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HomeMy WebLinkAbout031-272-01531-272-15 -- - -- -- — - McNICHOLS� HAZEL (GARY) `f,���! McNICHOiS, Gary 2899B 1068 NEVADA AVE OROVILLE /��� X5430 -75P 5ERM I T �#5430-75P( I NST. SEWER LINE." --- .--- -- - - - 'q' 31-272-15- Permit#1002-83E(ele ser p�h clean up) �SF 9//�4'�1-272-15 Permit#1346-85B(reroof/SF & carport) Perm 31-272-I5 85.B, p� F. M yd�.a2 �&® SF) 31-272-15 -85)Senn/2941 031-27-2-015 96-2818 MCNICHOLS, GARY CONTR: OWNER 1068 NEVADA AVENUE, OROVILLE REPLACE DRY ROT 031-272-015 PERMIT#98-0926 McNICHOLS, Gary 1068 Nevada Ave., Oroville Repair Dry Rot Girders & Piers, & Replace Garage Door/SF 031-272-015 06-1030 WILSON, CYNTHIA 1068 NEVADA AVE, OROVILLE - Cont: GOELZ BROS ROOFING RE ROOF _ 0 3a$-ZIOq //031-2'1Z-015 Ghur0.h, TharnaS 10fo 6 �jeuacicL Ave., Orovd le, HVAa laMnte ovf p,r Air Co m pang -r -272-1 1068 Nevada Ave . , Oroville (addition & repairs) I NST. SEW ERL I NE) S/F"�/D;Z2-7Jf 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds DBM Heat Pump (Package Unit) FEE INFORMATION $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No, / Class / Expires DE AIR COMPANY 478347 / C20 / 08/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (co n . with Section 7000) of Division 3 of the Business and Professions Code, and my license s in I force and effect. X 1_010/16/2008 Contracto ignature Date 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. 4M1VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ion 3700 of the Labor Code, for the performance of the work for which this permit is issued. Workers' Compansation insurance carrier and policy number are; Carrier. FIRST COMP Policy Number. WEN001218502 Exp Date:01/04/2009 (This section n not competed if the permit is for one un r ollars ($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 the Workers' Compensation Laws of California, and agree that if I should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 10/16/2008 AND S SULBJECT AN EMPLOYER TO CRICO AL PENALTIES AND CMLTO SECURkV qPENSATION COVERAGEIFINES UP O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I otal unargea: 369.11.1111.11 tees rata: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. lf, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this IX 10/16/2008 Owner's Signature Date I hereby certify that 1 have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte my to enter the above mention roperty for inspection purposes. I hereby certify that I am the pro rty owner or am autryQrized to ct n the property oymer s behalf. M M , AU o, , n /� •��fL 10/16/2008 Owner ❑ Contractor OR; DAgent for Owner t for Contractor FILE COPY PROJECT INFORMATION Site Address: 1068 NEVADA AVE Owner: Permit No: B08-2107, APN: 031=272-015 CHURCH, THOMAS Permit type: MISCELLANEOUS 1068 NEVADA AVE Issued Date: 10/16/2008 By TMP Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 10/16/2009 Description:. HVAC CHANGE OUT (530) 538-9788 Occupancy: Zoning: AR Contractor Applicant: Square Footage: DE AIR COMPANY DE AIR COMPANY Building Garage Remdl/Addn 2710 B FEATHER RIVER BLVD 2710 B FEATHER RIVER BLV OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530) 534-8691 (530) 534-8691 DBM Heat Pump (Package Unit) FEE INFORMATION $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No, / Class / Expires DE AIR COMPANY 478347 / C20 / 08/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (co n . with Section 7000) of Division 3 of the Business and Professions Code, and my license s in I force and effect. X 1_010/16/2008 Contracto ignature Date 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. 4M1VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ion 3700 of the Labor Code, for the performance of the work for which this permit is issued. Workers' Compansation insurance carrier and policy number are; Carrier. FIRST COMP Policy Number. WEN001218502 Exp Date:01/04/2009 (This section n not competed if the permit is for one un r ollars ($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 the Workers' Compensation Laws of California, and agree that if I should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 10/16/2008 AND S SULBJECT AN EMPLOYER TO CRICO AL PENALTIES AND CMLTO SECURkV qPENSATION COVERAGEIFINES UP O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I otal unargea: 369.11.1111.11 tees rata: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. lf, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this IX 10/16/2008 Owner's Signature Date I hereby certify that 1 have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte my to enter the above mention roperty for inspection purposes. I hereby certify that I am the pro rty owner or am autryQrized to ct n the property oymer s behalf. M M , AU o, , n /� •��fL 10/16/2008 Owner ❑ Contractor OR; DAgent for Owner t for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION . OWNER INFORMATION Last Name_" Dr Name 5 Mailing Ad r ss city o ; 1 State Ziprl ` P E-mail Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Dr Address1 �6 i -t �r QA l City tate Stat Zibi--�-, ne - E-mail Fa - u E-mail Aeo . #Class F APPLICANT INFORMATION ARCHITECT/ENGINEER Name SRA Address No City tate Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Zoning Addre t ' SRA ves No Occ. Type Const. APPLICANT SIGNATURE X PERMIT NO.. BIN # PROJECT LOCATION AP# Property Address t city l (�s-q los— WORKER'S COMPENSATION Policy Number 121 — 2 Carrie Sfi If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: C i2 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. Butte County Department of Development Services. Int O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.¢ytjecounty netidds RES IDENTIAL(� APN: — Z% %°� _ 6•]Permit No- Owner- Site o_ OwnerSite Address: Contractor. Type of Permit CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED- SIGNATURE: = OK E MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S 'GARAGE S 1 Zoning -Setbacks -Easements 2 Ftg -; Soils-Sz-0pthSpacing-Spacing 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Gnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns CnnctnsSplice-Decal Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing-Veneer-Stucco4 ath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE P O O L S 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -lining - 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries-Terminats-Listed 7 Elec Bonding; Metal w/S-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcttng Eqp-Pool lghtg Bokes-Enclsrs-pnlboards-Insultn to Mafi Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide lie �� °� �� a 3 F s Pool Drawing • OK Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR TPLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan- Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped• 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler- Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °'• o� o'`� 0�s 1j Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripples 52 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16_ Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic • �� o'er �� 0 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing &Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn- LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters ❑Yes FIN - 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-CImc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr CImc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn _T 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up wlMech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-D/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz y, ❑ CU or DAL M Address Posted AC Wire Sz OCU or ❑AL 99 Fre Sprinkler 48 Range Circ g, cuor AL Oven Circ y, EJ cu or AL Insulated Neutral Dyes Ono o>`' e• 49 Service -Riser Cndctrs &Grnd Main Dscnnct o• e` 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 'BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR.INSPECTIONN: OROVILL.E: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds * *PLEASE PRINT CLEARLY OWNER INFORMATION , Led Name (,� �' SO�r C Address 1062 Iii e Uad t A,— City Oro , I L State OA, Zp Phone 9 p �.3 Y ( Fax E -mall CONTRACTOR Name o�- �Z � GIVV.T, 40' frh Address City 0 V o v t \ Stat Ztp Phone Fax E-mail lis #zpo , �3 O Cl�ss� APPLICANT INFORMATION ARCHITECT/ENGINEER -Name--- ----------------- ------___---------=- ---- - Address Zip C,riy Fax State Zip Phone Lot # Fax E-mail Date Approved: Stat License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-rnd CANT SIGN TURF X -- - For office use onl .' AP# 63(-2172.015 Zoning Flood Zone SRA Yes No Occ. WORKER'S WORKER'S COMPENSATION Type Const Subdivision Name if hiring anyone other than Ucense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PER UT NO. rM BIN # PROJECT LOCATION AP# 63(-2172.015 Property Address /D 6 S d " V I'1 � cross street "a- 5 - WORKER'S WORKER'S COMPENSATION Policy Number --713 O Carrier if hiring anyone other than Ucense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. 0the LENDING AGENCY Name Address Desedp$ian or-Scope-oJ-Wor.k-----..-.- .---- Z S- Co Sq FT- Living Garage 6pen Cov Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees. plan check fees for work plan cbecked and other department costs are not Received by: �G, 53 Amount Bldg SRA Receipt #:L60'q q Sheriff SMTP DateTD- LA, O6 0the X137,50 Total 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 INIC ❑ 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 paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non; heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all In duplicate p 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. Building Permit Application Without Required Clearances Form ❑ ' 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). --�7-----4r-NPDES-Form-------------- --- - ------ -- _...------------- ----- 13 5. 