HomeMy WebLinkAbout031-251-024I
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ommunity Action Agencrepairs/sf
031-251-024 PERMIT#94-1759
JONES, GARY &.,JACQUELINE ��
1163 TEHAMA AVE., OROVILLE $ I�V�t%
CONT: COMPLETE CONSTRUCTION
REPLACE PLBG & WINDOWS & INSULATE/SF Q
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031-251-024 PERMIT#94-1759,
` JONES, GARY & JACQUELINE
1163 TEHAMA AVE., OROVILLE
i CONT: COMPLETE CONSTRUCTION
;C REPLACE PLBG & WINDOWS & INSULATE/SF
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—COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'Ot" 71, County Center Drive - Oroville, Califdrnia 95865 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT ��"
ASSESSOR PARCEL NUMBER 031-251-024
3
ZONING AR
BUILDING PERMIT
OWNER
GARY & JACQUELINE JONES
TELEPHONE
534-5542
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
1163 T'SHAMA An
CONTRACTOR'S NAME
COMPLETE CONSTRUCTION
I TELEPHONE
533-8318
CONTRACTOR'S MAILING ADDRESS
2737 GILMORE LN #3 OROVILLE 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
216.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 1163 TERAMA AVE
PERMIT FEE $
236.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap 3 1
7,00 21.00
Solar or heat pump water heater
23.00
Water piping
00
15. •
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex ❑ Mobilehome O Other
' SPECIFY -
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel O Utilities ❑ Installationl0 Other
Describe Work: REPAIR K»' iF.f+i & BATH R(W P111 RING,
RRPLAC,R !s WIN1'lfl;JS, RM ACE WW
PERMIT FEE $
71.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
' OR LESS
Main Service ( �A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
Tt SIf7 M}
�111111 .A�l lIT!
NEW CONST. ( DWELLING ACCBLDSUP )
OR ADDNS.
3.50 F°:
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
`TI- am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect. (
License No. C,y!?�Opa Classification (,/, Jr,`�. L
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON -RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 BAL. @l:w
Ex. Occup. FIXED APPLNS. OR
( OUTLETSIRESID.IEA. )
5.00
Temporary Service
ry
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23,00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
�Q I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating REKA,CE SWAM P
Cooling
,
Hood
6.50
Ventilation
PERMIT FEE $
35.00
Contractor
t
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of 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 all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County,in,consequence of the granting of this permit. ,
Date
Signature of Applicant - ❑ Owner, ❑ Contractor 0 Agent
An OSHA permit is required for excavations over' 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 385.00
HAZ-
I D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte. County Code and/or Resolutions to do work
indicated above for /which fees have been paid.
By �,I�P Date
PERMIT EXPIRES ON (/
lDetel r
ReceiptNo. 167009
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orovillb, `California 95965 - Telephone (916) 538-7541 PERMIT NO.
• ' APPLICATION AND PERMIT` %S9
ASSESSOR PARCEL NUMBER
031-251-024
ZONING
AR
BUILDING PERMIT
OWNER
GARY & JACQUELINE JONES
TELEPHONE
534-5542
SQ, FT. OCC. BUILDING VALUATI
OWNER'S MAILING ADDRESS
1163 TEHAMA AVE
CONTRACTOR'S NAME
COMPLETE CONSTRUCTION
TELEPHONE
533-8318
CONTRACTOR'S MAILING ADDRESS
2737 GILMORE LN #3 OROVILLE 5 66
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
216.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
116*1 T AMA AVE
PERMIT FEE $
236.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 3 1 7.00 21.09
Solar or heat pump water heater
23.00
Water piping
15,00 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF W Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ElAddition ❑ Remodel O Utilities ❑ Installation ❑ Other ia
Describe Work: REPAIR KITCHEN & BATH ROOM PT ITMBIN z,
PERMIT FEE $
71.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
REPT CE 4 WINDOWS REPLACE SOME
s
^7+ ��T
�311r7tl 3�1 F* �tF4V
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONS.}TTCTTrr7
OR ADDNS? ( DLLIN&EACCG BLDS. )
3.50 F°,'
CONTRACTORS LICENSE LAW
I d clare under penalty of perjury (check one)
` T-7 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. G!V1500 g Classification G_- Je Zo
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
O
NEW CONST, MULTI- UTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.000
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.I EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Cl This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
XeCertificate of Consent to Self -insure.
I sh6ll not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating REPLACE SWAN
Cooling
15.00
Hood
6.50
Ventilation
PERMIT FEE $
35.00
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of 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
Co onseque a of the granting of this permit.
Date 2
Signature of licant - ❑ Owner ❑ Co f actor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 385.00
HAZ.
I D. FEES
IMP
I FLOOD
I COF
PARCEL I PD
I HD
ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
SOI�
By ±!]
