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HomeMy WebLinkAbout031-245-0127 _~ ` \ ` � � ! | . | i ' | � � . | . � � | ` FBill- Pearsall 8f,66 Thermalito Ave., lot 8, Oroville f j Ad M i 1 y 31-245-12 ITEW OWNER 366 Ther to Ave, Oroville Permit #3303-78P,'E,M(inst. AC) SF 031-2147.5-01 '937-121-8,'E 031-245-012 06-1833 66 `STURNACLE, MICHAEL '_�-___--,,`_,-__.'L�_� Cont:� n '._ LO `BUTTE COUNTY o �V T Two DEPARTMENT.OF DEVELOPMENT SERVICES BUILDING PERMIT G - . � c 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) G - — - - o OFFICE #: (530) 538-7541 CSU N'�y PERMIT NO. WIV. *N 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 Issued Date: 07/31/2006 APN: 031-245-012-000 the Business and Professions Code, and my license is in full force and effect. /► -1 License ass :C Licenslje Number: 17� Site Address: 866 THERMALITO AVE ORO Date: �1 �ontractor:66(lacAh'i'•� Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 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 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 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 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 sale. If however, the building or improvements are sold within one 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 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, and who contracts for such projects with a contractor(s) licensed Pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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. ❑ 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: Carrier: S—�1�"o,+e/� 1 Jr1u 1�17C Policy #:_ 1► 3- (20 3 J •J ❑ 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 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: Applicant: WARNIN Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Description: CHANGE OUT HVAC UNIT- SPLIT SYSTEM Owner: STURNACLE MICHAEL & MARY M 866 THERMALITO AVE OROVILLE, CA 95965-4425 Applicant: GALLAGHER'S HEATING & AIR PO BOX 35 LOS MOLINAS, CA 96055 530-384-2444 Contractor: GALLAGHER'S HEATING & AIR PO BOX 35 LOS MOLINAS, CA 96055 800-892-3556 License #: 777334 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: 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 Resolution t do work indicated bove or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ) 17-3 Name: By:.Date: 1 O Address: PERMIT EX IRES ON: 0 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 I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Buite County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection urposes. Print Name: �ri. I ( C� r'(A Signature: Date: � I �' 0�D ❑ Owner ❑ Contractor ❑ Agent for Owner Q�Agent for Contractor o. t. ouuomg vermrt 01-16-04 oa 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE r office use only: OWNER INFORMATION Last Name I "U _ , , X _� 'T P,it am .. M. Address . Y ' Ing s City i State Zip Phone. O2 Fax E-mail Class an APPLICANT SIGNATURE r office use only: CONTRACTOR Name f_ „ 'S HVAC Addres Type Const. City ' Ing s Statr a Zip Cr(D�� � PhonZR r `I � ?40 r I `-t Fax E-mail) Lic. #-�.1, 3 Class an APPLICANT SIGNATURE r office use only: ARCHITECT/ENGINEER Name f_ „ 'S HVAC Address Type Const. City ' Ing s State Zip Phone al Fax E-mail State License Number APPLICANT SIGNATURE r office use only: APPLICANT INFORMATION Name CLI f_ „ 'S HVAC Address Type Const. CityLon ' Ing s State_, Zi Phone39 al Fax E-mail APPLICANT SIGNATURE r office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP C BIN # PROJECT LOCATION AP# 0 l -2 0i Pro erty Address Ci Cross Street WORKER'S COMPENSATION Policy Number _ W I SS 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 OVER FOR SUBMITTAL REQUIREMENTS Ll K:\FORMS\BUILDIN6FORMS\BldgApplSubRgmts.doc Page 1 oft Descri tion or Scope of Work: iVj n f­e�and o Sq FT- Living Garage C06n Cov ❑ 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 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. dD Received by: Amount: . iy�� b.. Bldg SRA Receipt #: �j�i`i Sheriff C� 127 Co Date:01 - O GO SMIP Other ,OCI Total REV 8-12-05 ,F , i v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATIONQAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 031-245-012 ZONipNG ' AR BUILDING PERMIT OWNER JOSEPH SKOWRONSKI TELEPHONE 533-1680 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 880 THERMLITO AVE OROVILLE 95965 CONTRACTOR'S NAME 0>;.