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 oction 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. Fling fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:IFORMSIBUILDING F0R1V1S1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754,1-q 6 ���• (Rev.12'/96) APPLIC T.I.04NAND PERMIT ``�� -1 ASSESSOR PARCEL NUMBER 031-272-015 ZONING BUILDING PERMIT OWNER GARY MCNICHOLS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1068 NEVADA AVE., 500 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1068 NEVADA AVE, DROVILLE, Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CJX Describe Work: REPAIR DRY ROT GIRDERS & PIERS — REPLACES BP#96-2818 & REPLACE GARAGE DOOR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 - Main Service ioOA OR VSs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for >e following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO IuooA 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50Fr. NON -RES D. T. MSI OCU, UIT.T 97.50 POWER APPARATUS 3 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I.00 BAS @ .so OR Ex. Occup. ouxTiE s(RESID.I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling\ Hood 6.50 Ventilation PERMIT FEE $ Policy Number e above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) Alcertify th ' the performance of the work for which this permit is issued, I shall not any son in a y manner so as to become subject to workers' ation la s f Calif, ia, and agree that if I should become subject to the co nsa on ro isions of section 3700 of the Labor Code, I shall co y wi se rovisi ns. X - _ Date l _ n ❑ Owner ❑ Contractor ❑ Agen 4eor�.pplicantt' OSHA permt 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 $ oco coNST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE 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. ,An B Date PERMIT EXPIRES ON Dat ReceiptNo. C/CX7. WHITE-D.D.S.-B.D. A ARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. n I personally plan to provide ��i jor labor and materials for construction of the proposed property imprement :YES O 0 2 I HAVE 0' HAVE NOT 0 signed an application for a building Permit for the proposedW, 0& 3. I have contract d with the following person (firm) to provide the proposed construction: NAME: 7yz::I i 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: CITY: 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' 1 NOTE. This Owner -Builder Verification is required by Section 198.31 and 19831 of the California Health and Safety Code. This verification must be -completed Md returned to our office before we are permitted to issue the permit � t. JJ OWNER BUILDER INFORMATION 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 parry 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. Ifyour 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the. entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ 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. ♦ 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. ♦ 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 professing to be contractors is to secure an "owner builder" 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 contracgrs 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 permitwill not be issued until the verification is returned. n rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This 0wner-Builder Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75!�� _ PERMIT W. APPLICATION AND PERMIT J'% k/ ASSEffff� /N!rBNING AR BUILDING PERMIT INtARY MCNICHOLS TELEPHONE SQ. FT. OCC. BUILDING VA ION 1NJb9'9NMVXtA, OROVILLE CONTMTZ NAME TEIFPHONE CONTRACTORS MAILING ADDRESS Fireplace DGNSI,LENDER UNI@,OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ . ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068 NEVADA AVENUE OROVILLE PERMITFEE $ 58.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar Or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: REPLACE DRY ROT IN GIRDERS AND — ADP PIERS Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawfo a 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. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .s0 Ex. Occup. ( Ours PUNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (Tbe above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) lEr I cer ' hat in the performance of the work for which this permit is issued, I shall n ploy any person in any manner so as to become subject to workers' nsatio s of Ca' ornia, and agree that lt I should become subject to the s' c pe satin provisions of section 3700 of the Labor Code, I shall t mpl wit se provisions. I Date (��66 Applicant - ❑ Owner ❑ Contractor ❑ Agent ;SHA mit 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 $ Occ CONST. TYPE TOTAL FEE $ 58.00 HAZ. ,_ D. FEES IMP FLOOD I s CDF PARCEL PD HD ISS This permit is hereby issued rider the applicable of the Butte Co ty Code and/or Resolutions indicated a v f ees have been By PERMITEXPIRESON I (Drde) provisions to do work paid. Date l2 u G Receipt No. 209608 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W 1, 4Na,,�' COUN f YOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use IN PERMIT APPLICATION. DATA SHEET e r cis • A, P o. M/ -0-�4N -e4- 4 ffi- 1 % ` Building Inspector Date At time of per t application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . .................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. .......... .............................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . .......................................... 