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031-272-003
31-272-03 866-89M SMITH, Dorothy 1059 Sierra Avenue, Oroville Contr: Mountain Air (replace furnace)SF ® o FINALED: 031-272-003 PERMIT#95-0715 LUCAS, George & Dorothy 1059 Sierra Ave.,Oroville? Add Laundry & Bath/SF /I/ fle 031-27-2-003 Permit#95-1890 .E( laundry)SF` pg ade ele se, & wire 031-272-003 PE1UIIT#95-2381 LUCAS, George & Dorothy L. 1059 Sierra Ave., Oroville Cont: Advanced Htg & A/c Replace Wall Furnace/SF 031-272-003 05-10 YATES, LINDA 1059 SIERRA AVE, OROVILLE CONT: COMM ACTION AGENCY REP WTR HTRpd s,s—v's 40O3 NOTES RESIDENTIAL PERMIT NO. _ 031-272-003 — -05-1047 YATES, LINDA 1059 SIERRA AVE, OROVILLE CONT: COMM ACTION AGENCY REP WTR HTR SPEC. COMMONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE'PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER b .JOB FINALED (Date) baa Signature CHECKED BY J=OK 0 = Not OK . = Not Ready dyble �►/� p MHOMES OMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ftl P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof;Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Vons-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not NotApplicable Appplicable . Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test &'Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower; Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fre Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive D Yes 0 No/Walks O Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ICU I I t (.:UUN 1 Y DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION 1 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 �O License Class: License Number: Dale: y- 2( }�onlractor. C FkA G ir— " 44'0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code. Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Slate 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' Slate 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' Slate License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Dale: - Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy#: ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to 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: I� I Failure to se re 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. FtKIVII i N(.1. BP051047 Issued Date: 04/22/2005 APN: 031-272-003-000 Site Address: 1059 SIERRA AVE ORO Map Index: Description: Owner: YATES LINDA L 1059 SIERRA AVE OROVILLE, CA 95965-4237 Applicant: COMMUNITY ACTION APENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVILNUE OROVILLE, CA 95965 (530)538-7559 Contractor: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 License #: 617201 Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This,,,PPPPPP@rrr I hereby affirm that there is a construction leridin g agency for the Re performance of the work for which this permit Is Issued (Sec 3097 Civ.) By, Name: PERMIT Address: 0 S. F. $0.00 lereby Issued under the applicable provisions of the Butte County Code and/or deo w�oLk)iIndicate�above for%yfach fees have been paid. l �11�� n�ra• � �� .' V ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25506, 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 & Safely Code Is not applicable to the scheduled construction of thls project. ❑ Attached are copies of the required E.PA, notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Prihl Name: �� �^ ► rt G n Signature:_ Date: Q Owner ❑ Contractor ❑ Agent for Owner YAgent for Contractor 0 (1 Rnilrnnn Pnrmir 01-16-04 no 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name City irst Name t Address o E;7 City 'City ©-C© Stated Zip c 5 Phone $3$_7 ax Fax E-mail Cla APPLICANT NAME CONTRACTOR Name City ie Address .e o 'City ©-C© State Phone Phone:5.,,,,,- $3$_7 ax E-mail Lic. # . Cla CU APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zi City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name rW Address 22 City State Zi Phone Fax E-mail APPLICANT SIGNATURE X fP For office use only Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # 1 Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. li�. /oqI BIN # LOCATION AN o - Z --1Q Property Address City o« Cross Street WORKER'S COMPENSATION Policy Number I S 47 � O Carrier ffhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Becl�ved by: Amount: Bldg Receip / a��� Date4 I P �65 SRA Sheriff SMIP Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 t RESIDENTIAL v 031-272-003 PERMIT#95-0715 LUCAS, George & Dorothy 1059 Sierra Ave.,Oroville Add Laundry & Bath/SF 4s�z_3et JOB FINALED (Date) Signature r. w A d c € " OFFICE COPY Address GAS Meter y ate j ELECTRIC ' Meter By Date JOB FINALED (Date) Signature r. w A V=OK O = Not OK -=Not-Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Test -Wrap: / P11t. / P'Nat. or/ P'L"ft./ P'LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Slze-Spacing-Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Jolsts-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosume 8. Carports; Windows=Doors 7. Electric 8. Frmg; Slls-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready " Date/Initials UNDERELOOR (Plans) OK except #'s RESIDENTIAL (Single•& Duplex) Date/Initials / F f2. tg., Main; Soils-Elec. Grnd.44G Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. 