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HomeMy WebLinkAbout035-420-029m o � 0 0 c� 35-42-29 Sunbeam Const. Co. n 5329 Becky Lane, lot 114, Crestwood Sub#2, Oroville Permit #3984-80B,P,E„M(new single/ -family) 035-420-029 PERMIT#94-3270 COLLINS, STPEHEN; . r„✓�� 5329 BECKY -LN.,, OROVILLE. „INSTALL GAS DRYER/SF 035-420-029 PERMIT#96-2125 COLLINS, Stephen & Andrea 5329 Becky Ln., Orovvi`lllle Reroof/SFS %�.,��► q �� �/ 0 m o � 0 0 c� 35-42-29 Sunbeam Const. Co. n 5329 Becky Lane, lot 114, Crestwood Sub#2, Oroville Permit #3984-80B,P,E„M(new single/ -family) 035-420-029 PERMIT#94-3270 COLLINS, STPEHEN; . r„✓�� 5329 BECKY -LN.,, OROVILLE. „INSTALL GAS DRYER/SF 035-420-029 PERMIT#96-2125 COLLINS, Stephen & Andrea 5329 Becky Ln., Orovvi`lllle Reroof/SFS %�.,��► q �� �/ Lo 035-420-029 PERMIT#96-2125." COLLINS;'Stephen & Andrea 5329 Becky Ln. Oroville`- Reroof /SF cIl7A7 i r 1 , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California' 35965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-42-4-099 ZONING P-1 BUILEMINGPERMIT OWNER qmp TELEPHONE 1 SO. FT. OCC. BUILDING VALUATION , ,�a ppq 'ANDREA OWNERS MAI".7LyESECKY LAND, OROVILLE 95966 CONTRACTOR'SwNE ER Uwtv TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADORES .)� 29 BECKY LANE, OROVILLE PERMITFEE $ C 55.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ _Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ REROOF/(AMP Describe Work: Mobile Home S G W Mobile PERMITFEE _ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup. ( ounEED RES ..OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work Of a valuation of one hundred dollars ($100) or less.) ❑' 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. X (�i'f�j (O�L2.-Date=/2—/ Signature of Applicant - O- 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 c TOTAL FEE $ 55.00 HA2. I D. FEES I IMP I FLOOD CDf PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ave been paid. / 9/17/96 By � Date 17/97 PERMITEXPIRESON I (Date) Receipt No. � G - 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 - Oro ilje; Alifornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 015 -42 -o -on ZONING P-1 BU!NG PERMIT OWNER A 12011INS TELEPHONE 5-24 8221 SQ. FT. OCC. BUILDING VALUATION 2b SQ 7 500 OWNERS MAI'TffgE'bECKY LAND, OROVILLE 95966 CONTRACTOR'S ER i E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 1,500 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRn29 BECKY LANE, OROVILLE PERMITFEE $ 55.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Ry plex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ }(X REROOF/COMP Describe Work: Mobile Home I S I G W I @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO L000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Er I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( a ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ER (a SINGLE OUTLETT CIR. ) Ex. Occup. (OUTLET OR FD(TURES ) BAL Q I.50 Ex. Occup. FIXED IS .OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [" 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,��// X Date C�1L���--______�2— y� -- Signature of Applicant - W 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 Is occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w 'ihave been paid. B Date 9/17/96 y PERMITEXPIRESON /97 (Date) Receipt No. O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` O.B.-1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ✓] NO[ ]. 2: I HAVE VI HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS • CITY: PHONE: CONTRACTOR'S 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: 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 PROPERTY SOCIAL SECURITY NUMBER: DATE: �2— 1,;7 — 9zv NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application 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 party 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 license 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: 0 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. 0 If you are an employer, you must register with the State and Federal Governments as an .employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be 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. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through 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 "ownerbuilder" building permit, 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 work 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. Sinccbrel , ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 035-4M-029 PERMIT#94-3270 COLLINS, STPEHEN 5329 BECKY LN., OROVILLE INSTALL GAS-DRYER/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 E MIT o. APPLICATION AND PERMIT ASSET) QAR y MB I)2^y ZONING B ILDING PERMIT OWNER STEPHEN COLLINS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5329 BECKY LN, OROVILLE CA 95966 CONTRACTOR'S NAME O,711ER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5329 BECKY LIT.,OROVILLE PERMIT FEE $ ' 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., Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ClAddition ❑ Remodel ❑ Utilities §1 Installation 1:1Other ❑ Describe Work: 1211STALL GAS DRYER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 10V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.5C FT. CONTRACTORS LICENSE LAW /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 l 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) ❑ I am exempt under Sec. ,Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) - @7.50 ( POW ER APPARATUS 1 s SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .60 Ex. Occup' FIXED APPLNS. .OR ( OUTLETS IRESIDI EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE f l declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less: ❑ 1 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. )Q I 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 $ 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. 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 rn X Date ,„ � _ 7 941 _Signature of pplicant _;4Owner ❑ 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 $ 35.00I HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD HD I 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. Dae �i 7 C PERMIT EXPIRES ON 1.9 [Date Receipt No. l /fir/w� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 E MIs,p�o. APPLICATIO `A`ND PERMIT ASSES,�O1 �2`4`—T29 J LL�`JJ U ZONING BUILDING PERMIT OWNER STEPHEN COLLINS TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5329 BECKY LN., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5329 BECKYLN. OP.OVILLE PERMIT FEE $ 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 PX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 j 15. 00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities (X Installation C3 Other ❑ Describe Work:INST_A_1_1� 0As DRYER PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 8001 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. I 8, ACC. BLDS. ) SO• 3.50 FT. CONTRACTORS LICENSE LAW rdlare nder penalty of perjury (check one) 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 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON.RES10. ( BRANCH CIRCUITS ) - @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPUNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I 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. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. N lice 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 $ 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. 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 said County in c nsequence of the granting of his p mit. X Date a — 7- / / nature of epplicant -;k 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 $ 35.00 HAZ• I D. FEES I IMP FLOOD I COF PARCEL PD HO 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. .4 J/ Dat 131741 PERMIT EXPIRES ON ble ate Receipt NO./ / Q `7 �v`0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Bui0ing"JANision Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Yes 2. I (have/have not) u 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 NZA Address City Phone Contractor's 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: 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: Property Owner J64 Social Security Number Date , 4, 2 - r? — 7y NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 398.4-80BP,E.,M PE,%AIT NO. " PERMIT EXPIRES " Sunbeam Const.Co. OWNER CONTR. owner 35-42-29 'LOCATION (A.P. ) 5329 Becky Labe, lot114, Crestwood SubYt2, Oroville p � ' Y. t F e i t ) �6 't k i Temp. Power /Me Called PG&E 7 Temp. Ele��Serv. W Call' PG&Ej1j 7-1 TempFGas Serv. Called PG&E 71 OB v Z FINALED / (Date) O a (Signal ) M North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533-2000 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 verification form, signed off by North,Burbank Public Utility District, must be submitted to Butte County. bo Applicant: , QJ Applicant Address: Applicant Phone No. Property Location (s): A. P. No. (s): Fees Paid: Application for service approved: North Burbank �Public Utility District Inspection(s) made and successful test(s) observed: Location: 207— Date: //"-j By: North Burbank Public Utility District release to close permit: Date: �0:�-��� By: f� l��.� RESIDENTIAL 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 Lot //� CRESTWOODN SUBDIVIBIO T UNIT NO P (location) BUILDING PERMIT•NO. V 9A:P: NO. 3J yZ — Lg THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab. -Edge. Fdn. Walls N Floors N Walls — x Ceiling/ e'er X Ducts X. Circulating Pipes NTA APPROVED HEATER X APPROVED WTR.HTR. X GLAZING: Single Gf,Azed . NA . Special (Insulated) X CERT.. & LABELED WDS.' &.SLIDING DRS.' X WEATHERSTRIPPED DRS. NA BACK DAMP.ERED FANS X INTERMITTENT IGNITION DEVICES X CERT....tPPLIANCES X ''I DECLARE THAT ALL REQUIRED ITEMS AS NOTED.ABOVE HAVE BEEN INSTALLED - IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESSOF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name SEE ATTACHED (please print) Signature of .Insulation Applicator State.Contractors License No. General Contractor%Owner Name SUNBEAM CONSTRULTTON COMPANY (please print) OCT 1 7 1980 Signature of `/ General Contractor/Owner --) -,�� "'o, 1 Dat _ Gregory T. Vistica , Pves state Contractors License No. 151200 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION . WITHIN THE DWELLING. FNF1;(:Y CO3',':;l:l:VA'r'IOil S'I.'A'lDAVD,(; CONSTMIC'1'I0JI Clli`II LIANCI': cyK'rn ICATE -------.'__------'-- 1 'i'JI JS i'() CERTIP'.1 TIIAT ENERGY CUM SERVAT1ON RF•.QUUT-TIFN'1'S 1L,\V1 BEEN J:I::'i':'1.i.:.1.I) IN Ci'IJFUIL`I:1Ja:li Iv 1'1'll CUItI:I:N'1' ENERCY CONSERV:\'I: lU1J RI:CIII.A'I' IUi:ti (location) i,t! m !(; I'I:(;i1I'l' r.O, A. P.. NC). TIIF F01.1.01,dINC HAVE BUN I.NSTALI.I�:D AS PER APPROUD PUNS: ((:bc cic each itch or write N/A if not applicable) 1::51a.n'r lUN S kiiijr. Clazed NA 1*61-. Wall!; NA Floors AlY I,;i 1 Is C. i. l i.n)• / Uoo f. - BACK DntII'hI;I:I) FANS I HA - C:irrulaC.inR Ng__- Al'l'i;114'i:II III:1'fl:R`_ Nom_ \I';'i;i)\•'I:l) l:'1'1i.li'Clt. NA C:I.A'L 114C : S kiiijr. Clazed NA Special (Insulated) NA CERT, h 1.A111•LED WDS. h SLIDING IMS. NA WI:A'1'lll:RS'rkll'PI:D 1)IiS. NA _ BACK DntII'hI;I:I) FANS NA llrl'h1JII'r'1'I:ii'r i'(:NI'1'lON DEV ICI -:5 NA -- CERT. API'I. IAI:CF:S— _ NA I nI:CI.AkI: THAs AIJ. RFQIITRP:n ITF.r1S Ai NOTED AROVF HAVE BEEN T.I•ISTAl LED IFI ACC(Ii:l):\rCK WI.'I'II THE ENERGY CONSERVATION I1I:12UTR1;111:NTS AND AGREF TO ()l•' TIIIS CERTIFICATE AS SIIL'ill'i"l'f:1). In :ulal:i n ,\I,lil ir:ll:or N;mlc_ Hawkins Insulation !Dc._ _ print) In::1il.lclon Ap1111c:ttur St;ttc Contractors License No. 378407 General Contractor/(Mier N rSUNBEAM .CONSTRUCTION CO. Sii;n.-iturc of (pLea:;c print) 1980 UC1 CC•11'.r.11. COntrictor/owgl �o /„r I)1te 6REGGRY T. V1571CA State Contractors 1. 'i c e n s c No. LICENSE #153200 II{I;;T T1F ON FRE WITH THE. 1111I1.nTNG, Dlil':\R'MENT PRIOR TO I IIJ:\I. INSPFC11ON AND :SIIAI.I. lil; I'O;;TI-:I) IN A CONSI'ICIIOII:: LOCATION W IT11 1:: Till; J:llI:I.I.II:I:; r, Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature = OK = Not OK = Not Applicable RESIDENTIAL (Singl-e and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) oning requirements -Setbacks -E sements MB�Pro erty Line Firewall & Openings tv15' ; S�1 -S. -E rnd.- / " Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits ' Ff"g!Gda&; s-SjO - / " Ftg. Depth -9e-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection �. Ftg., Po hes &'Decks.oils-StVl- / /" Ft Depth I ood on Roof Overhang -Attic Vents -Rafter Outriggers Ste IIs, n; St -Blo ts- r ped- iding-Nailing-Veneer . Stemw$ s, Gar ; St " -Blo uts-Wr a •59 -Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 Piers -Fireplace Ftg.-Steel 3#- Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test 2 . way OZer SewTest Ffs:•Shear Walls; Nailing -Bolts B -Gas Pipe; Size -Anchors -U)- Water Pipe; Test -Anchors- Reg ulator-Servi est _14. Electric; Underground -12' Plenums & Ducts; Clearance -Material -Support -Ins. -49:- Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date and -BI Date Card -BI Date Card -BI Date / Card -BI Date Card -BI Date 1 Card-13YZI MD Card -BI ate �- d Date FINAJI(Plans) OK except p's _ Card -BI Date Card -BI Date Date-/-OLUMBING (Permit) OK except q's t. Steps -Door & Sidelight Protection -Landings . S ke Detector Water Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector- Ducts-Mech. Protection _ 15. ter P'pe; Te & Anchors- Protection D T-Fttngs chors-Na' otection . bedroom Exiting ft 17. Shower Pan; Test, First Floor -Tub Access 60- .I. & Bath Fixtures & Tub Access Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors .62- Stairs & Rails -6,3.- 51replace or Stove; Clearances -Hearth . Pec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date t. Fixt. & Appliance; Grnd.-Cookin Clearance Card -BT Date Card -BI Date ec. Outlets & Receptacles at Kit. Counter Date ELEC ICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer 69!' • Duct in Garage -Damper • Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I Mech. Protection Fi ure &Transformer Clearance -Ins. Protection C. Receptacles Spacing -Lights & Switches at Doors , P •, Elec. & Mech. Equip. Listed for Location e Boxes & No. of Conductors -Stapled E .Receptacles in Garage; (G.F.I.)-Ro x Protec. Ro x Installed Close to Edge of Studs & C.J. 7Z.Ansulation-Foam-Looked in Attic es . Ground made up w/Mech. Fasteners -Bond Gas & Water �+- rd Rails &Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size r -Drainage &Wood -Earth Clearance L s eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At _ Range Circ. / ga. Cu or I O n Circ. / / ga. Cu or At, Insulate eutral E!Yes o ollowing instld.: Drive es No; Walks es ❑ No; Planters ❑YesLkqo 28. Ser a-R"&A_QoPd"e1vM & Gr nd-Main Disconnect6rStu Brown -Finish 29v+E 'p. Clearances; Panels-Motors-Mech. Equip. L+ZWXC. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light 78rVents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I yL _Date J�� and -BI Date _ `- Card B -I Date Card -BI Date 4g. ter Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Date MEC NICAL (Perrr,it) OK except q'sTest-Meters _ orrections from Previous Inspections Tagged; Gas -Electric _A. Ducts: Insulation & Support _ 3 Vent -Fan; Exhaust above Insulation -05. Condensate Drain & Overflow: Size & Grade ater &Sewer Connected -C/0 to Grade -HD Approval 8V Energy Compliance Certificate -Other Certificates Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date /� $"Card -BI Date 6 Card -BI Date Card -BI Date Card -BI Dateand-BI Date Card - Date Card -BI Date BI Card -BI Date Card -BI Date Date FRAM NG(Plans) OK except q's Comments at Final: _ �Sills; Proper Material & Anchors__ �T/Walls: Studs -Nailing_, Spacing & Bracing-_Plate_s_-Sound .M- Bearing Walls over Girders &_F_loor_Nailing_ _ 39�raft Stop in Walls (rat proof) /ire Stops; Furred Ceilings -Stairs -Chases -Tub yi,o*Deader & Beam -Size & Bearing :Ime/ gers-Post Caps- nchors-Connectors &S': ulin-Roof Brac.-Truss-Shthn.q -Rfnq. -4--F' place Ties or Type A Flue -Fireplace Throat �ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles B m. Windows or Exiting Doors -Sill Hat. &Dimensions Garage Fire Protection Framing _ _ (NOTE:Anentrymust be made each time you visit jobsite) J = OK 0 Not OK = Not Applicable - Not Ready MOBILEH-OMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) O,K except N's 1. Zoning Requirements -Setbacks' -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4. Wood Awn.; Posts-Beams-Rftrs.-Cgnnec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Gond.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ ' /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k'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-GFI 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECgRD BUILDING BWAQING (Cont'd) PLUMB NG Setback Firewall li Soil Piping Forms Para ets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows - 3rd Fljapr Stemwall Sidin Z 1,N U To out f- % Slab Roof Sheathing Water Piping- Piers Roofing Sewer p/ Garage Fdn. Vents Fixtures /l / Footin s StemwaII Garage Vents Insulation YAl/ Z 0 Water Htr. Heaters Slab Carport Footings Prov. for ph handicaed ca ly Conformance of ex. ptlieftre Appliances Gas Piping & Test l d Temp. Gas Slab Inal S tlo Patio FrREPLACE in ll l2 Footings Footing TRIQAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLERS Motors Framinq Test Water Htr. '�— Stucco Final Subpanels �— Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. PutL- Q �' Finish .�r,, Ducts Underground Interior Lath Door Closer it Ion nal - G/ L rid 4 *.- ent final ` CJ MOBILEHOME UTILITIE Service ec. Ped tal Water Piping Sewer Gas Piping ; BI E OME 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.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone 91 APPLICATION AND PERMIT WORKSMI. N 6/534-45 1 ASSESSOR PARCEL NUMBER -- ZONIN BUILDING PERMIT TELEPHONE SO.•�FT�7 OCC. BUILDING VALUATION `G L 0^ OWNER'S MAI NG ADDRE S �// D p ter r laf Wigs 'CONTRACTOR-SINAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONST UCTION LENDER - UNKNOWN Fireplace Total Valuation $ LENDER'S MAI LIN ADDRESS � Sb vc zad - see Permit Fee $ "o,3TO .— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _72—&-o Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap e, 2.00 140o Repair drainage or vent piping 2.00 ' Water piping LOT NO. SUBDIVISION NAM Prm ARCEL MAP Each qas water heater or vent 2.00 200 Gas piping system 1 - 5 outlets Z>-00 USE OF STRUCTURE SF [' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer ^ ad Lawn sprinkler system 2.00 TYPE OF WORK New [].1, Addition ❑ Remodel ❑ Utilities ❑ Installation'❑ Other ❑ Describe work: 0C 9— /I�' (O` `7 Permit Fee $ Co Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service &o0V OR LESS 100 AMP OR LESS 5.00 ' ••���� Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNSCONST (ACCLL G &� 20 sq ft Z9�o CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p y (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 CONST_u o TL T -0 -RES'-, BRANCH CIRC ITS 2.50ea NEW CONSTR. NON-RESID. ( POWER APPARATUS & SINGLE OUTLET CIR. p(o XTS OR FIXTURES gAL�TOs Ex. Occu 50 @ 250and FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 32.0 S� 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. nj I shall not employ any person in any manner so as to become subject y� 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 ?LV cclo arc had t- Cooling va x,00 Hood 2.00 Z tl Ventilation Permit Fee $ 490 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. 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 aid C nt in c s gLenc . of�ntiog of this permit. XThis 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 $ Land Development Fee $ 25*r- cr) TOTAL PERMIT FEE $ �� / `e goP,. GROUP 3 TYPE OF CO�. PARCEL PD RD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI R TORgF P. ELIC % By 6'1 • PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS '� Date �" 004) - [/' 4 3 Receipt No. T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT This stet of plans and specifications MUST be kept on't.;the job of all times and, it is unlawful to rn . ake an --y changes or altercations on some without written permission from the-Deparf men+ of Public Works, County of Butte. eo o/ NOTE -,All Materials & Workman . s hip Shall Be in Accordance with Recognized Good.Practices and of d -quality prescribed for the Specified use -in the Uniform Building, Plumbing & Machanicall Codes and the National Electrical -Code. 41 -7 A A/ 54 - - 7G See Master Plan on file for building plans. W/!4 777,177 I z 691? & d z Z QIRNIA, H 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 ar 2 fteave overhang, BUTTE COUNTY BUILDING DEPARTMENT APPROVED '0 0