PER
(De el
provisions
to do work
paid.
ate
24
c) .J
ReceiptNo. 167009
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
..H�..r..0 .ru.,.why„-+�h:.. ..�1.'j �ii''iff��'...�•,(�'rht+S.i�'�i'is"xy't'r..• �.,,1�,'F.N+�npt,�.iai''7L'^�Y"N�."'"n�- `i ='*t =ro,-7-7n...n.. .f..r-.
J
COU`NTYOFBUTTE - DEPARTMENTOgFDELOPMENTSERVICES -BUILDING DIVISION
7 3NTY-CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEETV
OWNER A. P No.
Proposed Building Use P0,561 I&S 8 PEM Building Inspector Date
At time of perm't application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1, All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ... .
Preanspedion requ-eT
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation (0�22l9 y
Acreage Applican Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet ��AP folder
Copy - Department of Public Works
�.. .� .:... ... .. . .: .. �. ..-v;-. ,. .. �^�L• T: .j ^'^2Yj'i7�A- wr;. .. a ,..-�-.,y-, ..+rrr. ., y...
w 031-25-1-024 92-4077B,P
JONES, Jacqueline ,^'
1163 Tehama, Oroville..
contr: Community Action Agency
! '` reroof & repairs/sf
C
COUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERM T NO.
2
ASSESSOR PARCEL NUMBER
-
ZONING
AR `
BUILDING PERMIT
OWNER
ueline Jones
TELEPHONE
J34-5542
^ SO. FT. OCC. BUILDING VALUATION
OWNER'S AILING ADDRESS
T T Ave. Oroville
1A Sn R40, Oo
R2.160.00
CONTRACTOR'S NAME
ron A en
TELEPHONE
538-7214
CONTRACTOR'S AILING ADDRE S
2255/2269 1 Oro Ave. Oroville 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15.00
Permit Fee $45.M
Plan Checking Fee ,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ W.
1161 Tehems Ave., Oroville
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping 1 7.00 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [�
Describe work: New Water Heater and Windows&
1 Door Reroof w/Comp.
Permit Fee $ 22.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORRLESS 18.50
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 Profess s Code and my license is in full force and effect.
License No. ) Classification
1, 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
Main service 200ATO1000AI 37.50
NEW CONST. ( DWELLING OCCUP.ty) 3.6dsq.ft.
OR ADONS. ACC. BLDGS. /
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRCITS @ 5.00POWER
APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20 76
5AL (a 46
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID•) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
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
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 incc sequence of the granting of this permit.
X �'r,"sem �f' Date ����c� /9'Z
Signature of Applicant — Owner ❑ Contractor ❑ Agent
A;, 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
82.00
TOTAL FEE
HAz
1 0FEEs I
IMP
I FLOOD
I COF
PARCEL
PD
I HD
Is su
This permit is hereby issued under the applicable provi-
sions of thl Butte County Code and/or,resolutions to do
work indi ated above. for' fees have been paid.
W.
DIRECTO��poF PUBLIC WORKS
By il.�.y f 4 /11. ,l ✓/�� � Date
PERMIT EXPIRES Date i f, '.
Receipt No. 129917
WHITE-D.r.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
j
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERM T N0.
Z
ASSESSOR PARCEL NUMBER
031-251-024 r `
Z16NING
AR
BUILDING PERMIT
OWNER .�."
Jones
TELEPHONE
534-5542
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S AILING ADDRESS
1163 Kama Ave. Oroville
2,160-00
CONTRACTOR'S NAME
A enc
TELEPHONE
538-7214
CONTRACTOR'S AILING ADDRE S
2295/2269 Del Oro Ave. Oroville 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
1363 Tphamn Amp, Oroville
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
1 7.00 7,00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home Is G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other [�]
Describe work:_ NPw Water Hater and Windows&
1 Poor R roof w/Comp
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of
—/, P y perjury jur y (Check One):
'7U I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' s Code and my license is in full force and effect.
License No. Classification ,
1, 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
Main service 200A TO 1000A)
37.50
NEW CONST. / DWELLING OCCUP.9
OR ADDNS. \ ACG. BLOGS. /
3.64 sq.ft.
NEW CONST R. ULT' -OUTLET
NO N.R ESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS tri
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20 76
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
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
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 ounty in c sequence of the granting of this permit.
Date rr c '
i Lure of Applicant — Owner ❑ Contractor Agent
n 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 $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 82.00
HAz
1 DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HO
(SSU
This permit is hereby issued under the
Bions of Butte County Code and/or
work ' di ted ab f which f
DIRE P BL
By
PE XPIRES Date
applicable provi-
esolutions to do -
ave been paid.
RKS
Date
Receipt No. 129917
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR, GOLDENROD -APPLICANT
ASSESSOR PARC
U (-
OWNER
�qC
OWNER'S MAI LI
1163 -.
CONTRACTOR'S
COmr>7UN;
CONTRACTOR'S
155
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 PERMIT NO.
APPLICATION AND PERMIT
NUMBER
BUILDING PERMIT
TELE H NE SQ.FT. OCC. la
ALUATION%Vk dNE RI
IFSS`-
m o
TELE/y!PHONE
G ADDRESS
CONS TR UC ION LENDER
Fireplace
UNKNOWN
Total Valuation $
L ENOER'S MAILING ADDRESS
Filing Fee
ARCHITECT OR ENGINEER
Permit Fee
LICENSE NO.
Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
BUILDING ADDRESS
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
LOT NO.
SUBDIVISION NAME
Solar or heat pump water heater
PARCEL MAP
Water piping
Each qas water heater or vent
USE OF STRi3e-TURE
SF ❑
Gas piping system 1 - 5 outlets
Duplexn Mobilehome[] Other
Building sewer
SPECIFr
Mobile Home S G W
TYPE OF WORK
New LrJ Addition[] RemodeIC Utilities 11 Installation[ Other
Permit Fee
Describe work: IN4Ew W AA uq- H EA4a-77Z q AIS
Contractor
LA) )Nnar'''�- °d2 .�Llso /Yw
ELECTRICAL PERMIT
Main service 200AOHLESS
CONTRACTORS LICENSE LAW
Main service 200A TO t000At
I declare under penalty of Perjury
I y (check one):
NEW CONST. /DWELLING OCCUP,y`
oR ADDNS. 1 ACG. BLDGS.
1_J I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$$
and Professions Code
NEW CONSTR. ULTI.OUTLET
NON-RESIO BRANCH CIRC ITS
and my license is in full force and effect.
License No.
(POWER APPARATUS sl
SINGLE OUTLET CIR, /
Classification
1.
Ex, Occu p(OUTLETS OR FIXTURES
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure
Ex. Occup. FIXEDOUTLASPRESID )RE A.�
Is not intended or offered
for sale. (Sec. 7044)
Temporary service
�] 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Mobile Home Facilities
[J- I am exempt under Sec, , Business and Professions Code
Misc. Wiring
for this reason
it Fee
WORKMEN'S COMPENSATION INSURANCE
ractor
I declare under penalty of perjury (check one):
FHe
The permit is for $100.00 (valuation) or less.
MECHANICAL PERMIT
❑ I have placed on file with the County of Butte Building Department
ing
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to S If I
J
S
15.00
15.00
_$
Filing Fee 15.00
18.50
37.50
3.60 sq.ft.
%07
00
6d
I 3.00
15.00
15.00
15.00
S
Filing Fee15.00
e nsure. Cooling
(J-' Ishall not employ any person in any manner so as to become subject Hood
10 the W. C. laws of California. 6,50
Notice to Applicant: If after making this statement, should you become subject Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee
Provisions or this permit shall be deemed revoked. $
Contrac t
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 10 enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County Of' Butte against
III liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
signature of Applicant — Owner i_ _ Contractor F -
Agent
n
kn OSHA permit is required for eXcavaons over $'
on of structures over 3 stones .n I,e,qht.
Q deep and demolition or consiruct-
lecuipt No. /a 1 0
•'O. P. v.. rE L la W 03 SO P- P,ViI-i Y:1P EC'OP,
:0L ar.ePoo-APPLtc.nr
or
Mobile Home Installation Fee g
Energy Inspection Fee $
OCC I CONST TYPE
TOTAL FEES
MAL u FtESI IMP
"U I ISSUE
This permit is hereby issued under the applicable provi-
sions 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
PERMIT EXPIRES Date -
6331-76-B,P,E,M
PERMIT EXPIRES
North Sierra '
OWNER onstr.
CONTR. owner
LOCATION (A.P. 31-254-07
920 Colusa Ave.,.Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv._J
Called PG&E
,r
Temp Gas Serv. -�
Called PG&E
/Fol
ALED
� (Date
(Signature)
Fiber Glass Insulation
BUILDERS INSULATION STATEMENT _-
BLOWN INSULATION
Manufacturer's minimum thickness to provide the level of insulation
resistance (R) Values as shown:
* R Values are determined in accordance with ASTM C-687 and C-236.
Conforms to Federal Specification HHI-1030A.
This insulation has been installed in'conformance with the above recom-
mendations to provide a value of R using bags of insula-
tion to, cover square feet of area.
Insulation Contractor (Sign)
Builder (Sign)
Company Name Company Name
BATTS AND BLANKET
R
INSULATION
R
INSULATION
VALUE
THICKNESS
VALUE
THICKNESS
R-22
61/2"
R-13
35/e" .
