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031-282-023
31-282=23 4 Jim Marshall 1566 6th St_, Thermal;to Permit #3351-979BB(add attached garage/d � SF) 3-282-23 :ontr : Polly Pocyls , Hal Hampton Orovil le 'ermit #3761-79B,P, new pri.swimming ol) 3 -282-23 Contr: Polly Poo Oroville rmit ��53Je8ss79E(e1e/3701=79) Contr: Harrel Wilsonl�2/21-237 Permit#2.383-86B)P,E,M(y8Aadition 31-282-23 1317-91B MARSHALL, Jim 1566 6th St, Oroville Cont: NorthState Roofing C, (reroof/sf) Q31-282-023 _� ' - 18 DOUGLASS, WAYNE, iNALE® 1566 6TH ST, OROVILLE _ ,� Cont: GEORGE & SONS REROOF/SF , PERMIT NO. 3701-79RTP,F, r\ PERMIT EXPIRES ' OWNER Jim Marshall 'S Polly Pools -Hal Hampton; Oroville z� CONTR. LOCATION (A.P. 31-282-23 1566 6th St., Oroville 0 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Interior Lath I BUILDING BUILDING (Cont'd) PLUMBING Setback 1 Firewall Soil PI in Forms Water Piping Parapets 1st Floor MORILEHRIMEINSTALLATI N --------------Support Restroom Finish 2nd Floor Footin si 43 9M Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation _Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures 11 Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underaround Interior Lath I Ventilation I Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MORILEHRIMEINSTALLATI N --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR • • (NOTE: An entry must be made on this form each time you visit the job site.) w' Owner Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7,County Center Drive "— OrooVllie, California 95965 Telephone:•534-4541 APPLICATION AND PERMIT _ BUILDING SQ. FT. I OCC. I 5614.LDING UATION Single Family [] Duplex [] Mobil Home [:] Othersi POOL. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal nia Business,8� Professions Code under the name i,f�r style of: A ,,11 � � , License No. lassification(--17 Permit Fee Telephone o. S3 6No3 Main service 600V OR LESS 100 AMP ORLESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Contractor EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. k ACC, BLDGS. NEW CONSTR. WON. RESID_ Mailing Address wpo Fireplace Total Valuation Te on No Permit Fee , Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. p� �oZ — or in & Planning Water piping 1.50 r �� Each gas water heater or vent 1.50 Ftelf W. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans Parc !Each eclaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 I g. Pans ec'd Parcel Ap royal Plane Approval Lawn sprinkler system 2.00 NE ADDITION [:] UTILITIEf@ OTHER & 73T Single Family [] Duplex [] Mobil Home [:] Othersi POOL. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal nia Business,8� Professions Code under the name i,f�r style of: A ,,11 � � , License No. lassification(--17 Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP ORLESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. k ACC, BLDGS. NEW CONSTR. WON. RESID_ (MULTI -OUTLET l BRANCH CIRCUITS ( $3.00 5.00 2.50 25.00 1.00 NON.RESID. %SINGLE OUTLET CIR. / EX. OCcuo(OUTLETS OR FIXTURES 50@25a BAL010Q EX. OCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring .e'pa L. 6.25 �,z$ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be insured against liability for Workmen's Compensation. rVI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mention9d property 10 inspection purposes. Slgnoture 6f Pbrmitee gent Receipt No. White-D.P.W. — Yellow -Assessor — Pi k -Inspector — Goldenrod-Applicont Cooling FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisi ns of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Qc PUBLIC WORKS By Date % uiIding permit expires Date 7-i6—,?D TI COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: X534-4541`�� APPLICATION AND PERMIT Rv Date Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Bu"d'ing permit exrir-esDate 7—le" BUILDING Ownerj rPSL SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor pL L p L z Mailing Address t v�� Fireplace Total Valuation � r � OA"lrr LC>• G S Telephone No. —L q CSt> Permit Fee Building Address li�o77 -- Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 (,45; Repair drainage or vent piping 1,50 A. P. No. 2 /a�^�/ �,�QGQ_,. -- vZ -- OZ I Loving 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 43 4e JJW"WAI Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � ani n Bldg. s Recd Parcel Aperoyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0,0 Main service 100V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L too AMP 2.50 �y //`j' 7D/— —17 OVER 600V Main service 00 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTDWELING OR ADDNS. \ ACCL BL•DGSCCUP. 