcy &•Delafield 1841''lOth St., Oroville. ` ' Cont : Ar to Z Plumbing ,' _Mt%� / ,Gas Line .to -Wall' Furnace%SF. e - Y •ter.- ror�.r- sa _ r*_ •J ,:,. ro . # j. - . _ � ,v„ .:.. -...Y. waR',t:,re..s�erar•.•n+9..7"-.wee-rw�•erwaK+��+'... _ ,.�'i+�p+�ta �t�''°'` v%+w.d,:�r-z w +s�r..verw.^�� . �• t�, qc" w 0-11 h 6cJe-r + - OFFICE COPY• 4 y 'Address��`��/o3 Meter ByD ate IC -'y Mets Date COUNTY OF BUTTE- DEPARTMENT OF)DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Qa lifornia 95965 - Telephone (916) 538-75 1% a� "1 PERMIT NO. (Rev. 12/96) APPLICATION�AND PERMIT A.9/% ASSESSOR PARCEL NUMBER ^^L�_A^ n��^ LI�a�DLE (,ELD ZONING AR g DING PERMIT OWNER ;' .._.J ` ? 71 OT►f►lf�►1 � llflli l X711-L'IV1�S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S '41UNG"ADDRESS 4017 VIA DEFLORES MARTIN$Z, 94553 CONTRACTOR'S NAME x A TO Z PLUMBING TEHONE, 519 CONTRACTORS MAILING ADDRESS PIONEE� TRAIL ORO*_VILLE, 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1j341 1.0m ST Energy Pian Checking Fee $ $ ORMIJE PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP 1 PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE + SF ❑ Duplex ❑ Mobilehome ❑ Other i SPECIFY t Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.0,0 TYPE OF WORK New ❑' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE TO WALL FURNAC ' IPERMIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 - Mobile Home IS I GI W1 @20.00 FEE S • ELECTRICAL PERMIT Filing Fee 20.00 600V, OR LESS ' Main Service zoos oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class (2• Lic. No. "-70 4�`C �{ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole Amensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1-0OOA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50FT. NEWCONS OUTLET NON-RESID. MULTI.I @7.50 OWER APPARATUS B SINGLE OUTLET CIS. Ex. OCCU . OUTLET OR FIXTURES BAL ®I: o Ex. Occup. ouT�rs aEslD.LNS oen 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i ❑ 1 have and will maintain workers' compensation insurance, as required by Section ` 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier e d policy number are: Carrier • MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling' Hood 6.50 Ventilation PERMIT FEE $ _i_. Policy Number (The above sections need not be completed if the permit is for work of a valuation �f-one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 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 L �Date ^ '_� _ Signature of Applicant - ❑ Owner G ontractor ❑ Agent 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 $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD 1 HD fSSUE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B� ��/-/Date PERMIT EXPIRES ON Data Receipt No. WHITE-O.D.S.-B.D. C NARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-75PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-20-2-012 ZONING AR Btu DING PERMIT OWNER DARCY DELAFIELD SIMMONS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4017 VIA DEFLORES MARTINEZ, 94553 CONTRACTOR'S NAME Z A TO Z PLUMBING TELEPHONE89519 CONTRACTORS MAIUNG ADDRESS54PIONEER TRAIL OROVILLE, 9566 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS IONS NA PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE TO WALL FURNACE Gas piping system 1 - 5 outlets 15.00 00 15. Building sewer 00 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service '="A 'oR ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 35.E Lic. No. `7 O fo>g Cd OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier • Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADONS. ( d ACC. BLDS. so 3.511 FT. NON -EW R S11DT MUCH CIRCUI 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES OROF BAL @ 1. 0 Ex. Occup. DUXTE s(R I6.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation yf-one hundred dollars ($100) or less.) 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 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. y,J � X 1 _ _ Date j/C°2'^ _ Signature of Applicant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hi fees have been paid. B to Ap PERMIT EXPIRES ON I Date IV Receipt No. Qa q WHITE-D.D.S.-B. NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT k . i; --PERMIT NO. 23.65-76P PERMIT EXPIRES 5/7/77 OWNER STELLA RICH (Samuel) CONTR. owner LOCATION (A.P. 31-202-1.2 ) 1841 10th. St., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called P &E Temp. 54 Serv. /IN ed PG&E .. D (Date) (Signature) TNERMALITO IRRIGATION DISTRICT m `� 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1i y I ► n �-'` `Sk Owner's Name: }-,, Date: -= /9 Address: y I Acct. No: i7 r t�/1-c�:�, tlL ,► A. P. No.:.I- 70:2-•'!a`$8 Phone: No. Units: / Applicant/Agent: AJ /R Agents Proof: AJ 44 Address: a Fees: Phone: Application $ Arrearage Preliminary Review By: , %�,x .�r Date: _!2!,/2/7t- CSA 26 J Remarks: SC -0 R ` 1st mo. S.C. I , Other Total Fees �J6,( X Collected By: Date: Field Review By: -Date: Remarks: eA,4W 4 t MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑Q Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of,D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974►. DISTRIBUTION: WHITE-TID, YELLOW -APPLICANT, PINK -DPW, GOLDENROD -DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING.(Cont'd) Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows . 3rd Floor Stemwall Siding G To out Slab Roof Sheathln l Water PI in Piers Roofing Sewer l' Garage Fdn. Vents Fixtures r Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings r physically - handica Conformance of ex. structure A (lances Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPLACE . Final Footings Footin Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING n V r .,, '. _%_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Tel epND"-.: '53%-4541 APPLICATION AND PERMIT ••••'••� •"Y ""'��•�•��.+ . ♦..c vuu��.y u� lJUll6 Lv 611101 Ut/U[I Li mabove-mentioned property for inspection purposes. X =x, )M— %ut ki Date 7 Signature of P}ermitee or Agent Receipt No. /T 6 3/ / 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 G1J0_z, Date g permit expires Date -5—^ % 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address LTelephone No. S�3 — 9 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ��h PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. f� �O �- % �— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F baa- Fire Dept. Fire Zone Use Permit Building sewer 5.00 S 00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 B AGs=;e1d Parcel Approval Plans Approval Permit Fee $ f.6d fie, NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service s00v DR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 10 0 AMP VER OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGOCCUP. &) 22Sgft NEW CONSTMULTI-OUTLET R. 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: Ex. Occup(OUTLETS OR FIXTURES)P25C BAL@1 APPLNS. OR Ex. QCCU (OUTLETS P•(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 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. ISI I certify that in the performance of the work for which this ICl permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2O Hood 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 TOTAL PERMIT FEE is OO ••••'••� •"Y ""'��•�•��.+ . ♦..c vuu��.y u� lJUll6 Lv 611101 Ut/U[I Li mabove-mentioned property for inspection purposes. X =x, )M— %ut ki Date 7 Signature of P}ermitee or Agent Receipt No. /T 6 3/ / 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 G1J0_z, Date g permit expires Date -5—^ % 7 685-75B PPERMIT NO. ' M "MH UTIL. PERMIT NO. '~ar PERMIT EXPIRES z 'OWNER Samuel Rich ,,CONTR. Acro-Lume, Oroville i LOCATION (A.P. 31-202-12 1841 10th St. , Or m*.i.11e Y E S !Y J� t1 ... t. Temp. Power Pole Called PG&E Temp. Elec. Serv. f ` Called PG&E { Temp. Gas Serv. Called PG&E JOB 1 7 FINALED !!! (Dat, ) S (Signature) Z` t p i� E ' M "MH UTIL. PERMIT NO. '~ar PERMIT EXPIRES z 'OWNER Samuel Rich ,,CONTR. Acro-Lume, Oroville i LOCATION (A.P. 31-202-12 1841 10th St. , Or m*.i.11e Y E S !Y J� t1 ... t. Temp. Power Pole Called PG&E Temp. Elec. Serv. f ` Called PG&E { Temp. Gas Serv. Called PG&E JOB 1 7 FINALED !!! (Dat, ) S (Signature) Z` t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD UILDING BUILDING (Cont'd) PLUMBING Setback. Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings, Masonry Walls Reinf. Steel Borid 'Beam Mesh Scratch Brown Finish Interior Latl Door Closer DATE Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer °Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped " Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final 7(6— Sanitation i; FIREPLACE Final / noting Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Pn Heating Service Cooling Temp. Pole Ducts Under roung Ventilation Permanent Final Final REMARKS OR CORRECTIONS ELECTRICAL r r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 ` Tel ephpne: 5344541 APPLICATION AND PERMIT authorize representativ of the County of Butte to enter upon the above -me . ned p for inspection purposes. X Date $ gnoture of P itee or A ent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OVIPUBLIC WORKS BYDate .�-7'. U wilding permit expires Date 7_�.".�..C.... BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address Tele hone�o. , 71 Fireplace Contractor Total Valuation Mailing AddressPermit ® Fee Plan Checking Fee&/or Penalty B V /(mac. ephone No. Permit Fee $ / p -CJ $ Building Address (r Q-� �7 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 1�20CJ/LC.0 r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,— ^ cL Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W . Sa t 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking tans Parcel Declaratio Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 01 ..t3rdtf�iP c'~ Parcel pproval P Approval Permit Fee $ $ NEWrmf ADDITION UTILITIES ❑ OTHER ❑ NEW No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 1Z Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 C h/l/bl %Z / G$O �L AEet/ Water Heater or Space Heater 1.00 Light fixtures 200 0 di0 Receps., switches & fix outlets b9I 1@10 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: A c__ rX_� Mme' 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ClLicense No. 7 C Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. VI have placed on file with the County of Butte a certificate of 1/211- 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 $ $ 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 TOTAL PERMIT FEE $ !J %l authorize representativ of the County of Butte to enter upon the above -me . ned p for inspection purposes. X Date $ gnoture of P itee or A ent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OVIPUBLIC WORKS BYDate .