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Home My WebLink About035-420-004CD 5S f ' Sunbeam Const -Go. 1 5290 Margo Lane, loot ,122_, Crestwood Sub#2, Oroville Permit #3867-791B,P,E M(new/single . �hfamily) • • 035-420-004� -PERMIT#94-2192 r_ SCOTT,. ALLEN'`."` i 5290 MARGOvLN..,. OROVILLE_;. REPLACE ' BEDROOM WINDOW: W/ SLIDER/ SF' .. e s 0 M � �A +�,i+ 4 � Kite' �1 3 l �� _ " �y, 1 y 11 -;rPERMIT NO. 3867-7.9B,P,E,M S. PERMIT EXPIRES OWNER Sunbeam Const. Co.. CONTR. owner 1-3--..1-2-1—f r t -LOCATION (A.P. ) 5290.Margo Lane, lot 122, Crestwood Sub#2, Oroville J i t 6 i 4 qp Temp. Power Pole Called PG&E Tempkec. Serv. 21l O Called PG&E L� 3 T mp. Gas Serv. Called PG&E w 3 JOB Z FINALED e (Date) i (Signature) t Setback Forms Main Bldg. Footings StemwpAl Slab , Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING B ING Conyd), PLUMBING Firewall Soil Piping /02P Parapets 1st Floor Restroom Finish. 2nd Floor Windows - 3rd Floor Sidin To out Roof Sheathing Q 2- Water Plpijtgl Roofing �. �'.311 Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physi ally handica ed Conformance of ex. stru re r, f, i Appliances Gas Piping &Test Temo. Gas Footin FI Motors v mesa MECHANICAL. Grd. Fault Prot. Lis " Scratch . Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath V-a-aAWtIon_ ' n ---iterrnanent Closer V/Y 44 MUBILEHUME UTILITIES --- r-------------�lec. Service d "' c. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping l0 i��t&-kJ 47/V�tk DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ME C HAN•ICAL Check List • U r it Underfloor Stage ❑ _Underfloor Supply Plenum: (1) One-story.*(2).Clearances. (3) Combustible material. (4) Insulation and vapor barrier.'(5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10)'Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion .Air:, (1)' Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. Fr'i Sta e eating (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air.' ent and Connector: (I)Approved. (2) Size. (3) Clearances. (4). Cap. (5) -Termination. Ducts: (1) Materials.. -(2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. .0 Refrigerant Piping: (1). Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. inal Orap eating: (1) Accessibility. (2) Combustion air.- (3) Safety controls. �j��i(4) Electrical connecti6n..(5) Fuel shut-off. . T' Cooling: (1) Accessibility. (2) Support. (3) Controls. (4),Pressure relief y valves. (5) Class 2 refrigerant. 5/79 P L U M B I N G Check List �rmit Unde floor Stage D, D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough-in Locations. (8) Wrapping. (9) Test - including "Ts'. (10) Additional test not required.* Ek-Uate (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. EJ' (6) Dissimilar metals. (7) Service regulator installed or not required.* Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ffFram' / Sta a To Out D.W.V.:' (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. �* (14) Additional 2nd floor test not required.* 51�Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.- Gas: (1) Size. (2) Materials. (3) PR Valve Drain. Water Heater: (1) Vent. (?.).Location. (3).PR Valve Drain. Final , D.W.V.: (1) Connected to sewer system. f!t"pecial systems. Water: (1) Water Source. (2).Shut-off Anti-siphon Valves. �as:- (1)"Test. (2) Connectors. Q Water Heater: (1) Location. (2) Accessibility..(3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection.. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10)'Vent. (11) Shutroff and connector. (12) PR Valve & Drain. UJ/1ixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross-connections. (7) Dishwasher'Air Gap. 5/79 Permit-# - , '� '• INSULATION CERTIFICATION-.',' • Oroville -►` Number and Slreel _ City- County. 'r Crestwood Sub lot 122___....__ Subdivision Lot"Number DESCRIPTION OF INSTALLATION'` ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WAL_L Material Fiberglass Brand Name Certainte_ed Thickness (inches) Aft Thermal Resistance (R Value) •_ 11 CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) Loose Fill Type Fiberglass — Brand Name Certainteed Minimum Thickness (inches) 1111 Number of bags 21 Weight per bag Ib �rrr Area Covered Ih2) 1080 Thermal Resistance IR Value) FLOOR, ELEVATED` Material Brand Name Thickness (inches) Thermal Resistance (R Value) • '? FLOOR, SLAB Material Brand Name t Thickness (inches) Thermal Resistance (R Value) P Width (inches) FOUNDATION WALL Material Brand Name ''•! Thickness (inches) Thermal Resistance (R Value)'_ HEATING SYSTEM Gas Furnace ' Make Model Description ' Rated Bonnet Capacity • P DECLARATION hereby certify that the above insulation was installed in the building at the above locat;on in conformance with the y current regulations setting Energy Conservation Standards for new residential buildings (located in Title 74 of the California Administrative Code). SIJNTEAM CONSTRUCTION CO,,). [ICENSI #1539.00 General Contractor (builder) `License Number' „{ Signal, a And 4RTe Dal `�,.