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035-215-002
AP35-215-2 Ray Gannette 4643.Baggett-Marysville Rd., Oroville' (HOUSING INSPECTION - 4/10/79) 35-2.15-2'G'� Permit#3093-85B,P,E(replace gas aping "repair as per HD ltr 4/16/79)-'�D,� 35-215-02 3733-90E O KEITH, Dona 4643 Baggett Mary ille Rd, Oroville Contr: Webster Elect -c wiring & elec ery hg/sf35= 5-02 [(laundry ermit#3863-90Bremo e s . ���� � �' 1� 'i i • 3863-90B, 35-215-02 P KEITH, Dona 4643 Baggett Marysville Rd, Oroville (remodel/sf) e c,''�COUNTY OF BUTTE = DEP'ARTMENT.OF PUBLIC WO'F3KS ,,,':+, , aPERMIT N0. A 7 County Center Drive - Oroville, Cal�fornia`'95965 - Telephorie "916 jb38� 541 rr.� �"'('����..,,,, o� ��� �►�'-- � APPLICATIONAND HERMIT � ;�.,,�J'r�r. » - +/ ASSESSOR PARCEL NUMBER n ;. _. 035-215-'002 ZONING RN 'BUI,LDING _. i : r .,r %' PERMIT cOWNER G *x%J&& Dona Reith TELEPHONE SO. FT. i ;';OCC:' , ' l BUILDING VALUATION Est OWNER'S MAILING ADDRESS 729 I Street , Marysville 95901 , . •'r'F CONTRACTOR'S NAME OwnerN TELEPHONE CONTRACTOR'S MAILING ADDRESS i Fireplace CONSTRUCTION LENDER'S UNKNOWN LENDER'S MAILING ADDRESS /�� {+ f 1ti Total Valuation Is ' Filing Fee $ 10.00 Permit Fee $ 17.50 ARCHITECT OR ENGINEER NonP + '� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AD`DR ESS Penalty $ U I LQI N G� A D D R E SS , -- '. 1�, \ 464 �a etl:t ' s' l,% e.> ;i, �isviJ -Permit fee S ` ,27.50..• -"`PLUMBING-PERMIT' t Filing Fee 10.00,, ,Each v._ t_ .� e""" "rz� . �- -,��w 1 ` ' C ~t% f;'tC�. i , 1^' `, � •',� (Trap 1,-,'+' 2 2.00 4.00`. 7�t�;>� �+l 1,Solar or heat -pump water heater 20.00 LOT •NO. � ( _iUBDIV7SId1q'JXPEJJ A-j„��+"1 L' ]PARCEL . MAP t 1 -Water piping -�'"� 5.00 5.00 Each qas water heater or vent 5.00 A USE OF`STR,UCTURk,,'-'-' � 1,' f+ , `SF ❑%,;'Duplex❑�Mobilehome❑ 0 er''s- {- - . , ` , v,,•, :,.+,� , �, + i_ �.. Gas `Gas piping system 1 - 5 outlets .1 5.00 Building sewer_ 5.00 5.00/.. Mobile Home S I G JW I` 10.00e �T.YPE OF WORK,-� ti New ❑'7-- Addition ❑ Remodel ❑ Utilities ❑ Instal ation❑' `Other O` Describe work: -dry wall &: insulation, ' & plum biJn$ °,•a'' was drain relocation; ki he" sink pipe'",,� ' 1. � t , ,\ e, �n f Permit Fee $ 24.00 Contractor ELECTRICAL PERMIT FilirigFee 10.00 - •�1 •� j; �� \ ` _„ _ - / _ t_4�i,� V 600 OR LESS t ^•'+I -Main service 1.0.0 AMP,OR LESS1 ;10:00 r Main service EA. ADO'L 100 AMP '2,50 ti f r. COUITRA�C R, LIC�F cyCyE LAWS ' k ,l. " I �Ji�,s 'I•declare under penalty of•perju yN check one): C v ,I `' 1 't- \ 1 -1,_z ' �, I / am licensed under pAi-sions,of�Cha t� Div. 3 of the Business and"Professions Code and my Ic is in full force nd effect., License No. Classifi ation e ' I ' I, aslthe owner; -or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intendedJor offered " for sale. (Sec. 7044) ' I ❑• I, aslthe owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) t ❑ I am gxempt under Sec. , Business and Professions Code for7this reason NEW CONST. DWELLING•OCCUP.& / I 'OR ADDNS:•- ( A•C'C'. BLOGS. 2h¢SQft NEW CONSTR ULT' -OUTLET• NEDN•RESI. ..-BRANCH CIRC ITS 2:50 ea / -;` J ••JR POWER APPARATUS h t ? -- (SINGLE OUTLET CIR. ) - Ex. OCcup( UTLETS OR FIXTURES BAL@30 EX: OCCUp. OUTLETS FIXED P(RESID )LNS REA.) 2.00' Temporary service 10.00 Mobile Home Facilities 15.00 Misc.•�Viring 15.00 Permit Fee 4 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. w fv1 I shall not employ any -person in any'manner so as to become subject W� to the W. C. laws of California. `s t. Notice to Applicant: If after making this statement, should you becojne subject to the W. C. provisions of the Labor Code, you must forthwith comply, with such provisions or this permit shall be deemed revoked. - MECHANICAL PERMIT''' Filing Fee 10.00 "✓ Heating - r Cooling g Hood +3.00 --- Ventilation � Permit Fee $ i 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 cgnr�tnLtior� ana h by af�the�Je representatives of the County of Butte to enter upon�he abov me Nbn pty for inspection purposes. also agree to save, indemnify a keepless the County of Butte against liabilities, judgments, costs, and expes which may in any way accrue against said County in consequence of the granting of this permit. // X _ )Al,a.uta.J . �/ U.