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. PI - Ireplace Ftg.-Steel 42.'D .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test J 10. UF. Pipe; Size -Anchors - yard gas piping: size -test 6 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground Pi s.& Ducts; Clearance -Material -Support -Ins. GI ers-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16.. Insulation Date/Initials 0$ Wgtaf Htr.;,Vent-Access-Combustion Air -Baffle jer'Pipe;'TestTest & Anchor -Nail Protection CWD.W.V.; Test -Fittings & Anchor -Nasi Protection -49.-ShUwer Pan; Test, First Floor -Tub Access 2& YSSt;Tub & Shower, Second Floor -Tub Access P-11is Pipe; Size & Anchors Date/initials ELECTRICAL Permit OK except #'a . Fixt re & Transformer Clearance -Ins. Protection 2 lec eceptacles Spacing -Lights & Switches at Doors fize xes & No. of Conductors -Stapled o Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mach. Fastners-Bond Gas & Water ppliance Circuts in Kitchen & Conductor Size/GFI 2-Sabfe-ed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ange Grc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ,3Q -Riser Conductors & Ground -Main Disconnect Egalp-Cleerancea Panels -Motors -Mach. Equip. sbloset Light -Shower Light -Spa Light joe4moke Detector _Date/initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Fumance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/initials 3®! Ila, bper Material & Anchors 4Q%�Va�ls-Studs- Nall ing, Spacing & Bracing -Plates -Sound 4 e . g Wells over Girders & Floor Nailing %tt'Stop in Walls (rat proof) 4"r$,Stsps; Furred Cellings-Stairs-Chases-Tub enders & Beam -Size & Bearing AMING R 40-CIng. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance _4&-AttjO Access; Size & Romex Protection !B -Draft Stop -Ins. Baffles lktldr :Windows or Exiting Doors -Sill Hgt. & Dimensions We -Fire Protection Framing roperty Line Firewall & Openings t. Doors -One 3' -Check Garage -3rd Story, 2 Exits _53rStatrB; Width-Headroom-Rise-Run-Landing-Flre Protection L*15ly-ood on Roof Overhang -Attic Vents -Rafter Outriggers ,t�,SiS[ding-Nailing Veneer �TNesh-Drip Screed -Fd. Vents-Underflr. Access Area -Glass Wells; Neill Inf filtration -Wells -Windows Date/initials FINAL (Plans) OK except #'a - , 61. JW. Steps -Door & Sidelight Protection -Landings . Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air-Connector- �Tn'Garetie=Above Floor-Ducts-Mech. Protection G.F.I. & Bath Fixtures & Tub Access -Spa / Q6!Elec. Trim & Subpanel; Breaker Sizes & Labels -66-•Fireplffce or Stove;'Clearances-Hearth . utlets a .,ood Panel; Int. & Ext. i.f4i & A$pliance; Grnd.-Air Gap -Cooking Clearance ec ptacles at Kit. Counter -72r-3arage-F1re-8eeF Swing -Landing -Closer P,,74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In,Garag'e; Above Floor -Mach. Protection L75.PIb., Elec. & Mach. Equip. Listed for Location ep ac es n ge; (G.F.I.)-Romex Protection ooked in Attic 13Yes 4-79- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 ; Drive Yes ❑ No; Walks 13Yes E3No; Planters 13Yes 13No I , Elect cal, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to l 84 ter Well; Disconnect, Electrical, Plumbing 85. gxterlor Elec. Trim; G.F.I. Receptacle -Underground 6..Ve on Throughout House Glass Protection -68r6er►eotions from Previous Inspections eters Tagged; Gas -Electric 99...Water..8 ewer Connected -C/O to Grade -HD Approval " Snerar-6ompllance Certificate -Other Certificates Comments at Final: i N COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CalKornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 95-0715 ASSESSOR PARCEL NUMBER 031-27-2-003 ZONING AR BUILDING PERMIT W OWNER GEORGE J (K DOROTHY L LUCAS T 533008-2SO. �LL_ FT. OCC. BUILDING VALU 1 1 6 M 5939 OWNERS MAIUNG ADDRESS 1059 SIERRA AVENUE OROVILLE 95965 24 COV 312 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOIOWN Total Valuation $ 6251 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 90.0( ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 58.5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1059 SIERRA AVENUE, OROVILLF PERMITFEE $ 168.50 PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 7 • LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ (§uplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.0( 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 )R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ 1AUNDRY—RATA NON AFATEAD Mobile Home S G W @20.00 PERMITFEE S 57.0( Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceE00v 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ADDNS. 