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031-271-015
} 31-271-W15 ALBERT BAKER 14 2 117ttH. T. ) OROV I LLE PERMIT 71 72-76P(I NST�.y BLDG. SEW— ER) S/F o!� 1 j S a l/ �0 CoQ oOgp� 31-271-11 Permit #6497-76B(enclose porch -existing, `1 window & 1 door/SF) 31-271-15 EARL BAKER >1462 12th St, Oroville- Contr : Richard Paul Permit#3429-86P(replace gas lin )SF > 31i .271-15 Contr: George Roofing / PErmit#1286-88B(reroof/SF) f� 031-27-1-015 91-3432 BAKER, ALBERT & PEARL CONTR: AMRE 1462 12TH ST., OROVILLE VINYL SIDING/SF �} 10.1 031-271-015 04-2516 BAKER, A E 1462 12TH ST, OROVILLE Cont: GALLAGHER'S HEATING CHANGE OUT HVAC I ra RESIDENTIAL 031-27-2-015 96-2818 MCNICHOLS, GARY CONTR: OWNER 1068 NEVADA AVENUE, OROVILLE REPLACE DRY ROT im JOB FINALED (Date) Signature I ,F , v=ok O = Not OK i =NottRealdyce MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-0epthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Lest -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplic Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /°LYL / /Nat. or/ /"L'tL/ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftts-Trusses 8. Utility Clearance 9. Siding; Nailing-VeneerStucco-Mesh 10. Root; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #.'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemarKWaKe-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Hester 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS,, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-0epthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplic Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftts-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Root; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Hester 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o = No OK RESIDENTIAL=(Single & Duplex) - = Not Applicable ' = Not Ready FRAMING (Continued) _ Hangers -Post Caps -Anchors -Connectors Date 47. UNDERFLOOR (Plans) OK except -#'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16, Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. Card B-1 Date Card B-1 Date 64. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door Swing -Landing -Closure 23. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 24. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 25. Size Boxes & No. of Conductors Stapled Plb., Elec. & Mech. Equip. Listed for Location 26. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (GFI.)-Romex Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Insulation -Foam -Looked in Attic 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Guard rails & Deck Construction -Post Caps 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Following Instld./Drive 0 Yes 0 NO/Walks 0 Yes 0 No/Planters 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect Stucco Brown -Finish 32, Equip. Clearances Panels-Motors-Mech. Epuip. A.C. Unit Disconnect, Electrical -Plumbing 33. Clothes Closet Light -Shower Light -Spa Light Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 34. Smoke Detector Water Well, Disconnect, Electrical, Plumbing 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections 35. A.C. Ducts Insulation & Support Gas Test -Meters Tagged, Gas -Electric 36. Vent Fan, Exhaust above insulation Water & Sewer Connected -C/O to Grade -HD Approval 37. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 38. Furnance-Vent Access -Comb, Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Comments at Final: Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) _ Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59, Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (GFI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NO/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: -• �.r ti -.-, - - - '\-CO:�...G .-. -.., ' �tir.�:... •'fa-.rrr,.(�,,'y.r`a.r•-•r , , � ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT" ASSE55F� :2)NNI�!ZZ3 �l e �� ZON-I"G BUILDING PERMIT " GARY ICHOLS TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 5W DWNERS MAILIAD low�REMD OROVILLE CONT C R'S NAME U�J1°3kt TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSMC710"LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ .UU ARCHffECT_ OR ENGINEER LICENSE NO. Plan Checking Fee $ XVJ1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDREss 1068 MVADA Awn GROVI Z PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: REMACE DRY ROT IN GIRDERS A"� ALDD PYLM Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: V. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. So. OR ( 8 ACC. ) 3.5¢ FT. CNS. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. / OUTLET OR FIXTURES ) 20 O 1.00 Ex. Occup.(T BAL .50 Ex. Occup. ( OUTLETS R D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT ',-Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall nnt, - ploy any person in any manner so as to become subject to workers' ompensation,la s of California, and agree that if I should become subject to the workers' com`pensationlprovisions of section 3700 of the Labor Code, I shall foithwit c0 1 i with those provisions. Date I n'/1i9 / lq _ — Si! 6atur• of Applicant - ❑ Owner ❑ Contractor ❑ Agents- An dSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 58.00{tom HAZ. --- D. FEES IMP FLOOD _. _ . CDF PARCEL PD HO �. _ RC _D ., ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for�whi hVees have been paid. f/ B i Date 2 4 ! J p, y PERMITEXPIRESON Ib-- G/'7 , I (Data) ,of �VV�0 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 031-272-015 PERMIT#98-0926 MCNICHOLS, Gary 1068 Nevada Ave., Oroville Repair Dry Rot Girders & Piers, & Replace Garage Door/SF 3 0 I:,Xt, A COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541-'•1 PERMIT O. (Rev. 12'/96) APPLICATION AND PERMIT cyY' 6 � 4 ASSESSOR PARCEL NUMBER m 0 <e. ' ZONING BUILDING PERMIT OWNER �, 1 t TELEPHONE g0. Fr. OCC. BUILDING VALUATION C _ W OWNERS MAILING ADDRESS ROW N"ADA AVE., OROVXL12 CONTRACTOR'S NAME V 4 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER < Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. I —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS • Plan Checking Fee $ BUILDING ADDRESS 1068 WADA AVE.,, Energy Plan Checking Fee $ $ PERMIT FEE $ . LOT NO!I SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other a SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK w New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other a Describe Work: WAIR DRY ROT GMERS & PMS v REPLACES BP#96-2818 & FMLACE GAGE MOP Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - Main Service 200AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: W11 as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with, licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( d ACC. BLDS. 3.5Q FT. NON -RES DT 0c@D7.50@7,50 APPARATUS d SINGLE OUTLET C'R. Ex. Occup. OUTLET OR FIXTURES x'50 BAL so Ex. Occu .ouxT. RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling \ Hood 6.50 Ventilation PERMIT FEE $ Policy Number The above sections need not be completed if the permit is for work of a valuation iIone hundred dollars ($100) or less.) certify that - f the performance of the work for which this permit is issued, 1 shall Holy rnploy any person in any manner so as to become subject to workers' if ria, and agree that if I should become subject to the compensation la df Cal60-1 workers' compensation ro isions of section 3700 of the Labor Code, I shall orth ith co ply wi h se rovisions. Date :�iIn—k/1'Ae o K pplicant ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. [:ReceiptN o. HITE-D.D.S.- .D. A ARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35,00 HAZ. D. FEES IMP FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON Det BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ic' / License Class: C Zo C 38 LicenseNumber. —77 735 7 Date: �ZT Contractor. ( a `uh� dol C 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, atter, 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 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: ❑ 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. C9/ 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: , f Carrier. 51�- j Q 'TVts Policy #: 1-7J9 PERMIT NO. BP042516 Issued Date: 08/26/2004 APN: 031-271-015-000 Site Address: 1462 12TH ST ORO Map Index: Description: CHANGE OUT HVAC (ON GROUND) Owner: BAKER FAMILY LIVING TRUST BAKER A E SR TRUSTEE 1462 12TH ST OROVILLE, CA 95965-4204 Applicant: BAKER FAMILY LIVING TRUST Contractor: GALLAGHER'S HEATING & AIR E. HWY 99 LOS MOLINAS, CA 800-892-3556 License #: 777334 Architect: Engineer. Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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: WARNING: 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. o� !� l � '� it �l �l✓YI�r � � X55. Gv CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable visions of the Butte County Code 2nrUor I hereby affirm that there is a construction lending agency for the Resolutions to do work incted above for Whi f s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: % Date: PERMIT EXPIRES ON: 1� Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the ownerWuthont 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 f me of Butte County. I hereby authorize representat!�T of Butte County to enter upon the ve mentioned property for inspection purpo s. Print Name: r '-'U&✓-f S, ifs Signature: Date: 2 ❑ Owner ❑ Contractor 5/Agent for Owner ❑ Agent for Contractor e BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION j1O..� AND SUBMITTAL REQUIREMENTS (/ 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 - BIN # A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name +/ City L o5 �1 I'rtn first g e d Address Phone �5 City D p O' l E-mail Stag Pip Phone State License Number, Fax E-mail Page CONTRACTOR Name Address Q 0 130'- S City L o5 �1 I'rtn State Zi� �OS� Phone �5 Fax E-mail D 7 3 y Class c Sl APPLICANT NAME ARCHITECT/ENGINEER Name City Clk I -:fO Address r� 2 City 8fate Zip Phone Fax E-mail State License Number, APPLICANT NAME Name �b ✓� LA) C_ ✓S Address y7 t S `- City Clk I -:fO Statt"� r� 2 Phone �S i Fax E-mail For office use onI Zoning CO ro 4 Flood Zone SRA Yes No Occ. LENDING AGENCY Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION Prope Address � 7ih � CO ro 4 Cross Street WORKER'S COMPENSATION Policy Number a 2 G Carrier If hiring anyone other than license con ctors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc' Page 1 of 2 Description or Scope of Work: ck& c.( 4 C ke. 4 ni� d yvu Sq. Footage Z(� ❑ 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. a Received � Amount C_ G Bldg HHVV SRA Receipt #: /J Sheriff l ?'_' Sv� SMIP Other Date: c REV 7-27-04 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 paperl ❑ 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ' . ❑ 5. Statement of Intent for Non-heated.,and A/C for Non -Residential Buildings. ❑ '6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory. Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 merunas 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 KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 031-27-1-015 91-3432 BAKER, ALBERT & PEARL CONTR: AMRE 1462 12TH ST., OROVILLE VINYL SIDING/SF I 1 f COUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,"538-7541 fid. ¢ APPLICATION AND PERMIT. ASSESSOR PARCEL. NUMBER 03X— ZONING BUILDING PERMIT OWNER kL13RW A PEARL BAER TELEPHONE SO, FT. OCC. BUILDING VALUATION QJ1Y Alia 51,608 OWNER'S MAILING ADDRESS 1462 ORMUZ, CA 195965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 49 ,j Fireplace CONSTRUCTION LENDER NA)I 'Filin UNKNOWN Total Valuation Is Fee 9 $. 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 67,50 ARCHITECT OR ENGINEER LICENSE "NO. Plan Checking Fee $ Ener Plan Checking Fee gy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11,6;9owmix Permit fee $ 825-0 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 F Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 �1 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 TGTWJ @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: VITA' SYDIMG Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 t Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): –1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio de and my license is in ful force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I ❑ 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.& 3.6asq.ft. OR ACDNS. ( ACG. BLDGS. NEW CONSTR. ULTI.OUT LET NO N.RES"' BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e� (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIxTURES 20 76cl Ex. Occup. ou LETS ED ( R RESID )EAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin 15.00 9 Permit Fee $ i — 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. ❑ 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. 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 sai County in co sequence of the granting of this per it. p X Date a� J� r Signature of Applicant — Owner ❑. Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h ight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE Om2a Cil TOTAL FEE $ HAz I DFEES IMP I FLOOD I COF PARCEL PD HD IS E This permit is hereby issued under the applicable provi cions of a Butte County Code andjor &solutions to do work " • di 'ated ab f F which f s ave been paid. DIRE F P BL.' ORKS By Date 9/25/98 -'--- PER EXPIRES Date 9 2 2 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION ARD PERMIT ASSESSOR PARCEL NUMBER 031 -271-015 ZONING - JAR BUILDING PERMIT OWNER ALBERT & PEARL BAKER TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONTR. 5,608 OWNER'S MAILING ADDRESS 1462 12TH OROVILTE, CA 95965 CONTRACTOR'S NAME AMRF TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 67.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1469 121H ST DROVITLE Permit fee $ 82..50 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 SF L3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: VINYL SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200v OR LESS 00AOR LESS 18.50 Main service 200A TO 1 OOOAI 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 Professio de an my license Is In fullforce and effect. License No. G qZ ClassificationAL ❑ 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. 7.044) ❑ 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.tr OR ADDNS. ( ACC. SLOGS. 3.6d aq.f[. NEW CON5TFL ULT' -OUTLET NON-RESIP BRANC CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR, Ex. Occup( OUTLETS OR FIXTURES 20 76 4F; LN Ex. Occup. OUTLETS ED APPIRESID )REA.) I 3.00 Temporary service 15.00 Home Mobile me Facilities 15.00 Misc. H g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 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, judgments, costs, and expenses which may in any way accrue against sal County in consequence the granting of this per it. n X ` Date v2 / Signature o4 Applicant — Owner ET Contractor E]Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 82.50 HAz I DFEES IMP FLOOD CDF PARCEL I PD I HD Iss E This permit is hereby issued under the sions Of Butte County Code and work - di ted ab which f DIRE F P BL By PE EXPIRESE)CPIRES Date applicable provi- pr solutions to do s ave been paid. RKS Date 9/25/91 9/25/92 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive_ Orovfle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. .ASSESSOR PARC LUM R 'l Q --BUILDING ON, ZON BUILDING PERMIT R a � TELE PHO E SO. FT. OCC. BUILDING VALUATION OW ER'S MAILING ARES ,_{. �/� n ����4 1 I �i't% t `t C TC NAME /JAACTOR'S TELEPHONE CON MAILIN ADDR 35 �1 L(y(C� K r % V Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$, 15,00 LENDER'S MAILING ADDRESS Permit Fee $ - ARC 1 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS }0(\6v i Permit fee $ a, PLUMBING PERMIT FiiingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.001 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 cutlets 5.00 Building sewer 15.001 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition.: i Re ocje,l' Utilities❑ Installation[ Other Describe work: V 111 St `n _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 500OR LESS 200AA OR LESS 18.50 Main service 20GATO 1000AI I 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i 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 Ao. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.E,) oR ACACC. BLDGs. ^JEW CONS. ON6TR '•ULTI.OUTLE? NON RES C-. BRANCH CIRC'ITS @ 5.00 OWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTL=_Ts OR FIXTURES Ra°aa6a Ex. Occup. OUTLETS IRESID IKEA.) 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): U The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature pp ❑ Contractor Agent ❑ Si nature of Applicant — owner An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC ! CONST TYPE TOTAL FEES �z 1 „Az 10FEES IMP FLOOD CDF I PARCEL PD HO 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 (3 Receipt No. 16 % 42- WN I TC -D. P. W.. YELLOW-455E330R. PINK -INSPECTOR, GOLDEN POD -APPLICANT PErmit#1286-88 EARL BAKER 1462 12th St, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI10 AND PERMIT PERMIT�NO. „X/" ASSESSOR PARCEL _NUMBER �•- h ZONING BUILDING PERMIT OWNER - ?,0 R l nflzca TELEPHONE 533-5707 ,SQ, FT. OCC. BUILDING VALUATION �/a,�q fl`�' 'l c—T i7) OWNER'S MAILING ADDRESS ' W-,% 112 Gzra> — 0TOV1 10 fl Btz RZ tlo 100.c® CONTRACTOR'S NAME GC©s?s-C T1a0211ia;I TELEPHONE CONTRACTOR'S MAILING ADDRESS P G Pon 729 CroyflIc CA 35966 Fireplace CONSTRUCTION LENDER A UNKNOWN Total Valuation is ,+ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.30 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS fl���2 fl2t�� S�aoe� Permit fee $ 27a50 PLUMBING PERMIT Filing Fee 10.00 �r?e�4-JIC CA Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other z SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 1[m f) d'm.P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑� I am licensed under provisions of Chapt. 9, Div. 3 of the BUsIneSS and Professions Code and my license is in full force and effect. License No. A 9��1 C9 Classification 0,— F1 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 NEW CONST. ( DWELLING OCCUP.IW) 'h�Sgft OR ADDNS. ACC. BLOGS. NEW CONSTR. ULT' -OUTLET I.OU LET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 090 FIXED PR Ex. Occup. OUTLETS (RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIirlgFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify,,and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidiCounty in consequence of the granting of this permit. X f't'��� s�F1.�dtli'��A Jl�g -(*,9 Date Signature of Applicant Owner F1 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ u� a OCCUP, CONST.TYPC I FLOOD PARCEL PD HD l9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 'J DIRECTOR OF PUBLIC / /� By ; ,1 r+%✓1fni.���.'h�/9 �� PEWIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �✓ c+' v zi`, Receipt No. Y (e:.e3 WHITE-D.P.W., YeLLO OR, PINK-(NSPCCTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali.Yc-,.nia 95965 - Telephone 916/534-4541 APPLICATIONUD PERMIT PERMIT 0. ASSESSOR PARCEN BER –16 fj.- _hJ ONING BUILDING PERMIT OWNER Earl Baker TELEPHONE 533-6787 SQ. FT. OCC. BUILDING VALUATION .14 s;j comp 840 -nn OWNER'S MAILING ADDRESS 146 12th Street Oroville 1 CONTRACTOR'S NAME George Roofing TELEPHONE CONTRACTOR'S MAILING ADDRESS P 0 Box 729 Oroville CA 95966 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation is Filing Fee 9 $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ 17 SO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1461 12th Street Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Oroville CA Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF qx Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New El Addition ❑ Remodel ❑ Utilities ❑ Installation El Other E]Permit Describe work: R n n f in g _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;0001 OR 0 AMP ORSLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I—I 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. ._4.5 -2266 Classification r—i9 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.EI , OR ADDNS. L ACC. BLDGS. /z¢sgft NEW CONRES D U .OUTLET 2.50 ea NON -R ESID BRA CH CIRC TS POWER APPARATUS E11 SINGLE OUTLET CIR. I EX. Occu p(o UTLETS OR FI%TURES eAL0z0ee0t 30 Ex. OCCUp. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. El I have placed on file with the,County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ ,any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify nd keep harmless the County of Butte against all liabiliti judgmen co and expenses which may in any way accrue against s County qps encs of the granting of this permit. X t D e 4-12-87 Signature of Applic r -X 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 27 .50 0CCUP. 'CONST.TTPE FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which REC PU By 2 PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. L WORKS D to _J P_ Receipt No. WNITE-D.P.W., YELLOW-ASSC;SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT a OFFICE COPY Address GASaB Meter By De ELECTRIC Meter By Date COUNTY OF BUTTE - QEPAgTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi ie, California 95965 - Telephone 916/534-4541 'APPLICATION AND PERMIT PERMIT NO. AS TR PA CEL NUMBER ZONING BUILDING PERMIT o E TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'$ MAILING A D $ rn vl TR OR'S NA \ TEL�HONE CL %NO TO '$ A LING A�RESS //��j _ � Fireplace CO,TI N LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 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 Permit fee $ PLUMBING PERMIT FiiingFee 10.00 ' r ' `i Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ 157. LED I I 1 6. 15"D Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service S0oo'0AMP OR LoR OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW a CONST. / DWELLING OCCUP., OR AODNS. ( ACC. BLDGS. /=0sgft NON•RESID R. BRA COU H CIRCU ITS2.50 ea POWER APPARATUS e (ANGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20950! SALOSO FIXED PR Ex. Occup. OUTLETS 1RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply -to al:l, County Ordinances and State Ls relating to building construction, and hereby authorize representatives of t4 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save', indemnify and keep'harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains County inconsequence of the granting of this permit. X a �.�t_.1 / Date j ,�� —� 1 Signature of Applicant — Owner ❑ Contractor ❑ Ayent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIREC ion of structures over 3 stories in height. Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPEJ JFLOOOJPAPCELJ PD ND 139ue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which O OF Z B PE 1 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. W"ITE-D.P.W., TELLOW-ASSESS R, PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DVART,MENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS,,, A l CONTRACTOR'S NAME I d TELEPHONE C'ONTRACTOR'S MAILING ADDRESS /,�;, ;�__� ,�� I �1, �' Fireplace CONSTRUCTION LENDER- UNKNOWN Total Valuation Is Filing Fee $ 10,00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 LJ :4-.j, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 = , Building sewer 5.00 Mobile Home I S I G JW 1 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: r:• Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 100 AMP 1 OR ORSLESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) r [i 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. OR ADDN5, l ( DWELLING OCCUR.&) ACC. BLDGS. y2¢sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu zALO Occup(OUTLETS OR FIXTURES eL930 Ex. Occup. OUED P TLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ 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 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 County in consequence of the granting of this permit. �= C/ f T r 4 ', A X 1 �i .a -L �f t. /L ,� -S Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ y `PD occuP. CONST.TYP! IFLOODIPARCELI HD 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 ,,/< ...�� �, /,l' / Date ,- Qe PERMIT EXPIRES Date �' �� '✓ ' - `• Receipt No. �n C)f .l �� WHITC-D.P.W.. YELLOW -ASSESSOR. PINK-IN9P ECTOR. GOLD IN RO D -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASMBE ZONING BUILDING PERMIT o E ELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWN R'S MAILING A D D S rovl TRA OR'S NA E TELEP=ONE %53 ONO TO 'S AILING AIRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT FiIingFee 10.00 `i Each Trap 2.00 1 1-e Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 6D Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[] Installation❑ Other Describe work: &D Q. Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 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 NEW -..NS. � +/:Osgft R T C DWELLING .00CUP.a / Ni.EWCONSTR. MULTIRANOU LETITS) 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu 20 a 50e Occup(OUTLETS OR FIXTURES BAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agains d County in consequence of the granting of this permit. X G,c� �.�� Date / . �- Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a LD OCCUP, CON5T.TYPEJ I IFLOODIPARCELI PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREgCO F PU ta PE I EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 8t@ Receipt No. WHITE-D.P.W.. YELLOW-ASSE03 R, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 6497,7-76B PERMIT EXPIRES ZA? /I OWNER Pearl Baker CONTR. owner LOCATION (A.P. 31-271-11 1462 12th St., Oroville Temp. Power Pole Cal Ied�PG& E Temp�Elec. Serv. Called PG&E r% Temp. Gas Serv. Called PG&E fJFF01I B r—�s a NALED `1 (Date) (Signature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING jl BUILDING (Cont'd) PLUMBING Firewall Parapets Restroom Finish Windows 2 & Siding Roof Sheathing/,2 Roofing Fdn. Vents. Garage Vents Insulation Prov. for phsically handlcaooed i Conformance of ex. FIREPLACE Soil Piping 1st Floor E3r2nEdFloor oor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Footings Footing ELEQVICAL Masonry Walls Throat Rough Relnt. Steel Final Fixtures Bond Beam FIRE PRI KLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECAANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath -7W Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) • COUNTY OF BUTTE — QEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 .APPLICATION AND PERMIT 91'7 176 - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1// X \ Date J Signature of Permiittee or Agent Receipt No. /J �3 4 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 b n paid. DIRECTO OF PUBLIC WORKS By Date/7--;"t-74— wilding permit expires Date 1Z—-77 BUILDING Owner j .r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ' ✓� X33 -- Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No .��� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 yg s SavirraTiUn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declar tion Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 94<rcel Approval P4,11 Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 j Main service 100 AMP OR10V OR LESS5.00 OD� Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 ' NEW CONS.OR ADDNST ( DACCLBL GWELINGS.OCCUP. &) 22sq ft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (PO NON•RESWER APPARATUS & ID. 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: Ex. Occup(OUTLETS OR FIXTURES)�� BAL�1 Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1// X \ Date J Signature of Permiittee or Agent Receipt No. /J �3 4 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 b n paid. DIRECTO OF PUBLIC WORKS By Date/7--;"t-74— wilding permit expires Date 1Z—-77 PERMIT NO. P E M MH UTIL. PERMIT NO. W1i� PERMIT EXPIRES OWNER ALBERT BAKER CONTR. OWNER LOCATION (A.P. � 1 -271-1 1 1462 12TH. ST., THERMALITO Temp. Power Pole Called PG&E _ Temp. 'lec. Serv.- C led PG&E _ Te p. Gas Serv. _ Called PG&E _ JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water PI Wag Piers Roofing Sewer 4. Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test .Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final' Final DATE REMARKS OR CORRECTION: A,5 s .?,/ -7,�-A%al ,D- bi _ (/ THERMALITO IRRIGATION DISTRICT , 410 GIRA.ND.,AVENLIE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: "� Acct. No: -4,— '—A.P. A. P.No.: Phone: No. Units: Applicant/Agent: %V: rf Agents Proof: Address: Fees: Phone: Application $ Preliminary Review By: ` "'��'��- °� Date: �'�>���- Arrearage CSA 26 Remarks: SC -0 R 1st mo. S.C. Other Total Fees Collected By: Field Review By: Date: 7De: Remarks: (/J, J MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ;0 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 Mara 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID J 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. /17 ate Signature of P/eerrmiit�ee or Agent Receipt No. ��' v �3 1 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 whi h fees have been paid. I CTOR 0 PUBLIC WORKS By Date d B permit expires Date _ I BUILDING Owner), Pe )q rL ky ,r SQ. FT. OCC. BUILDING VALUATION Mal ling Address f r; T S-7— 1 L 1- Telephone o. 33 % 8 Fireplace Contractor Total .Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address a7h �- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,a Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ` Each gas water heater or vent 1.50 A. P. No. 3 -- ) Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 6aai�aiiew FireDept. Fire Zone Use Permit Building sewer 5.00 $;oo EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ Zed 8 0C NEW ADDITION ❑ U ILITIES ❑ OTHER ELECTRICAL N0.1 @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter . Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y Receps„ switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. 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 $ $ 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ $ O0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /17 ate Signature of P/eerrmiit�ee or Agent Receipt No. ��' v �3 1 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 whi h fees have been paid. I CTOR 0 PUBLIC WORKS By Date d B permit expires Date _ I