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Home My WebLink About035-420-017•w. 35-42-,17 Sunbeam`Constructi' Co. 2257 Oak Knoll Way, lot 68, Crestwood Fa °s Sub��2, Oroville Permit #2397-80B,P,E,M(new singl�e/ ~family) P�Q; o ' 35-42-17 NEW OWwvn HELEN MONTREY 2257 Oak Knoll Way, Oroville Permit#1758-81E(ele for outside - light)SF .Q r V 1 ' n `s� { n . . <.a � ..�., � � '-�, ELEN MONTREY. 2257 Oak-Knoll Way, Oroville Permit##175®(ele for outside light) '.� �I_X3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER r 1;141- TELEPHONE t SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME —!./ / ( TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER .' r�+ / a __ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS / ;.''� {+r ;l/L.� � 1. `✓/, T PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 4 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF El- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q�- Describe work: �� FG K �G� ' I, -)C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 001 ORr Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 ❑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 NEW CONSTRI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. / POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. 50 a 250 OCCUpOU Ex. TLETS OR FIXTURES BAL010¢ FIXED LETS P(RESID IKEA. 2.00 Lf Ex. Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ / G 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. 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 S 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. f X Date �i, Signature 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 $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD IseuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IF , t/ 61""� DIRECTOR OF PUBLIC y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ r Date � - -� Receipt No. r70 �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNT? OF BUTTE - DEPAR.MENT OF.PUBLIC WORKSPERM T NO. 7 County Center Drive - Oroville, Califcnia 95965 - Telephone 916/534-4541 APPLICAtION XND PERMIT ASSESS ¢L ARCENUMBER , Z—/7 ZONING BUI ING PERMIT ow ER 17&,i5 tl /i�l/O_S/��//./�Y�J TELEPHONE 67&6 SO. FT. OCC. BUILDING VALUATION %� �/J5�3s`/g3 OyJNOER'S MAILING ADZ T ` / V I�.OV/'�Ci ! V / �S� . CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ ARCHITECT OR ENGINEXRJ SE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS - Permit fee $ BUILDING ADDRESS O�/�•®�� 2/(-7 PLUMBING PERMIT -.. Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping Repair 5.00 7R0 Water piping LO NO. SUBDIVISION NAME �, C� I PARCEL MAP Each qas water heater or vent 5.00 . Gas piping system 1 - 5 outlets �, / USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other [9 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: CLEC �fS�DE LIC /4T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V R Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.3i OR ADDNS. ACC. BLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q' 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 1/KI, 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 NON.RESID. BRANCH CIRC ITS NEW CONSTR POWER APPARATUS O NON.RESID. SINGLE OUTLET CIR. S0®aa EX. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS, OR X. Occup.( OUTLETS (RESID,) EA. 2.00 Tempora -service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 12.06 Contractor MECHANICAL PERMIT FiIingFee 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. 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, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes: I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. . X Date Signature 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 $ d OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 99UE Thi p rmit is hereby issued under si ns the Butte County Code and/or (Ork i ed bove for which I E OF PUBLIC B rr��i y PERMIT EXPIRES Date—/S the applicable provi- resolutions to do fees have been paid. WORKS Date * 7-- Receipt No. _15,C)_15,C)/ Q 33 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 r 2397-80B,P,E,M PERMIT NO. PERMIT EXPIRES Sunbeam.Const.Co. OWNER CONTR. owner 35-42=17 LOCATION.(A.P. ) A 2257 Oak Knoll Way, lot 68, Crestwood Sub#2 Oeoville DQE 9�. �u `fl P k Temp. Power Pole Called PG/&E Z �U Temp. Elec:/Serv.— Ca l l ed/P G& E Temp.,Gas Serv. Ca led PG&E �✓ • JOB VFINALED a (Date) - A (Sigriatucof RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION CObIPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED'IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot b Q CRESTWOODN SUB VT SION TJNTT NO _ 2 .(location).. BUILDING PERMIT NO. -7—'S;11d 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. NA Fdn*Walls _ Floors N Walls _ Ceiling X Ducts X Circulating Pipes NA APPROVED HEATER X APPROVED WTR.1ITR. X GLAZING: Single Glazed NA Special (Insulated). X CERT. & LABELED WDS. & SLIDING DRS. X WEATIiERSTRIPPED DRS.. NA BACK DAMPERED FANS X INTEP14ITTENT IGNITION DEVICES X CERT. APPLIANCES X 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 TRIS CERTIFICATE. AS_ SUBMITTED. Insulation Applicator Name SEE ATTACHED_ (please print) Signature of ;:Insulation Applicator State.Contractors License No. General Contractor/Owner NamTION OMP RY c� (Please print)' Signature of General Contractor /owner zDateAUG.2. 190 Gregory T. Vistica 9Paes State, Contractors License No. 152 0 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR T0. REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A.CONSPICUOUS LOCATION W ITII :QI THE DWELLING. Permit# 2- 3 9 7-= � a INSULATION CERTIFICATION Oak e'r"S Nurturer and q eet City County Crestwood Sub. #2 Lot # �-P Plan 900 .Subdivision -Lot Number DESCRIPTION OF. INSTALLATION . ROOF Material Thickness (inches) EXTERIOR WALL Material Fiberglass Thickness (inches) 3,L211 CEILING Batt or Blanket Type Thickness (inches) Loose Fill Type Fiberglass Minimum Thickness(inches) 9" Area Covered (ft2I . 912 FLOOR, ELEVATED, a Material Thickness (inches) FLOOR, SLAB Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches). HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity Brand Name / Thermal Resistance (R Value) Brand Name Certainteed . Thermal Resistance (R Value) 11 Brand Name Thermal Resistance (R Value) _ Brand Name Certainteed Number of bags 23 Weight per bag Ib Thermal Resistance (R Value) 25 Brand Name Thermal Resistance (R Value) Brand'Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildinos (located in Title 24 of the California Administrative Code). l:%!JN\B�',iL- M- CONS TRUC'ITION Cl.'.: [fiE'VSE �T53300 General Contractor (Builder) License N3mbei AUG 121980 CpyEGORY T. VISTKA Signature and Tltte�� /�� Dale Ci �Ltt+Gs�yiiltYY tl9 !FS - Hawkins Insulation Co.., Inc. 378407 SUZluor (In/sula Ion A p plicator) License Number max, e s Signature and Title Date CERTIFICATE REVIEWED BY Date BIN -029 _TBuil ding Insper.tion Of :ice) ftks- Eaurn nts g., N1 S "" s - St �-El-_-14,�16rncl - Ftg. Depth Above Completed - O Except: Job Card Signed Date Corrections Completed Jo Card Signed Date g., Garage: Soils - Stee9 - O" Ftg. Depth -_s orches & . s; Sal' -Steel - O" Ftg. Depth b walls. G3 e; St - Blob uts -$terrf ells, Garage; Steal - Blockou,ts 'Pi - Fireplace Fig. - St _ n; all - Fittings - ' Test - 2 wif CIO - Sewer Test -bas Pfps: Size - Test `%Vater Pipe: Test Anchors - Regulator - Service Test -Electrical _ "Ptenzyns & Ousts-, Clearance -Material - upport - Ins. r....-_. ..Girders - Sills - Anchor B -= J0i3t3 -,Vents - Cripples Above Completed -ED/Except: . Job Card Signed Date Corrections Completv4 v Job Card Signed- &A. Date d PLUMaING - ABOVE FLOOR afar Htr. -Vent - Aaceas - Combustion Air ter Pipe - Test & Anchar3 - Nar1 Pmtection rain Pipe - Test - Fttngs & Anchors - Nail Prot. - 42" Test O -.6nower Pan - Test, First Flmr - Tub Acmes -Tee Tub & Showar, 2nd floor -Tub Access as Pipe - Size & Anchors Above Completed - Eh Except: Job Card Signed Oats D Corrections Completed Job Card Signed Data ELECTRICAL - ABOVE FLOOR learance & Insulation Prot. at Flush Light Fixtures ee- Receptacles Spacing - Lights & Switches at Doors El 0— st rJn M rnnrluttnrz — Staolad omex installed Close.to Edge of Studs & C.J. E p. Ground made up w/Meeh. Fasteners 2 opliance, Circuits in. Kitchen & Conductor Size ub-Feed-Wire Sizs/ /ga. Cu or AI - C. -Wire Size//dga. r AL angs Circ.Xf g A Oven Circ. O ga. Cu or Al, Insulated Neutral d ONo -5erhes - Rissx Conductors & Ground and Gas & Water Pipes' --Clothes Clcs@t Light - Shower Light Above Completed - O Except: Job Card Signed Date Corrections Completed Job Card Signed Date 9,9 MECHANICAL - ABOVE FLOOR C. Ducts - Insulation & Support -Vent Fan - Exhaust abov3 Insulation -Cc w+sata Orain & Over!low - size & Grade urnace - Vent - Acces-Comb. Air - R,2t,.im Air Vent - 115V outlet Attic Access & Piatform it furnace in attic Above Completed - Cl Except: Job Card Signed Date Corrections Comal9ted Job Card Signed Dale / t rn-+ Plans Sills -Proper Nialerial & Anchor3 Walls - Studs - Nailing & Spacing & Bracing - Plates We Baaring Walls over Girders & Floor Nailing _ Oraft Stop in Walls (rat proof) ' Fire Stops - Furred Ceilings - Stairs - Chases - Tub _ Header & Beam - Size & Bearing M- angars - Post Caps - Anchors - Connsdon9 _Ging. Joist.^-Rftr. Tim+-Purlir•,s-fiC. Brar,.-7�� g. t-d�-' i.reptaca Ties or Typo A Flus - Firepl�.a Throat I .attic Aocess-Size & Romex Prot,:: -lion '-��_ Bdrm. Windows or Exiting Doors - Sill Hgt. & Dimensions . Garage Fires Protection Framing ea Separati n Walls -11 hr. Fire -- 2 hr. Fire. _ t. Coors - one. 3' - Chsck_Garage _ `,r-- Stairs..- Width-Meadmocrt-Ris�•Run-Landirg-Fire Protection �V e ' o d on Roof Overhancy - Attic Vents - Rafter Outriggers Siding - Nailing - Vengar *.-Stucco Mesh, Drip Screed & Fdn. Vents & Underfar. Access r Glass Protection If required Shear Walls ^u Above Completed - O Exoapt: Job Card Signed Date Corrections Completes OQ Job Card Signed Dale VA/ FINAL _ lana is. tees, Door & Sidalight Protection - Landings i Vent urea Da r urnace •� Vents -Comb. Air -Connector = In Garag.:3..1-fcpt. & Protection _ i eo m Exiting .1. & Bath Fixtures & Tub Access Elec. Trim & Slut, _ Breaker Sizes - Labals 45- Stairs & Rails "place or Stove - Clearanca-s-Hearth _V.Ir"Ejet. Outlets at Wood Panel - Int. & Ext. _ Fixtures & Appliances in Kit. - Gmded - Air G30 - Ckng. Vance Outlets & Receptadtes at Kit. Counter Garage Fire Dcor - Swing & Landing -Closer _C. Ouct in Garage- Damper r.rV Win Htr - Vents-Cirnees-Comb. Air-P.R.V: Connector - In Garage _ . & Mesh Protection rewalls & Openings - Area Separation 10alis ec. Receptacles in Garage (G.F.1') Romsx Prcte<. fns ation - Foam - Looked in Attic / /Yes uard Rails & Deck Construction Fd !Vvents & Crawl hole door - Drainage & Wcad-Earth Clrnces- oked under floor }}-i es Following instid: D ' e es ONo: Walks WeS ONo; Planters ❑Yes No; Creating Orng. Problems OYes Cf17o cco; Brown - Finish C. Urit-Disconnett-Cl;nces-Brkr & Cond. Si_e -IISV Ocalet 8+*"' Vzr,ts Above Root - Plbg.-Appliances-Firepl. - Ornce to Opnys bi�� sten Well - Disconnect, Electrical, Plumbing xterior Elec. Trim & G.F.I. Receptacle Ventilation throughout House t'!*5- Glass P: otEcticn fly,. X orrecticns fron Pr_cvious Irsp_ctions a3 Test - Metef3 Tagged -Gas & Electric _ Jater Supply & Sewage Connected - Cleanout to Grad> _&f. Energy Compliance Ce-rtificat9 Above Completed G Excapt: Job Card Signed Dat& Corrections Compl+ted Job Card Signed Date r12, Z Setback Forms Main Bldg. Footings Stemwal I 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 BU DING (.ont'd PLUMBING I / Firewall l - Soil PipinJA Parapets .1st Floor Restroom Finish 2nd Floor Windows 3rd F Siding - To p out Roof Sheathing Water Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters r� Prov. for ph sically handica ed Conformance of ex. sttalp ure /1"ia � -/ Appliances Gas Piping & Test Temp. Gas F REPLACE IG'A L Mesh rinai HANI AL auo aneis Grd. Fault Pro . Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts / Underground Interior Lath Door Closenamp—r VepWation nal zZZ PeWqger4 incl / MOBILEHOME UTILITIES ---/ - - - - - - - - - - - - - Service ec . Pedestal Water Piping in Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 9 s COUNTY OF BUTTE -•DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS SS R P CEL' NU a�R zO I j a2 ^ � / BUILDING PE - owN R TELEPHONE SQ. FT. OCC. BUILDING 'V1rEUATION OWNER'S MAI LID��ADDRESS L /i N to& ALMS Iiia s 95<o av CONTRACTOR'S NAME f u/NF_P_ TELEPHONE I CONTRACTOR'S MAILING ADDRESS CO STRUCTI ON NDER �1 FAe6® N A' UNKNOWN Fireplace Total Valuation $ 00 00 LENDER'S MAILING ADDRESS �^v�-p SS0 4i1 V 1Ty AVC SJ/JM Z80 S)V_. C.9 770 ermit Fee $ ARCHITECT OR ENGINEER f I LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUILDING ADDR ESS G PLUMBING PERMIT Filing Fee 3.00E Each Trap 2.00 16,0-0 Repair drainage or vent piping 2.00 �POV�(�(i�• Water piping 0 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 6� Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer ;00 Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ILIf�STz # 7 — Permit Fee $ ; 66 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR001 OR LESS5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DW OCCUP.& DON5TR( A u 2� sq ft "�(� CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW COR MULTI -OUT ET NON.RESID. BRANCH CIRC ITs 2.50 ea NEWCONSTR. POWER APPARATUS &) NON .RESID. (SINGLE OUTLET CIR. / 50@250 Ex. Occup(ouTLETs OR FIXTURES BAL@10¢ Ex. Occu FIXED APPLES. OR p•(DUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ x,7`0 Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,K I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating ' A$7 -'J 4e-,00 -4k-C,� Cooling,Q� Hood 2.00 Ventilation Permit Fee $ oZOa 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 against sa' ounty in consequence of the granting of this permit. X �-' Date �,��* r1 ��—rdc,�• t�S �� Signature of Applicant — Owner 1p1 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 $ Land Development Fee $ SM TOTAL PERMIT FEE $ a OCCUP. GROUP I TYPE OP CONST. PAR�Ex PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORAF PUBLIC By PFAIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DatP��/ S��o Receipt No. 37.397 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I ¢, f I ��/v See Master. Plan on file for4adi plans. /-/1/—;74.� BUTTE COI TY BUILDING DEPARTMENT `APPROVED ej- This set of plans and specifications MUST 6s kept on the iob at all times and it is unlawful to' make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback of 50ft: from the road , centerline shall be.clear of structures or equipment except for a ? ft. eave overhang. MY .r/Y 01; IIAIfr P 2 Telephone ' 583.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 99-80 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS .This verification form must -be submitted to the Butte County Department.of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building.or an Occupancy Permit,'a' copy of this.verifi,cation form, signed off by North Burbank Public -Utility District,' must be submitted to Butte County. SUNBEAM CONSTRUCTION CO. GREGORY T. vrSTlca_ p1tES,` Applicant: , . Applicant Address: i"1190 i�n17pFR LAND,—L4S ALTOS UII,�,S2—CSI-QtFP2z Applicant Phone No.: (415) -948-6482 Property Location (s): 2257 OAK KNOLL WAY CRESTWOOD UNIT. II, LOT #68 , A. P. No. (s): 035-30- Fees Paid: $300.00 SC -OR FACILITY CHARGE 'PAID• 6/29/79 NAM iS OF 511e5180 Application for service approved: 'MAY 153, ,1980 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: • Location: Date: By: North Burbank Public Utility District release to close permit: ' Date: By: _