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035-222-025
�35-223,-254865 Lincoln Blvd, ORoville> Permit#2938-88E(new ele ser'S 9kla Permit #3684-88B,P,E(reroof, re�kitchen & sheetrock)SF p— | � � / �35-222-25 / } , �Pe6- 8B( 35-222-25 1710add covered porc 67IS � � �HALL, Michael.4865 12 --Lincoln Blvd., Oroville i' | � � ` | t " ^` ' ! � . / . ' ^ . I PERMIT No. 3705-88B, P, E PERMIT EXPIRES OWNER SHARON KIPPER CONTR. owner ASSESSOR PARCEL 35-222-25 'LOCATION 48652 Lincoln Blvd, Oro y , . l 41 F - y Temp. Power Pole Called PG&E Temp. Elec! Service Called PG&E Temp. Gas Q—A-- f Called Pt r y JOB FINALEI Signature =OK o = Not OK Applicable =Not Applicable RESIDENTIAL (Single and Duplex) - = Not Ready Date-' ' UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Deptt 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circa / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 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-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Date FI L fans) OK except #'s 1 t. Steps -Door & Sidelight Protection -Landings 2.5m4ke Detector Furnace; Vents -Clearance -Comb. Air-Connector- lo-A-A'rage; Above Floor-Ducts-Mech. Protection 4. Be room -Exiting & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails ce or Stove; Clearances -Hearth le2�utiets at Wood Panel; Int. & Ext. it. F . 8 Appliance; Grnd. -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer ct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In e; Above Floor-Mech. Protection Ib., Elec.,&-Mech. Equip. Listed for Location eceptacles in Garage; (G.F.I.)-Romex Protec. In�yJation-Foam-Looked in Attic ❑ Yes G ails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes alks ❑ Yes m Pto� Planters ❑ Yes ❑ No ,rdw.n-Finish nit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to -9-4. Waw ell; Disconnect, Electrical, Plumbing r Elec. Trim; G.F.I. Receptacle -Underground VeaW6iion throughout House j7!ss Protection Cons from Previous Inpections ,Q8- Water & Sewer Connected -C/O to Grade -HD Approval ,=-61--Energq-Eempliance Certificate -Other Certificates fmg Certificate Card -61 Date and -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0 = Not OK =NtReaiable odyMOBILE HOMES' �' MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date 77 DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete' ' 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch). 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5.'Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P'U ft, 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. ' 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -81 Date r 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setback§=Easements " Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -61 Date ' 3.'Gas; MH Test -Demand -Valve -Connector ; 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3."Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged_ Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances=GF1 10. Cert. of Occupancy S. 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. Card -81 Date Card -61 Date Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test' Card -131 Date Card -61 Date - Card -B1 Date Card -131 Date } X z �- ,%rc .. �.� ' �.r.-yfLi,..�v..c.:.p ��lic^1,`,a'���iysu"=�f�"►�'1"'43CS:'�^.v.�:7�..t,;.r}`;� . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS " g 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541. o 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER D•S� 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 need additional explanation, please contact this office immediately. Al Inspector /'/� Date —� Y. - '=.��p�.�'.=�r=�';=�=�.'�a-'�v...j./�,7�,-.�.-.iii'—�.•A-•---..ti"v=n-�~-"--r---�"h'•.,Z„>c+�+'Lr"`'�'"�.,,C�" _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 598-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ERMIT 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 need additional explanation, please contact this office immediately. Inspector U / Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. e 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 yO APPLICA7,10N AND PERMIT ASS SSOR PA C L UMBE �+ V ZONI BUILDING PERMIT Ow T E HONE SO. FT. OCC. BUILDING VALUATION OW E VA NG DD ESS ✓ore v, �CZ6rIRACI 0R'S NAM TELE HON CONTRACTOR'5 MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH] ECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ A C 1 CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS p. \`J tPermit h 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 SFOO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG W O.00ea TYPE OF WORK New ❑ Addition% emodel ❑gti lities ❑ / Installation❑ Other ❑ Describe ork' i l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW a CONST. DWELLING OCCUP. OR ADDNS. ACC. BLDGS. ) �20sgft NEW CONSTR U TI.OUTLET NON-RESID .BRA CH CIRCUITS2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. ) EX. OCCUp(OUTLET3 OR FIXTURES eAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I 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 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 liabiliti s, judgments, costs, and expenses which may in any way accrue' against s Co ty in consequence of the granting of this permit. %� Date — — ignatU o 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 hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONS PE scNODL PLD PARCEL PD 11 ISSuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w ich iRE T 0 UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�2—�—p r Receipt No. WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF OUBLIC WORKS - BUILDING DIVISION r 4 ' 7 COUNTY CENTER DRIVE - OROVILpE"CALjl bRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER S1'X-aAenAJ k� IP41 2? A. P. No. -3 'S- 7 22 ? - •?_ Proposed Building Use Building Inspector Date At time of permit plication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIV D APPROVED AI items have been submitted....................................if lot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicat se Igned by preparer of plans .. ' 4. Complete engineered plans and calcs, with -wet signature on plans .. 5. Energy Design Compliance and supporting documentation .......... 6. Statement of Intent for Non -Heated and AC Buildings ............... 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... l� 9. Fees of $ � v 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ................................................... I y4�i �t 12. School District fees paid .............. Sanitation approval from Health Department ... 14. City of Chico plumbing permit .................................. 15 Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required . , , . Pre-Inspec. request to Pre -Inspection q Building Inspector •(Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement 24. Letter of signature authorization ...................................... 25. �.. 26. When you issue the permit, process as follows: Mail t owner. Mail to contractor. _ Telephone- _53-3-, 3TX3 and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent . Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). r . Contractor, designer, owner, was advised of above required data by_phone__nail ,f counter by date Contractor, designer, owner, was advised of above required data by—phone _mal'I— countey4__�— date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder / Date 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) /�1/4:?- 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 Yl�//fLyyL�—s 5-3 3- 3 -o� 3 Signed: Property Owner Social Security umber Date / Z - Z — FISr 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. fhis ` set of plans and specifications MUS1 . be rept on the job at all times and it is unlawful tc make any ch„g as or altorationo on camp without written permis'son from the Department of Public Works, County of Butte. A setback of Aft. from the Property lines and a setback of T 55 f ! from the road M centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. 5 C r 4. 13UTTE COON I Y c3UILDING DP—PA RTMPN1 ADPI, 0® J ' J'x A -L•` Hs-A•� X2-5 f -XE- q 4 X N - g po2��+ CJ `' o ' SLIDiNS. ool CLOSET CLA-SS D°o2 _ 3 p°oR � � a k � I olNrni4 4�.: LIVIn�c, 2oow�/, ! C)li /<, l4err7lM h , s. . h 0 i " q s M y � 3 v BE•p/zoo {"' Q 6 - i o GLOSEr T v C WA -LL. /ZO JT' L iT^/ I j S = i PrPc-S 13UTTE COUNTY vlri-)°w BUILDING DEPARTMENT APPPOVED �� zii -Z r �rT Porzc,+ a in NOTE: -=-All MatcricIs & Workmanship Shall Bend AcAccordance warn 2e.zo-1 g; _ r. i use in the ,.W f es �-' . c 3 A1C: O� p i?ic GAS:' i Ci���Y S. c:,..• 'j N4ec4 anical Codes an g c. the National Eiectricai Code. • n — Mac. Also Min. Run Run moUved toy to tib@; - 3r8„ mac. toiotlando WOW larges & sMAI060AIII t5Ui7EIMPARTMENT UN17 ING APPROVED L iNcaLAi 13L ✓ D LZ2 — ZS �/2a of i Po re C. H a ,,x 6, IfAF6-r&-?Zs _ GM 11 Root CE,1„�-des ' •� x 4,1 CE1L,AuG Jors� IIG Dx PAY AA WAS gy p— �ps<c Po s r 5 �S Fr �s v'o" o .