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HomeMy WebLinkAbout031-272-0201 31-272-20 CAROL RAVERT 0 n DD I D I yI 1036 Nevada, rovi�le ' Permit #4361-79B(reroof) SF 31-272-20 Contr; Paul's Electric' rLJI Permit#778-85E(new 100 amp a 71n/ 031-272-020 RAVERT, PHOLIP--­-7 5-1433 1036 NEVA Cont: OWNER NEW STUCCO ID*) NOTES RESIDENTIAL PERMIT NO. _ _031-272--020 OS -1433 RAVERT, PHOLIP 1036 NEVADA AVE, OROVILLE Cont: OWNER NEW STUCCO SIDING(WNDWS) SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature . �d�c� C6 G.t40�_� 4 -OK 9 -Not OK a Not We . =Not Heady Ready MOBILE HOLES 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ P' L 'ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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-Connectot 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. Veriiv #'s with C 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. Fnng.; 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 Vs - 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 -GF] 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-Circtilating 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 Cana B-1 Date Cana B-1 4- OK o = Not OK = Not Applicable . = Not Ready RESIDENTIAL. (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P 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 -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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 Cana 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 Al 31. Range Circle/ /ga Cu or Al -Oven Circ.,/ /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Mainj 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. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-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 AFlue-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 T -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 -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cana 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, Au -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. Dud in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Fib.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.1.)-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 ❑ Yes 83. Following InstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051433 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION s I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/01/2005 APN: 031-272-020-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eon. Site Address: 1036 NEVADA AVE ORO Li License Number. License Class : r. Map Index: Date: Contractor: Description: NEW 1050 SQ,FT. STUCCO SIDING OWNER -BUILDER DECLARATION " I hereby affirm under penalty of perjury that I am exempt from the 7 NEW WINDOWS(REPLACEMENT) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: RAVERT PHILIP &CAROL 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 1036 NEVADA the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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' Stale License Law does not apply to an Applicant: RAVERT PHILIP & CAROL owner of property who builds or improves thereon, and who does 1036 NEVADA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or Improvements are sold within one 95965 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 contractorsto construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am/xe t under Article 3 of th usinee nd Professions Code Date i Owner: r WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compl�&tVhose provisions. Date: co Applicant:! -I// 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 damages as for in Section 3708 of the Labor compensation, provided code, interest, and attorney's fees. / Zl,�6 Fps c� CONSTRUCTION LENDING AGENCY This permit hereby issued unPEK the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 Civ.) Resolutio to do work indic d 9bove for which fees have been paid. —� Name: B / Date: PERMIT EXPIRES ON:�O�( Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl', Notification in accordance with Section 18827.5 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 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 ,.all representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: / ^ ` In Date: ,Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 1 SEWER SERVICE APPLICATION AND CONNECTION PERMIT %03,1 Service Address: 1606 Nevada Owner's Name: Phillip Revert~ Date: Oct:9 17. 1997 Address: •b.76 1 ' Nevada Avalwo Acct. No.: 02€ 25500 Oroville., Clad 95965 A.P. No.,31-272-020 Phone: 534-0945 New Unit: One Applicant/Agent: \ Adding Units: Address: Fees: Phone: Permit: $ 30 00 T.I.D.: 600 00 Preliminary Review By: Date: Ext. Fees: :RZaT 1Ws4an fees will he those &Dx)licable at time SC -OR: 1000 00 of connection to the sewer collector system. Glenn Lateral: out: up to ,grada reauired nt Aropert y .bane Other: Total Fees: 1630 Amount Paid: /K.50 - M�) Collected By: Sue Fox Fiinaled By: Date: Locati6n: Size Li e: a <-IFf Signature of Owner/Agent l MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Voe Paid SC -OR: A.P. File: Blue Book: (R.F.C.) Meter Book: Paid SC -OR: (S/C HG's) Rev. 6/86 .a�'eem'[�-,�"Y9tyf,'ti'.,�'i'...'"c'lp�y'sa"!'Y'�.lr-r `�Y�»'Y ��,kRw��,al'.�-r,f•r ry.V.. S",.r'.'W —.!`� �� ��LtTvf�r"^7'uYi-�*v.a�yjM..-:`,y.,,frV��.c.'�.V."A'++�y.ir.��"h4�-��Fk'if� xiR'f`.._�,.f�• '.a.0-�n� }�;a1.r��'�+ y � . tid � � yri'✓ �v THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE. M® 20K OROV.ILLE, CALIFORNIA ' 95965 - TELEPHONE: (916).533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT 'Service Address:' 1$96 Nevada Owner's Name: Phillip Rave r t Date: Oc t o 17. 1997 Address: -1096 Nevada Avenue Acct. No.: 02025500 Oroville, 'CA. 95965 A.P. No.31m272m020 Phone: 534-0945 New Unit: one Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: $ 30 00 600 00 Preliminary Review By: Date: Ext. Fees: r'Wsi,6n fees will be those a12Dlicableeat time SC -OR: 1000 00 of connection to the sewer collector system. Clean lateral: out up to -grade required at property line Other: Total Fee s:0 163030- Amount Paid:. 116m' , Collected By: Sue Fox Finaled By: Date: Location: Size Line: Signature of Owner/Agan A. MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: .Computer. Paid SC -OR: A.P. File: (R.FC.) Blue Book: Meter Book: Paid SC -OR: (S/C HG's) . a , Rev. 6/96 H s Permit#778-85E Philip Ravert 1036 Nevada, Therm (Zjf� W�l IOFFICE COPY; j Address I �a i GAS Mete y Dated ' EL TRIC 4 Meter By Date I f,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA"TION -AND PERMIT ASSESSOR PARCEL NUMBER- /, -4 Cs ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS C O N T R A C T O R'/f NAM E t ! TELEPHONE CONTRACTOR'S MAILING ADDRESS it. ;IPF Fireplace 'CONSTRUCTION LENDER UNKNOWN Total Valuation $ FilingFee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I ' ll LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1 f �" PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFQ Duplex❑ Mobilehome❑ Other e ° SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation1:1 Other ❑ Describe work: A%E' t1t i.)f; ,'r,,r �:�I+v to Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 10°o AMP ORSLESS 10.00 Main service EA, ADD'L ,00 AMP 2.50 NEW CONST. DWELLING OCCUP.e OR ADONS, ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ .1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 this reason NEW CONSTR.ULT'-OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON-RESI D. SINGLE OUTLET CIR. Ex. Occu 2oesoa P�o OR FIXTURES BALO 30 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r � f'P �_ ev Permit Fee / $for 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. 0' 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing 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 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 `� f '� Date°� Signature of Applicant — Owner Q" 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 $ , TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I JPARCFLJ PD I HD ssuE This permit is herebyissued under sions of the Butte Cunty Code and/or work indicated above for which DIRECTOR' OF PUBLIC e y PERM-_ IT EXPIRES Date theapplicable rovi- resolutions p lutions to do fees have been paid. WORKS Date r•. % a� Receipt No. .0 WHITE-D.P.W., YELLOW-ASSZS SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIA AN PERMIT PERMIT N ASSESSO AR CE R ZONING BUILDING PERMIT OWNER—ph j , U La TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING IADDLRKSS l l' Y CONT FO . tME TELEPHONE CONTRACTOR'S MAILING ADDRESS � EL Fireplace CONST CTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Rem del [_1Uti lities ❑ stal latio Other ❑ Describe work: r✓ t`0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. I 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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) IrJ 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 NO R BRANCH CIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu / 20®50a P\o OR FIXTURES BAL030 FIXED A PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. Wiring 15.00 /,S .QQ VeL4 9 <<j , ' 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 pf Consent to Self -Insure. ' 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 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 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 sp4p County in consequ of the granting of this permit. X1-7Date 3^ WO "' Signature of Aplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3��s//tories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE , OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTO F PU BY PERMIT PIKES ate the applicable provi- resolutions to do fees have been paid. LIC WORKS �y D to a Receipt No: yo WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f ERMIT NO. 4361-79B PERMIT EXPIRES 7/19/80 S0ri_r 7*')fNM_\ilal:il CONTR. 31-272-20 LOCATION (A.P. Owner ) 1036 Nevada, Oroville Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E,- Temp. G&E,Temp. Gas Se v. Cal l ed"PG& E COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOR RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL nernr. ateei I Final I Fixtures Bond Beam I FIRE SPRINKLERS I Motors Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATIR Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Oroville, California 95965 Telephone 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �`% -'� Date Signature of Permi tee or Agent Receipt No. 2,5 S T White-D.P.W. — Yellow -Assessor — ink -Inspector — Golden rod-Appl i cant 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. ECTOR OF LIC WORKS By Date permit expires Date .T— BUILDING Owner b���� SQ. FT. OCC. BUILDING VALUATION Mai Iing Address p U �L Lc� y �I -Phone NlSa Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee • O Building Address d 1 d Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 L (�� Repair drainage or vent piping 1.50 A. P. No. -• pZ, pZ �O. -ning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FAes I lid -el SgM-M fDh I Fire Dept. I Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 BIAS Slows —Recd Parcel AEeroyal Plans Approval Lawn sprinkler system 2.00 NEW .❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OOV OR LESS Main service 00 AMP OR LESS 5.00 Single Family IN Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPeoov OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ACDNS. ( ACCLBLDGS.CCUP. 4� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRU TI. U L T NON-RESID ( BRANCH CIRCUITS 2.50ea ER EE; N W (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. OCCUR{OUTLETS OR FIXTI]PES so@L�a BALA1 Ex. Occup.( OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 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. E0I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 0( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �`% -'� Date Signature of Permi tee or Agent Receipt No. 2,5 S T White-D.P.W. — Yellow -Assessor — ink -Inspector — Golden rod-Appl i cant 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. ECTOR OF LIC WORKS By Date permit expires Date .T—