�y� '! � Date g pp ❑ Con Proctor Agent Signature of Applicant - Owner 'r r E]❑ An OSHA permit•is required for excavations over -5'0" deep and demolition or construct- ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ;, occ CONST TYPE TOTAL FEE $51.50LI HAz cuA PARK SCHL FLD PAR PD HD Issall This' permit is nereby issued under the appiicable•provi- sio6s of the Butte County Code and/or resolutions)to do work indicated or which have been' aid. ditd abfhih fhbp DIRECTOR F PUBLIC WORKS By /r - �/ / Date - 111 � "� PE,RMIXPIRES Date -- rRece,piNo. 84245 / .P.W., rELLOVV-AS'SfSSOR, PINK -INSPECTOR, GOLDENROD-APPLICANT •I 1 o. A 1d 10 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �� 1 - a - �e ° AP,.PLICA,TION AND PERMIT ASSESSOR PARCEL NUMBER 035-215-002 ZONING RN BUILDING PERMIT OWNER �37k�X%{ Dona Keith TELEPHONE .SQ. FT. OCC. BUILDING VALUATION Est 1000 OWNER'S MAILING ADDRESS 729 I Street, Marysville 95901 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER Nnnp LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4643 Baggett Marysville Rd Oroville Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5,00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF[R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5,00 Mobile Home S I G I W 10.00e TYPE OF WORK New . Addition El Remodel❑ Utilities❑ Installation❑ Other Describe work: dry wall & insulation. & plumbing washer drain relocation; kitchen sink repipe Permit Fee $ 24,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;$o AMP OROR LESS10.00 Main service EA. ADD'L too 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 Buslnes S. 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.Bi OR ..CNS., DONS. A , hosgft MULTI -OUTLET OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES @50 e0 2AL@30 FIXED APLNS. Ex. DCCUp. OUTLETS PRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. KAI 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 aid County in conseque ce of the granting of this permit. X � ���� lf' ;� Date Signature of Applicant — Owner ❑ Con ctor ❑ 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 FEE AL E TOTAL $ 51.50 HAZ CUA PARK PAR PD HD ISS/ Th's permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR.9F PUBLIC By. / PERMI XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date - s '� Receipt No. 84245 WNITE•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT "' ��F i� ,�'45"w�'�'�i T�dF��l�'�."r•Ii`t"f`�'e`K.ir'r}i—"�1"F`'��1///{J� � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION T 7 COUNTY CENTER DRIVE.^.- OROVICLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT -APPLICATION DATA SHEET Permit No. _ OWNER �' Ef 1 I' l A. P. o. — a 15 Proposed Building Use C BC 5 %"" Building Inspector �� Date 1 6 0 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 Health Department i 15. City of Chico plumbing permit ..................................... Z 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, Classificati0n) ... 0,4 22. Certificate of Workmans Compensation Insurance ......... Z2K23. Owner -Builder Verification (Given to owner o, Mail to owner ..... 41--4 24. Recorded copy of Agricultural -Acknowledgment Statement ......... 25. Letler of signature authoriza ion ......... �6. w *'l, 6, r I S' 27. Whou issue the Kermit, process as follows: Mail o owner. Mail to contractor. Telephone 633 0 rand hold fo ickup at�office. Deliver w. /inspector. Other fM� u 11 d( wQ Appl icant �,Zz,_� W 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 itemn.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�ail—counter bF"---Qate�� Contractor, designer, owner, was advised of above -required data by—phone —mal l—counter by date r Plans checked by Date Plans approved by 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, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER 40NING^ /'�BUILDING'PERMIT OWNER - e- LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LIFAG_ ADDRESS CON ACTOR'S NAME . t TELEPHONE CO` TR C OR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation .s Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT 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 Q©V ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC EL. MAP I Water piping •I< 5.00 5 D Each qas water heater or vent 5.00 USE OF STRUCTURE j SF)�:r DuplexQ-MobilehomeQ Other SPECIFY ; Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISI G I W I O.00e TYPE OF WORK j New[:]. Addition Q Remodel Q Utilities[] Installation❑ IOtherZ. Describe work: n41�_ 4-vr¢L d— /�Su.C� /�^� , %�^�� /3 � �' �. t..