11: Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City,of Biggs/Gridley. ............. 17. Pla ening 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. Pre -inspection for P`�"°" request required. .. to Buil o9 Inspector(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :............. .... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the1itypr ess as follows: Mail ow ail to ntractor. Telephone %�} and hold for pickup at e/ i offic Deliver with inspector. . Other Parcel Creation Acreage Applic Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept.Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ,1§1 Date ZR Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSO P Nua ^ �-- (=T/ 2DN"°4R BUILDING PERMIT OWNER r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAS, ADDRE ✓ , 6 e ©� .L, Te CONT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRNLENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS WALING ADDRESS Permit Fee $ %S ARCH frECT 9R�NGINEER .�/ !1 P LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAKING ADDRESS Penalty $ euILOwGADOREss �D(� Q Q PERMITFEE $ 'J $,Q PLUMBINGPERMIT Fling Fee 20.00 If Each Trap 7.00 IDT No. SUBDIVISIONS NAME PARCEL Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ,K Duplex ❑ Mobilehome Cl Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe Work: y Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( 200v OR LESS 0A OR LESS ) 23.00 Main Service ( 2ooA ro I000A ) NEW CONST. / DWELLING OCCUR OR ADONS. \ & ACC. BUDS. ) 46.00 SO. 3.5¢ FT. 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 No CONST. ( aAwcH UILt. CtRCUTs ) @7.50 / POWER APPARATUS \ & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) SAL ®':5000 Ex. Occup.FI (ED. OR (OUTLETSS ((RESTREBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers'D. 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 Signature of Applicant - ❑ 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. Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ . TYPE FEE $ ppermit FEES IMP FLOOD CDF PARCEL PD HD ISSUE reby issued under of the utteounty Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.O.S.-S.D. CANARY -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT cam...... >:�: �: .: .. .; :: �> :;;::•: ::: ,�.:. i.•+i v 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. r and materials for construction of the proposed pro rty improvement NO ). 2.- I .HAVE[ ] HAVE NOT[ ] 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: PH 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: ADDRESS: l' CITY: 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: PROPERTY O 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 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 professing 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. Sin'&Irel ` Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER UCONsTRU(MON of FPOIVT Room 1068 NEVADA AVE -- rHi. PM4 U r o TYP ?Aei ft -* 031-272-019-000 &L -I ----- SCALE '/�" I'0" DRA\A/N BY: GARY MLNICKOLs UCONSTRU6TIOA1 OF FPoiqT ROOM 1068 NEVADA AVE - T'flL--PMALJT-0 TY 0 3 1- 2 01 Z- vi SC>��L� : '/4 = i'o" DRAWtN BY: GARY IY SC>��L� : '/4 = i'o" DRAWtN BY: GARY Fri GARY MC NICHOLS 1068 NEVADA OROVILLE, CA 95966 With reference to the building permit expires category marked below: sutte, Co, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 11/1/97 RE: Building Permit # 96-2818 Expiration pate: 12/26/97 A. P. # 131-272-015 tin above subject, our records indicate that your on the above date and your permit falls into the [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XX] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.f Vieira, C.B.O. -= MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 PERMIT NO. 2941-85B P E M . PERMIT EXPIRES ID U OWNER GARY McNICHOLS CONTR. OWNER ASSESSOR PARCEL 31-272-15 LOCATION_ 1068 Nevada Av., Oroville C OFFICE COPY Address ¢ Temp. Powe I Called, Me S y Date _ ELECTRIC Temp. Elec. Meter By Date i i Called Iriaac Temp. Gas Service Called PG&E JOB FINAI Signal J = OK -- O = Not OK 1 = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/. /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL%(Sing�le and * = Not Ready Duplex) Date UND FLOOR Plans OK exce t#'s Date FRA G Continued ing requirements -Se acks Easements Property Line Firewall & Openings 4'� Ftg., Mam-Soils-S I -EI - / epth49�Ext-BeerseA a 3' -Check Garage -3rd story, 2 exits 3. teel- / /" Ftg. Depth 4. ks; Soils -Steel- / /" Ftg. Depth 50. Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers L/. temwalls, n; St@r,1-Bloc s ab ding -Nailing -Veneer 6. Stem! Is, Garage; Steel -B lockouts -Wrap ed -Slab 53. ed-Fdn. Vents-Underflr. Access - t .