Loading...
HomeMy WebLinkAbout035-420-014Sunbeam Const.Co. j5'='•a'�1—/� Y i 2241 Oak Knoll Way, lot 132, Crestwood r=C_ • - Sub��2, Oroville - ---�' Permit #3873-79B3P,E M(new single l , family) . 35=A42;:14 i �/� , ' LEONA KANEKO ti. r 2241 Oak Knoll WayOrovill' w. , Permit#598-84B(covered patio"p" k <" p C.R r ' 035-420-014 02-2073 •, i -,THOMPSON, DONNA IED 2241 OAK -KNOLL, OROVILLE RE -ROOF - I ` y yea i �t';i � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530)'538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 19 o? - c',76 -73, ASSESSOR PARCEL NUMB ER 035-420-G14 ZONING BUILDING PERMIT OWNER C('��� rn�7��� 'I'f�ll:'SON DONNA TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1 19020.00 OWNER'S MAILING ADDRESS 2241 OAK KNOLL OROVIUX CA 95966 COIOIIIT�RAACC+TOOR'S NAME V N111L:,[l TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1,020.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0`0 Permit Fee $ 1 21 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS I. 2241 OAK KNOLL ORMUZ. CA 95966 Energy Plan Checking Fee $ $ j PERMIT FEE $ 47.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP 5 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE + SF O Duplex ❑ Mobilehome ❑ Other 1 SPECIFY • Solar or heat pump water heater' ?3.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OFyWORK Jew Ell ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Oi + escribe Work: RE ROOF WITH CaV ° Gas i in system 1- 5 oAutlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOVORLESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. t License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Laws or the following reason: 9 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. ' , Business and Professions Code for this reason' Main Service TO 46.00 WEE200A NEW CONST. DWELLING LDSUP. CC OR ADONs. ( a ACC. sLDs. SO 3.5¢FT: NEW CONST, MULTI -OUTLET NON•RESID. BRANCH CIRCUITS97.50 POWGERLE APPARATUS 8 SIN OUTLET CIR. EX. OCCU OUTLET OR POSTURES @ ,.50 BAL @ .50 FIAPPOR Ex. Occup.ounETs R.,ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 1. ' Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. `` X41�)L,Date ��S Ca1�f>> _ Signature"'of Applicant - Awner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction�/�� of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation - PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 47,00 HAZ. I D. FEES IMP I FLOOD I COF 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. By, MMI-4 �.��ltQA4, Date 8 PERMIT EXPIRE ONS ' pate Receipt No. 360831%077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT © 2 - abs ASSESSOR PARCEL NUMBER 035-420-014 ZONING BUILDING PERMIT OWNER THOMPSON DONNA TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 2241 OAK KNOLL OROVILLE CA 95966 CONTRACTORS N��77T��R77A�CC+TppORCONTRACTORSNAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation Is 1,020.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2241 OAK KNOLL OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 47.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IQ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 aOOV Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jorthe following reason: �f I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need no a completed if the permit is for work of a valuation of one hundred dollars ($ ) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comply with those provisions. Date ��1a(__ [i��ae of Applicant Owner ❑ Contrac o Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Occup. OR ADDNS. ( a ACC. Bin S. SG 3.50' ljpEWj.}=T. MULTI -OUTLET BRANCH cigourrs @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. 20 @ t50 Ex. Occup.OUTLET OR FDMRES . SAL @ .so Ex. Occup. DFlx�LEED�A �S6OEA R 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 47.00 FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRE N the applicable provisions Resolutions to do work been paid. Date �"� • Date ReceiptNo. 360831/$47.