� of-S��,E ��aiZ��. �•-� c/�-%�� --r - Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 -% - - "-"i BOOV OR LESS Main service 100 AMP OR LESS 10.00 .,,Maln.SerV ICe EA.. ADD'U.100"AMP 2.50< -- _ CONTRACTORS LICENSE' LAW I declare under penalty of perjury (check one): ! Q I am licensed under provisions of .Chapt. 9, D.i v. 3 of the! Bus Ines$ and Professions Code and my license is in full force and effect. ' _ •' - License No. " "' •" Classification Q•..;I.,,as_the:.owner;:.,or--my-_emp,Ioyees.wttt►-'wages as their sole compen- sation, will do thework, and the structure is not intended or offered _._-__.. _.----.--for sale.' (Sec.:7Q44j :,.:< -.. _... _ -_ ._ . .:_._ ❑ 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 OCGUP.✓) A / NEW , /=2sgft OUTSLET CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS &) l SINGLE OUTLET CIR. . Ex. OCCUp(OUTLETS OR FIXTURES eAL030 eALo3°= l\ Ex. Occup. OFu LETSED P(RESID IRE A.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for 5100.00 (valuation) or less. Q 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. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 County in consequence of the granting of this permit. X "" Date Signature of Applicant -„„ i 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 5 occ CONST TYPE AL FEE 5 �! HAZ CUA PPARKTOTAL FLo PAR Po Ho ssuE TF;s permit is nereby issued unser sions or 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. - WHITE-O.P.W.. YELLOW-ASSEISOK. PINK -INSPECTOR. GOLDENROD -APPLICANT AI, Jo--a-3s - -2- 1S =Ua -r V,)4- 3 Lf - L4 � . . . . � ' ~lip � . . . . � . . � � � � z ' < COUNTY Or' BUTTE, - pepartment 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 a plication for a building permit for the proposed work. `� 3. I have contracted with the fol�low,iLng 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 woric 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 11 -- k;�,— 9 U 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 sl Aa ci cto� r z�$ l �pc� rv�q wd i(am O kAc"V6j s (� 60- r P-1-2rw` l-S fir' r t' Tat: ±%v'2�1�5•s.�[lPx,�h.e: ,� �' :�" r�`yyi�Vt+ ..�.�..� ._.,.. „� i .. � � i. i ! . • � lr�.iiiWs*ryy�::G�+Rra16A ' .,v M•,+"•fntpp7.. `! % , .�R��.QiFyirt \ COUNTY OF BUTTE -DEPARTMENT OF, PUBLIC WORKS PERMIT Nn 7 County Center Drive - Oroville, California 95965 - Telephone:'916/538-7541" 3— - APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 035-215-002 ZONING - RN PERMIT OWNER Donna Keith TELEPHONE 743-7427 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _ AM 4643 Baggett Marysville Road CONT R ACTOR'S NAME Webster Electric TELEPHONE 533-8522 CONTRACTOR'S MAILING ADDRESS 363 Canyon Highlands, Oroville - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS , 4643 Baggett Marysville Rd Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other Elect. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ 'Other ❑ Describe work: Service change add washer & dryer _ circuit & plugs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 O• OO Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare and pen alty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force nd effect. License No. 3GG ��� Classification _ G -- ❑ 1, as the owner, or my employees with wages as their sole compen-, sation, will do_ ,tbe work,and the structure is not intended or -,of=fered'" for sale. (Sec. 7044)' j �„� ❑ I, as the owner, am excliusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under.Sec. , Business and Professions Code for this reason ` ' NEW CONST. DWELLING OCCUP.es OR ADDNS. ACC. BLDGS. , 2/:¢sgft NEW CONSTRESID. RANCH TLET NON.RESID BRANCH CIRC ITS CIRCUITS) 2,50 ea /POWER APPARATUS &) - (POWER OUTLET CIR. EX.,OCCUp�OUTLETS OR FI X'TURES 20@50C 9AL@30 ,� <ED APPL-NS.' OR SEX. Occup...' e LETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 •. Misc. Wiring 15.00 15:00 Pre inspection 15.00 Permit Fee $ 50.00 WORKMEN'S COMPENSATION INSURANCE I 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 to Self -Insure. F Ili, 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 FiIingFee 10.00" Heating Cooling nConsent 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. 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 vr�, . /�%'/�/ „r1� T Da �. 