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HomeMy WebLinkAbout031-281-108/08 31-281-'_••• •, log ' Tom Hall �'_;. _Fv W/S 7th Sr_., @ inters.uf Nevada Ave - ..._._._._ rodille (PLAN .... • --- contr: Deer Creek Const., Chico Permit #66888-7�8B,P,E,M(newgsingle Y 31-281-108 NF'W unT�R del t 1455 7th St, Ooville -5ontr:-'Northstate Aluminum; -'Chico Permit#1763-81B�install sIiding)SF P 31-281-108 Contr: Acro Lume, Oroville Permit¢#41 1-80 new patio _cover ) 031-281-108 PERMIT#95-1933 JONES, Elizabeth .1455 7th St., Oroville Cont; George Roofing Reroof/SF /� r 031=281=108 ~~- -` -01=1859 SCOTT, BETTY ANN 1455 7TH ST OROVILLE CONT: FURLONG CONSTRUCTION REPLACE H2O HTR 0 03 111 1-281-108 01-2313 - p SCOTT, BETTY ANN �`'`'� 1455 7TH ST, OROVILLE CONT: PREMIERE HTNG & AC REPLACE EX HVAC � - I e , d i 4 031 -281-108 01-2313 SCOTT, BETTY ANN 14557 TH ST, OROVILLE CONT: PREMIERE HTNG & AC REPLACE EX HVAC lyss '27-A ST - 031 -281-108 01-2313 SCOTT, BETTY ANN 14557 TH ST, OROVILLE CONT: PREMIERE HTNG & AC REPLACE EX HVAC (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 * • Telephone (530) 538-7541 APPLICATION AND PERMIT Nu PERMIT NO. ASSESSOR PARCEL NUMBER 031-281-108 ZONING - BUILDING PERMIT ' OWNER BE1'I'Y ANN SCOTT TELEPHONE 534-8153 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1455 7th St. (*0VJIJf, CA CONTRACTOR'S NAME PMI1RE RX & AIR COND., INC. 92-9-4.39-1827 TELEPHONE CONTRACTORS MAIUNG ADDRESS 165 LINSCULID DR.9 PIMBBURG CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE No. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1455 7th St. OR Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECS 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:�.P1,ArE EXISTING YAGKAC� HVAC i1r�lT Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �'' / �% License Class 0 - ;)._,I Lic. No. L, J /] OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: D 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. 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 Main Service To ,000A 46.00 NEW CONST. DWE].LINCi OCCUP. SO WE OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT. MULTI.OutLET @7,50 NON CONST. .R.'. POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES j 20 ®''O0 BAL @ .SO FIXI Ex. Occup. OUTUTLEpTSAREs o.D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 90-00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEt $ .55.00 Policy Number i 1�'L. 7 i (The above sections neecr nol Ve completed ff 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' compensati rovisions of section 3700 of the Labor Code, I shall forthwit It those provisions. / �` / X�` , _ >., ✓� Date O/L Sign re of Ap (cant - ❑ Owner 9LContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. p, FEES IMP FLOOD CDF PARCEL I Pp I HD I ISSUE This permit is hereby issued under the applicable provisions of the ButtCounty Code and/or Resolutions to do work indicated,# ave for which fees- ve been paid. By '' .4& Date 5-17-2001 i PERMIT EXPIRES ON /� 9-17-2M ate ReceiptNo. Ol WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF 6EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE MT NO. (Rev. 12/96) APPLICATION AND PERMIT - NEW - /_3 ASSESSOR PARCEL NUMBER 031-281-108 ZONING - BUILDING PERMIT OWNER BETTY ANN SCOTT TELEPHONE 534-8158 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1455 7th St. OROVILLE CA CONTRACTOR'S NAME PREMIRE HTG & AIR COND. INC. 925-439-1827 TELEPHONE CONTRACTORS MAILING ADDRESS 165 LINSCHEID DR. PI17SBBURG CA 94965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1455 7th St. OROVILLE 5 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 EXISTING PACKA(;F. HVAC IThTTT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OOR R IESS 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, ( 9 ) and my license is in full orce and effect. License Class - Lic. No. (p / �J % OWNER -BUILDER DECLARATION 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 200A TO +000A 46.00 NEW CONST. OW NG OCCUP. OR ADDNS. ( 6 EwACC. BLDS. SG 3.50FT; NEW CONST. MULTI.OUTLET NON -REBID. 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 2 @ I'00 BAL @ .w LNSI Ex. Occup.oFIXurEtDrs FEslf).OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. pg� 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' _90ppensatiop Insurance carrier and policy number are: Carrier Policy Number (The above sections nee not l5e 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' compen n laws of California, and agree that if I should become subject to the kpensat' ovisions of section 3700 of the Labor Code, I shall fa ith those provisions. DateZs0 Sign - ❑ Owner fir -Contractor ❑ Aged w<&Apyticgint An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 15.00 Hood 6.50 Ventilation PERMIT FET: S 55.