` c� MAX � 4 X y. BUT COUNTY PARTMENI CO srx�/rP-s A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERAAIT N0.' 1 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT !!! ASSESSOR PARCEL NUMBER S _,,221 - aS ZONING BUILDING PERMIT OW ER Ar -o av fC t e TELEPHONE 3,3 '3003 SQ. FT. OCC. BUILDING VALU ION �1 U Qtt�vi OWNER'S MAILING ADORES Ga v %mac alvj etou"11,P Ciq v, rac CONTRACTOR'S NAME BcU e_jr— TELEPHONE - CONTRACTOR'SS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN - .Total Valuation Is o20 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT,OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS' Permit tee $ / p 3 , '?e j PLUMBING PERMIT Filing Fee 10.00 5 Each Trap 2,00 cA, r Q- Solar or heat pump water heater 20.00 LOT NO.. SUBDIVISION NAME PARCEL MAP Water piping 5,00 A-V Each gas water heater or vent 5.00 O97_ USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 S:O-o Mobile Home S G W 0.00 ea TYPE OF WORK New❑ Addition[] Remodel Utilities❑ Installation❑ Other❑ Describe work: (Reroo'P_ Pe -Wil -IL t-eA,,oA&J k; L Qat,nnlJ �� eo()'OOI% + Qfe.41o%rooAA uJLt�+ exisria,G s.na �e, /iNdfolc-L I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 J `.A IA%S �C)I (r CT V I C N �% e` ( 7 Main service e00V OR LESS 100 AMP OR LESS . U, 1000 y a000L Main service EA. ADD'L 100 AMP 2.50 CO TRACT S LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBUSIness and Professions Code and my license is in full force and effect. License No. Classification yM�,/ VY I, a5 the owner, or my employees with wages as their sole compen- !ll---�" sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADONS. ACC. BLDGS. / OCCUP.81) �ZQSgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCHCIRC TS 2.50 ea POWER APPARATUS IN SINGLE OUTLET cIR. Ex. OCCU OUTLETS OR FIXTURES p 20050 DAL03o FIXED APPLNS• OR EX. Occup. OUTLETS (RESID.) EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 1 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 9 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 sa' nty in consequence of the granting of this permit. X _ Signature of Applicant - Owner�Contractor ❑ Agent Elwork An OSHA permit is required for excava i.d 5ver 5'0" deep and demolition or construct- ion of structures over 3 stories in he' Mobile Home Installation Fee $ Energy Inspection Fee $ 1,0 TOTAL PERMIT FEE OCCUP. CONST.TYPc ISCHOOLI IFLOODIPARCELI PD ND 9UE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTO F PUBLIC �y EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date //—z'147 /�� Receipt NO. Q �J_7,-J f A WNITE-D.P.W.. YELLOW -ASSESSOR, PIN - NSPECTOR. GOLDENROD -APPLICANT ,. G,cs2�z�� ��—h, C���-'�i12- G/ r, `r�lE�'}i /" 1�'�ri,,,�jE"^s'°M*'-'ti1,+-�.1-.�*�,�•*�i `.l�.J.t..,y"'7��'77M"`� • rT �l�i'{" s ,'1 ,'� r ; u. ;,ryi,..; ' .. ' r .. . I COUNTY OF BUTTE - DEPARTMENTrOF;PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL'L�:C1iLfFORNIA 95965 -TELEPHONE: 916/538-7541 't s,.- S. t ..+ 4 ,+• '.PERMIT APPU LION DATA SHEET ( _ }� •Permit No. OWNER S ?"70.)v (' f'0 f— A. P. No. Proposed Building Use �°�B�e� Building Inspector leA Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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 du licat /triplicate, signed by preparer of plans. 71- 15 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of I t for Non ated and C Build s. 9. Letter of signature authorization., 6A l0. Sanitation approval from 0 r �J I Health Dept,<d0'ej. Zl— 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) • 14. Owner -Builder Verification (Given to owner, Mail to owner ❑) _15. Improvements may be required. . . . . . . . . . . . 16. M_ obi lehome Installation Data. . . . . . . . . . z. Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. CUA SEES RECEIPT 0 Whenyou issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 5�3 34A3 and hold for pickup at is office, Deliver w/inspector. Other Applicant - Date Copy of'plans sent Health Dept., Fire Dept., Other Date 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: r" Contractor, des l r, Awn, was advised of above required data bye phone�nail_counter gt�' to Contractor, designer was advised of above required data b*p phone_mall_counter by date _ Plans checked b„ / Date ��s approved bg_UZZ(// Date Sets of plans on hold in File cabinet AP folder Copy—DPW 4. 