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Home My WebLink About035-420-037a 35-42-37 Sun Const.Co. 5324 Diane lot 106, Crestwood Sub#2, Oroville Permit #3978-80B,P,E,M n ingle. family) 4goX /v 35=42-37 Daniel "Greene 5324 Diane Ct., lot 106, Crestwood Sub#2, Oroville Permit #143=82B(i6st.wood stove/SF) u .� _ 1 - r-+ r - � � err ► '. �-..�� _ - 0 ,rLO l � � 1 COUNTY OF BUTTE - DEPARTMEhT OF PUBLIC WORKSPERMIT�N7O. 7 County Center Drive - Oroville, Cahifornia"95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT [� ASSESSOR PAR EL NUMBER ZONING BUILDING PERMIT T LEPHONE! O/ //v / r/ SQ. FT. OCC. BUILDING VALUATION %S/,�n• ///JJJ OW✓�ACI•IGN�G ADpR////V� l.F/� /✓V{�/ CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace( �y+� CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,.PJt7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEERIS MAILING ADDRESS Permit fee $ (�(J BUILDIN;,YDE G PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 vlL Water piping LOT/ANO//. V & SUBDIVISION NAME / di6Z57A 0Q b PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtIliti eis ❑ Installation Ot r Describe work:-+�%�� V V i,l C.J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main .service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUi OR ADONS. ACC. BLOGS. 2P. sq 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 a Professions Code and m license is in full force and effect. y icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONT R. BRANCH OUT CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. W@ 2150 Ex. OccupOUTLETS OR FIXTURES BAL@1 Ex. Occup.(0UT ETS FIXED P(RESID ILNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department f Consent to Self -Insure. a Certificate of Workmen's Compensation Insurance or a Certificate Vfo shall not employ any person in any manner so as to become subject the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, aqd expenses which may in any way accrue against s id County in c Aseq a ��of the granting of this permit. �. X Q Date % `' ��i J� Signature of Applicant — Ow1ner ❑ Contractor ❑ Agent ❑or&ndii 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 $ _ o d OCCUP. GROUP TYPE OF CONST. PARCEL Pb HD IssUE This ermit is hereby issued under si s f the Butte County Code and/or teabove for which RkCTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date R Z ��" Receipt No. �2�viLU'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a COUNTY OF BUTTE - Department of Public Works 7 Coursty Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No'building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or, no) 2. I (have/have not)_L etlI=C signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the'proposed construction: Name /' f to v > ` Address City Phone Contractors License No. 4.1 I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date / - 7S-- 0--7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ' PERMIT NO. 3978-80B;P,E,M PERMIT EXPIRES OWNER Sunbeam Const.Co. o2ner CONTR., 35-42-37 LOCATION (A.P. 5324 Diane Ct., lot 106, Crestwood Sub#2, 'Oro,, Temp. P wer Pole Called PG&E Tem KElec Serv. V.4 A, Called PG&E In Temp. Gas Serv. /Called B all e d PG&E B. FINALED (Date) (Signatur —�—ve j Telephone V 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 164-80 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. 4) 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, 11 must be submitted to Butte County. I Applicant: SUNBEMI CONSTRUCTION CO. Applicant Address: 11190 HOOPER LANE, LOS ALTOS HILLS, CA 94022 Applicant Phone No.: 415-948-6482 Property Location (s) 5324 DIANE COURT, OROVILLE CRESTWOOD UNIT NO. 2, LOT 106 A. P. No. (s):* 035-42-0-037-0 Fees Paid: $300.00 SCOR FACILITY CHARGE PAID 6/29/79 NBPUD CONNECTION FEE UNPAI ��d Application for service approved: North Burbank AUGUST 6, 1980 Public Utility District Inspection(s) made and successful test(s) observed: Location: / a7�/�� Date: 11-12-90 By: I ge e Z 1-� J 6-,=4 7' �- !North Burbank Public Utility District release to close permit: Date: l/-/2- 00 By: Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E F Temp. Gas Service Called PG&E JOB FINALED (Date) Signature_ r = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) &e002oning requirements—Setbacks—Easements 413 -^Property Line Firewall & Openings p tg. Main; Soils—Steel—Elec. Grnd.