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HomeMy WebLinkAbout031-245-011,31-245 Bill Pearsall 880 Thermalito St. lot 7, Oroville _Permit #402,1-77B,P,E,M(new.single family) 31-245-11 T. Brea, 880 Thermalito St., Oroville Contr: Lagrone Htg & AC, Oroville Ermit ##4344-78E , M (inst . htg & C) SF • 31-245-11 Contr: Mauldin.& Sons, Oroville._ Permit #4519-78P(ins gas line for dryer) SF 031-245-011 06-0042 i" SKOWRONSKI,EVA SSO THL[2MAUTO AVC. OROVI.:LL:L Cont: GOE.L% BROS ROOFING RE -ROOF i • F a� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530)'538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP060042 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/10/2006 APN: 031-245-011-000 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 p 0 S83 0 effect.C -3 0 Site Address: 880 THERMALITO AVE ORO License Number License Class : : //�� p Q I �0 6� Map Index: Date: Contractor: hC,,�I Description: re roof 20 Sq. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SKOWRONSKI JOSEPH & EVA E JT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 880 THERMALITO AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GOELZ BROS ROOFING 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 14 LESLIE LANE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-534-0797 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: GOELZ BROS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 14 LESLIE LANE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: owner: 530-534-0797 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 805830 0 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer:. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy'#: Valuation: $0.00. I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that ,if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date. 4�, / �I Applicant: WARNING: Failure to secure workers' compensation coverage is n unlawful, and shall subject an employer to criminal penalties and one hundred thousand' dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . - - - - 711 - CONSTRUCTION LENDING AGENCY This permit is h eby issued er th ap licable provisions of the Butte County Code and/or . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions t do wor d ted abo a for w fees have been paid. D Name:: BY Date /fin PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 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 substanc any o5idaI f or document of Butte County. I hereby authorize representativ s of Butte County to enter upon the above mentioned property for inspection Ifoses. Print Name: "► 1 (, Q l Signat Date:. f Q .4y ❑ Owner a -Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name c w yGvis•k; J o First j�ta�e i- q Address 8?0 T�)err.-, iI,la A" City 0 Y o i State Clk Zipr— Phone S 3 3 _ (G o Fax E-mail State License Number CONTRACTOR Name Go•412 Q1ror. Roo )'h Address / �� �t t C L ,, City Statr, f� Zip 9 Jri orb Phone 5 39— 079? Fax E-mail Lic. 48 A t 83 o CC —s APPLICANT INFORMATION ARCHITECT/ENGINEER Name City S Address ne Fax City No State Zip Phone Book . Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City S Zip ne Fax ail F For office use only: Zoning Property Address 0, Thcr►.,-v(ifs Flood Zone I I SRA I Yes No Occ. Type Const. Subdivision Name Map Book . Page I Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K-\F(IRhAC\RI III nlNr: FOP hAC\RlrinAnn1RiihRnmt.q rine PERMIT NO. BP p6 &O BIN # PROJECTLOCATION AP#03/ 2- / Property Address 0, Thcr►.,-v(ifs City OrevJi Cross Street r 0 t�— S -{-- WORKER'S COMPENSATION - Policy Number N / Carrier fi If hiring anyone other than license confractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 1 Address Description or Scope of Work: ' 2 Q C a tiP. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Paoe 1 of 2 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. Received by: Amount: Receipt #:( qk 1 V Date: �V �O b Other I v Total REV 8-12-05 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 0(— OroviIIe, California 95965 Telephone: 534+4541 APPLICATION AND PERMIT aumonze represenratives or me uounry or tsurre ro enrer upon me above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. • I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING ( Owner � •�, .. ', . r i.. c SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor / Mailing Address r' c i � �,�1 �, 11 •, /, Fireplace Total Valuation Telephone No. l/—/t/ Permit Fee Building Address f� %j!a r,,,^ ,�, ,', - Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �/ �['(�� •� ! i Repair drainage or vent piping 1.50 / A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑, Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L loo AMP 2.50 OVER Main service OVER e 25.00 AMP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r r y 01, 1J• r 0 • TLET NEW CO ID `BRANCH CIRCUITS) 2.50ea NEW RESID, BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS 6 NON -RES,D. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS, OR EX. Occup. OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification f I Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. EJ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ aumonze represenratives or me uounry or tsurre ro enrer upon me above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. • I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oro`ille, California 95965 Tel ephonf: 534-4541 . APPLICATION AND PERMIT authorize presentatives of the County of Butte to enter upon the above . -r ned property for inspe tion purposes. Date f� Si ure of Permitee or Agent Oeceipt o. % S e Sot O 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. /') 1 DIR&Q;LR OF PUBLIC WORKS Imo. ♦ Date y Sui Iding, permit expires D. go BUILDING Owner �� U� 12 ale 4Mailing SO. FT. OCC. BUILDING VALUATION Address Telephone No. Contractor/ d tI Mailing Address t /, Fireplace Total Valuation Telephone No. ^ Permit Fee Building AddressO - ,^ PI an Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 .gyp Each Trap 1.50 4,f>%2QIlt Gets Repair drainage or vent piping 1.50 A. P. o.Water - o2�S Zoning 8 Planning piping 1.50 Each gas water heater or vent 1.50 s Se� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 13I$g-PtWrr*Ted Parcel Approval -7 Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ s S $ s L L• �r�z c� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service i°o°o AMP ORSL=SS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 100 AMP sooORv LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. I DWELING OR ADDNST %ACCLBLDGSCCUP 41 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profssions Code under the name style of: t y �% /il /ZS Gdi�L / NEW CONSTR. BRANCHCIRMULTI-OUTLET NON.RESI D. � BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS BO NON.RESID. SINGLEOUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES g L� EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2•Q� Temporary service 10.00 Mobile Home Facilities 15.00 License No.3220dj Classification _3 G 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ISI1 certify that in the performance of the work for which this rmit is issued I shall not employ any ,person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize presentatives of the County of Butte to enter upon the above . -r ned property for inspe tion purposes. Date f� Si ure of Permitee or Agent Oeceipt o. % S e Sot O 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. /') 1 DIR&Q;LR OF PUBLIC WORKS Imo. ♦ Date y Sui Iding, permit expires D. go COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephorre: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or tjutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 Date Building permit expires Date BUILDING OwnerYI . '' /1 f;/�l L SQ. FT. OCC. BUILDING VALUATION Mailing Address f ,• ��, �� j 1 �`._. Telephone No. _ sf1 r:r � Contractor _ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee _ r_ Building Address ," • ��� . 1. �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE ' /I/,- PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. NO. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,0 Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 �. Main service 600V OR LESS 100 AMP OR LESS 5•�0 Single FamilyE], Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST 1, ADWECCLBLDGS.LING CCUP. Y) 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 'I { ► .�� t r �� NEW CONSTRES'D. MULTI.OUT LET NON-RESID, BRANCH CIRCUITS) 12.5.0ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTtIRES 5 L ,2 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _ � y License No. i Classification' — - Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.001-- .00California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE autnonze representatives or the county or tjutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Si azur'jre of ermitee or Agent Receipt No./,796 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. _-,,.-::;MREC,TOR OF PUBLIC WORKS By Date 9�1111t:�7 permit e."ete BUILDING Owner 10,4 1Y 6? N -�g SO. FT. OCC. BUILDING VALUATION Mai I ing Address vC) ham A4-1 v ✓ 74D Tel hone o! Contractor Mailing Address _ v� Fireplace Total Valuation Tele hone No. Zp Permit Fee Building Address .� i ��e Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE £ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 C A. P. V -' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50. F s Sa4"4en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ . ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service io°o AMP ORV OR E 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L too AMP 2.50 OIR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.LING CCUP. 91l 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: %� /�L /__9 /9' - Z/IT 7��/ NEW RESID%CONSTBRANCH CIRCUITS) NON-RESID. BRANCH CIRCUITS 2.50ea ' NEWCONSTR. POWER APPARATUS a NON .RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTIIRES g L,� Ex. OCCU FIXED APPLNS. OR na Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 s� License No. oL,57 79,_:9 / Classification G — Z1.9 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ D $ 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. (Qj I have placed on file with the County of Butte a certificate of �l 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. @ FEEPERMIT FILING FEE $3.00 p!'� Heating Cooling , Ventilation Hood . 2.00 Permit Fee $ 7, 0 $ , 162 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ i ®� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Si azur'jre of ermitee or Agent Receipt No./,796 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. _-,,.-::;MREC,TOR OF PUBLIC WORKS By Date 9�1111t:�7 permit e."ete ;a Temp. Power Pole Called PG&E 4 Oe t Temp. Elec. Serv. Called PG&E Temp. Gas Serv. J`r, i %F Called PG&E „'+pg \J INALED A��0 (Date) i } (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Setback Stucco Water Piping Sewer Gas Piping MOB16EUOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) ,6,0�,� 77 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE .25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street ' Lot Number Tract No. EXTERIOR WALLS j Manufacturer Thickness/Type R Value.. /- CEILINGS Batts: Manufacturer Thickness R Value Blown:. Manufacturer �G7-c/ Thickness ° No. Bags z, Wt./Bag -Sq. Ft.. Covered Z R Value FLOORS Manufacturer Thickness/Type _ - R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation—inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE No. L.", TITLE _ DATE INSULATI •N CONTRACTOR HAWKINS INSULATION CO. ' LICENSE No,1 21 =925 BY�� TITLE DATE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 77 fj j -7 7 7 County Center Drive - Oroville, California 95965 oC�6 / . Telephone: 534-4541 ,. a APPLICATION AND PERMIT --------- —---..___.. __ ... ..... ......., ... .....,.. ... ..,.a...rvn uic amen ' d property for inspection purposes. X Dat Signature of Permitee or Agent Receipt No. J& ?1? 7 (o 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 P BLIC WORKS ! �7 ,— By Date + � Building permit expires Date-��� BUILDING Owner L SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 0 7.J oo d hi e-7- 7— T- Telephone No. G ti ' -72-IF �- Fireplace Contractor Total Valuation tl ,iD cJ Mailing Address Al -e Permit Fee c O . Plan Checking Fee &/or Penalty Telephone No. Permit Fee f)� Building AddressPLUMBING 'Q r'T S% No. @ FEE PERMIT FILING FEE $3.00 J -04P ^- %� L ®` Each Trap 1.50 �.Oa �� Repair drainage or vent piping 1.50 Water piping 1.50' - Zoning Verification Uniw Each gas water heater or vent 1.50 �►a-"tr A. P. o. 'Z_ b �r - �a��g Gas piping system 1 - 5 outlets 1.50 j. Each additional outlet .30 es C.i tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 f� pC fGr B d9. Tans Recd Parcel Approval %� Pla4lpproval Permit Fee !'00 �E o& NEW �.. ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , e> OR Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGSLING O.0 %Pz• 22syft .i2. d NEW CONITR. MULTI -OUTLET . NON-RESID. ( BRANCH CIRCUITS) 2.50ea ' NEW CONST. POWER APPARATUS & NON.RESI R 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: �v ���� Ex. Occup(OUTLETS OR FIXTURES)@�S BAL@1 Ex. Occu FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Classification Misc. Wiring ��25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 j .�b $ 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. hhave 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 j.v D Heating ry0 ov& j37 0 Cooling Ventilation Hood 1 2.00 4.00 Permit Fee . $ 4hlucl eJelo a✓� Fra �S of TOTAL PERMIT FEE ^� $1 /% ,�� --------- —---..___.. __ ... ..... ......., ... .....,.. ... ..,.a...rvn uic amen ' d property for inspection purposes. X Dat Signature of Permitee or Agent Receipt No. J& ?1? 7 (o 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 P BLIC WORKS ! �7 ,— By Date + � Building permit expires Date-��� THERMALITO IR'RI'GATION DISTRICT i. 139. 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: f _ i % . t�E ~-��''`�= -` %) Owner's Name: -' - J 1 =" { Date: Address: `� - , .,` r,', �. Acct. No: A.P. No.: Phone: No. Units: / 15 Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: A-- Date: � � -77 CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: �-- Date: -' % -7 /f Field Review By:.__GaP. P� ..,Date: �" �o — - Remarks: ^ 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). 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