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 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. 4 g(os �/t L )AfCO LN a �- v o , Provide 1 bedroom window with minimum Max. lit Cd' Alse (,-J Loo PL ni _ _ �� open dimensions of 24" high, 20" wide; qq 5.7 sq. ft. area, and 44" maximum•. siltRu----.C. Min. Run A -LL Hz e -7e_ S &XE' 'f X height.. - _ 3/s" measured toe to toe, Max.atolerance esa,twoon lamest & smallest riselrun. d GIA" Q � CLO SCT C.LA-SS Do02 i Y p a 3 ��a I X � I DIMIIvC � (D 9 3 1_57 IIG 8 Provide'/s x 10" anchor bolts` I @ 6' O.C. max. and within 0 ' T2 ,of join s. 19 4 1 a R ECRB ,—kid 11 smoke etect eve `, y ., ZPa 6 cLns� r E APPROVED PROVIDVENT 6 . z� 3 AND AI'EQU.TE COiJ�P� 1STION AIR 1-01 14-E TER &/OR W. H. T v C :v A•LL_ d Com; 2. n F7 t5 QOM A Hated= am WMA I i' i t� 3 I I - n I I �I °tlD IV /7- JTILP?/ U i� f �- S� wP,ic�Lf�th�l_S / 7- 7 L='� c 2 2 NOTE—AII Materials & Wor%manship Shaw go in Ws s+$ �f plr�s andsp?'ee$ians MUST Vit,, Accordance weoh Recognized Good Practices and kep¢ on the job of J tisr€s and iI` is unlawful to of a quality prescribed far the S pecified use in• the make an 6z� t.gvs car altsnat,cns on Dame Wi`Fhou� ,; Z! y� Uniform Building, PEI., :fling & Mechanical Codes and wriltQn permission from the Deparrrrient of Pub- � r the National Electrical Code.' ,,` lic Works, County of butte. 11Z626 //Z LWCOL" BLVD.1 .. -N W A -L L. � I LEWC71b+ 1 Z 1 A10 He-PrDO�*� lAi -r-"-#s UJ4-LI- ProvI:de 1/2" x 10" anchor bolts @ 6' O.C. max. and within 12" of joints. V. Troz4o*. . I W13ILDIN-G DFP&-PT�4*0 - ----- )APP CJ i � t � � i j,. ! j � A10 He-PrDO�*� lAi -r-"-#s UJ4-LI- ProvI:de 1/2" x 10" anchor bolts @ 6' O.C. max. and within 12" of joints. V. Troz4o*. . I W13ILDIN-G DFP&-PT�4*0 - ----- )APP CJ WAi-L#Z �k Pr o e R ARL Provide 1/21' x 10" anchor bolts 4,iK @ 6' O.C. max. and within.®�1� 12" of joints. PPa jE t ! i ' � Pr o e R ARL Provide 1/21' x 10" anchor bolts 4,iK @ 6' O.C. max. and within.®�1� 12" of joints. PPa jE I El 3? f - r f 0 4A �ji':i: �xr__.!a�;:•'�:d�tio.;:�s'{�euy:y'�rar�cr;f�v e'..'z7t'•�;�a';: Vii. ,ac his ' rl t } . 1 u k OFFICE COPY Address GAS Meter By Date ELECTRIC;j�L Meter By Da e r �1 f� i COUNTY OF BUTTE -DEPARTMENT OF DEVFLOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Caiit6rnie195965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 035-222-025 ZONING RN BUILDING PERMIT OWNER MICHAEL HALL TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1032 GREENE LN., YUBA CITY CA 95991 CONTRACTOR'S NAME G B & E CONST TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS t e t Penalty $ BUILDINGAD RESs 4865 LINCOLN BLVD. OROVILLE - - PERMITFEE $ PLUMBING PERMIT 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 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q'{ Installation ❑ Other ❑ Describe Work: TAG EXISTING ELECTRIC SERVICE ' — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service ( 20ov OR LESS OR LESS ) 200A 23.00 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 e ✓r, p, c.< AIP. f Lic. No. - d -/ e G `/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law forthe following reason: 1.Mobile ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ) N( a ACC.T. sO. 3.5a Fr. MULTI.OUTLETLEBLEIS NEW CONST NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 00 20 Q 1.5. �L Ex. Occup. (ounEED RESID.OEA ) 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of peijury 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' compensatio6dhsurance carrier and policy number are: Carrier �.. �_ ` MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number "'r - L (The above sections need not be completed if.,ther permit is for work of a valuation of one hundred dollars ($100) or,less.) `. 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, 1 shall forthw h comply with those provisions. `• ` ' X——/�%�..a.� Date a _/ �' Signature of Applicant - ❑ Owner Cd;-eontractor ❑ 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 ..,,. I CONST°TV PE TOTAL FEE $ 43.00 HA2.'D.IFEES IMP FLOOD CDF t .•- PARCEL --- 'pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated Ove for which fees have Al By PERMITEXPIRESON I vie applicable provisions Resolutions to do work paid. Date Vi V441 (Date) Receipt No. 175569 WHITE-D.D.S.