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031-242-003
3 -242-3 31-242-3 WAYNE GAGE �Q d���/ 6 LLOYD STEELMAN - (SPECIAL INSPECTION #7-84 TO MOVE BLDG 1657 7TH. T. ROv I LLE FROM 12-185-8 TO 31-242-3) 1 `i PERMIT #767-76E(ELEC. SER., CH-) SF, CONTR, YOUNG ELECTRIC 4F / 77 31-242-3 i Intr: Mauldin &Sons Plbg. mit #3470-76P(inst. new gas line,)- replacement S/F i31-242.=03 Y DORMAN 730 Colusa Ave, oville i Permit#1289-84B,P, E,, (foundation for move -in S— O see SI #7-•4 , 31-242 03 Permit#1_ 352-85B(lst renewal -84) ` 1-2'4 03 ��-��A ermit#2290=86B{2nd 'r"R:1_/_1284 f21;� - 9030B,P,E 03-L-2242-003, Y r DORMAN, Ray 73.0 6 .:Ave, Oroville. comp e/84-1289" -�031-242=003 05-2495 DAVIES, ARTHUR - 1657 7TH ST, OROVILLE' CONT: OWNER Q( REPAIRS (MISC) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last Name/LJ-7/�S First N/ar/y���/��1,)� 21 Address Address f 5/ 7/ llS�� Zip City Slate Zip / Phone C�3� s--� Fax J Phone E-mail Fax APPLICANT NAME CONTRACTOR Name City ©IQf��1 Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City ©IQf��1 Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name /�, � �• Ffl�l!X* Address 122-8 —�/SDAJ ff� City ©IQf��1 Statec Zip Phone/ , SOD O 5,7 D �3Z `Y- Fax E-mail . ,---APPLICANT SIGNATURE X For office use only: Zoning Property Address 4&7 37 /S 7 0 Flood Zone Cross Street SRA I 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. b5Z�g5 BIN # LOCATION AP# W31-2142 n r Property Address 4&7 37 /S 7 0 City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. 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. II Received by: K,F/ Amount: V9 �Q� Bldg nn SRA a Receipt #: �3a03 Sheriff SMIP II Date:,? (5 " 05 ('� pp Other I IL 't IOQ l (1 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 LEGIBLE AND 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 KAFORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 SPECIAL CONDITIONS. CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. '.".—SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER lo. te) 4,FkNALED.(Da 4=OK 0= Not OK . = Radcahle . =Not WReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Cana B-1 Date 1. Zoning Requirements -Setbacks -Easements Date 2_ Sols; Special MH Support Sketch B-1 3. Sewer, Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM ,(ONLY) 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clearances -Grad-/ : /Amp -Concrete 6. Gas; Location -Test -Wrap;-/, /" L'fL •: / /` Nat or / . • P L 'Al .. P LPG'-' 2. Footings; S¢o-Spacirig-Marriage Line.` 7. Well Clearance Disconnect 8. Utility Clearance' .. 10. Roof; Shthg-Roofing .. _,ii. 4.'' Gas; MH Test=Dersmarid-Valve ` .," . - Date Card B-1 Date Cana B-1 Date Card B-1 -Date .: Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1.' Zoning Requiremerits-Setbacks_Easements - 2- Footings; Size -Spacing -Marriage Line 8. Gas and Electricity Tagged ' 3. Gas; MH Test-Dernand-Valve-Connector 4. Electricity; MH Test=Crossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flet Connector :10.:License Decals 6. Water, MH Test-Regulator-Donnectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert ' Date 10.. Exits; Insp.-Sketch .Card B-1. 11. Cert of Occupancy ' Card B-1 . Wte Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Cana B-1 Date Card B-1 _ Date Card B-1Date .::. :.Card B-1 Date PERMANENT END SYSTEM ,(ONLY) 5. Alum. Awn-; Columns -Connections -Spice -Decal -Enclosures 1. Zoning Requirements -Setbacks -Easements 7. Electric 2. Footings; S¢o-Spacirig-Marriage Line.` 8. Fnng ; Silis-Anchors-Studs-Rf rs-Tr isses 3. Blockir'ig' 10. Roof; Shthg-Roofing .. _,ii. 4.'' Gas; MH Test=Dersmarid-Valve ` .," . 11. ExL; Steps -Doors -Landings .: - 5. -Electricity; MH Test ' •~_ -C: r r._ ' 6. Water, MH Test Card B-1 Date Card B-1 Date -7..Water-and.Sewer:Cgnriected - POOLS (Plans) OK except #'s 8. Gas and Electricity Tagged ' 1. Setbacks -Easements 9. Exits . 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining. :10.:License Decals 4. Elec.; Receptacles and Lighting. Distance -GA 11. Verify.#'s with Office ` 6. Elec.; Encidstires; Conduit Entries -Terminals. -Listed 7. Elec.; Bonding; Metal w/5'-CinxPlating Equip: Heater Date Card B-1 Date'-' .Card B-1. Date. Card B-1 . Wte Card B-1 11... Light Niche .... 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 -Spice -Decal -Enclosures 6: Carports; Windows -Doors 7. Electric 8. Fnng ; Silis-Anchors-Studs-Rf rs-Tr isses 9. Siding; Narling-Veneer-Stucco-Mesh 10. Roof; Shthg-Roofing .. _,ii. 11. ExL; 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 StabTdy 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining. 4. Elec.; Receptacles and Lighting. Distance -GA 5. Elec.; Pool Ughtin' '. 15 Volts GF1. 6. Elec.; Encidstires; Conduit Entries -Terminals. -Listed 7. Elec.; Bonding; Metal w/5'-CinxPlating Equip: Heater 8. Bea; Grounding; Equip_ w/5' Cirzulatin9 Equip. -Pool LsPubg- Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9: Health Department Approval 10.._ Plumb.; Cir. Test -Wates.• Supply Test... 11... Light Niche .... 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card 13-1 Date Card B-1 DK U01 OK ' itRrzdy ie No[ Rudy c. RESIDENTIA (Single & Duplex) I: UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg_, Main; Sols-Elec. Gmd.-/ . i Ftg. Depth 3. Ftg., Garage; Sols -Steel -Flet. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors T. Slab, Steel -Wrapped 8. Piers-Fueplace Ftg.-Steel 9. D.W.V ; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders-Silis-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation. ite Card B-1 Date ..: Card B-1 ite Card B-1 Date a Card B-1 ate PLUMBING (Permit) OK -except ti's 17. Water Htr.; Vent -Access -Combustion Air Battle 18. Water Pipe: Test & Anchor -Nall Protection 19. D.W.V; Test Fittings & Anchor -Nal Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test tate Card B-1 Date Card B-1 tate Card B-1 Date Card GA )ate ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. flet. Receptacles Spacing -lights & Switches at Doors 26. Sire 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 IGtchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga Cu or AI -AC. Wire Size! /ga Cu or AI 31. Range Circle/ '/ga Cu or Al -Oven Circ.! /ga Cu or AI Insulated Neutral 0 Yes 0 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 Cana B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Alt -Return Air Vent 115 Outlet 40. Attic Access & Platform if 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 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac_ Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fre 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. Verits-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -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 -Meth. Protection 67. Bedroom Exiting 68. G.FI. & Bath Fixtures & Tub Access -Spa 69. Sec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elm Outlets at Wood Panel, Int & Ext 73. Kit Fact & Appliance; Ground -Air -.Gap -Cooking Clearance 74. Bec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-PR.V. in Garage; Above Floor -Meeh. Protection 78. Plb.; Sec. & Mech. Equip: Listed for Location 79. Sec. Receptacles in Garage (FFQ-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBehts & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following