9�`� gnature 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 I CONSTTYPE TOTAL FEE $ HAZ `CUA I PARK SCHL I FLD I PAR I PO I HD I 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 PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /, • z JI`— C92 )�- 7 9-' / Receipt No. 84134 — $50.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNeR PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or ed additional explanation, please contact this officeimmediately. ti lJ� V G Date v Inspect 1� A- • � 1— Building Owner Building Location ENERGY INSTALLATION CERTIFICATE . Building Permit DESCRIPTION OF INSULATION r �e ROOF Material Brand Name Thickness(inches), Thermal Resistance (R Value) EXTERIOR WALL Material re- r l Brand Name Thickness(inches) L" Thermal Resistance(R Value) ,r CEILING 1� Batt or Blanket Type Thickness (inches) _If -3o Qedecom Loose Fill Type /�-3o Minimum Thickness(Inches) & iN Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL - Material Thickness(inches) Brand Name . 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, :ds consistent with approved -building department plans and attachments and con- forms with requirement of Chapter 2-53 of State of California Energy Requiremen ' j FIRM NAME/OWNER, STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION(APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the 3ppli- ance standards and Chapter 2-53 of the State of California Energy requirements. �: :1),V aIq _k_�E f -T /j_. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONT CTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. / 99/ ,ADATE 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. SEPTEMBER 1988 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 035-215-002 ZONING RN BUILDING PERMIT OWNER Donna Keith TELEPHONE 743-7427 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS KOM 4643 Baggett Marysville Road CONTRACTOR'S NAME Webster Electric TELEPHONE 533-8522 CONTRACTOR'S MAILING ADDRESS 363 Canyon Highlands, Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4643 Ba ett Marysville Rd Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other Elect. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110-00e TYPE OF WORK New Addition Remodel E] Utilities❑ Installation❑ Other ❑ Describe work: Servire changp acid washer & dryer _ circuit & plugs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR AMP ORSLESS 10.00 10,00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare un penalty of perjury (check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force nd effect. License No. �GLi� Classification C — �� ❑ 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 ADDNS. ( ACC. BLDGULTI.OUT S. , 2�20sgft NEW CONSTR LET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OcOup(OUTLETS OR FIXTURES AI. L® L@ 0 3 Ex. Occup. ou LETS ED APPIRESID,IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Pre inspection 15.00 Permit Fee $ 50.00 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 J -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 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 County in consequence off the granting of this permit. � Da Z� Signature of Applicant — Owner ❑ Contractor Lam' 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 $ HAZ CUA PARK SCHL FLD PAR Po HD issuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE 11,161T EXPIRES Date the applicable resolutions to do to do have been paid. WORKS Date -6o - 2-7 Receipt No. 84134 — $50.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT 111311pr pig 1, i COUNT ,,0F;i,%JTTE - DEPARTMENT�cOF PUBLIC WORKS -BUILDING DIVISION y . e .. " 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95985 - TELEPHONE: 918/538-7541 1 PERMIT' KATION DATA SHEET Permit No. OWNER ��� i`� IP.No.(�3�-2.f5�00%dd- Proposed Building Use - -�f" �' Biu Itiing Inspector tor -2r -- S Date��--ZS- fC1 t 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 daia-includi g manufacturer's installation I 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 re uiredpri ; Jo 5yupancy) x;20. Pre -Inspection for G-�G� �� J'�7qulred . 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.• When you issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone D3-<35�nd hold for pickup at office. Deliver w. /inspector. Other Appl icantb4 agal_,. lit/ Date - G 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_-nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by 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; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ^�^ Off(/ ('^J'L ZONING BUILDING PERMIT OWNER TELEPH NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADORES CONTRACT R'S NAM - 57-��T'��G T LE HONE 33 -FS CONTRACTOR'S MAILING ADDRESS - r• A � /JS ' Fireplace _ CONSTRUCTION LENDER UNKNOWN c Total Valuation $ 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 Permit fee § 444 / 3 6 L 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 S�Duplex❑ Mobilehome❑. Other�_�' SPECIFY 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 ❑ Utilities ❑ Installation❑ Other ❑ Describe work: V/CIZ- f(�t' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LMain service 100 VAMP ORSLESS 10.00 p 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. Licinse.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 forthis reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.I4 OR ADDNS. ( ACC. BLOGS. /z¢sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea ( POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex, Occup(OUTLETS OR FIXTURES 20@50t SAL@ 30t. FIXED APLNS. Ex. Occup. OUTLETS IPRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 CJ — --JS 0--- ffor Pe mit 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 FilirgFee 10.00 Heating Cooling Hood 3,00 Ventilation Penult Fee § Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X "= .. - "_ :' f" `" Date Signature of Applicant -^;'.:";Owner-❑„_, Contractor ❑ Agent ❑ An OSHA permit is required for excavationsover S'0” -deep and. demolition or construct- ion of structures over 1 stories iry height:: - _ - • Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7AZCUA I PARK I SCHL I FLo I PAR PD HD 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. �'� ©.'ej WHITE•D.r.W.. YELLOW-ASSEj50R.:PINK-INSPECTOR.' GOLDENROD -APPLICANT PRE -INSPECTION OWNER:. DATE:- LOCATION - ATE -LOCATION: A.P. # Z / S -lb(D ck CONTRACTOR:' (,JZ-/3 5i��� / _�C-G� �/ G ZONING �> c PRE -INSPECTION FOR: ark T"�� . P m U �' Novi �, ou.� �Z p �,�.�-•�; ic�G =c C- .� C �� , DATE TO INSPECTOR ------------ PERMIT HISTORY: NONE AS FOLLOWS: - • i , 1 A �' 1 � � ♦ � r TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: F TENNANT : Al t [� OCCUPIED HAS ELECTRICkSi GAS _ AS SANITATION FACILITIES �KKHEATED-Cg@MDPERSON CONTACTE.. OTHER COMMENTS: l':I> u kk I wc. Lsp ACTION MMENDED: ISSUE [� HOLD FOR OTHER: BY DATE c;k 15 LAND OF NATURAL WEALTH AN,D BEAUTY � t«'. "' �, �, a 1• .rte - �� DEPARTMENT OF PUBLIC HEALTH ?- ` r DIVISION OF ENVIRONMENTAL HEALTH L• Address ❑ 695 Oleander Avenue, P.O. Box 1100 X{7 County Center Drive ❑ 747 Elliott Road RHply to Chico, California 95927 Oroville,.California 95965 Paradise, California 95969 Telephone: 9166Mitl2t1;frt Telephone: 916/534-4281 Telephone: 916/872-2961. Ext. 58 891-2727 April 16, 1979 Mr. Ray Gannette 2761 Oak Knoll Way O_t:oville, California 95965 .4643 Baggett-Marysville Rd. Oroville,•California , Dear Mr. -Gannette: Per your request, an inspection"for safety hazards was made at your rental at 4643 Baggett-Marysville Road, Oroville, California on April 10, 1979.. The following items were observed during the inspection which:shall be corrected so as to eliminate any hazard: 1. Hater heater - appears to lack pressure relief valve.and•line, .and has a deteriorated vent. a. Provide a proper pressure relief valve and line. b.. Provide an approved vent pipe for.fuel-burning fixture. 2. t china machine - unapproved waste 11Te to sever lire clean t. Improper electrical hook-up. a. �ovide a proper waste line for the washing machine. b.Yahline. de a grounded electrical receptacle for washing 3. Evidence of wood rot in eave of porch roof. a. Repair.rbof eave on porch. 4. Kitchen range lacks vent. a. Install proper vent over range. 0 Mr. Ray Gannette _ Oroville, California 95965, - April 16, 1979 Page Two S. Rear bedroom ceiling shows water damage. a. Repair leaking roof, repair ceiling damage. 6. North-side large bedroom -*electrical wiring with open splice. a. Repair electrical.wiring - eliminate open splices and illegal wiring. 7. Repair broken window in porch area. The repairs and corrections shall be made.within thirty (30) days. Obtain all required permits from the Butte County Department of Public llorks-�' Ifou have an questions, lease feel free to contact me. Tele hon,- 891-2727 Y Yq �P P Very truly yours, oward J . 