�-7'. U wilding permit expires Date 7_�.".�..C.... RESIDENTIAL _____------- -- 92-0047 031-20-2-012HY & DENNIS LORENZO►OWNER 1841I CON1OTH ST, OROVILLE ADDITION SF C� JOB FINALED (Date) Signature AfW Y J=OK O = Not OK Not = Not Readyable, , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date . POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- -- -- ------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------- ----------------------------------- 18. D.W-.V.; Test -Fittings & Anchor -Nail Protection ---------- --- - ------------------ Shower Pan: Test, First Floor -Tub Access ------------ - ------------------------- 20. Test Tub & Shower, Second Floor -Tub Access ---------------------- ------------------- 21. Gas Pipe: Size & Anchors --------- ------- ------------- ---- ------- ----- -------------------- Date Card B-1 Date Card B-1 ----------------- --------------------- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ----------- ---- ---- ------------------------------------------- 23. Elec.. Receptacles Spacing -Lights & Switches at Doors -- -- ------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - - - - - - ------------------- 26. Equip Ground made'up w!Mech. Fastners-Bond Gas & Water ------------------------ ---------------------------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --- ------------------------------------------------------------ 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r ! ga. Cu or AI 29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------- ------------------------------- Service-Riser Conductors & Ground -Main Disconnect ---------- - ---------------------------------------- -- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------- -- --------- - ---------------------------------- --- - - - -- -- ------------------------- -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date -------------------------------------------------Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. -A. -C. -Ducts Insulation & Support ------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------ ------------------------ --------------- ------------------------ 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------------- ----- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ------ --- ---------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date -card-B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils, Proper Material & Anchors ------- ------ ---------------------------------------------------------------- ------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. ------------- Bearing-Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing "Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date ___Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- 62. Smoke Detector ------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65 G F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------- - ------------- 67. Stairs & Rails ------------ 68. Fireplace or Stove Clearances -Hearth --------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -- --------- - -------------------- - ----- 72. Garage Fire Door: Swing -Landing -Closer ------------- ---------------- --- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------- ---- 7`. Insulation -Foam -looked in Attic ❑ Yes ------------------------------------------ 78. -Guard -Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor-- ❑ Yes ------------------------------------------------ 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------- 81. Stucco: Brown -Finish ----------- ----------- -------------- --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ---------- ---------------------- ------- - -- 83. Vents Above Roof; Plbg.-Appliance-fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - ------------ - ---------------- ---- --- --- --- 85. --Exterior-----Elec.-- Trim;--G.F.I. Receptacle -Underground ----------------------- ---- - 86. Ventilation Throughout House -..--------------------------------------- 87. Glass Protection ----------------------------- ----- - 88. Corrections from Previous Inspections .. -- - --- - --- ---- ---------- 89. ---------89. Gas Test -Meters Tagged: Gas -Electric ----------------------- ----------- ------------ _____ ------ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ----------- ---- ---------------- -- ---- Date--- Card B-1 Date Card B-1 ------------------------------------------- --- ----- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Cantor Drive - Orville, California 969S6 - Telephone: 910,138.7641 Z !QQ y APPLICATION AND PERMIT 031-202-012 A R BUILDING PERMIT "SPI KATHY & DENNIS LORENZO Sq. FT. OCC. BUILDING VA411ATfON 177 9,027 \ OWNER'S M I INGADDRESS 188 WESTELLE DRIVE OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 9,027 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 97.50 ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ 48.25 Energy Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1841 10th STREET OROVILLE Permit fee $ 181.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME =MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ADP RIM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification --� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&) 3.64sq.ft. OR ADONS. ACC. BLDGS. 1 6.20 NEW CONSTR. MULTI'OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 1, (SINGLE OUTLET :,R. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g '15.00 Permit Fee $ 2 — 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. 19 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating EXISTING WALL HEATER Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County in consequence of the granting of this permit. q Date % _ / Signature of Applicant — O ner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'l)" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CO S1.XYPE TOTAL FEE $ - 202.45 HAz 0FEES IMP FL CDF PARCEL PD ISSu I HO V/ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do I work indicated abov for which fees have been paid. I C PUBLIC WORKS By Dates 16 �t 4- PE T XPIRES Date Receipt No. 19�6�Fi WNITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..1 'sr"'Y.��` '.f'.��' :r Y^T�..t'a'4�'"i '..�Miy .Y,..a,+f �,�t l.s,.'�!t''•.•:P nY"3-}'{7• >9.� . .t .y�,,., Ji.1 c.��.; ;�r�"1�i.. y'�' '.�1FMN � .r.'�> Yi•_.. , Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL^E; CALIFORNIA 95965 - TELEPHONE: 910/538-7541 w �- L PERMIT APPLICATION-QA�'A SHEET �;r /V I d Permit No. _ OWNER0101JAJ(.:S, ID �-Z� A. P.M.31- Proposed Building Use� dGL�1 r� F= Building Inspector Date 6 At time of permit application, I was advised the following data must be submitted prior to per• It` rocessing and/or issuance: DAT RECEIVED APPROVED., 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings 1 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation t instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........ ...... 'I. Park fees paid .............. 1 X620 fl,,li �} S I District fees paid ............ I D 9Z� 4. Sanitation approval from Health Department 1 City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required P,e-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Whenyq;Ll issuethe permit, process as follows: Mail�to o er. Mail to contractor. Telephone n hold f r pickup at � office. Deliver w/inspector. Other 421 Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date ~ Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mail_c7v-- r by date Plans checked by Date Plans approved by Date ?/ Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —20Z- 12— ZOr4ING %%` BUILDING PERMIT OWNE/� <D&VIVIS �o,eewZO TELEPHON �33_��EQ SO. FT. OCC. BUILDING VALUATION / V OWNER'S MAILING ADDRESS /8fl LJ -ES fe& ,e , (��o�i 1lE (il, 4SgC9� COy�RACT RAS jJ E ' A TELEPHONE CO,/lNNTT;RACTO,RR*SS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -1/09, 1S Energy Plan Checking Fee $ LJ.aV ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS h Permit fee $ �2 PLUMBING PERMIT Filing Fee 15.00 , //C &0 L) ; l Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or y6nt 7.00 USE OF STRUCTURE SF,�R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 utlets 5.00 Building sewer 15.00 Mobile Home S I G JW I @ 15.00 TYPE OF WORK New L Addition4 Remodel Utilities ❑ Installation❑ Other ❑ Describe work: � � � 4 Permit Fee $ Contractor i ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO 1000A, 37.50 CONTRACTORS LICENSE LAW 1 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.SINGLE License No. Classification 17I, 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 CONST. DWELLING OCCUPM DR ACDNS. ACC. BLDGS. / 3.60 sq.ft. 2(� NEW CONSTR ULTt.OUTLET NON.RESID BRANCH CIRC', TS @ 5-0041 POWER APPARATUS &) OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 76d A FIXED APLNS. EX. Occup. OUTLETS PIRESIO IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ Z 1 Q — 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 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heatin Conlin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - OwnerW Contractor ❑ Agent ❑ An OSHA ion of structuresoverrequired soin heighttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ HAz 1 DFEES I IMP I FLOOD I COF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / U 3 6 %-6 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541': 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) vt 17- 2. I (have/have+ not) /►�'t'�� 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 City Phone Contractors License No. 4. 11 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 Social Security Number �� Date -L 1J 8 !?9 Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. rk ..,,�,,.