tnstldJDAve 0 Yes 0 NoAVWks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fueplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Sec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 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: 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. BP052495 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 09/15/2005 APN: 031-242-003-000 effect. License Class : License Number. Site Address: 1657 7TH ST ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MISC REPAIR: REPLACE STEPS TO Contractors' State License Law for the following reason (Sec. 7031.5 STAIRWAY Business and Professions Code: Any city or. county which requires a , permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DAVIES, ARTHUR &KATHLEEN signed statement that he or she is licensed pursuant to the provisions of Owner: the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1657 7TH ST 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 OROVILLE,, CA applicant to a civil penalty of not more than five hundred dollars ($500).): 95965-4059 1, as owner of the property, or my employees with wages as their (530) 532-4505 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 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for ,Applicant: DAVIES, ARTHUR &KATHLEEN sale. If however, the building or improvements are.sold within one year of completion, the owner -builder will have the burden of 1657 7TH ST proving that he or she did not build or improve for the purpose of sale.). OROVILLE, CA ❑ 1, as owner of the property, am exclusively contracting with 95965-4059 licensed contractors to construct the project (Sec. 7044, Business (530) 532-4505 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.). ❑ lam Exempt under Articlerome-B-OSi ss�an,�dlPrrofe�ssions Code Contractor: Date:�Owner: ' "" C WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: Engineer: Policy #: ❑ 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 Total Square Ft: 0 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code.: forthwith comply with those provisions. Date: � l � (�1 O ('p q s 1 Applicant: I . v 03 WARNING: Failure to secure workers' compensation coverage Is 1 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of - l 5 - U compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work Indicated above fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /for rgwhich t By. Date: Name Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in, accordance with Section 19827.5 of California Health'& Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building constructig6. I acknowledge it is unlawful to alter the sub aLf m or document of Butte County. I hereby - authorize representatives of Butte, County to enter upon the above mentioned property for inspecti purposes. Print Name: A � 1� � ��7 ��L" Signature: Date: 0 ' a 'Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR9NSPECTION M (530) 538-7636 (OROYILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP052495 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 1 am licensed under provisions of Chapter 9 (cofnmencing with Section 7000) of Division 3 of Issued Dater 09/15/2005 APN: 031-242-003-000 the Business and Professions Code, and my license is in full force and effect. - License Class : License Number: Site Address: 1657 7TH ST ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Description: MISC REPAIR: REPLACE STEPS TO Contractors' State License Law for the following reason (Sec. 7031.5 STAIRWAY Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: DAVIES, ARTHUR &KATHLEEN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1657 7TH ST 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 OROVILLE, CA applicant to a civil penalty of not more than five hundred dollars ($500).): 95965-4059 (530) 532-4505 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 such work himself or herself or through his or her own employees, Applicant: DAVIES, ARTHUR &KATHLEEN provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1657 7TH ST proving that he or she did not build or Improve for the purpose of sale.). OROVILLE, CA ❑ 1, as owner of the property, am exclusively contracting with 95965-4059 licensed contractors to construct the project (Sec. 7044, Business (530) 532-4505 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.). ❑ I'm Exempt under Article 3�/�Es, ines's and Professions Code Contractor: Date:�� —!S `liS Owner:. 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. License ❑ 1 have and will maintain workers' compensation 'insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Engineer: Carrier Policy M ❑ 1 certify that in the performance of the work for which this permit is 0 S. F. issued, I shall not employ any person in any manner so as to Total Square Ft: 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: irl ("t ('`� s . Applicant: e 4 WARNING: Failure to secure workers' compensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred' thousand dollars ($100,000), in addition to the cost of - J -05 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions todo��work Indicated above forwhichfees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: (Qt' m l HA n k Cl - I - O Name: V �. _ _ 9��iJ /Date: Cit _ � C� - � In I Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑, Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the subs ante-ofaRy-officiaLf or document of Butte County. I hereby authorize representatives B tte County to enter upon the above mentioned property for inspecti1pfi purposes. fof Print Name: W Signature: Date: ,'Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor -1 t �� PERMIT NO. - • 4B P> Ef M > t5 tT PERMIT EXPIRES OWNER RAY oRm CONTR.. owner, cif �t ASSESSOR PARCEL 3.1-242-03 1' LOCATION 730 Colusa Ave, Oroville f -1 All - cif f �OFFICE'COPY.. x Addre'se ter. . L .-•l T:. t4x r 7 -ti 4 `GAS Meter By Date ELECTRIC ) f -` Meter By Date Cal led PG&E f. 4f JOB FINALED (Date) Signature t ' rl`f�� = OK, O = Not OK = Not Applicable MOBILEHOMES. MISCELLANEOUS - - Not Ready _ Date MOBILEHOME UTILITIES, (Plans)OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans), OK except #'s 1. Zoning Requirements -Setbacks -Easements; 1r,Zoning-Requirements-Setbacks-.Easements' 2, Soils; Special MH Support -Sketch 2. Footings; Size-Depth-Spacing-Connec(ors" �r- 3. Sewer; Location-Test-Fall-C/0-..Cmn6rete .3. Decks; Girders.and/or Joists -Decking -Bracing -Stairs -Rail 4, Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rfirs. -Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd',-/ ../ Amp -Concrete 'S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"it./ ,/-Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7, Utility Clearance 7. Elec. - Card -BI Date Card -BI Date Card -B1 Date Card -BI " Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s 1, Zoning Requirements' Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line • 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector - 3. Pool Structure; Steel-Connections=Thickness-Dead Men -Lining 4, Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5'-Circulating'Equipment-Heater 8. Gas'and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating'Equip.-Pool Lghtg. 9. Exits; Insp.