R-19
6"
R-11
31/2"
Date
Meets Federal
Specification HHI-521E
Fiber glass batts or rolls have been installed in accordance with the
manufacturer's recommendation to provide an R -Value ofe"� in the
ceiling,in the exterior walls,�z in the floor or crawl space
perimeter.
nsu ation dontractor (Sign) Bel der (Si
Company Name Company Name
CSG -32-11-C Date
CertainTeed Corporation, P.O. Box 860 Valle Forge, Pa. 19482
P � � Y 9
CERTAIBI®
•
HAWKINS INSULATION CO.
Yuba City, CA
Lic. #215925
PHONE: 916/673-2674
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS'
BUILDING INSPECTION RECORD
rootings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
PLUMBING
Mesh J MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish A- oeDucts ! �17-7 Underground
Interior Lath Ventilation Permanent
Door Closer ow, or Final Final
DATE ® REMARKS OR CORRECTIONS
ef
r
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
L`A
1VVrV0ei1LQLvca VI the \,,UUIIIY UI mile to enter upon the
above-mentioned property for inspection purposes.
X Date &—
Iat gna of ermitee or ent
Re 'pt
No. ���
White-D.P.W. — Yellow -Assessor - P'nk-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 0 UBLIC WORKS
By a Date ��.-v4- -7
euddirg permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address � /�
0
e
Telephone No.
Fireplace
Contractor
Total Valuation p�
Mailing Address
Permit Fee OQ
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Oz
Building Address zo
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 p
Each Trap 1.50 AA
Repair drainage or vent piping 1.50
Water piping 1.50
Dt Veli cati°^ Only
Each gas water heater or vent 1.50 —�
A. P. No. Zoning & Plonnin
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
l on F' t.
Fire Zone Use Permit
Building sewer 5.00
EQA
Plans
Pn
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
B dgG 1£' Rec'd V6
v Parcel Approval
Plans pproval
Permit Fee $
$
NEW E4 ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEEPERMIT
FILING FEE $3.00 7, &)(o
Main service i°°V OR o AMP OR o LESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family JX Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP � OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST. DWELLING OC &
OR ADDNS. ACC. BLDGS ) 20sgft
NEW CONSTR. MULTI-OUTL
N O N•R E SI D. BRANCH CIRCU) 2.50ea
ITS
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:
S
Ex. Occup(OUTLETS OR FIXTURES)NIS
BAL�1
Ex. Occu FIXED APP LNS. OR
P•(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
a��
�L�
License No -F,29% Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
G
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.
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 sut%ect to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
$3.00
FILING FEEpo
Heatin g .60
Cooling O
Ventilation
Hood 2.00 �, Q D
Permit Fee $
$
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
TOTAL PERMIT FEE
$
1VVrV0ei1LQLvca VI the \,,UUIIIY UI mile to enter upon the
above-mentioned property for inspection purposes.
X Date &—
Iat gna of ermitee or ent
Re 'pt
No. ���
White-D.P.W. — Yellow -Assessor - P'nk-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 0 UBLIC WORKS
By a Date ��.-v4- -7
euddirg permit expires Date
• THERMAIITO IRRIGATION DISTRICT
I r�',
410 GRAND AVENUE v.
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name: '
Date:Address:
'�' • Acct. No:.>
f
A.P. No.:-;,, - 5
Phone: No. Units:
Applicant/Agent: 'i I Agents Proof: �� lam'►
Address: _
Phone:
IPreliminary Review By: , r� . �� .., ,_ Date:
Remarks:
IField Review By:
Remarks:
Date:
Fees:
Application $ —
Arrearage
CSA 26
SC -0 R
1st mo. S.C.
Other
Total Fees
Collected By: =
Date:
N
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).
r❑ 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).
iIS I HIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TIO
F t + e', rn
.av-1
NOTE—All f iaterials
Accor v th wOfkmanship Shall Be in
of a qu
dance
Recognized Good Practices and
Uniform Bu, d,n �scribed Plumbing or the Specified use in the
the National EI ctrical Coe Mechanical Codes and
This sr+t of plans and speciti,- ions VWUS �e
cnt on An +, Nt all times and it is unlawful to
make any changes or alterations on some without
written permission from the Department of Public
Works, County of Butte.
-* * I -+
L - --�-
M
SC Mp5
pl ns.
tIq
I�S�►
Plan on :Bile for build;nv
'L
T �=' The Bldg. than slug to 5 ft. T'.am ftri
side prope ty line and - 50 ft. from *0
cenfArline f the road, perrnit;ing c� r+ncoti=
mum of a 2 ft. eave overhang but ent mt,,�
out of all asements.
h GONG.
C 4C
BUTTE COUNTY
M _ T
BUILDING DEPARTNtEN'r
�_ALP
.� _