•, T. STICA Hawkins I su11a1Lon Co -,,__Inc. _.__—_ _ 378407 Sub,-fontraclor (insulation Applicator) License Number 2-4-80 ignature and Title Date ' t CERTIFICATE REVIEWED BY _ Pate BIN -029 ZBiiildn; Ins}�Ectl�n ()Bice) . 1 r RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS 'IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Z,-, i /7--- /:�,A.A;' c- , IN i`' %" (location) BUILDING PERMIT NO. A:P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls ✓L-- l� Ceiling/Roof 42 Ducts r/,C'j Circulati�pes APPROVED HEATER �l v - APPROVED WTR. HTR.'! C' GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. -t & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS GS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I'DECLARE THAT ALL REQUIRED ITEMS AS.NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. /Owner Namefy�Q,�,4� (please print) Signature of �-- _, Date �- State Contractors License No. i THIS CERTIF ICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —� a �d Ag� 4.--- Date Signature of Permitee��or ant Receipt No. 9,5-1 3 C, 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 abo r whi h fees h ve been paid. 6OF P IC WORKS ^ g U 1. Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION O Z_ .00 Mailing Address Telephone No. ��; - ��8 Contractor Mailing Address Fireplace Total Valuation 737 10, M Telephone No. Permit Fee c9t� Building Address Plan Checking Fee&/or Penalty Permit Fee O fs.0� pg' 02 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 <YO Each Trap 1.50 7 J� ;,.eca Ste, -_7 �3 L-4 1,L C!;7 Repair drainage or vent piping 1.50 A. P. No. Zoning 1022'129 Water piping 1.50 -Q Each gas water heater or vent 1.50 -a Fees a on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 -p EOA Parking Plans Parcel Declaration P@ 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 /Lawn BI g�P NanTs"Rec'd Parce royal Plan pproval sprinkler system 2.00 P Y NEW 1g, ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ A$ () ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWEL C OR ADDNS. ACC . CIC 2�sgft 7 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: NEW CONSTR MU L T NON -REBID � BRANCNCHH CICIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 11 NON-RESID. SINGLE OUTLET CIR. Ex. OCcuPOUTLETS OR FIXTURES 50 @ 250BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 OSP $ b MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 14 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 3(DD Heating U 0.0 t3 -,Ir -5 Cooling Tj.6tb Ventilation Hood 2.00 C7� 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 Land Development Fee $ d(c TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —� a �d Ag� 4.--- Date Signature of Permitee��or ant Receipt No. 9,5-1 3 C, 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 abo r whi h fees h ve been paid. 6OF P IC WORKS ^ g U 1. Date Building permit expires Date I d RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. OWNER �J1/M+'� �:15�. �� 1 A.P. A. GENERAL Zoning requi e ents.(sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLAN Complete parcel size and dimensions. Setbacks, sideyar ds, easements, etc. .3mer Other buildings or structures. Grading, fills,.drainage. Permit # s 19 # 35— 13-17-t LcOt 12Z C FLO R PLAN �omplete to,scale plan with dimensions. �.equired windows for light and ventilation (Sec. 1405). ` equired windows for second exit (Sec. 1404). llowab.le glazing for energy requirements (20% max. per.State law). !�,"WAU;uman impact glass .(Sec. 5406). bje- Required room sizes, ceiling heights .(Sec. 1407). 7` G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8/rLight fixtures, switches, receptacles, and exterior receptacles for maintenance of chanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10�'J arage firewall, door size, and closer (Sec. 503(4)(4)). 1�� 1 - 3'0" exterior exit door (Sec. 3303d). 14'• irep lace location. 1T.- Smoke detectors (Sec. 1413). D. ST TURAL.DETAILS oundation plan complete enough to construct building. oor construction details complete enough to construct_ building. 3�/�' levations and wall construction details complete enough to construct Roof construction details complete enough to construct building. 5 Fireplace construction details and calcs if over one-story in height. 6 Sufficient data and details to satisfy energy insulation requirements building. (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. 2? Stairway details (Sec. 3305). 30." Guardrail details (Sec. 1716). 64"" Brick or stone veneer (Chapter 30). 5 Exterior plaster - weep screeds (Sec. 4706& 4708). 6-r- Proper roof pitch for roof covering (Chapter 32). 7no**' Rafter ties or bearing ridge beam. Garage door or porch header sizes.. Adequate bracing. 101" Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 1,� Two (2) exits on three-story dwellings (Sec. 3302). This set of plans and specifications MUST be kept on the job at all times and if is unlawful to' " make any changes or altkratio6s on �amd OfIW !, writifen permission fr m e De art ent Qf Pu �, lic Works, County IB 1 Ue. w � � O See FlasfOlan o—ii I� o�:6uilcling plans. p! 0 6.9 l ! t.: ::• c�Setback s all be om Z ' side p line 0 ft. m the A centerline o mad i#ing a i- BUTTE COUNTY of a 2 ft. a overho hely a� BUILDING DEPARTM out of all ease e. EI�'f . MQ . APPROVED / ��® 00l�E�d NE - ,r 0�06�/LL/4UTT0 CO., CSL/!O/?it//A C04 BG703•, COI11'O?N%A, '9®0 22 ti z or 1 s.s?°;'lad^��-,.%v'-�i►`x'x.ud•f�:r:�•�•3.-�i�,ae. ;-�,a:�{�;ts•�,i o:M1,�.* �, ... . t 035-420-004 PERMIT#94-2192 .- SCOTT, ALLEN .. 5290 -MARGO LN.; OROVILLE REPLACE BEDROOM•WINDOW,W/SLIDER/SF L " ., . ,.; •:.r.. ^: .. e:na_.., .r . i•.r,. ..,, Y. ;^�. -.nq �- � .w^hy ,. •� q1 - .,r..n.... �,�-�ii:l'.. 16 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -,BUILDING DIVISION 7 County Center Drive - Oroville, Califo7nia 95965 - Telephone (816) 53!;� RMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 035-°,420-'00 ► ` ZONING R1 BUILDING PERMIT OWNER ALLEN 'SCM TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5290 MARGO LPI OROVILLE 95966 Egg 500 CONTRACTOR'S NAME 1 MI ER TELEPHONE f f CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ,, Filing Fee $ 20,00 Permit Fee $ 1500 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS MARGOOROV E PERMIT FEE $5290 ��(�� I I PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 j I Solar or heat pump water heaterP@20.00 0 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping P P 9 0 Each gas water heater or vent0 USE OF STRUCTURE SF ;®,I Duplex ❑ Mobilehome O Other SPECIFY , t Gas piping system 1 - 5 outlets0 Building sewer 0 Mobile Home S G W TYPE OF WORKPERMIT New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherj�7 Describe Work: REPLACE BEDROOM ,WINDOW WITH 6^6 SLIDER FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 ' *,T�1•T \ 1 (NON—BEARING I \lYVI' j�GKlljL.lU WrfLu.1/. Main Service ( ZOOA OR LESS ) 23.00 - Main Service- ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) So, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed. under provisions of Chapter 9, Division 3 of the Business and Professions -Code andlmy license is in full force and effect. License No. 'Classification I, as the owner, or my employees with wages'as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50• s ( POWER APPARATUS ) 8 SINGLE OUTLET CIE. Ex. Occup.! . t( OUTLET OR FIXTURES) f .B 20 @ 1.00 Ex. Occup.' ( OUTLED7s � L ..IOR . ) S.00 TemporaryService 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCEPERMIT I I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. A ;TI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in onsequeenn"ce of the granting o$, this permit. Date nature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 'jrj,QY`j I J HAZ• I D. FEES IMP I F.LooD I CDF PARCEL PO HD I ISSU This permit is hereby issued under the applicable provisions of the Bu ounty Code and/or Resolutions to do work indica ab a for ib1h fees have been paid. i --, ' L C� By Date? —3 t PERMIT EXPIRES ON rQr� (De rel Receipt No. 1103 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califomia 95965 - Telephone (916) 538 PMMIT NO. APPLICATION AND PERMIT .r ASSESSOR PARCEL NUMBER 035-420-004 ZONING R1 BUILDING PERMIT OWNER ALLEN SCOTT TELEPHONE SO. Ff. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5290 MARGO LN OROVILLE 95966 EST 500 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 999n MARCO LN, DROVILI.E. PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF RX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition 1:1Remodel ❑ Utilities ❑ Installation El Other 1 Describework: REPLACE BEDROOM WINDOW WITH 6-6 SLIDER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (NON—BEARING WALL) Main Service ( 200AORLI) SS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) S0. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification J!rI, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) Cl I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Coda forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Xl shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in onseque/nce of the granting oA this permit. X Date j) ` Siature of Applicant -X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.0 HAZ. I D. FEES I IMP FOOD I CDF I PARCEL PO HD ICU This permit is hereby issued under the applicable provisions of the Bu ounty Code and/or Resolutions to do work indica ab a for fees have been paid. Q G/ BY —Date? z _ PERMIT EXPIRES ON —J !De tel f /� 3Oa ( Receipt No. (( l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / COUNTY OF •BUTTE - Dopa tment. of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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) live- 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 RGdber Date "^TE: 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.