HomeMy WebLinkAbout035-420-03335-42-33
�--,`Suhbeam Const -Co.
5309 Becky Lane, lot 110, Crestwood
Sub#2, oroville
Permit #3980-80B,P,E,M(new single
family) P a
35-42-33
' :RY . SCH ENT -HAL --
5309 Becky Lane,.Oroville ACL
Contr: Sunway Builders
Permit#2461-83B(wood stove)SF
E035-420-033 �3
01-2137
CHOENTHAL, LORAIN
OR
1319 BECKY DR7,0VILLE
CC
ONT: ALADIN ROOFING
REROOF
B06-2717 035-420-033
MISCELLANEOUS Water Heater C/O
CHANGE'OUT GAS WATER HEATER
5309 9ECKY LN
DENNIS, SUSAN M
-0221
B07 035 426 603
MISCELLANEOUS HVAC Change Ou
CHANGE OUT HVAC
5309 BECKY LN
DENNIS, SUSAN M
0
I
PERMIT NO. 1980-80B,P�E'm
PERMIT. EXPIRES....
bVVNER Sunbeam'Const.Co.
owner
tONTR.
LOCATION (A.P. 35-42-33
5309 Becky Lane, lot 110, Crestwood Sub#2,
Orovill&
Temp. Power Pole AO'
Called PG&E,/ 4
Temp. Elec Sere Iko
Called P '6E
Temp. Gas Serv. ly-o
Call, d PG&E �,6Z4& OXZ
'0
INALED
(Date).
(Signatdfoe')
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMB,ING,,.
Setback
Firewall
Soil Piping
e 2,4' ��76�
Forms
Parapets
1st Floor
Main Bldg-
Restroom Finish.
2nd Floor
Footings
WindoWs.
3rd Floor
Stemwa I I
Siding! 2- 1Y
0 Topout
Slab
Roof Sheatliln
Water Piping
Piers
.0
Roofing
Sewer -�J
Garage
Fdn. Vents
Fixtures
�Zl 3 Zy 6
Footings
Garage Vents,
Water Ht
Stemwa I I
Insulation
Heaters
Slab
Prov. for Phlilcally
Appliances
—7 17
Z
Carport
ha ped
Conformance of ex.
Gas Piping & Test ZZ)
--
70
Footings
Temp. Gas
Slab
?'Final)
S§WRtI
Patio
FIREPLACE
trinap
le'l 31frO
Footings
Footinci
EeECTR ICA -L
Masonry Walls
Throat
Rough
ReInf. Steel
Final
Fixtures
A 0
Bond Bean
FIRE SPRINKLERS
Motors
Framing -%�
Test
Water Htr.
Stucco k
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating 4c-,
Service
Brown
Coolina
Temp. Pole
Finish
-Ducts W 01,2- A
Underground
A
Interior Lath
VerlWation' /a—
Door Closer
fina
Fina'
MOBILEHOME UTILITIES ------------------ �ac. Service
ec. Pedi'stal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALL&TION
-------------- 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.) I
Temp. Power'Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
&.-2�ping requir ments-Setbacks-Easements
Pr r�__ ine Firewall & Openings
T�gxotZorL-One
rnd.- Ftg. Depth
T -Check Garage -3rd story, 2 exits
,4.--Ftg-:�Garatre; Sod�-Slbe- / /Z_/" Ftg. Depth
6e7 Stairs; Width -Headroom -Rise -Run -Landing -F ire Protection
��g Pepth
9rches & gocks- Soils-Styef- / ��g
9< ywood on Root Overhang -Attic Vents -Rafter Outriggers
�J
M04 -n-, Slbel-Blgckd-uts-WraWeTZE�2
42-�Siding-Nailing-Veneer
Ae'Sterrigatl's, GaWgL!r SWer-BI09te(rts-Wr4p0e'd_-6*W /1 a I j
6% SILzco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
-T"'5ers-Fireplace Ftg.-Steel __, '0 X7'-'J'1/,JY Yo
50o"Glazing Area -Glass Protect i on -Sky I ights- P last ic
A.'b.W.V.: Fall-Fittings-TestC2 way Gftv�sewer Test
&O -Shear Walls; Nailing -Bolts
4�Gas Pipe; Size -Anchors - I'll
�Ie- Water Pipe: Test-Anchors-Regulator-ServiLo4est
-11- Electric; Underground
-T2'- Plenums & Ducts; C learance-Materi al -Support- Ins.
