Loading...
HomeMy WebLinkAbout039-390-020AP 39-39-20 COPPER, Robert T. 1605 Diamond Ave., Chico � Permit ## 2115-74B,E-�� (addtion) 39=39-20 Permit#108-84B(class A woodove) 039-390-020 `^ "- 06-1353 COPPER, BERNICE 1605 DIAMOND AVE, CHICO Cont: BARKER ELEC ELEC-UPGRADE �� = Ow, � Butte County Department of Development Services / T NOTES 7 County Center Drive, Oroviile, CA 95965 (530) 538-7601 www,buttecounty.neVdgs • °p RESIDENTIAL APN: =" 039-390-020 .06-1353 V1 Owner. - COPPER, BERNICE 1605 DIAMOND AVE; CHICO — Site Address: I Cont: BARKER ELEC i —' `ELEC-UPGRADE-- Contractor. i Type of Permit: i • c 01 OFFICE COPY a j� Address GAS Meter By Date ELECTRIC rr u Meter By N StMMOlNI.S Dateb 1 OG CHECKED BY 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. © FF oArm a OFF , merztp'-N DATE JOB FINALED: SIGNATURE:Y1rW�/� �( w=OK. 0 - Not OK RESIDENTIAL (Single & Duplex) GATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Ace 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalis Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs ' 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test -41P 10 UF, Gas Pipe; Si Anchrs-Sz Test o �� 11 Wtr Pipe; Test-Anchrs-RgltrService Test ~t' 12. Elec Undrgmd DATE MECHANICAL 13 Plenums & Ducts; Clmc-MaterialSupportansultn 61 AC Ducts Insulin & Support " 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz 8 Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pltfrin if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFFNAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SldeLt Prtctn-Landings . 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof] 68 Furnace Vnts-CImc-Comb, Air-Cnnctr 21 Fire Stops;`Fiirred CeilirigsStairs-Chasers-Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers B BeamsSz'&'Bear ing 69 Bedroom Exiting 23 Hangers•Post:Caps-Ail hrs.Cnnctns 70 GFI & Bath Fxtrs & Tub Ace -Spa 24"6111ng Joist -Rite Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A FIue= .P - OK V = Mu! un MANUFACTURED HOMES MISCELLANEOUS-. PERMANNTFOUNDATION SOFTSET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Nebded-Regulator 5 Elec Loctn-Clrncs-Grad 'Amp -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-Dnnctr 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 Label/Insignia Numbers Serial Numbers -,DATE DECKS'CO 'GARAGES R A G E SDATE 1 Zoning -Setbacks -Easements 2 Ftgs; So11sSz-DpthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-GuardlHandrails 4 Wood Awn; Posts-Beams4fts-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpllce-Decal-Encisrs 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 �.11� DATE IP00LS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; l5 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Encisrs-pnlboardsansultn to Main Conduit 9 Health Not Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 4P 40 0 Pool Drawing BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION .1 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 :C. 0 L cense Number l(J Date: &�.m contractor J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 Protesslons 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 than rive 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' Stale License Law does not apply to an owner of properly 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.). ❑ 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 Dale: 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 or 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. Policy PERMIT NO. BP061353 Issued Date: 06/07/2006 APN: 039-390-020-000 , Site Address: 1605 DIAMOND AVE CHI Map Index: Description: UPGRADE ELEC TO 200AMP Owner: COPPER LIVING TRUST COPPER BERNICE SUCCESSOR TRUSTEE 1605 DIAMOND AVE CHICO, CA 95928-6908 Applicant: BARKER ELECTRIC P 0 BOX 8915 CHICO, CA 95927 530-342-4806 Contractor: BARKER ELECTRIC P 0 BOX 8915 CHICO, CA 95927 530-342-4806 License #: 626363 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 I certify that in the performance of the work.for which this permit is Census Code: 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I — _ Date: --W_ WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (3100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor � �� (4 (a code, Interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY _ This permit is hereby issued under the applicable provisions of the Built! County, Code and/or I hereby affirm that there Is a construction lending agency for the Resolutlon work Indicated above for which fees have been paid. �j/ performance of the work for which this permit is issued (Sec 3097 Civ.) .' By. Date: 6 " Name: PERMIT EXPIR N: '� t Address: (Date) ❑ 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 & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have_ read this application, that the above Information Is correct, and that I am the owner or the d au orized agent of the owner. I e to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance ffici orm or document of C 1 hereby authorize representatives of Butte County to enter upon !thee {a/bbov(e� mentioned property for in eclion oses. Print Name: Lin( Q'�-�1 Sl Dale: ❑ Owner 0 Contractor 0 Agent for Owner nt for Contractor %Z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061353 B. G. twuorng rernm v r- ry-vr yy LICENSED CONTRACTORS DECLARATION .1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/07/2006 APN: 039-390-020-000 the Business and Professions Code, and my license Is In full force and effect. 1 �`0 IOD- LicenseClass: L' enseNumber� , Site Address: 1605 DIAMOND AVE CHI Date:-2ontractor. ALr E LC Map Index: Description: UPGRADE ELEC TO 200AMP OWNER -BUILDER DECLARATION 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 Owner: COPPER LIVING TRUST 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 COPPER BERNICE SUCCESSOR TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 1605 DIAMOND AVE 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95928-6908 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 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 Applicant: BARKER ELECTRIC owner of properly who builds or Improves. thereon, and who does such work himself or herself or through his or her own employees, P O BOX 8915 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927 year of completion, the owner -builder will have the burden of 530-342-4806 proving that he or she did not build or improve for the purpose of sale.). ❑ 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, Contractor: BARKER ELECTRIC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O. BOX 8915 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 530-342-4806 Date: Owner: License #: 626363 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent tci 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work.for which this permit is Census Code: 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' Dale: r Ap ' WARNING: Failure 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. �� � � 4'5J � L � � CONSTRUCTION LENDING AGENCY This permit is hereby issued under lheappllcable•provlsrons of the Butte County Code and/or — I hereby affirm that there Is a construction lending agency for the for this is issued (Sec 3097 Civ.) Resolution work indicated above for which fees have been paid. V performance of the work which permit .' By. Date: �Y Name: PERMIT EXPIR N: -7 Address: Date ❑ I 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 & 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 the d au orized agent of the owner. I e to comply with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter the substance fficiform or document of C I hereby authorize representatives of Butte County to enter upon the aabbov(e� mentioned property for in ecticn ores. Print Name: +k� Date: ❑ Owner ❑ Contractor ❑ Agent for Owner �t for Contractor B. G. twuorng rernm v r- ry-vr yy kzz 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 OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Pme — L F' ©me rn em ic Addr s oC� 1-')-t rnd City S �f?e 1_14 j '7 Phone Fax E-mail CONTRACTOR Name �, Add. — , 's 22/6 City S �f?e 1_14 j r1 d— Phone _ /�O `� Fax E-mail ic. 3 &asst APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address 'p City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Nam'_ a cft�C Ln ,� CJI Addr City t 'p Phone• _ Fax E-mail APPLICANT SJGNATURE For office use only: Zoning - Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION Property Address G Z Cross Street WORKER'S COMPENSATION Policy Number Carrier tv If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Amount: - Bldg Receipt #:l Sheriff J�SI,QIY I SMIP DateOther �Q � �� � 1- Total./ KAFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 3 REV 8-12-05 r SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper.! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, -Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction"work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 a ri'''-WRMIT NO. 2115-74RAP P E M MH UTIL. .?ERMIT NO." PERMIT EXPIRES OWNER Robert T. Copper CONTR. LOCATION (A.P. r39=39-20 SF 7 16051 akaimond Ave. Chico 17 A fi Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JJOB L F01NA ED (Date (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION. RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback L Firewall Soil Piping Forms Parapets/ 1st Floor Main Bldg. Restroom Finish — 2nd Floor Footings Windows 3rd Floor S,temwaII Siding— To out Slab Roof Sheathing Water Piping Piers Roofing--� — % Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Te p. Gas Slab Final anitation Patio FIREPLACE Final Footings Footing LECTRICAL Masonry Walls Throat Rough ; --� Reinf. Steel Final Fixtures " 7 Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating % Service Brown Cooling — l`/ Temp. Pole Finish Ducts , Underground Interior Lath Ventilation Permane Door Closer Final Final DATE REMARKS OR CORRECTIONS f1 rove �,�C 9 n 4�� w 6 i y it COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICAT40N AND PERMIT C1<19 - 171, uuuw„cc IcNlcacnlau vca u uIV VVUIIIY UI DUMC lV CIIICI UfJVII 1110 above-mentioned property for inspection purposes. X Date Signature of Permitee or gent ^� Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date —/ B ' ding permit expires Date ................ BUILDING �- Owner Roa lse 7 77, (� b � t'�''i� SQ. FT. OCC. BUILDING VALUATION �Ep T .:� 2 d `' Mailing Address p�' ��;��0 �q ���� co elephone No Y z"" [Fireplace -5-00Gni Contractor LA-) A) 0a-;!_ Total Valuation Mailing Address Permit Fee Plan Checking. Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 0 . ' 2. , y,�A v-czz- Each Trap 1.50 r,I-Ii Ce,5 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.c� / _ a Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe'g'sl V . Sarration I Fire Dept. Fire Zone Use Permit Bu i I d i ng. sewer 5.00 EQA Parking Plan Parcel Declaration Parcel a P 60' R/W Im r p ov ents 'Lawn sprinkler system 2.00 Bldg. P.s Recd Parc Approval PI ns Approval Permit Fee $ $ NEW ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - <00 �iSC-7 eeLl! 517 S Main service incl. 1 meter Lt.,, Additional meters, each 1.00 Single Family Duplex -E] Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal dio / Res., sw' ches & fix ou ets 52b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I� ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5n WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. T' I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE uuuw„cc IcNlcacnlau vca u uIV VVUIIIY UI DUMC lV CIIICI UfJVII 1110 above-mentioned property for inspection purposes. X Date Signature of Permitee or gent ^� Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date —/ B ' ding permit expires Date ................ COUNTY OF BUTTE DEFSA.RTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ermitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ,---) DIRECIPOR OF PUBLIC WORKS WIZ—Ir—, Date�o _ /7'� Building permit expires Date ............................................ BUILDING OwnerSQ. D FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor (9 >_ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 _ Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 9 —3 ( — Z Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F9anfT�'fion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.003-00 33^� r V /5 -7 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 rk Water Heater or Space Heater 1.00 Light fixtures bal dlo Ree swit &fix out s CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W.' 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities •5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 16 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. \. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ s authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ermitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ,---) DIRECIPOR OF PUBLIC WORKS WIZ—Ir—, Date�o _ /7'� Building permit expires Date ............................................ Owner Mailing Address e� Contractor Mai I i ng Address Building Address COUNTY OF BUTTE _ 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965,Pj Telephone: 534-4541 CC// APPLICATIGN AND PERMIT , ✓ ® � UC r Telephone No. /9 St Telephone No. A. P. a Zoning 8 Planning Saai4triori Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma Plans Declaration p 60' R/W. Improvements —.131d g. P ee'd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification 'l til am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. L_I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 of Butte to enter upon the above-mentioned property for inspection purposes. X Date 7 Signature of mitee or Agent Receipt No. / 0;t o40/,;�_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING k. •SQ. FT. C. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each SUb-panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar, disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole MI SC, wirina FEE >2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 30 Heating /A ti , Coo I i Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE G This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By 6 Date _q_�-71/ Building Permit expires Date ............................................ leg ��4 C'o PR J " Ll t leg ��4 C'o PR J " Ll COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TE/LEEPHON/E�� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I! 1,r) Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . �. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ e- ., ttr BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF EZ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other'❑1 Describe work: \"A 1 - 0r i r/-" — 1_/r ;r, -.(T 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 NEW CONST. OR ADDNS. ACCLLING BLOGS.CCUP.&) 2v2¢Sgft 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occu 20®50t BAL030 p�OuTLEXED APPLNSXTURES OR Ex. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 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 against said County in consequence of the granting of this permit. X Date 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ! By ! /V �i. _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. % 7 WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/5344541 f: APPLICATiON}AND PERMIT PERMIT N0. D ASSESSOR PARCEL NUMBER %''� ZONING Q/J� BUILDING PERMIT OWNERELEPHONE 1b C A /nv, % SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS n CONTRACTOR'S NAME O TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ D Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 67,co ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD O PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 LO� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF JA Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New F1 Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: ALS — �� ®�°_% 4� /��i D�v�©�� -��-�� Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 bH Main service EA. ADD'L 100 AMP 2:50 NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I decrare 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 { I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID, BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS .&') NON-RESID, (SINGLE OUTLET CIR. 20@50c, Ex. Occup(o TS OR FIXTURES BAL®30Q FIXED Ex. OCCUp. OUTLETS P(RESID IK EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. /I shall not employ any person in any manner so as to become subject 04 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to'the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 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 County of 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 aid County in c nsequence of the granting of this permit. X Date / — i _ 8S/ o 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 $ TOTAL PERMIT FEE $ -Z, 5-, BPS OCCUP. GROUP I TYPE OF CONST. PARCEL Po 14 IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By 9 PERMIT E PIDate the applicable provi- resolutions to do fees have been paid. WORKS Date _ Receipt No. 7 % 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 nameand bearing your signature. Please complete and return this information in the envelope provided at your. earliest opportunity to avoid unnecessary delay in processing and issuing your build-' ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes -or no) 2. I (Have/have not) signed an appli ation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constructio : Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate_,,supervise, and provide the major work: Address 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 .. City S igned : Property Owner 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 permitted to issue the permit.