8 ACC. BLDS. ( ) SO. 3.50 FT.NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) n.00 RA20 L L @ I.50 . SO Ex. Occup. ( OFIXELED A PUOR IS A ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 11 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 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) Ok 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 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 c9rrljAy with those provisions. X Date Signature of plicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is c fc 3 co TI PE TOTAL FEE $ 250.40 HAZ. _ _ D. FEES _ IMP FLOOD X CDF I PARCEL PD HD I -- ISSUE X 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. B Date 5/1/95 y PERMITEXPIRESON 5 1/96 I (Date) Receipt No. 175863/212.00//176142/38.40 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF"'D.EYE�L'OPMENTSERVICES -BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA -/TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET Q OWNER [/ A. P .131 11 �7c� LJ 3 Proposed Building Use ,�(//�'/ Building Inspector Date At time of permit application, I was advised tfie following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted....t.................................... 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 . ............. Hazardous Material Form. .......... 2 .............................. . nergy 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). .... obilehome t nd anufacturer's installation instructions, 2 sets. ........ _ ' 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . ;, 14 Flood elevation letter (100 year flood by California Engineer. .. ............ . Sanitation and plot plan approvalJUL? 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). .. .. . 20. sae�� Pre -inspection for required. .. o Bu ��to� (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 u issue the permit, process as follows: Mail to owner. Mail to contractor. IZ Telephone ! �4W Z_4nd hold for pickup at�:office. Deliver with inspector. Other Parcel Creation Z111.2- (�� Acreage Applicant 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 issuan 1. Index permit for above items No. 2. Additional items required: item not checked above). 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 4� Date Sets of plans on hold in File cabinet AP folder w Copy - Department of Public Works Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YESDQ NO[ ]. 2. I HAVE[A HAVE NOTI ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted_ _ with the following person (firm) to provide the proposed construction:- NAME: onstruction:NAlME: - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this worm but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - 5. O:5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: "/ — /'k— c1 5— NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Pavments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuiider" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira. C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ;*,:.T - ''.i t •�/./.,p ' t 6 1 i, .3.. 'gyp' o',- tr Yfw', • $ l T 'w'�r t ��`�} 'a „ f 1,��, � l •.�,�,� E � ;''`� Y l,.y- ' ika�3` ,ata^ 1 `� �G�� _� a x�a , - V � }I ��' � �� �' w . 11 fl- i •. �., � r � i��t,��. �i7"� `�+� ���� ,� � °i tt +� , otliyl$r t � l ;ti (916) 671-6625 amv.:A k y�,,t� F , '' �l 'El;• ``' $ { 'Q 1i 1�1r'K', �'k ,•. 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COUNTY OF BUTTE- DEPARTMENT OF DEVIELOeMENT SERVICES --BUILDING DIVISION 7 County, Center -Drive - Oroville, CAfforlia 95965 - Telephone (916) 538-7541 M !T . APPLICATION AND PERMIT e I ASSESSOR PARCEI_ NUMBER 031-27-2-003 ZONING BUILDING PERMIT V OWNER GEORGE AND DOROTHY LUCAS FF 40NE SQ. FT. OCC. BUILDING VALUATION OWN ToWM& AVE., OROVILLE CA 95965 CONTW�WE TELEPHONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONS7WdA9j LENDER UNMOWN Total Valuation Is LENDER'S MALING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 1059 SIERRA AVE., OROVILLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISIONSNAME JPARCEL-MAP Solar or heat pump water heater 23.00___ USEOFSTRUCTURE SF ff. Duplex 0 Mobilehome 0 Other SPECIFY Water piping 15.00 Each gas water heater or vent Its -15.00 - Gas piping system I - 5 outlets -1 15.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities (21 Installation 0 Other 0 Describe Work: UWADE ELEMIC SERVICE & WIRE LAUDRY figE #9547�� Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 OOOV OR LESS Main Service 200A OR LESS 23.00 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: 1, as owner of the property, ormy employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP OR ADDNS. L ACC. BIDS. 3. 5 0 sF','. 4.05 NEW CONST. MULTI -OUTLET NON-RESID BRANCH CIRCUIT @D7.50 ,POWER APPARATUS SINGLE OUTLET CIR Ex. Occup. ( OUTLET OR FIXTURES 20 @ im BAL (@ 5o FIXED APPLNS. OR Ex. Occup. ( OU=S (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities .,420.00 Misc. Wiring 23.00 PERMITFEE Contractor . I WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 polic� number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE Contractor Policy Number (The above sections need not be completed ff the permit is for work of a valuation Of one hundred dollars ($100) or less.) 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 subjectAo 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. X Date -1=-7- - 7 Signature -6f Applicant Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. . Mobile Home Installation Fee Energy Inspection Fee Is OCC CO T. TYPE TOTAL FEE $ 47.05 HAZ � 0. FEES I IMP � FLOOD I CDF PARCEL PD qHDWUE This permit is hereby issued under the applicable provisi nsl is of the Butte County Code and/or Resolutions to do work I indicatedabove'f r paid. 8/7/95 By PERMITEXPIRESON 8/7/96 (DEde) ReceiptNo. I duvz. I I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL ICA NT COUNTY OF BUTTE - DEPARTMENT O_F DEVELOPMENT SERVICES - BUILDING DIVISION �- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 r OMJT N . APPLICATION AND PERMIT D ASSESSOR PARCEL NUMBER 031-27-2-003 ZONING BUILDING PERMIT OWNER GEORGE AND DOROTHY LUCAS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1059 SIERRA AVE., OROVILLE CA 95965 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE NONE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 1059 SIERRA AVE. OROVILLE PERMITFEE _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,Volar or heat pump water heater 23,00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 W Installation ❑ Other ❑ Describe Work: UPGRADE ELECTRIC SERVICE & WIRE LAUNDRY (SEE #95-0715) Mobile Home I S I GI W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service / SOOV OR LESS 200A OR LESS ) 23.00 _23.00 Main Service ( 200A TO IOOOA ) 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: $Y 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.5¢ FT. 405 NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( OWER APPARATUS ) b PSINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES)BAL 20 .50 O 1.00 FIIP.OR Ex. Occup. OUTLETSaESI) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ 47.05 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 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 of one hundred dollars ($100) or less.) 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 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. _ X _ Date �� — S _ Signature f Applicant - ,Ek Owner ❑ Contractor ❑ 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 $ [T;HAZ. NST. TYPE TOTAL FEE $ 47.05 D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisi ns of the Butte County Code and/or Resolutions to do work indicate ove for which fe s have a paid. 8/7/95 By ate PERMITEXPIRESON 8/7/96 (Date) Receipt No. 180927 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - Attention Property Owner: _ An "owner -builder"- building permit has been applied for in your name and bearing your. - signature. – _ - -Please complete and return this information at your- earliest- opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed- property improvement: YES [>q NO[ ]. 2. I HAVEKJ HAVE NOT[' ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CTTY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: I , PROPERTY OWNER: SOCIAL SECURITY NUMBER:— DATE: NOTE: This owner -Builder Verification is required by Section 19831 and, 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before_ - -we are permitted to issue the permit. OVER r t Dear Property Owner: An application for a building permit has been submitted in your name listing yourself -as the builder of _ property improvements specified - For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not .required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. if you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and- the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do .not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under - State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a -licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons profe-sing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on.the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincbrel Micha4l C. Viei a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER I031-272-003 PERMIT#95-2381 LUCAS, George & Dorothy L. ,Z ` 1059 Sierra Ave., Oroville Cont: Advanced Htg & A/c _ _ Replace Wall Furnace/SF 'V w, 41 • -... - '���>>�>k�. `it;-+-.cam-r��.,t>-� Oat 'L+ . �4�i. f'�iya - -A,.;, .k=..