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigmaure. Please complete and return this information at your earliest opportunity to avoid unneoess &I deity issuing in processing and your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES ad NO ❑ 2 HAVE HAVE NOT ❑ signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (feta) to provide the proposed construction: 4 NAME: ADDRESS: crrY: PH0NE: CONTRACTOR'S LICENSE NO.. I plan to provide portions of this work, supervise, and provide the major work: NAME: but I have hired the following person to coordinate, ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _ PROPERTYOWNER:__ �A —DXTE:_Qrtlsba. NOTE: This Owner -Builder Verification is required by Section 19831 aced 198.31 Or Apt California Health and Safety Code. This verification must be eompkted &ed returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear P-ocert", Ow - An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing'their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business licertse from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ [f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including stare and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may to financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U. S. Smali Business Administration). For more specific information about your obligations under Stace Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the stricture is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or thtou&. their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building perrrtit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own worts personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I!�,J rely, el C. Vi ira, CB.O. ger, Building Inspection NOTE: TI►is Owner -Builder Information is required by Section 19810 of the California Health and Safety Cods OVER iret\tew �Or-" L c{ I Qx- �11 k 4 j ?' s, y 598-84B PERMIT NO. PERMIT EXPIRES OWNER Leona Kaneko CONTR. owner ASSESSOR PARCEL 35-42-14 2241 Oak Knoll Way, Oroville LOCATION _ i� t� ,N s Temp. Power Pole { 1t � Called PG&E Temp. Elec. Service Called PG&E'` Temp. Gas Service 1 Called PG&E ` JOB FINALED (Date) I t Signature µ E J = OK 0 = Not OK — = Not Applicable MOBIL EHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECK,,OVERS, CARPORTS, ETC. (Plans) OK except #'s ivz hing Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch F 6tings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete. — Decks'; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. "Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors-• - 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -B Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BIS Date Date Card -131 Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size-Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances-GF1 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test-Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater ^ 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V=OK 0 .ic= Not OK Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date _ PLUMBING 14. Date Card -BI Date (Permit) OK except #'s Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _____17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes __Insulated 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes [:]No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _ -- 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs. ------------------- 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I _ --- --__.- _Date_ _ Card -BI _ Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date - MECHANICAL (Permit) OK except #'s 31. A.C. Ducts. Insulation &Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain Overilow; Size & Grade _& _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI- Card -Bt ----------- -------------------------- Date - - Card -BI __ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: -37..-Walls; 38. 39. 40. Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls _over _Girders & Floor _Nailing----- ailing___39. Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases - Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties - Purl in -Roof -rac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or_Exiting Doors -Sill Hgt. & Dimensions__ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisil jobsite) r f' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillet, California 95965 -Telephone 916/534-4541 APPLICATION AND�PERMIT PERM T NO- �d ASSESSOrRCE ��MBER ZONING BUILDING PERMIT O WE TE PHONE \ -71v SO. FT. OCC, BUILDING VALU TIO O WNE 'SLING D S CONTRACTOR'S NAME TEL P ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee. $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ t v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ,n ap Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ O BUILDING ADDRESS O 1) QJ AAd PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ED W 10.00 e TYPE OF WORK New Addition EJ -_Remodel [I Utili' Installation❑ Other [I Describe work: v \�J0mr-t-ci I Permit Fee $ 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 21/xdsq ft 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 m license is in full force and effect. y License No. Classification Err 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 CONSTR.ULTI.OUTLET 2.50 ea NON.RES ID BRANCH CIRCUITS) NEW CONSTR. I POWER APPARATUS &' NON.RESID. %SINGLE OUTLET CIR. Ex. Occup20®500 OR FIXTURES BAL030 FXED A PPLNSOR FIXED Ex. OCCUp.I OUTLETS (RESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. E3- 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. 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, andhereby-aut orize representatives of the Countyot Butte to enter upon the above -mention property for inspection purposes. I also agre to save, inde nify keep harmless the County of Butte against all liabil s, Judgmentg, s, and expenses which may in any way accrue agains id unty i sequ nce of the granting of this permit. 3 _ —� y Date ignature of A licanr — Owner [✓]� Contractor ❑ Agent ❑ An OSHA ermit is required for excavations over 5'0" deep and demolition or construct- ion oft ur ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Occup. GROUP /��� / ' TYPE of co ST.r1ARC L PD HD Issue ,/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C OR OF ELIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat (�r Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. r Butte County C ^* TO: FROM: FOSTER CARE INFORMS RE: CHILD: IN ORDER FOR US TO WE NEED THE FOLLOWING DOCUMENTS AS SO( 0 FC 2 FC 5 Placement Agreement aBirth Certificate a Social Security Card Other r, . CERTIFIED MAIL LAND CSF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965' Telephone: (916) 534-4541 H. W. McDONALD Deputy Director Fobnary 1.$* 1984 lowaoi in. 9sookoRE: Permits and Inspections rs$s— - *3 0 0)1) © �` Q (AP NO. 35442-1 ) orr"a s CA 95965 Haas ilk. RoMkot With reference to the above subject, on Ortoba$ 19. 1983 we wrote you a letter requesting that you obtain the required permits and the required inspections from this office for the work you have done as follows: Constsucud a covorod patio on,you r propetty laaatad at 8241 Oak ftoll wad's Agrvilui. Since both permits and inspections are required by. both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten (10) days of the date you receive this letter, the matter will..,. be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. '`,J -�f�i ✓ ® S ` m .0 - �� Yours very truly, �n Clay Castleberry Director of Public Works Original signed * J. F. Glander J.F. Glander JFG:dd Chief Building,,Inspector cc: Building Inspector Qrovll+� Assessor File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Env. Constr. Engr. Surveys Mapping Transp. Land Day. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Leom X. Katt RE: Building Permit P#0# Dan 803 A. p. # 35-42+14 frogille..CA Slib Door iso. Muc w i . } With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and -inspections from this office for the work you are doing as follows: i coned 09t ed a covera8 patio an your property located at 2241 Oak looll way, droville. Since permits and inspections are required by both State and County•laws, please contact this office within ten (10) days of the date of. this letter, submit two (2) complete sets of .plans, apply for..the required permits, and pay the appropriate fees s e �:1 tie dt e® All work must stop until.you obtain these permits and are authorized by our field inspector to proceed'. This field authorization cannot be made until the existing work.is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated.. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works Orogirml Agnea b}i. J. F. Glander J.F.' Glander JFG:aj Chief Building Inspector cc: Building Inspector Oroville I yam- r t Eaite, Count LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT QF PUBLIC WQRKS. CLAY CASTLEBERRY, Director 8�` 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 m WILLIAM (Bill) CHEFFr October 19, 1963 Deputy Director Leom X. Katt RE: Building Permit P#0# Dan 803 A. p. # 35-42+14 frogille..CA Slib Door iso. Muc w i . } With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and -inspections from this office for the work you are doing as follows: i coned 09t ed a covera8 patio an your property located at 2241 Oak looll way, droville. Since permits and inspections are required by both State and County•laws, please contact this office within ten (10) days of the date of. this letter, submit two (2) complete sets of .plans, apply for..the required permits, and pay the appropriate fees s e �:1 tie dt e® All work must stop until.you obtain these permits and are authorized by our field inspector to proceed'. This field authorization cannot be made until the existing work.is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated.. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works Orogirml Agnea b}i. J. F. Glander J.F.' Glander JFG:aj Chief Building Inspector cc: Building Inspector Oroville I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS � SPECIAL INSPECTION REPORT owner:' 41 t/A M; • ,CAME/ XO A.P. # 36- Z= Address:-P•o•(z Date of Inspection'... Tenant Inspector c Building Location: 4 -or 13 Z c AES7WVr4lD L Type of Inspection requested: z. T% 1. Housing. ='2. Financing ��[ 3. Change of Occupancy to 4. Other (specify) PCRA-117's . '.'Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory : 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: ..6. Heating facilities:, 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior'-to sewage disposal: 12. Connection to wate:e-.supply: 13. Rubbish and garbage facilities: 14. .Comments• B. Structural 1. Piers and footings: 2. Floor construction: A. 3: Wall construction: .4. Ceiling and : roof construction: 5. Fireplaces:, 6. . Comments: C. Electrical. 1. Service and ground: 2. Receptac' es: ' 3. Fusing: 4. Continents: - D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments:.-- E. Other 1. Maintenance and repair: s•. 2. Fire hazards:_ _ 3. Safety hazards: 4: Weather protection: S. Underfloor and attic ventilation: ` 6: C&mzents:* F. Conmtercial Buildinfis 1. Roof covering: 2:— Distance to property lines: 3. Physically handicapped: 4. Rest-om floors and scalls: 5. Exits: h. Improvements: 7: Zoning:' 8. Cour, ent -- _ teld Probl eAms or Vic-lat icm.s 1. Problem or►to, atior.i (give complete description): iat action taken (give complete description): 3� Wt-,:lt action recommended: _ %% A. "infonuation only "WB. Hold for ten (10) days, glen write letter. / /r_•, Write letter. . _ . 77D. Other: P6,RMIT :NO.. 3873-79B,P,E,M 1, _ter ' PERMIT EXPIRES r OWNER Sunbeam Const. Co. owner 'CONTR: - %;. 35-13-121 port. :p LOCATION (A.P. ) 2241 Oak Knoll Way, lot 132, Crestwood 9b#,' Orov it le .k j } . 1 ' t f Temp. Power Pole t Call � PG&E Temp Zlec. Serv. Called PG&E 4� /Tlep.:Gas Serv.Called PG&E FINALED- (Date) (Signature M E C H A N ICA L Check List • g"2ermit underfloor Sta e • 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. ami Stage Heating: (I) -Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4)I•Cap,` (5) Termination. �ucts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. e -Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Final Y Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. G Cooling: (1) Accessibility. (2) Support. (3) Controls. (4), Pressure relief valves. (5) Class 2 refrigerant. 5/79 P L U M B I N G Check List P rmit Und ^floor Stage 19 D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. 0* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ❑;; (6) Dissimilar metals. (7) Service regulator installed or not required.* EI -Gas:' (1) Sizing.. (2) Materials'. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Fram' Stage (Top 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.%', Water: (1) Pipe Test. (2) Mixer Valves. (3)•Su ort. - 4 Roof 'drains. - (1) ( ) Vjjaster (1) Size. (2) Materials. (3) PR Valve Drain.. Heater: (1) Vent. (2).Location. (3).PR.Valve Drain. dFinal , .. • D.W.V.:. (1) Connected to sewer system. (2) Special systems. Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. Gas: (1) Test. (2) Connectors. 6/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) Shut-off,and [3/connector. (12) PR Valve & Drain. 1ixture (1) Approved. (2) Stability. (3) Clearances. (4)_Trapped. (5) Connections.V4bss-connections. (-" ishwasher Air Gap. 5/79 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 43 L C. �'Sr�.cJn�}A (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 Ceiling/Rooff Ducts�'C Circulating Pipes APPROVED HT .HEAtER WTR__Lt APPROVED WTRHTR: GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION EVICES 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 PP License No.' G; i Coat,. , tey/Owner Name--e►.�ltS (please print) v Signature of Getz treete ,/ %�— Date State Contractors License No. 0 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. A Permit# INSULATION CERTIFICATION _- --- Number and Street ^-- city - County Crestwood ib, tin; t 2 Lot 132 Subdivlslon Lot Number DESCRIPTION OF INSTALLATION ROOF LICENSE #IS3200 `. Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WAL.L Jam,/// DatAr Material _ ' Fiberglass Brand Name Certainteed Thickness (inches) 3ktr Thermal Resistance (R Value) 11 ' CEILING " Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance IR Value) Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness (inches) 8a rr Number of bags 18 Weight per bag 25 Ib , Area Covered (ft 21 912 Thermal Resistance (R Value) 25 FLOOR,ELEVATEO Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB Material Brand Name . Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL " Material Brand Name Thickness (inches) Thermal Resistance (H Value) , HEATING SYSTEM Gas Furnace �. Make. Model Description Rated Bonnet Capacity DECLARATION 1 hereby certify that the above insulation was installed in the building at the above locat;on ir conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). SUNBEAM CONSTRUCTION CO. LICENSE #IS3200 `. General Contractor (builder) - • License Number 1�1 �,•-.. eie •`19,Signature and Tit l / - _ Jam,/// DatAr Hawkins Insulation Co.. Inc. _ 378407 / Sub•Conlraclor (Insulation Applicator) License Number 3-10-80 _ Signature and Title Date CERTIFICATE REVIEWED BY Tate BIN -029 —TBuilding Inspection Office). COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Piping Sewer Gas Piping M0816EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS , —xdf y',-e� 60,�� O (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT f , BUILDING Owner c�� ��j� j .4 SO. FT. OCC. BUILDING VALUATION Mai I i ng Address / % (� oo �,5r Ac*, X47 --s 114s 07 Telephone No. WYE— -6 VS -2 Contractor ' d Mailing Address Fireplace Total Valuation QD Telephone No. Permit Fee Building AddressglUeto4L Plan Checking Fee&/or Penalty Permit Fee , PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3,Cxo Each TraD • 1.50 7,Zj C✓l$� � s�( �, �p �eoc� LL,_V Repair drainage or vent piping 1.50 A. P. No. �p — G��2 o'Y'ning & arming Water piping 1.50 Each gas water heater or vent 1.50 Fees Wle S tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel• Declaration V 60' R/W Improvements Each additional outlet .30 sewer 5.00 d Ions Read Parcel royal IBuilding ns Approval Lawn sprinkler system ::::::Fi2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ tSEO QQ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 61D Main service 600V OR LESS 100 AMP OR LESS 5.00 Single FamilyDuplex ❑ Mobil Home ❑ Others ElMain service EA. ADD•L 100 AMP 2.50 • -.. Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNSTCONS. ( DWEACCL CUP. 20sgft %5 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 L I.OU L T BRANCH CIRCUITS) 2.50ea ..NON.RESID NEW CONSTR (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIPRES)B LL1; Ex. Occup.(OUTLETS ((RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 io1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE $3.00 �j,C)o Heating -(C rK ` -P; 1�,t�U 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. 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. X 40000, b gnature of Permitee or Agent Receipt No. �� 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling I 1 1 -34yo (11 Ventilation Hood 2.00 (Sp Permit Fee $ $ Land Development Fee $ S� TOTAL PERMIT FEE $ -70 1&1> 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. IRE T R OF PUBLIC WORKS B Date �'��� Building permit expires Date I"s"�v This set of plans and specifications MUST be, C - `kept on the job at all times and it as uje�iw�fu6 to make any, changes or alterations or9•sa" without' •••f ` \v wri*en permission from the Department of Pu6- I lic Works Count o e L/07� 92 1� ! Wd�9 /--Z Cr VAT/OM N 309.2 �, lh . a f -See Masten Pion on • 900 _F ISN . :' _ _ s � gyp• . . ----------------- u / 105.00' L� �Q The Bldg. -'Setback 5 ft, from-the- side rom-the side property line arid -50 ft. from the centerline of- thp,�rgA ermitting amaxi-. mum of a-2 ftp/ ang buf entirely out of all easement Cal virreverION W1 ALTO G 0 BUTTE COUNT Y BUILDING DEPARTME,N APPROVED C1?,-'rVrIYOO17 IJAlIr !® 2 awill LE, earn Go, GAL/l'almA . _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NQ. d ASSESSOR PARCEL NUMBER 35-42-14 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2241 Oak Knoll Way, Oroville CONTRACTOR'S NAMETELEPHONE owner 1st renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee @3FEE $ 15.00 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other Covered T,atir, —STPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I ities ❑ Installation ❑ Other ❑ Describe work: 1st renewal Permit #598-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDG.. t 2/20sgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F]I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code sun for th V.2 NEW CONSTRTI.OUTLET 2,50 ea NON.RESIO BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 820 0 0t ^0030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ,11 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the granting of this permit. X Date ignoture of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 25.00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 3-7-86 Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT