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031-281-132
1i l fl i 031-28-1=13'2''`' 88=::3541;''I; STRANG, CLIFTON REPLACEI SIDING, REROOF/SF. I T a 0 v a F2132 9�� BPE e Oroville oom/duplex)/%l� 7-�232 w 92LF] Estelle 1558 1th ST, Oroville deck/sf 031-28-1-132 93-559 BPE PETTER, ESTELLE Q.` 1558 10TH ST, OROVILLE ` y� A2# ADD BAT-HROOM/SF , 031-281-132 PERMIT#96-2002 ' A PETTER, Estelle U" 1558 10th Street, Oroville t,Pellet Stove/SF/J,' 031-281-132 PERMIT#98-0303 PETTER, Estelle 1558 10th St., Oroville �1^ak New Pri Det Garage 125 `r to i f 031-281-132 PER #98-0922 PETTER, Estelle 1558 10th St., Oroville Ele for Ser for Pri Det Garage 031-28-0-132 99-2738 PETTER ESTEL.L.E 1558 101-H STREET, OROVILLE CONTR: OWNER - //l GAS LINE �IA)4 G 6jX/to f 031 ka � Y r' 031-281-132 02-0174 PETTER, ESTELLE 1558 10T" ST, OROVILLE NEW MAIN SERVICE �t,�J�eq 07 031-281-132 03-1667 PETTER,ESTELLE �NALED 1558 10TH ST, OROVILLE RE -ROOF u 01 u 0 .K. a re i * RECORDING REQUESTED BY Estelle O. Platter AND WHEN RECORDED MAIL TO Narne Bobby England Street 1558 10th S t . Address stale Lroville, CA 95965 A.P. #31-28L128 J 90-008501 ; R e c Fee 7.00 Check 7.00 Recorded Official Records ; 7 County ofd ; Butte ; Candace J. Grubbs Recorder ; 11:27am 2 -Mar. -90 ; BG 2 J SPACE ABOVE THIS LINE FOR RECORDER'S USE Deed of Gift This Deed, made the ..... First day of March..... , one thousand nine hundred and . Ninety.. Between ....... P) le..4:.. Platter r.. a..widow....................................................... ................................................................................ " " ......... Grantor and Bobby..Bn.glen.d..aod..l3i..1�z�.M.,..1n.g�ad.�..husband..and..w�£e.. as..J.o i n t tenants.......................................................................................... ............................................ ................... . Grantee Witnesseth: That the Grantor, for and in consideration of the love and affection which ........ he ....... ha .s .... for the Grantee, do e s .... by these presents gift, give, and grant unto the Grantee, and to .... their• heirs and assigns forever, all ................................................. that.... certain46i#.,...... , piece ....... ,#ti# 0AA#f....... of land situate in the . uninco ated area • zP4.. ........... County of.....Butte ....................... . State of.... Calif Q;;nj.a........... ........................ and bounded and described as follows: The South one half (h) o£_Lot 7, Block 76, as shown on that certain map entitled, "Thermalito, Butte County, Cala.11 which map was recorded,in the office of the Recorder of the County of Butte, State of California, on June 8, 1887. Together with that portion of the North half of Placer Avenue abondoned in document recorded May 3, 1922, in Road Book l,..at Page 75, lying Southerly of and adjacent to said Lot 7. r LAND - a.. L Q* AND.a..• SGS Together with the tenements; hereditaments; and appurtena clereuntovIb25 g or appertaining, and the reversion and reversions, remainder and re inc>;e�sJrisis�e d profits thereof. 77 . •.; * '� To have and to Mold the said premises, together with the QirC ,unto the Grantee, and to ....their heirs -and assigns forever. This document is only a general loan which may t� proper for use In simple transactions and M no way ects. or is intended to act, as a substitute for the advice of an attorney. The printer poen ' not make any warranty. either express or Implied. as to the legal validity of any provision or the suitability of Mese tones In my specific transaction. ' This is to certify that if bearing the purple seal of 'this office, thisli ra true copy of the document filed with the Butte County RecordWS Office. Candace J. Grubbs Butt Q! C -decor BY o Deputy In Witness Where ' of the Grantor, ha s ............. hereunto set .... he hand ....... the day and year first above written. r Signed and Delivered in the Presence of Ste e (0 - setter STATE OF CALIFORNIA On this ... ......... day of ..... 14 COUNTY OF ....... ........ ss, .................. 14t<--- ............. , in the yea ................ ...................... before me ................... a Notary Public, State of California duly commissioned and sworn, gersonally ap eared, . . .. .............................. personally known to me (or proved to me on the basis of satisfactory evidence) to b he person........ whose nanie.,..,--.? C . ............................................ OFFICIAL SEAL ubscribed to this instrument, and acknowledged that ..... L cAR-r.ER .....She ........executed it NOTARYPATSY "UBLIC - CALIFORNIA IN WITNESS WHEREOF I have hereunto set my hand and affixed 13UTTE COUNTY , seal in the . MY com...... xed my officia M. expiros MAY 13, 1992 ..................... County o 100 uft4 aravulk &A qW66 in this certificate. .......................... on the date set forth abov Notary Public, State of My commission exT)jrr,, � iui REST© 61AL - 031-281-132 PERMIT#98-0303 PETTER, Estelle 1558 loth St., Oroville PERMIT NO. New Pri Det Garage G� _ �. LJ• 9 / ' PERMIT EXPIRES OWNER CONTR. �h ASSESSOR PARCEL LOCATION r k - Y •. y 4„ OFFICE COPY Address GAS fir, Meter By Da ELECTRIC Meter By e U Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 69 -,JOB FINALED (Date ' Signature V=OK " O =Not OK ble =Not Ready - MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements Card B-1 Date Card B-1 2. Soils;, Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer, Location -Test -Fall -00 -Concrete MOBILE HOME INSTALLATION (Plans) OK except #'s 4. Water; Location -Test -Easement Needed (Sketch) 1. Zoning Requirements- Setbacks Easements 5. Electricity; Locabon-Clearances-Gmd-/ /Amp4Concrete 2. Footings; Sbm-Spacing-Marriage Line 6. Gas; Location, -Test -Wrap; / /'Elft. / /Nat or/ /`L'tL/ /LPG 3. Gas; MH Test Demenc!WalveConnector 7. Well Clearance & Disconnect 4. Electricity; MH Test -Crossovers -Breakers -Clearances 8. Utility Clearance ISCELLANEOUS Date DECO. COVERS, CARPORTS, GARAGES (Plans) OK except #'s li Whg Requirements -Setbacks -Easements . Footings; SailsSize-DepthSpacing-ConrtectDrsSted 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectora Date - Card B-1 o4gV Date , 7j Card B-1 Date Card B- Date_+ and B-1 Date POOLS (Plans) except #'a 1. SetbackiCFasements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5, Elec.; Pod Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane4boards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Ci-TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Sbm-Spacing-Marriage Line 3. Gas; MH Test Demenc!WalveConnector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date DECO. COVERS, CARPORTS, GARAGES (Plans) OK except #'s li Whg Requirements -Setbacks -Easements . Footings; SailsSize-DepthSpacing-ConrtectDrsSted 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectora Date - Card B-1 o4gV Date , 7j Card B-1 Date Card B- Date_+ and B-1 Date POOLS (Plans) except #'a 1. SetbackiCFasements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5, Elec.; Pod Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane4boards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Ci-TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 be =No O = Not OK RESIDENTIAL - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s .ni.gSetback.-Easments-FloodSlop. 2. Ftg., Main; Soils-Elec. Gmd.-/ C Ftg. Depth Garage; Soils-Steel-Elec. Grn%�' tg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftgq. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 6a. Ho owns and Special Anchors . Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.Sted 9. D.W.V.; Fall -Fitting -Test -2 Way C/OSewer Ti 10. UP Gas Pipe; Size Anchors Yard Ga ing; Size t 11. Water Pipe; Test Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -.Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date qZ Card B-1 Date Card B-1 Date o g Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except *s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #Is 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #t's 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-roff Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iscompleted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4- i.r�_% REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 , v D PE MI /O. (Rev. 12/96) APPLICATION AND PERMIT o ,-�— ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TETW23325 ((}} SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1558 10TH STREET, OROVILLE, CA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1558 10TH STREET, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC SERVICE FOR GARAGE Re: 98-0303 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 Filing Fee 20.00 Main Service io noaLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license Is In full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 IODOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. B.S. so. 3.50FT. NEW CONST. MULTI -OUTLET NON -RESIST ANC CIRCUITS 1:7.50 9 OWERAPPARATUS d SINGLE OUTLET C1 R. EX. OCCU OUTLET OR FDRURES B20 @ 1,50 Ex. Occup. oU A sIo.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 5.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) X"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' co ensatioMprovisions f section 3700 of the Labor Code, I shall forthwit o ly with s. Date��_ Signatureo ❑ntractor ❑ 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 $ 45.00 NAZ. D. FEES IMP FLOOD CDF PARCEL PID HD ISSUE This permit is hereby issued under the applicable of the Butte Coun Code and/or Resolutions indicated above fowhich fees have been By Dilate PERMIT E PIRES ON /got _r Date provisions to do work paid. �3 _ ot Receipt No. !z-3�,'Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96), APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-281-132 � ZONING AR BUILDING PERMIT OWNER ESTELLE PETTER TtT421325 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1558 10TH STREET, OROVILLE, CA 95965 660 CONTRACTOR'S NAME 014INER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE NONE LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 87 75 BUILDING ADDRESS 1558 10TH STREET, OROVILLE, Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT. DET. GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New XJ( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (22'X30') Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '."'.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 6 0 OR ADONIS. ( d ACC. BLDS. 3.5aF°: 23.10 NON-RESNEW IID. =OUTLET CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURE 20 @ 1.00 BAL Q .SO FIXED Ex. Occup. OUTLETS REESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.10 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi comply with those provisions. X Date �-- —_ Sig ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction9� of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Install tion Fee $ Energy Inspection ee $ occ cON_ sy. P TOTAL FEE 310° HAZ. D. FEE IMP r — LOG FCDF PARC PD HD ISS This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indica above fo which fees have been paid. } By Date PERMIT EXPIRES ON f 9 Dale ReceiptNo. 231827 -r ;2,95 ° S 5 #61-3 $ q7-' 5, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT �I COUNTY OF BUTTE DEPARTMENT OF'DELO MENT SERVICES - BUILDING DIVISION a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET v OWNER: % r ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was ad a the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ - ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C, Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees.-------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking:. 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 111.9. ---------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 2. Workers' Compensation carrier and policy number. ------------------------= Owner -Builder Verification (Given to owner ❑, Mailed to owner.--,�1-0 �-------------------- ?J`"9'- �1 ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. ---------------------------------- C1 27. Manufactured Home utility clearance. ----------7--------------- ❑28. Existing violations and/or expired permits. --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the eriit, rocess as follows ❑ Mail to owner, ❑ ail to tractor. kelephone 5,a - and hold for pickup at i�D V � e o ❑ D ector. 7- d4C Applicant:I Date:.�� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered:. ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Didion counter, by Date: Plans reviewed by: Date: Plans approved by: Date:a' - Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rdv.12/96) XIS_) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT °,,NER,, r TELEPHONESO. `ll• FT. OCC. BUILDING VALUATION OWNERS��MAILING ADDRESS j r© ✓ (� 9 _fes / CONJR/AC.,,TRR'S NAME TELEPHONE ' V W M& 1 - CONTRACTOR'S MAILING ADDRESS CONSTRUCTI LENDER Jo -e- Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT O® EpGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 100 ARCHITECTOR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSn "'� L Energy Plan Checking Fee $ Ap $ PERMIT FEE LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTUR SF ❑ Duplex ❑ Mobilehome ❑ Other )� ( IJQ l�C! SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 0 Each gas water heater or vent 15.00 TYPE OF WORK New �( Addition ❑ Remodel ❑ Uti ities ❑ Installation ❑ Other ❑ Describe Work: �� I X Gas piping system 1 - 5 outle 15.00 Building sewer 15.00 Mobile Home S W 020.