-Sketch = Boxes-Enclosures-Panelboards-Ins. to Main in Conduit _} 10, Cert. of Occupancy' 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI '. Date Card -BI Date Card -BI Date v Card B-1 bate Card -BI Date ' Card -BI Date Card -BI Date i J = OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � J W Date UNDE OOR JP]6vgf OK except #'a Date FRAMING Continued oning requirements -Setbacks -Easements ON 48. Property Line Firewall & Openings Z -1151g., Mai ; Soils -Steel -E.".- / /" Ftg. Depth 49. Ext. Door; -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftr-, Garage; Soils-SteelFtg. Depth tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywoodvn Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Sid Ing -Nal Iing-Veneer enKStarrwatfs-, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - _ W.V.: Fall-Fittin -Tes - way C%O- ewer Test 55. Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors 0 Water Pipe; Test -Anchors -Regulator -Service Test 11 Electric; Underground 12 Plenums & Ducts; Clearance -Material -Support -Ins. 13.kGirders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date aeril-131 dfa4ate - Card -BI Date Date FINAL (Plans) OK except #'s Card -BI Date ac � Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 15. Water Pipe; Test & Anchors -Nail Protection 1 Test-Fttngs & Anchors -Nall Protection 59. Bedroom Exiting 1.W.V.; . Shower Pan; Test, First Floor -Tub Access 60. G.F.I. &Bath Fixtures &Tub Access 1Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date ( t, 9 Card BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. 74. 75. InsulationInsulation-Foam-Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑Yes ED No; Walks ❑Yes C] No; Planters []Yes ❑No 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27, Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes E) No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Correction from Previous Inspections 84. Gas -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD pproval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA (916) 872-6307 CORRECTION lulm IMU I Itor- OWNER PERMIT'NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. Ifyou have any questions pertaining to this matter, orneedadditional explanation, please contact this office immediately. IV/P —A, C, 0 1 M-9 Q JA A ow Date lnspector&A� REV 11191 _max" �.. " s..r7i s �+. -n°"as-.., - F •, Ere� f�j/�F�Fj 0 !.A f\1 D O F N A'i.IJ RAL^J EA L l h' AND E Ef� U 7Y -� DEPARTMENT,OF PUBLIC WORKS ? COUNTY CENTER DRIVE; OROVILLE, CALIFORNIA 9596 Telephone: (916) 534-4541 N WILLIAM (Bill) CH EFF ry, pS. Acting Director March 29; 1984 Lloyd Steelman i RE': 'Special 'Inspection #7-84' 1657 7th Street AP #31-242-3' Oroville, CA 959.65 , h-+ . Dear Mr. Steelman: With reference to the above subject and.'the dwelling located at 1808 3rd Avenue. in Oroville which you propose to move. into the county area; the requested inspection was made, on. March. 27, 1984. The inspection revealed the following A*�ems which must be done or resolved: (1) Provide an adequate -electric service with sufficient circuits to serve the house. QyN�.�s Provide two 20 Amp kitchen appliance circuits. Ground all receptacles in the house'. �IQG�e Provide a GPI on the bathroom receptacle and exterior receptacles. S Vent and. trap , all plumbing fixtures. A�T gas furnace and water heater shall be installed. and vented to code " requirements. FJ V -4•o o�e. Std. � S�c�..� Ve"A. QonwEcf&4_ Provide a gas test on -al -1 gas piping. �) Provide,a smoke detector•3at the entrance to each bedroom. Provide an adequate underfloor pier and girder support system in addn to a new foundation. Provide adequate roof bracing and ties. Replace all broken glass and make the .building weathertite. ( Remove and replace dry rotted and/or deteriorated materials. . . Lloyd :Steelman (RE: Special Inspection #7-84) March 29,.1.984. Page ,2 o4- Provide adequate attic and underfloor access and ventilation. (1/ Provide water supply and sewage disposal' -systems per Health Department requirements. In addition to the above required itews; I recommend.you install attic insulation. It is now in order.for you to submit two'.complete sets of plans including plot . plans, floor plans and structural details,apply for the required permits and .pay the appropriate fees. *.The building permit must be issued before the county will issue .the house mover. a permit to. move the building on'the county highway system. Should -you have any questions, please contact me. Yours very truly, William. Chef Acting Director of Public Works J.F. Glander JFG:aj Chief -Building Inspector cc: Feather River Park & Rec..District 1200 riyers Street Oroville, CA. 95965' I y x vOf. COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS PERMIT NO 7 Z. County Center Drive - Orovllle. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT Ass Ess R ARcaL Nurse R 031-242-003 ZONING A R BUILDING PERMIT OWNER t7 RAY DORMAN THLHPMONE 589-3921ING SO. FT. OCC. BUILDING VALUATION EST 1 2,000 OWNER'S MAILADDRESS 5597 MINERS RANCH ROAD OROVILLE 95966 I CONTRACTOR'S NAME OWNER TELEPHONE - CONTRACTOR'S MAILING ADDRESS '. Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ 2,000 Filing Fee 155,00 LENOE:2'3 MAILING ADDRESS - _ Permit Fee S 37.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' Energy -Plan Checking Fee _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 730 COLUSA AVE OROVILLE 95966 Permit -fee, - $ 52.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. _ SUBDIVISION NAME PARCEL MAP Water piping 7.0O 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [E Duplex❑ Mobilehome❑ Other SPEC] FY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S 1 G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utllities ❑ Installation❑ Other ❑ Describe work: PERMTT T(1 rOM12L1ZT-W9g. R_P_ 17Ra_RL Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 I Main service 2OOV OR LESS 00A OR LESS 18.50 18.50 Main service 20CATO 1000At 1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- JK sation, will do the work, and the structure Is not intended or offered for sale. (Sec. 7044) F-1 I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( OWELLING OCCUP.h) OR AOONS. ACG. EI LOGS. 3.Sdsq.lt. NEW CONSTR. • ULTI.OUTLET NJ N.R ESI D. SRANCH CI RC"I TS {@ 5.00 POWER APOARATUS : SINGLE OUTLET CIR. ) { / EX. OCCUp\ OUTLETS OR FIXTURES as°•a 7F; I FIXED APPLN5. OR Ex. Occup. OUTLETS IRE510., EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g I 15.00 i Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I, have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall.not employ any person in any manner so as to become,subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor � MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, indemnity and keep harmless the County of Butte against all liabilfies, judgments, cos and expenses which may in any way accrue against Vic �unty�n conse en a of the granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE I TOTAL FEE $ 128.001 "Al 0FEES IMP FLOoo COF PARCEL PO Ho ISSUE X This permit is hereby issued under the applicable provi- Signature of Applicant — Owner r Contractor Ir_.' Agent Cl sions of the Butte County Code and/or resolutions to do An OSHA +vUtn nw"- iCu �uuvr Or wnlCn tees nave oeen pato. permit .s required for excavations over 5"0" deep and demolition or construct• ' ,on of structures over 3 stories in height. D T OF PUBLIC WORKS 122939 By `tT Dace ��-9z Receipt No. I pF Ir olOcc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P'A R�EL� N MBEFI u[ ZONING - BUILDING PERMIT Ow'RQ R TELEPHONE O 6Z --s- CONT TUn .:.M TELEPHONE O FT. OCC. BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'SIMAILING ADDRESS Penalty $ BUILDING ADDRESS730 /j �t V, D� t/J �l�sA /1{ Permit fee $ 5-1) 5"o PLUMBING PERMIT FiIingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 0 t Each qas water heater or vent 7.00 USE OF STRUCTURE SFE�_Duplex❑ Mobilehome❑ Other SPE.CI FY Gas piping system 1 - 5 outlets 5.00 Q Building sewer 15.00 0p Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition[]Remodel ❑ Utilities ❑ Installation[] Other j> Describe work: �(`M f f" (b GtvM 421eiC- 6,rK Q VJV,91�e_i_;Z__ 8_ Permit Fee $ ,Q Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 1$.50 ($, Main service 200A TO 1000AI 37.50 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. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. ,. Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.EI OR ADONS. ACC. BLDGS. 3.Sltsq•tt. NEW CONSTR ULT' -OUTLET NON •R ESID BRANCH CIRC ITS @ 5,00 POWER APPARATUS (SINGLE OUTLET CI11R. Ex. Occup(OUTLETS OR FIXTURES 20 76d A Ex. Occup. OUTLETS (RESID )FIXED APLNS. KEA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of 'perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit F 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 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ g,Q© HAz I DFEES IMP FLOOD CDF PARCEL PO HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. X02939 WHITE-O.P.W., YELLOW-A3e E33OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovtlle, CA 95965 Phone: 916-538-754 1 OWNER -BUILDER VERIFICATION Attention Property Owner:. An 'owner -builder" building permit has been applied for in your -name and bearing your signature. Please complete and return this .information at your earliest.opportunity to avoid unnecessary delay in processing and issuing.your building permit. No building permit will be. issued until this verification' is received.. 1. I personally:plan to provide the major labor.and.materials for.construction of the proposed property improvement (yes,:or. no).S 2. I..have ave .not) 4",, U signed an application for a building permit forroposed work.. 3. I have contracted with the following person (firm) to -provide the proposed construction: Name Address City _- Phone _ Contractors Licenseo. _ 4: :I plan. to, provide por.tions`.of this work, but I. have .hired the following person to coordinate, supervise, and provide the major work: Name Address. _ City. _ _:...... Ph:on.e- _. .. .:-Cbntra:ctors `License-: N6 5. I.will provide some of the work but.I have contracted (hired) the following ..persons to provide the work indicated: Name Address Phone- Type of Work Signed: Property Owner Social Security -Number - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 41 41 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE O,ROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: 55'� htLi,:'t _� rta.�; .: i'� Acct. No: Y65 A. P. No. Phone: 589 ^ 392i No. Units: lei � Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR Gl�or` ;L +to O ,?C8c1rlG JL'O,' .: ty' lite 1st mo. S.C. Other �A(, 1 7'taN i1'i L-• i..`i �t Lo Y ♦ a.{(.I' ^J �� �. t.. 4G of ---' Total Fees Collected By: ' Field Review By: (��ri 7%%H�. Date: - All -4� Date: Remarks[ 4/ MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ .180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE -TIO, YELLOW- APPLICANT, PINK -DPW, GOLDENROD - DPW to TID COUNTY -OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - `.PERMIT, IO. ' �7 County Center Drive - Oroville, California 95965-- Telephone 916/534-4541 , , - ��-• APPLICATION;AND, NERMIT - ASSESSOR PARCEL NUMBER - - 31-242-03 ZONING - .BUILDING PERMIT ` OWNER - ` Ray Dorman - TELEPHONE ." SO., FT.' OCC. ' .BUILDING VALUATION :S OWNER'S MAILING ADDRESS le o ' CONTRACTOR'S NAME owner- �' T EPH E - -" 2nd renewal ermit CONTRACTOR'S MAILING ADDRESS- ` , Fireplace CONSTRUCTION LENDER none UNKNOWN �' Total Valuation $ Filing Fee , g $ 10.00 LENDER'S MAILING ADDRESS -, Permit.Fee @ FEE $ 50.001 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking'Fee Energy Plan Checking Fee $. ARCHITECT OR ENGINEER'S MAILING ADDRESS - - Penalty $ BUILDING _ADDRESS - - - 730 Colusa Ave., Permit fee _ $ 60.00- '.•'PLUMBING PERMIT Filing Fee 10.00 ' 'Each Trap 2.00 Oroville' Solar or heat pump water heater 20.00 .LOT NO. SUBDIVISION NAME- PARCEL MAP , Water piping 5.00 ' Each qas water heater or vent "... 5.00 USE OF STRUCTURE SF EN Duplex❑ .Mobilehome❑ %Other S1 7-84 SPECIFY"Mobile Gas piping system 1 - 5 outlets: ' 5.00 .Building sewer 5.00 Home. IS I GJWJ 0.00 ea TYPE OF WORK,, New ❑ - Addition[] Remodel❑ 'UtilitiesE]'' Installation❑''•Other ❑ Describe work: 2nd renewal of "permit 41289-84 1st renewal #1352-85) Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 10.00 _ 111,1161 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA' ADD'L 100 AMP 2.50 _ 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. 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. Q Business and Professions Code for this eason- OWAJe.k F3U I t&A NEW CONST. DWELLING OCCUP.91 , New CONSTR.(A 62sgft ULTI ODUTLET -NON.RESID BRANCH CIRC ITS 2.50 ea - POWER APPARATUS 6 (SINGLE OUTLET CIR. 20®g0¢ Ex. Occup(OUTLETS OR FIXTURES BALI 30 FIXED APPLNS. OR - EX. OCC OUTLETS (RESID.) EA.) 1 2.00 . Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring, 15.00 ' Permlt.Fee' $ ' -Contractor, WORKMEN'S COMPENSATION INSURANCE. I declare and penalty of perjury (check one): : *.,; ,>! �' ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on.file wit the County of Butte Building Department : a Certificate of Workmen s Compensation Insurance orta Certificate of Consent to Self -Insure. - I shall not employ any person in any manner so as to become subject to the W. C. laws of California. , Notice to Applicant: If after making this.statement,•should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply'with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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" judgm s, cost nd expenses which may in anyway accrue ns aid Cou copse en a of the granting of this permit. Date b—/��� Signature of Applicant — Owner Contractor ❑' AgentE]- An OSHA permit is required for excavations over 5'0'� deep and,demolition or construct-al ion of structures over 3 stories in height. Mobile Home Installation Fee $ . Energy Inspection Fee $ TOTAL PERMIT FEE $ 60.00 -OccuP. CONST.TYPe a cLO. PARCEL Pa, ND 1990E This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which IR T OF PU ' By PEPI RES •Date 5/7/87 the applicable provi- resolutions to do •fees, have been paid., I WORKS Date 1 Receipt No. ' WHITE-O.P.W., YELLOW-AS9L990R, PINK -INSPECTOR. GOLDENROD -APPLICANT R COUNTY'OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Ray Dorman P.O. Box 835 Arleta, CA 9133h With reference to the above subject: Attached is: Application for permit Building Plans _ Engr.. Calcs �— Owner -Builder Verification Form PHONE: 916-534-4541 DATE May 16, 1986 RE: Building,. Permit Renewal RE: . A.P. # 31-242-03 Mobilehome Utilities;Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER Recei,gt XXL We need the following information ` Permit application signed and completed where indicated with all copies returned: Fees of $ . payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in ,.including plot plans. Plot plans in Structural details in ' Complete'plans and calcs in by'registered engineer of architect. Energy design.including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval. from Butte County Health Department at: 196 Memorial Way, Chico , 7 County Center Dr., Oroville • ' Skyway '& Elliott Rd. ,. Paradise Planning approval from Butte County Planning Department, 7lCounty Center Drive, Oroville, for X Completed Owner -Builder Verification'form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Please complete the attached form and return to this office so we may issue your renewal. Thank you. ' Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff. l Director of Public Works • . .F, Glander • JFG/aj Chief Building Inspector r COUNTY OF BUTTE - Department -of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OIMER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at.your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be•.issued until this verification is received. 1. I personally plan,to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I ,(have/have not) signed an.application for a building permit for the proposed work. t 4 3. I have contracted with the following person (firm),to provide the proposed construction: Name Address City -Phone Contractors License No. 4. I plan to provide .portions of this work, but I have hired the following person to coordinate, supervise, and provide the major'work: Name / Address i' City Phone Contractors License No. .� 5. I will provide some•of the work but I have contracted (hired) the following persons to provide the work indicated: , Name Adaress Phone. Type of Work k Signed: , Property Owner Y(e_,4Vr, Social Security ber = - • Date�p�� • 0Z NOTE: This Owner -Builder Verification is sent to you as required byaSect,ions 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3 ASSESSOR PARCEL NUMBER 31-242-03 ZONING ' BUILDING PERMIT OWNER TELEPHONE 533-4778 SO. FT. OCC. BUILDING VALUATION OWMAILING ADDRESS N R 'S 1657 0 CONTRACTOR'S NA E owner TELEPHONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @3FEE $ 50.00 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 60.00 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 FXI Duplex❑ Mobilehome❑ Other SI 7-84 SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 1 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: is t renewal permit #1289-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. t 2�2QSgft 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 orce an effect. License No. '�%���J 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 thi r ason NEW CONSTIR ULTI-OUTLET 2,50 ea NO N•RESID BRANCH CIRC ITS NEW CONSTR. (/POWER APPARATUS IN NON RES,D. 1 SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 6A ®30Q 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 MECHANICAL PERMIT Filing Fee 10.00 F. 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 I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against al liabilities, Judgments, costs, and expenses which may in any way accrue affa s aid C t in c quence of the granting of this permit. l _ _ Date o Date osions Signature of Applicant Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -(RECTO ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 60.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND IesuE This permit is hereby issued under the applicable provi- of -the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. F P BLIC WORKS BY Date PERMIT XPIRES ate 5-7-86 Receipt No. ci 'l 9 rl � WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works, 7 County,Center Drive,-Oroville, CA 95965, Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner.: An."owner-builder" building permit has'been applied for in your name and bearing your. signature. Please complete and return this information at -your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. -No.building permit will be issued until,'this verification ' is received: 1, I personally plan -to provide the major labor and mateiials.for_construction of the proposed property improvement {yes or no). 2. I (have/have not) signed an application for .a building 'permit for the proposed work. 3. Irhave contracted with the following person (firm) to provide the proposed' construction: a Name'/� . .. Address City Phone 'Cont'ractors License No. 4. I plan to provide portions of this work,,but I have hired the following person to coordinate, 'supervise, and provide the major work: Name =�� Address' City. Phone' Contractors License No'. 5. "I will provide some of the�work:but I have contracted (hired) the following persons to provide the work indicated Name Address Phone'° Type of Work Signed: Property Owner Social •Security Number Date NOTE: This Owner -Builder Verification is.seot to you -as required by Sections 19831 and 19832 of the California Health and -Safety Code. , This verification•must be co'mpjleted an'd,returned to -our office ll uJ:.•u , before we are per- mitted ,., to issue the permit. .raw _.. - ^itf.• I >NN a SM - 6 *AVW s>,uQm anend do *idaa auna dO ALNnoa COUNTY OF BUTTE - DEPARTMENIT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICATIGf AND PERMIT PERMIT NO. �1 ASS PAR 3�_� '2'63 ZONIN — BUILDING PERMIT OWNE � f� � . TELEPHONE SE_3 --D[y�^? 7� SQ. F OCC. BUILDING VAL ATION 6 OWNER'S MINGADSRESS 6?"V, OT`E�CL/VE"P 7 o Ci CO RACTO NAME HON'E� _ADD /ZnW L� CONTR T R'S_MAI,LL[I-N'G� ESS i�✓ . Fireplace CONSTRU TION LENDER UNKNOWN nn Total Valuation $ &2 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1,949. t�r�-- 2ry ARCHITECT �'OORry"��ENGINEER '/� LICENSE NO. Plan Checking Fee $ coo $ _ 0-6 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ QO BUILDING ADDRESSn _ p �}q� (�� 5� PLUMBING- PERMIT F i I i n 9Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 3 ® et411e Water piping 5.00 67,,0-V LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 S� Gas piping system 1 - 5 outlets 5.00 .� USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 $L� W Mobile Home S G �10_00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation,❑ ,Other [� Describe work: — (L4 t�IIi'+�.r -,8 Permit Fee $ Q� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 149'0-0100 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21h2sgft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 154 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and license is in full force and effect. m �,[ y License No. J� Classification (J ❑ 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 NON-RESID.BRANCH CIRCUITS) NEW NON.CONSTRESID. ( SINGLE OUTLET CIRR. POWER APPARATUS .&') , zo@goe Ex. Occup(OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR EX. OCcUp- OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Z 15.00 Q, 0�0 Permit Fee $ 6V 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 [—X/S%/ C e /�rE Cooling Hood 3.00 Ventilation permit Fee Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li ilities, judgments, costs, and expenses which may in any way accrue aga' said ty i nsequence of the granting of this permit. �- I � 4K44 -Date Signature of Appl•cont — OwnerContractor 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 nstallation Fee $ 4$ o, CJ TOTAL PERMIT FEE $ 2g occccu3GROUP /� E OF CONST. g— NP7 KI SS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By. P IT EXPIRES Date the applicable provi- resolutions.to do fees have been paid. WORKS Date `� 7V ^ Receipt No. W 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF., Pl31131LIC WORKS =BUILDING DIVISION +� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOI�VIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET('j( Permit No. 1y OWNER /W`� X/ (3' i'�'`�`'; k� A. P. No. 2 6-f Proposed Building Use Permit Fee Based. Upon: Complete Contract Price DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: `t DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . .. . . 3. Complete plans in duplicate/triplicate.. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance`tStatement. . . . . . 6. State Energy Forms No. 7 .v Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 6, 9. Letter of signature authorization.. . . . . . . . . 0 �J !.1 10. Sanitation approval from ..I.. - Health Dept. 11. Planning approval for (A) Use: (B) Par I king: 12. Certificate of Workmen's Compensation Insurane. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .. . O 17. 18. Pre•Inspec. request to Pre -Inspection ����� (e� fired. Building Inspector (pate) Other w'k Whenyou issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone 557-0'7g and hold for pickup at O - office. Deliver w/ inspector. Other a Copy of plans sent Health Dept., Appl ican Fire Dept., Other Date Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked b91- Plans 9TPlans approved by Other Copy—DPW 9 Telephone _ Mail Other Date Date—�--oe Date _ �- /' _ Acting March 29, 1984. Lloyd Steelman • RE:: Special.Inspection #7-84- 1657 7th Street. AP #31-242-3 Oroville, CA 95965 r Dear Mr. Steelman:: With.reference.to the above subject:and the.dwelling_.located at.1808 3rd Avenue. in 0ioville which you'propose to move into the county, area, the requested inspection was'made on March 27i 1984. r The inspection revealed the.following items which.must.be done or,resolved:: (1) Provide an adequate electric service with sufficient.circuits,to serve the house. t (2) Provide two 20 Amp kitchen appliance circuits: (3) Ground all,receptacles in the house.. (4) Provide a GFI',on the bathroom receptacle and 'exterior.receptacles: (5) Vent and trap all'plumbing fixtures. f a ,(6) The gas furnace and water heater shall.be installed and vented to code requs_rements . (7) Provide a gas test on all gas piping: x k (8) Provide a smoke detector at the entrance to each bedroom. (9) Provide an adequate underfloor pier and girder support .system•in addition to a new foundation:. (10) Provide adequate roof bracing and ties: (11) Replace all broken glass and make the building weathertite. (12) Remove and replace dry rotted and/or deteriorated.materials.• File No. ' (For Action 1, 2,3) (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop& Yards Bldgs. 8 Grnds. Bldg. Insp. Admin. Design Engr. t, Bridge Engr, Constr. Engr, Surveys Mapping Transp. BUTTE COUNTY Public Works Dept. r (For Action 1, 2,3) (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop& Yards Bldgs. 8 Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr, Constr. Engr, Surveys Mapping Transp. Land Dev. DEng. /S.I. Sub. & Pcl. Maps Permits Addr. � r 'Lloyd Steelman (RS Special•Inspection #7.84) March" 29, 1984 _ Page 2 (13) Provide adequate attic and underfloor access and ventilation. ..(14) Provide water supply and sewage disposal systems per Health Department requirements. In addition to the above required items, I recommend you install attic insulation.. It is now in order for you`to submit two complete.sets of plans including plot plans, floor plans and structural details, apply for the required permits and pay the appropriate fees. The building permit must be issued before•the county will issue the house mover a permit to movethe building on.the'county highway system. Should you have any questions, please contact me. Yours very truly, William Cheff Acting Director. of Public'Works Original signed' by J. F. Glander J.F. Glander JFG:aj Chief Building Inspector cc: Feather' River Park &'Rec. District° " 1200 Myers Street Oroville, CA 95965' Y ` e w h L t G r Otto, f rS,�� f e', a! t yr h �'n' kid,{ ry �1ty��373 j3 ;.\`',� 4A1 �1ii+w�6� �•fi.. •i r 3 1 „K�a �r • r i�SO __ �} /6��/► �1 IN r �/,'��1 1rAOM. �+\d.��t�i..��`!�. r ` ±A ..t i �, r' 1 � �•roA ri`ur,1�I i8 !.! �L �*- � : Vidr _`{ .3 � ; . • w, ' f r VVf 'r t+ kri3�is ,F�ti w kF r".�J r `1 } 4- 'tr � r �'r. ,tE-�a fix• �.�V+' - i 'cr s �� jf__ -yl.[- �F: p1 (� 'a �i �."• +e 4i. . 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Tis__ aU — - - Roup. �LA e _ �T ' E -PAf - 'ED + n • d r o v G n h IIVIqCZ40' COAICRf r�F a/ Oel 01114140M7101V otiF 17 �i /h iLo Co//J�CI^ e fc Oi" fro ✓ f (�n �Qeda/o�d oe10 5/0ow4d' auoWy 1 .,n. /Z�/ � /-� //Noor. �Qex✓r dp 711 TY atm 30 �/inr���er-S �z �sy`ve/=/S`��oje�� BU • �Q�I� BUILDING DEPARTMENT, APPROVED , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS Z t,,Z— SPECIAL INSPECTION REPORT L( Z-3 Owner��2 Address: Date_ of Inspection / Tenant: Inspector �\ Building Location: Type of Inspection requested 1. Housing / / 2. 'Financing /_/ 3. Change of Occupancy to 4. Other (specify) A=, _2 Present use of building: A. Sanitation (Housing) 1. 'Water closet: ✓ 2. Lavatory: e 3. Bathtub or shower: ✓ 4. Kitchen sink: / 5. -Hot and cold water to fixtures: 6. Heating facilities: �o ��- - ��, v 7. Natural light and ventilations 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to"water supply: 13. Rubbish and garbage facilities:. ' 14. Comments: B. Structural 1. Piers and footings: ILc 2. •Floor construction: 3. Wall construction: „ 4. Ceiling and roof construction: yl,,-,4�.g 5. Fireplaces: 6. Comments: moo.•. �t d C. Electrical 1. Service and ground: 2. 'Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected a ented. 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. F. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: _ 5. Underfloor and attic ventilation: 6. Comments: Commercial Buildings 1. Roof covering: 2. 'Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: Information only - file. Hold for ten days, then write letter. Write letter. Other: 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Urovilie, California 95965 .� Telephone: 534-4541 APPLICATION AND PERMIT .. -. .c,,-cnaou vcJ vl UIc I,VUllly V� Quilt IV CIIICI Uf1U11 IIIC above-mentioned property for inspection purposes. Date X i Signature of PPermitee or Agent Receipt No./��/i01:;z 4K 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. I�T PUBLIC WORKS U By Date Z / C-1 Building Building permit expires Date G/Z y,�2 BUILDING Owner W A N SQ. FT. OCC. BUILDING VALUATION Mailing Address z, Telephone No. Fireplace Contractor&AL)Ldl.lu f U IL/ S Total Valuation Mailing Address `F -'"� � / t f Q/Zp�, /( P Permit Fee Plan Checking Fee&/or Penalty T. a one N 5 Permit Fee $ Building Address (oS7 % %` PLUMBING No. @ FEE PERMIT FILING FEE00 $3.00 i�2C311 i �. CA L,t 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. — 7 Z — ,3 Zoning & Planning Gas piping system 1 - 5 outlets v 1.50 S� Each additional outlet .30 Fees W.C. SarrR".aR FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 fi4dy.P_Loas.F�oc:d.. Parcel Approval Plans Approval Permit Fee $ $ SL NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 I(AiST011N W 6A RF—P1Pgam "All Main service 60000 V OR AMP LOR ESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ OVR Main service 1100EAMP OR LESS 25.00 Main service/ EA. ADO'L too AMP 1.00 OCcup. NEW CONST. LBLDGS. &) 22Sgft OR ADDNS. \ ACC NEW CONSTI, MULTI -OUTLET NON•RESID,. BRANCH CIRCUITS) 2.50ea NEW CONSTR, POWER APPARATUS&,1 NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions) Code under the name style of: r -. / 411 Ak VIA, � l S � Utti�i/� c � I :', y /. Ex. Occup(OUTLETS OR FIXTURES)@25a 109 EX. QCCU P• FIXED APPLNS, OR ( OUTLETS IRESID,) EA) 2.00 Temporary service 10.00 % Mobile Home Facilities 15.00 3C,f�9S'r� �, �/ License No. Classification -? Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 f1, 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 em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ - $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE$ ,S .. -. .c,,-cnaou vcJ vl UIc I,VUllly V� Quilt IV CIIICI Uf1U11 IIIC above-mentioned property for inspection purposes. Date X i Signature of PPermitee or Agent Receipt No./��/i01:;z 4K 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. I�T PUBLIC WORKS U By Date Z / C-1 Building Building permit expires Date G/Z y,�2 J9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '— Oroville, California 95965 �.p a Telephone: 534-4541 _ c / 70 �� APPLICATION AND PERMIT i above- oned property for inspection purposes. Date i� � ' Si ature of ermitee or Agent ecei No.� tF White-D.P.W.. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under ,he applicable provisions of the Butte County Code,and/or resolutions to do work indicated above for which fees have been paid. DIRECTORM PUBLIC WORKS By Datp Dat Building permit expires Dae '- z BUILDING Owner (�R �fQa SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace _ Contractor MoLd,A) UA A 11,4r �a Total -Valuation - Mai l i ng Address k - Ac - Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ r Building Address (to% 4j -S'% PLUMBING No. @ FEE� PERMIT FILING FEE $3.00 QCT Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 " r / A. P. No. — `f Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W'C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im Provements Lawn sprinkler system 2.00 131 d D1^ 2 'a Parcel Approval Plans Approval Permit Fee $(`� $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 NEW i , JI _ IMSTAIJ NEW L (��G.�p �ry'Ve..-*w J Main service soot/ DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVE1100 ARMPOOR LESS 125.00 Main service EA. ADD -L. 100 AMP 1.00 ' NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sgft NEW CONSTR. MUTI.OUTLET BRANCH CIRCUITS) 12.50ea NON-RESID. (L ' 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 & fessi Code under the name style of: r r S G(%Gl[ A Ex. Occup(OUTLETS OR FIXTURES) @@1 AL@1 EX. QCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p� Kpf�� License No. ©f Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ , WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of ,Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in,any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating ' r Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby „1•I, ri TOTAL PERMIT FEE $ Z7 I above- oned property for inspection purposes. Date i� � ' Si ature of ermitee or Agent ecei No.� tF White-D.P.W.. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under ,he applicable provisions of the Butte County Code,and/or resolutions to do work indicated above for which fees have been paid. DIRECTORM PUBLIC WORKS By Datp Dat Building permit expires Dae '- z "wha4 .. Y LAN'D OF NATURAL•+ WEALTH AICD ' c:r^.. - � T Y DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY. CENTER DRIVE, OR¢VILLE,CALIFORNIA 95965. Telebhono: (91"6) 534-4541. H. W. McDONALD Doputy Director May° -1:3 ,. 1977 Thermalito Irrigation District RE Building. Sewer Installations 410 Grand Avenue .0rovil.le, CA. 95965. Gentlemen: - With reference ,to the above subject and your conversation with..our• inspector, Dennis Hunt, we.are listing below the information you requested concerning several building sewer,installat.ions 1. William -Holmes AP 30-212-6 - Copy of.report attached.:. 2. Harold Waltman AP•31-212-19- Copy of report,attached:. 3. K.F. Rogers ---- AP.31-271-10- Copy of.report attached.. 4.. <�yne a_--- AP 31-242-3 No record of permit with County.;. 5. Jerry Gage ----- AP 30-40-21''- No record of.permit with.County. . Should you have any questions concerning these;.please feel free to contact us.� Yours very,truly, Clay Castleberry Director• of u:.blic Works . F . Glander.� JF-G:dd' Assistant Director" Attachments . i (-OUNTY OF BUTTE., — DEPARTMENT OF PUBLIC WORKS 7 County Center Driva _-•QToviIIe, California 95965 Telephone:' 4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7 . �/� 'to Date /� CX /Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / By r ��77�N1� DateY ,Building permit expires Date BUILDING OwnerY 14 D 4 - SQ. FT. OCC. BUILDING VALUATION Mailing Address f{,5 Telephone No. Fireplace Contractor �� Total Valuation Mailing Address �n X �_ Permit Fee Plan Checking Fee &/or Penalty hone No. Jap _,/ JZ )Permit Fee $ Building Address l ` / -" S� PLUMBING No. @ FEE •,� PERMIT FILING FEE $3.00 �) Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. j�—�Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fps'Wre Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel' Parcel Map P 60R/W Improvements Lawn sprinkler system 2.00 13114-Plans•Rec'd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIESE], OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /- -.J rJ. �'p �� l�1 101V OR Main service 100 AMP ORLESS5.00 9C 0,/P U \� Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. (MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ y / _7_ C G r 50 Ex. Occup(OUTLETS OR FIXTURES) �01 104 Ex. OCCU FIXED APPLN. OR P•(SOUTLETS (RESID.) EA) 2•�� Temporary service 10.00 Mobile Home Facilities , 15.00 License No. r2 3 U � � / Classification � ' � �a Misc. Wiring 1!/�h�e vo 6.25 /� 4 n ❑ 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. ❑'1 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 mariner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �{ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7 . �/� 'to Date /� CX /Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / By r ��77�N1� DateY ,Building permit expires Date X/ 5 •. .. _f COUNTY OF BUTTE - DEPA Re--MENJ OF PUBLIC WORKS 7 County Center Drive — Qjoville, California 95965 Telephone: 534-4541 7,17-76 APPLICATION AND PERMIT" r ,.r .,, uu uc ,., Glnci ulJvll uIC above -m ti d property for " spe tion purposes. X Date Signature of ermitee or A t Rec ipt No. t� White-D.P.W. – Yellow--X—ssessor – 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 pai . D I REG-TQ-8SOF P BLIC WORKS By Date permit expires .Date��--� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 04 Telephone No. Fireplace Contractor Total Valuation Mailing Address ® Permit Fee Plan Checking Fee &/or Penalty aep ne No. 5`J Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �k—eq 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. — -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W SaritTBTo Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 BITE } Reed I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑^ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -P_40 c2t Is Main service 600v OR LESS O 100 AMP OR LESS 5.( a2 171-C 2f= dkf�N Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex • Mobil Home Others ❑ ❑ ❑ Main service OVER 600V +oo AMP OR LESS 25.00 — Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELINGOR ADDNST ( ACCLBLOGSC P. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 2.50e6 NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Gi GUG- e ii�� G Ex. Occup(OUTLETS OR FIXTURES)@25'_ BAL@1 F PP . Ex. Occu IXED ALNSOR P•(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ®` Classification -- ( / 3 0� C Misc. Wiring �/� ev 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee A $ 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 Wor n's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I h e read this application and state that the above information is c ect. I agree to comply to all County Ordinances and State La relating to u)Iding construction, and hereby TOTAL L PERMIT FEE s ,.r .,, uu uc ,., Glnci ulJvll uIC above -m ti d property for " spe tion purposes. X Date Signature of ermitee or A t Rec ipt No. t� White-D.P.W. – Yellow--X—ssessor – 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 pai . D I REG-TQ-8SOF P BLIC WORKS By Date permit expires .Date��--� Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL -DEVELOPMENT Section 26-8.1 of the Butte pounty-Code requires_,this acknowledgement be recorded prior to issuance of a building .permit,. The property described herein is adjacent to land or included within,an area zoned for agricultural.pur.poses,,,and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not'limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying; pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should.be prepared to -accept such inconvenience or disconform from normal, necessary farm operations. A 1 1 that real property situate in the County of Butte, State of California, described as follows: TO AA1 7 C- . , b ��% e -e JF ,fix c ��Ti,v 6 • T � �'/1. F2 cr Tics © Fv� 7" R, G 14 l �a��it,L.N/z ��r.�BsS.S�F�J Date: PROPERTY OWNERS: State of Calif. County of Butte On this the Ist day of May 19 84_, before SS. me, the undersigned Notary Public, personally appeared • .**********CAROL RAY DORMAN**************************--*** gtleeeeecoeeeillieelelY6oeiYeeieeeeee�ccaeoeoeeeeeeeeoeu ieOFFICIAL SEAL LeANNE M. KIBOD.EAUX NOTARY PUBLIC • CALIFORNIA COUNTY OF BME My Commission Expires July 13, "•1984 ,R �ogoeooeeeeaeennuunueeuuno�euunuunoi9ne® ` / Personally known to me. /X Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he executed the same.for-the purposes therein contained. IN WITNESS WHEREOF, I.hereunto set my hand and,official seal. Notary Public Present A.P. No. ..-... .+...qrw•.-r vis.�ar+•_��.'r::._.,r.r.;.yyw-r, �l-. ... .-+.,._..t.,,. .r. v�.�. r':..xL 3 ,,.:..y,�..-+,.. .;a+,rw...ri:�. �.r �, THERMALITO IRR.1GATION DISTRICT 410 GRAND AVENUE, OROVILLE, CALIFORNIA 95965 TELEPHON.E.'5-33-0740 . J CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 7th and Coluon Owner's Name: C • R. DORMN Date: Vlay 1, 1984 Address: 1657 7th Straot, Orovillo, Co. 95965 Acct. No: A.P. No.:31ma242.3 Phone:, No. Units: ono Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 20150 Arrearage Preliminary Review By: Date: CSA 26 550150 Remarks: If T I D can hook into tho exioting lateral ' at SC OR tno property line tporo W111 cc no Tar too, Ir not ,rt�A t SIA ..�� t' >►,�..� ., >hA �.«�...>M,r�•«��.>�,� �rx�.,� 1st mo. S.C. cnd the TAP fea Oill be $100.60. Other 1,47143,0• Total Fees . Collected. By: X` Oerott Date:,Id Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 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 to Mar: 5, 1974). M 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 rR� - XCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION FOR SPECIAL INSPECTION Owner l 11► c, r , , , ,.• b r� �- i , A.P. No . / - ► Q_� - n G=- Mailing Address I ) An AA, a vrr t 11__2_ "t n ,n-, Telephone No._<--� Q .,. Mailing Address ) (., C c-1 r%` C Building Location /&'n Q I hereby request a special inspection of the following building: Dwelling (if only a port ion, specify) . /_/ .2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) / / .4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. GJti �I be vnov e d_ i�L p 2. Financing (specify agency) 3. Change of occupancy to / / 4. Other (specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by -the County.of Butte, as a result of this inspection, to comply' with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30). days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. .yt�r t.!• �,. ' f •mom"°'°�f Signature of Qw-ne;r- Fee paid $ _ &0 1st -DPW - 2nd -Inspector - 3rd -Applicant Date -e Receipt No. v - COUNTY bF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION _ y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 t �� ..,,PERMIT APPLICATION DATA SHEET _ Permit No. OWNER Y `� A. P. No. Proposed Building Use AM U P_ r � Permit Fee Based Upon: Complete Contract Price , DPW Valuation Q�01,her (Explain) r Building Inspector I� tate At time of permit application, I was advised the foIIOW`i-ng�dafa t be submitted prior to permit processing and/or issuance: ' j, , a t. DATE RECEIVED APPROVED �. All items have been submitted. 2. Plot plans in duplicate./triplicate. . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 16. State Energy Forms No. 17 Statement of Intent forNon-Heatedand AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to,owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . .,; . . . •. . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required- Building Inspector 18. Other When you.issue the permit, process as follows: Mail to owner. Mail to.cohtractor. �elephone�33'_L/5 and hold for,., pickup at _office. Deliver w/inspector. Other `' t _X"plicant � F !s •A,. �_. Date Copy of plans sent Health Dept., Fire Dept., Other Date r During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: r. w (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by. Plans approved by Other Copy—DPW Date Date Other .4 PAN Featber Bluer Ree reation & park District OROVILLE, CALIFORNIA 95%5 W Cif MUNICIPAL AUDITORIUM, 1200 MYERS STREET L�IIa . BUSINESS OFFICE: Ph. (916) 534-8535 PROGRAM OFFICE: Ph. (916) 533-2011 ' VIIOOiII . l March 20, 1984 TO:- Butte County,Building Department RE:- Inspection of'Surplus Building I This letter gives.Mr. Lloyd Steelman the authorization to have the. Butte County Building Department inspect the..surplus.house at 1803 Third -Avenue, Oroville, California, AP #12-18-5-008. Mr. Steelman is bidding for.purchase of the house which, if his bid is, selected, will move said house to a lot of his choice. If you have any questions, contact me at� 533-2011. Sincerely, al iggi"V District Administrator