HomeMy WebLinkAbout039-210-08939-21-89 O
ROBERT READ • �y� �Q `[/1�/
3676 Durham Dayton` wy,—Chid _ C•� . ;�
..
Permit#306-86B(install wood burning 3
.,
stove)SF W ;
0397210-089 06 -1507. -
READ, ROBERT & KAREN
3676 DURHAIVI'DAYTON HWY, CHICO.
Cont: BAIRD ROOFING
RE ROOF
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} *03 1 089 �'
06-1507 b/: r •.
NOTESREAD; ROBERT & KAREN
t
i 3676 DURHAM DAYTON HWY, CHICO
Cont: BAIRD ROOFING
RE ROOF
} APN:
Permit No.
Owner.
` Site Address:
' Contractor.
- { Type of Permit:
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
CHECKED BY
5��
DATE JOB FINALED:
SIGNATURE:
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE Li PERMANENT FOUNDATION Lj SOFT -SET
1 ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaII/C/0-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-DIrncs-Grnd "Am -Concrete
6 Yard Gas; Loctn-Test Wrap Nat or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD LabeUlnsignia Numbers Serial Numbers
--DATE ID E C K S -C O V E R S'C A R P O R T S'G A R A G E S
1 ZoningSetbacks-Easements
2 Ftgs; SollsSz-DpthSpacing-CnnctrsSteel
3 Decks, Glyders/Joists-0cking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-tnnctrsShthg•
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
#
-LS
DATE --FUO
1 Setbacks -Easements '
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance -GR
5 Elec Pool sting; 15 volts-GF1
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Ert6lsrs4nib6ards4nsultn to Main Conduit
9 Health NO APprvl
10 Pimb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Encisr, Fencing -Alarms
13 Bonding, Diving board or Slide
e`er
•
Pool Drawing
0 = Not OK
RESIDENTIAL
(Single
&
Duplex)
DATE JUNDERFLOOR
I
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg DRth
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Biockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgrnd
13 Plenums & Ducts; Clmc-MaterialSupportansultn
14 GirdersSlits-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
o� 0`41
DATE FRAMING
17 Sills Proper Materials & An
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders .& fir Nailing
20 Draft Stop in Walls (rat proof),
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
22 Headers & BearnsSi &" Bearing
23 Hangers-RostCaps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue=Frpic Throat Clmc
26 Attic Acc; Sz &_Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtcfn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
4P fid'
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ❑ CU or ❑ AL
AC Wire Sz pa 0 C or DAL
48 Range Clic Da ❑ CU or ❑AL
Oven Circ ga ❑ CU or ❑AL
Insulated Neutral ❑Yes 0 N
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrnes pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
o`41
53 Wtr Htr; Vent Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 OWV; Test Fittings & Anchr. Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tub & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
DATE IMECHANICAL
61 AC Ducts Insultn & Support "
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet
65 Attic Ace & Pltfrm if Furnace In attic
o'er 0`� o+d fid'
FINAL
66 Ext Steps -Door & SldeLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub AccSpa
71 GFI Are Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handralis
74 Frpic or Stove, CImc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Dud in Garage -Damper.
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Lorin
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrdn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clmc Dmge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs
90 Wtr Well, Dscnnct Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY
:.,.:,..,,: DEPgRTMENT OF DEVELOPMENT SERVICE,.S__:.:
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
I •hereby affirrh 'uridde'`penalty, of,.pedory"'that "I am''Ncensed under
provisions of Chapter 9 (commencing with Section 7000)'of Division 3 of
thO Biisiriess and Professions Code, and my license "is in full force and
effect.
License Class-': = License Number: I o
DECLARATION.,.. ✓
I hereby' affirrn under penally of perjury" that I am exempt from the
Contractors' State License •Law for the following. reason (Sec. .7031.5
Business and Professions Code: Any city or county which 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 pursuant to. the provisions of
the Contractor's State- License Lew (Chapter9 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 the
applicant to a civil penally of not more then.five hundred dollars ($500).):
O I, as owner'of the property, or my employees with wages as their
sole compensation, will do the. Work, and 'the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or -improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended.or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did'not build or improve for the purpose of
sale.).,
O I, . as owner of the 'property, am exclusively contracting with
licensed contractors to construct the project (Sec. '7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts'for such projects with a contractor(s) licensed
pursuant to, the Contractors' Staie.License Law.).
O 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner.
WORKERS' COMPENSATION DECLARATION
f6
I hereby arn,under penalty of perjury one of the following declarations:
O 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.
XI have and will maintain workers'. compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy -number are:
Carrier:
Policy #:. �.. �..3. b 77... _....
❑ 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 the 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 �ply with those provisions.
Date: ./
Applicant:l)"�;)�
WARNING: Fail to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BP061507 ...: .
Issued Date: 06/22/2006 APN: 039-210-089-000
Site Address: 3676 DURHAM DAYTON HWY CHI.
Map Index:
Description: REROOF W/COMP`(24)"'
Owner: READ, ROBERT.AND. KAREN
3676 DURHAM DAYTON HWY
CHICO, CA
95928
530-342-1631
Applicant: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631
Contractor: BAIRD ROOFING CO.. ..
11025 MIDWAY
CHICO, CA 9592,8...,
530-342-1631.Y .
License #: 631460
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
CONSTRUCTION LENDING AGENCY This permit is'hereby issued der the applicable Provisions—.11 the Butte Cnunty Cod. a, nrVor
I hereby affirm that there is a construction lending agency for the Resolutions to do in ted above or which fees have been paid.
performance of the work for Which this permit is issued (Sec 3097 Civ.) D'
Name: By.
Date.
Address: PERMIT EXPIRES ON:
D ' `
Date
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code; which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of Callfornia Health 8 Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or th duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I ack o 1 dge it is unlawful to alter the substance of a official form or document of B to County. I hereby
authorize representatives of Butte County to entte/errr upon the ab a mentioned property for inspection purposes.
Print 7ift.1
Signature:
Date:
1�6.
❑ Owner ' Contractor ❑ Agent for Owner
0 Agent for Contractor
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.neAdds
LICENSED CONTRACTORS DECLARATION
I hereby affirm 'Under "penalty-of.'perjury• that 'l aim' licensed under
provisions of Chapter 9 (commencing' with Section 7000)'of Division 3 of
the Business arfd Professions Code,•and my license is in full force and
effect. � 31
License Class: License Number: q6 0
Dater" 'r Contractor.' i1S a f
'OWNER-BUILDER'DECL'ARATION
I hereby affirm under penalty 'of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. .7031.5
Business and Professions Code: Any city or county which 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 pursuant to the provisions of
the Contractor's State 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 the
applicant to a civil penalty of not more than.five hundred dollars ($500).):
❑ I, as owner'of the property, or my employees with wages as their
sole compensation, will do the Wolk,and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).. N.
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:•
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier. S"+C[�Q FurAd
Policy #:, �. p - 3 O 7 _
❑ 1 certify that in the performance of the work for which this permit is
issued, 1 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'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith mply w'lh those provisions.
Date:
Applicant:
WARNING: Fail to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for Which this permit is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP061507 . .
Issued Date: 06/22/2006 APN: 039-210-089-000
Site Address: 3676 DURHAM DAYTON HWY CHI.
Map Index: -
Description: REROOF W/COMP'(24)
Owner: READ, ROBERT AND. KAREN
3676 DURHAM DAYTON HWY
CHICO, CA
95928 .. .,. ... _ , ... .- ...
530-342-1631
Applicant: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631
Contractor: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631...
License #: 631460
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code.
s hereby
to do mesa
PERMIT EXPIRES ON:
the applicable provisions of the Butte County Coda
Dov or which fees have been paid. ?
I nates" - ;
NP?.'W
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or thA duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I ack owledge it is unlawful to alter the substance of a official form or document of B to County. I hereby
authorize representatives of Butte County to enter upon the ab a mentioned property for inspection purposes.
Print Name: r� Signature:
Date:
0 Owner Contractor 0 Agent for Owner 0 Agent for Contractor
t
' BUTTE
COUNTY
JUN 1 12006
DEVELOPMENT
SERVICES
i
t
' BUTTE
COUNTY
JUN 1 12006
DEVELOPMENT
SERVICES
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 WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY"
CONTRACTOR
OWNER
Last Name,p Q� cp
IJP
City
First Name O er
.
Address / 7 /
3676
Dorka m bavloA W
City 0
E-mail
State f Z14 sCi Z
PhoneZ _
Z
Fax
E-mail
Planner
CONTRACTOR
Namefih /�
L C,�
/&
Address �t
V
City
State
Zip
Phone -� /h l
(�
Fax fI
V
E-mail
Lic. #/ L
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number ,
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATPRE
For office se only:
Zoning
Property Address � / V r pt
46
Flood Zone .
Cross Street/� U S � k S R_& t
/'� Cl
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BPS
BIN #
LOCATION
AP# o-3
2 I — 01a' t
Property Address � / V r pt
46
City , Co
Hwy
Cross Street/� U S � k S R_& t
/'� Cl
WORKER'S COMPENSATION
Policy Number �%��
t7� •
Carrier v l / /A
` V AI
Flfhiring anyone other than license contractors, a certificate of worker's
ensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
bve✓� a Cowc� over
Cc
Sq. Footage,
❑ Structu,c ouin without Permits
❑ 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
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.
I I Reggi_ved-by: Amount: 131-60 Bldg 11
Page 1 of 2
Receipt #:
Date`
SRA
Sheriff
SMIP
Other
Total
REV 2-24-05
f,
- n -- f rY '• - .a,. .. _Ik - i..i _ ti ! �._. _ r _ .ice. .'r� .. -',..1 . 'r ^. ifir. _�.' _.,
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville; Cali(onia 95965 - Telephone 916/534-4541
APPLICATION'AND PERMIT -
ASSESSOR PARCEL NUMBER"
3C7 _ i _ �9
ZONING
p
BUILDING PERMIT
OWNER
/9„ ",+
TELEPHONE
2v3-, saIII
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME j
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
/e UU. au
CONSTRUCTION LENDER
A I�'" °
KN
UNOWN
Total Valuation $
/rj Q D . 00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
r'4 r' rr
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1 .,_. _,- _ 1 r
Penalty
$$
BUILDING ADDRESS '`, ,i
Permit fee
$ q-(�
PLUMBING PERMIT
Filing Fee 10.00
/
Each Trap
2.00
G h 1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF[2' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home ISI G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: —7—.,, L /I (A I .7 t, . <: 4,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
.
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (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 CONST. DWELLING OCCUP.& ,h�SQft
OR ADD NS. ACC. BLDGS. Z
NNEW
ON•RESID R BRANCH CIRCTITS 2.50 ea
T
POWER APPARAUS a
(SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES 820 0 50t z0e30t
AL030
FIXED
Ex. DCCUp. OUTLETS P(RESID.)LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ 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.
r:;iyl 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
FiIingFee 10.00
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, and expenses which may in any way accrue
against said County,iin consequence of the granting of this permit.
X\� Date `1` �1D�
_
`'
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
oc cup.
CONST.TYPC
IFLOODIPARCELI
Pa
I 11D
I I3SOE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been aid.
p
DIRECTOR•OF PUBLIC WORKS r� y
B y h
PERMIT EXPIRES Date O L /9-7�'
Receipt No. Q• f�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATI69 `AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZON NG
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 1
u1.
Receipt NO._ 'i (�3
rS
By.
/Data,
*MITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
N RACTO R'S NAME
41 IV
TELEPHONE
1 j
t
' CONTRACTOR'S MAILING ADDRESS )
Fireplace
CONSTRUCTION LENDERUNKNOWN
11
Total Valuation $
LE DER•S MAI ING ADDRESS
1
Filing Fee
$ 10.00
Permit Fee
$ U
' ARCHITECT OR ENGINEER
A.) L r —q_
LICENSE NO.
F!
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
I
Energy Plan Checking Fee
$
Penalty
$
• BUILDING ADDRESS
(� r
G / bs /9,4
Permit fee
$ —Q
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE ti
SF,W Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W T
10.00 ea
TYPE OF WORK
NewEl Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other F-�
Describe work: a '1 ' •,
Permit Fee
$
Contractor
t
ELECTRICAL PERMIT
Filing Fee 10.00
OR Main service 100 VAMP ORSLESS'
10.00
C N RACTORS LICENSE LAW E
'!
I declare under p natty f perjury (check one):
❑ I am licensed unde provisions of Chapt. 9, Div. 3 of the Business
and Profession ode and license is in full force and effect.
License No. lassi fication
Q/ I, as the er, r employees wi#t-wages as their sole compen-
sation, will d be ork,and the structure i not intended or offered
for sale. (S 7044) i
❑ I, as the owner, am a usivei .c ntra ng t I licensed contract-
ors. (Sec. 7044)
❑ I am exempt and C. usin and Professions Code
for this reaso
Main service EA. ADD'L 100 AMP
2,50
NEW CONST.' DWELLING OCCUP;,
OR ADDr.IS. ( yI ACC. BLDGS. /22sq ft
NEW CONST` U TI.OUT LET
NON.RESID BRANCH CIRC ITS 2.50 ea '
(POWER APPARATUS a
(SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES 200500
eALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID:1 EA.) . 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bVirin 9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE r
I declare under penalty of perjury (check one): "r
❑ 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. 0
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
penult 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
ag st s Id unt n con quence of the granting of this permit.
(` `
X (t � > Date \ 1� \ � �"
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OccUP.
CONST.TYPEJ
FLOOD
PARCEL
PO
No
ISSUE
This permit is herebyissued under thea applicable rovi-
�I, p # a o.... r .. ... � a PP P
Signature of Applicant - Owner Conrroctor ❑ Agent ❑
work indicated above for which
fees have been paid.
An OSHAt
permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
IR
PUBLIC
WORKS t
Receipt NO._ 'i (�3
rS
By.
/Data,
*MITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT EXPIRES
Date
aj
�+ S
n,1 +.
5c, k c co ce eA,--
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cralifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT/NO.
ASSESSOR PARCEL NUMBER
ZON NG
_;Z6 \
BUILDING PERMIT
OWNER
a.
TELEPHONE
y r�sal
SO. FT. OCC. BUILDING VA ATION
OWNS MAILING ADDRESS
N RACTOR'S NAME
W I,i eir
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
/0 04 6p
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
lV B o UU
Filing Fee
$ 10_00
LENDER'S MAI ING ADDRESS
Permit Fee
$ -a
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT R ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
/� Ylr "J
��J
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
G��r6a
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF,' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10 00 ea
TYPE OF WORK
New Q Addition ❑ Remodrrel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: -�nl S �aGV a o d' !9
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10,00
Main service EA. ADD'L 100 AMP
2.50
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.
License No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& ,h¢sgft
OR ACDNS. ACC. BLDGS.
NEW
NO ESID R BRANCH CIRCUITS 2.50 ea
....Er
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup( 20050e
p OUTLETS OR FIXTURES aALI 30t.
Ex. Occup. OUTLETS PP
FIXED ALNS.I,
Ex. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00Misc.
Ilyirin g 15.00
Permit Fee $
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 -Insure.
�l 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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.
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
ag st slid unt 'n cons quence of the granting of this permit ? s, �)
X Date �J, b"
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR
ion of structures//over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPc
FLOOD
PARCEL
PD
Ho
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
C PUBLIC
By �—
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/DDat d/5 dW
V�
Receipt No. t0 'I S Co 3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR,GOLDENROD-APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County 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 at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �.
2. I (have/have not) signed an application for a building permit
for the proposed work.
3.
I have contracted with
construction:
Name
Address '
Phone
following person (firm) to provide the proposed
Contractors License No.
City
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone 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 �, C
Social Security Number
Date '
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 per-
mitted to issue the permit.