-tS-.-Girders-Sills-Anchor Sol ts-Joi sts-Vents-Cri pples
Card -BI Date I Date
Card -BI Date Card -BI Date
4 4
Card -BI Date Card -BI Date
Card -BI Date Y4,Card-131 Date
�V_Z
Date FINA lans) OK except #'s
Steps -Door & Sidelight Protect i on -Land i ngs
Card -BI Date Card -BI Date
Date PLUN D31NG (Permit) OK except #'s
r�� oke Detector
_Wter Ht.; Vent- Access -Combust ion Air
t!�.-Water Pipe: Test & Anchors -Nail Protection
&&."'Furnace; Vent s -C I eara nce-C omb. Air-Connector-
-Ducts-Mech. Protection
sq'.� Bedroom Exiting
Test-Fttngs & Anchors -Nail Protection
)9o.'Shower Pan; Test, First Floor -Tub Access
W-- F.I. & Bath Fixtures & Tub Access
!�t Tub & Shower, 2nd Floor -Tub Access
�;.-WEIec. Trim & Subpanel; Breaker Sizes -Labels
lbe-Gas Pipe; Size & Anchors
-6P---Stairs & Rails
e" F . replace or Stove; Clearances -Hearth
�c. Outlets at Wood Panel; Int. & Ext.
Card -8 1(4,!j'��ate IF Card -BI Date
8&�,Kit. Fixt. & Appliance; Grnd.-A6w@sr-Cooki6g Clearance
Card-Bl�!� Dat2!��YgXard-Bl Date
. Elec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL (Perrr.it) 6K except #'s
L&?-,S?arage Fire Door; Swing -Landing -C loser
. 6.C. Duct in Garage -Damper
'196'
FJxture & Transformer Clearance -Ins. Protection
W-.O"Wtr. Htr.; Vents -C leara nce-Com b. Air-Connector-P.R.V.-
tp 89 age, A*V9§=F4ftr-Mech. Protection
Ejec. Receptacles Spacing -Lights & Switches at Doors
Plb., Elec. & Mech. Equip, Listed for Location
V.,�Ixe Boxes & No. of Conductors -Stapled
Receptacles in Garage; (G.F.I.)-R�mx Protec.
p!!!:�Rgmex installed Close to Edge of Studs & C.J.
7120- 1 nsu lat ion- Foam- Looked in Attic Eres
29e'_,FAuip. Ground made up w/Mech. Fasteners -Bond Gas & Water
goard Rails & Deck Construct i on -Post Qaps
:U�
98'-2 Appliance Circuits in Kitchen & Conductor Size
& Wc6o-Ear*eCTearance
fts
±�hrfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
v4o'Range Circ. /,V/ ga. Cu or%J;W0_ven Circ. ga. Cu or Al,
lnsulatq� Neutral []Yes 0
7AeO"Following inst1d.*. Drive �es E] No; Walks 2�<s C] No;
Planters D Yes iaro
7 MMUCTo-rs & Guab15d-Main Disconnect
416,.- S!peco; Brown -Finish
� E i �rances; Pane I s-Molors-Mech. Equip.
&59ReA.C. Unit; Disconnect -CIrnces-Brkr. & Cond. Size -115V Outlet
,Cie
lothe CIO
C set Light -Shower Light
/A&!' -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I 0 -bate/ 191 qWard-BI Date
Card B -I Date Card -BI Date
-Q- Water Well; Disconnect, Electrical, Plumbing
-------- A?'Exterior Elec. Trim; G.F.I. Receptacle-liada%caww$-
Ventilation throughout House
1821 -Glass Protection
Date MECt�ANICAL (Perrr-it) OK except #'s
Be"_Correct ions from Previous Inspections
________8e_Gas Test -Meters Tagged; Gas -Electric
ZjcjeA�- ;. Ducts: Insulation & Support
ent-Fan; Exhaust above Insulation
V V_� n
Condensa t e Drain & Overflow: Size & Grade
Z5-�Water & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
31+-�_Furnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet
3&,- Attic Access & Platform if Furnace in Attic
Card-�71� D..V- 4ard-Bl_ Date
Card -BI Da te 01�4 Eard-B-I Date
Card -BI Date C.rd-BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FRA��(Plans) OK except #'s
Comments at Final:
3%_�_S��s: Proper Material & Anchors
TOI-walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
-9;.�,Sr'.aring Walls over Girders & Floor Nailing -
D
D[,alt Stop in -Walls (rat proof)
Fir ngs-Stairs- s -Tub
e Stops: Furred Ceili _-Chase
441-Aeader & Beam—size & Bearing
4:� �Hgers—Posl Caps—Anchors—Connectors
CIng. Joist—Rftr. Ties—Purlin— Roof Brac.—Truss—Shthnq.—Rfng.