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ooAO..SS 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 force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5¢,T. NEW CONST- MULTI.OUTLET NON-RESIO. I 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 SAL A� 1'0° p .w Ex. Occup. °FlxuTe A . OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT 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'HAZ. compensation laws cf California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X__ Date_ SigrT'ature of Applicant - ❑Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST.TYPE TOTAL FEE $ a g S D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. fe Receipt No. WHITE-D.D.S.-B.D. CANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES NO ❑ 2. I HAVE;--, HAVE NOT ❑ signed an application for a building permit for the proposed w6AL 3. I have contracted with the following person (firm) to provide the proposed construction:. ADDRESS: _..._.. CITY. PHONE: CONTRACTOR'S LICENSE NO. - 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: a PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOVVNER: SOCIAL SECURITY NUMBER: DATE:: F— 911f . -Thu Owner -Builder Verification is required by Section 19931 nd79$JZ V'AWt California Health and Safety Code. This verification must be completed and returned to our office before we -are permitted to issue the permit • ; i&P4D�l-a8/—l3 T2�er ��le��P 13��c1�'-03c)3 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, -you should be aware that as'bwtier-buildee, you are the responsible parry of record on such a permit. Building permits are not required to be signed by prdperty owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including n-,ate;;a1; and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, . workers compensation insurance, disability insurance costs, and unemployment compensation contributions;. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a. licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +1rely, Vi iia,C.B.O. uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER i ---------- utte, - :.. tk- cauftfq orf -�` LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: (916) 53£3-2140 March 26, 1998 Estelle Petter 1558 10th Street Oroville, CA 95965 Re: Gas piping at; 1558 10th Street Oroville, CA A.P. # 031-281-132 To Whom It May Concern, On March 9, 1998 we issued building permits for the construction of a private detached garage at the above address. It is our understanding that during the excavation of the footings for the garage, the owner discovered underground gas piping which is for an adjacent piece of property, 1568 10th Street, A.P. # 031- 281-129. This piping is equipped with a meter at 1558 10th St., and then runs directly under the proposed garage site, and across a property line. The burial depth is reported to be approximately 6 inches, and the piping is not factory wrapped. The 1994 Uniform Plumbing Code requires: 1. In section 1211.3 that no gas piping be installed in or on the ground under any building or structure. 2. In section 1211.5 that ferrous gas piping installed underground shall be protected from corrosion by approved coatings or wrappings, machine applied to recognized standards. 3. In section 1209.3 that all gas meters and supply shutoff valves must be readily accessible to the building they serve. In light of the above minimum requirements, the gas line and meter serving 1568 10th St. must be removed and relocated from the adjacent property (1558 10th St.). , Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira of this office at the address or phone number listed above. Sincerely, Scott Rutherford Chief Building Inspector if U i Pacific Gas and Electric Company Douglas C. Chadbourne North Valley Division Senior New Business Represenlalive 2226 Veatch Street Service Planning Department Oroville, CA 95965 916/532-4144 Internal 746-4144 Pager 916/892-5986 Cellular 916/521-4732 e, k o r✓ a- 6 -e -r �� •.� C l S �v ' uality pj,e e 1i�78d �}° r o11 a %] III Ulp-,� ;,@ Scribed ibed fj " °d placte s °dam Bna ui1°ting, P� e ced_usd- , Zle eal Code. echanica: %. This set of plans d epeciSoatione XUAT be rept on tha job at times a3id it is unlto make any changes r alterations on sam ui� vsitten permissic rom the Dopa-Ament. cttf . %Inks. County of i tte.. 1 F, 1 No 41 �z l URES ®ND EpUIPMENT INCLUD'No ALL ST 1GLEAR OF ALL EASEMENTS j OVERHANGS SHALE. �` � A SET S CK OF 5 FT. FROM THE SIDE AND 5 FT. FROM -THE- FtEAR PROPERTY LINES AN pp F. T. FROM THE I 10AD CENTERLINE SHAT S�XQgpT i C� qR OF STRUCTURaS ANDG' EQUIPMENT F FOR A 2 FT- LAVE OV M kyg \ 7,C, oar � VAG �. r -- NOTE. A l Ma thr al$ & Workro p n of � _ — \ Accordance r � N C C CD 011 nTI (�✓1 %.)Il V d Y �Jl�t ulm PAtrITMEW v to LJ V� Cv . o' 1 19 111L 0 i D c� u r_ Ile z • II ( tea. ,' •1 Ir if it 46 t1• tu? : I'.t •1 i +.., �•.. 1 is •, r.• r r' �,)1I.ilT���••ff .� ��+t �Ji `, •1 J • , • •_� • � '. � 't. .1: `• ., , ..: 1- , f'its _ ,; �';'f^�•+:,•; ,a1 .j .y' ��1•°A�.i�i ,. ' ., . J . •.r•• ..1�'' • .�• ' F 1}j1� F�JJ,1 •�� t �'1, i;"—:t./,i, 1.•!t, .w. i�:.>. :) A 1. is �, ., t �Il:: � ► ' .4.�i !•=J��l, .: I. )r . a. � J: •:,i: ••'� :If" \O• 1,� �, r:1 l�. �li,1,1:1Jr�•�.��.}', •�' i,�:. �',' .r L1C , '�:l '',► .�' r .i.e. Ik r�{ � , Iv t . .• • • '! • ',;' rr! ' '� �, ', �', ►. � '. ,fir ' 1� i.. r ' � a ►� pit !. , t► _),I;• (. 1:Jf: ,�',>(� !� t: (t:,t: .•i pl':''' ' L?J .' 'rte►"`, 1 2 . b� a�o.A4er�c�'- ft. ll Calib N �v� 3 ii 1, Azle, E 19 ..-I"%-1. -.- . 1-- �a �f ..-I"%-1. -.- . ■ rod �p�7.i! or C-116 ING . .,-SOL$ 111 I1.1 prov1d8 _ W p 4 11 0 Ju ,: •: ,, :f �� :i; ,�:..• r'1i� .. is �, }' d' n Fri 4 4 11 0 Ju d' n Fri ) I �a c� � ) 7 jj) J d+ PO C K 4 11 0 Ju .e +;.s *•::-;:_-tea-:.. i--..�...�. , _ _ �.awv-.��sarl..+s:,K.�....-s,v',:ss:::a: ,.-,;:cr {�w4'T 4."� ? �„y... .. .. ,_ pitto COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMI. (Rev. 12/96) APPLICATION PERMIT �, �J ll ASSESSOR PARCEL NUMBER .f V,.1 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9 :�' . 'J � CONTRACTOR'S NAMETELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ r;.0.co ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $23. C3 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS i 0t ., - Energy Plan Checking Fee $ PERMIT FEE $ 1;5. CO LOT NO. SUBDIVISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:"'T'QO� C'�t��;,;� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.A OR mss 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,pgpypO�lp.' and my license is in full force and effect.POWERA License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCOUP. SO OR ADDNS. 6 ACC. BLOB. 3.5Q FT_ =T,, D, @7.50 PPARATUS a SINGLE ourLET cIR. EX. Occup. OUTLET OR FDCTURES BA2L@''DD L Q .50 Ex. Occup. DUTLETS RD °Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ. -FLOOD+ CDF PARCEL Po I HD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have %► �� t/� By �r�1 'r `_Date PERMIT EXPIRES ON the applicable provisions Resolutions to do been paid. Date '' work , Receipt No. i `-j l +'� 1 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) 538-754} 2, / /� M 1 (Rev. 12/96) APPLICATION AND PERMIT (//J [ / ASSESSOR PARCEL NUMBER 0-31-291-1-32 ZONING BUILDING PERMIT OWNER Estelle 534-13325 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESSer! 16 960.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1558 10th I;t-rppt- nrmzillp Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: re–roof W/COIIIp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LES Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IrI, 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 1000A 46.00NEW CONST. DWELLING OCCUP. So OR ADDNS. ( & ACC. BUDS. 3.5¢FT; P1OµRO,p MULTI.CH OUTLET1. 97,50 POWER APPARATUS a SINGLE ourLer C'R. Ex. Occup. OUTLET OR FaruREs BAS @': 0 Ex. Occup. o7Ds R=ID.DE, 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: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 FEP_ $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date %3— 3 Signat re of Applicant - PAwner ❑ Contractor ❑ 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 $ 45.00 HAZ. D. FEES IMP F PARCEL pp HD SUE 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 / to PERMIT EXPIRES ON ate Receipt No. 1 $ f �y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • � t r • � t O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0"� NO ❑ 2. 1 HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3.. I have contracted vvithe following person (firm) to provide the proposed construction: NAME: o,G.„ ADDRESS:_ /fig-' Jo -v T�- CITY: PHONE: S� q- 3 � -2�) ' CONTRACTOR'S LICENSE NO. 4. 1 I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: .� SOCIAL SECURITY NUMBER: DATE:_ /3 -- C 3 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be, aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are - subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, XA Mc el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: Thu Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER t+ RESIDENTIAL 31-281-128 PETTER, Estelle 1558 10th St, Oroville ;(cony. carport to storage) JOB FINALE Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete, 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG ' 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 ' Date ' Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of OCCUDancv Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK.COVERS, CARPORTS, GARAGES Plans OK except #'s Ar'oning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel &-Beate Griders and/or Joists -Decking -Bracing -Stairs -Rails 4.aMeod 7twtti- Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5 ALumAwn.; Columns -Connections -Splice -Decal -Enclosures .B 9ffPR! ' Windows -Doors _PeCtric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 04!—Ext.; Steps -Doors -Landings Date Card 8-1 Date Card B-1 Date = Card B-1 Date Card B-1 Date POOLS (Plans) O ept #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i J=OK O=Not OK = Not Applicable Not Reader RESIDENTIAL (Single & Duplex) ' =_ Date UNDERFLOOR Plans OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10.Gas Pipe; Size -Anchors 11.Water Pipe; Test -Anchor -Regulator -Service Test Electric; Underground 11. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18.D.W.V.; Test -Fittings & Anchor -Nail Protection 19 Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 199fe Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Perq>< OK except #'s ns ormer Clearance -Ins. Protection 623 ec ceptacles Spacing -Lights & Switches at Doors i B s & No. of Conductors -Stapled t5,/,((o_Tex,InstaIled Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water ircu s m i chen & Conductor Size/GFI Cu or AI-A.C. Wire Size / / ga. Cu or At ga. u or -Oven Circ. / / ga. Cu or Al. Insulated Neutr O Yes ❑ No on uctors &Ground -Main Disconnect ht -Spa Light Date �,+ j Card B-1 C>j5> Date Card B-1 Date Card B-1 Da - Card B-1 Date MECHANICAL (Permit) OKfi4cept #'s 34. A.C. Ducts Insulatio Support 35. Vent Fan; Exhau above insulation 36. Condensate D in & Overflow; Size & Grade 37. Furnance-V t; Access -Comb. Air -Return Air Vent -115 outlet 8. Attic Acce s & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA41NG (Plans) OK a ept #s 39. Si roper Mat al & Anchors s Studs -N cling, Spacing & Bracing -Plates -Sound earing Wall over Girders &Floor Nailing 42. raf -Stop in ails (rat proof) 3. ire Stops; Furred ilings-Stairs-Chases-Tub 44. Headers & Beam -S' e & Bearing Date 4lY an -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. ce I ME or i ype Flue -Fireplace Throat clearance 8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles m ows or Exiting Doors -Sill Hgt. & Dimensions ,Ext. Doors -0e T -Check Garage -3rd Story, 2 Exits room-Rise-Run-Landina-Fire Protection ��d on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailinq Veneer 57. Access Dat Card B-1 Q7 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes 0 No; Walks O Yes ❑ No; Planters 1:1 Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1- Date Card B-1 Date Card B-1 Date Card B-1 Date Cara B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) -I/ COUNTY OF BUTTE - ISEPAPTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 31-281-128 ZO I d �- BUILDING PERMIT OWNER Estelle Petter ELEPHONE — SO. FT. OCC. BUILDING VALUATION 240 @ 4. 0 960. OWNER'S MAILING ADDRESS 1558 10th St. Oroville Q-5965 CONTRACTOR'SNAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 960. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8 10th St. Permit fee $ 42.50 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 Al Yz, j `7 USE OF STRUCTURE SFKN Duplex❑ Mobilehome❑ Other SPECI FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: CONVERT CARPORT TO STORAGE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 OCCUP.& OR ADONS. C ACC. BLDGS. 2h¢sgft 6 On NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES EX. Occu o 2AL@ aL030 FIXED APPLNS. R Ex. Occup. OUTLETS RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ 16.00 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. �l 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 Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again id County in consequence of the granting of this permit. X7'�j—F6 Signature of 44ant - Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -T? ion of structures over 3,stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 5 0 HAz CLIA - _ PARK — sCHL FLD I PV PO Ho — ISSu Th;s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees F PUBLIC By PERMIT EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 64097 WHITE-D.P.W., YELLOW -ASS CSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE �l �� SO. FT. I OCC. BUILDING VALUATION 77 /l,y0 ' OwN ER'S.MAI LING ADDRESS ,(\)-/�-' �` �•/oe�o �7 I CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 S LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / ^� / '^ S !/U Permit fee $ Z PLUMBING PERMIT Filing Fee 10.00 Each Trap 12.00 Solar or heat pump water heater 20.00 LOT NO.SU BDI VISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF j� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other k Describe work: 4f2�,V(1&Z.Z7 SAI A. m -r S*IZA64 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 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. I DWELLING OCCUP.s` OR ADONIS. % ACC. BLOCS. 1 , 2/2¢sgft NEW CONSTR. ULTI.OUTLET NO..RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS of SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 20050 Q BAL930 FIXED PLNS. Ex. Occup. OUT LE!PRESID .)OR EA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $76 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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 FiIirig Fee 10.00 Heating Cooling g 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7 _� HAZ I CUA PARK scHL I FLo I PAR I PO Ho Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.. 15Yt5crz WMITE-D.P.W.. FELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER CEX . ` ���'v' A. P..No. Proposed Building Use (ON(/4 eAgPCa %dSTOiZiZ Building Inspector%L,/ Date �a At time of permit application, 1 was advised 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wh you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone SW 3'3 S and hold for pickup at office. Deliver w./inspector. Other Applicant �.�!�� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items requir 7 Contractor, designer, ow was advised of above required data by_ one--nail_counter by(0__2_..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by h Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and .issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and -materials for construction of the proposed property improvement (yes or no) 4/E 2. I (have/have not) signed an application for a building permit for the proposed wo 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner v Social Security Number /- Date �o NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. This set of plans and specifications MUST be kept oil the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. &ALi VF----- 3 C', C G) / SCJ_ MA�I v�o� < M Z c Nt) M NOTE.--All Materials & Workmart�i F��� �1 • Accordance with Recognized Good act of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanfcal Coder end the National Electrical Code. g=.4IZ . A setback of 5 ft, from thr. Property lines and a setback of 50ft, from the road centerline shall be clear of structures or equipment except For a 2 ft. eave overhang. �/z�rti/1 Pi/= crcL ly r (6 oto I" J BUTTE COUNT � � r ,Jo r,m-xs�-//tis i mos%� A5xls1� / 4 /,/XZ- .. / l f [� P4 N i ;D44 5 we ad ,A)? 73f-- l /,e 4-4— e D . , / �y -,—,�, -- --I ---�- BUTTE COUNTY 13UILDING DEPARTMENT A P P R 0 V E 1 Z3 ;D44 5 we ad ,A)? 73f-- l /,e 4-4— e D . , / �y -,—,�, -- --I ---�- BUTTE COUNTY 13UILDING DEPARTMENT A P P R 0 V E 1 "qzz-- j -_5;2F -/a- p�-�7� /S ,-f IO r N :;Rf_ ©fes vtllz,''4 tem V;l rl � shad Be .n. wcc;rU wnOh R�cg''�a` : �;a� � •=.sa in the resc 'Uq nlQ• ts'i� i :t c c.quc,.p� C Cde s md a�E;�r'%�1Tiumbing }ho National Sem Co" 9 Ep 5 T-, E-5 t Ex 15 7-. RC --5 DWpz c y P 3/-2�s l2 \ r J ` �! ... c•,l-, �ti �'rT� ':":i•:r� '•` ,I�l�li�i�11 1�i t�iC• N�1� C lr�li`�1 �bt from of 5 ft' prom foe om /4 Seklines end ropeM the road % o{ oi 5� t. 4roR` all be dear ejcep certer1�ne sh e4U�pe�t res °r • � structu save , et�� : Qb E HOmF MUST H.U.D. LABELS 5-6.1 6 SL ISE NGC-' L i N Cr- z4 -T- _� y C/9 � 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 1172-96 OWNER Ar A.P. # - L GENERAL j,�ing requirements: (sideyards and number of permitted living units). -2`�V luation. 8Y. Plans signed by designer. tr"g violations on property. _ Items on data sheet. - PLOT PLAN_ Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. inage. _.. co . ns on.creation map or compliance document. roa FT (Vlli PT AN Veomete to scale plan with dimensions. iequ�ired windows for light and ventilation (Sec. 1205).., 3--Regcri-red-w �ez�rs far sic nn-� ex; t (Sec. •1204) pter 34 & Sec. 5207). pact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). semat-k-garage, aad exteriox-outlets-(4pt-i.c4-e-24-6=5) . Light fixt-bures, switches, receptacles, and exter n* r, Lrs c or maintA*+^^^e ater heating and cooling equipment, other electrical or , an p umbing fixtures. €4•ewaJj, Ae-----ze, and closer (Sec. 503(d)(3)). exterior exit door (Sec. 3304(e)). i.rep a ve location, alcoves, and clearance. 4�tile d attars (Sec. 1210). STRUCTURAL DETAILS' Floor construction details complete enough to construct building. a�E evations and wall construction details complete enough to construct building. 4— Roof construction details complete enough to construct building. T' Yonlara construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ails: landings, rise and run, head clearance, handrails (Sec. 3306). 27-Gu.-ar-d-ra-1-1-Te-tails (Sec. 1711 & 3306(j)). ric or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) ''plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). rd) or bearing ridge beam. porch header sizes. Adequate bracing. 1•. —complete 1 -hour separation required on garage side inc nd posts, etc. WAttic p�@ t-(: ry dwellings (Sec. 3303 & see Mezannines - 1716). access and ventilation (Sec. 3205). ate".-�z516) . om us -wrni-ng applranc-es. 15--Nose-re emen-ts-en-dup-lexes— lfi--do�.ie somas--spe.caal f-o-ufldat�o-n-d-e-szgn. 4-7�2e a�n-i ng-wa-l-ls-req-triring design 18—. UT usuar shape—size,—or-s-rtlevei-house requiring lateral design. F� ing at all exterior openings. cz AJ ZX J� / J� S ,��� ��'� �vJU.�s w' .0 W40LJ s V / 97. S SCALL /"= Zai y4 f .1 o RTµ H,ac f o� Sq wr tT If fjL+ v -k Qt e-0�'t ^ J r r�r ok s o' e�e MOBILE H BEM H.U.D. LABF-O C 5 06 /-- 47-7 S Tc I (� �� (TC!> �. Or rV �C? Z v �; (i L" si / 97. S SCALL /"= Zai y4 f .1 o RTµ H,ac f o� Sq wr tT If fjL+ v -k Qt e-0�'t ^ J r r�r ok s o' e�e MOBILE H BEM H.U.D. LABF-O C 5 06 /-- 90-001985 ; Rec Fee 5.00 Cash 5.00 Recorded Official Records County of Butte Candabe -J': Grubbs°~; - PARTYSHOi^ Recorder; _ i 1 :30pm 16 -Jan -90` - - BG Return to DPW AGRICULTURAL STATEMENT OF-AcKN6WLEDGEMENT - FOR RESIDENTIAL DEVELOPMENT Section 26-8.i of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject -to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. ALL THAT CERTAIN REAL PROPERTY SITUATE' IN THE STATE OF CALIFORNIA,,COUNTY OF BUTTE, DESCRIBED AS -FOLLOWS: _ LOT 7, BLOCK 76, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THERMALITO, BUTTE COUNTY, CALA.11, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887. TOGETHER WITH THAT PORTION OF THE NORTH HALF OF PLACER AVENUE ABANDONED IN DOCUMENT RECORDED MAY 3, 1922, IN ROAD BOOK 1, AT j PAGE 75, LYING SOUTHERLY OF AND ADJACENT TO SAID LOT 7. E I i Date: A IZ — yo PROPERTY OWNERS: State of ) On this the day of 19 9� SS. before me, the undersigned Notary Public, personally County of ) appeared s r� O . Pe-77ZAL oDYA.ST known to me to be the person (l,-4. p►. STACK p �. whose name(�s-r l.S NOTARY PUBLIC -CALIFORNIA subscribef�to the within instrument and acknowledged Pdncl WOtF,* in Burn- that �$// executed the same for the purposes Commission Ex ma DEC 71993. . ! .. o . • .r . • therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. N0. �� "_ a, Z_ No ry Public END OF DOCUMENT L U9k ' Q O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT O. SD= Ny1MB R r ! ZONING BUILDING PERMIT OWN TELEPHO E SQ. FT. OCC. BUILDING VALUATION OWN 'S MAILING 60D�S ,- )540 o CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 3.p -o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2:t4 V Permit tee ; � 3 , a—v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[--] Other Describ work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS10.00 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 IN 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.61 , NEW DCONSTFL A u ,TII.OUTLET 2/zQsgft NO N.RESID .BRANCH CIRC ITS 2.50 ea POWER APPARATUS eI SINGLE OUTLET CIR. p 20050 ti Ex. OCCU OUTLETS OR FIXTURES 5AL@30 Ex. QCCUp. OUTLETS FIXED PLINIS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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 Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C my in conpque of the granting of this permit. X Date /0— t?�— S?" Signature idfApplicant — OWner& C rrocror ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a Occup. CONST.TYP! I SCHOOL I FLOTR C E L I PD ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR OF PUBLIC By - PET EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /o —z-ar Receipt 5 ► Receipt No. WNIT[-D.P.W.. YELLOW-ASelDeOR, PIN; -INSPECTOR. aOLDlNROD-APPLICANT e s COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security N ber Date /Q --t y r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Clifton Strang - 1558 10th St, Oroville Q ; I-� d Y r y e l.vv1Y VT ur t3u i I C - UtrHn I MLN I ur t-pbLIU VVIJh %b PERMIT NO. 7 Count Center Drive - Oroville California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT F,SSOR-PARCEkNUMBER . "". d ZZ .•_ . ZONING x BUILDING PERMIT OWNER - . i ) r � TELEPHONE �..., SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 �4 Q CONTRACTOR'S NAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $,G v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee = PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP y Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY .t Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK _ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: AL � ; �_ � �� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 UMain V I / e00V OR LESS service ce 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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- Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR A.D.S. ACC. BLDGS. /20sgft NEW CONSTR U TI.OUTLET2.50 ea NON.RESID BRANCH CIRCUITS (POWER APPARATUS el SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030t e ALO 30 FIXED APPLN5. OR Ex. Occup. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ 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 FiIirig 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. 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 againstsaidCounty in consequeA�cerofhe granting of this permit.X �'�- Dateg!� � Signature /f Applicant — Owner ®�Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONBT.TYPC SCHOOL FLOOD PARCEL PD NO 139UC (r/j This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. P DIRECTOR OF PUBLIC WORKS /j D a' 2Y�ry By r �( " '�` Date PERMIT EXPIRES D ate /a 'Le1j— Y`I i Receipt NO. a —7 % WNITE-D.P.W.. YELLOW-ASeC330 R, PINK -INSPECTOR, GOLDENROD -APPLICANT i� RESIDENTIAL 31-281-132 92-1259 B PETTER, Estelle 1558 10th ST, Oroville deck/sf JOB FINALE Signature .5 A Vf- J=OK, O = Not OK Not = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosu res- Panelboards- Ins. to Main in Conduit 9.. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK =Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except tf's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------- --- ------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------- ------------------- --- 19. Shower Pan: Test, First Floor -Tub Access --- - - 20. Test -Tub & Shower. Second Floor -Tub Access ---------------------- ------- ----------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------- ------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except s's 22. Fixture _& Transformer Clearance -Ins. Protection ---- ------------- ----------- 23.-Elec.- Receptacles Spacing -Lights & Switches at Doors --- ------ ---- -------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------------- ----------------9------------------------------ - 25. Romex Installed Close to Edge of Studs & C.J. ---- - 26. Equip. Ground made_up w/Meth. Fastners-Bond Gas & Water -------------- ----------- - 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- - -------------------------- --------- --------- ------------- 28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size / / ga. -------------------- Cu or AI - -------------------------------------------------- 29 Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------- ------------- ------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------------------------------------------------------------------- 31. ---------- -- ----------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ---------- -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- ------------------------------------------------ -------------------- 33. Smoke Detector ----------------------------------------------- ---------------------------------- Date Card -6- 1 Date Card -B- 1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ----------------------------------------------------------------- --------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------- -- ---------- 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------------- - - -- ---- 37 Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic ..- ------------- ---------- - ----- ---------- -------- -- ------ ---- - DateCardDateCard ------------------------ ------------------- ------ ------------ ----- --- -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except H'S 39. Sils. Proper Material & Anchors ------- ----------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- -- ----------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------- -------------------------------------------------- ---------- 42. Draft Stop in Walls (rat proof) --------------------------------- ------------- ------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------- --------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------ 57. Glazing Area -Glass Protection -Skylights -Plastic _58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------- Date_Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tt's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- 62. Smoke Detector ---------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ----------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. Stairs & Rails ------------------------------------ -- 68. Fireplace or Stove: Clearances -Hearth ------------- -------------------- -- 69. Elec. Outlets at Wood Panel: Int. & Ext. -- ------ - - - - ------------------------------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -71.-Elec. Outlets & Receptacles at Kit. Counter ------------------------------ --- ---- 72. -Garage -Fire Door: Swing -Landing -Closer 73. A_C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ------------------------------------ 75. Plb.. Elec. &Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- Guard-Rails - GuardRails & Deck -Co nst ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth -------- Clearance Looked -under Floor ❑ Yes ------------------------------------ - 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------------- --- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------- ------- ----------- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- ------ -- -------------------------- -- 87. Glass Protection 88. Corrections from Previous Inspections ----- - --- --- --------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -._--------------------------------- ---- --- 90. Water -&-Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------ -------------------- ----- --- -- Date Card B-1 Date Card B-1 ------------------------------------------ - --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: plekc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Centel` Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER 31-281-132 ZONING A R BUILDING PERMIT OWNER E ESTELMAILING TELEPHONE 534-3325 SO. FT. OCC. BUILDING ALUATI N OWNER'S ADDRESS 1558 10TH STREET OROVILLE 208 0 1,41-6 CONTRACTOR'S NAME 01'JP.IER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation J$ 1,456 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1558 10TH STREET OROVILLE Permit fee $ 65.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP L�iG`0 Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW= @ 15.00 TYPE OF WORK New LI Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 0PRN D-oCK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 Main service 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUP.&\ 3.64 sq.ft. OR ACDNS. ACC. BLDGS. I NEW CONSTR. MULTI—OUTLET NON•RESI BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e SINGLE OUTLET c,R. EX. OCCU za 76 p OUTLETS OR FIXTURES FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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. shall not employ any person in any manner so as to become subject (57'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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ LContractor 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 h less the County of Butte against all liabilities, gments, costs, and a ses which may in any way accrue again o ty i ranting of this permit. r Date Signature of Applicant — Owner ontroctor ❑ Agent 11sions An OSHA permit is required for excavati s over 5'0" deep and demolition or construct - on of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 65.00 HAz DFEES IMP FI. DF PAR PD HD ISSU This permit is hereby issued under the applicable provi- of the Butte Count Code and/or resolutions to do work indi ed a ov r which fees have been paid. D C OF PUBLIC WORK PERMIT XPIRES Date fie Receipt No.115599 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Sir COUNTY OF BUTTE - DEPARTMENT OF PUBLIC +NORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95955 - Teluphane Jlt; '538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R IT ZONING ' , w BUILDING PERMIT OWNERT.F.LEPHONE -� 1e//E" � � s - 33� SO. FT. I UCC. BUILDING VALUATION �v o OWNER'S MAILING ADDRESS 55� /OIL;' 5T-/-C6--r o 4o CONT ACTOR'S NA E TELEPHONE I _ CONT ACTOR'S MAILING ADDRESS I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 17 LENDER'S MAILING ADDRESS Filina Fee 15,00 Permit Fee $ 30 OJ ARCHITECT OR ENGINEER LICENSE NO. Plan Cnecking Fee $ i2 O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � 1 %SSS %U 7", Sl %' �l l� Permit fee Per $ S' o PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 47.00 USE OF STRUCTURE SF� Duplexes l Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 1 S I G 1W 1 615.00 TYPE OF WORK New _ Addition Remodel,— Utilities I I Installation[ Other ❑ Describe work: p_T IXI_1� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 1 18.50 Main service 200A TO 1000A, I 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I i 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 .Jo. Classification J 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 I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&; OR .+.DONS, l ACC. SLOGS. 1 NEW' CONSTR '.JULTI.OU'LET NO v.' D. 'BRANCH C1RCI ITS i 3.51sq.ft.• �@ 5.00 fPO'nEF APPARATUS a� SINGLE OUTLET C:R. Ex. OCcU OUTLETS OR F.XTURES p 120@760 RA (a)A A EX. Occup. OUTL TS 14 SISI CJIPE?.� I 3.00 I Temporary service j 15.00 Mobile Home Facilities j 15.00 Misc. Wirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I deciare under penalty of perjury (check one): L_ The permit is for $100.00 (valuation) or less. F— I have placed on file with the County of Butte Building Department u 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 FiIir.GFee 15.00 Heating Cooling g I Hood6, 50 VentilationIT-- e Permit Fe $ e _ 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 County0t Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date S nature of Applicant — Owner liC Contractor it LAgent ❑ 9 C ; An OSHA Ion of structurestoverr3 storrieesoineheighttions over 5'0" deep and demolition or conslrDct- Mobile Home Installation Fee $ Energy Inspection Fee $ 0E Cot- NSr TVP= !TOTAL FEE $ �t� U� 1---i- Tr FE.Ci IMv FLooD I COF PARCEL I PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indit-atcd above for which fees DIRECTOR OF PUBLIC By --- -- c PGPP �"PIRE the applicable provi- resolutions to do have been paid. i WORKS Date Receipt No. 15599 p 11 WHITE-O.P.W., YELLOW -ASSESSOR, PI!IR-INSPECTOR, COLDENPOD-APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER S ����G �C, G�� A. P. No. ) 3 Z Proposed Building UsIJQI%>°��� Building Inspector `&IN_/ Date At time of permit application, I was advised 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......:................................................ 10. Fees of $ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from _T iD Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) -� 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 9Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner --7� 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. [/Telephone S 3�/-33?��and hold for pickup at office. Deliver w/inspector. Other 1_ _� _ Applicant Date Copy of Hlaz-Mat form sent Health D��ireDept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Other Date By The following data must be submitted 1. Index permit for above items No. 2. Additional items required: t9 permit issuance: (Cir le new item not checked above). Contractor, designer, owner, s advised of above required data by_p t�_counter .. ate Contractor, designer, o r, was advised of above required data by pho ._mcounter byilV_ date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date 5- FOR DEPOSIT TO THE ACCOUNT OF ESTELLE O. PETTER LIC. M0049836 JUDY MAYHEW LIC. 50546195 1163 ORO DAM BLVD. 534-3325 OROVILLE, CA 95965 CURRENCY CASH - - C'OIN -- - TO 1'AL FROM - _ OTIICR SIOC _ I VCII NET DEPOSIT ' 1111111 FOR DEPOSIT TO THE ACCOUNT OF ESTELLE O. PETTER LIC. M0049836 JUDY MAYHEW LIC. 50546195 1163 ORO DAM BLVD. 534-3325 OROVILLE, CA 95965 CURRENCY CASH - - C'OIN -- - TO 1'AL FROM - _ OTIICR SIOC _ I VCII NET DEPOSIT ' DATE 19 TOTAL DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL I. US I:AtiIRCCA ° SIGN HERE FOR LESS CASA IN TELLER'S PRESENCE 1�5BANK 1-800-438-5663 U.S. BANK OF CALIFORNIA 1:1211226751: 859 085L, 12L,0 7 r m 90-2267°,59 1211 USE OTHER SIDE FO ,ADDITIONAL LISTIN( BE SUREIEACH ITEM IS PROPERLY ENDORSED COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 C:.. OWNER -BUILDER VERIFICATION 's! !r Attention Property Owner: An 'owner -builder" building permit has been applied for in'you'r name -and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. NoIlbuilding permit will be issued until this verification is received. 1. I personally plan to provide the ma' labor and aterials for construction of the proposed property i rovemen yes o no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with th fo lowing person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address 00K,4z / City Phone on r•A td rs License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secur.'ity Number Date NOTE: This Owner -Builder -Verification is sent to -you -as required by Sections 19831 and - 19832 of -the California Health and Safety -Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. w T Pn 53 N , i - I 1 r�; T I I Vfr� I s i !St'I�l ih! ! I I! I 1! I 7hjs `'1 s! , p I I I I I t r .gr `' SIL' i 1 I;tq +I Pr ti n' ! p� , I �c a , sj I I I I d_ a 11 'ti s thout = di -f t c f d e I I I I v 'IttI n ��L sU n s� t lic I IMI I I r I' P iy,,I' 1 I IP II i 11 0 I l j I o WfXI_ �. is y� c: to I c I j! !! 1 I , ' I I I I I I ! �C nl t L C1lU�eIs, I - - - 5 h` twtl I e hI tl -,I�1► !�I! I I �-- - �� .11j II� i��l L� I I .I. i;ii ► j iil-� jl i ��j !ij! ':,�I� VIII I i I l -1 j..�-•_I. � - •-a I J... �._ ''-I+- -I.�.. _ _ ' I- - --�--- - - -1-I- -��p - -L � ...I_ i -t- = j ' j I- -(- i _'. }. �_I.. I ' Iit i1 I I ( 1ir I � j,! I ► it 'I' ',i, II.i i ( '. I. I� I I it •; I ! II 'I ', I I I! � � I J. II I I I il( i III;I �iiI' it I i II , •,I NTY I j j Illj , I_I _ , �� _ � �.�-'- -- -i -1 • I ii! i� I!I' III ti I�i,'I'il I,I II , I ! I _ I j I;tl 1111 � i' ;i ! I! �,_ .1 • ! I .j ' _ i _L_�.. �. .}__I _ - I,,i i1►i .;i ,.III !� j I ,; j�li Illi it 1 i j viii li ; Ii.� , �_. � I I I! Ii I .Y� t .I_,�'1-I-.!!- !,I,I�IIIII�I'j►1�__L_i.a_.I_.LII.III I, ..IaI 1_.r,._�.1r�}-I- 1(..1'!fi f -i �I;I „✓I; 111 iiil i!;I; Cjl -C-1 Z, 41 O O =i m 7 o z NN om o -n 3 cop ,a) cop 0) U, 0! cri, X caj . VARIES 31� MIN, - 'C P rn ern 37 1k ro o;; 0 &N Cjl -C-1 Z, 41 O O =i m 7 o z NN om o -n 3 cop ,a) cop 0) U, 0! cri, X caj . C> :K 7q c, rr, 303 # 'C P rn ern C> :K 7q c, rr, 303 L :r //HmpfzR,IC REI'6HT # 'C P rn Fr 1k ro o;; 0 L :r //HmpfzR,IC REI'6HT Fr 1k IN.-,- -S TAIR R F -b rn 7q I DT 4 r- 7q 41 RESIDENTIAL 9,2-656B 31_281-132 -9� JD '2 -Estelle P-ETTER, ST 9 oroljille 1558 loth room/ duple y,)3/1 JOB FINALE Signature ha ,t OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG S 7. Well Clearance & Disconnect ` 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s , 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line .r 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector's;, 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements \} 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date LAJDERFLOOR (Plans) OK except ff's Zon ing-Setbacks- Easements- Flood -Slope (,o-fFtg., Main; Soils-Elec. Grnd.-/ ' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped L,8 -Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date 2� �� and B-1� Date Card B-1 Date t•,�� Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ff's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access---- 20. ccess_20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - yec'.�Receptacles-- ----- Spacing------i-Lghts-----&--Switches-------at--Doors---- ------. -. ---------------- --------------- -------------------------------- ze Boxes & No. of Conductors -Stapled -------------- Installed Close to Edge of Studs & C.J. -- --- -- ------------ ----- ------------------------ quip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------- y7-2 Appliance_ Circuts in Kitchen & Conductor Size/GFI ----------- -- -------- ----------- ------------ ---------------- ze / r ga. Cu or AI-A.C. Wire Size / ! ga. Cu or AI nge Circ. I / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral Cl --Yes ❑ No nductors & Ground -Main Disconnect -------- - - - -- - ----- -------------------------- 2a-Egaip--etearances Panels-Motors-Mech. Equip. -------------------------------- --------------------------------- L -fight -Shower Light -Spa Light --- - moke -- Detector --------------------- ---------------- -- ------el --- --------------- - ------------ - ----------------------- --- -- -- DaC4;i -L-Card B-1 Date Card -B- 1 - -------- ------------- ----- -------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except x's 34. A. C. Ducts Insulation & Support 35. Vent an: Exhaust above insulation ---------------_Vent --__xh---------------------------------------------- 36. Cond n=ate Drain verflow: Size &Grade ----------------- --- - n ai- --- - -ve--------------------- _._... - 37. Furna ce-Ven Access -Comb. Air -Return Air Vent -115 outlet ----------------------- --- - A -ss_C -- ------------------------------------- 38. Attic A es &Platform if Furnance in Attic ------------------------ -- -------------- ------- -- - - - - -- - - - ----------------------------- -------------------------------------------------- Date and 8-1 Date Card B-1 -------------- - ---- - - - --------------------------------------- Date Card B-1 Date Card B-1 Date FRAM NG (Plans) OK except ft's Sils. Proper Material & Anchors -- y��. Studs -Nailing Spacing & Bracing -Plates -Sound ear Bing Walls over Girders & Floor Nailing- - ------- - -Draft Stop in Walls•(r�roof) -------------- -- - ----------------------- ire -- - -- ----ire Stops: Furred Ceilings -Stairs -Chases -Tub --------- ---------------- --------------------- ------------ Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. >I 1nges-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties-Purlin-roof Brac-Truss-Sht tng.-Rfng. -` A7 Fireplace Ties or Type A Flue -Fireplace Throat c,earance -a>�Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49 Bda+m. Windows or Exiling Doors -Sill Hgt. & Dimensions Pwngg-e Fire Protection Framing Property Line Firewall & Openings �xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits SPLs: Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers )iding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ----------------------- - '60' iltralion-Walls-Windows -Dat- _ _ -rd B_�_ _�_--Date - Card B-1 Date � Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------- 64. ------- 64. Bedroom Exiting -------------- 65. G.F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stags & Rails _ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------- - -- --.. _70. Kit.Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec Outlets & Receptacles at Kit. Counter - 72. Garage Fire Door: Swing -Landing -Closer ------------------- ------------- ---- ------- --------- 73. A C. Duct in -Gar . age -Damper ------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec_ Receptacles in Garage; (G.F.I.)-Romex Protection -------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------- -- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------- ---------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------- ___-_______81_._ Stucco Brown -Finish - 82.A_C_Unit: Disconnect. Electrical, Plumbing - - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------------ ---- --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ----------- - --- - - 86. Ventilation Throughout House ----------------------------- 87. - - - - - - - -...--------- --------------------------- 87. Glass Protection - --- ------ ---------------- ------ 88. Corrections from Previous Inspections ------ ------------------------- 89. Gas Test -Meters Tagged: Gas -Electric----------------------------------- ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - 91. Energy Compliance Certificate -Other Certificates ---------------------------------------- Date ----- - -----------------------------Date Card B-1 Date Card B-1 ----- Date Card B-1 ----- DateCardB-1 -_ ----------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please tact this office immediately. � r r- (2) I/A"9-� I. -I /cmc— �/u I--► hl'- f .40Vi5 V/1-1 h ;, - (' /- o7 i I Date�Z Inspector REV 11/81 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE RMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. /I COUNTY OF BUTTE - CsEPAR,TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 ,41 APPLICATION AND PERMIT PERMIT N0. Z�- i ASSESSOR WARCEL NUMBER 31-281-132 ._ZONING A R BUILDING PERMIT OWNER WNERESTELLE PETTER ESTELLE T53ELE3PHONE 534 3325 SQ. FT. OCC.1 BUILDING VALUATION 224 M f 032 OWNER'S MAILING ADDRESS 1558 10th STREET OROVILLE CONTRACTOR'S NAME 041NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4,037 - LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $60-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 5 00 Solar or heat pump wategheater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7 nnEach qas water heater 7.00 USE OF STRUCTURE SF ❑ Duplex[Y Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 15,00 TYPE OF WORK New ❑ Addition(I Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ADD UTILITY ROOM Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200ATO1000AI _ CONTRACTORS LICENSE LAW I declare under penalty of (check one P Y perjury 1ur Y(ec): ❑ I am llcen'*setd- under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License .Jo. 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 OCCUP. YI OR ADDNS. l ACC. BLDGS. II _37.50 3.6Q sq.ft. 1 7.85 NEW CON5TR MULTI -OUTLET NON.RESID BRANCH CIRC ITS @500 (POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. OCCU P OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RE5ID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 22.85 — 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. 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 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ LContractor 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 sa - indemnify an ke harmless the County of Butte against all liabilities, g nts, costs, a penses which may in any way accrue against unty in c s ranting of this permit. C Date�d /� Si.g ature 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ HAz DFEES IMP FLOOD CDF PAR L HD Iss j This permit is hereby issued under the sions of the a County ode and/or Windi to ab a which fees IR F UBLIC BY .� PERMIT EXPIRE9 Date applicable provi- resolutions to do have been paid. WOKS i Date Receipt No. 110083 169.85 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT FOR DEPOSIT TO THE ACCOUNT OF ESTELLE O. PETTER LIC. M0049836 JUDY MAYHEW LIC. 30546195 1163 ORO DAM BLVD. 534-3325 OROVILLE, CA 95965 DATE 19 DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL ° SIGN HERE FOR LESS CASH IN TELLER'S PRESENCE 9 U. BANK .S 1-800-438-5663 U.S. BANK OF CALIFORNIA 1:1211226761: 859 0854 121,11' 7 CASH CURRENCY --- --- I,fl inlcr.f 4Uttlr 90-2287 271x59 . _..._ 7 I OIAI. FROM _ OTII F.R SIDE _ TOTAL I I USE OTIIER SIDE FO .-. LI:)5 -11, .. uru,rvCO ADDITIONAL LISTINI NET DEPOSIT BE SURE EACH ITEM IS I PROPERLY ENDORSED DATE 19 DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL ° SIGN HERE FOR LESS CASH IN TELLER'S PRESENCE 9 U. BANK .S 1-800-438-5663 U.S. BANK OF CALIFORNIA 1:1211226761: 859 0854 121,11' 7 CASH CURRENCY --- --- I,fl inlcr.f 4Uttlr 90-2287 271x59 . _..._ 7 I OIAI. FROM _ OTII F.R SIDE _ TOTAL I I USE OTIIER SIDE FO .-. LI:)5 -11, �..' .r w. ♦ !''� „� �.. "5 r!.fir. _. . t: �f*!Y. "''IY r z .f}- K-rs-a] ,n • ,.�'h, ... ri.J� �1 n.,,r.. -..rj . �+�. r -t. '-il ' T�. _ry v • , COUNTY OF BUTTE - DEPART&NT OF PUBLIC WORKS - BUILDING DIVISION. 7 COUNTYIC 'TER DRIVE - OROVILLE, CALIFOBNIA 95965 - TELEPHONE; 99:6/538-7541 PERMIT &I"PL^IEATION DATA SHEET Permit No. OWNER 'e A. P. No.:s 1 5-L Proposed Building Use �- _ Building Inspector Date 3-iU"9Z At time of permit application, I was advised 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ' 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Qe11.)pAr- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:- arking: 18. 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date: < 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... n/* -5. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail .to contractor. Telephone 53`f 3325 hold for and pickup at office. Deliver w/inspector. Other Appli-ant Daz`�2.1� ,r Copy of !-laz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle*new item not checked above).." 1. Index permit for above items No.Ea-"V, 2, Additional items required: Contractor, designer wne was advised of above required data by hone -nail counter b/11/date`. Contractor, designer, owner, was advised of above required data by_phone_mall_coun 'r by date - Plans checked by Date PI ns approved by Date sJ set of plans on hold in File cabinet AP folder Copy -DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillet California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER /2_ TELEPHONE33 SO. FT. OCC. BUl!I,,LD�jING VALUATION V J 2 OWNER'S MAILING ADDRE�h SS «sem iv CONTR TOR'S NAM Ey/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1KOO I LENDER'S MAILING ADDRESS Permit Fee $ p, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3,0 .CSU Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / I( v !O/ /) 14r�7 Pennit tee $ O PLUMBING PERMIT Filing Fee T 15.00 Each Trap % 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF,9�_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home I S I G JW 1 @ 15.00 TYPE OF WORK New Addition Remodel[:] Utilities Installation❑ Other ❑ Describe work: 0do/ Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 Main service 200A TO IOOOAI 1 37.50 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 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 NEW CONST. ( DWELLING OCCUPM 3.60 OR ACDNS. ACC. BLDGS. NEW CONSTR. M UTLET @ 5.00 NON.R ESIO BRRAA11NCC.H CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. _ Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED Ex. Occup. OU LETS PIRESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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 A.00 Heating Cooling Hood 6.50 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 said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA y ion of structures over 3 stories in excavations ions over 5'0" deep and demolition or construct. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �— HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL PO HD ISSuc This permit is hereby issued under the applicable 'provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. f D O S/ 6 (� iS ,YNIYE-O.P.W.. YCLLOW•A3eC3000, PINK -INSPECTOR, GOLDENROD -APPLICANT Attu some and ventilation per Ch. M USC. u � .�� � �d�✓1 ®t.�Q, �AF7�ie � vS� OoTr-: ,�urLO& f�.4s 6,�c� BvZ�7- at/�xzsr/Es O�GC! 4m�tE-4f aov,, Zje4 9 le5r' o.c . �Glozc— �r/14X� /,�-�s , BUTTE COUNTY BUILDING DEPARTMENT APPROVED ��q . `Tv. il J10 U pp vt I t'VOTES. [f . FOOTINGS TO BE EXCAVATED INTO UNDISTURBED SOIL TO DEPTH D 2. ANC FOR BOLTS SHALL BE PER UBC SEC. 2907 (r) 3. STEM HEIGHT OVER 32" REQUIRES REINFORCING 6" MIN 0 REDWOOD 0 P. T. _SILL_ TF I g 1 "STOt'ZlES" B D T TF ONE- - 12" TWO 15' ! 8" 8" 7' "STORIES' REFERS TO NUMBER OF FLOORS PER UBC TABLE 29—A, FOOTNOTE 3. Provide W x 4 arndw bolts @ 6'0.0 , 'O.C. max. and W Min 120 of joints. JOIST GIRDER 32" MAX 18" MIN (NOTE 3) 12" MIN RAISED FLOOR FOOTING REDWOOD OR P. T. SILL 3 1/2" SLAB 6" MIN D BUTTE COUNTY BUILDING DEPARTMENT B APPROVED SLAB ON GRADE FOOTING I TYPICAL RESIDENTIAL FO UNDTAION DETA&SIRS y °Arl SCAL9. 314 I DAM 91.9! BUTTE COUNTY BUILDING DEPARTMENT i ; , vwm STDFTGI I SHT—:)) OF 9 SPECIFICATIONS 1. CONCRETE — f'c=2000 PSI @ 28 DAYS 2. REINF. — ASTM A615, GRADE 40 MIN. 3. LAP BARS - — 20" MIN. 4. FOOTING SHALL BE EXCAVATED INTO FIRM, UNDISTURBED SOIL. FLOORS HORIZ. BARS VERT. BARS TW T B D zn� TWO #4@ 10" 0. C. #4@ 16" 0. C. 8" 7" 15" 18" (FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29—A) LUNDIST URGED SOIL REINF. ® CIL OF WALL HORIZ. BARS VERT. BARS_ 2'-0" MAX. 4' — 0" MAX FOR HEIGHT 32" OR LESS, NO REINF. IS REQUIRED. IT T --- -- BUTTE COUNTY 1 — #4 CONT. BUILDING DEPARTME t IN FOOTING A RPR O "E 'D * OTHER HEIGHTS OR CONDITIONS REQUIRE ENGINEERING. REINFORCED CONCRETE FOUNDATION WALL SaUZ.- NTS Dara: 6/91 I BUTTE COUNTY BUILDING DEPARTMENT Dwc. WALL SHT.1 OF, 6' TYP. K DI �IV /I.l111 r+ nCVT I ( 4"x 6,1 r� ' MOBILDMAX Or- 1 J. IF 1 I -- ao ¢ j 48" r MTI.. FRMUMAX. � CLIP (EA.o FRMN G• 4"x4" POST 21X 12° 8"MIN. DDLT5 GIRDER ' 4'X4" POST Ahr,012TE DIACONAZU 8_. GIRDERS I'Is" T46 PLYWOOD CC EXT. r i z 'rUARPRAIL 6"MAX. DECKIQ& PRECAST `F, .. x 14G„ T " MIN. F -00r I NC _ m 2'x 12" STAIR STRINGER. 4B'o.o. MAX. -TDP VIEW ' HAW2VAIL. NOT SNOWM FOP, CLARITY. r 3/SI BOLT F- LLJ a 0 9"MIN �y X 2"X4" PRESSURE TREATED oR - _.RFDWOOD PLATE 12 - 90 BRACI NIS. AM mIVT/AL 5f�PS .4Nole, J �` A -- BUTTE — DEPARTMENT OF PUBLICR VIV W�i�KS o 4j Center Drive — Oroville, California 95965 Telephone: 538-7541 MOBILDMAX 4ME 48" MTI.. FRMUMAX. CLIP (EA.o 4"x4" POST 21X 12° 8"MIN. DDLT5 GIRDER ' 4'X4" POST Ahr,012TE DIACONAZU 8_. F- LLJ a 0 9"MIN �y X 2"X4" PRESSURE TREATED oR - _.RFDWOOD PLATE 12 - 90 BRACI NIS. AM mIVT/AL 5f�PS .4Nole, J �` A -- BUTTE — DEPARTMENT OF PUBLICR VIV W�i�KS o 4j Center Drive — Oroville, California 95965 Telephone: 538-7541 ;R'ESinENTIAL_ 031-28-1-132 93-559�BPE - PETTER, ESTELLE 1558 10TH ST, OROVILLE j� ADD BATHROOM/SF JAI Irov r h JOB FINAL,SO ate .a. Siinsturo _ { V ='OK O = Not OK Not = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch •3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'Uft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy '- MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Solis; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAC(Si'ngle & Duplex) Date/Initials UINDERFLOOR Plans OK except #'s 1/Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12.Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation L Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 47!Vllater Pipe; Test & Anchor -Nail Protection _7 _t.BrB:W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/ini 'als ELECTRICAL Permit OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection lac. Receptacles Spacing -Lights & Switches at Doors . ize Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 6. ig"3 28.--5q-uip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/lnitidls MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Xent Fa , Exhaust above insulation 36. d nsate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Init' s FRAMING Plans OK except #'s 39. ils, Proper Material & Anchors 4 Is Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Stop in Wells (rat proof) Ff Stops; Furred Ceilings -Stairs -Chases -Tub -T4- & Beam -Size & Bearing Date/Initials FRAMING (Continued) Joist-Rftr. ties-Purllnt -roof Brac- 4*--Fire0aC0-M or Type A Flue -Fireplace Throat clearance ( 49.-*ttl8'Access; Size & Romex Protection -Draft Stop -Ins. Baffles endows or Exiting Doors -Sill Hgt. & Dimensions 50. 2arage-1Ire Protection Framing s� °� laady Line Firewall & ODeninos 62-Ext.-D5ors-One 3' -Check Garage -3rd Story, 2 Exits 5 -Headroom-Rise-Run-Landing-Fire Protection y�od on Roof Overhang -Attic Vents -Rafter Outriggers 5f. -Siding -Nailing Veneer Drip Screed -Fd. Vents-Underflr. Access 60. Infiltration -Walls -Windows Date/Initials FIN L Plans OK except #'s LAf Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector _--62--Eurnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection X6478 droom Exiting .F.I. & Bath Fixtures & Tub Access -Spa x 66. Elec. Trim & Subpanel; Breaker Sizes & Labels '577Sfa rs & Rails 68._.lRrep1ace or Stove; Clearances -Hearth 92-Elec. Outlets at Wood Panel; Int. & Ext. __7 .._KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance ,`Z4_E)ec. Outlets & Receptacles at Kit. Counter r -72 -Garage Fire Door, Swing -Landing -Closer 73. . uct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection I ec. & Mach. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked In Attic ❑ Yes uard ails & Deck Construction -Post Caps 7799 EArrlYeiits & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. instld.; Drive 13Yes ❑ No; Walks ❑ Yes 13No; Planters ❑ Yes ❑ No 81 Stucco; Brown -Finish Disconnect, Electrical, Plumbing 495. Vents -Above Roof; Plbg.-Appliance-Fireplace: Clearance to /'openings .-84-Water Wiiill; Disconnect, Electrical, Plumbing §§--Exterior Elec. Trim; G.F.I. Receptacle -Underground `88-V�tifation Throughout House Protection I rrections from Previous Inspections as fest-Meters Tagged; Gas -Electric _90 -Water & Sewer Connected -C/O to Grade -HD Approval �j 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completedif y u hany questions pertaining to this matter, or need additional explanation, please conta is offave ice immediately. .) 6 Ft / Av /5,47-Y"4 7 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT A raufam inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iseon4fieted. If you have any questions pertaining to this matter, or need additional explanation, IpUaseis office immediately. Date // 3 Inspector WW t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A roufim irupectron indicates that theidflow the above address and should be corrected. iscon4geattlL Hyou have any questions perta plieaee contact this office immediately. Daft � � �' Ynspector I;tw law 53 PERMIT ations of Butte County Ordinances exist at notify this office when correction of work this matter, or need additional explanation, Owner: 'er Permit No. E N E R G Y C cam" T-6FICAT10N DESCRIPTION Or INSULATION ROOF Material Thickness(inches) EXTERIOR WALL x Material \ Thickness(inches) CEILING Batt or Blanket Type Thickness(inches)_ L Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR-, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) 3 -SS� A. P. No. Brand Name Thermal Resistance (R Value) Brand Name e&/- Thermal Resistance(R Value) Brand Name " �,zAzZ Thermal Resistance(R Value) - Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance wirt-ham the State of California Enemy Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. �SfGNATURE�5W INSTALLATION.APPLICATOR DATE I hereby certify_.the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. .. � 'F7 FIRM NAME/OWNER (Please print) -7-SIGNATURg,of GENERAL CONTRACTOR OWNER STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE -BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. * January 1984 COUNTY OF BUTTE - DEPAR''TNIENf OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT Dn 0 C� U PERMtT NO. �. ASSESSOR PARCE UMBERZ - ING ./ BUILDING PERMIT OWNER TELEPHONE 534-3325 SQ.FT. OCC.1 BUILDING VALUAT15NI OWNER'S MAILING ADDRESS 1598 lle 95965 25 R 1,296.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,296.00 R LEND 'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 27.00 $ 20.00 AR CT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $'� PLUMBING PERMIT 15.00 Each Trap 15.00 Solar or heat pump water heater n,_ LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7,00 Each qas water heater or vent .00 7.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 11 5.001 5,00 Building sewer 15.00 15.00 _T11 Mobile Home I S I G JW TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Bathroom Permit Fee $ 64.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury P y p I y (Check One): I am licensed under El P provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license IS In full force and e ffect. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OccUP2 OR ADDNS. l ACC. SLOGS. 3.64 sq.ft. X85 NEW CONSTR U TI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 20 76 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 15,85 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 o 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 15.00 Heating Cooling Hood 6.50 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 liabilities, judgments, costs, and expenses which may in any way accrue agains sa� in co se uence of the granting of this permit. p X Date, Signature of Applicant — owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep anA demolition or construct- ion of structures over 3 stories in height. ADDA)l Mobile Home Installation Fee Energy Inspection Fee tPARCEL LDcc CONST TYPE TOTAL FEE.J 01alt HAz DFEES IMP FLOOD COF HD SSUE This permit is hereby issued under the applicable provi- sions of the Butte Count C de and/or resolutions to do Y `Mork indicate o f hich fees have been paid. I F PUBLIC WORKS By p eMI XPI • ES Date Z PE oa Receipt No.135728 _ i35,69 I _ Z7 --� WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY BUTTE - DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER nu/�CS A. P. No. 031 -C� Proposed Building Use Building Inspector Date At time $f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED• BY -�"T/T/ -- 1. All items have been submitted. . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans. ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome ata a 10. Fees of yd manufacturer's installation instructions, 2 sets. $ r/.0 ...........%% ..........� 11. Impact fees as shown on attached schedule. !i% A . ��0.sS .-Kho.r1........ . 12. California Department of Forestry plan approval/fees. ......... . 13. Flood elevation letter (100 year flood) b Cali rnia Engineer............... :.... . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit.......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . . 20. Pre-inspection for required. ..1 a1°ia ecti. qo t (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation'lnsurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner _ ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded dee&of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use.......................................... 28. Mobilehome utility clearance........................................... 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... 32. Plan check list . ...................................................... 33. .34. When you issue the permit, process as follows: Mail to o , er. Mail to contractor. Telephone. g#-121�a-nd hold for pickup at office. Deliver with inspector. Other " Parcel Creation F 444 Q c� Acreage Applicant Date 3-61-1-5 - 6 !3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri r ermit issuance: (Circle new item not checked above). 1. Index permit for above ite s Ngo. 2. Additional items required:s�/6Mi %/putt /✓l.d'-+f- /�it/dil� T �OCc1o.r/of ,✓S% Contractor, designer, o er, was advised of above required data by phone _ mail -Counter b Date 0-Q .' Contractor, designer, Wer, was advised of above required data by ' phone _ mail -1 Counter byo Date Plans checked by Date Plans approved by Date;- Sets ate _ , 44LIK, of plans end in G`r'-File ca inet 4K %dw AP folder tioiC Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 91965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. ASS S RPA NUMB R rm % - - 73�- ZONING BUILDING PERMIT O R f i TELEPHONE , J 2 �� v S�(O. FT. OCC. BUILDING VALUATION pJ OWNE S MAILING ADO,.,W S ' /S- o Dn®V� 45 CORA TORS NAME kin q_ i TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO 5 ® tl ,e LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCH TELT OR ENGINEER LICENSE No. Filing Fee $ 15,00 Permit Fee $ 0' , d Plan Checking Fee $ 60, ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ J0,00 Penalty $ nalt BUILDI G ADDRESS Perm fee i PLUMBING PERMIT Filing Fee 15.00 Each Trap 0 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 P,0 O Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 / Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Additionix Remode tilities ❑ Installation❑ Other ❑ Describe work: f i®nw) Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare underenalt of p y perjury lur y (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 Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.a) 3.6a sq.ft. OR ACDNS. % ACC. BLDGS. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRCU ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR\ Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '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. ❑ 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT F' ' Fee 15.00 Heating Cooling Hood 6.50 Ventilat' PB 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 whichmay in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor [—I Agent ❑ An OSHAwork 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 S Energy Inspection Fees Q Occ CONST TYPE TO FEE $ HAz 0FEES IMP FLOOD CDF PAR L PO HO suc This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date I Receipt No. f WHITE-D.P.W.. YELLOW-ASSF350R. PINK-INSP CTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of. the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, ' -but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name ..Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of -the -California -Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ADDITIONS TO RESIDENTIAL BU.ILpINGS ENERGY SHEET PA KAGE COMPLIANCE r / /1 Owner ��/� S�s� Climate Zone Permit # 5(7l Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component t2=I00 sgft 101-499 500-999 >=1000 sqft Ceiling R-38 R-38 R-38 Ins. Wall Ins., R=13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR. NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 .75 .65, .60 .65, .60 Max. Glass X50 sq.ff. 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(S&N) Shading NR .40, .66 _ .40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20%.Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation * One entry/column = req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) -ILNFIL- TRATION CONTROL (Weatherstrip doors, certified windows, caulking) -- VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 IIGHTING_,KIT.CHEN- b -.BATH NOT LESS THAN 40 LUMENS/WATT) DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 2 arts I nd 6 of the California Code of Regulations. (Jan 93) SIGNATUR 0 BUILDING DESIGNER OR APPLICANT plY121 �_ M RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX � MISC. ONLY) �57���� /®� % Bldg. Permit # OWNER �� A.P. # �/- Plan Checker GENERAL ning requirements: (sideyards and number of permitted living units). �laluation. ; ans signed by designer. j Proper description of work on application. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). --�r�ed rye-c#•ce-E�-€ PLOT PLAN 7 mplete parcel size and dimensions. 2! Setbacks, sideyards, easements, etc. .il• C^^^;�j I•nnrii tinnc ^�; �- - n�1L' L• t , Omb— f--TC1�&L FLOOR PLAN r --'-Complete to scale plan with dimensions. .Required windows for light and ventilation (Sec. 1205). a^ f cern .a is . 1204). ct equired room sizes, ceiling heights (Sec. 1207). GFC n baths, garage-, k&4e4a�p-, ight fixtures, switches, receptacles, and exterior receptacles mance of mechanical equipment. Locations of water heater, heating and cooling equipment, other or gas equipment. in � L z •a 11 innr2E_,_a� r15,��). Smodetectors (Sec. 1210). —Plumbing fixtures, water closet clearances and shower size. 210-8). for main - electrical STRUCTURAL DETAILS Uu Standard bracing or engineered design (Table 25V) 2 q,,; r; na i „ or,, ao n. ,.P6-undation plan complete enough to construct building. g/ Floor construction details complete enough to construct building. Ro.d-wall co�ction details complete enough to construct building f conconstruction details complete enough zo construct building. as-cessazty- l�heights. •A J 8/91• RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR {pec-3�6fsT -- n -�-�� head— had-a3si room—��A6) . roper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). �� --i-nst4a• i-Gn- -TTctc -c-� n. r - D Q&"- ha , " and—sta].r-ways . 9.. ving-as_ea-ove•r—g.ar-age----complete-4----our s-epa�ation-reg4-i-r-ed-on-gar-age--side 1-'��—°*iG-access-acrd-ven-t-i-la-tron (-Sec. 3-2.A5)-- J&,.`T'-,aderfloor access and ventilation (Sec. 2516). 18 -: 'Combustion air for fuel burning appliances - L.P.G. requirements. 7aergy design. �£� Sr�S�- .T YZ s Y+b.Flas� Flashing at all exterior openings. P. GDF—r-e _rLaihTQ araa�r�ulr m n.rs. �j f 6 LZ,w" e 031-281-132 PERMIT#96-2002r ra PETTER, Estelle 1558'10th Street, Oroville Pellet Stove/SF r-ir.rr,.��w j...-�.--�r,�.---!'�..�.-rr'-•-.`Pw;: qb—•r �-.- n-.. F,wFl�7w�r�.aw� .�,•�-nr•. 'COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 538-7541q6 PERMIT 04 ASSESS�(JyrCELNUM- p132 11 zz ZONING AR BUILDING PERMIT OWNER ESTELLE FETTER TELEPHONE - SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - 1558 TENTH STREET OROVI= 95965 CONTRACTORS NAME ()VIM ll TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee - $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BuILDI1G slM STREET, OROVILLE PERMITFEE $ 55.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑.TDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑TIX Describe Work: INSTALL PELLET STOVE Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 .. Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License 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 ADDNS. ( ..& ..ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPOUTARATUS ) 8 SINGLE LET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Q .50 Ex. Occup. I FIXEFDrs (REN ODOR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.),. r] t certify that in the performance of the work for which this permit is issued, 1 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 worker ' eatimpensation provisions -of. section 3700 of the Labor Code, I shall fo I h.=C ply with -those.provision s. N ~�.�� Date Si nature of Applicant - ❑ Owner ❑ Contractor ❑ A�ent9' An OSHA permit is required for excavations over 60" deep and demolition or construction,By. of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD a +w ISSUE, This permit is hereby issued under ttie applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. , D ate PERMITEXPIRESON llleH/ I (Date) ReceiptNo.� �,.� �~�0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I-- r COUNTYOF BUTTE - DEPARTMENT OF QEVFoLOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER !C e, . No. 0,31 a2r-lZ') Proposed Building Use f C7 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner Mail to owner. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: _ Telephone and hold for p Other Mail to owner Mail to contractor. _ office. Deliver with inspector. Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant -ry.....^.ti..-`..r..-r.rw.-.R.+wv.�..n....,-�,r.r.+r•y...r„?r'"'��'�`*'�'l. vn..,r.i'4,r'Y+m h.7n.r''+f++�'".,`.w.,�►tMt'�.,v^'�*�..ym+�*...-,.. ,. .. r � COUNT�YOF BUTTE - DEPARTMENTOFj),EV OPMENTSERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE -OROVILLE'CALIFORNIA95965-TELEPHONE(916 5387541 3 �4 OWNER Proposed Building Use PERMIT I f�a- lie„ APPLICATION DATA SHEET y- ago-/ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..F;n. . st 20. Pre -inspection for to Buil Building In" edor required. . to Building Inspector (Dae) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. .......... . Owner -Builder Verification (Given to owner Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pig up at office. Deliver with inspector. Other / Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: . Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _phone _mail Counter by Date Plans checked by Date Plans approved by Date ..f Sets of plans on hold in File cabinet AP folder i �' •' Copy - Department of Public Worms . � O.B.-1 Attention Pro artY'' Owner: f P An "owner -builder" building permit has been applied for in your name and bearing your signature. -1:, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit.will be issued until this verification is received. 1. I personally plan to provide the- maj& labor and materials for construction of the proposed property improvement : YES iv]'NO[ ]. 2. I HAVE[ LX - HAVE NOT[ ] signed an application fora building permit for the proposed work. .., . construction:. , NAME: 'A/ ADDRESS: ( / fl,1 CITY: PHONE: ! CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: r• " 3 .f ADDRESS: t' CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED:'. PROPERTY OWNER•�& ��— SOCIAL SECURITY NUMBER:. .. r DATE: NOTE.-, This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER -goo a A,�#o 3 [ -Pe4r Esl-ell-e Dear Property Owner: An application for a building permit has been submitted in your name listing -yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required tc be signed by property owners unless they are, personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other cos* -s) is 5300 or m-cre for rhe entire L'roJect, and pembhs are not Licensed zr contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure ;s intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `bwnerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF QEVEI QPM ENT SERVICES - BUILDING DIVISION T 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERMIT NO. APPLICATION AND PERMIT ASSESSORPARCEL NUM ER 031-28— —132 ZONING AR BUILDING PERMIT OWNER ESTELLE PETTER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1558 TENTH STREET OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $, Filing Fee $ 2C.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDIJI! nl ESB 0TH STREET, OROVILLE J.J6 PERMITFEE $ 55.0 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑XDuplex ❑ 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 1J(X Describe Work: INSTALL PELLET STOVE Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service OOOV OR LESS ( 2OOA GR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) S 3.50 FTO.. NEW CONST. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 SAL .SO Ex. Occup. ( OUFIXED A TLETS PRE ISE is o.�ea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing 9 Fee 23.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ertify 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 worker ' mpensation provisions of section 3700 of the Labor Code, I shall fo it c sions. X Date .--6 Signatu of Applicant - ❑ Owner ❑ Contractor ❑ ent An OSHA permit is required for.excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HC ISSUE This permit is hereby issued under the applicable provi3ions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Datey /0 PERMITEXPIRESON (Date) Receipt No. p� Q�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT or Urgent ❑ Date Time While You Were Out M Of Phone'- v` <. AREA CODE NUMBER EXTENSION r Telephoned Please Call Came To See You ❑ Will Call Again ❑ Returned Your Call ❑ Wants To See You ❑ Message J Signed 9711 C ADAMS BUSINESS FORMS (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 PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.100 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESS Main Service 2o.A OR 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, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �wner 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 1000A 46.00 NEW CONST. DWELLING OCCUP. N (T. 3.5QF°; cONS MULTI o�itr NON RES10. CUT.@7.50 6 OUTLET OWERLE APPARATUCIR.s Ex. Occu OUTLET OR FocruREs 20 Q'�0° BAL @ ,50 Ex. Occup. ouriEDTSARD.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: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hu dred dollars ($100) or less.) 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' laws of California, and agree that if I should become subject to the workers' co sation provisions of section 3700 of the Labor Code, I shall forthwith om ith those provisions. Date �'— Signature of Applican - Owner ❑ Contractor agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ corer. TYPE TOTAL FEE $ Locc HA2. D. FEES IMP FLOOD COF PARCEL PD HD ISSUEcompensation 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 ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I s (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 PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee' $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP - PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.b License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bins. S° 3.5QFT: 1NpµR°SID.' MULTI -OUTLET @7,50 PSINGOUTLET OWERLE APPARATUCIR.S Ex. Occup. OUTLET OR FIXTURES X Ex. Occu . ouT R AM OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) r 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' co sation provisions of section 3700 of the Labor Code, I shall forthwith m with those provisions. Dateof Signature of - Applic n wner ❑ Contractor &gent 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 Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 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 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS cONTRACrOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace _Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ - 20.0' Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilifies ❑ Installation ❑ Other ❑ Descri3e Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ i ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Oil 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 Lo construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this season Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. So 3.50FT, NoµRESIDMULTI-OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 @ ,50 Ex. Occup. ourLEEDts R D.oEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ C 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 oerformance 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 Policy Number .The above sections need not be completed 0 the permit is for work of a valuation �f one hundred dollars ($100) or less.) 0_I -t4 t) that in the performance of the work for which this permit is issued, I shallTOTAL iot employ any person in any manner so as to become subject to workers' -ompensation laws of California, and agree that if I should become subject to the workers' compe sation provisions of section 3700 of the Labor Code, I shall -orthwith eompl7with those provisions. jX / f/ J_,,,,..•.�—' Date Signature of—Applicerh 'OO'Owner ❑ Contractor ©-Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ HAZ. I D. FEES IMP I FLOOD COF PARCEL PO HD ISSLE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisionE Resolutions to do work been paid. Date Date Receip.No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (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 PERMIT NO. ASSESSOR PARCEL NUMBER ` ZONING ,. BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS -Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 121-1as 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 1000A 46.00 NEW CONST. OWE.UNG OCCUP. OR ( 3 5¢So. FT. coNIS.ONSMUAiCTICo�S. NON-RESID. c @7.50 POWER APPARATUS a IN.0 E OtlTLET CIR. EX. Occup. OUTLET OR FDMAES 00 BAL @ 1 0 Ex. Occu .Ountrs Ro .DER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0_1-cettify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. w.....- � � _X'"7 e''i _ ...:, Date Signature of Applicd ' `❑`Owner ❑ Contractor 121 -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 $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 . OWNER BUILDER INFORMATION � Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of propeity'. improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of jecord on such a pertnit.-Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should. be aware of the following information for your benefit and protection: ♦ if you.,employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations. including state and.federal income tax.withholding, federal social security taxes, .. workers compensation insurance, disability insurance costs, and unemployment compensation contributions: ,. -.r• . ♦ There may be financial risks for you if you do not catty out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 958.14. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. I42Mic y, l C. Vi iia, C.B.O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your si gnattu+e. Please complete and retum this information at your earliest opportunity to avoid"unnecessary delay in processing and issuing your building permit. No building permit will be issued until tris verification is received. _ .; 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES O NO C3=" 2. I HAVE ❑ HAVE NOT O signed an application for a building permit for the proposed va 3. I have contracted with the following person (firm) to provide the proposed construction W'. " NAiV1E• ADDRESS: CITY; ,.f. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but 'I have hired the following person to'pod"UMM '_.. supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed Md returned to our office before we are permitted to issue the permit. • 031-281-132 ; 02-0174 PETTER,ESTELLE 1558 10TH ST, OROVILLE NEW MAIN SERVICE , OFFICE COPY Address GAS Meter By Date - f Dak_ [ Meter By Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITy 0. (Rev. 12/96) APPLICATION AND PERMIT -01/7 ASSESSOR PARCEL NUMBER 031-281-132 ZONING BUILDING PERMIT OWNER PSR ES"rau TELEPHONE 534-3325 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1558 10TH ST. ORS I=. CA 95%5 CONTRACTOR'S NAME Owm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDJ .)5gRESSOM ST. OPMI=, C 95955 7i.\.•1J1J � Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Z7 Duplex ❑ Mobilehome ❑ Other SPECIFY 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 Q Installation ❑ Other ❑ Describe Work: Id 200 AMP MAIN SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service A OR LESS 23.00 23.()() • 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.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0- - I, as owner of the property, or my employees with wages astheir sole compensation, A 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 construct the project. I 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: # I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. r❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ! X ,� r Date 1' �L�T �2/ Signature of Applicant - w,er ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction i of structures over 3 stories in height. Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLOB. 3.5¢FT_ NEW O"R.I. MULTI -O TC I UTS 97,50 a SINGLE RAovrLET cIR. Ex. Occup. OUTLET OR FIXTURES BAL 20 @':5�0 Ex. Occup. oFlxuTe FE�SDOEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.to PERMIT FEE $ 23.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD CDF pARC0. Po HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /�-��� Date Receipt No. 3 r75F) Y V2 WHITE-D.D.S.-B.D. CANARYPPASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 a -a PERMIT 0. 17 (Rev.12/96) APPLICATION AND PERMIT � 1 ASSESSOR PARCEL NUMBER 031-281-132 ZONING BUILDING PERMIT OWNER PETTER ESTaU TELEPHONE 534-3325 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 1558 10TH ST. ORWIU-E CA 95965 CONTRACTORS��C7��77�� NAME OWNM TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGIN LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ Qp BUILDING�pRE10M ST. OROVILI.E CA 95965 �� 8 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other ❑ Describe Work: NEW 200 AMP MAIN SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V ORLES Main Service AOR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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. I 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number of one hundred dollars ($100) or less.) kv(The above sections need not be completed if the permit is for work of a valuation I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X to �r ��—o� nature o pp I ant er ❑ Contractorq Agent An OSHA permit is r4q,4,4 for excavations over 60" deep and demolition or constructionZ�y of structures over 3 stories in heig t.Date Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. 3.5{tso ( ADDNS. �TICOu�TLEr MULOR NEW CONST. NON-RESID. @7.50 8PSINOWGLE ER APOUTLET PARATUS CIR. 20�'�0° Ex. Occu OUTLET ORFDcruREs BA L @ .50 Ex. Occup. OFUc�Es AESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 23.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. p. PEES IMP I FLOOD I COF PARCEL PO Hp I GSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIR ON the applicable provisicns Resolutions to do work been paid. 4-r) f — �—oZ 7 —, a Data c ReceiptNo. 3 317s !1 -,,76) WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y. . JVJ ieie '~' r2/96) � APPLICATION AND PERMIT v seISO e •Anca w.ra � rty�.oyt SO FT. J'^k'M t WAA,Nn A0011t/. s 3 - 3•�?5 r 9LAU-0 y t I NAAINO A00101946 :0-0 rM.cTWM L&CON 541 PERMIT N:- BUILDING PERMIT OCC BUILDING VALUATION I cows MMUNC AOOAtss Fue lace Total Valuation S Ac -n ECR OA tr.Wrtali Uc t'6! W Flin Fee y Permit Fe -e ACKrER M OA �•OtD11 MA4JN0 AO0NlS4 -4-J&o Acoats$ Plan Checking Fee S Energy Plan Checking Fee S ""'o aveoNeoMeww! ",aca wr PERMIT FEE _ PLUMBING PERMIT Each Trap USEOFSTRUCTURE c Duplex O Mobilehome O Other Solar or heat um water heater Water pipin •Ptc ry Each gas water heater or vent TYPE OF WORK •ow O Addition ❑ Remodel O Uti@tiee Installation O Other O Gas piping system 1 • 5 outlets Building sower ascribe Work: Q 0.M Mobile Home S G W PERMIT FEE i ELECTRICAL PERMIT Win Service ;;;M OA 1v tEi444s Ma QO Main Se Nice 30" ro 600" NEw co ar. owE11►q occuv. OA AOONS. "PERAAIT FEE PAU> SRA . SHERIFF OTM tAAkbVNT RECEMb s Ex. Occup. (ovnETOn --E. Ex. Occup. ounE 2 MES101 LA Temporary Service Mobile Home Facilities Misc. Wirina 20 00 •iling Fee 20 0) 7.00 23.00 15.00 i-5-0-0 15-00 I5.00 X20.00 ng Fee20.00 23.00 3 0 ►% 4e.00 3.5tsro. @7.50 o a1.00 so 5.00 23.00 20.00 23.00 PERMIT FEE i ,6) G' MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 8.50 Ventilation PERMIT FEt ! Mobile Home Installation Fee S Energy Inspection Fee S occ oo~r rrpt TOTAL FEE $ . Q -4Z 0. RO -P ;G;0 COI 0 *JW.& •C rO CS"t 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. "RWo ECEIPT NVAIISER ��cS / �`' A TO N Rim � wMau— BY Date �— PERMIT EXPIRES ON N zr- O B.- 1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement:. YES NO ❑ I HAVI� HAVE NOT ❑ signed an application for a building permit for the proposed work. I 4ve contracted with the following person (firm) to provide the proposed construction: N E: ADDRE CITY: PHONE: CONTRACTOR'S LIC 4. I plan to provide portion f this work, but I e hired the following person to coordinate, supervise, and provide the mai ork: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' CENSE NO. 5. I will provide me of the work but I have contracted (hired) following persons to provide the work ' icated: NA ADDRESS PHONE PE OF WORK SI NED: PROPERTYOWNER: L - SOCIAL SECURITY NUMBER: TE: I — � c/, �YY NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- OWNER B• An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information'about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. 0-1 M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER nx- 4le4<_) se�Palc�� 5 -����- i ` \ t -, e .+. � i.� .. �� ..� _ � 1F� _ a. s �i :a � '.� '. � � ,� � ,. R �. 1 � ,. ' �r � � C•1 t 031-28-0-132 99-2738 PETTERS, ESTELLE • . 1558 10'u STREET, OROVILLE CONTR: OWNER . GAS LINE i j �_•+M4Q7S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEFUT NO. (Rev. 12/96) APPLICATION AND PERMIT 11 ASSESSOR PARCEL NUMBER N .-f ZONING BUILDING PERMIT OWNER #sg* n TELEPHONE �r �enr ^•�"� SO. FT. OCC. BUILDING VALUATION OWNER'S iA NO -i1UDRES§' ..I.dL 1556 i4 j., - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ �pp�� ISS 1VlI, ST Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY I 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 bRK New ❑ Addition ❑ Remodel ❑ Utilities ®1 Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 S Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ZK ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'DDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 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. ❑ 1, 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 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. s0 3.5¢FT. T. L . MULTI -OUTLET N,OWREOSID 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES @ 1'50 20 BA @ .so ED APPI EX. Occu , oPIXUT RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) .O 1 certify that in the performance of the work for which this permit is issued, I shall T not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with omply with those provisions. X !.~'—_� Date Signature` Applicant - ❑'Omer ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction , of structures over 3 stories in eight. "� MECHANICAL PERMIT Filing Fee 20.00 Heating I I lc;f6 Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE, TOTAL FEES 70.00 HAZ. I D. FEES IMP I FLOOD I 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. By .&,/, Date PERMIT EXPIRES ON .3. 0 -t -or Receipt No. 4mk&111'ZOF WHITE-D.D.S.-B.D. CANARY -ASSESSOR -NK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION T 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4y- ASSESSOR PARCEL NUMBER 031-280-132 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING DRESS 534-3325 1558 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee - $ 2 0 • D 0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ QIr qp l`�! Al ST Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.Do USEOFSTRUCTURE SF J Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF RK New C3 Addition 13 Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 i5. QQ Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation L of one hundred dollars ($100) or less.) A� I certify that in the performance of the work for which this permit is issued, I shall V not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort omply with those provisions. -X "— ` Date Z r - Signature Ap licant - ❑ wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction . of structures over 3 stories in Peight. '� r Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so. OR ADDNS. ( a ACc. sins. 3.50 T. INdOONN•RE°SID. ANCHOU CVITS T @7,50 OUTLET CIR.OWER APPARATUS 6 E 20 � , 00 Ex. Occup.OUTLET OR FIXTURES BAL @ ,50 Ex. Occup. OuxTLEEDTSA RAID,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling .1 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST.TYPE - TOTAL FEE $ 70.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HO I°'SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do wcrk indicated above for which fees have been paid. By ate PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANA Y -A S SOR NK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (�l°2/96) � PERh7T NC Rev. APPLICATION AND PERMIT ~��• 3�`' ���' z0owe BUILDING PERMIT OWN" p j}O_! SO. FT. OCC. BUILDING VALUATION otivNels YAUND AD /G U OONMNAS S < TlL�►gN! 0ON11144T0111 MUM ADOAM OONiTAyCr10N 10061 LZWV 'f NNN+o ADOA__M Fireplace AaarrfCIrORWINee1Total Valuation S uclNse No. Firing Fee S e""0.00 AACW= OR DIMUR'S UNUNG ADDAM Permit Fee s suaaaADOAUSPlan Checking Fee $ Energy Plan Checking Fee $ i 1cTNo aueon,e,orEs►w1e .AMEL YAP PERMIT FEE $ PLUMBING PERMIT Filing Fes 20.00 USEOFSTRUCTURE Each T(ap 7.00 Solar or heat um water heater 23.00 . SF O Duplex O Mobilehome O Other Water piping _I5.00 BPECi1/ TYPE OF WORK Each gas water heater or vent 15.00 New O Addition O Remodel O Utilities O Installation O Other O Gas piping system 1 - 5 outlet@ 15.00 d Building sewer 15.00 Describe Work: Mobile Home S G W 020.00 Ex. Occup. PERMIT FEE _ �u ELECTRICAL PERMITFilln Fee 2.00 Main SeMW rvice OR 20ftA 23.00 Main Service zooA TO 1000A 46 .001 NEW CON6T. OR ADDNs. °NA ADCC. Nn ua' 3.5QR New CONS 14101WRE51D.BRANCH YVlTF01JTlM :ICI M. Q7.SO Ex. Occup. ovnzr OA Fwwa 2001.. a .00 Ex. OCCU „11 E,'91P°t1181� D , -SAL 5.00 Temporary Service 23,00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 23.00 Heating Cooling Hood 6.50 PERMIT FEt I f 0 Mobile Home Installation Fee I $ MInspectonee $ 6 d,�V TOTALFEESEYP F1a00 COF PARCEL PO N0636E y 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 zs-- This set of plans and specifications MUST t* kept on the job at all times and it is unlawful tc make any changes or alterations on same with- out written permission from the Department of Public Works, County of butte. NOTE'-- Materials & We Amanship Shall t Accordance with Recognized Good Practices of a quality prescribed for the Spegified use in .the Uniform Building. Plumbing & ModRanical Cod".dp4 the National Electrical Code. cor'i�TV' BUILDING DEPARTMEd APpROVED I Rif: • �-I• 'AF•. 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