-Steel zing rea-Glass Protection -Skylights -Plastic O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test `s shy-�-�� ; Na Ting -Bolts 9. - chors "T - ge Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plooms& Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Jolsts-Vents-Cripples Card -BI Date Card -BI Date 6/r~ N y4_4 JX,Caw Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date i Card -BI Date �1 Date FINAL Plans) OK except q's Card -BI 4 A..z Date �f6t_ Card -BI Date Date v PLUMBING (Permit) OK except N's t. Steps -Door & Sidelight Protection -Landings StSmoke Detector 14. - cc s -Combustion Air 58. Nrneee, Ymts-efeeragce-Comb. Air -Connector - I arage; Above Floor -Ducts -Mach. Protection W Pipe; Test & Anchors -Nall Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedr om Exiting 17. Teat -, First Floor -Tub Access F.I. & Bath Fixtures & Tub Access 1 u ower, 2nd Floor -Tub Access 61, Elec. er Sizes -Labels 19. & Anchors 62. Sta4Ai ° Bach 63. Fir rances-Hearth s at Wood Panel; Int. & Ext. Card -BI Date and -BI Date 65• pp lance, Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date _ 66. EI ptacles at Kit. Counter Date ELE ICAL Permit OK except p's _ 67.or, Swing -Landing -Closer 68. A.Q_QAu;44o-earage-Damper Fixture & Transformer Clearance -Ins. Protection 69. Wtr.-Htr -Lents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2 leReceptacles Spacing -Lights & Switches at Doors _c. 2 i e Boxes & No. of Conductors -Stapled 70. P1h.rE-lec:-&'1�7I�ec'h. Equip. Listed for Location 71• EleoB2,2e2tacIgs in Garage; (G.F.I.)-Romex Protec. 20e-Romex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• In - o ed Attic [-] Yes 25. _in Kitchen & Conductor Size 73. Construct ction-Post Caps 26. / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Fdn Veru R wl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Rrrerf-/ ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 75. Following instld.: .,Drive [-]No; Walks Yes ElNo; s Planters es El No 28.-6ew*ice-R-iseF nductors & Ground -Main Disconnect 76. St - 29. E earances; Panels-Motors-Mech. Equip. 77, Unit; Disc-Clrnces-Brkr. & Cond. Size -115V Outlet 30. C1eHaes-G+oset Light -Shower Light , Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. W isconne t, Electrical, Plumbing 80. Esta[ioc-Ele'ir.'Rim; G.F.I. Receptacle -Underground Card B -I Date r and -BI Date 'lation throughout House Card B-1 Date Card -BI Date Glass Protection Date MEC H ICAL (Permit) OK except q's o rections from Previous Inspections 84. - eters Tagged; Gas -Electric I. C. Ducts; Insulation &Support g5. -F-Connected-C/0 to Grade -HD Approval nt Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates 33. Gendensete-Brairr& Overflow; Size & Grade 34. F, Access -Comb. Air -Return Air Vent -115V outlet AHie AticE55 & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date i and -BI Date Card -BI Date 7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G Plans OK except q's . Si ;Proper Material &Anchors 3 Is; Studs -Nailing, Spacing & Bracing -Plates -Sound Bear' g Walls over Girders & Floor Nailing 39 raf p in Walls (rat proof) re Stops; Furred Ceilings -Stairs -Chases -Tub ader & Beam -Size & Bearing , Han s -Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfn_g.__ J4 4 Ti s Type AFlue-Fireplace Throat ,A111c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. tion Framing (NOTE: Anentrymust be made each time you visit jobsite) Owner: ION e-jv IC Ls Permit No. &2 E N E'R G Y C E R T I F ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL 17/ C Material Thickness (inc es) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) CEILING I Batt or Blanket Type Brand Name P Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Brand Name .7 Minimum Thicknes$(Inches) Number of Bags / Wt. per bag lb. Area covered(ft.Z) Thermal Resistance(R Value)_ FLOOR, ELEVATED Material Thickness(inches �y FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Ih,�fe / certi that tj�e above insulation was installed in the above building iy( conforman ith tye/State of California Energy Requirements. STATE CONTRACTORS LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. STATE CONTRACTORS LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS T 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION AND PERMIT AsSE O PAR L UMBER j ZONI K BUIL G PERMIT OWN ' TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S AI ING A RE 5 ,^ r I CONT CT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTFqCTION LENDER A10 11 C_ UNKNOWN Total Valuation is 13 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS It& la Permit fee $ PLUMBING PERMIT Filing 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,J��.�,qq Duplex❑ Mobilehome❑ Other l( `` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 0.00ea TYPE OF WORK New ❑ Addition V Remodelilities ❑ Installation❑ the r Describe work: i&,IzoaW5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR LESS 00 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- I, 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 OC , OR ADDNS. l ACC. BLDGS. 21/2 OR NEW CONSTR. ULTI.OUTLE 2,50 ea NON•RESID BRANCH CIRC ITS )q POWER APPARATUS h SINGLE OUTLET CIR. ) p OUTLETS OR FIXTURES 20@930 Ex. Occu BAL@30 FIXED APPLINIS, R Ex. Occup. OUTLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling J 7- 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. save, indemnify and keep harmless the County of Butte against all liabjudgm nt ,costs and expenses which may in any way accrue I also aTscounty/fin against Vnseq4fice of he granting of this permit. X -- Date o e of pplicant — Owner [IContractor ❑ Agent ❑ Signo�SA An 0 permit is required for excavations over 5'0" deep and demolition or construct- f structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ocCUP. CONST.TYPE PLOo PARCEL D N S9Ue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER E611RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /O-1b'L�S 9 eipt No. CLQ LRe E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER X COUNTY OF BUTTE - DEPARTMENT OF•PU61LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEn,. &U]EJ QRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET I Permit No. D A. P. No. c Y/ J,)9r) - %,� Proposed Building Use ' %Q/7 7 o tl Permit Fee Based Upon: Complete Contract Price XDPW Valuation Oth r ( xplain) Building Inspector ! �1//� Date /a At time y/permit application, I was advised the following data must be submitted prior to permit processing and/or ssuance: DATE RECEIVED APPROVED 1. All items.have been submitted. 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for 'l Required- Building request to (Dote) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue the permitr,pwce ss as follows: Mail to owner. Mail to contractor. Telephone 77 )and hold for pickup>� office. Deliver w/inspector. Other Applicant .�L`�'J Dat��' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date ACO —76 e Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in'processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �S 2. I (have/have not) Iz e)Q. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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: Property Owner _VdAU 62� &fl, lv�. Social Security Nu er Date NOTE: This Owner -Builder Verification issent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ENERGY SHEET FOR pp ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. s� �� O� PACKAGE "A" (Additions) NAME --2-i JOB ADDRESS TYPE OF WOR 068 FOR M of SQUARE FOOTAGE Existing Residence New Addition v New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additionsto dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA &16EILING R-30 R-30 R-38 WALL R-11 R-11 R-19 ,'6O0R R-11. R-11 R-19 SLAB R- 7 R-11 R- 7 LAZING ,65 .65 .65 SHADING SOUTH - OPTIMUM OVERHANG or .36 S.C. --WEST - .36 S.C. OSE FILL INSULATION (Density) INFILTRATION CONTROL, (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) ' /' UCTS PER UMC - Ch. '10 IG TING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT GLAZING 16% OF AREA PLUS REMOVED GLAZING "✓NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump .(brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ *1 ❑ _ ----- Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr .(cooling capacity at 95°F) Electric Heat Pump (cooling capacity at 95°F Other Stu/hr (describe) EER *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.1-P.S.E. chart or other approved system (form #5) to document sizing of solar panels. I ® DESIGN COMPLIANCE STATEMENT: The above buil ' g sign m is the re irements of Title 24, Part 2, Chapter 2-53 of the Cal orni Admin tr tion C S TU OF B ING DES GNER OR APPLICANT DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Iocation of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.1-P.S.E. chart or other approved system (form #5) to document sizing of solar panels. I ® DESIGN COMPLIANCE STATEMENT: The above buil ' g sign m is the re irements of Title 24, Part 2, Chapter 2-53 of the Cal orni Admin tr tion C S TU OF B ING DES GNER OR APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL_NU BER /� .3 1OWNER`�`��vLs ZONING BUILDING PERMIT /�/ TELEPHONES SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS o 4& /1 l4wt* �4 v CONTRACTOR'S NAME OuiN TELEPHONE CONTRACTOR'S MAILING 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 A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS `' 10(08 �rW�,Q4 14_ � O&_c) Permit fee $ PLUMBING PERMIT Filing 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ;K Describe work: 1*V d' -- (j,`��` .5?9,0 %( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.&) yZQsgft NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. I ` NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS D\ SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL030 DAL030 Ex. Occup. OUTLETS ED APP(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /.5,0,n Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's .Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to en on the above-mentioned property for inspection purposes. nd keep harmless the County of Butte against all li ilju m nts, ccand expenses which may in any way accrue I also a ee t save demnifFence again rait'i o ty n.con f the granting of this per . X Date of A plicant — Owner Contractor ❑ Agent ❑ Sign i?" -Contractor An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occu P. CONST.TTPe FLOOD PARCEL PD HD 39U[ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. UBLI WORKS % L6� BY Date PERMIT EXPI Date ,3 Receipt No. (0 ;� 56: :3 WHITE-D.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NP. D ASSESSOR PARCEL NUMBER 31-272-15 ZONING BUILDING PERMIT OWNER Gar McNichols TELEPHONE 534-5333 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 1068 Nevada Ave. Oroville CONTRACTOR'S NAME owner TELEPHONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace .CONSTRUCTION LENDER none UNKNOWN 1 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ ' FEE $ 52.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068 Nevada Ave. Permit fee $ 62.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville 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 add. SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ElAddition ❑ RemodeI ❑ Uti lities [:1 Instal lation ❑ Other ❑ Describe work: 1st renewal of permit #2941-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check One): FDI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this r ason NEW CONST. I DWELLING OCCUP.N , OR ADONS. % ACC. BLDGS. /20sgit NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC S POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu zAL@ 30 p OUTLETS OR FI%TURES eLB 30 Ex. Occup. OUTLETSED PR RESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor RKMEN'S COMPENSATION INSURANCE I declare under l5enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the granting of this permit. X Date ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 62,25 OCCUP. CONST.TYP[ I I PLOOD 11.11C.111 Po ND 1 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 10-16-8�J / Receipt No. WNIT[-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT Permit#1346-85B Gary McNichols 1068 Nevada Ave, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil le, CaoforniaQ5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCE.L,.NUMBE� R '> - ZONING - BUILDING PERMIT OWNERNELE TEPHO SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER X /r I, - UNKNOWN Total Valuation Is 1 Filing g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ " ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �. BUILDING ADDRESS I,` A,` / �� /L PLUMBING PERMIT ling Fee 10.00 g 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 St Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00E TYPE OF WORK New Addition❑ ReJmodel❑ Utilities❑ Installation❑ Other [:1 Describe work:f rF 1 y n ? 1 f -,' - ( � --� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR LESS 10.00 V Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,& OR ADDNS. ACC. BLDGS. 21/20sgft y CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. f License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. LTI_OUTLET NON_R ESID BRANCH CIRC TS 2.50 ea NEW CONSTR. f POWER APPARATUS &) NON -RES,D. \SINGLE OUTLET CIR , Ex. OCCu P\/ 20@e0S o X TS OR FIXTURES BAL®30 IED PR EX. Occup. OUTLETS (RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit' Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — ` Owner © Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST, PARCEL PD [_W7_r773= This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ,•DIRECTOR�OF PUBLIC By,Date PERMIT EXPIRES' Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-Califo>;pia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES oR �A ���MB�ji-� ` //`�J ZONING BUILDING PERMIT OWN af L/ A9 1AA0A TELEPH0 E SQ. FT. OCC. BUILDING VALUATI N 4111 OWNER'S MAIL NG AD ESS //� fJ (0/0 CON RA TO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS CTION LENDER UNKNOWN Total Valuation Is Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH( ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARC ITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS O P V0 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 N Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New❑ Addition Rmodel utiliVesJ,1 Installa ❑ 0 er ❑ Describe work:r h La 10 601i"L[jam Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AOR LESS 10.00 p n r Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Uall"I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR uL I -OUTLET NON -RESID BRA CH CIRC TS 2.50 ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occu /o 20@50r P\OR FIXTURES BAL930 A FIXXEEDD APP LNS, OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit 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 Countyot Butte to r upon the above-mentioned property for inspection purposes. I al ogre to save, indemnify and keep harmless the County of Butte against al habil' ies, judg ,cos , and expenses which may in any way accrue a inst aid Count in ons nce the granting of this perm't. X Date Sig t re o Applicant — Owner Contractor ❑ Agent An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECF P LIC By PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. � %ly WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT v - a Permit #1002-83 Hazel McNichols i V - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .tel W1.9"-``' 7 County Center Drive - Oroville.?Califoyia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAORCEL NUMBER ZONING BUILDING PERMIT OWNER 1 TELEPHONE j SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DRESS CONTRACTOR'S NAME U ow TELEPHO E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 'Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRES 6 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.-9 UBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �,,✓ USE OF STRUCTURE SF U� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00 e TYPE OF WORK New❑ Addition❑ Remodel Utilities Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 OCCUP NEW CONST. (/ DWELLING,& OR ADONS, l ACC. BLDGS. 1 2/20Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ®' I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NNEW CONSTR U TI -OUTLET IBRANCH CIRC TS ON-RESD 2,50 ea NEW CONSTR ( POWER APPARATUS 8. 1 NON-RESID, SINGLE OUTLET CIR. I RESID. Ex. oUTNGLE OR FIXTURES gA 20@500 0 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID•) EA.) 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 sa!�_Zounty,iri consequence of the granting of this permit./ % =! X �r/[?./ t c ! r Date d 1 �� Signature of 'Applicant — Owner X. Contractor ❑ Agent ❑ An OSHA peimit 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. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR FTOR OF P BLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /-,/ Receipt No. 23%2- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Q, tl.ifoi:64 5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. j AQ -- ASSESSOR ARCEL NUMBER _ ^ ZONING BUILDING PERMIT OWNER l; S T EPHONE +`J SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG D�R�E/SS 6 i9 eA CONTRACTOR'S NAME _ her. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER AJ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. . Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRES PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 rb Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each clas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE � SF 5?/ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00e TYPE OF WORK New Addition [I Remodel UtilitiesEl Installation[] Other Describe work: — 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. ACC, BLDGS. 2I/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIR TS 2,50 ea NEW CONSTR /POWER APPARATUS &1 NON-RESiD, `SINGLE OUTLET CIR. 1 RESID. SINGLE Ex- ou OR FIXTURES 90@03 Q FIXED APPLNS, OR Ex. OCCU,p- OUTLETS (RESIDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 �. D 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. ❑ 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. ill I shall not employ any person in any manner so as to become subject IN to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. "sd to.save, nd y and keep harmless the County of Butte against es, judgm co s, and expenses which may in any way accrue oun ns u e of granting of this permit. t-I Date pplicant — Own r Contractor ❑ Agentwork rmit is required for excavations over 5'0" deep and demolition or construct- res over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ —� OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ss.E This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE R OF ELIC ^> By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.-t.'131/Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. P E M MH UTIL. PERMIT NO. 0-75P PERMIT EXPIRES 10/;)2/7h OWNER HAZEL MCNICHOLS CONTR. LOCATION (A.P. 1068 NEVADA AVE., OROVILLE Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB ////// FINALED Masonry Walls COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Rough BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer O Z Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final, Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ,cu -off- 4!'s � � Vb Owner Mai l i ng Address t6 Rr COUNTY OF BUTTE — DEPARTMENT OF PUBLIC.W0-- y•� 7 County Center Drive•- — ,�T•oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �- BUILDING I r SQ. FT. OCC. BUILDING VALUATION Q Telephone rLp vE33 ^ 7-73 Fireplace Contractor n Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address/6 `O�(/jC� V` PLUMBING No: @ FEE PERMIT FILING FEE $3.00 n94(,, 17- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .+a _f S_- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional. outlet .30 F n W. ryftn Fire Dept. Fire Zone Use Permit Building sewer 5.00 .- EQA Parking ParcelLawn Declaration Parcel Map 60' R/W Improvements sprinkler system 2.00 �Planns Bldg. P16xrr1 ea'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER "m ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 tnw yZ, r Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b2U 0 25 Receps., switches & fix outlets bal 610 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the'State of California. Permit Fee $ $ MECHANICAL N0.1 @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 I am aware of the provisions of Section 3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood. 2.00 California. 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 authorize representatives of the County of Butte to enter upon the mention �er inspection purposes. Date ature of Permitee r Agent Recav . 1 3 7 / 7r Whit. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is r 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. DIREC R OF PUBLIC WORKS By Date Hui4+ng permit expires Date l!�/2. z%, ;; . t�= ,. . , � k - � ._ t _ .. ... ,.. - ,�:. � � - _. _ - �_ _ � i � � � _ ' � - J