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HA2. D. FEES IMP FLOOD CDF PARCEL HD ISSUE This permit is hereby issued under the applicable provisions of the Butt County Code and/or Resolutions to do work indicate ove for which fee ave been paid. By Date 9-17-2001 N PERMIT EXPIRES 9-17-2002 Date Receipt No.00 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 031-281-108 PERMIT#95-1933 JONES, Elizabeth 1455 7th St., Oroville Cont; George Roofing Reroof/SF :e COUNTY sOF BUTTE -DEPARTMENT OF DEVELQPM9NTSERVICES - BUILDING DIVISI N 7 .County Center Drive - Oroville, California 95965 -Telephone (916) 538-754 ERMIT No. APPLICATION AND PERMIT J��- ASSESSO,tL� CELNUMBER f e-19 r Q r ZONING BUILD!PERMIT /�� owNegL r H %/ Y' TELEPHONJJ::ff ..E r�r� t i/ O SO' r. OCC. BUILDING VALUATION yF �/ �W OWNER'S MAILING ADDRESS iy32v d-` f. uv,'lie 4.T CONTRACTOR'S NAME P TELEPHONE �Gr oat •' �+ S" ?'2 393 CONTRACTORSJMAIUNG ADDRESS e r d� C4 ✓o v % �% % ��G 4 Fireplace CONSTRUCTION LEND UNMOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ .. + ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D 5 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LCT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF,X 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: Mobile Home I S I GI W @20.00 PERMITFEE t Contractor ELECTRICAL PE MIT Filing Fee 20:007 Main Service a v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 0 -� 9 Lic. No. ysi2 G 1, OWNER' -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. BUDS. ) SO. 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50 ( POWER APPARATUS ) GSINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 94L .00 Ex. Occup. ( OunEE°TSPPLNS. j 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 re *'—j MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number a f'S'— S'Q (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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of secti 370 of the Labor Code, I shall forthwith'comply`with those provisions. %� 4 X i%z_� Date _ / i_ Signature of Applicant - ❑ Owner ❑ Contract15r Q Agent An OSHA permit is required for excavations over 60" deep 'Yt�td-demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE FEE $ ,r19 OtO HAZ I D. FEES I IMP I FLOOD I CDF I PAFCEL PD HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ab a for whit e s have L PERMITEXPIRESON S applicable provisions Resolutions to do work been paid. ate 4 10 (Dde) Receipt No. WHITE-D.D.S.- D. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFBUTTE - DEPARTME, NT OFOEVELOPMENT SERVICES -BUILDING DIVIS N 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT Assess°cg�L�BER - a, 33 zo"'"° BUILD I PERMIT OWNER TELEPFIJo E SO. FT. OCC. BUILDING VALUATION OWNERSR1NGAODRES 7�reefi �,��/�/� cc11`� 9.5 94S' �k�® �' ��• -' CONTRACTOR'S NAME (� TELEPHONE eor e_ ao* Li% X.0-1,37-7 CONTRACTOR MAIUNG ADDRES��S`` /� IT S` W__ GlO� V11e-, iTf%v� t I/2 l S_plc 6 Fireplace CONSTRUCTION LEN UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 117- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS � N 6 J PERMITFEE 2 PLUMBING PERMIT Filing Fee 0.00 Each Trap 7.00 LAT NO. S UBDNISION'S NAME ?ARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SFM 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 IRT Describe Work: Qaer kii ( Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMITFilin Fee 20:00 Main Service a00V OR LESS ( 2000A 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 on ) with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class off— :?'F Lic. No. ,�/s� G `� ( OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, 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 ADONS. ( 8 ACC. BLDS. ) so 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) BAL 20 Q 1.00 SO EX. Occup. OUTLEE'OTS (RES D.PPLNS )EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insur ce carrier and policy number are: Carrier .S�-�j � MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number �'S— �'Q4Y (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of sectio 3700 of the Labor. Code, I shall fo comp ith those pro 'Ins. X _ _ ate Signature of Applicant - ❑ ner ❑ Contr or Q4 ent An OSHA permit is require or excavations over 5'0" deep and demolition or construction of structures over 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF 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 fees have been paid. B ate 9 fie) Receipt No.PERMITEXPIRESON WHITE -D. D.9. - B.b. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 1763-81B PERMIT EXPIRES 51/15/82 OWNER ELMER K. JONES CONTR. Northstate Aluminum ASSESSOR PARCEL 31-281-108 LOCATION 1455 7th St, Oroville A. = OK = Not OK =Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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 Card -BI Date _ Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements .r Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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/0 to Grade -HD -Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Ove ng -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. S ,(p iJ n 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. St cco Mesh -Drip Scree -Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C -BI Date%3ZJt:?)eC_ard-BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Pib., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 to Grade -HD Approval 31. A.C. Ducts; Insulation & Support _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date --------- Card -BI -_ _Date _-_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. _40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OFPUBLIC RKS 7 County Center Drive - Oroville, Californ;a 95965 - Telephone 16/534-4541 APPLICATION AND PERMIT , PE9M1T NO. / (/� _A ASSESOR PA��L NUMBER,, 31-2 67 ZONING - BUILDING PERMIT OWNER Elmer i. Jones TELEPHONE 534 8158 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1455 7th St., Oroville, Ca. 95965 CONTRACTOR'S NAME Northstate Aluminum TELEPHONE 343 7956 CONTRACTOR'S MAILING ADDRESS _s I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 GO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Permit fee $ _OU BUILDING ADDRESS 14-1%5 7th St orovillp, ra- PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each alas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF []J Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [2 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Install steel siding on house Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 0. 00 Main service 100 AMP OR101 01 LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business "'YYYCCC"' and Professions Code and my license 'is in full force and effect. License No._ll�, 00-8Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am•exempt under Sec. ; Business and Professions Code for this reason NEW CONSTR -OU LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES_ BAL�1 I FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring +L-50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® 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 S 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa'd County in consa of a granting of this permit. . X eque Date 513,81 Signature of icant — Owner E:1Contractor ElAgent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height.W:�/,V Mobile Home Installation Fee $ TOTAL PERMIT FEE $ G OccUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE -This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to dc' wor ndicated above for which fees have been paid. E/C,T4DR%OF PUBLIC WORKS p —� — By Date PERMIT EXPIRES Date 5—P5 �I Receipt No. 5 / © 3 V WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Rd wv Uvo/A Oilsnd dO '1djo Rung dO Ubln00. 031-281-108 T,' 01-1859 SCOTT, BETTY ANN 1455 7TH ST OROVILLE CONT: FURLONG CONSTRUCTION REPLACE H2O HTR 1 f t COUNTY OF BUTTE - DEPARTMENT OF DEVELOP16ENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 ,PEELMg. NO. (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCELNUMBER 031-281-108 ZONING BUILDING PERMIT OWNER S= BEM AM TELEPHONE SM -91 58 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1455 7V ST. N/AMME�r FURL= l Vl\l.Jl/lRZ MN Q TELEPHONE CONTRACTORS MAILING ADDRESS 5381-SFAI.1,FRS AVE.- WMEY11 CA %%I 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 ' 1455 7M ST. OROV = CA 95965 Energy Pian Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF a 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 15.00 TYPE OF WORK New B Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REM AC R20 HEATER , Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.0o PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600V ORLESS Main Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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. /.� y / � OWNER -BUILDER DECLARATION 1 -hereby affirm under penalty of perjury that I am exempt from the Contractors License /Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as gwner 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'—Cooling 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, forthe 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 Californiaeand agree that if I should become subject to the pensation provisions of section 3700 of the Labor Code, I shall Cth those provisions. ---�uvffp'�,'"iZ. Date % % _ .Si nature of Applicant- ❑ Owner JkCon actor �❑`Agent ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a AM. BLOB. 3.50' CONS I ' MULTI.OUTLET @7.50 Np POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occu ouTLFr OR FIXTURES 20 ®'•0° BAL •S0 Ex. Occup. OFI��DSRa ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC co NST. TYPE TOTAL FEE $ 35.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date r>✓ /- 10 PERMIT EXPIRES, ON ! - ) 7 U.G P8te Receipt No. 3E WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I k ��- COUNTY OP BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 01-10e- % .� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist aLthe—' above address and should be corrected Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. } Date — Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION s/ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 CRMNo. (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 031-281-108 ZONING BUILDING PERMIT OWNER D •�7 ANN SCOTT, IJETll L -11V LV TELEPHONE TELEPHONE — SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS OWNERS 1455 7TH CONTRACTOR'S NAME FURLONG CO TELEPHONE -20. CONTRACTOR'S MAIUNG ADDRESS 4-5-C381 -SEAT .T .FR.q AV . - QAUT .FV _ CA 94-5-- CONSTRUCTION ONSTRUCTION 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 1455 7TH ST. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX 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 15.00 TYPE OF WORK New 9 Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe Work: REPLACE Hifi 14FAT)R Gas piping system 1 - 5 outlets 15.00. Building sewer 15.00 Mobile Home IS G W (P20.00 PERMIT FEE S 35,00 ELECTRICAL PERMIT Fling Feel 20.00 LESS Main Service ZDOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER � Q �/ License Class Lic. No. ID , til p L! OWNER -BUILDER DECLARATI N reby 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 200A TO IOODA 46.00 NEW CONST. DV=NG OCCUP. SO OR ADONS. ( a ACC. Bin S. 3.50FT. p6IpT. MULTIOUTLET @7,50 APPARATUS 8 SINGLE OURET CIR. OUTLET OR FIXTURES zo p Loo Ex. Occup. BAL p .so Ex. Occup.. DLITLEt°Ts R�D°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION l,bereby 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 PERMIT FEt $ 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 Californi krargd agree that if I should become subject to the rkers' comp tion pro Sion of section 3700 of the Labor Code, I shall o with c pl dh those ovisions. X ate L gnature of Applicant - ❑Owner K n actor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in above for which fees have been paid. C�By\GZii^L, Dart�e PERMIT EXPIRES ON Date Receipt No. " �1 J S 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 (530) 538-7541 J ER NO. Rev. 11,0/96) APPLICATION AND PERMIT A-SESSR ,:Of .CEL NUMBER 0 ZONING BUILDING PERMIT f TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS . SS �OITRACTOR'S NAME TELEPHONE CONTRACTOR'S MAl1N0 DRE88 57716 1 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Alina Fee S 20.00 ARCHITECT OR ENGWEER'S MALING ADDRESS Permit Fee $ Plan CheckingFee $ SUPING ADDRESS Sgc� Energy Plan Checking Fee S a PERMIT FEE i IAT NO. BUBON6pN'SHAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPWcr Each Trap 7.00 Solar or heat Pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel((q�❑ Utilities ❑ Installation ❑ Other �l Describe Work: ��lQ.`�AAP 9.�-� Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 ------• ------ I i *PERMIT FEE PAID s �_ SRA SHERIFF OTHER I AMOUNT RECEIVEC -0-D • � � � 1 *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Main Service -oov OR Less sooA OR' LEss 23.00 Main Service 400A TO IOOOA 46.00 NEW CONST. DWF111J0 D�Up- s0 OR ADONS, i ACC. BLOS- 3.SQ FT. N O MULTI-OUTLET NON-A BRANCH CIRCUITS @D7.50 POWER APPARATUS 8 SWGLE OLRLET R. Ex. OCCU OUTLET OR FIXTURES 20 ® 1.00 RAL .SO Ex. Occup. DU�SARp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee 3 occ CONST. TYPE TOTAL FEES 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 fees have been paid. By Date PERMIT EXPIRES ON r- 6688-78B,P,E,M PERMIT NO. PERMIT EXPIRES `OWNER Tom Hall Deer.Creek'Const., Chim CONTR. 4 LOCATION (A.P. 31-281-105 port. W/S 7th St.,_Q inters.of Nevada Ave., Oro.. r 4. A Y j - Temp. Power Pole r Called PG&E Temp. Elec. Serv. Called PG&E T � R Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUT, •_,.,.rs,�,;.--� JF PUBLh: WORKS BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback _ Flrewall S r - -" -Soil Piping Forms Parapets 1st Floor % Main Bldg. _ Restroom Finish 2nd Floor Footin s Windows t ,3rd Floor Stemwal Siding To out Slab Roof Sheathing Water Piping- Piers laloLth Roofing 2- — Sewer xsm Garage Fdn. Vents Fixtures Footings '-%WP-0Z2 Garage Vents Water Htr. %:�l 0- Stemwall Insulation Heaters ✓, Slab Prov, for phsically A Iiances Car rt handica edy Conformance of ex. Gas Piping 4 & Test J Footings structure Temp. Gas Slab Final Sanitation Patio FI PLACE Final -:5-- Footing Footing ECTR AL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final _ Subpanels Mesh MEC LAICAL Grd. Fault Prot.�- Scratch Heating Service Brown Cooling Temp. Pole a Finish, --,,-Ducts Z Underground Interior Lath Ventilation Permanent -:!''� 2[(% Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQBILEH )ME INSTALLAT SON - - - - - - - - -- - -- - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) o RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED/ I CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT / 4S'"� 7 4W -s- i=- / 71AO-ew /F—d (location) BUILDING PERMIT NO. Atl�-88 "' 78 AaP. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Circulating Slab Edge v Fdn. Walls / Floors (/ Walls (/ Ceiling/Roof C�- Ducts Ll- / Circulating Pipes APPROVED HEATER i. APPROVED WTR.HTR. 1� GLAZING: Single Glazed Special (Insulated•) L-- CERT. iCERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVIC S CERT. APPLIANCES --T I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. . Insulation Applicator Name Signature of (please print) Insulation Applicator' State Contractors Liaense No. General Contractor/Owne. Signature of General Contractor/Owne _. Date State Contractors License No. C - THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. Permit#��, INSULATION CERTIFICATION 7th tree.. Oroville Number and Street City County Lot 1465 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Thickness (inches) EXTERIOR WALL Material Fiberglass 2i, n J2 Thickness (inches) CEILING Batt or Blanket Type Fiberglass Err Thickness (inches) Loose Fill Type Minimum Thickness (inches) Area Covered 110) FLOOR,ELEVATED Material Thickness (inches) FLOOR, SLAB Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) _ HEATING SYSTEM Make Model Description _ Rated Bonnet Capacit,i Gas Furnace Brand Name Thermal Resistance (R Value) Brand Name Certainteed Thermal Resistance (R Value) 11 Brand Name Certainteed Thermal Resistance (R Value) 19 Brand Name Number of bags Weight per bag Ib Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). General Contractor (Builder) License Number Signature and Title Date Hawkins Insulation Co., Inc. 215925 Sub -Contractor (Insulation Applicator) License Number �`�. Owner 2/28/79 Sign lure and'Tltle,-,,,' Date CERTIFICATE REVIEWED BY Pate BIN -029 (Building Inspection Office) •� _ COUNTY OF BUTTE — DEPARTMEf,IT OF PUBLIC WORKS - 7 County Center Drive - OroviILe, California 95965 Tel ephone: 534-4541 �-� APPLICATION AND PERMIT C authorize representatl es of the cbutte of to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned tty for inspection p o s. I the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date �"�3 DIRECTO UBLIC WORKS Signature of Permit. ' gent f O �� By Date 17-2 - %f Receipt No. U White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ilding permit expires Date 7— 7 7 BUILDING Owner om 14A-`(— SO. FT. OCC. BUILDING VALUATION 1110 S 2 a, 400• 00 Mailing Address 42& Telephone No. 410 coy llf-L-00 Contractor r ep vsTeUGnbd �••� Mailing Address PO, BOX 977 / / Fireplace L'LASS �} �.� Total Valuation uo 7'a -z"00 •f / Lo% c /� ✓ / ,2L -7 �1p� d �� Permit Fee 11 ,Oc7 51 . Building Address �fv r A -r Plan Checking Fee B,/or Penalty Permit Fee ,00 ppb Q 5, eVADA; AVS PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -3,t?0 Each TraD 1.50 12, 1 ®O 0 Repair drainage or vent piping 1.50 A. P. No. 3 i - Z �) Lr 0 �i' Zoning EPlanni ater piping 1.50 11 O Each gas water heater or vent 1.50 ry' 0 F t on FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking'Parcel Plans Declaration 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 5, 100 Bldg. P �: R.c'd ark I Pla Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Lawn sprinkler system 2.00 permit Fee $ O $ 24 1 re ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5,0,0 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCC OR ADDNS. ACC. BLDGS. 20sq ft Z. 1,0 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 sty Oyu f: NEW CONSTR BRANCH CIRCUITS) NON•RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES IBAL� EOCCU FIXED APPLES, OR X. p• OUTLETS (R ESIDJ EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 ��� License No.s �J va?_r=- Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 ,3,00 Heating O (U V v ' ID U O- P RG Cooling Ventilation Hood 2.00 C 0 Permit Fee $ 13, dLp $ aC 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 Land Development Fee $ Z,5, 6C TOTAL PERMIT FEE 2.1 $ C✓ d authorize representatl es of the cbutte of to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned tty for inspection p o s. I the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date �"�3 DIRECTO UBLIC WORKS Signature of Permit. ' gent f O �� By Date 17-2 - %f Receipt No. U White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ilding permit expires Date 7— 7 7 THERMALITO IRRIGA'�10N 'DISTRICT 410 GRAND AVENUE - OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Z Address: Acct. No: _:�`j'o 1 r, A. P. No.: -=' --'-- Phone: No. Units:- Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: — Date: CSA 26" Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By:- r- Date: ' Field Review By: Date: Remarks: f�<%'" K �`•7,� <�c.. , v� o, �� T.� Tic C � • �>,r l C� e� v.� i t v r MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID i PERMIT NO. 41.61-80B PERMIT EXPIRES OWNER EU ER JONES CONTR. Acro Fume, 0roville r ASSESSOR PARCEL 31-291-10A LOCATION 1455 7th St, Oroville r r: Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Serve CaIt'ed PG&E /OBALED (Date) Signature y ' i. J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Scngle,and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- /. /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall-Fittincs-Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd;-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Atr-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation=Foam-Looked in Attic F] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails& Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn; Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked underfloor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters nYes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing Card B-1 _ . ------- Card -BI Date 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection _Date _ Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except H's 31. A.C. Ducts; Insulation & Support 83. _ Corrections -from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust abcve Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34, 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Gard -131 Date Date Card -BI Date - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 38. 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors __ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles - 46. 47. Bdrm Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: Anenlrymust be made each time youvisit ,jobsite) - J J OK 0 = Not AK = Not Applicable = Not Ready t MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES ,(Plans) OK except k's Date DECKS OVERS, CARPORTS, ETC (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Seth s—Easements 2. Soils; Special MH Support—Sketch . 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—Be ms—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ lum. Awn.; Colu s—Cogbae'tions—gpKe—Decal—Enc/osures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG �Wividows—Doors 7. Utility Clearance J—Flee! Card -BI Date Card -BI Date qaFeBI 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 a's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line. 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 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 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 f ' .► APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -/ • % ® ZIO BUILDING P IT OWNERTELEPHONE iee_ A4 4E.AZ f9 IVZ -5- SO. FT. OCC. BUI VALUATION OWNER'S MAILING ADDR 5 AIJT CONTRACTOR'S N ME t l W TELEPHONE CONTRACTOR' MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ /ZOO LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2;Z BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome ' Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK NewET""'Addition❑ Remodel❑ Utilities [1 Installation❑ Other❑ Describe work:' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i00 AMP OR00V OR LESS5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP,&� OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declareu er 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. V5V <7 Classification S� CG / ❑ 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 CONSTRULT'-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50@25C BAL@10S FIXEDAPPLNS. OR Ex. Occup.(OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. .P�ave 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 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, m ts, costs, and expenses which may in any way accrue against d unt cos uence of th granting of this permit. X ` Date"—lo "— 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. tZ I PARCEL PD v v HO i./ ISSUE -- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date p Receipt No. ( ll WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT