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HomeMy WebLinkAbout031-235-002FRANK WOMACK 31-235-2 +1768 5th. ri i St., Oroville Ple rmit #2336-76P(bldg. s Icontr: Mauldin & Son Plum 31-235-0 Contra North State Roofing ,,� Permit #3009-84B(reroof & smoke det S Adj3'/4255f 5r 31-235-2 Contr: Lagrone AC Permit#580-85P,F,,M(replace htr & add AC)SF 031-235-002 05-2442 ANDOE FAMILY TRUST 1768 5TH ST, OROVILLE Cont: THRESHER HEATING HVAC A1.41t1-/d///A5 0 U r �� M Ln 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. BPO52442 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. . LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (coinmencing with Section 7000) of Division 3 of Issued Date: 09/12/2005 APN: 031=235 002-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1768 5TH ST ORO Date: Contractor: Map Index: Description: REPLACE EX 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ANDOE FAMILY TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of ANDOE ROBERT MATHEW & MARY ELLEN the Contractor's State License Law (Chapter 9.commencing with Section : TRUSTEE - 7000) of Division 3 of the Business and Professions Code) or that he or 1991 N VILLA AVE 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 PALERMO, CA 95968 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ANDOE FAMILY TRUST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for ANDOE ROBERT MATHEW & MARY ELLEN sale. If however, the building or improvements are sold within one TRUSTEE year of completion, the owner -builder will have the burden of 1991 N VILLA AVE proving that he or she did not build or improve for the purpose of sale.). PALERMO, CA 95968 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 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.). Contractor: THRESHER HEATING AND A/C ❑ I am Exempt under Article 3 of the Business and Professions Code Date: 2-/ Z�wner:.�, 10 BO -Y -LE LANE OROVILLE, CA 95966 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 530-534-5002 ❑. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the threSh@usa.COf11 Labor Code, for the performance of the work for which this permit License #: 747884 is issued. ❑ 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 Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: 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 otal Square Ft: 0 S. F. become subject to the workers' compensation laws of California, Valuation: $0.00. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: 9'— 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. 2� 7 .0 �,JJ U1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Code and/ r Resolutions to Cindicate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 6 Name: By: Date: "� /( • " 9 Address: PERMIT EXPIRES 0 t' Oat ❑ I 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 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. , I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the 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 representativesof Butte County to enter upon the above mentioned property for inspection purposes. r Print Name: //1�tre7tt1,k i, Signature: �o Date: Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 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 OF APPLICATION Website: www.buttecountv.net/dds J n lr­,�( �&Z_ 1 L \�tAYPLEASE PRINT CLEARLY** Cl OWNER Last Name /I lil o e First NPE9L o . r Address U v e - V City C��rsn0 StateCA Zip 6-4f Phone 5- ho 5,; j- 7�77/ Fax E-mail h'leC /OG 0- i �I CONTRACTOR// ARCHITECT/ENGINEER A ��JJ Name — rh ase17 r ea11h 4 14(r" • (ion d Address Address City r0 U c [ Stag A / Zlpq 5W/ (� Phone Fax Phone E-mail Lic. # E-mail Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name i er Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address h 1-769 Flood Zone Cross Street CIO /D SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. S, L 44) - BP BIN # LLOCATION c� Property Address h 1-769 City Cross Street CIO /D 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. Sheriff LENDING AGENCY Name Address IDescription or Scope ofk-o_v oyk: Sq. Footage O Structure Built without Permits C3 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. Page 1 of 2 REV 2-24-05 5 Received by: Amount: Bldg SRA #: Sheriff ®Receipt SMIP Date: 7 /j ,;,/� Other / ` Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or,4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Permit#580-85P,E,M Sadie Womack 1768 5th St, Therm COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill5r California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. G ASSESSOR PARCEL NUMBER ZONING , BUILDING PERMIT OWNER r 11` TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS' CONTRACTOR'S NAME �` TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing LENDER'S MAILING ADDRESS Fee Permit Fee $ 10,00 $ ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER 7 LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20,00 ] - L) , lI F Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 L't' USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W F 10-00e TYPE OF WORK New ❑ Addition ❑ t Remodel ❑ Utilities[], Installation ❑ Other Q Describe work: �J" + ' t r r.' Iz rrF '•' i' t r r'! C.�,, f _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEw CONST R. ( POWER APPARATUS &) NON -RESID, SINGLE OUTLET CIR. zo@goa Ex. Occup(o OR FIXTURES BALD 30 PrS FIXED R Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 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 ' ,'i'. , / Cooling Hood 3.00 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 — Owner❑ Contractor Q 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 $ ,� ! TOTAL PERMIT FEE $ ( . -OCCUP. GROUP I TYPE OF CONST, PARCEL P7. I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC i By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT' OF, PUBLIC WORKS' 7 County Center Drive - Oroville, Ca!iforni05965 - Telephone 916/534-4541 APPLICATION AND PERMIT' PERMIT NO. O `� ASSES SO PA C� NUMB �[j ZONING BUILDING PERMIT OWN 'k TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S A`LI G ADDR CONT ACT 'S NAME a. r vt� TEL PH E CONTRACTOR'S ILING ADDRES r Fireplace CONSTRUCTION LENDER U KNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD DR s ` PLUMBING PERMIT FiIingFee 10.00 Each Trap - 2.00 Solar Water Heater 20,00 piping 5.00 1Water LOT NO. SUBDIVISION NAME PARCEL MAP-- Each gas water heater Or vent 5,00 Gas piping system 1 - 5 outlets 5.00 5�00 USE OF STRUCTURE SF X Duplex F-1 Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W lome TYPE OF WORK New ❑ Addition ❑emod I ❑ Uti li ies ❑ Installation ❑ Other Describe work: _ Permit Fee $ /15700 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS , 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. f License No. Classification 5_ d �! ❑ 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 BRANCH CIRC ITS CONSTR ULTI.OUTLET 2.SOea NEW CONSTR ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES DA ®3 0 FIXED APPLNS. OR1 `o Ex. OCCUp- OUTLETS (RESID.) EA.2.00 rOV Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring _ 15.00 Permit Fee $ 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 FiIingFee 10.00 Heating o Cooling 11,06 Hood 3.00 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 againstyid County i consequence of t granting of this permit. /' Q� �J r Date �s Signature of Applicant — Owner ❑ Contractor � Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height./11y,(y Mobile Home Installation Fee $ TOTAL PERMIT FEE 5_�(00 OCCUP. GROUP I TYPE OF CONST. PgRCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE CT R PU LIC By PERMIT EXPIRES JAate the applicable provi- resolutions to do fees have been paid. WORKS Date d Receipt No. ///U WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit #3009-84 Sadie Womak 1768 5th St, .Oro CC r -� COUNTY OF BUTTE - DEPARTMENr OF' PUBLIC WORKS . PERMIT NO. 7 County Center Drive - Oroville, Caljfornia 9&965 - Telephgne 916/534-4541 01 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I ,_ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE J CONTRACTOR'S MAILING ADDRESS - } Fireplace CONSTRUCTION LENDER i UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER�1' / R Y,� C� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ��;� 1 U BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other Q Describe work: `a i ^ :a+ fir. i1 r, ►.' / �� _ ' 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2h�Sgft 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. License No. ' - I.) ii � Classification � 1 ❑ 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 CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. z0@50C Ts OR FIXTURES BAL030 Ex. OccUP. FIXED FIXED APP LNS. OR \ Ex. QCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 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 Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 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. _ - J Signature of 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 $ TOTAL PERMIT FEE $ Of OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND seuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC f By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. / -) * t WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT{OF' PUBLIC WORKS 7 County Center Drive - Oroville, California 9.5965 - Telephone 916/534-4.541 APPLICATION SAND PERMIT PERMIT NO. ASSESSOR PARCEL NrER ZONING.' - BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWER'S I ING ADDRE C J CON ACTO N 4 TELEPHONE CONTRACTOR'SMAILIN AD RESS' Fireplace CONSTRUCTION LENDERN« /KNO-N Total Valuation Is Filing Fee $ 10.00 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 S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �/ USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other [ SPECIFY Building sewer 5.00 Mobile Home I S1 G W 110-00e TYPE OF WORK New ❑ Additio ❑ Rem del ❑ U4ities [:1Installation E:1ther Describe work: �a wih -A44Main Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR LES service 100 AMP ORS SLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. J yc JZ 5- 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 CONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NON.RESID. SINGLE OUTLET CIR. � Ex. Occu 2o080a p�OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] 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. MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 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 ep harmless the County of Butte against all liabilities udgments, costs exp which may in any way accrue against sa' ounty in copse a of t nting of this permit. X g �� � a Date Signature of rant — 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 $ TOTAL PERMIT FEE , Occu P. GROUP TYPE OF CONST. PARCEL PD HD ISSOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTQR OF PUBLIC BY PERMIT EXPIRES ate " the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.:a R, % a—? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT Nor �` 2336-76P ' PERMIT EXPIRES 5/6/77 OWNER WOMACK, Frank CONTR. Mauldin. & Sons Plumbing LOCATION (A:P. 31-235-2 1768 5th. St., Oroville s . Temp. Power Pole '6 Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas ScIrv., Cal PG&E P INALED (Date) (Signature) COUNTY OR BUTTE - DEPARTMENT OF PUBLIC WORKS` BUILDING INWECTION 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 To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water'Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roucih Relnf. 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 4 REMARKS OR CORRECTIONS y (NOTE: An entry,must be made on this form each time you vjsit the job site.) I z s THERMALITO IRRIGATION DISTRICT t' ' 410 GRAND AVENUE 4 f ` I 319 OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 19 , - Owner's Name: `� . _ `1 �, A/ A Date: Address: Acct. No 1 .,,41_91 f ._ � G� r,�.�,..�,....��w-�... f) .t c- / c �, A.P. No.::IL .. Phone: �- -� -� _ .,y .y ..-3 � -� , ,�� _ No. Units: — .... . w o Applicant/Agent: I M Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: ` /'�.,.o. %%/,� Date: -!./ CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees A)D,Uc` Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: El Date of TID approval of completed building sewer (early connection). El 30 days after date above, or on date,,of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior ta,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 7 County Center Drivej•—, ;Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT • �33 6 `-76 i . ..,......v.....•.rvv . •,v VVU��ay Vi UUllc lV Gl ILUI UIJUII LIM: _ above- o d property for inspection purposes. X ,= 7 e l ignature Perms ee o Aggeent Re eipt 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 OF PUBLIC WORKS Date 79 permit expires Date —77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace + Contractor - �y,� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. S3 - , � permit Fee $ Building Address (8h SDI,: PLUMING 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. .3i— :3 — - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Fire Dept. Fire Zone Use Permit Building sewer 5.00 S-oa EQA Parking Plans Parcel60' DeclarationParcel Ma P R/W Improvements_ Lawn sprinkler system 2.00 ns -R -e. d Parcel Approval Plans Approval. Permit Fee $ $ (� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - Main service 100 AMP LESSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service. 0 VER 600V 0 AMP OR LESS 25.0 Main service EA. ADD'L 100 AMP 1.00 ' - NEW CONST. OR ADDNS. (DCCLBL GSLING CCUP. &) 22sgft 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 Profess" Code under the name st le f ! /^ C c@ r Ex. Occup(OUTLETS OR FIXTURES) BAL FIXED APPLNS. OR Ex. Occup.(OUTLETs (RESID.) EA) 2.00 Temporary service 10.00 ' r Mobile Home Facilities 15.00 �G C��� License No._.��Sllf� �% Classification_ Misc. Wiring 6.25 FT ❑ 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. 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 oft Cal I forni a. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ C76 . ..,......v.....•.rvv . •,v VVU��ay Vi UUllc lV Gl ILUI UIJUII LIM: _ above- o d property for inspection purposes. X ,= 7 e l ignature Perms ee o Aggeent Re eipt 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 OF PUBLIC WORKS Date 79 permit expires Date —77 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT. CONDITIONS SUB -STANDARD HOUSING LETTER 4=OK o= Not OK _ Not hte = Ready . =Not Ready 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) S. Electricity; Location-Clearances-Gmd-/ ." /Amp Concrete 6. Gas; Location -Test -Wrap;-/ . : /" L'ft'' /. PNator/. /"L"ftJ.'• PLPG. 7. Well Clearance & Disconnect 8. Utility Clearance ... ' 10. Roof; Stog-Roofing Date Card B-1 Date Card B-1 Date Card B-1 : Date 1 Card B-1 . Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size-Spacing-Maniage Line 3. Gas; MH Test-Demand-Valve,ronnector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flet Connector 6. Water, MH Test-Regulator-Connedot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged . 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date : Card B-1 Date :..: Card B-1 Date PERMANENT END SYSTEM (ONLY) ' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size-Spacirtg-Marriage Une 3'Blocking - . 4. "" Gas; MH Test=Demand-Valve 5.Electricity, MH Test I 6. Water,.MH Test' _'7. Water and Sewer _Connected ..-------------- 8. Gas and •ElectridV Thgged' 9. Exits `10.: Ucen'se Decals _ 11. Verify. #'s with Office ': Date Card B 1Date Card 13-1. Date.. .. Card B-1 _ " .bate Cana B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-SpacingConnectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. 'Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. • Alum. Awn.; Columns-Connections-Splice-Decal-Endosures 6: Carports; Windows -Doors 7. Electric 8. Fnng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Stog-Roofing 11. Ext; Steps -Doors -Landings " " 12. Braced Wall Panels"' '. 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, Distance -GA 5. Elec.; Pool Ughting; 15 Volts-GF1 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7.. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip: W/5' Circulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit _T- HeaM Department Approval 10.._ Plumb.; Cir. Test -Water Supply Test 11..._Ughf Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date....._.. Card B-1" "" `' Date ,.... '...:.' ':`.° ""-.Card B-1 = OK =Not OK = Not Ready t Ready a Nat RESIDENTIAL (Singie & Duplex) late UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd. / . /" Ftg. Depth 3. Ftg., Garage; Sols-Steel-Elec. Gmd.-/ i Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yana Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fine Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture $ Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -lights & Switches at Doors 26. Siie Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AJ -Oven Circ. ! /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insufation 38. Condensate Drain & Overilow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform R Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Puriin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Tres or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings . 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfic Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-1 Date : Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip: Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guam Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following tnsNdJDrive D Yes D NoAValks D Yes D No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, P(bg-Appriance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections i 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: