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Home My WebLink About035-420-05640 35-42-56 Oro Contracors, Inc. 5333 Crestridge Dr., lot 87, Crestwood Sub #2, Oroville Permit #3 0;80B,P,E,M new s3.ngl family) 35-42!2,56". 92�139 M- WHISLER,'-Mary* IT , 533 3 Crest ridge Z,'0r'ovi1le'-'j,' contr:,, John§ofi'�, Air wahf.','�u"rn�a'-ce'/ s 03�420-056 WHISLER, BRAD �iB CREST R[DbE DR., OROVILLE -61� -D n-n� T t .3 F � Tr COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95965 4, Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT /,,A . 014 ASSESSOR PARCEL NUMBER 0.35-420-05% ZONING R-1 BUILDINGPPERMIT OWNER Whis1deq brad TELEPHONE 538-9464 SO. FT. OCC. BUILDING VALUATION --- 900 OWNERS MAILING ADDRESS 5333 Crest Ridge Dr. CONTRACTORS NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 -Filing Permit Fee $ -zy.w ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADORESS 5333JIUest Ridge Drive Droville Energy Plan Checking Fee $ PERMIT FEE 4.3. W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 6 Duplex 11 Mobilehome 13 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 13 Addition 0 Remodel 13 Ublities 13 Installation C3 Other 13 Describe Work: Re -Roof piping system I - 5 outlets 15.00 -Gas Building sewer 15.00 Mobile Home I S I G I W Ca20.001 I PERMIT FEE — ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( -.-�,,"ORR -:: ) 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employeeswith wagesastheir sole compensation, will do the work, and the structure is not intended or offered for sale. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW= .0CCUP_ OR ADDNS. S. so. 3.50FT.. =ICIONS -0 I DT MU LTH' 97.50 PS0'WE.RAP=US �. 0 C'R. Ex. Occup. OUTLET OR FIXTURES 209 1.00 BAL (P .50 O.FIXED APP . OR Ex. Occup. I.= .) E.- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ED I have and will maintain a certificate of consent to self -insure for workers' compensation, as provjded for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [I I have and will maintain workers' compensation irliBufance, as, requi . red by Section 3700 of the Labor Code, forthe performance of work for w6chffiWpermit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 PERMIT FEt Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 J,* , Date Signature of Applicant 0 Owner 0 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 43.00 H This permit is hereby issued under the applicable of tl\e Butte County Code and/or Resolutions indi ab9ye fpr whi fees have been By D PERMIT EXPIRES ON J 0-t-) provisions to do work paid. at rReceiptNo. Z� r-) I -m 4_2� WH71TED.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDEN ROD -APPLICANT w T M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 9 Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-420-056 ZONING 11-1 BUILDINGPERMIT OWNER Whisler, Brad TELEPHONE 538 _ 9464 SO. Fr. OCC. BUILDING VALUATION --- IT— 900 OWNERS MAILING ADDRESS 5333 Crest Ridge Dr. CONTRACTORS NAME avner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ _-Z3_._0U ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 5333 Crest Ridge Drive Oroville Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20-00 USEOFSTRUCTURE SF ff Duplex 11 Mobilehome 0 Other SPECIFY Each Trap 1 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 13 Describe Work: Re -Roof Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1@120.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 800V OR UE:S Main Service OA ,I . . 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �R 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW .E�INQ OCCUR OR ADONS. C. .. so 3.50FT. Rc ",..T =0XcLu,,,s @7.50 OWELR AP=US IPSING E . ,.. ) Ex. Occup. OUTLET OR FIXTUR ES 20 @ 1.00 BAL @ .50 Ex. Occup. _(R.16.) E ..11XED A — -RA.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 H�n PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: J@ I 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 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 43.00 I HAZ HAZ. I D. FEES IMP FLOOD CDF PARCEL I PD HD ISSU I '�his permit is hereby issued under the �f tkNe Buftbe County Code and/or Id fees have indi? ab e I r whi fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been aid. P q Dat 0. ReceiptNo. 