— / /" Ftg. Depth xt. Doors—One 3'—Check Garage -3rd story, 2 exits tg., Garage; Soils—Steel— / /" Ftg. Depth •59- Stairs; Width—Headroom—Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel— / /" Ftgo,6epth &� emwalls, Main; Steel—B{eet.geke--Wrapped— R temwalls, Garage; Steel—Blockouts—Wrappe ywood on Roof Overhang—Attic Vents—Rafter Outriggers Siding—Nailing—Veneer !9 ucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access 7. Piers—Fireplace Ftg.—Steel Glazing Area—Glass Protection—Skylights—Plastic D.W.V.: Fall—Fittings—Test w O S er T st Shear Walls; Nailing—Bolts q9r--Gas Pipe; Size—Anchors 4" Water Pipe; Test—Anchors—Regulator—Serv' est Electric; Underground Mi►• Plenums & Ducts; Clearance—Material—Support—Ins. 13.. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date Card BI Date Card -BI Date S/ Card -BI Date Card -BI Date Card -BI Date Card -BI Date 27 h Card -BI ate — Date FINAL tans) OK except N's Card -BI Date if Card -BI Date Date PLUMBING (Permit) OK except N's 5 Steps—Door & Sidelight Protection—Landings 6;?'.'§poke Detector 14. Water Ht.; Vent—Access—Combustion Air Furnace; Vents—Clearance—Comb. Air—Connector- I Ducts—Mech. Protection 15. tlater Pipe; Test & Anchors—Nail Protection D. .; T —Fttn Anchors—Nail RwIction ARe. Bedroom Exiting 17. Shower Pan; Test, First Floor—Tub Access F.I. & Bath Fixtures & Tub Access x'18. Test Tub & Shower, 2nd Floor—Tub Access 6<7 Elec. Trim & Subpanel; Breaker Sizes—Labels 19. Gas Pipe; Size & Anchors 102" Stairs & Rails ,&i _ Fireplace or Stove; Clearances -Hearth t1ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.—Cookin Clearance Card -BI Date p 7 *--Card-BI, Date ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Garage Fire Door; Swing—Landing—Closer -e@.+A.C. Duct in Garage—Damper W. F'xture & Transformer Clearance—Ins. Protection QO,.Wtr. Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— ech. Protection Elec. Receptacles Spacing—Lights &Switches at Doors Ar Plb., Elec. & Mech. Equip. Listed for Location e Boxes & No. of Conductors—Stapled lec. Receptacles in Garage; (G.F.I.)—R ex Protec. Romex Installed Close to Edge of Studs & C.J. '9210—Insulation—Ream -Looked in Attic ErYes uip. Ground made up w/Mech. Fasteners—Bond Gas & Water -729 Guard Rails &Deck Construction—Post s 2 Appliance Circuits in Kitchen &Conductor Size 7 Dra ge &Woo h Clearance s _ .ZS—�ybfeed Wire Size % / ga. Cyour AI—A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or —Oven Circ. ga. Cu or Al, I sulated eutral "Yes o Following instld.: Drive es ❑ No; Walks EYes ❑ No; Planters ❑Yes No 2 Ser — Gr�ffd—Main Disconnect �' S cco; Brown—Finish Equip. Clearances; Panels—Motors—Mech. Equip. C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet Clothes Closet Light—Shower Light ,� Card B -I —Date L / and -BI Date Card B-1 Date 7 Card -BI Date Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. 3G.+ ter Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle-49""ioftl . Ventilation throughout House ATopGlass Protection Date MECHANICAL (Permit) OK except N's _ Corrections from Previous Inspections Gas Test—Meters Tagged; Gas—Electric A.C. Ducts; Insulation & Support - / 3Q�Vent Fan; Exhaust above Insulation f•�/7 8D'33�- ondensate_Drain & Overflow; Size & Grade 86/CO er & Sewer Connected—C/O to Grade—HD Approval nergy Compliance Certificate—Other Certificates !!! Furnace—Vent: Access -Comb. Air—Return Air Vent -115V outlet -35—Attic Access & Platform if Furnace in Attic Card -BI Datg 0/'7/y d Card -Bl'_ _ Date Card -BI Date [ Card -BI Date Card -BI W Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: 3�..Ri11 ; Proper Material &_Anchors__ 3rr Walls: Stu ds—Nailing_, Spacing & Bracing—_Plates_—Sound .Ut Bearing Walls over Girders & Floor Nailing__ _ 9e -_Draft Stop in Walls (rat proof)_ 49"Fire Stops; Furred Ceilings—Stairs—Chases—Tub _ 111 4�H ader & Beam—Size & Bearing QN'� angers—Post Caps—Anchors—Connectors 11'I f� Cl ng. Joist—Rftr. Ties—Purlin—Roof Brac. r Shthno.