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HomeMy WebLinkAbout035-223-015DON PETERSON •�>` �x� -' 4850 Lincoln Blvd., Oroville -CONTR: Deakins Const ,Oro. ?� Permit 1361-74B (re�pid�m`ae) ,t +:� 035-22=3=015 93-769 B,.-, KING, MILDRED 4850 LINCOLN BLVD, OROVILLE TR CON: LARRY WEST 2 ' CARPORR 035-22-3-015 93-2199 -B KING, MILDRED 4850 LINCOLN.BLVD,•OROVILE ' . CONTR: "LARRY NEW WINDOWS/SFi .. 035-223-015``,: ;' PERMIT#96=0700 µ KING, Mi Tared i 4850 Lincoln ;_Blvd'` ,. Oroville Cont; George Roofing. � Rer6of/SF • � i 7 Y,' • i � A • - + IK. 1 r • 1 1 -t I cw • i r 7 i i i t t • ' + t J i • - t ti f i DON PETERSON •�>` �x� -' 4850 Lincoln Blvd., Oroville -CONTR: Deakins Const ,Oro. ?� Permit 1361-74B (re�pid�m`ae) ,t +:� 035-22=3=015 93-769 B,.-, KING, MILDRED 4850 LINCOLN BLVD, OROVILLE TR CON: LARRY WEST 2 ' CARPORR 035-22-3-015 93-2199 -B KING, MILDRED 4850 LINCOLN.BLVD,•OROVILE ' . CONTR: "LARRY NEW WINDOWS/SFi .. 035-223-015``,: ;' PERMIT#96=0700 µ KING, Mi Tared i 4850 Lincoln ;_Blvd'` ,. Oroville Cont; George Roofing. � Rer6of/SF • � i 7 Y,' • i � A • - + IK. 1 r • 1 1 -t I cw • i r C*411k#4 C 035-223=015'— ".1,- -PERMIT#96=0700 «Y • !' ,, _ sir{ KING, ,Mildred 4.850 Lincoln Blvd. rOroville ` _' .� ��'�+ • �` �; `� Cont; George Roofing Reroof/SF`'` ' d II COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 9b-965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT 9�` Q» ASSESSOR PARCEL NUMBER ( -- w ZONING BUiebING PERMIT OWNEqTTELEPHONEr , J�4O 7 SO. FT. OCC. BUILDING VALUATION a o cc)*,- OWNER'S MAILING ADDRESS .! ,'�>cr. 8411d, d1k49v1' le- 47-T 9; at) o q04- ,... CONTRACTOR'S NAME r �Nc TELEPHONE 3 —G 93 CONTRACTORS NG ADDRESS G i Ae%VLI.� -5 91ee 4/ Fireplace CONSTRUCTION LENDER f I UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 $ BUILDINGADDRESS •-'- r ' N ! C) / 4 We PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 r Each Trap r 1 7.00 LOT NO. SUBDNISIONS NAME .{ PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF Duplex El Mbilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ L Describe Work: i.� �- bNi�(i Uig Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /J License Class C- 3 4' Lic. No. 4�2�c b 4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. !I I ❑ 1 am exempt under See. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ACDNS. ( a ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 �L 50 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i! PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co rpensation insurance carrier and policy number are: Carrier %p {4e -.O l Ac_aryle :=a i Policy Number N kJC,.— -'_?A112 Q.5 00 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X )i AC _ '21.4,ebDate a .( CY _ gent Signature of Applicant ❑ caner Contractor X, Agent'_ An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE /]� TOTAL FEE $ -3t?, 0-2.0 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been /r� } `Y , � PERMITEXPIRESON ` (Date provisions to do work paid. Date (s' C Receipt No. ") `,? �� WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF[1EVELOPMENTSERVICES -BUILDINGDIVIS N 7 -County Center Drive - Orovillle, California 95965 - Telephone (916) 538-75 Pv RMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 3 v ^ ZONING BU116ING PERMIT OWNE TFlFP";E lq!5�46 SQ. FT. OCC. BUILDING VALUATION &O �^� D+ OWNERS MAILING ADDRESS �y / ) Iogfc/ /Ads �1+DU i� `tom /���(� 00 mo -t— CONTRACTOR'S NAME ' ,eo r �` ' TELEPHONE .53 434_3 CONTRACTOR'S MAVJNG ADDRESS + D �� + ,01,' 7-5 l/ Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ` QUA WeL-1 PERMITFEE $h, a PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SU8DNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ L o Describe Work:Siy. g Ul[+ U Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 2OOA TO 1000. ) 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. � 2��� License Class C—QJ ct LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( 8 ACC. BUDS. ) 3.5Q FT. CONST. MULTI.OUTLET NEW ID. NON -RES ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (& SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 50 FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers Carrier ' 7 s' cofngensation insurance carrier and policy number are: Qq%!