-B.D. CANARY -ASSESSOR. PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N ' 7 County Center Drive - Orovilt'e; .Cali€jrnia 95965 - Telephone (916) 538-75 PFRMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-222-025 ZONING RN BUILDING PERMIT OWNER MICHAEL HALL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1032 GREENE LN. 'YUBA CITY CA 95991 CONTRACTOR'S NAME G B & E CONST TELEPHONE ' CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 48651 LINCOLN BLVD., OROVILLE . PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 00 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑ Describe Work: TAG EXISTING ELECTRIC SERVICE Mobile Home I S I GI W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ,- /�/,o I Lic. No. a G y O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Coltractors 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 ADONS. ( & ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 0 1.0.0 BAL.SO Ex. Occup. (oPES D.) FIXED R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 forthw- h comply with those provisions. X � Date Signat re Applicantl- ❑ Owner GI-eontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ve for which fees have ByDate PERMITEXPIRESON applicable provisions Resolutions to do work paid. V/ (Date) Receipt No. 175569 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT eounf* 4 JkUe OROVILLE, CALIFORNIA ' GENERAL CLAIM CLAIMANT: Sharon Kipper ADDRESS: 6240 Lincoln Blvd. CITY & STATE: Oroville, CA 95965 IMPORTANT: November 15, 1988 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #36�8BPE, Receipt #27287, dated 11/10/88). A.P. #35-222-25. Building permit fees paid -------------------------- $60.50 Retain filing fee ----------------------- $ 10.00 ------------------------------------------------ Plumbing fee paid --------------------------------- $ 12.00 Retain filing fee-----------------------$ 10.00 Refunddue------------------------------------------------- 2.00 Electrical permit fee paid------------------------- 35.00 Retain filing fee-----------------------$ 10.00 Refund due ----------------------------------- -------------- $ 25.00 c TOTAL REFUND DUE ------------------------------------------- $ 77.50 TOTAL $77 0 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. �,J �/ r� Dated this / Y / de of A/0. .: . 190(J at..� l�%(r� r Calif. A t%r nature of Claim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget AppropriationO or Specific Board Approval❑ (Check one) for the ame. Dated this 15th y of November 19 88 at Orovill@ de .. . alif. artment Heed or Authorize uty D0D`'440-002 E_°' 4210500 Code ............................................ Code ..................»...........................PAYABLE FROM ..............C.O st. Permits ..................................... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i l' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIJ NO. 7 County Center Drive - Oroville. C.alifornia 95965 - Telephone: 916/538-7541. X APPLICATION AND PERMIT uu ASSOR PA C N MBER� �- ZONING BUILDING PERMIT OWN TELEPHONE (��J'3� SQ.FT. OCC. BUILDING VALUATION O 0 WNER'S MAILING ADORE C[PDrew �/ I' ONTRhAC T89 CRR'S AME 1 WI TELEPHONE ' 'CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee _ $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / 5 Permit fee $ ' D, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 a,JD 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 r8�t SF (9 Duplex❑ Mobilehome❑ Other SPECIFY 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 [I Remo el ElUtilities[ Install do Other rV'- Descri a work: j Pennit Fee $ Ap- Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61, OR ADDNS. ACC. BLDGS. h¢sq it NEW CONSTR. LET NO N.RESID .BRA CH CIRCUITS) 2.50 ea (/POWER APPARATUS &) 1 SINGLE OUTLET CIR, Ex. OCeu 20050e po UTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 —4 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 liabiliti j gnents, costs, and expenses which may in any way accrue against s )� in conse encs of the granting of this permit. X% r — 10 .. Date / Sof Applicant – Owner Contractor E]Agent❑ A ' naturen OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h"ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE o OCCUP. CONST.TTPE ISCHOOLIFLOODIPA.ICE11 PD r I 139.E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., TELLOW-A..f I.O., PINK -INSPECTOR, GOLDEN ROD-AP►LI CANT 7. COUNTY OF BUTTE - LPARTMENT_OP"PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILW,.OAiIF©RNIA 95965'- TELEPHONE: 916/538-7541 , PERMIT APPLICATION DATA SHEET e'_-,v Permit No.OWNER. No. 55 -pg/ Proposed Building Use 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 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 'I 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. t , 13. , Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. =17. Mobi lehome Installation Dat . . . . . . . . . l /D Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22, CUA'FEES RECEIPT # When you issue the permit, process as follows: Mail to owner, Mail to contractor. 