�tJER TELEPHONE 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'S MAILING ADDRESS Penalty $ 8U1866 TIM MALITO AVE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE �y SF rY Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Additions Remodel❑; Utilities yJainstaliation[ Other ❑ Describe work: REPAIRS TO MAIN SERVICE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI _ 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 U 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.&\ OR ACDNS. 1 ACC. BLDGS. II 3.6$sq.ft. NE NEW TLET NON.RESID. BRANCH CIRCU ITS@ 5.00 /POWER APPARATUS &) (POWER OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. OCCU 20X760 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 O•u Permit Fee $ .UV Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiiingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee ; L 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, judg ents, ckqts, and expenses which may in any way accrue against said Count y in cons uence of the granting of this permit. X JN Date Signature Appli Ont — 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 Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEES 30.00 HAz 11 FEES IMP FLOOD CDF PARCEL PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated ave for which fees Ir IREcToR 00'0UBLIC By ��../ �^� PERMIT`EXPIRES * Date applicable provi- resolutions to do have been paid. WORKS Da g Receipt No. 140598 WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,`538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS R PARCEL NUMBER 0 1-245-012 ZONING '" AR BUILDING PERMIT OWNER JOSEPH SKOWRONSKI TELEPHONE 533-1680 SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 880 THERMALITO AVE OROVILLE 95965 CONTRACTOR'SNAME OWNER TELEPHONE 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'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 866 THERMALITO AVE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE rrYyYy SF P Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ; Addition Remodel UtilitiesFUXlnstailation❑ Other ❑ Describe work: REPAIRS TO MAIN SERVICE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20GATO 1oo0A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license Is In full force and effect. License Ao. Classification (_f(CO 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.& OR ADDNS. ( ACC. BLDG S' _37.50 3.64 sq.ft. NEW CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESA20 761 45 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 -OT Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save indemnify and keep harmless the County of Butte against all liabilities, judg ents, c sts, andexpenses which may in any way accrue against said Coun y In cops uence of the granting of this permit. Date o Appli ant — Owner Contractor ❑ Agent ❑ An OSHA permit s required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 stories in height. Receipt No. 140598 Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 30.00 ! HAz I DFEES I IMP I FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the of the Butte County C and/or sionsSignature work indicated ve f (ch fees TO UBLIC ByDa PERMITIRES Date applicable provi- resolutions to do have been aid. p WORKS C C7 WHITE-D.P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK,-- 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION_ AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING 03 /- Zys. �/ Z BUILDING PERMIT OWNERTk MOO e ll LS 0W r onl-sKf, EPHONE 33 _/60e SO. FT. OCC. BUILDING VALUATION i OWNER'S MAI LI GADD SS uA t/ -^q A,71-0 'Abli xov, 1"e - CONTRACTOR' ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ i ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS p G / (/ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF6Z Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 1 515.001 TYPE OF WORK New _. Addition Remodel 7 UtilitieAq Installation❑ Other ❑ Describe work:�P/l��i�i��rUiCF __ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 _ Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 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.SINGLE License No. Classification _LNS 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.h) OR ADDNS. ACC. BLDGS. 3.6d sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 5 00 POWER APPARATUS 6 OUTLET CIR. I EX. OCcup(OUTLETS OR FIXTURES 20 764 A FIXED P1EA.) Ex. Occup. OUTLETS IRESID j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 %S.00 Permit Fee $ 'To. c Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 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, 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 Si nature of Applicant - OWner ❑ Agent ❑ g pp ❑ Cs over 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 TY" TOTAL FEE $ ��=' — HAZ DFEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. L��� WNITE-D.P.W., TEL LOW -ASSESSOR, RINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE-..Depar'tment of Public Works .7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An -"owner -builder" building permit has been'applied for in your name and bearing your signature. Please complete and return this .information at your earliest opportunity to avoid unnecessary delay in processing•and issuing your building permit.' No building permit will be issued until this verification is received. 1 I personally plan to provide the major labor and materials -for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed�an'application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed .construction: Name Address City Phone 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 AddressCity Phone Contractors License No. 5:_ I will -provide some of.the work but.I.hay.e contracted (hired) the following persons to provide the work indicated:.. Name Address Phone Type of Work • Signed: Property Owner Social_Security Numter Date Mau :?1Q 9 ✓+ROH'" :. - _ I. i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832-, of the -_California Heal-th,-and Safety Code: - - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. ;r PERMIT NO: ' 4029-77B,P,E,M r 9bPERMIT EXPIRES `!' I#- Bill Pearsall OWNER CONTR. owner, P LOCATION (A.P. 31-245-9 .port. 866'Thermalito Ave., lot 8, Thermalito y. - t I Temp. Power Pole Called PG&E 'Temp. Elec. Serv.��l oo� Called PG&E Temp. Gas Serv. • Called PG&E JOB L/. FINALED (Date) r (Signa ure) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Piping Sewer Gas Piping MOB16EUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS_ (NOTE: An entry must be made on this form each time you visit the job site.) 77 THIS IS TO CERTIFY _THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE" CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, W'TITLE .25,. STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS Thickness/Type Manufacturer / yre R Valu CEILINGS Batts: Manufacturer Thickness R Value ,Blown: Manufacturer %! Thickness No. Bags_ Wt./Bag Sq. Ft. Covered 2_4 R Values % FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value <' Width of Insuliti—inches FOUNDATION WALLS Manufacturer Thickness/Type R Valu,- GENERAL alueGENERAL CONTRACTOR LICENSE No. BY TITLE - DATE INSULAAT19N CONTRACTOR: HAWKINS INSULATION CO. LICENSE No. 21 -925 BY,s/- TITLE G'`- DATE— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Urovikle„California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ¢OaS�x1' ol X ---a Date Signature of PerqVee or Agent Receipt No. I to 7 e. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P ELIC WORKS . BY Date C—/ ''7 ` I Building permit expires Date 0—/, ,��t BUILDING Owner �� A Y• L SQ. FT. 'OCC. BUILDING VALUATION Il So '.L- 2 �a• civ -. Mailing Address o Ifa30�'9 i S Telephone No. Fireplaceti Contractor' Total Valuation' •SIP 4d • o , - Mai I ing Address w �! Ir” Permit Fee Plan Checking Fee'&/or Penalty • Telephone No. Permit Fee $ "!1•� Z O • Building Address P a I� - PLUMBING No. @ -FEE PERMIT FILING FEE $3.00 .� _ Each Trap, -, r - 1.50 Y.p ( + r -Al o %h1f�+4 aLoTv i+ve J�� Repair drainage or vent piping 1.50 - — Water piping 1.50 , Zoning Verifica ion ®nlx Each gas water heater or vent 1.50 A. P. o. Z Za Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fes .C. i tion FireDept. Fire zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration a Parcel Map' P 60' R/W Improvements provements Lawn sprinkler system 2.00 C B dg. Plans Recd Parc pproval Plc pproval Permit Fee fl NEW ADDITION ❑ UTILITIES-[] OTHER ❑ ELECTRICAL No. @1,FEE PERMIT FILING FEE $3.00 ,8 Main service 100 AMP OR ORSL 'S 5.00 Main service EA. ADD'L too AMP 2.50 ' Sin Single Family Duplex Mobil'Home 9 Y P ❑ ❑ . Others ❑, Main service'• OVER 600V100 too AMP OR LESS 25.00 too AMP 1.00 Main serviceNEW CONST. ( DWELINGEA..ADDIL OR ADDNS. ACCLBLDGOC$/ &) 20syft .ia•s!� NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea . - - • NEW CONSTR. POWER. APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: - ' Y oe '0 50 Ex. Occup(ou'TLETS-OR FIXTURES) @@1 BAL@1 FIXED APP LNS. OR - Ex.,Occup.(ouTLETs (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 gg,�-,, License No.�GE/(�f Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee$S. j (i $ S 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.Compensat ion. have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. ❑Iermit is issued I shall not employ certify that in the performance of the work for which -this P p y an y person in an manner y so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL- No.1 @ FEE PERMIT FILING FEE J$3.00 o Heating ,/pp;ocp 8 Cooling Ventilation Hood 2.00 L O it Permit Fee $ $ I certify that (,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 -County of Butte to enter upon the Ahnve-mantinnari nrnnorty fnr )r e,.t;, n L4 V'ci Dava-Lu 'PAa t✓% C TOTAL PERMIT FEE This ermit is hereby P y issued under the applicable provisions of ol X ---a Date Signature of PerqVee or Agent Receipt No. I to 7 e. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P ELIC WORKS . BY Date C—/ ''7 ` I Building permit expires Date 0—/, ,��t ., SI-...,,. THERMALITO IRRIGATION DISTRICT 410 G,RANDrAVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 i CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: a-� . • / s='t� Owner's Name: '�= t Date: ! `7 Address: ' -i f'. ...r a ;�` �.-+� r..'. ' ` Acct. No: y �r A.P. No.: -- Phone: No. Units: �� ►� Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By:Date: r `' `7 -i CSA 26 Remarks: SC -OR 1St mo. S.C. Other Total Fees Collected By: Date: 7 -7 Field Review By: (1 P4111-.. Date: /.*1 — 7 _% Remarks: 77 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 - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID ;i• to/ o n/ COUNTY OF BUTTE — DEP'ARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epttone: 531-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor _ Mailing Address , -, : r `. f Fireplace Total Valuation Telephone No. Permit Fee Building Address `1 �l. ,, 1.� j Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 .r - Repair drainage or vent piping 1.50 ,� 7 A. P. No. } Zoning & Planning Water piping 1.50 f 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 Parcel Approval 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 LESS 5.00 SinSingle Famil ❑ Duplex ❑ Mobil Home ❑ Others 9 Y ❑ -L Main service E4. ADD100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW CONST. OR ADDNS. ACC'"BLOGS.LING CCUP. '1'1 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 st le of: Y z'. NEW CONSTR. LTI.OUTLET 1r NON-RESID ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIPES a ,� oa Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 r Mobile Home Facilities 15.00 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. EJI 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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling F I(r 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 representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone: ,534-4+541. v APPLICATION AND PERMIT aurnurize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. c/ 00, 01 X ZADate Signa ure a! P�errmitee 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. IRE IZ PUBLIC WORKS By Date E)Qb -permit expires date / .3 BUILDING Owner S 'C. SQ. FT. OCC. BUILDING VALUATION Mailing Address r h`1141 le 1 ` Telephone No. Contractor 'Y\ k) Mailing Address Fireplace Total Valuation W_r ele ho o, Permit Fee Building Address erynalj�6 AV 9— Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 0 Each Trap 1.50 V ( 1 Repair drainage or vent piping. 1.50 r� S —� A. P. No. J Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. SBflTTatftm' 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 royalPlans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER . Permit Fee $ $ V ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100'AMP 1.00 OR ADDNSEW T ACCLBLOGS.DWELING CCUP. Yl 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: %� 0,4 �,� 0(4/ NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS a NON.RESIO. SINGLE OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTIIPES BAL@t0Q P• � FIXED AS (RESID,) EA) 2•00 Ex. Occup. FIXED APPLNS. OR ,00 Temporary service 10.00 11 Mobile Home Facilities 15.00 License No. �7r9'o2 Classification (r— CD 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. 13rfI have placed on file with the County of Butte a certificate of orkmen'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 �/ 3-0-0 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 I Land Development Fee $ TOTAL PERMIT FEE $ S aurnurize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. c/ 00, 01 X ZADate Signa ure a! P�errmitee 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. IRE IZ PUBLIC WORKS By Date E)Qb -permit expires date / .3