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Home My WebLink About031-281-068Dal- 'g 1 -CNA CERTIFICATE OF MERGER 1-068 PERi4IT#95-2216 J/ JONES, JONES, Troy U-4 815 Thermalito Ave., Oroville Cont; John Wheeler Repair Porch/SF 031-281-068 PERMIT#95-2323 JONES, Troy & Elizabeth "� 815 Thermalito Ave., Oroville //j Repair Porch/SF //9e� 031-281-068 00-2250 SCOTT, BETTY 815 THERMALITO , ORO VILLE CONTR: A & B ROOFING REROOF --INA_I /0-6D 031-281-068 00-2400 SCOTT, BETTY 815 THERMALITO AVE. OR LE CONTR: BOLT CONST j yl n Oy REPLACE SIDING 5 eoui4 of io&ft OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: JOHN WHEELER ADDRESS: PO BOX 5262 CITY & STATE: OROVILLE. CA 95966 IMPORTANT: 9/19/95 DATE OF CLAIM: SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT A.P.#031=281-068, B.P.#95-2216, RECEIPT# 185506 DATED 9/12/95, OWNER: TROY JONES.) TOTAL AMOUNT PAID...................................$49.00 RETAIN REFUND PROCESSING FEE...............$25.00 RETAIN BLDG FILING FEE.....................$20.00 TOTAL AMOUNT TO BE RETAINED .....................$45.00 TOTAL AMOUNT TO BE REFUNDED .....................$ 4.00 TOTAL $4 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have -been performed or delivered. and that this claim 1■ true and corn%ee(�t as stated. //}�. ./// Dated this . .....l...l••. X4� day of f/�/:1.�...... 19b at.N:.AL.d.�..^:..... if. .. ..1.. /............. .. ................. Cal:;;7 / Slgnature o[ Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or article. rticle 1 s ted above ve be n performed or de. livered and that there is a Budget Appropriation O or Specific Hoard Approval E](Check one)/for am 19TH SEPTEMBER 95 OROVILLE Dated this .................................... day of ............................. 19....... at .............................. . Calif- ... ...................................... _..................... �v ....\_ Department ead or Authorized Deputy Dept. ..... 1aW002 ............•••••• Code ......4210500 .....................PAYABLE FROM ......... CONSTRUCTION PERMITS....... ...... FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. j FOR BUILDING DIVISION USE: Receipt Information: Number: Date: �,/z A5 Issued To: Amount:'$ �9• m Fees Re7plocessing ed: Fee: $ Bldg Filing Fee $ 0• (9 C) Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ 7 5 0c) TOTAL REFUND DUE P REFUND CLAIM APPLICATION CLAIMANT'S NAME 1,-,4 � IJ / H MAILING ADDRESS - 6/5 / If, 10�' ASSESSOR PARCEL #O� _ a8.� U PERMIT # RECEIPT NUMBER (S) Request a refund of fees paid on the above receipt number(s) for the following reasons: _ 0 . 4' Stix �, . ..•�....,. 11 T- P -.-,'d a la-,ff please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [}C] Building Permit Fees [ ] Sheriff Fees- ' [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees [ ] Plans returned to me at counter. [-]'- Please mail plans to me at above address. [�] Please dispose of plans. SIGNATURE DATE COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive - Oroville, taliforr#'a 95965 - Telephone (916) 538-7 r_ PER MlT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-281-068 AR ZONING BUI ING PERMIT OWNER TROY JONES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 815 THERPIALITO AVE OROVILLE 1,200.00 CONTRACTOR'S NAME JOHN WHEELER TELEPHONE 534-5449 CONTRACTORS MAILING ADDRESS PO BOX 5262 OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN NONE Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 815 �� AVEALITO PERMITFEE $ 49.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR PORCH Mobile Home S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main ServiceIfoov OR LESS ( zooA oR LEss ) 23.00 Main Service ( zooA TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license ig in full forc and effect. License Class Lic. No. �� % 9� O NER-BUILDER TCLARATIO 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: diL- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS. ) sO. 3.5Q FT. NEW CONST./ MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 2 Q I.00 BAL .50 EX. Occup. OUTLEETS (REs1o.)ORA ( ) 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. la 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' ensation insurance Farrier and policy number are: Carrier I}f of /—y- �g .t �• MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ) X ��"' Date '_ / J _ Sig ure of Ap icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE I TOTAL FEE $ 49.00 HA2. I D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ;indicated above for which f s ave been paid. o� to PERMIT EXPI SON / .2- (Date) Receipt No. 185906 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPUCATIONAND PERMIT ASSESSOR PARCEL NUMBER �J d ZONING r� BUILDINGPERMIT OWNS O T�"0NE SO. FT. OCC. BUILDING VA DATION OWN NG DRE98 7-0 CONTRACTOR'S TELEPHONE CO R8 mAAiNG ADDRESS Qdd J/- 9r Fireplace CONSTRUCTION LENDER h b n '.1 UNXNOWN Total Valuation $ Fee $ 20.00 LENDER'S "UNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BURDNGADDRESS -�, _ �n n^ A q � PERMITFEE $ Q PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN610N'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ 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 ❑ '/SEA/J / �/ 62 /j -- Describe Work: � (T! /C � C [�-�_ Mobile Home ISI G1 W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 600V 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.FIXEDAPPLNS.OR 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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.) [31 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 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 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ACDNS. ( a ACC. OLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON•RES10. ( BRANCH CIRCUITS ) @7.50 (,POWER �SINGLE OUi LET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 2049 1. BAL Q .50 Ex. Occup. ( OUTLETS (RESID.) EA.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is, Energy Inspection Fee Is GCC CONST. TYPE TOTAL FEE $ , Q HA2. I O. FEES I IMP I FLOOD I CDF PARCEL PD HD 6SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. I (a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT a'-" +A[#�Wd.'�5eih^- �w•c' --" ""T`�� _ ,�,y�t�t'""giA'r�%�`<"c i r 031-281-068 PERMIT#95-2216 h F JONES, Troy 815-Thermalito Ave- , Oroville 'Cont; John Wheeler Repair Porch/SF_///g� .3 r r '7N�.}"iw"ftl::!;;�j,�,y�,,,'$$_��13y..;i;�' ':� �v'�1. y'�:. ":•'... yew,.'';► �.(}u4�14�°_ i.. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVI ON t 7 County Center Drive - Oroville, California 95965- Telephone (916) 538-7 D? PER NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-281-068 ZONING AR s BUI ING PERMIT ' OWNER TROY JONES TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 815 THERMALITO AVE OROVILLE �y0 1,200.00 CONTRACTOR'S NAME JOHN WHEELER TELEPHONE 534-5449 CONTRACTOR'S MAILING ADDRESS PO BOX 5262 OROVIIIZ 95966 Fireplace CONSTRUCTION LENDER NONE4�UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER -T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 815 THERMALITOAVE PERMITFEE $ 49.00 OROVIU1, PLUMBING PERMITS Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR PORCH Mobile Home I S I GI @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i in full force and effect. �� ` �� License Class IL No. i OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: (0. 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 SO. OR ( a ACC. Bibs. ) 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL SO Ex. Occup. ( OUITLETS(RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0, 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cpmpensation insurance arrier and policy number are: Carrier S f* F � y MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J — X Date - i� c~� Signe uf�re of App icant - ❑ Owner ❑ Contractor ❑ Agent Ari OSHA permit is required for excavations over 60" deep and demolition or constructions structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions the Butte County Code and/Resolutions to do work indicated dicated above for which fees have been paid. °By i-i�c�r- 7,t�= 1.:1-A, , ��Zi"L4—bateof PERMITEXPIRE ON 7 ,//.- / (Dale) / Receipt No. 185506 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S F- 031-281-068 PERMIT#95-2323 JONES, Troy & Elizabeth -81"5 Thermalito Ave.., Oroville Repair Porch/.SF 9�ao / COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT NO. APPLICATIQNAND PERMIT ASSESSORPARCELNUMBER, 031-28 ZONING BUILDI PERMIT OWNNEERTELEPHONE ELIZABETH JONES SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 815 THERMALM AVE. z'-""0VILLE CA 95965 EST 1200 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS y '-' Fireplace CONSTRUCTION LENDER .. NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 2 ARCHITECT �,OR ENGINEER LICENSE NO. .00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS I 815 THERMALITO AVE OR V E i PERMITFEE S i.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUSDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF .11 Duplex ❑ Mobilehome ❑ Other SPECIFY I Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 17 Describe work: REPAIR PORCH Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service eoow OR LEss ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000 of Division 3 of the Business and Professions Code, 9 (commencing ) and_my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contra ors License P tY P 1 rY P � Law or the following reason: Y I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensedcontractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason I NEW CONST. DWELLING OCCUP. SO. OR ( 8 ACC. BLOB. ) 3.5¢ FT. CNS. NEWAD CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS 8 ( SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURESBAL ) 0 + � .SO' Ex. Occup. OLFIXED PPLNS. OR ( (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor " •••• WORKERS; COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent- to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 �,• t MECHANICAL PERMIT, �, —Fling Fee 20.00 -. Heating Cooling Hood 6.50 Ventilation• r i PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars.($100) or -less), I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _/'J: �'c i { _ i 1, - f'. -} ?? �' , 'A; 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. Mobile Home Installation Fee $ Energy Inspection Fee ' ' $ Occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work on paid. indicated above for which fees hA.Date9/20/95 BY PERMITEXPIRES ON 9/20/96 (Date) Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville,_, alifornia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r 031-281-068 N1NG AR BUILDI06 PERMIT GTROY/ELIZABETH JONES TELEPHONE SO. F1. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS 815 THERMALITO AVE. OROVILLE CA 95965 EST 1200 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation 1.$ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 2 9.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Ghecking F@@ $ ARCHITECT OR ENGINEERS MAILING ADDRESS Ener Plan Checking 9Y g Fee $ Penalty $ BUILDINGADDRESSTHERM JALTTO AVF PERMITFEE S 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF X1 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system f - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 00 Describe Work: REPAIR PORCH Mobile Home IS I GI W 920.00 PERMITFEE $Contractor ELECTRICAL PERMIT Filinci Fee 20:00 Main Servicecoov OR LEss ( zooA oR LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: X 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 OCC". OR ADDNS. ( a ACC. BUDS. ) SO. 3.5Q FT. NEW CONST. MULTI.OUT LET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIS. ) EX. Occup. (OUTLET OR FIXTURES) � @ 1•� BAL .SO OR EX. Occup. oflxurLEEDrs R D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Y I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� X / , ;?,7iEi Date Signature f pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for exc ations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 49.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate ove for whic fees havfku BY PERMITEXPIRESON applicable provisions Reso tions to do work paid. ate9/20/95 9/20/96 (Date) Receipt No. 85550 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESW NO[ ]. 2. I HAVE[ iPq HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed. construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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: i 5,21 i PROPERTY OWNER: y .,> 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 5300 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 `bwnerbuilder" 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 c rel ; Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER..... NOTES t� ,j PERMIT NO. I sr 9 RESIDENTIAL 031 -281 -068 ---*"--00=2250 SCOTT, BETTY 815 TIAERMALITO , OROVILLE CONTR: A & B ROOFING REROOF II SPECIAL CONDmONS �I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY f 1l if JOB FINALED (Date) 3 4d if 'i Signature d ✓ = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date ,MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Carports; Windows -Doors 7. Well Clearance 6 Disconnect Electric 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI .5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f V= OK 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL (%c Date 46. Underfloor (Plans) OK except #'s 1. Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel-Wrapped 8. Piers-Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent-Access-Combustion Air Baffle 18. Water Pipe; Test & Anchor-Nail Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection 20. Shower Pan; Test, First Floor-Tub Access 21. Test Tub & Shower, Second Floor-Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or AI Insulated Neutral E) Yes Q No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) Date FRAMING (Continued) - 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist- Rftr..Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes :1 No/Walks ] Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 zM(Rev.12/96)•, • APPLICATION AND PERMIT 4®_ ASSESSOR PARCEL NUMBER 4 r -y ^� ZONING BUILDINGPERMIT OWNER LEDHONE SO. FT, OCC. BUILDING VA DATION OWNERS MAILING ADDRESS Tr) O 4 ^6%6 CONTRACTORM NAJE 0 LEPHONE 0 CONTRACTOR'S MAI NO ADDRESS CONSTRUCTION NDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBWASION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilliitiies�❑ Installation ❑ Other ❑ Describe Work: ��Q T / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00OR LESS Main Service 2001 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Jull for and effect. �—p License Class -� LIC. No. �i%} `3J !3 OWNER -BUILDER D'E LARATION 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so ( MOS. .j.5¢ NEW CONST. MULT NON-RSID, @7.50 POWER APPARATUS 8 SINGLE OUn Er CIR. Ex. Occup. ounEroR FIXTURES .30 BALED A Ex. Occup. oFur A� O.R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Nesting Cooling Hood 6.50 ventilation PERMIT FEt $ Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos provisions. _ — 610 X Date !IS - /,S7-- Signature of Appli - ❑ Owner Ontractor ❑ Agent An OSHA permit is ruired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ k7 6nidte(r PERMIT EXPIRES ON (Da te Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL PERMIT NO. -1 031-281-068' 00-2400 SCOTT, BETTY 815 THERMALITO AVE., OROVLLE a= CONTR: BOLT CONST: REPLACE SIDING ' r • I I ' — d t SPECIAL CONDITIONS CHECKED BY — SRA _ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS _ VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i I .r f it f I �I JOB FINALED (Date) Signature V= OK 0 = Not OK Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test:Fall-C/O-Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date Card B-1 Date Card B-1 MISCELLANEOUS f Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ti's + 1. Zoning Requirements -Setbacks -Easements 1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ /'LPG 7. Well Clearance & Discorinect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except It's Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fal: -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pan elboards-Ins. to Main in Conduit 11. Cert. of Occupancy Health Department Approval 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS f Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ti's + 1. Zoning Requirements -Setbacks -Easements 1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'$ Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes I] No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instid./Drive ] Yes :1 No/Walks J Yes :1 No/Planters Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instid./Drive ] Yes :1 No/Walks J Yes :1 No/Planters Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT OD -J4�y AS Ulf P�CE,}.NUJ�1% UUC= UBElTTL ZONING BUILDING PERMIT OWNER S 533 TELEPHONE3200 SO' FT' OCC. BUILDING VALUATION CONT 1400. OW ERS MAIUNG ADDRESS X15 THERMALITO AVE. OROVILLE CA 95965 CONTRACTOR'S NAME BOLT CONSTRUCTION TELEPHONE 533-5938 CONTRACTORS MAIUNG ADDRESS PO BOX 5817 OROVILLE CA 95966-5817 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 815 THERMALITO AVE. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF �; 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 ❑ Describe Work: REPLACE SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VR UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license /%'� In full force and effect.P License Class L� Lic. No.�� 3 OWNER -BUILDER DECLARATIONEx. 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 Main Service To 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BIDS. SO 3.50FT. NON-RalpT MULTI.OU CU @7.50 OWER APPARATUS 8 SINGLE OUTLET CI R. Occup. CUTLET OR FIXTURES zop'. 00 eAL p .so50 Ex. Occup. OFuns PPM.) � 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X - ___ Date �� `3� 0 Si nature of Applicant - ❑ Owner Contractor 13Agent n OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicat d above for which fees have been y Date./P/-`3/� PERMIT EXPIRES ON ata provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT h COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 40 ASSESSOR PARCEL NUMBER y1 ZONING BUILDINGPERMIT OWNER ]jfZiti"U TELEPHONE, 3 - SO. FT. OCC. BUILDING VALUATION OWNERS MAILING S - r ad i I 1P Q5L? CO O 'S NAME • TEIEPH NE 33- �3� CO RACTO UNG ADDRESS + -�i vLl C014STRUCTION LENDER f If Fire lace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee S �, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �j �j ' Energy Plan Checking Fee $ $ PERMIT FEE $ IS -33, LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF .� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installap*on ❑ Describe Work: %' Other Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT ng Fee 20.00 Main Service 2�0. oA UEss 23.00 ' ' RECEIPT # SRA $ SHERRIF $ TOTAL $ ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 F@7.50 NEW CONST. DWELLING OCCUR 3.5¢so OR ADONS. ( 8 ACC. OLDS. NON•RE4 D. MULTFOUTLET POWER APPARATUS 6 SINGLE OLlTL.E7 01, EX. Occup. OUTLET OR FIXTURES 1 20 SAL ®I'00 ® .SO Ex. Occup. UT,D AP IES DD °ERw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES jS Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYK,,, TOTAL FEES HAZ. D. PEES IMP FLOOD 7DF PARCEL PO HD I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON nT-