5i) 22 sq ft CONTRACTORS LICENSE LAW I am licensed und-r the provi Ions of Chapter 9, Div. 3, of the State of aliforni BUslness Professions Code under the name le style \ TL T NEW RESID,CONSTBRANCHMULTI-OCIRCUITS) NON -REBID 1 BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES BAL EX. OCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 (v, ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ lz WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree t comply to all County Ordinances :and and to L s relating to ilding construction, and hereby ori z rep eentati of the ounty of Butte to enter upon the ab a -m do ed prope f ns ion purposes. oabove l• X D a 20 L a of Permitee or Agent Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid. 5e�ll CTOR OF P L WORKS 4_5e�2z,v Rv Date Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Bu"d'ing permit exrir-esDate 7—le" { • h �_ - 3351-79B ?�ERMIT NO. 2 , PERMIT EXPIRES fv/ Jim Marshal j OWNER. CONTR. owner LOCATION (A.P. 31-282-23' 1566 6th St., Thermalito 's r 1 s temp. Power Pole " i Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. e i Called PG&E JOB 7� FINALED f (Signature) R Mesh MECkNICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer t I Final Final MOBILEHOME UTILITIES - - - 4 - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ?z ��Jz 9-..-7--?9 - � tic Cf (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INOECTION"RECOIRD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows Z-- 71 3rd Floor StemwalI Siding — To out Slab Roof Sheathing Water Piping Piers Roofing /�� - _ Sewer Garage Fdn. Vents Fixtures Footings Stemwal I .- — Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Z Sanitation Patio FIREP ACE Final Footings Footina ELECTRI-CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECkNICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer t I Final Final MOBILEHOME UTILITIES - - - 4 - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ?z ��Jz 9-..-7--?9 - � tic Cf (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DL.PARTMENT OF PUBLIC WORKS • A 7 County Center Drive —.. Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �ermitee Date Signatuitnt Receipt No. � r 12 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR UBLIC WORKS V Date!Z--%F B_^- uilding permit expires Date —/z — J -'O BUILDING Owner L OCC. BUILDING VALUATION Mailing Address /' 7�0 T lephoyne No. MFireplace Contractor ©(�% 1: Mailing Address Total Valuation b Telephone No. Permit Fee i! 9 Building Address Plan Checking Fee &/orPenalty Permit Fee $ Z41-� PLUMBING No.1 @ FEE PERMIT FILING* FEE $3.00 Each Trap 1.50 1JTd Repair drainage or vent piping 1.50 A. P. No. �^ 3 /t jj' Hing 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fbef- a Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA P r Ing arcel Plans Declaration Parcel Map 60' R/W Improv is Each additional outlet .30 Building sewer 5.00 Bldg. Plaec'd Parcel Aroyal Plan's pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 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 100 AMP sooORv LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST ( DWELING OR ADDNS. ACCLBLDGSCCUP. Y� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLET NEW CONSTR (MULTIBRANCH CIRCUITS NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXT(IRES B L@; FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �ermitee Date Signatuitnt Receipt No. � r 12 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR UBLIC WORKS V Date!Z--%F B_^- uilding permit expires Date —/z — J -'O BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds JPERMIT NO. BP041918 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division Sof Issued Date: 06/30/2004 APN: 031-282-023-000 the Business and Professions Code, and my license is in full force and effect. License CI ;Ss ,—: � LicennsseNumbberCc' Site Address: 1566 6TH ST ORO Date. G Contractor. V1��eT_ Map Index: OWNER -BUILDER DECLARATION Description: RE -ROOF 39 SQ. I hereby affirm under penalty of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a DOUGLASS WAYNE R &MARIAN L permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1566 6TH ST the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their ' sole compensation, will do the work, and the structure is not t intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DOUGLASS WAYNE R & MARIAN L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for I sale. If however, the building or improvements are sold within one k year of completion, the owner -builder will have the burden of 1 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with ' licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (Contractor: GEORGE & SONS ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code , 1090 HURLETON ROAD Date: Owner: OROVILL5, CA 95966 WORKERS' COMPENSATION DECLARATION 530-589-4443 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 License #: 682274 L r Code, for the performance of the work for which this permit i vIs issued. i have and will" maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: < J�`�'t� �"lP 't— lnS •rl Policy #: I Total Square Ft: 0 S. F. ❑ 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: / x Applicant: WARNING: Failure to se orkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one / t hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the LaborC/ 0,e,3�code, interest, and attorney's fees., CONSTRUCTION LENDING AGENCY This ,p rm is h eb is u d u de the applicable provisions of the Butte_ Count Cods I hereby affirm that there is a construction lending agency for the Reso tion to o w w h fees een paid. c JO performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: By. PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativesoff Butte County to enter upon the above mentioned property for inspection purposes. Print Name: t r�1 Signature: Date: 0 Owner ❑ ontractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041918 LICENSED CONTRACTORS 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 Issued Date: 06/30/2004 APN: 031-282-023-000 the Business and Professions Code, and my license is in full force and �y effect. � .- � //^^ License Cl ss : License Number:C9 / Site Address: 1566 6TH ST ORO Date. 5 Contractor: �� Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE -ROOF (39 SQ.) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DOUGLASS WAYNE R & MARIAN L to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1566 6TH ST 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95965 applicant to a civil penalty of not mon: than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DOUGLASS WAYNE R & MARIAN L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: GEORGE &SONS ROOFING ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1090 HURLETON ROAD Date: Owner: OROVILLE, CA 95966 530-589-4443 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 License #: 682274 rL r Code, for the performance of the work for which this permit s issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: —1: 4.-11 Carrier: Sl Total Square Ft: 0 S. F. ► Policy #: �lb� E3I 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failur to se orkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY his p rrn is h eb is u d u de the applicable provisions of the Butte Count Code 2n . or I hereby affirm that there is a construction lending agency for the Reso tion to o w i >n w h fees een paid.4-30/ - performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representativesoof ButteCounty to enter upon the above mentioned property for inspection purposes. Print Name: 1 1 T) Signature: Date: 3� 0 Owner ❑ ontractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name Name i t e Address City dj Stat Phonqs75q-66<g73 �T Fax E-mail Phone APPLICANT NAME CONTRACTOR Name Name Address Zp Address G State City Phone Stat Zsg Phone s $i Fax If hiring anyone othier than lklense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. E-mail LENDING AGENCY Lic. Address APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zp City Fax State zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zp Phone Fax E-mail APPLIC4NT SIGNATURE X For office se only: Zoning AP# 631 Flood Zone Propeity dress SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. � Q� B 0 BIN # Description or Sc_o6e e� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 by: Amount: Bldg JSRA Receipt #: Sheriff 0V__1'_" SMIP A/)ln56144' 7 7,//J� Other KtV b -lb -U4 LOCATION AP# 631 ^ �� It Propeity dress L TVOLA Cross Street WORKER'S COMPENSATION Policy Number Card If hiring anyone othier than lklense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Sc_o6e e� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 by: Amount: Bldg JSRA Receipt #: Sheriff 0V__1'_" SMIP A/)ln56144' 7 7,//J� Other KtV b -lb -U4 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 SetsREngineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by_ the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ .6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ' eer ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 C COUNTY OF BUTTE- DEPARTMENAF PUBLIC WORKS PERMIT NO: 7 County COM01' Drive - OrOville, California 05965 - Telephone: 916A38-7541 _1,3 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 31-282-23 ZONING -AR BUILDING PERMIT OWNER Jim Marshall U FP HONE Sa• FT. -OCC.- BUILDING VALUATION 22 15 3300 @ 0 OWNER'S MAILING ADDRESS 1566 6th St. Oroville 95965 I CONTRACTOR'S NAME North State Roofing TELEPHONE 534 -?5863 CONTRACTOR'S MAILING ADDRESS P.O. Box 488 Oroville 95965 I Fireplace CONSTRUCTION LENDER UNKNOWN Valuation Is -Total Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1566 6th St. Oroville Permit fee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 1 USE OF STRUCTURE SF:9 Duple.❑ McIbilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5,00 Mobile Home I S I G JW F_ TYPE OF WORK New R Addition [:1 Remodel El utilities El InstallationEl bthe?[Kl Describe work: reroof with shakes _10-00ea Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 91", 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. 1-4764 Classification. e- 32 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.-, Business and Professi ns Code for this reason NEW OR ADONS. 1 CONST. DWELLING OCCUR.N) ACC.BLDGS. 21/20sq ft NEW CONSTR MULTI -OUTLET NON-RESIO. BRANCH CIRCUITS) .2.50 ea I POWER APPARATUS (SINGLE OUTLET CIR.a) Ex. OUTLETS OR FIXTURES 120050t AL9 30 t X. OCCUP. FIXED APPLINIS OR OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $' Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. F&-� have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. MECHANICAL PERMIT Fi I i rig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County 7inne of the granting of this permit. "0,/ X Date Signature lic ant Owner [:1 Contractor � Agent 0 An OSHA P ofisryuired for excavations over 5'0" deep and demolition or construct- ion of structuresover stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE I TOTAL FEE $ 54.50 HAZ. I CUA PARK I SCHL I FLD CDF I PAR I PD J LID. ISSUE This permit is hereby issued unser tne sions of the Butte County.Code and/or work Indic ed above for which fees DIR.OF PU I By PER 411fEXPIRES Date 1,1=92 applicable provi- resolutions to do have been paid. WORKS Date /q/ 1 - Receipt NO. 89027 WHITE-D.P. .. YELLOW-ASSE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT7 PUBLIC WORKS 7 County Center Drive - Oroville, California 9596 Telephone: 916/538-7541 APPLICAT�"ON AI's PE MIT PERMIT NO. �r 7 --- (V —o ASSESSOR PARCEL NUMBER 31-282-23 ZONING AR BUILDING PERMIT OWNER' .Tim Marshall TELEPHONE S0.((F��T. OCC. BUILDING VALUATION 22 150 3300 l: OWNER'S MAILING ADDRESS 1566 6th St. Oroville 95965 CONTRACTOR'SNAME North State Roofing TELEPHONE 534-5863 CONTRACTOR'S MAILING ADDRESS P.O. Box 488 Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS St. Oroville 6th St. Permittee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF19 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New F-1 Addition [I Remodel[] Utilities❑ Installation[] Otheff] Describe work: reroof with shakes Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Je 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. u� Classification. 6— G F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONST. DWELLING OCCUP.&\ NEW OR ADONS. ACC. BLDGS. / , �20Sgft NEW CONSTR.MULTI-OUTLET NO N.RESI0 BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®300 DALO 30 EX. Occup. OUTLETS (FIXED PRESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 id County in on a of the granting of this permit. X - Date Signature of plicant — Owner El Contractor � Agent ❑ An OSHA rmit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST TYPE — TOTAL FEE $ 54.50 HAL CUA PARK SCHL I FLO I CDF I PAR I PD I HO, ISSUE, This permit is hereby issued under sions of the Butte County. Code and/or work indi ted above for which DIR OF PU BY //�� PER EXPIRES Date 5-1—`-77 the applicable provi- resolutions to do fees have been paid. I WORYJ Date Receipt No. RQQ97 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP:ARTMEN" OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovllJer'Ceilfornla 91485 - Telephone: 918/538-7541 APPLICATION AND PERMIT Acres a R—` of ��' Z BUILDING PERMIT = oR ' W7 r Ts 6 HONE S0. FT. OCC. BUILDING VALUATION O I�Ft� �AI LINQ A -ppR ES! © �O t/ 1 ( /` ( G f / �✓f �/ /� off- /SD CONT ACTO '9 N TELEPJH ``0 MyNNE COTR�TOR'S AILING ADDiiE�3 ((�� (oJ� p tj i F Q Fireplace CONSTRUCTION LE ER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 17 d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS � IS -64 6 f /`o v' 1 C'� Permit tee = �� 41.s ' PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF/t Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00 ea TYPE OF WORK New ❑ Addition ❑ FtFdeI ❑' tilities Inst lattiion Other p Describe work: Ertl B �lJ� ho k S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 VAMP OOR R LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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 CONST. DWELLING OCCU P.3 OR ADDNS. ( ACC. BLDGS. /2¢Sq it NEW CONST R. ULT' -OUTLET ...NON•R SIO BCIRCUITSCIRC 2.50ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20450t eALO 30t FIXED APLNS.❑ EX. OCCUp. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the -W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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. also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner C1 Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAL. CUA PARK SCHL FLO coF PAR Po rHD, ISSUE This permit is hereby issued unaer the applicable provi- signs of the Butte County. Cade and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date PERMIT EXPIRES Date Receipt No. W09By WHITE-O.P.W.. YELLOW-AS3E3500. PINK -INSPECTOR, GOLO[NROO-APPLICANT PERMIT NO. ' 2383-86B, P, E,M PERMIT EXPIRES OWNER SAM MARSHALL CONTR. Harrel Wilson ASSESSOR PARCEL 31-282-23 LOCATION 1566 6th St, Orov ille Temp. Power Pole Called PG&E Temp. Elec. Service 1 Called PG&E Temp. Gas Service �( Called PG&E f� JOB FINALE[ Signature rE V = OK 0 Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete _ 2. Footings; Size—Depth—Spacing—Connectors 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 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans).OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Card -BI Date Date Card -BI. Date Date Card -BI Date POOLS (Plans) OK except k's 1, Setbacks—Easements 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/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg. Boxes— Enc losures— Pane I 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 9' = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK (Plans) OK except #'s Date FRA G Continued ---delo>ng requirements -Setbacks -Easements Property Line Firewall & Openings 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. ddth-Hea room -Rise -Run -Landing -Fire Protection - 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. D pth �IyWood on Roof Overhang -Attic Vents -Rafter Outriggers 5. walls, Main; Steel-Blockouts-Wrapped- . Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53-_;; pGe rip Screed-Fdn. Vents-Underflr. Access 7. Pier -Fireplace Ftg.-Steel 8 .W.V.: Fall-Fitti way C/O -Sewer Test 6,64. 51 _ Glazing Area -Glass Protection -Skylights -Plastic to a Walle; Wa ling -Bolts 9. Gas Pipe; Size -Anchors r - 10. WaLer Pipe: Test -Anchors -Regulator -Service Test lectric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ Card -BI Dat �� Card -BI Date Card -BI D e Card -BI Date Card -BI Date Card -BI Date Card- ate 4 r1ZCard-BI Date Card -BI to Card -BI Date Date FINAW"(Plans) OK except #'s Date P MBING (Permit) OK except q's 5 Ext eps-Door & Sidelight Protection -Landings 57 o Detector 4. Wager Ht.: Vent -Access -Combustion Air ater Pipe: Test & Anchors -Nail Protection 16-5`.W.V.: Test-Fttngs & Anchors -Nail Protection t7"-1n6avet-ftn,--T-est, First Floor -Tub Access 18-1-15-sruub & Showe_r, 2nd Floor -Tub Access 19.-Gas•Pipe: Size & Anchors Card -BI Date/6= Card -BI Date Card -BIT Date - Card -BI Date 58 rnace; Vents -Clearance -Comb. Air-Connector- In rage; Above Floor -Ducts -Meth. Protection 5 oom Exiting 6 G .I. & Bath Fixtures & Tub Access 6 lec. Trim & Subpanel; Breaker Sizes -Labels ails Clearances -Hearth 64 lec. Outlets at Wood Panel; Int. & Ext. ix . & Appliance; Grnd.-Air Gap -Cooking Clearance u ets & Receptacles at Kit. Counter Date EL TRICAL Permit OK except p's dor; Swing -Landing -Closer ara e -Damper L2-F'� Lure &Transformer Clearance -Ins. Protection �/ p'� Receptacles Spacing -Lights &Switches at Doors 2`1 Si Boxes & No. of Conductors -Stapled _ - - - omex Installed Close to Edge of Studs & C.J. r 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. p its in Kitchen & Conductor Size --- 26. z4ab4eed-Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27.--RamprCrI^'r / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes - ::L-_ _ 28. er Conductors & Ground -Main Disconnect -- - 29 arances: Panels-Motors-Mech. Equipp. _ _ — 0. Clothes Closet Light -Shower Light -- Gard B I / Date ' /_Card -BI Date - _ Gard B -I L/J^fate (trill'' Card -BI Date -r 6 Wtr. Hlr.; Vents -Clearance-Comb. Air-Connector-P.R.V.- Inarage; Above Floor-Mech. Protection 7 Ib., Elec. & Mech. Equip. Listed for Location c es to Garage; (G.F.I.)-Romex Protec. - 7 . - Insulation _Eo -Cooked in Attic Yes 73. Guard Rails &Deck Construction -Post Caps 744 -- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under rloar-E-Yer---..- 75, Following instl Drive Fj ❑ No; Walks Yes C No; Planters Yes ❑No wn- finish 77 - A Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. vF rell; Disconnect, Electrical, Plumbing 8 . E erior Elec. Trim; G.F.I. Receptacle -Underground 81 ilation throughout House s Protection Date MEC NICAL (Permit) OK except q's 834.o6orrections -_ _ from Previous Inspections - eters agged; Gas -Electric — — A. :Ducts. Insulation & Support _ _ 32. enl Fan: Exhaust above Insulation _ Condensate Drain &Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent outlet - - — - 35? -^tri Amoss & Platform if Furnace in Attic / Card -BI `-�� Datew/0 3z 111s Card -BI Date _ Caid-Bt V Date Card -BI Date _ 85,Jda4er& Sewer Connected -C/O to Grade -HD Approval 86.,,�y Compliance Certificate -Other Certificates - --" — -- - Card -BI/ ate and -BI Date Card -BI Date C -and -BI Date _ Card -BI Date Card -BI Date Date FRA G(Plans) OK except q's Com lents at Final: s, Proper Material & Anchors W IIs. Studs -Nailing, Spacing & Bracing -Plates -Sound ring walls over Girders & Floor Nailing I t.Dr3Lt Stop to Walls (rat proof) 4 ./ -- - Fie Stops: Furred Ceilings-Stairs=Chases-Tub 4:r --Header &B am -Size & Bearing 4 I Caps -Anchors -Connectors /�� C, Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4. plat T—T! T� A Flue -Fireplace Throat gMic Access. Size & Romex Protection -Draft Stop -Ins. Baffles V4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions . Garage Fire Protection Framing - — - - - - -- --- - -- (NOTE Anentrymust be made each time youvisil jobsite) THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 15c( - 6th Streot Owner's Name: .7iri :Iarnh all Date: 11/22/86 Address: 1560 --6th rt. Acct. No: orovill(-. X?.. 15x65 31-2P2--23 A. P. No.: Phone: No. Units:(aeldl C;-Ithroom Applicant/Agent: i.arrei •'ilron, rontrrncl=or Agents Proof: Address: Fees: Phone: Application $ 2^ Or Arrearage Preliminary Review By: Date: CSA 26 Remarks: ont tin tc arricip at t,ro .nrt , 1i-ne. SC -OR . � 1_ . � , .... _ � �• . 1st mo. S.C. Other Total Fees 2" 1) "N -- Collected By:,. " -- Date: Date: Field Review By:_ -,_.rl -' �f� i. Date: Remarks: Ax IAO MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY Y&AWLF-WW" ❑ 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 COUNTY OF BUTTE - DEPARtTMFNT OF PUBLIC WORKS?") PERMIT, 7 County Center Drive - Orovi I I e,dCaIiforniia 95965 - Telephone 916/534-454 • APPLICATION AND PERMIT ASSESSO,S7AR.CE�..7gER �� PP1l O�O�// ZON G BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING/ VALUA ION T OWNESAI L NG ADDRE L-• CO RACTOR'S NA E r -X33-9� LEPH E CON,TR CTOR' MAILING D S A A V, ''W// /fes/l Fireplace CON TRUC ION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,-S'Z) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ - O ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ��✓f I l.� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pipin 5.00 5.00 EachCas as water he or vent 5,00 S. USE OF STRUCTURE SF C�— Duplex❑ Mobilehome❑ Other SPECIFY Gas pi em 1 - 5 outlets 5.00 S. 0-0 Building sewer 5.00 rj.(fo Mobile Home S I G I W O,OOea TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation❑ Other❑ y work: Permit Fee $Describe Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professi s Code and my license is in ful force and effect. License No. Classification- E-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONST DWEACCLLING ) '/z¢sgft I L, 0 NEW CONSTR ULTI.OUTLET N 0N•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e\ (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 030 FIXED APLNS Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 02 to .4 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating CFDO Cooling g Hood 3.00 Ventilation Permit Fee $ a. 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 cons uction, and hereby authorize representatives of the Countyot Butte to enter on the a ove-menti ned property for inspection purposes. I also agr save, in Omni a eep harmless the County of Butte against all liab' it' judgme s, Sts expenses which may in any way accrue again s d o my i c u of the granting of this permit. G� /4�r� X Date � 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 3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ -30, TOTAL PERMIT FEE $ - O l62 Y, OCCUP, CONST.TYPEJ IFLOORTPARCELI PO ND s3 This permit is hereby issued under sions of the Butte County Code and/or h work indicated above 4OFLIC DIRE R By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -- Receipt No. ! WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMEgT,, _10F4)U.BLIC WORKS - BUILDINGiDIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA,SHEET `�f Permit No. ( / W A. P. No. Proposed Building Use LA --CA - J r'"" +'- Permit 'Permit Fee Based Upon: Complete Ltract Price DPW Valuation ther ( xplain) Building Inspector f f `j�/ Date At time of permit application, I was advis4J the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authori ation. . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . V 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Recorded copy of Agricultural AcknowledgmentStatem t. . . ther _ yo i� e 4hL ermi roces as o owf V"OM to owe��r. Mail to contractor. Telephone-53-'`.�i7c and hold for pickup at . ,office.^ Deliver w/inspector. Other 14 Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required:, e9l Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other Copy—DPW T,r bl e 'ph one Date Date _Mail Other Date 90P 0% ENERGY SHEET FORM 7 FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. PACKAGE "A" (Additions) JOB ADDRESS TYPE OF WOR SQUARE FOOTAGE Existing Residence New Addition. New Total The following information sheet, showing -mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room add itions,.convert ing garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA CEILING R-30 R-30 R-38 WALL R-11 R-11 R-19 FLOOR R-11 R-11 R-19 SLAB R- 7 R-11 R- 7 GLAZING ,65 .65 .65 SHADING SOUTH - OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 -_ r *1 HEATING VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) [3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating Load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above buildin d sigWts equirementsof Title 24, Part 2, Chapter 2-53 of the Califorry dmine. SI A RE OF BUILDING DESIGNER OR APPLICANT