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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,