44y Jr . ,'R . S . Division of Environmental Health ti HJSJr:bws cc: J. F. Glander Chief Building Inspector Oroville OFFICE COPY _COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER '� ZONING - BUILDING PERMIT OWNER ? Na 1/ -I r N N f' /+ f TELEPHONE ��, �� ��if f i SO..F,T. OCC. ,BUILDING VALUATION OWNER'S MAILING ADDRESS, Ll (, u.� � i/i n.4,l - X2 t/4 V i lir CONTRACTOR'S NAME , • !/)nI ki" TELEPHONE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER IIAA 4 UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS ' Permit Fee $ 4AIM ARCHITECT OR ENGINEER J)4 "t< LICENSE NO. Plan Checking Fee ,b' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �/i Permit fee $415 PLUMBING PERMIT Filing Fee 10.00 />y 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 . C)O USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other r - SPECIFY Gas piping system 1 - 5 outlets 5.00 q,01) Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition[] Re�m+odel❑ Utilities[]Instalati�oj' LO Other Describe work:✓ 1,)/-,, (�/� 4 h — �Ko Z`xl► _ f Permit Fee $ /S,�n Contractor ELECTRICAL PERMIT Filing Fee 10.00 r Main service 8011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification 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 OCCU1.01 , New DCONS. AUC ) h2sgft TBI ODDS.UTL NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS S) I SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA Oat AL0 FIXED Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $� , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. `01 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation F. permit Fee I $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save; indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said.County in consequence of the granting of this permit. X r/� s /� 2 f• O c��� `�' Date 4 Signature of Applicant — Owner P�i— Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ V _ TOTAL PERMIT FEE $ occu P. CONST.TYP! I JFLOO=J NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ,/ y By � .!/ Date PERMIT EXPIRES Date /• ' - -0,r Re ei t N � (�/ WHIC/T!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT W17 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO., 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 7 APPLICATWANfD PERMIT ASSESSOR PARCEL NUMX ZONING BUILDING PERMIT OWN TELEPHONE .SO OCC. BUILDING VALUATVON '' OWNER' 'SIJAAILIN&DDRESS�fn U ` A/ 6 t CONT ACTOR'S A TELEPH NE CO ACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LE 'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS AA - ` C Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ark t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCIfL MAP Water piping 5.00 Each qas water heater or vent . 5.00 ,S , ®� USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ,Q Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Additi n Remodel ❑ AilitiesEl Insta lat' ElOther ❑ c i' Describe work: —I >1F3 I r Permit Fee $ S 1 06 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610000' 0.14 LESS 100 AM OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification F�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 OCCUP.d , OR ADDNS. ACC. BLDGS. h¢Sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS & (SINGLE OUTLET CIR, Ex. Occup�OUTLETS OR FIXTURES 2AL SOC eALO90 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ s t Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 unty in consequence of the granting of this permit. X Date 2�^ 6 G� 4 � Signature ofppiicont — Owner®" Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 sstorics in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP, CONST.TTPC I FLOOD PARCEL PD I No --[ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR aTOF PUBLIC By PERMIT EXPIRES Daye �0 the applicable provi- resolutions to do fees have been paid. WORKS�i�+Sion ,p�ReceiptNo. Dat �0 S �._� �ssz"6 �/ o WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone:- 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ef_j 2. I (have/have not) l/ e— 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 -r'-f.- o -- /I - NOTE: 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 completedand returned to our office before we are per- mitted to issue the permit.