70 0 F WHITE-D.D.S. B.D. CANARY-ASSESSO'R PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive e Oroville, California 95965 - Telephone (530) 538-7541 "Rev. 1 2/96j— APPLICATION AND PERMIT Z91: -A! W/ . ASSESSORPARCILNUMDER BUILDINGPERMIT OWNER La OCC. BUILD" MWATION CONTRACTOR'S 1611AILING ADDRESS mung roe I Each Trap 7.00 CONSTRUCTION LENDER 23.00' Water piping ,-'15. 0 0 Fireplace 15.00 LENDER'S MAILING ADDRESS 15.00 Total Valuation 15.00 AACHrrECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Fee '93, ARCWTECT OR ENGINEER"S WAJNG ADDRESS Filing Fee —Permit Plan Checking Fee 23.00 SULDINGADORESS 46.00 Energy Plan Checking Fee sa 3.50FT. 4 A") A U4)h Z& PERMIT FEE LOTNO. I SUBDIVISION'SNANIE USEOFSTRUCTURE SF 0 Duplex 0 Mobillehome 0 Other __ . SPECry TYPE OF WORK New 0 Addition 13 Remodg�ihes 0 ln$tAkbqg 0 Other 0 Describe Work: -A ",7. vwm;� 45AX G #t-A%P *- o4wjr al LA '61144 PLUMBING PERMIT mung roe I Each Trap 7.00 Solar or heat pump water heater 23.00' Water piping ,-'15. 0 0 Each gas water heater or ven ,4 15.00 G" piping system I 546fl—ets 15.00 Building sewer,�� 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee ow OR LESS Main Service 200A OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. I!ILDS. sa 3.50FT. 20.00 20.00 Ex. Occu p. OUTLET OR nPAES I I MUL T, .50 Ex. Occup. 7jrKNS R, SES,6.0 5.00 Temporary Service Mobile Home Facilities Er23.00 20.00 Misc. Wirina 23.00 I PERMIT FEE 1 $ I MECHANICAL PERMIT I Filing Fee I 20,00f — PERMIT FEE S Mobile Home Installation Fee Energy Inspection Fee OCC cONST' -P'-� ITOTAL FEE $ I — 10. FEES I IMP I kLCOJr I COP I PC I NO I IISSUE This permit Is hereby Ismed drider the applicable provisions of the Butte County Code and/or Resokidons to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON '� I T ONVNER-BUILDER VERIFICATION Aztencion Property Owner: An -owner-builder" building permit has been applied for in your name and bearing your sigumm Please complete and return this information at your earliest opportunity to avoid May in.processing and Lssuing your building permit. No building permit will be issued until *is verification is received. personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0, NO C3 2 HAVE ;k FLAVE NOT 13 signed an application for a building permit for the proposed WO& 3. 1 have contracted with the following person (firm) to provide -the Proposed NAIME: ADDRESS: P H 0 NE: COZNTR.ACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinaft, supervise, and provide the major work: NLAINJEE: ADDRESS: CITY: P H 0 N -E: CONITRACTOR'S LICENSE NO. 5. 1 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 NOTE: This Owner -Builder Veriji-cation is required by Section 19831 and 19832 4VAW California Health and Safety Code. This verification must be COMPAddd &vd returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORINIATION i� I ceal Properri An applicarion for a building perm�ir has been submitted in youy name listing yourself as the builder of property improvements specified. For your protection. you should be aware ths as -owner-buildexo you'are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing dicir own work. if your work is being performed by someone other than yourself you may protect yourself &om pomlle liability if that person applies for the proper pern-dt in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a bus' license from the city or county. They are also required by law to put their lice= number on allpermits for which they apply- If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of die following information for your benefit and protection: if you employ or otherwise engage any persons other than your immediate fhmily. and the work (including materials =Vrs or and other costs) is S300 or more for the entire project, and such persons are not licensed as cona subcontractors. then you may be an employer. f L" you are an emplover, you must register with the State and Federal Governments as an employer and you am ederal social security taxes, s ubject to several obligations incluYing'state and federal income = withholding, f 0 workers compensation insurance, disability insurance costs, and unemployment compensation contributions. if you do not carry out these obligations, and these risks are especially serious * There may te financial risks for you with respect to worker's compensation insurance. + For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if Vou wish, the U.S. Small Business Administration). For more specific information about your obligations under Sca,c Law, contac, the Department of Benefit Payments and the Division of Industrial Accidents. 1,7 the strucrure is intended for sale, property owners who are not licensed contractors are allowed to perform their work'personally or L�xou&h their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent pr3c-ice or unlicensed persons professing to be contractors is to secure an "owner builder" building permit� erroneously implying that the property owner is providing his or her own labor and material personally. Building 0 - their own work personally. permits are not required to be signed by property owners unless they are performing Information 3bcut licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 Nt Street, Sacramento, CA. 95814. rm so that we can confirm diat you Please complete the "Owner Builder Verification" on the reverse side of this fo are aware of these matters. The building permit will not be issued until the verification is returned. 0 j I rely. C. Vidira, C ?vlic el 4 B.O. I el Inspec rvt i c rzger%8Vuii1dtng Inspection rn a h n M 0& NO TE: TIl is 0 w n er- 8 u ilder Info rm a do n is "qu ired by Secdo n 1983 0 Of th e C4100 14 He 11 a d Saf C OVER 5 4 56, 9�_J' k- 7 -N 344M WHISLER �,,_WHISLER, C '�ary k ',53 r F�15333,Cre§tridge, Orovil con P tr:4Aohn .,Air-, son -,wall f u'rniti2!/sf' COUNTY OF BUTTE - DEPART-MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 35-42-056 ZONIN - G R I BUILDING PERMIT OWNER MARY WHISLER TELEPHONE- 534-1115 _Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5333 CRESTRIDGE OROW= CONTRACTOR'S NAME JMSM AIR ITELEPHONE 345-0353 CONTRACTOR'S MAILING ADDRESS 5390 E. PINE F"MO 93727 Fireplace CONSTRUCTION LENDER UNKNO�WN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER's MAILING ADDRESS Penalty $ BUILDING ADDRESS 5333 CRESTRIDO OROVIU2 PermIt fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME _7ARCEL 1 MAP Water piping 7.00 Each clas water heater or vent 7.00, . USE OF STRUCTURE SF [J DuplexF1 MobilehomeF� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I GiwT--@ 15.00 TYPE OF WORK New 7 Addition 0 Remode I E] Uti lities [I Installation[] Other Describe work: NN WAM FURNACE I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1 OOOA) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. LicenseNo. Classification C 2,3- $;ej 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) 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 CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft.1 NEW CON5TR. MULTI -OU _T IT LF NON-RESI D, BRANCH CIRCUITS) @ 5.00 POWER APPARATUS.&) (SINGLE OUTLET CIR Ex. Occup(OLITLETS OR FIXTURES OCCUP. FIXED APPLNS. OR Ex. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00, Mobile Home Facilities 15.00 Misc. Wiring 15.00 I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one7):--� F� The permit is for $100.00 (valuation) or less. I have placed on file with the Coun ' ty 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 1 15.00 Heating WALL FURNACE 96(X Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyol 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, an xpenses which may in any way accrue against s-aidCounty in consequenc 3011fethe granting of this permit. X -.1, Date Signature of Applicant — Owner El Contractor EJ Agent,O 011 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 $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 24.00 HAZ I D FEES IMP I FLOOD COF PARCEL I PD �HD ssu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/gr resolutions to do work indicated above,fbr which"feefi have been paid. DIRECTQR OF PU13LIC#WORKS t, BV / /,.l / "�,JJJ4f�Vlr Date 4, PERMIVEXPIRES Date e�) -1 01 _! - Receipt NO. 115812 11 - NNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSE PARCEL NUMBER 35-42-056 ZONING R. 1 1 r BUILDING PERMIT OWNER MARY WHISLER TELEPHONE 534-1115 SO.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5333 CRESTRIDGE OROVILLE CONTRACTOR'S NAME JOHNSON AIR TELEPHONE 345-0353 CONTRACTOR'S MAILING ADDRESS 5390 E. PINE FRESNO 93727 Fireplace CONSTRUCTION LENDER UNKNOWN —_ Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5333 CRESTRIDGE OROVILLE Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME _7ARCEL MAP Water piping 7.00 Each cias water heater or vent 7.001 USE OF STRUCTURE SF g DuplexF] MobilehomeF-1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer _T__F_ Mobile Home I SFG IN @ 15-00 TYPE OF WORK —1 NewO Addition ED Remodelo Utilitiesf Instal lation[] Other El Describework: NEW WALL FURNACE r— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO I OOOA) 37.50 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. Classification <Z ?__0 KI 0 1, as the owner, or my employees with wages as their, So' le 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 CONST DWELLING OCCLIP.81 OR ADDNS. ' ( ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. MULTI_OUTLI�T N N.RES'D. BRANCH CRCU, TS) @ 5.00 (POWER APPARATUS 11) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 CP 754 4AL P 46d FIXED APPLNS. OR Ex. OCCUP. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F—] 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: It after making this statement, should you become subj . ect to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 1 15.00 Heating TATALL FURNACE 9.00 Cooling Hood 6.50 Ventilation --- Permit Fee s 24.00 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 County ot 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, anoexpenses which may in any way accrue against S County in consjp,,,e_P he granting of this permit. X Date c) ure of Applicant — Owner E] Contractor El 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 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 24.00 HAZ I D FEES I IMP I FLOOD I COF PARCEL I PD I HD IS This permit is hereby issued under the sions of the Butte County Code and/ work i9dllz�`I: c ed aebe or wh* rf I C I 0 iycf , � // DIRE IF Pl. By I o )_,(Aw PERMT-EXPIRES Date applicanle provi- r resolutions to do _ 1 �$ have been paid. I WORKS Date, C/5/a 4__/ Ar""/ -_J _J Receipt No. 119812 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916."536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Z�Nl 7� el( BUILDING PERMIT OWNER Mary whis I ey- TELEPHONE sag t I (5�- SQ.FT. OCC. BUILDING VALUATION OWNER*S MAILIN11 ACORN., JCTV-S NAME CONTR LJ LEPHONE M _1;CqA r &5:�5_3 CONTRXCTOR'S MrIN(if.L)DRESs —S3q 0 - ho e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS --Energy Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 J L Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE S F'k DuplexF] Mobilehomef-I Other SPECIFY Gas piping system 1 - 5 outlets 5.00. Building sewer 1 15.001 Mobile Home S I G I W @ i TYPE OF WORK New AdditionLj RemodelE! iiUtilipesEl InstallationE Other K Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFeeT 15.00 main service 600V OR LESS 200A OR LESS 18.501 Main service 200A TO 1 OOOA) 37.501 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 ;Jo. 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 c;UII&IaC;L- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for.this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft.1 NEW CONSTR. MULTI -OUTLET NON-RESID% BRANCH CIR UIT S @ 5.00 POWER APPARACTUS SINGLE OUTLET CIR.89 EX. OCCLIP(OUTLETS OR FIXTU RES 20 Cd) 76d dAl (@ 4Q� FIXED APPLNS. OR 1 — Ex. Occup. OUTLETS (RESID.) EA 1 1 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ Contractor WORKMEN' ' S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1__� The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a %..1CILIIIC;CILU of Consent to Self -insure. F-] 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 Fi I ing Fee 15.00 Heating, (Aht'( )t5J1re1aCC— 011-1. Cooling LH:ood 6.50 Ventilation Permit Fee $ CrV Contractor I certify that I have read this application and state that the above information is corfect. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to ent& upon the.above-mentioned property for inspection purposes. 1 also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs. and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El 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 4; Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $2,(� HAr11S I IMP I FLOOD I C111 I PARCEL 1 1. 1 ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 11 T�6-1 2- WMI'rE-D.P.W.. YELLOW-ASSESSOFt. PINK-iNSPECTOR. GOLDENROD-APPL I CANT 35..98-80BP,E,W PERMIT NO. PERMIT EXPIRES Oro Conir qQ t 9 OWNER �r�j, Inc. CONTR. -owner LOCATION (A.P. 3-5-42-56 5333 Crestridge Dr'., lot -87, Crestwood Sub. 112, Oroville Temp. ower Pole I led F C lied PG&E k ;, Tem�. Elec. Serv. 11YZ4,Y0, &E Called PG Te p. Gas Serv. JCalled P1 OB ,0,NALED-4MZ,2,b-0 (Date) (SignaKre) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211,�Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE rn 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. WOW Inspector Date— LIM WMATI INEPA"WNUM29MA"k uW L11M., Mhml Inspector Date— :k cach item or writ:u N/j'� if not 'appLi.c�J)LO.) 1'1:*, 1;I.ATI ON: GLAZITIG: 0 :;l.d) Vd)%c S i.; I . Ijo )',hi. FNF:k'1:Y :-'1'rA'NDAPDS COH�;Tk I; CTIW� C 01-I N, I AN CE CFRT I FICATI: TU Cl.,111,11J."l, THAT 1:M,I%,(;y C01I,;I`RvAT*IOM HAVE M`FN C,. 1. 1. i I* .-ATI11-:11 'TITIA) Dl,�. ST 1, C(_)W-;FkVATMN kF(JlI.ATIoi-"; IV!, Y B 'K DAM11-:1-:1 1) FANS AC A Pipoi;._ NA i C 1.41T 10 N D 1:' k, I C 1'. S NA j"j) 1 1) It!(; PF kH I'T NO. I . APIl1,'IAI;cF.S A.P. M. F 0 1 1. (Yol TNG HAVE ISEEN IN9TALLF.1) AS I FR APPROUD PLANS :k cach item or writ:u N/j'� if not 'appLi.c�J)LO.) 1'1:*, 1;I.ATI ON: GLAZITIG: :;l.d) Vd)%c S i.; I . Ijo )',hi. S'pecial. Twstll�ltcd) & I.ABELF.D �SLJDING I)PS. C,. 1. 1. i I* .-ATI11-:11 'TITIA) Dl,�. ST 1, B 'K DAM11-:1-:1 1) FANS AC A Pipoi;._ NA i C 1.41T 10 N D 1:' k, I C 1'. S NA I . APIl1,'IAI;cF.S J. DECI.A1,T 'VHAT ALI. RVO(ITRIED YLTH!, AS 1.10TED 'APOVE IIAVI:' I'J'Fiq 1TJ!;TAI.I,FI) ]:I VNE)WY CON,ERVATIOli AND AC!d-'.F 'I'll i1F. C(*1 Ill. I "PFNF�;,; Ol., Tll]S ('i'R'F'fI:1CATI-: AS h1-:141:1t.imi Appi ic;am: Hawkins Insulation c ion Ailp 1. ic:lcor zz_ IJ,celi16 Cviwr;i1 Contracror/Ol.mer Name- 60, S prinL) I i"Il:t 1:1 Ire 0 le Culit: rac tor Owner A Sr;it-o Contrac'Lor!:; c " I 1:; 1, Ho C F I F I ''I I": j,;.: 1l;j::T TF ON �-Jvrll THE T() 1' 1. 1 f 1:; PF CT 1 () N A 1.11, 1) 1 IA 1. 1. 1, 1-: i A CONSP 101OW: I ()(:ATlm1 HE (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS RUILDING INSPECTION RECORD BUILDING BUILDI�G (Cont'd) PLUMBING Setback I- I - Firewall Soil Piping Forms Parapets 1st Floor /611-s Main Bldg. Restroom Finish 2nd Finnr Footings Windows 3rd Floor Stemwal I Siding Topout (F77 Slab ZY6 Roof SheathinqA t r 9 Water Piping Piers Rooting ZZ 2:�q 6-o Sewer Garage Fdn. Vents Fixtures 59/z 2- Footin s Stemwa 111 Garage vents Insulatio C ZC1 12-V Water Htr. Heaters Slab Carport Footings Prov. for � - r ha dicappi 7sl illy Conformance of ex. %"ure =, x Appliances Gas PI Ing & Test Temp. Gas \ Slab , 1,11final) ",0 Z.,Z- �O SAotWion -e,'�l Patio /F I R E P biCE Footings _&FInair Footing EVIECTRIChL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FiRF SPRrfJicl FRS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh -V MECtLANICAL Grd. Fault Pro:t::�- Scratch Heating �'2Z !�i 42 2 4921 Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath/ I Ventflatign angnt Door Closer vpw� �L Z�Z- IK-nj 0 ,� ,J1nJI V MOBILEHOME UTIL&IES --� ----------------- �ec. Service t44 Pedestal now Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS HE (NOTE: An entry must be made on this form each time you visit the job site.) V - OK 0 = Not OK - = Not Applicable - Not Ready C,., RESIDENTIAL (Single and Duplex)' P! Date -UNDERFLOOR (Plans) OK except #'a Date, 7— FF18MING (Continued) 01o'Zonlng requirements -Setbacks -Easements ,2.--��ils-Steel-Elec. Grnd.-I/ 4, Z/- Ftg. Depth -9-41foperty L,�'49. Line Firewall & Openings Ext. Doors -One X -Check Garage -3rd story. 2 exits &`Ftq., Garage; Soils -Steel- / I'L/ Ftg.-Depth :7::!!�irs; W idth-Headroom-R ise-Run-Land ing-F Ire Protection -4.- ., Porches & Decks; Soils -Steel- / _/ Ft&�Deplh �� Plywood on Roof Overhang -Attic Vents -Rafter OutrIggers walls, Main; Steel-Blockouts;�Wrapped-§kff_ Jo�52. Siding -Nailing -Veneer W.- Stemwalls, Garage; Steel -B I ocI&e6ts-Wrapped-S I ab 11 Mesh -Drip Screed-Fdn. Vent3—UnderfIr. Access -7-,P!,ers-F.ire, ac,,,,,Flg.-SleeI L-54_. Glazing Area -Glass Protection -Skylights -Plastic V.. all_F I ngs-Test-2 way C/0 -Sewer Test -9-.Gas Pipe; Size -Anchors Water Pipe; Test-Anchors-Regulator-Sery ice Test -11- Electric; Underground 1-2- Plenums & Ducts; C learance-Mater i at -Support- Ins. qhQ -LWalls; Nailing -Bolts Girders -Sills -Anchor Bolts-Joists-Vents-Cripplas Card -BI Card -BI rd Cotp- Date a -Bl Date Date Card -BI Date A Card -BI Date Card -131 Date Card -Bl Date ;�2��rd-Bl Date X4 Date FINAkr�'('Plans) OK except #*a Card -B ate d -Bl" Date Date UMBING (Permit) OK except #'a W_WSteps-Door & Sidelight Protection -Landings *7�.�Smoke Detector ftwlllt.; Vebt-Access-Combustion Air K Furnace; Veqts-Clearance-Comb. Air -Connector - a; or-44ets-Meefi-fYot9=n )Y15. !�2ter Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection ro om Exiting WwIZ-- Shower Pan; Test, First Floor -Tub Access te�-. 1. & Bath Fixtures & Tub Access 48r -Test Tub & Shower, 2nd -Floor -Tub Access 1K_ Tri� & Subpanel; Breaker Siz6s-Labels =.T9. Gas PAiakSiza & U!-4-rs '�b� Stairs & Rails left 51replace or Stova; Clearances -Hearth Card-BrZ$. Date Card -Bl Date C. Outlets at Wood Panel; �pl. & Ext. xt. & Appliance; Grhd--AA@40*-C ance N!fD oowflgt�l Card-B!AL Date Card -BI Date 66EjaeOutlets & Receptacip at Kit._Counte .r.- 6 -Garage Fire Door; Sydr4--I_and4ijr-CI&'er Date &bECTRICAL (Permit) OK except #'s AOMI.A_G-Duct in Garage -Damper fil-M _____Z;;7_21EIec. Fixture & Transformer Clearance -Ins. Protection 49.'Wtr. Htr.; Vents -C I earance-Comb. Air-Connector-P.R.V.- eje; Receptacles Spacing -Lights & Switches at Doors' L.k Size Boxes & No. of Conductors -Stapled I- .. Elec. & Mech. Equip. Listed for Location ie� Romax Installed Close to Edge of Studs & C.J. Wr §Wc. Receptacles in Garage; (G.F.I.)-RogOProtec. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water '42*-lnsulation-Foam-Looked In Attic &Ves 1-�-25. 2 Appliance Circuits In Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or Al-A.C. Wire Size / I ga. Cu or Al fWS- guard Rails & Deck Construct ion- Post P&PS C"w4-HehrttaeP-Dra4Wge &Wood-Iff5rth Clearance ,ada&.F.4�_Q Xg� 27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or A[, Insulated Neutral Dyes []No 'ASeFollowing InstId.: Dri as Walks .91 -,re -s Planters 0Yes 'EA_5_0�11' E1 No; [3 No; rfft,;jtucco; Brown' -Finish Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Pane I s -Mot ors-Mec h. Equip. --UMhes Closet Light -Shower Light Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet F 7W'Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opogs. .7a. Water Well; Discohnect, Electrical, Plumbing Ba,"Poterlor Elec. Trim; G.F.I. Receptacle -Underground Card B -19- - Card -BI Date Ventil "2 Lh�2ughZt House Card B-1 DaWQ Card -BI Date _,1114o.' *&277GIajssLP;o2tecti.; 5;�� Aar�C_wections from Previous In.spections D ate MECHANICAL (Permit) OK except #'s Test -Meters Tagged; Gas -Electric A.C. Ducts; Insulalion & Support 65-paTer & Sewer Connected -C/O to Grade -HD Approval __%l_..14ent Fan; Exhaust above Insulation Sol." Energy Compliance Certificate -Other Certificates ��. CandensateRgn & Overflow; Size & Grade 34, Furnace:(�enf:)kccess-Comb. Air -Return Air Vent -115V outlet Attic Acc-e3S-& Platform It Furnace In Attic o4 Clr�-Bl6m D ate cy-/ Z�- d -Bl Date Card-B&A,f;> Date Card -B I Date Ca Card -BI . -1 Date Date Card -Bl Date Comments at Final: Card-BFAJ Date 'Card -BI Date Date . FRAMING(Plans) OK except #'a I,," 3ar-Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ Bearing Walls over Girders & Floor Nailing V'3,9 Draft Stop in Walls (rat proof) L--_4g�-Fire Stops; Furred Cell ings-Stairs-Chases-Tub ,k"'41. Header & Beam -Size & Bearing Hingers-PostCaps-Anchors-Connectors------- 1,-Z. Cing. Joist-Rftr. Ties -Purling -Roof Brac.-Truss-Shl— _57"replace Ties or Type A Flue -Fireplace Throat _!:::�4k Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles kf�lt. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions L,,"47. Garage Fire Prolectiop Framing (NOTE: An entry must be made each time youvIsIt jobsite) APPLICATION FVEWER CONNECTION AND SXRVICE * NORTH BURBANK PUBLIC UTILITY DISTRICT - CONNECTfON 72RMIT hereinafter referred to as Applicant", being the property o0her or owner a agent desiring sewer servicep hereby requests the North Burbank Public Utility DIstrict9 hereinafter referred to as "Dis- trict" to connect Applicant's sewage disposal line to the North Burbank Public Util- Ity District's Sanitary Sewer System and to provide sewerage service. Location of propertyi 0 Pe No. 61, Subdivision- Lot.. Block 0' In District 0 Out of District Kind of Service ET Residential 0 Rental 12"'R-6sidence 0 Dupl ex 0 Apartment 0 Industrial 0 Commercial Remarks Number of E.D.U*s. this pprmit .,Multiplication factor Monthly charges * Connection fee SC -OR Facility charges Total amount payable this permit — AS -04) Serviee to be in accordance with the conditions hereinafter set forth and the ordinances and rules and regulations adopted, or to be adopted, by the Board of Directors of District, all of which applicant agrees to abide by and fully perform* Applicant Agrees to pay for such service at rates and charges as established by the District from time to time# Connection fees and a It charges may �e refunded In oase*of Inab . Ility to build* signature,�* ApP3�cant Name of Owner if not Applicant I Addr i of ese Applicant q06hone Mailing Address of Owner Phone No. CONDITIONS OF ACCEPTANCE OF SEVEME SERVICE 1. The District, its officers or employeeog shall -not be liable for damages to persons or property occasioned through the installation of any sewer connection, or sewer service provided for by District, 2. In accepting this application District does not hold itself liable to the Applicant for failure to perform any of the obligations imposed upon'it or assumed .by it under this application if such failure shall be caused by accident@ Act of God, fire, strikest riots, war# lack of capacity In SC -OR sewage disposalplant or'Dis-o trict lines to handle the sewage or any other cause beyond the reasonable control of the District. 3. District will not be liable for and Applicant shall hold District free and harmless fr ' om damages resulting from interruptions in service or stoppage in lines and District assumes no liability for damages to persons or property occasioned through defective sewer lines, meters or other facilities. 4. All service lines connected to District's sewer mains shall conform in all respects to District's specifications, Installation shall be made at the sole cost and expense of the Applicant with actual connection to District's main by District forces* All work to be inspected and approved by District. - 5. Applicants are informed that it is necessary to secure permits from the County prior to doing work within County rights-of-wayt said work to be bonded. 6, Work under this permit is to be performed and approved within one year of the date shown below. Renewal of permit after one year requires payment of any in- crease In connection fees and/or SC -OR Facility charges. 7, Distr4ct verification form must be issued simultaineously with this permits Payment on above application required prior to final inspection* Payment NORTH BURrB PUBLIC UTILITY DISTRICT received b ash 0 check 09 - Date— jP1.2 �1,?6 . y__e9L 0,, BY. >7:�,az_z Aled�l Date Permit No, --PSI Payable in the amount current at time payment is made. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 1111160E, I ". ASSESSO P _�U A Iltl 3 _ _ Z?N n F-- BUILDING P&� �V, �Iij�CM pS OX& 0 TELEPHONE S T. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS LQ.F :6 00 szoo 00 CTOR TELEPHONJ E T CTOR'S MAILING ADDRE8, f CONSTRUCTION LEND All Ui�KNOWN F i re p I a ce Total Valuation $ 3 11 100 LENDER'S MAILING A*DORESS Permit Fee -9&0. rs �3,�3- oo ARCHITECT OR E GI E M�l& LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 25 6452S7�P-/Z)4*E PLUMBING PERMIT Fi ling Fee 3.00 Each Trap 61 2.00 /J6. C70 Repair drainage or vent piping 2.00 Water piping Z-00 LOT NO. is 7 1 SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 12-00 Gas piping system 1 - 5 outlets f.00 USE OF STRUCTURE SFF�!�DuplexR MobilehomeF� Other SPECIFY Building sewer 5,00 Lawn sprinkler system - :00:: TYPE OF WORK New Ca--- �Addition [:1 Remode I E] Utilities [:1 InstallationD Other Descri.be work: J 7EP- Permit Fee $ o, 0 0 Contractor ELECTRICAL PERMIT Filing Fee 3.00 100V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. I DWELLING 9F OR ADONS. VACC. BLOM. 20 scl ft 2440 CONTRACTORS LICENSE LAW I declare 1 - inder penalty of perjury (check one): k'*�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.,U/;;�� Classification & ;!� 19 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) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.-, Business and Professions Code for this reason NEW CONSTR f MULTI-OU&CT NON-RESID. % BR A NCH Q UITS) 2.50 ea NEW.CONSTR. (POWER APPARATUS.&) _NON RESID. SINGLE OUTLET CIR Ex. OCCUP(OUTLET S OR FIXTURES 50 @ 25c BAL@110� FIXED APPLN5. OR % -- Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department F?�� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. F-] 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I i ng- Fee 3.00 Heating 5t7tcoo 40o V0 Afl#U- Cooling OEVAR Hood 2.00 10,00 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. Ord i nances -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 Cownty 'in lc� �equenc of the granting of this permit. X Date Signature of Applicant — OwnerEl Contractor El 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 $ 00 TOTAL PERMIT FEE $ OCCUP. GROUP 1?�3 TYPE OF CONST. I PARCEL1_71 HO I ISSUE This permit is hereby issued under 5 of the Butte County Code and/or work indicated above for which DIRECTO:r PUBLIC B y PERLIWEAPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7 Receipt NO. WHITE-D.P.W.. YELLOW -ASSES SOR. F4NK-INSPECTOR, GOLDEN ROD-APPL I CANT 70. 00' A A A A s #A #AD -00 V) =0 A setback of 5 ft. f rc m the :E �E .2 0 a) 0 property lines and a setback 0 0--= EOLq of 50ft. from -the roa a) -T centerline'shall be cl �ar of 0 10441-2, ;W > structures or equipm �nt except Oa 0 a,,+- E 1� ft. eave overt ang. 0 0, 4, E < U ;E - F/S 0.0 C — tPO 12 0 0 U z *E Z .0 _-5 his sef of plan's and sl �10 ke t on f iob of all. f jmC ecificafions PAUST 6 - and if is un ke an 1� M hanges or alfer, lawful fo r ffen pe ons on some wi'fhouf W, 6 ission from. fhE D -------- IC u,nfy of Buff.. eparfmenf of Public BUTTE COL-Afy DIJ I I Ir, �,_ 7Z 'T 0* APPROVED See Mosfer Plan on file—fo—r "ui plaris. 0/? C_19 A- &.Sruo 4016 Ally ilo OVIPO &14A 0' 11 ex X 91 'Y P7 Telephone 533-2000 'North Burbank'Public Utility District 1960 EWn Street OROVILLE, CALIFORNIA 95965 205-80 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 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 buildin g or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building bran Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: QRQ CONTRACTORS.IINC.* Applicant Address: 1900 ORO.DAM BLVD., OROVILLE, CA 95965 Applicant Phone No.: 533-6619 Property Location(s): 5133 CRESTRIDGE DRIVE CRESTWOOD NO. II LOT 87 A. P. No. (s):- 635-42-0-056-0 Fees Paid: SQ -0R FACILITY CHARGE PAID 6/29/79,�: Application for service approved: AUGUST 27., 198 0 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: 4