,M,Fireplace Tie s or Type A Flue—Fireplace Throat
It S�
ize & Romex Protect i on—Draf t Stop—Ins. Baffles
Z�Epdicn. Wind�.,ts_or Exiting Doors—Sill Hot. & Dimensions
AZ -'Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobs ite)
V = OK
0 = Not OK
- = NotApplicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans),OK except #'s
1. Zoning Requirements-Seiback��-Ea�6ments
Date
DECKS, COVERS, CARP0FfTS, ETC. (Plans) OK except #'s
1. Zoning Requ i rements-Setbac ks- Easements
2. Soils; Special MH -Sketch
2. Footings; Size -Depth -Spacing -Connectors
-Support
3. Sewer; Location-Test-Fall-6/0-C6ncrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Locat i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs. -Con nec.-Shthg.-R fg.-Brac i ng
5. Electricity: Loc.ation-Clearanc6s-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: /"C'ft./ - Nat. or/ L"ft./ LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card- B I Date
Card -BI
Date Card -131 Date
Card -BI
Date
Date Card -BI Date
IMOBILEHOME INSTALLATION (Plans) OK except'#'s
1. Zoning Requ i rements-Setbacks- Easements
Card -B I
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers- Brea kers- C I eara nces
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding: Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged'
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc losures- Pane I 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
Ca.rd-BI
Date Card -BI Date
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 0 CRES)TWOODN S IV T TTNTT Na- P
(location)
BUILDING PERMIT NO. 3 17 FO A-iP. NO. 3 j - q 7- - 33
THE F OLLOW.ING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(C�eck each item -or write N/A if not applicable)'
.jNSULATION:
Slab Edge.
Fdn,. Walls
Floors NA
Walls x
C e
'iling/
Ducts �&
Circulating Pipes NA
APPROVED HEATER X
APPROVED WTR.HTR. X. -
GLAZING
Single Glazed
NA
Special.(Ifisulated)
x
CERT. & LABELED WDS.
& SLIDING DRS.
x
WEATHERSTRIPPED DRS.
NA
BACK DA�fPERED FANS
x
INTERMITTENT IGNITION
DEVICES x
CERT. APPLIANCES—
X_
I DECLARE..THAT ALL REQUIRED ITEMS AS NOTEDABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION. REQUIREMENTS AND AGREE TO
-SUBMITTED.
THE COMPLETENESS OF THIS CERTIFICATE AS
Insulation Applicator Name SEE ATTACHED
(please print)
Signature of
Applicato State.Contractors
License No.
General Contractor/Owner Nam
(please print)' 10 GT Z 7 1980
Signature of _4"_
1 Contractor/Owner ___7
Genera
Contractors
State
Gregory To VjStjca7Pves Yicense.--No. 15�200
THIS. CERTIFICATE MUST BE ON FILE. WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHI1,1 THE DWELLING.
kESI DFNT I Al.
ENERnY CONSFNVATTON STANDARDS
CONSTRUCTION COMPLIANCE CERTTFICATF.
THIS K To CERTIFFY THAT ENERGY COHSERVATfON BEEN
iN CoNFOR'NANCI-: WLIAI CURRENT ENERGY CONSERVATION REGULATIONS
A '! '.. __. _ 10-L-L_l
locatifon)
I,IJ 11 1) 1 N(; I F RIH IT NO. A.P.
THE FOLLOWTNG HAVE HEEN INSTALLED AS PER APPROVED PLANS:
(Chvck caqh item orwrite NIA if not applicahLe)
INSULATION:
:-j 1:11) Vd),.c_
NA
Fdu, walk
NA
F loors
AIA
V, L I I S
C -, - i. I i. R o o f
Duc
NA
Circulating
Pipc4,11A
APPROVED Hma,
111TERMITTWT WNITIP14 DEVICES
NA
NA_
GLAZMG:
Single ClAze,d
NA
Special rl�sul Itc(l)
NA
CERT. & LABELED INIDS'.-
& SLIDING DPS� ''
NA
WEATHERSTRI PIP ED DR S .