_ :zr_✓7S d MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor ;M Policy Number WC, — 12 0.5 — 190 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X � na ,24 q % _ Signature of Applicant - ❑ Owner Cocontractor 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 Is occ CONST. TYPE TOTAL FEE $ -3q, o� HA2. I D. FEES I IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y Date PERMITEXPIRESON o� (Date Receipt No. [0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �7rq { Tt. l . { 035-22-3-015 93-2199'B ,. KING, 'MILDRED �, x.4`850 LINCOLN BLVD, OROVILE ,CONTM ,LARRY WEST - .,y - NEW WINDOWS/SF �7rq { Tt. l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone: 916.538-7541 3" APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER . 035-223-015 ZONING_ Itis BUILDING PERMIT OWNER Mildred King TELEW ONE 533-4540 S0. FT. OCC. BUILDING VALUATION Est. 1 200.00 OWNER'S MAILING ADDRESS 4850 Lincoln Blvd., Oroville 95966 1, CONTRACTOR'S NAME Larr West - TELEPHONE 533-5478 CONTRACTOR'S MAILING ADDRESS 2342 Vita lAton Oroville 95965 t Fireplace CONSTRUCTION LENDER UNKNOWN t Total Valuation I $ 1, 200. Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 40.50 PLUMBING PERMIT Filing Fee 15.00 4850 Lincoln Blvd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 00 ttl00 TYPE OF WORK New r` Addition _j Remodel Utilities ❑ InstallationC Other ❑ Describe work: cm Changing Out Windows _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force an effect. License .JO. �' 2 S '7/ 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 M CONST. ( DWELLING OCCUP OR ADDNS. 1 ACC. BLDGS. / 3.64 sq.ft. NEW CONS' ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 A FIXED Ex. Occup. OUTLETS P(RESID )REA.1 I 3.00 Temporary service 15.00 Home Facilities Mobile Ho 15.00 Misc. g 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 MECHANIG`AL PERMIT Filing Fee 15.00 Heating Cool in g rHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inconsequence of the granting of this permit. X l L^/� Date �- —,1--7 / Signa-iLre o pplicant — Owner ❑ Contractor Agent ❑ An OSHA p rmit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $40.50 HAz I DFEES I IMP I FLOOD I COF I PARCEL I PO HD ISSU This permit is hereby issued under the sions oft a Butte Count Code and/ work ' di ted a whic a DI - F PU By PE X RES Date applicable provi- r resolutions to do have been paid. ORKS at 143571 Receipt No. WNI TE-D.P.W.. YELLOW-11se133a.. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 55965- Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. q ASSESSOR PARCEL NUMBER 035-223-015 ZONING RN,- BUILDING PERMIT OWNER Mildred King TELEPHONE 533-4540 SO. FT. OCC. BUILDING VALUATION Est. 1,200.00 OWNER'S MAILING ADDRESS 4850 Lincoln Blvd., Oroville 95966 CONTRACTOR'S NAME Larry West TELEPHONE 533-5478 CONTRACTOR'S MAILING ADDRESS 2342 Via Laton Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,200.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 25.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 40.50 PLUMBING PERMIT Filing Fee 15.00 4850 Lincoln Blvd. Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newl Addition;_j RemodeI[XI Utilities❑ Installation❑ Other El Describe work: Changing Out Windows Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 20CATO 1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a effect. / License .Jo. �(o Z ��� Classification l��N ❑ 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 _37.50 NEW CONST./ DWELLING OCCUP.& 3.64sq.ft. OR ACDNS. `ACC, BLDGS. / NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID.)REA.1 ( 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '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 FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabili as, judgments, costs, and expenses which may in any way accrue against id County i consequence of the granting of this permit. X Date lip— sign ure o plicant - owner ❑ contractor Agent ❑ An OSHA ermit is required for excavations over 5'0" deep and demolition or construct- ion of st.0 tures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $40.50 HAz I DFEES IMP I FLOOD cDF PARCEL PD HD Issu This permit is hereby issued under the applicable provi- Code and/ r resolutions to do sions of a BWae work ' di twhic a have been paid. DF PU ORKS By at PE R M11VIES Date 143571 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT ,rOF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, Califorpsa195965 - Telechone 916 '538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2 7Z3 — O/ ZONING 'A - BUILDING PERMIT OWNER t TELEPHONE l t�A� CING 533 - s�i� SO. FT. OCC. BUILDING VALUATION Iry OWNER'S MAILING ADDRESS S'a C //v G OGN CONTRACTOR'S NAME /_"1/Z the -.>T53 TELEPHONE - 8 CONTRACTOR' MAILING ADORE S ' 2;+rO/✓ . f7/Lol/ 3�2 V1 2;+ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ �Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �' Penalty $ BUILDING ADDRESS Q Permit fee $ o, 5-0 0 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Sto Duplex❑ Mobilehome❑ Other ,SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition Remodel �; Utilities ❑ Installation❑ Other ❑ Describe work: e/jA- ,-1ALL DCCT l/fl.i(,1r* 5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. ZS AGN �� 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 OCCUPM OR ADONS. 1 ACC. BLDGS. I 3.6asq.h. NEW CONSTR. ULTI-OUTLET NON.RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED PR EX. Occup. OUTLETS IRESID OR 3.00 Temporary service 15.00 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling I Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I 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 sa' County in consequence of the granting of this permit. X Date " – S3 A signature of pplicant — Owner ❑ gent ❑ ❑ Cs over i n OSHA remit is required for excavations over S'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE O TOTAL FEES HAz DFEES IMP FL CDF PARCELOOD PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1113571 WHITE•D.P.W., TELLOW•A33C3SOR, PINK -INSPECTOR. COLD ENROa•APPL I CANT t 1J, OB FINALE 81gnsturs I V= OK O = Not OK Not ApplicReadyeble MOBILE HOMES- Date/Initials Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. -/ /"Net. or/ PV ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a - 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval .8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy • MISC NEOUS Date/Initial DECKS COVE CARPORTS RAGES Plana OK except #'s J{oni equlrements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Graders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs -Connectors Shthg: Rfg: Bracing 5. Alu wn.; Columns -Connections -Splice -Decal -Enclosures `ea. Carports; ndows-Doors 7. Ele O`_ j Z Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Solis; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plana) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials - 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-Cellings 60. Inf iltratlon-Walls-Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Cl Yes ❑ No; Walks ❑ Yea ❑ No; Planters Cl Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: BUILDERS SUPPLY DIVISION OF COLLINS PINE COMPANY 2560 FlEATHER RIVE'R OROVILLE CA. 959(-,'.' ) PHONE: 916 3 4 - 124-1 S 0 L 2.'342 VIP-, ['.ATON D 1* R (.11 V1 1. L, j.:l' , CA T 596E, NVOCE DATE INVOICE NO. 04/03/�-,13 146-13e:-1 W F,: ST S, 1) CUSTOMER NO. ...... TIME: —Z- 4. PLC - LOADED: DEL: DATEK2 SALESMAN CUSTOMER ORDER NO. DATE ORDER D DATE DELIVERED DELIVERY ADDRESS .1.3 0046 04/03/9.1 04/03/93 QUANTITY ITEM NUMBER UNIT DESCRIPTION PRICE AMOUNT 485() LINCOLN 131,VLI G , 1, 4 12 TA LAN,'HDR 3 1/2XL-Xl6'c 10 0, 1 14 0 0 .,T W)ULD LlrE BETWEEN 8 AND LO AM 0 1- 58. 00 11 -4 169 . 46 01'.) '1. NON -TAX MDSE. TAXABLE MDSE. SALES TAX MISC. CHARGE MISC. CREDIT GRAND TOTAL CASH REC' ACCOUNTS ARE DUE AND PAYABLE ON THE 10TH AND PAST DUE ON THE 11TH OF THE MONTH FOLLOWING DATE OF PURCHASE. LEGAL ACTION MAY BE INSTITUTED FOR COLLECTION. A LATE CHARGE OF 1V,% WILL BE IMPOSED EACH AND EVERY MONTH ON ALL PAST DUE BALANCES. THIS LATE CHARGE IS LIOUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD PLUS ADMINIS- TRATIVE COSTS RELATED TO COLLECTION AND ACCOUNTING FOR A LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL IN EACH INSTANCE OF DEFAULT TO ESTABLISH THE ACTUAL DAMAGES BY ACCOUNTING PROCEDURES. BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT IV.% EACH MONTH IS A FAIR COMPENSATION FOR LATE PAYMENT. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THE ORIGINAL INVOICE. NO EXCEPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 15% RESTOCKING CHARGE. No ACCEPTED AND RETURNS ALLOWED AFTER 30 DAYS. GOODS RECEIVED BY U, U :1' k, N ml v udup D. , TERMS: NET CASH. NO DISCOUNT i� P ft rl MAR 31 '01 1Es02PCL BLDG. PROD, SAC. t,.,% P.2/3 �- off W�� i1V Certificateof Conformance Certificate X! 1576 - —9:1 THE UNDERSIGNED -MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and'marked with a collective mark of'American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. ® AN51: Standard A190.14993, for Structural Glued laminated Timber O 70 Job Name PALMER G,LEWIS &Co. Job Location SACRAMENTO, CA Customer's Order Na 301-25426 Date _._.01-1112-9Mfgr's Order No, 6455—C Signature ✓��� Title QUALITY CONTROL Company Rash ,,-o yumt,ier Co. Address SpiluxUal1 d. OR Dete 01-20-47 / IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. SEAL Michael R. O'Halloran Executive Vice President T A•.......••0L ,_ SHfN6� AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION PROD, SAC. apm ROSBORO LUMBrR COMPANY Fn Box 20 • SprinViold, OR 97477 PHONE (603) 746.8411 ' • FAC: (503) 7'28.8919 ;�iu<J,.t•_7lrl!, ._,�_f_...I..�1.'� :-r�l.iiyl.rlr''a� �' iy�` < <. C. 1 1.. 4, �• r t,..•'C f: j i:fr ;,:e ,; t. 1j.p Tut1•C. 1r :• I G �� ,y p1�` •.� 1, 1 ')AI:t%1�I:�l i::. ltil••(f'11 �•�i/\ii�TICT��f. ��:�•. :I. r :`P ��J/r :y: �'t .� r(..� i. • ren• M. :(. .. .1��.1`i` r .l"` ••�'I' '•h .' M. /r"• 1'\� 1.!.l. Iw�•: Ai ::l •^`'r i r �.� � •. .... � 1 •j..' i r73'-i� ..r u I '.r ..r . r 11 (`I' .. f1i :,l tt9 et i lzijt_;r<. r�'•..:.. r r. i. !.i.> (il'i::l: t ltiu . r t^i'i'i'. itittitttittItttfitiitSIM Ili!:sift:titfittl:tiftttiii Batt:i.f:ttt:>ftrllftitiititittttttititttttitittfiltfifit:iitibl;tlttif Ivo0 ? Mfi Sufi Nfi<< IONtirf �`J�ry st rel (;r bi11:D. �tL• r�ii�fl PP.tf;f ?r, s At't QTY WDT1, s ' d S J.t,-1!2 i is 0 A �4 2;01)= 1 21 • il!:11t2irttitlEEtlliflli%1If17itfftflfti21f1111:tt21t:!1911:i�t:7liitiitltiilt%;tilititlifEt:9ilf!ltt;ttftislift/ittfff2tttrtitll 1 ORKRI ACXNOWLE UEW I INW= TEEMS AND CONOMMS ROSBORO LUMBER COM) 1r PWw supW W ha►ON d6duaimli wo atpino Iraiptlt tis 2.' A"CCWton tuba to 400Y on cft— d waft � a mamdac twa CUSTOmms OADE:A IS SUBJC-CT t. • • r . - I :: ' !• : I ,. . OL PaN &W aamPft WA ea aWssep a aervioe charpa d 1%% ow mw4h lie% pw ate• TO ALL OF THE TEAMS AND. -.-k a Cuamw» *Wove to meomnny aoeooro Lmnbw C&VOS w Ia in wpom" www oo If CONvrnoNS STATED HEREIN. .0 tha CdbC1bn d wncun4 due hwwodal: t ill Cant Coeb Vld auwroY 1 ! as go wtet fowl aid an eery eppaat• ti M NIUVAM ON COWN thti WW WW tike VWv In Law Caunq. oo*"t' . . - __ _ -- - A.:. —LII .AAAAMAM and E119talllat DU(ChM / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO 'KS 7 County Center Drive - Orovi,he', Ca0ornia 95965 - Telephone: 916/ 38-7 1 APPLICATION AND PERMIT 1 PERMIT NO. 93- -769 �� ASSESSOR PARCEL NUMBER 035-223-015 ZONING RN BUILDING PERMIT OWNER Mildr TELEPHONE 533-4540 S0. FT. OCC. BUILDING VALUATI OWNER'S MAILING A DRESS 4850 1 Blvd.,roville 95966 224 C 2 912.00 CONTRACTOR'S NAME TELEPHONE 533-5478 CONTRAarX OR'S MAILING ADDRESS 2342 v' S 66 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2,912.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 82.50 4850 Lincoln Blvd. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other Carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Carport Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): (j1 f l I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Profession}/$ Code and my license is in full force a'n�j effect. License No. /027���/ Classification �/-e/U V ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. '(DWELLING OCCUP.&) 3-64 sq.ft. OR ADDNS. \ ACC. BLDGS. / NEW CONSTR U TI.OUTLET @ 5 00 NON.RESID BRANCH CIRCUIT (POWER (POWER APPARATUS &) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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 FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil'ties, j dgments, costs, and expenses which may in any way accrue against aid Co ty in consequence of the granting of this permit. X44� Date /F� 3 si n ure licant — owner 9 PP ❑ Contractor Agent ❑ An OSH permit is required for excavations over 5'0 ' deep and demolition or construct- ion of str ctures over 3 stories in height.RECTOR Mobile Home Installation Fee S Energy Inspection Fee $ cc 92USTTYPE TOTAL FEE $ 82.50 . oc FEES I� FLDDD coF PARC hio Is U 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. OF PUBLIC WORKS By � Date PE IT EXPIRES Date 2121 135901 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 112 ",�/�-v''�'''1'7r•"��+*sr�-�s.�'`'y-�ie+.'=^�,,.-�si`.*.^-+ic. nom""= r t4' � .. , f..a�C` '�j1`Y ''+'i+("�5t .�'i`"1 - :+..w...--r�� ��'--., . COUNTYOF BUTTE - DEPARTMENT.,0,1z PEVELOPMENTSERVICS - ILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 -:TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building A. P.)i,Jo1 19 37c!�� / 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 RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........,.................................. . 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . . .9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval [-h 00i Health Department . ............. 15. City of Chico plumbing permit . ......................................... 1.6. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. tPc euiin9 *0spedo (st Date 21. Contractor's license information. (No., Name Style, Classification). ....... , .. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.......... i 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... 33. 34. When you issue the permit, proce ss follows: Mail to owner. Mail to contractor. Telephone 33 5 nd hold for pickup at eo/Z(office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. 1 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 1. Index permiffor above items No. 2. Additional items required: not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above req fired data by _phone _mail Counter by Date Plans checked by r,a-, Date S'� Plans approved by (Z A l Date 3. 3%. � Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - OEPAFITMENT OF PUBLIC WORKS PERMIT NO. 7 County Canter Drive - Oroville, California 95965 - Telephone: 916/538-7541 CXI APPLICATION AND PERMIT A53E35014 PARCEL N111IR — O�J 3 ZONING OWNER TELEPMON OWNER'S MAILING AODRF-33 L/Oc-_ [,V lSL1Jc7 CONTRACTOR'S1` NA 1 I -A TELEPMON 3 CONTRACTOR'S MAILING ADDRESS V14 t47aAJ D/z D (o CONSTR UCTION LENDER UNKNOWN LENOER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE N, ARCHITECTCOR ENGINEER'S MAILING ADDRESS 6. / '/ LOT NO. SUBDIVISION NAME PARCEL M USE.OF-STRUCTURE: hh - tom SF ❑ DuplexQ MobilehomeQ Other t i��/L r SPECT FY TYPE.OF•WORK'• Net Addition Q IRPemQde UtilitiesQ InstallationQ OtherC] Describe work: CONTRACTORS LICENSELAW= 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. CIassification ❑ 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) Q 1 am exempt under Sec. Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one1: ❑ The permit is for 3100.00 (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 Seif-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 atter 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. I certify that I have read this application and state that the above information is correct. I agree to comply to ail County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor 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 per t. X ��_ Date Signature of Aoplicont - 0 -net I_ C.ontroctor 1_ Agent An OSHA oermrr 1t —ousted for eaeovortons over 5'0" !eeo ono demo11t1on or construct - .on or Structure] over tor $ — Mw Q -t. SO. FT BUILDING PERMIT OCC. I BUILDING VALUATION Fireplace Total Valuation Filing Fee Permit Fee Plan Checking Fee Enerov Plan Checking Fee 3 Penalty Permit fee PLUMBING PERMIT Each Trab Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G W $ 15.00 $ ;v U s I3 S s- �a.s Filing Fee 15.00 5.001 7.00 7.00 5.00 15.00 15.00 Permit Fee- S. Contractor R 20 � ELECTRICAL. PERMIT' Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 $ 50 1 Main service 200ATO1000w) .37.501. NEW CONST. ( DWELLING'OCCUP.EI) .OR *AODNS. l ACC. HLDGS. NEW CONSTR • UL -,I -OU TLET NON.RES10- RRA.0 W rlRt`111TC) I 3.154 sa.tt., /�'� I I@ 5.001 POWER 1 SINGLE 0 TLETTCIR.a Ex. OCCUp(OUTLETS OR FIXTURES110�1764 R 20 � "IXED APPLNS. OR Ex. OCCUD. OUTLETS 1RE510.I EA.J + I 3.001 Temoorary service I 15.00 Mobile Home Facilities 15.00 Misc. Wiring I 15.001 Permit Fee Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Permit Pon ontractor S FilingFee I 15.00 I I 6.50 j S Mobile Home Installation Fee 5 Energy Inspection Fee $ TOTAL. FEE $ IMP I FL000 COf I PARCEL I POI MO I Esu, 1 i This permit is herebv Issued under the applicable provi- sions of the Butte County Code and/or resolutions to cc •:pork Ineicatea aoove far which tees have been paie. DIRECTOR OF PUBLIC WORKS RV nn rP a Uill PERMIT NO. 1 1361-74B c P E Y o M H UTIL. ERMIT NO. PERMIT EXPIRES NNER % Don Peterson )NTR. 4850 Lincoln Blvd., Oro. #"\ .35- - )CATION (A.P. 4850 Lincoln Blvd., Oro. Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB _ FINALED (Date) i (Signature r COUNTY OF BUTTE — DEPARTMENT GF -PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms�S — Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall ® SidingI To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final r. Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough 0,/Z Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin g Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIO y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 514-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 2 Signature of Permitee or Agent Receipt No. /' ,!` y .0- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI C OR PUBLIC WORKS c By Date 1K-7 Building permit expires Date ....................................... BUILDING Owner SQ. FT. OCC.' BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor • C9 tvG /G Total Valuation Mailing Address "42e �d 00,Permit Fee P I an Checking Fee &/or Penalty Tele hone No. g_n, .� / Permit Fee $ $ Building Address Jr— �/��O 10/ vA PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ sGas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FV q Saaiiatiara. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg,Plans Recd I Parcel App.rovol Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3" Main service incl. 1 meter ` _3eyy dditional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ ub-pane 2 or less) (more than 12) '^(a Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 2005 Light fixtures -ball I d120 RqOK5., sw' hes & fix dytIets CONTRACTORS LICENSE LAW I am licensed under the provisions .of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification a ZQ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ s WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 2 Signature of Permitee or Agent Receipt No. /' ,!` y .0- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI C OR PUBLIC WORKS c By Date 1K-7 Building permit expires Date ....................................... COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 7 APPLICATION AND PERMIT authorize p. sen tat ives of the County of Butte to enter upon th above- ntione property for inspect/ion purposes. 7 Date Y�/ ignature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Q75Date �% Zfo - 7 S� wilding permit expires Date .................. BUILDIN Owne SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor �9 c Total Valuation Mailing Address — Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 i Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -5--, �- 1�- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 1 .C. 1 San tion FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma Pem 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. ans Rec'd Plans—Approval Permit Fee $ $ N W ❑ ADDITION [:],4 UTILITIES ❑ OTH ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) ^ / Single amity IJ' Duplex ❑ Mobil Home ❑Others 10Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 20 Light fixtures bol d10 F Receps., switches & fix outlets 6. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. ��%� 7� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance. of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $` 3 authorize p. sen tat ives of the County of Butte to enter upon th above- ntione property for inspect/ion purposes. 7 Date Y�/ ignature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Q75Date �% Zfo - 7 S� wilding permit expires Date ..................