HomeMy WebLinkAbout031-238-032t
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JOB FINALED (Date)
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NOTES
RESIDENTIAL
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i 031-238-032 ,. „ 99-1652
r i PERMIT
NO. GILBREATH, ;DarreII,&-Myrna— - —
j1711 5`h Street, Oroville
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Contr: Perfection Pools
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`Private pool
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SPECIAL CONDITIONS
CHECKED
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SRA
. FLOOD CERTIFICATE REQ.
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FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
4
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JOB FINALED (Date)
M
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— ( Signature �-
1,
✓ = OK
Card B-1 Date Card B-1
0 = Not OK
Card B-1 Date Card B-1
- = Not Applicable MOBILE HOMES
= Not Ready
Zoning Requirements -Setbacks -Easements
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1. Zoning Requirements -Setbacks -Easements
4.
2. Soils; Special MH Support Sketch
5.
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utilitv 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.
Tie Downs -Type -Installation Cert.
10:
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
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; 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 -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
f
j 12.
Braced Wall Panels
a
Date Card B-1
V Date Card B-1
Date Ca -1 Date Card B-1
Date FINAL (Plans) OK except #'s
Setbacks -Easements
2. ils; Compaction -Structure Stability
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
i Elec.; Receptacles and Lighting, Distance-GFI
{ le ; Pool Lighting; 15 Volts-GFI .
Elec.; Enclosures; Conduit Entries -Terminals -Listed
1_,7!Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8 ec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-W-osures-Panelboards-Ins. to Main in Conduit
th Department Approval
P ; Cir. Test -Water Supply Test
Light Niche
t ,
Date r -CNI Card B- Dat;941;Card 6-1
Date�Card B-1 Date Card B-1
a
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
..
RESIDENTIAL (:
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning-Setbacks-Easements-Flood-Slope
Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel- Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel-Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers-Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test-Anchors-Regulator-Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance-Material-Support-Ins.
Brace Interior/Exterior Wall Panels
14.
Girders-Sills-Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent-Access-Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor-Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor-Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor-Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor-Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance-Ins. Protection
24.
Elec. Receptacles Spacing-Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners-Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or At
Insulated Neutral O Yes ] No
31.
Service-Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light-Shower Light-Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs-Nailing Spacing & Braces-Plates-Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs
45.
Headers & Beams-Size & Bearing
Tingle & Duplex)
Date
FRAMING (Coritiriued)-
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive 0 Yes U No/Walks ] Yes 0 No/Planters ] Yes ] No
83.
Stucco Brown -Finish '
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
V
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Date / 0/ - - Inspector
REV 10/92
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} COUNTY OF BUTTE
BUILDING DIVISION
• DEPARTNItNT OF DEVELOPMENT SERVICES
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411 Main Street • Chico, CA- (530)-891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
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CORRECTION NOTICE
OWNER PERMIT NO.
•`>'
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A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
.
please contacts this office immediately.
.
>.
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Date / 0/ - - Inspector
REV 10/92
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t" COUNTY OF BUTTE
a.
�. BUILDING DIVISION
NI DEPARTMENT OF DEVELOPMENT SERVICES
LP 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
j
CORRECTION NOTICE
4M
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
z= -• above address and should be corrected. Please notice this office when correction of work is -
4 completed. If you have any questions pertaining to this matter, ,or -need additional explanation, .
q = ' please contact this office immediately.
C ni
B4C�„
Date -9,7 Inspector
' _REV.10/92
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B4C�„
Date -9,7 Inspector
' _REV.10/92
v
COUNTY OF BUTTE.
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
L ?9-4- 5�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above addre nd should be correct�per
Please notice this office when correction of work is
complete ou have anMuestionsaining�totmatter, or need additional explanation,
p ase c6 ct this office PIM
t ly.
/,, n_
REV 10/92
i'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGSION
.7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 - 541RMIT NO.
(Rev.12/96)- - - APPLICATION AND PERMIT G��
ASSESSOR PARCEL NUMBER 031-238-032
AR ZONING
BUILDING PERMIT
OWNER
DARRELL & MYRNA GILBREATH
TELEPHONE
534-5888
SO. FT. OCC. BUILDING
VALUATION
.OWNER'S MAILING ADDRESS 1711 5TH STREET, OROVILLE 95965
CONTRACTOR'S NAME PERFECTION POOLS & SPA
TELEPHON
895.0437
CONTRACTORS MAILING ADD'90 EAST 20TH STREET, CHICO 95928
�j
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
22,000
ARCHITECT OR ENGINEER
LICENSE NO.
_Filinq Fee $
20.00
Permit Fee $
225.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $23.00
BUILDING ADDRESS 1711 5TH STREET, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE _
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
PRIVATE POOOL
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
REPLACE VINYL POOL WITH GUNITE
Describe Work:
MASTER # 500-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o0A 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./ C.�/
License Class �– 3 Lic. No. S4 `� /
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
A3700 of the Labor Code, for the performance of work for which this permit is issued.
My workerh' compensation insurance carrier and policy number are:
Carrier (W i- C�p� d
Main Service 200A TO
46.00
CCU000A
NEW CONST. DWEWC OCS. s0
OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT;
N..R.lor. MULTI-OUTLETITS @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
.00
IFDR
EX. Occup. OUTT OR FURES BAL @ I. 0
Ex. Occup. ouTLEt°Ts ASID°Ea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
POOL ELECTRIC 1 30.0 30.00
PERMIT FEE t sn nn
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number 2f -4 7 f f 3'
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'HAz.
compensation laws of California, and agree that if I should become subject to the
wo kers' sation provisions of section 3700 of the Labor Code, I shall
fo hwith;Ypvwith those provisions.
X _ Date 7/,
Ignature of pplicant - ❑ Owner ❑ Contractor X 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 Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $
D.� IM FLOOD
'—
cDF
_
PAR
PD HD
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w ' h fees have been paid.
�. ¢
By�'�/fJ Dat f
PERMIT EXPIRES ON
6btd
ReceiptNo. 273532/$353.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RM IT NO.
(Rev. 12/96) APPLICATION AND PERMIT
A9SEs90RPARCEI NUMeEA
i
1 02 _
ZONING
BUILDING PERMIT
owNER c
�
TELIPIWN
5
SO. FT. OCC. BUILDING VALUATION
OWNER'SNO AD 99 ✓ `
1-711 ll
IYU
CO '9hh ^
(J W
ELFPHONE
COB NO ADDRESS
Vn 5
CONSTRUCTION LENDEN
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER -
LICENSE NO.
Filing Fee $ 20.00
ARCHITECT OR ENOINEER'S MAILING ADDRESS
SUwwGADOREs9
�� (
Permit Fee S
Plan CheckingFee b 3.
Energy Plan Checking Fee S
• S
PERMIT FEE _
IDT NO.
SUBONEilON9AME N
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECFY
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 ❑ Mer
Describe Work: c i
F�
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W Q20.00
PERMIT FEE :
ELECTRICAL PERMIT I Fling Feel 20.00
Main Service 000v OR LESS
2o. of LES 23.00
— ---
Sindicated
Main Service 200A TO IOWA 46.00
NEW CONST. DWELLING OCCUP. SO
OA ADONS. i ACC. atDa. 3.50FT.
N ONS MULTI -OUTLET �7.SO
NON-R61D. ap-AWN CIRCUITS
POWER APPARATUS
8 SWOLE OUTLET CIF.
EX. OCCU . OUTLET OR FIXTURES 200 1.00
aAL a .50
Ex. Occup. A ORE D. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Er&gy Inspection Fee $
coNsT. TYPE TOTAL FEE $ ��.
Vthce
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
PO HD i WUE
it is hereby Issued under the applicable provisions
utte County Code and/or Resolutions to do work
above for which fees have been paid.
By Date
PERMIT EXPIRES ON
m.ml
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARC ER: 51 — �� — ,3 a
Proposed Building Use: Building Inspector: Date:
At time of permit applic tion, I was advised the following data must be submitted prior to permit p cess' g and/or issuance:
Date Received By
/1.All items have been submitted --------------------------------------------------------------------------------------
El 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
El 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
118. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
El10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule.
412. California Department of Forestry plan approval/fees.--------------
",-tQ;13..Flood elevation certificate. ---------------------------------------------
.k. 14:
--------------------------------------------
.k114: Sanitation and plot plan approval'_ Health Department.
'v ❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
❑20. Pre -inspection for required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------.
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
1324. Letter of signature authorization. --------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------
❑26. Letter of intent on building use. ----------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ---------------------------------------------------------------
❑29. E143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------
030.
-------❑30. Other:
(Date)
Wh , n you issue a ennitprocess as follows ❑ Mail to owner, ❑Mail t r
+Telephone � and hold for pickup at�l �t contractor.
, office. ❑ D liver with inspector.
APPlic � Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po ution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: i0 Plan Check List
2. Additional items required: y
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ^'—'9n°
ASSESSOR PARCEL NUMBER
01411-71A-4111112
ZONING
BUILDING PERMIT
OWNER DARRELTELEPHONE
t R p
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
V ST OR09"Mr,
24 SO 1440.00
CONTRACTOR'S NAME
t7P
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 1440.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADgRESS MM ST' QROV
1711
Energy Plan Checking Fee $
$
PERMIT FEE $55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF 8 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
N
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 41,
Describe Work: RER001? W%RAMP
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ZDOA 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.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La�w?., for the following reason:
�u 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 tOOOA 46.00so
NEW CONST. DWELLING SO
OCCCUCUP.
OR ADDNS. ( a ACC. S.3.50 FT.
NEW CONST. MULTI.OUTLET 97,50
POWELEPPARATUS
a R A
SINGOUTLET CIR.
EX. Occup. OUTLET OR FDCTUREs BA0 ® R.00
O APP
Ex. Occup. oF"uTLEETS (RR9 o )DEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�Q 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.
X Date /
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. S��W
TOTAL FEE S
HAL
D. FEES IMP
FLOOD
CDP
PARCEL
PDHDUE
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.
"By Date / 6,493,6 1
PERMIT EXPIRESa,Q ' 93 -6
ate
Receipt No. JJd �U `per ' UU
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES f'
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541 'J
CORRECTION NOTICE
IA
OWNER PERMIT NO. "A
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
1-1
Date / ( _r r Inspecto�
REV 10/92
d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT—(11-27nQ
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
24 S 1440.00
OWNERS MAILING ADDRESS
922 MONTGOMERY ST, ORO 99969
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $ 1440.00
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $ 20.00
—Filing
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1711 5TH ST, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $55.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF & Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX
Describe Work: RFROOF W/COMP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE _
ELECTRICAL PERMIT Fling Fee 20.00
500VOR LE
Main Service ZO.A 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,Fyq°�,o
and my license is in full force and effect.
License Class Llc. No.
-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:
❑ I 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 permitis Issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO 46.00
NEW CONST. DWEWNG OCCUP. SO
DWE200ALLING CCU000A .50so
OR ADDNS. ( a ACC. BLDS. 3.5¢FT;
MULTI.OUTLET @7,50
owER APPARATUS
b PSINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTUREs e20 @ I.00
OWNER .50
Ex. Occup. QLI APP .DEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 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
rthwith comply with those provisions.
X �� Date l� - a 3 '
S nature 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
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
X
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ve for which fees have been paid.
i b )d3)6
/s1 Date l
PERMI EXPIRES lU °�
I ate
Receipt No. 336730/$55.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 11166) APPLICATION AND PERMIT PERMIT No.
ASSESSOR PAAClL NUMaEA/� - ) ' '
v (IJ' xV ZONING BUI7;;Ri
OWNER
`� t� _.11 b� T4mNONE occ.
OWNER'S MAl1Nf� ApCEg. A - UATION
CONTRACTORS NAME IV 4 S � Zv
CONS TRUCTION LENDER
LENDER'S ►WUNO ADDRESS
ARCNRECT OR ENKRNEEA
ARCNfTECT OR ENGIN MA'S MAJUN0 ADDRESS
SU Dwo ADDRESS
.OTNO I SUBMISJON8NAME
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome [3 Other
/ GMFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ubhes /❑InsUpation [3OthA
3
Describe Work: // 1 1
*PERA T FEE PA.1b
SRI • •
SHERIFF
OTHER
AMOUNT RECEZ"b
Fireplace
Total Valuatlon S
rinno tee $
Permit Fee L
Plan Checkin Fee S
Energy Plan Checking Fee E
S
PERMIT FEE 1$
aE-achTra
BING PERMIT
l um water heater
Each gas water heater or vent
Gas piping in system t - 5 Outlets
-5 outlets
Building sewer
Mobile Home 15 1 G I W
PERMIT FEE !
ELECTRICAL PERMIT
Main Service =ES
oR LS
20oA OR LESS
Main Service ( 2wA TO I000A 1
Ex. Occup. (ounET OR ----
Ex. Occup. ( OIR;LtT9 PE APPLNs. OR
fRESID) EA
Temporary Service
Mobile Home Facilities
Misc. Wi►inn
PERMIT FEE t
MECHANICAL PERMIT
Heating
Cooling
PERMIT FEt I S
20.00
20.00
7.00
23.00
1 5.00
15.00
15.00
is 00
020.00
Filln Fae 20.00
23.00
46.00
3.5,so.
@7.50
5.00
23.00
20.00
6.50
20.00
Mobile Home Installation Fee S
Energy Inspection Fee S
occ CONST. TYPE
TOTAL FEE $
NAZ 0. EEf3 IMP MOOD COP PARCEL P -I
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated �P� �� ab
*RECEZpT NVAASER ove for which fees have been paid.
�
* TO Be PVT' =�O COMTER pVBy Date
PERMIT EXPIRES ON
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.unaecessary 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,6 NO ❑`
2. I HAVW HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to cooidinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY•
PHONE: CONTRACTOR'S LICENSE NO.
5.: I will provide some of the work but I have'contracted (hired) the following persons to provide
the work indicated:
. NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:,
DATE:
NOTE:. • This Owner -Builder Verification is required by Section 19831. and 198.32 of the.
California Health and Safety Code. This verification must be completed and
returned to our office before we,are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that -the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
n rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE': Tilis Owner -Builder Information is required by Section 198.10 of lire California Neafth and Safety Code
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 031-23-8-032
ZONING
BUILDING PERMIT
OWNER/.tppp� t , ,,.t- t:, ®F - , ¢i
3N25888
Sp, FT, OCC. BUILDING VALUATION
OWNERiSAMAIUNG ADDRESS
PUSUCTION POOL
CONTRAMNg1?, /1T ICO
I�I�
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1711 SM RT, 01ROVTTJ.F
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling 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 as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
GAS PIPS
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S •
ELECTRICAL PERMIT Fling Fee 20.00
600V OR LESS
Main Service 20.AORlESS 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 Lic. No.
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
Main Service 200A TO t000A 46.00
NEW CONST. DWELLING OCCUP, SO
OR ADDNS. ( a ACC. BLDS. 3.5Q FT.
NOµpESID. MULTI -OUTLET @7,50
PowER APPARATus
d SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES 20Q1'0°
BAL 50
Ex. Occup. OFlx�s R D OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirino 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit 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
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
;Grp 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
f6ithwith comply with those provisions.
/
�1X tA= y+G7 ' c t./° ; c - r! _ Date `i�" - _
Signature of Applicant - ,121' Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructions
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above fo�,which fees have been paid.
By Date --S' —
PERMIT EXPIRES ON �WQ
08te
Receipt No. .5+ n 17 7,71 1
WHITE-D.D.S.-ErD. I CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
knuv. 1 USO)
ASSESSOR PARCEL NUMB
`I .-031-23--
OWNERD JLft JM♦BREAK
V ST C.17
OWNERS MAILING ADDRESS y
CONTRA�)NAST! CHICO
CONTRACTORS
LI
MAIU ANG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS "UNG ADDRESS
BUILDING ADDRESS
LOT NO, I SUBDNISION'S—NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
a—
ZONINO
SO. FT. OCC. BUILDING VALUATION
Fire lace
E
Total Valuatlon $
NO.
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Q Inst+ tion ❑ Fther ❑
GAS PIPE 1 —
Describe Work: �� ���
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Q 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. 1
❑ I, as owner of the property, am exclusively contracting with licensed cc mtractors
to construct the project.
❑ I am exempt under Sec.
reason Business and Professions Code for this
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
131 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 permits issued.
a workers' compensation insurance carrier and policy number are: {
• Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) I
1�. I certify that in the performance of the work for which this permit is issue, 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.
f� s
X ./L%,OL:Tt•��+( ,. / . / Date
Signature of Applicant - .Q Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
ReceiptNo.
WHITE-D.D.S.
ti
,
d
ESSC
PERMIT FEE
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outletn
ouuoing sewer
Mobile Home
PERMIT FEE S
ELECTRICAL PERMIT
Main Service _dV OR LEss
200A OR LESS
Main Service 200A TO 1000A 1
Ex. Occup. ( OUTLET OR FIXTURES
FU(ED APPLNS. OR
Ex. Occup.
Temporary Service
Mobile Home Facilities
PERMIT FEE S
MECHANICAL PERMIT
Heating
Cooling
Mobile Home Installatio�tH Energy Inspection Fee
OCC CONST. TYPE
TOTAL FEE $
-Z• D. FEES IMP FLOOD CDF
$
$
$
s
Filing Fee
7.00
23.00
15.00
15.00
15.00
15.00
@20.00
ng Fee
23.00
46.00
3.52FT:
@7.50
5.00
23.00
20.00
23.00
Fee 1 20.00
6.50
PARCEL I PD I HD I ISSUE
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.
i
l
By - Dater
PERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 _ ER .
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 031-23-8-032
ZONING
BUILDING PERMIT
OWNEIDARRELL e d- re—
5W-25888
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
PEREFECTION POOL
CONTRALTO E TT , CHICO
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDNISIONS NAME
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 PIPE/91 /_ �
%% lD
Gas piping system 1 - 5 outlets
15.00 15-00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service *I.A 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.PSING
License Class Lic. No.
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
Main Service 200A TO 1000A
46.00
NEW CONST. DW EwNG OCCUP.
OR ADDNS. a AX C. BLDS.
SO
3.5¢Fr.
MULTI -
NONRESID. ANCHOUTLET
97,50
a E OOWERLAPPARATUTLET CSI R. US
Ex. Occup. OUTLET OR FIXTURES
ens @ I.50
Ex. Occup. OFlx�e A oR.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
4 1 certify that in the performance of the work for which this permit is issued, I shall
,,)4
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
for hwith comply with those provisions.
,�A C�
X /l// 7K/�i .- > 44,,0 iv/ Date 's �/
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $ 35. 00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above fo which fees have been paid.
By Date
��
PERMIT EXPIRES ON
Data
Receipt No. -�—
WHITE-D.D.S.- .D. CANARY)ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMff_ NO.
(Rev.12/96) 3Z, APPLICATION AND PERMIT o
ASSESSOR PARCEL NUMBER_
o c �/ P � ) + y
2OMING
BUILDING PERMIT
OWNER
/V T f; rJ G+ i S%
TELEPHO.
re g
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
-e r f e C"_—r V Y -r � C� L_
CONTRACTOR'S HAMS D T I I
C
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fire lace
Total Valuation $
ARCHIrECT OR ENGINEER
LICENSE NO.
Filing Fee S 20.00
Permit Fee S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee b
SUILDINGADDRESS
Energy Plan Checking Fee S
PERMIT FEE _
LOT NO. SUBDIVISIONSkMe
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFDuplex ❑ Mobilehome ❑ Other
SPECIFYEach
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
gas water heater or vent 15.00
TYPE OF WORK
New 13 Addition 13 Remodel ❑ lJtifities ❑ Installation
Describe Work: Cc, -s e %
❑ Other
Gas i in stem 1 - 5 outlets 15.00
Buildin sewer 15.00
Mobile Home I S I G I W Q20.00
PERMIT FEE $ 3S-1
ELECTRICAL PERMIT Fling Fee 20.00
Main Service xw OR .ss 23.00
i
i
1
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLAJfi OCCUP. 3.SQso
OR AODNS. ( 8 ACC. aLOS.
NON"RESID. Mrdtw ULTbOUTLET @7.501
POWER APPARATUS
8 SINGLE OUT1.ET CIR.
20
Ex. Occup. ovrLEI OR FDMRES ®I.00
BAL @ .SO
Ex. Occup. oLm �sA aEsiLi.LNS °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee b
Energy Inspection Fee $
OC`
CONST. TYPE TOTAL FEE $
IMP
I FLOOD
I CDF
PARCEL
I PO
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 which fees have been paid.
By Date
PERMIT EXPIRES ON
to