NA
BACK DAI-1111-:1-:1.11) FANS----
111TERMITTWT WNITIP14 DEVICES
NA
CERT, APPLIANCES
NA
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACC(IRI)ANCE-WI.T11 THE ENERGY CONSERVATION REQUIRMIEWS AND AGREE 0)
THi-: CHi',H'1J:TFNWss nF THIS CERTIFICATE AS SUBMITTED.
Jnnulati"n Applicator Naing.-Hawkins_ Insulation jn�.
Sii"natur (! o 1: (p I ea- c print)
111::ulacion Applicn?r- �2 1 z ��
4�� ezz
General Conjractor/(Mice Nmne
State.Contracturs
L ' icensi N9, 37807
SUNBEAM CONSTRUCTION CO.
(please print) . ......
Signature of
Cancra L Con t rac tor/0rjii6r DatcOCT 2 7
GREGORY T. VISTICA State Contractors
Licenso No. LICENMr7# 153200
I
THTZ CVIQTnWqTE "OST 'BE ON FILE WTTH��--THF 1',111-LDINC DEPAWNENT PRIOR To
1N,'-;PI;:CTI'ON AND SHALL BI-.' 1'0:;'I'I::I) IN A CONSPICHOW'; LOCATION
k-11:1,11ii! THI.:
�)j
Telephone
533-2000
North Burbank Public Utility District -
1960 Ehon Street
OROVILLE, CALIFORNIA 95965
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 verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant:
Applicant Address:
V��
Applicant Phone No.:
Property Location (s):
A. P. No. (s):
Fees Paid:
U� 1�1-_-"'/C"). �11
Application for service approved:
North Burbank
Public Utility District
I'A �'� " _V L � ) J, G, D J- - '�' "
Inspection(s) made and successful test(s) observed:
Location: Date:
V.W- WIN I
North Burbank Public Utility District release to close permit:
Date: )/- 3 - 9'0 By:
-qq
V
COUNTY-aF BLIT*TE - DEPARTMENT OF PUBLIC WO RK PERMIT NO
7 County Center Drive - Oroville, California 9 ' 5965 - Telephone 916/534_fi
APPLICATION AND PERMIT
AS53S OR PARCEL NUMBER
ZONING
klo�?—
0'
BUIt&1PNG PERMIT
4115-
TEL11PHONE
70 —o"WZ
SQ.FT. OCC -1 BUILDING VALUATION
--
10lie
WN I MAILING ADDRE.SS
x e W
CCFNTRAZ:
FT
/Z
CONTRACTOR'S MAILING ADDRESS
CON T CTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LEN R' MAILIN'G ADDR
'0 ,gs
Permit Fee
$ ;r
"'oe ::�2
ARCHITECT -OR Er4GINEIER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BU ILDING -_ADDRESS
'I; �
PLUMBING PERMIT
FilingFee 3.00
Each Trap
01 2.00 ,Z,eQ7
Repair drainage or vent piping
2.00
water piping
Z, 4xv
LOT NO.
o
UBDIVISIOIIJ NAME
ARCEL MAP
Each qas water heater or vent
2.00 Z,,q�p
Gas piping system 1 - 5 outlets
2,6k7.
USE OF STRUCTURE
SF [0 DuplexF� MobilehomeF� Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New W Addition El Remode I Utilities InstallationD Other
Describe work:
Zd-17� 4 e
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWEX
OR ADDNS. ACC 1
L
20 sq ft Z47 &,g -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
1, 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. ( MULTI -OUTLET
—NON-RESID, BRANCH CIRCUITS) 2.50 ea
N EW CONSTR. (POWER APPARATUS.&)
NON _ RES , D * SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 50 @ 25C
BAL@1104�
(FIXED APPLNS OR
Ex. Occup. 0 UTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $ . - Z.
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. -C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating 4V 19Y - /11741911
,�r,,R50
Cool ing
Hood
2.00
Ventilation
I
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.
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
againsy said Cpunty in conpequeny of t h granting of this permit.
X Date zze&
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 $ 1Z!F0V
—
TOTAL PERMIT FEE $
;eP. GROUP
I TYPE OF CONST.
v
I PAR,��J
��J
NO
I ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
By. 4" DIRf=OR 0 IBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datp
9;�,
Receipt No. Jq:3 . .
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROO-APPL I CANT
Telephone
533-2000
North Burbank Public Utility District
1960 Elion Street
ORC;VILLE, CA'LIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 166-80
BU I LDING 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 verification form, signed off by North Burbank Public . Utility District,
must be submitted to Butte County..
SUNBEAM CONSTRUCTI,ON CO.