�;;i-'�.� a�'tw•,� .„ ..,�� •ti tj�,,.u.�...:.�,,.;��. yy�-� r�r✓' '�•', A COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISI N 7 County Center Drive - Oroville, •Cal'rformia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 0 If 's",.? X It ASSESSOR PARCEL NUMBER 31-272003 .t.. ZONING w� BUILDIN PERMIT }� /y�ggYy t ..,.q �� OWNER ,-a-,�`•;•jy_l�{IVla¢6� 8i0 LVC TELEPHONE SQ. FT.' OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1059 SIERRA AVE OROVzLLE CONTRACTOR'S NAME ADVANCED HEATING & AIR (5'07) 4228-3242 CONTRACTORS MMUNG ADDRESS 1755 tJ00LNER AVE 1B F'AIRFYEI. , 94533 Fireplace CONSTRUCTION LENDER UNKN WN r Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1059 SIMM AVE PERMITFEE $ OROVILLE i PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUB NSIONS NAME ,. : �. PARCEL MAP 0 Solar or heat pump water heater 23.00 ' USE OF STRUCTURE SF 0 Duplex O Wdbilehome ❑ Other SPECIFY Water piping 15.00 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 El oRetnodel ❑ Utilities ❑ Installation ❑ Other ❑ CE WAM FMACE Describe Work: —, . xa i t Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 I Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION r 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. Aq OWNER -BUILDER DE L RATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions ;Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. ( ) SO 3.50 FT.. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUIT ) @7.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 BAL 0 .SO Ex. Occup. GUTLEEDTs R SD.OR ( I ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 'I I hereby affirm under penalty of perjury one of the following declarationsf, ❑ 1 have and will maintain a certificate of consent to self -insure lfor workers' mpensabon , as provided for by section 3700 of the Labor Code, for the performance Of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comgen n insurance carrier and policy number are: Carrier , ,� J ., Policy N ' ber �� �L'+��@�� (The above. sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) - r�anrl ❑ I certify that in the,perforrce of,the work for whicfi this permit is issued, I shall not employ any.-peisOn An. any manner so as to become subject to 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 proyisionsa X • ', —\ �— Date v' Signature of Applicant - ❑ Owner ❑ Contractor ❑Agent ( An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.Date i MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy -Inspection Fee $ °°° '. - CONST. TYPE . TOTAL.FEE $ 35 .00 HAZ. 1 D. FEES IMP '' FLOOD --- CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the ofthe Butte County Code and/or indicated above for which fees have z. PERM ITEXPIRESON �j�., 7 �j applicable provisions Resolutions to do work been paid:;. i Z f (Date) Receipt No. 185578. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT fx • 'r Date — S Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 I 7 County Center Drive, Oroville, CA - (916) 5381-7541 Z- 747 Elliott Road, Paradise, CA - (916) 872-6307' CORRECTION NOTICE-' d�VNER PERMIT" NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at •it the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional'explanation, '- pleas ontact thisoffice immediately. A fx • 'r Date — S Inspector REV 10192 S COUNTY OF BUTTE - DEPARTMENT OFL I.OPMENTSERVICES- BUILDINGDIVISI 7 County Center Drive - Oroville;%C nit - 95965 - Telephone (9 L6) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 31-272-003 AR ZONING BUILDIN ERMIT OWNER GEORGE & DOROTHY L. LUCAS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAKING ADDRESS 1059 SIERRA AVE OROVILLE CONTRACTOR'S NAME ADVANCED HEATING & AIR (707) TELEPHONE 428-3242 CONTRACTOR'S MAIUNG ADDRESS 1755 WOOLNER AVE #3 FAIRFIE LD, 94533 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Plan Checking Fee $EERS ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1059 SIERRA AVE PERMITFEE $ OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510NSNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑Y Duplex. ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ U51ities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WALL FURNACE — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service50ov- 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 n 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: ❑ 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. ❑ 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 OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR, Ex. Occup. (OUTLET OR FD(TURES) BAL o 1.00 Ex. Occup. ( OUTLEEDTS (ARE Is D.OEA. ) 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' mpensabon, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. I 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' comgen n insurance carrier and policy number are: Carrier Policy NL&ber 114. ¢1Wt2J / (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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, 1 shall forthwith comply with thos provisions. ' --,� g� X / Date ��[ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Ant ge An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have BY PERMITE PIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. 185578 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF EM-LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cale&nla 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE!2 —,2—:7;,7 _ ©O ZONING BUILDINGPERMIT OWNER � o lti Q.� � TELFp n SO. FT. OCC. BUILDING VALUATION OWNER'S MAAING ADDR CO R'S NAME CO TOR MAID Freplace CONySTRUCnON LE610ER uN N Total Valuation Is Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHRECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BU6OINGADDRESSM PERMITFEE $ t! PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF/� Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ �PERMITFEE Describe Work: C/ WA,�� Mobile Home S G W 920.00 _ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service°0e" OR LES. ( sow oR LEss ) 23.00 Main Service ( 200A TO I000A ) 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 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 NEW CONST. DWELLING OCCUP. O) N ( a ACC.T. SO. 3.51t Fr. MULTI-OULITLETLEBLDS NEW CR CONSS T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( EWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 ®I.5 BAL .0 00 Ex. Occup. (OFIxuTED AE Is j 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' ,gmpensation, as provided for by section 3700 of the Labor Code, for the ertormance of the work for which this permit is issued.) Eir I 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. a worke!2 ' Vy insurance carrier and policy number are: Carrier �%�� Policy NG(nber M 20 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 lith t -Se provisions.-- — X Date Signa ure of Applicant - ❑ Owner OKContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ CL) Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. S 17K WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN800•APPLICANT i 31-272-03 r i SMITH, Dorothy 1059 Sierra Avenue, Contr: Mountain Air (replace furnace)SF FINALED: 866-89M 0 Oroville J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIGATIGN AN[D PERMIT C� .A33FrSSO RPoA CE NiMB R ZONING BUILDING PERMIT MO�WNER ( TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNFs AI PNG ADDRESS NTRA TORTS E[ iVL +/ TELEPHONE CONTRACTOR'S MAILING ADDA ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i i Penalty $ BUILDING ADDRESS /! Permit fee PLUMBING PERMIT Filing Fee 10.00 f i Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCIL MAP i. Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ; SF P� Duplex ❑ Mobi lehome ❑ Other SPECI FY �, Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home I S G W 0.00 ea TYPE OF WORK " New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑'Other NPermit Describe work: --4j j Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under Snail of perjury penalty p I y (check one): } ij I am licensed under provisions of Chapt. 9, Div. 3 of the BUSines$ and Professios Code and my license is in fu 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 Profess ,Ions Code for this reason NEW CONST. DWELLING OCCUP.Ei , OR AODNS. ACC. BLDGS. /20sgit NEW CONSTR UTLET NON-RESID BRANCH IR S 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp�OUXED TS OR FIXTURES .20AL030500 Ex. OCCUp. OUTLETS (RESID )KEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 gn 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 againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way accrue against sail /County in consequence of the r ting of this permit. / �/ /X -1 Via°—.vt0� = Dat olA fl 4 Signature df 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 $ CONST.TYPE SCHOOL FLOOD PARCEL HD UE Thin permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which IRE TOR F PUBLIC J( By PERMIT EXPIRES Date the applicable toprovi resolutions to do do fees have been paid. WORK g? �) Date Receipt No. WHITE-D.P.W.. YELLOW-ASe(a SOR. PINK -INSPECTOR. GOLOENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovl�!9P.CaIftrnia 95965 - Telephone: 916/538-7541 APPLICATIOK ANQ�PERMIT MBER ZONINGBUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION RESS W TELEPHONE NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 Fl ling Fee 10.00 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 kDuplex❑ Mobilehome❑ Other \ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 1 G 1 W 10.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OOOV OR Main service 100 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 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in fu force and effect. License No. Classification —AZ F-1 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.a OR ADDNS. ACC. BLDGS. ,/Z0sq ft NEW CONSTR. MU Q_OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. 209601 Ex. Occup(OUTLETS OR FIXTURES3AL930 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )KEA.)\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. XXI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 - sTrt7l7Mn Permit Fee $ AT 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 liabilit' , judgments, costs, and expenses which may in any way accrue against s d County in consequenc f the ting Of this permit. Dat r �2gn.ture J Applicant— Owner El 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 $ OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL HD IIWUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE O F PUBLIC By -Date PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -70 �j Receipt No 42 WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT_ OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAWFWI;�95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. OWNER4P'. o. — i Proposed Build.ing Use Building Inspector Date At time of permit application, I was advisdd the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12.School District fees paid .............!... . 13. Sanitation approval from Health Department ... 14. City of Chico plumbing- permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Panning approval for (A) Use: (B) Parking: ......... 17. provements may be required. 1 Driveway permit (construction approval required prior to occupancy) ... Pre-Insion for re q ulred . , , . � Building InPre-Inspen' request to p spector A2(Date) 0. Contractor's license information (No., Name Style, Classification) ...... . 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy -of, Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization .................................... . 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date r' Copy of plans sent Health Dept., Fire Dept., Other Date 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---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - EPSRTMENT OF PUBLIC WORKS 7 County Center Drive - OmVf e. W Iforfo 95965 - Telephone: 916/538-7541 PERMIT NO. ESSORi RCE NUMBER APPLIC TI AND PERMIT UZONI G ER BUILDING PERMIT TEL HONE SO. FT. OCC. BUILDING VALUATION OWN AI G ADDRESS TRA TOR SN E EL NONE CON ACTOR'S MAILING DO ESS CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER Fireplace Filing Fee Permit Fee Total ValuatiMFee 10.00 LICENSE No. Plan Checkin ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan BUILDING ADDRESS PenaltyPermit feePLUMBMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP- Each Trap 2 Solar or heat pump water heater Water piping 20.00 5.00 Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other ' \ Building sewer 5.00 SPECIFY TYPE OF WORK Mobile Home S G W 0.00 ea New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io00V OR 0 AMP ORR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of th,a Business and Professions Code and my license Is In fU force and effect. •� License No.s / , /�—.T._ Classification 1, 8$ the owner, or my employees with wages as their SOIe COm en- p 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 EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP. y\ DR ADON3, � ACC, eLDG3. / 1 q �ZQS ft NEW CONST R. .OUTLET NON-REBID BRAN CIRCUITS) 2.50 ea f POWER 'APPARATUS h) l POWER OUTLET CUR, Ex. Occup OUTLETS OR FIXTURES 20050t BALs 30 Ex. OCCU P• FIX ED A PPLNS. OR OUTLETS (RESID.) EA. 2.00 Temporary service Mobile Home Facilities 10.00 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. 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 subjectPHO to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectto the W. C. provisions of the Labor Code, you must forthwith comply with suchit or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating ) Cooling 3.00 Feeprovisions ractor 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 and keep harmless the County of Butte against all li4ablIt', judgments, costs, and expenses which may in any way accrueagainCounty in consequent fthe ting of this permit.../Date3' Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYP[ SCNooL FIaOD PARC[L $ No ,,,,E "��I Ignalicant _ ❑ Applicant Owner ❑ Contractor Agent An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERUIT ;:YPrRcc n_.. the applicable provi- resolutions to do have been paid. WORKS Date /3 Receipt No. �/��� WHITE-O.P.W., YELLOW-ASSESSOR, PINK-INSPECTOR, GOLDENROD-APPLICANT