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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 '.'_ i 0 s a p rF�', 1 4. •,yNY f#r � � b ♦.�ii,MY k u S�� � x T.}� S" t a j•a + 1 �` �� ♦ � ,y .yty�j�h } *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.