-. n••yrs,4,T„�,,.t'Ir-,;..,"r.+�r.r.✓b3�'�.c�:%�-'i �y4f��'"1Y�tw�...+�L►�.G*,five'tik"ibsrhl.fi.T,�"1'^,�+v-Wes..-imP'Y75�i`'t'1�;�;,�vk,M+'+S*'�,:r^N'r.i"-,'.rv:i'^....�..t,..p—s-•--`-.�..: BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 2O� Building"Department No. School Districtf/'LO 1�i�% �/ City F___1 County _�< Jurisdiction Property Owner [moi"//j/ Project Location/Address Subdivision Residential Development: oa # of Living MHI Units Lot Number Sq. FootageJ77 Addition (Group R) Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Buildin Department Representative ate (Floor Plans reviewed by School District Personnel) District Id No., 920386 A I-0 Vdhj LYI/t,AAx) Cly School District certifies that .(Applicant Name) (Phone Number) Id- -treet Address) � .a- . City) (State) (Zip Code) has complied with the requir- nts of Resolutiy on No. 106--90 by the pa nent o $ representing square feet. A9- Sch of Distri Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white-applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 0 FOR M `% ADDITIONS TO RESIDENTIAL'BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) �y UEN Owner AlI S i 5RZO Climate Zone Permit # 92 -0047 Floor Area M7 The foliowing.data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip:.doors,.certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING z8.3 tPM4X. NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. BUTTE COUNTY OTHER WILDING DEPARTMENT APPROVED 12/85 �ZONE11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING U-..65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip:.doors,.certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING z8.3 tPM4X. NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. BUTTE COUNTY OTHER WILDING DEPARTMENT APPROVED 12/85 13 *1 ❑ ❑ ❑ *2 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central 'Gas e:urnace_% (brand and model number) SE Btulh; (heating capacity) .Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal*EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC'WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Californi dministration Code. SIGNATURE OF BUILDING DESIGNF&4R APPLICANT *1 13 *1 ❑ ❑ ❑ *2 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central 'Gas e:urnace_% (brand and model number) SE Btulh; (heating capacity) .Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal*EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC'WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Californi dministration Code. SIGNATURE OF BUILDING DESIGNF&4R APPLICANT 1 PERMIT NO. 1097-77B A PERMIT EXPIRESCk�h/Z- OWNER S. M. Rich CONTR. owner LOCATION (A.P. 31-202-12 1841 16th St.,Oroville Temp. Power Pole Called G& E Temp.EE•ec. Serv. C�t'led' PG&E Te 'p. Gas Serv. Called PG&E .106 � FINALED (Date) l ,ei. (Sig ature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS `• P BUILDING INSPECTION RECORD 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 v To out Slab 1 % Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for physically Appliances Carport handica e. Gas Piping & Tes Conformance of ex. Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLA E Final Footin s Footing ELIA TRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE kPONKLERS Motors Framing %J Test V Water Htr. Stucco Final Subpanels Mesh M NICAL Gird. 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 MWMI Water Piping Sewer Gas Piping MOBILEWOME 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.) M a. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive — groville, California 95965 Tel epRone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. . 1 X &� Date,3—�— Signature of Permitee Aggent. Receipt No. ) 4 9! /�! nt 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 be aid. DIRECTOR F UBLIC WORKS By Date _ —4 — %7 uilding permit expires Date 3'/(! 7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �/ Telephone Noao . 7 Fireplace Contractor P_ Total Valuation Mailing Address Permit Fee Q D Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 1 Q6 2, —" 12- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F San+tet* Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Plans Rec'd arcel Approval Pla4,%pproval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ ETHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 LEV ORSS Main service 100 AMP 5.00 Q ^ _ Y � Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON- R. 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 le of: Ex. Occup(OUTLETS OR FIXTURES)50 @25C SAL @1 Ex. Occup. FIXED APPLNS. OR p'(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 $ $ 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 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 TOTAL PERMIT FEE $r� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. . 1 X &� Date,3—�— Signature of Permitee Aggent. Receipt No. ) 4 9! /�! nt 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 be aid. DIRECTOR F UBLIC WORKS By Date _ —4 — %7 uilding permit expires Date 3'/(! 7