Applicant:
Applicant Address: 11190 HOOPER.LANE, LOS.ALTOS HILLS, CA 94022
415-948-6482
Applicant. Phone No.,.
Property Location(S). 5309 BECKYLANE, OROVILLE
CRESTWOOD UNIT NO. 2, LOT 110
A. P. No. (s): 025-42-0-032-0
Fees Paid -
$300.00 SCOR FACILITY CHARGE PAID 6/29/79
NBPUD CONNECTION FEE UNPAID
--------------
Application for service approved:
North Burbank ,
P"hlh- "tilitu r)i-4ztrirt
AUGUST 6, 1980
Inspection(s) made and successful test(s) observed:
Location:
W -
Date:
North Burbank . Public Utility District release to close permit:
Date: By:
I
This set of plans and. specifications' MUST be
kept on fhe'job-at all times and it is unlawful to
make any changes or alferafioni on -some without
written permission from f he Depart merit of Publie
Works, County of BuH6.
TE.—All Materials Workmanship Shall Be In
c -nnce with Recognized Good . Practices and
p ib d for the Specified use in- the
%�2�n e
bing & Ma a and
ni uildin ch' nical Codes
n ectric ode.
7 �,_
See Master Plan on file'lor building
0ans.
U!2119
a4z
R2 F -
A set6a'ckof 5 ft. from fh.'
property lines and a setback
of.50ft. from the road
centerfine sh611be clear of
structures or equipment Ocept
for a 2 ft. SSVe overhang.
BUTTE COUNW.
BUILDING DEPARTMEN-Ti-
APPROVED
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 5309 BECKY LN
Owner:
Permit No: B07-0221
APN: 035-420-033
DENNIS, SUSAN M
Issued Date: 02/06/2007 By KEJ
Permit type: MISCELLANEOUS
5309 BECKY LN
Subtype: RVAC Change Out
OROVILLE, CA 95966
Expiration Date: 02/06/2008
Description: CHANGE OUT RVAC
(530) 533-6390
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
ARTIC AIRE OF CHICO INC
ARTIC AIRE OF CHICO INC
Building Garage kemdl/Addn
2350 PARK AVENUE
2350 PARK AVENUE
CHICO,CA 95928
CHICO, CA 95928
(530) 895-3330 1
(530) 895-3330 1
Other Porch/Patio Total
FEE INFORMATION
DBM Heat Pump (Package Unit) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1741
LICENSED CONTRACTOWS DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
ARTIC AIRE OF CHICO INC 234913 / B C20 C 2 / 01/31/2008
Law for the following reason (See. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER&�� PERJURY that I am licensed under provisions of Chapter 9
Is n 3 of the Busines and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
02/06/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Sigggrure Date
1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
EICOMPENSATION, WILL 00 THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS"COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE
the work himself or herself or through his or her own employees, provided that such improvements
AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
KI
1. As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
E] CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
�HAVE
S t..
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
Wo,
Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: ACE AMERICAN INSpolicy Number: RSC Exp. D,,,:12/3112006
L—M--ollars
Contractor's License Law.).
(This section need not be completed if the permit is or 0 ($1 00)_o_rI_ess.T_
F� I AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of Calif`�OVXgre that if I should become subject to the workers'
X 02/06/2007
f I
co s.<TSei of I Labor de, I shall forthwith comply with those
Owners Signature Date
P
XC_ 7
02/06/200
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEYS FEES.
County to enter the above mentioned property f r inspoction purpose . her by certify that I am the
pro th2o"to act ont;2. 710-1-9r's I
�2/06/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name ot PerllInIttee I Print te
the performance of the work for which this permit is issued. (3097 civ. code)
r
1:1 Owner 1:1 Contractor OR: Agent for Owner Agent for Contractor
FILE COPY
Lender's Address city Stat.--Tp7
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
'AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE RYLL BE REQUIRED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
Lem,\f�)
irst Name
r "5( C) I
Address tP �9 r 4(A
Lra-�e—
city
Sta,��A
zip 2ab(12
Phone
lax
E-mail
A ICANT SIGNATURE
X C�L
For office use only:
CONTRACTOR
Name
(IN
Address,,,),71,
Pri rv, (I ye -
city
No
StaleCA
JZZipq59a3
Phone,,,__,e
Book
lax,
-4) -
- jBqA -qqS,
E-mail
Lic. #
ass
A ICANT SIGNATURE
X C�L
For office use only:
ARCHITECTIENGINEER
Name
(Tt
Address
Pri rv, (I ye -
city
No
State
Zip
Phone
Book
Fax
E-mail
State License Number
A ICANT SIGNATURE
X C�L
For office use only:
APPLICANT NAME
Name
(Tt
Address
Pri rv, (I ye -
city 0)�k
No
State CA
'!q5228 -
Phone
t�r)
Book
Fax 5M -20,;) - q 93D
E-mail
A ICANT SIGNATURE
X C�L
For office use only:
Zoning
Property Address
22cfl Ec C -V, " t J(� -
Flood Zone
Cross Street
SRA
I YesT
No
Occ. I
Type ConsL
Subdivision Name Map
Book
I Page
1 Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
P? — 0 0-�D
BP
BIN #
LOCATION
AP# 6-3S. LL�o-o
Property Address
22cfl Ec C -V, " t J(� -
C*
I
Cross Street
WORKER'S COMPENSATION
Policy Numb r
_LL4 Ll q_. jj�do
Carder
ftmer�can acai-rance-
�hiring
if anyone other than license contractors, a certificate of workees
Ing a
c com
ompensadon must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
0 Structure Built wbout Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued wiU expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount Bldg
SRA
Receipt #- Sheriff
SMIP
----Mer
T al
I otal
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR MSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 5309 BECKY LN
Owner:
Permit No: B06-2717
APN: 035-420-033
DENNIS, SUSAN M
Issued Date: 11/28/2006 By KEJ
Permit type: MISCELLANEOUS
5309 BECKY LN
Subtype: Water Heater C/O
OROVILLE, CA 95966
Expiration Date: 11/28/2007
Description: CHANGE OUT GAS WATER HEAT
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
BROWN JOHN HEATING AND AIR
BROWN JOHN HEATING AN)
Building Garage Remdl/Addn
1024 REGENCY DRIVE
1024 REGENCY DRIVE
CHICO, CA 95926
CHICO, CA 95926
Other Porch/Patio Total
(530) 592-9277 1
(530) 592-9277 1
FEE INFORMATION
Water Heater (qty) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B985
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
BROWN JOHN HEATING AND) 825622 / C20 / 10/31/2007
Law for the following reason (See. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commen Sectio 7000) of D* ison of the Business and Professions Code, and my license
' 'w"
'
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is m fut r and e4ect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
A 11/28/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Sidnatur'e
1, As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
EICOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS'COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONiRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Caff ier: Policy Number. Exp. Date:
(This section need not be completed if the permit one hundred dollars ($11 00) -o -r Te—ss.)
0 1 AM EXEMPT under Section B. & P.C. for this reason:
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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 11/28/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
X prr7ns.', /;/���12
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
1-1 .
Signalarg— Date
WARNING:FAILURE POSECUREWORKERTCOMPENSATION COVERAGE IS UNLAWFUL,
const ction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butteruounty, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in anyway connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
-the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEYS FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
dpro any "owner ora a 2hoZzlo act o Mtpoperty owners behalf.
e_1 5C -A t-_:) 11/28/2006
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name eflPerrimittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Agent for Owner 5&gent for Contractor
Owner 1:1 Contractor OR: 1:1
FILE COPY
Lender's Address city
��_v
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND- SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WLL BE REQUIRED A T TIME OFAPPLICA TION
Website: www.buftecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name Aar 0e7 t2
rirst Name�_�.C',
Mailing Address Q
city
6�v I' I
State
zip
Phone
Fax
E-mail
CONTRACTOR
Name
Address
city
Slfate
eg
Zip
1
Phone
Fax
E-mail
Lic.
C812-0
..I APRVCANTx91GNATURE
X
For office use only:
ARCHITECTIENGINEER
Name
Occ.
Address
Subdivision Name
City
zip
State
Zip
Phone
E-mail
Fax
E-mail
State License Number
..I APRVCANTx91GNATURE
X
For office use only:
APPLICANT INFORMATION
Name
Address
Occ.
city
Subdivision Name
State 14,4
zip
Phone
Planner
Fax
E-mail
..I APRVCANTx91GNATURE
X
For office use only:
Zoning
Flood Zone ____rSRA Yes I No
Occ.
I Type Const.
Subdivision Name
Map
Carrier
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECTLOCATION
AP*
Property Address
5�30cl
City
Cross Street r
e, 4QI23 4:2
WORKER'S COMPENSATION
Policy Number
Carrier
lf hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scop f Wor
F9 1:? !F k , I (-- 07.-L
VX1 y ) ?�'
Sq FT- Living Garage 8pn— --, Cov
0 Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
_SMIP
Other
Date: Total I
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-75 PE IT NO.
(Rev. 12/96) APPLICATION AND PERMIT C i� 1 -,9 1 --37
ASSESS.RPARCELNUI� 3 5 t4ao _033
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
DIN Ss
g� r
CONTRA7S
t
TE LEPHONE
co
CONT REdS
71 lachL
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 1 IL11
- DO
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ R,9.m
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
S 3 A6_nc"
Energy Plan Checking Fee
$
$
PERMIT FEE
s C4417,
LOT NO.
SUBDrVIS IONS NAME
1
RCEL MAP
PLUMBING PERMIT
Firing Feel 20.00
USEOFSTRUCTURE
SF X Duplex 0 Mobilehome 0 Other SPECFY_
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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: -i VISA. -
0
Gas piping system I - 5 outlets
15.00
Building sewer
Mobile Home I S I G I W
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service OR Lr:.'ss
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 nd effect.
(�Il force a
License Class - 3!9 _ Lic. No. V
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
El 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
13 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:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof work for which this permitis Issued.
My workers',cgrppensation i0surance carrier and policy number are:
Carrier ) z c Zt A:1:4 d
Policy Num-beir _ -7 - If �� - /9 -7 -7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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.
i r-.
X ��) - I
Date
Signature of Applicant 0 Owner [2 -Contractor 0 Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLIN OCC
OR ADDNS. & ACCOBLDSUP
a
3.5,s
FT.
=,CON. MULTI -OUTLET @7.50
IESIDT H CIRCUITS
POWER APPARATUS
& SINGLE OUTLET CIR.
200 1.00
Ex. Occup. OUTLET OR FUTURES BAL @ .50
O.FIXED APP
Ex. Occup. 5.00
Temporary Service 23.00
—Mobile Home Facilities 20.00
Misc. Wiring 00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
—
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
_&I - _-�
L T9TAL FEE $
t//1 Ty Li "I
_CADW�T,�PE
HAZJD FE IMP
,
I FLOOD
I CDF
PARCEL
PO
This permit is hereby issued under
of the Butte County Code and/or
indicarabove for which fees have
I
By 17-YOW",
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
2
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538 -7r -A-1 _PEEIMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01- C311 a I ��J
ASSESSOR PARCELNUMn
ZONING
BUILDINGPERMIT
OWNER,.,� (2,9U4SkJrL
TELEPMONE
SO. Fr. OCC. BUILDING VALUATION
OWN- NG
(TSS
(f
CONTRA��, N
_15-3-3
TELEPHONE
_QT34
0 -a-)
cor�;!Vr
,_ j" k iq�d OrnK91L
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
act, 00
ARCHITECT OR ENGINEERS WUNG ADDRESS
Plan Checking Fee
BUILDING ADDRESS
Energy Plan Checking Fee
mim-I'VcHe-
PERMIT FEE$
�JTQD
LOT NO.
SUBDIVISIONS NAME
II
PARcEL mAP
PLUMBING PERMIT
Firing Feel 20.00
USEOFSTRUCTURE
SF.)< Duplex El Mbil,h,m, 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
(920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service "Ooo'A 'oR
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(Jpll force and effect.
License Class —3!2 _ Lic. No. 2_?
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of Oerjury one of the following declarations:
0 1 have and will maintain a certific�te 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' tion iosurance carrier and policy number are:
Carrier 17M t--
Policy Numb4r —11-3 - -1 49 -7 -7
(The above sections need not be complet6d if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 op- Z- 7
_n__P�C_oniiictor 0 Agent
Signatuere f Appi er
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
NEVW CONST. DV=NG OOCUP. so.
OR ADDNS. . S. 3.501'T.
NEW CONS ULT,O
NON-RESIDT =H NWIT,
@7.50
OWE.RAP=TUS
PSIN. . CR.
20 @ 1.00
—Ex. Occup. OUTLET OR FOMRES BAL @ .5o
OFIXED APP . OR
Ex. Occup.. . (.a .1 E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00.
Wiring .10
—Misc.
+
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
—
Hood 6.50
Ventilation
PERMIT FEt. $
Mobile Home Installation Fee
Energy Inspection Fee $
cc 12
_49piff.-T
VA
YPE
T E $
L OTAL FE
HAZ. J_D�7'11VIP
I FLOOFT77C
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
ind which fees have been paid.
0/4
By Date CY 4K -+161
PERMIT EXPIRES ON
I patef
ReceiptNo. �2 O�/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROFAPPLICANT
Permif#2461-83B
Gary Schoedhal
Cl-
COUNTY OF BUTTE 1ARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cali , fornia 95965 - Telephone 916/534-4541 Of
APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
10 .. ),t . -
I k
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING
VALUATION
OWNER'S NIZEING AD�RESS
CONTRACTOR'S NAME
L 41 /,''- ) I I �
TELEPHONE
-
CONTRACTOR 'S MAI LINGr ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ fl-%
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
1
PARC L MAP
1
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
5.
USE OF STRUCTURE
SF E DuplexF� MobilehomeM Other SPECIFY
Building sewer
5.00
Mobile Home ISI GJWJ
10-00ea
TYPE OF WORK
New n Addition RemodeIE] Utilities [I Installation[] Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LES�
10.00
I
Main service EA. ADD -L 100 AMP
2.50
NEW CONST ( DWELL-ING OCCUP.&)
OR ADDNS.' ACC.BLDGS.
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. -' '? 'N ' - " - -Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
qrs. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
N
NgW CON,STPL(MULTI-CUTLET
_S BRANCH CIRCUITS) 2.50 ea I
N.R,
NEW CONSTR. /POWER APPARATUS &'
NONeRESID. %SINGLE OUTLET CIR .
20050C
Ex Occup(OUTLETS OR FIXTURES A
B L@30g!
-
FIXED APPLN5 OR
Ex. Occup. OUTLETS ( RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Horne Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing 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-lns�ure.
F-1 I shal I 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
Venti lation
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.
10
X Date
ig, of Applicant bwner F Agent F�
S nature Contractor El
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.
P71
No
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO_')
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
,,,I- COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION- NOTICE
1011/- C., (11-/"/ /fli ,
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
lnspectorA-(,�/,,/, Jr)."e
, Da
01
COUNTY OF BUTTE
DEPAIRTMEM.T OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
?
Y. cj,/,/ 1"?,vg
LDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Az-
/ Ml
Inspector Date
�. —.4. � "
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534--4541
APPLICAT16N AND PERMIT
PERMIT NO.
5�? /_//
:Z
ASSE,400 RRCEL NUMBER
a - C)
ZONING
BUILDING PERMIT
OWNER
�5ch OeJA a
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S
,4,AILINlv ADUNt-bb
�o(? sere'l �.CM;R, -&ol), //e,
CONTR TOR'SNAME
.�;fao" / I d
TELEPHONE
153 3 -5-d
CONTRAC MAI LI NG -1 ADDRESS
I CIO 14 1)1#10
S J-% ( /
Fireplace
CONST14 DER
JUNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILIN ESS
J;6DDR
Permit Fee
$
ARCHITECT OR LIN ER
r
LICENSE NO.
I
Plan Checking Fee
$
Penalty
$
—
ARCHITECT OR ENG
,XR*S MAILING ADDRESS
Permit fee
$
BUILDING ADDRES!V
PLUMBING PERMIT
Fili ng Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
IPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
5.00
USE OF STRUCTURE
SFIET�Duplexn Mobilehomen Other SPECIFY
Building sewer
5.00
Mobile Home S I G W
10.00 e
TYPE OF WORK
NewF] AdditionEb,, R mod@]El utilities 0 1 t 11 t* n QO her P1
n a a I o;��O_i _r
Describe work:.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fil i ng Fee 10.00
6111 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR ACDNS. ( ACC. BLDGS.
21/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
VI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full fy�! and effect.
16C) . Classificati
License No. 91 on
0 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed cunirdcl-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR.( MULT'*OUTLET 2.50 ea
NO N.RESO, BRANCH CIRCUITS)
NEW CONSTF;L I POWER APPARATUS &'
NON-RESID. %SINGLE OUTLET CIR . )
r -x, 1.20 0 50t -
E Occup(OUTLETS OR FIXTURES ALO 301
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing 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-Inslure.
F-1 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
Venti lation
_F
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree. to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabil' dgments, costs, and expenses which may in y wa accrue
.1 ski u
agains�tfl i o ty(injonsequence of the grantyg of this perJt.
0
X ate
Signatutre of Applicant — t/.�15wnerin 4?.n1r.c1orE] Agen
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.
'17Z7131
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
Byq_?��
P IT EXPIRES Date
104d
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -7-
-7- 1-?— T L/
— I
Receipt No. C) I C1 3
WHITE-O.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD-APPL [CANT
VA,