—Rfng. rj Fireplace Ties or Type A Flue—Fireplace Throat Attic Access; Size & Romex Protection—Draft Stop—Ins. Baffles tv'� rm. Mndow_s or Exiting Doors—Sill Hot. & Dimensions rage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) 0 J OK 0 = Not OK c - = Not Applicable MOSILEHOMES Not Ready ' I MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /'`L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements. Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining' 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date . Card -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 /oe, CRESTWOOM SUBDIVTSTON UNIT NO (location) BUILDING PERMIT NO._ ? 9 '79-77-8U A;P. N0. J-- q 7- _! 3 7 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge. Fdn. Walls A Floors NA Walls x Ceiling/=fyX Ducts X Circulating Pipes NA APPROVED HEATER X APPROVED WTR.HTR. X GLAZING: Single Glazed NA' Special (Insulated) X CERT. & LABELED WDS.' & SLIDING DRS.' X WEATHERSTRIPPED DRS. NA BACK DAMPERED FANS. X INTERMITTENT IGNITION DEVICES- X CERT. APPLIANCES X I�DECLARE THAT ALL REQUIRED :ITEMS AS NOTED.ABOVE HAVE BEEN INSTALLED - IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO. THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name SEE ATTACHED (please print) Signature of Insulation Applicator State.Contractors License No. - General Contractor%Owner Name SUNBEAM CONSTRTTCTT0N COMPATTV (please print) 0 GT 27 1980 Signature of General Contractor/Owner e,i'ene Da Gregory -T. Vistica �Paes state Contractors License No.. 151290 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING, DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION W IT110 THE DWELLING. 4, RFSIDF.Tj'TIA1. rNF:k(;Y CONISI:I:VA'1'lON—1,WIDARDS CO NSTMiCTION' COMPL.IANCf: CER'TTY-1CATE --------•---•--------- 1 ;'Ills 'i:() CERTIFY THAT ENERGY COHl ERVATION REQUIRFTIFI.1'L'S Ii.-1Vl•. BEI -:N IN CONF'ONM.A-1`a:li l•1LTII Cl RNE.NT FNE'R(;Y CONSERVAT1.014 RECIILAT'lu,".ti (location) i;ll I I I I l N(; Ill' 1141•1 1'L' NO. A. P. NO. THE 1701.10WITNC IIAVF. BEEN INSTALLED AS PER APPROVED PLANS: Whecic cac11 item or writ( 'N/A if not applicable) I DF.CLAR.F. THAT A1.1, HEQIITRFf) ITEMS Ar NOTED AROVE 1LAVE BEEN INSTAL1,1'1) I;l /'.CDli;ll:\NcI-: WITH THE ENERGY CUNSL:RVA' P)I-1 141:(IUIREI.IRNTS AND A(;RF.I: TO THF (:HH1'I.1:'L'ENI•:S''; OF THTS CERTIFICATE AS SIIR:11'L"l'FD, ►1,':111:I r it'll AIII)1 i r a Lor Name..- Hawkins Insulati n C - Dc. (plen .r. print) 1l;II:lCu1 (1 01. !ti::ll'I.II: 1,111 AI1I11fcatOr -- State Contractors l:iccnsc No.��8�. Gencral Contractor/(hnlcr NuncSUNBEAM CONSTRUCTION (plcrlc;e print) ....... si;;natltrc �e OCT 27 1980 Gen,•r,ll. Contractor/chmcr r ��,a. Date GREGORY T. VIS71CAs t a t c Contract'&&NSE #153200 Mc case No. _ 'W:17 W. ON FRE WTTII THE, R1111.1)1NC; DITAR'1? EN'T 1'"101, 'l'O AND SHALL )il: 1'0::'1'1•:1) IN A CONSPIC11011;, LOCATION W iTll I:: 'I'll!•: CLA'L INC : NA `; i.111;1r. Glazed — NA . L it td;ll.l NA_ Special ( rn::nlated) NA— F1uc1rS A . CERT. h LABELED wl)s. IIs _ & SLTDINC DRS. NA _ i.1 f11)../Hour. _ - WF:ATIIFRST I,IIT1:D DRS. NA _... _ - S1A_• RACK DAI•IITI;I'D FANS---- NA — Ci.VC111aring 1'i -pc:; NA IIrL'I:I,lII'I:'1'I:ii'I' i'CNITION DEVICES) NA-^ AI'['ialb'i':II III.\'I'i';R NA CI:!T['. APPLIAI:CES NA I DF.CLAR.F. THAT A1.1, HEQIITRFf) ITEMS Ar NOTED AROVE 1LAVE BEEN INSTAL1,1'1) I;l /'.CDli;ll:\NcI-: WITH THE ENERGY CUNSL:RVA' P)I-1 141:(IUIREI.IRNTS AND A(;RF.I: TO THF (:HH1'I.1:'L'ENI•:S''; OF THTS CERTIFICATE AS SIIR:11'L"l'FD, ►1,':111:I r it'll AIII)1 i r a Lor Name..- Hawkins Insulati n C - Dc. (plen .r. print) 1l;II:lCu1 (1 01. !ti::ll'I.II: 1,111 AI1I11fcatOr -- State Contractors l:iccnsc No.��8�. Gencral Contractor/(hnlcr NuncSUNBEAM CONSTRUCTION (plcrlc;e print) ....... si;;natltrc �e OCT 27 1980 Gen,•r,ll. Contractor/chmcr r ��,a. Date GREGORY T. VIS71CAs t a t c Contract'&&NSE #153200 Mc case No. _ 'W:17 W. ON FRE WTTII THE, R1111.1)1NC; DITAR'1? EN'T 1'"101, 'l'O AND SHALL )il: 1'0::'1'1•:1) IN A CONSPIC11011;, LOCATION W iTll I:: 'I'll!•: Setback Forms Main BI Footi Stemv Slab Piers Garage Footi Stemv r v Slab Footings Slab COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORJ) BUILDING BUILDING (Con 'd) Firewall // �0 Soil Piping Parapets 1st Flooi Restroom Finish 2nd Floo Window 3rd FI of R—Siding To out Roof Sheatfiln Water PI it Roofing Sewer Fdn. Vents r — Fixtures Garage Vents %Water Insulation V3 C 9-0 Htr. Heaters Prov. for pih sicilly handica e. Conformance of ex. str u e Appliances Gas Piping Temp. Gas na /l / Bio S ation Patio f IRE LACEJRou l Footings Footingj MasonryWalls Throat hReinf. Steel Final res Bond Be FIRE SPRINKLERSs C Framing1,917 E Test Water Htr. StuccoZ7 Final Subpanels Mesh MECHAOIICALt Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts /Q J Underaround Interior Lath V lation ' -anent.,l Door Closer %/ /�{ 8O In in �l MOBILEHOME TILITIES-----------------= c- Service c. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping - Drainage Gas Piping DATE REMARKS OR CORRECTIONS 04 9 - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION'AND PERMIT ASSE rAR•C,EI- NUMBER (J'" '!7["-/p'�), ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION, OWNER'S MAIL NG ADDRESS / O o r C!!�, �OL aD �' CONTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONST R TION L NDER UNKNOWN Fireplace Total Valuation.r.. $ LENDER'S MAILING DRESS C •. Permit Fee $ Q ARCHITECT OR ENGINEER Gt LICENSE NO. Plan Checking Fee $ a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S_Z' l BUILDING ADORES PLUMBING PERMIT Filing Fee 3.00 Each Trap B 2.00 c Q;1 Repair drainage or vent piping 2.00 r Water piping 2,Qt) )b N SUBDIVISION NrE PARCEL MAP O C7 Each qas water heater or vent 2.00 UU Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [ae Duplex❑ Mobilehome❑ Other SPEC( FV Building sewer `dam Lawn sprinkler system 2.00 TYPE OF WORK New (!i Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — ll/�4�6�� Permit Fee $ ®® Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP 0V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWEL & OR ADDNS, ACC. CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p i y (check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW -CONSTIR. (POWER APPARATUS &\ NON RESD. ( SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES BAL@1 ALos FIXED OR Ex.Occu RESI, p•(OUTLETS (RESD.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ ps+� Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 14 (� 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 -0 o- 'Opnne, , ab Cooling pp Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said ounty in c sequence of the granting of this permit. "O-' � 7 X Date 1�/fir) Signature of Applicant — Owner 0 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 $ 21911 00 TOTAL PERMIT FEE $ O CUP. GROUP '`7 I TYPE OF CONST. V_ I IPAICE PD HD v ISSUE is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF FjUBLIC By— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date s Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT This set'af plans and specifications MUST bo kept on the job of all times and it is uilawfUl t NOTE All Materials & Workmanship Shall .Be in make any changes or alterations on some wRhrtuf Accordance with Recognized - Good Practices and written permission from the Department of Public of a quality prescribed for the .Specified use in the Works, County of Butte. Uniform, Building, Plumbing .& ' Machanical Codes and. the National Electrical Code. G/. _ A setback of 5 ft. from tho 41-S-11-1r,10A1 property lines and a setback G41?46E /3 EGEV. 295.rp of 50ft. from the road centerline shall be clear of structures or equipment except -' for a 2 ft. eave overhang. QJ /�R2A • /O P U E. � BUTTE COUNTY `E -BUILDING DEPARTMENT 4 See Master Plan on file ;for buildin.91 APPROVED plans. ti 9®Oz 8 4