533 -3003 Telephone and hold for pickup at office, Deliver w/inspector. Other Applicanj Date Copy of plans sent Health Dept., Fire Dept., Other Date 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_Jmail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW � -. '��' J, •�-p- f,"'`/1• '.,r ,{ .� _`, i/t ,i � mr. .. - •.�41-r.r^L.. f-.�-�.-iTire• .1-.. 2938-88E Sharon Kipper '4865 Lincoln Blvd. ,. Oroville' t +I COUNTY OF BUTTE.-- DEPARTMENT OF PUBLIC WORKS ; PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/5387541, APPLICATION AND PERMIT t ASSESSSSOtgR* PARCEL -,NUM -BER .+� � ZONING N� BUILDING PERMIT OWNER .:.. a) -A ill i e w TELEPHONE 533 '30,03 SO. FT. OCC, BUILT ING'VALUATION OWNER'S MAILING ADDRESS h,�?U ;,,,e_ -o CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 ADDRESSPermit 4/9/,6 fee $ PLUMBING PERMIT Filing Fee 10.00 A, A/ V/ Each Trap 2.00 C)foVf ' Lr Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I Water piping 5.00 Each qas water heater or vent 5.00 - USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other i SPECIFY ; Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S�Et O.OOea 'TYPE OF WORK r� New F] Addition [:]Remodel [:]a.! Utilities Installation[] Other ❑ Describe work: A2PCA.) :5-'t'V"C e [i _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 �y.xa 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 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) 4 ❑ 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.Bd) '/zQsgft OR ACDNS. 1 ACC, BLDGS. NEW CONSTR ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( 20®300 OUTLETS OR FIXTURES BALI 30 - FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 0" ( a nee + ' b A/ Permit Fee 1 $ 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 witfi•,the County of Butte Building Department /L'J^ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure.' t' ❑ I shall not employ any person In\any manner so as to become subject to the W. C. laws of California. \ , , Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you`�must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and'state•tliat 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 thebounty of Butte against liabilities, judgments, costs, and expenses which may in any way accruev against said Co my in consequence of the granting of this permit. .•— � ` 3 _ �/�� X Date %� %--�❑ ❑ Signature of pplicant — 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 $ TOTAL PERMIT FEE $ 3's P110 CONST.TYPEJ ]7LOOOJPARcrL.J PD ND ISSUEall 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. DIREC.T6R4 PUBLIC WORKS ' f/// ? /4- By ` -..%/� Dae l PERMIT EXPIRES Date _ - (',� 4 i' ^� Receipt NO. t?—A a 7 � ( WHITE-D.P.W., TELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS MI NO C / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER n 3J[-_ a_ ' a ZONINGn ff /P BUILDING PERMIT OWNJER aro % ` e TELEPHONE 533 -304)3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I/ ; .',,C_4) ti OroV IW CONTRACTOR'S NAME _TELEPHONE CON TR ACTOR'S.MAI LING ADDRESS 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 /L1 9 41 Permit fee - _ $ PLUMBING PERMIT Filing Fee 10.00 `Al e a �.✓ v� Each Trap - 2.00 D.r©v; 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 LJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Gtr of V e? 14A4_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 001 OR Main service 100 AMP ORSLESS 10.00 d� 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN CCUP.5i\ NR ADDNSCONST. DWEACCLGSyz¢sgft / NEW CONSTR.ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2 -SO ea POWER APPARATUS tk (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030c sAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.1 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 4)-0 / Fre.,Ai Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 s 'a Ce my in consequence of the granting of this permit. X Date � 3 � Signature of pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for xcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 4)'n TOTAL PERMIT FEE $ 350 occuP. CONST,TYPEJ I IFWODIPAPCEL.1 PD I ND 39UE This permit is hereby issued under Bions of the Butte County. Code and/or work indicated above for which ECT PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r)atAxV a Receipt No. 2 2- -7 WHITE-D.P.W., YELLOW-ASDE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER V ' A COUNTY OF BUTTE - DEPARTMENT. rPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILj,,E„,CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET + Permit Nn_ Sin o, r o rJ Proposed Building Use I DD Building Inspector A. P. No. 3G, -4Z -,Z- 0Z9 Date �3 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. Plans with Energy Design Compliance Statement. 6. School District "Fees Paid” Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings, , 8. Fees of $ , , , , , , .9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11.- Planning approval for (A) Use: (B) Parking: AnA. Certificate of Workmen's Compensation Insurance. . . . . . - c 13. Contractor's License Information (no., name style, classiif.) 14. Owner -Builder Verification�(Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. 9 `:75. . . . . . . . Pre -Inspection for/�'C�rica�•"J'� eRe uired, Pre -Inspect request to (Dote) q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses Jn duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner,. Mail to contractor. �elephone 533-300'5 and hold for pickup at 017-4 office, Deliverinspector. Other Applican to Copy of plans sent Health Dept., Fire Dept., Other ,/ Date The following data must be submitted prior to permit issuance: (Circle 1. Index permit for above items No. 2. Additional items required: r item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—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, 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. Pleasecomplete 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) ES 2. I (have/have not) �f C 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. .1 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 7121yLCYLR-FT 2--)? Fr w-/Av�- ' 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965,6- Telephone: 916/538-7541 APPLICATION AND, PERMIT PERMIT NO. MESSOR PARCEL NUMBER D 35-- 2- ZONINCyt� (�Y�/�/ BUILDING PERMIT NNY, R ara K' e TELEPHONEI 533 -3003 SO. FT. OCC. BUILDING VALUATION HNER'S MAILING ADDRESS y d 4 ; ,- __ o .tom Ora v ` I ONTRACTOR'S NAME e r TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace ONSTRUCTION LENDER UNKNOWN I ( Total Valuation $ Filing Fee 10 ENOER'S MAILING ADDRESS Permit Fee ,091 S RCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ RCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ UILDING �ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1 tic d �'`/ ���� S— Each Trap 2.00 enoVf I Solar or heat pump water heater 20.00 OT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE � I F �I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK Vew❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: 4Z 0 ez) et' V M!`7 A/0- tlS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. 1 License No. Classification ?FIXED 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.ai , OR AODNS. ACC. BLOGS. /20sgft NEW CONSTR ULTI.OUTLET 2.50 ea NO N•R ESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. 20ee0e Occup(OUTLETS OR FIXTURES eAL030 APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 a -O 9 Fre A) Permit Fee $ Contractor . WORKMEN'S COMPENSATION INSURANCE 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 3rovisions or this permit shall be deemed revoked. + MECHANICAL PERMIT FiIirlgFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor certify that I have read this application and state that the above information s correct. I agree to comply to all County Ordinances and State Laws relating o building construction, and hereby authorize representatives of the County'ot 3utte 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 s Comy in consequence of the granting of this permit. ` K Date �_ � 3 ' Signature of Applicant — Owner Contractor ❑ Agent ❑ 4n OSHA permit is required for xcovations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.7PEJ I J1'WOOJPARCVLJ PD 1 ND 1 13SUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date aeceipt No. 2'2 2L 7 S NNITE-O.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT