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040-160-085
r - AL - JL r 40-16- es t ' C1�ir Bacon' + l 189 Kay -Lee Dr., Durham tiyy`, Permi #3739-80B,P,E(new patio cover, I' garage wood shed/SF) • � 40-16-* Permit # 699-81B(lg-t',renewal for 2 '' permit #3 9-80) + 40-16-0 c -Permit #-2211-82B( nd`renew/3739-80)SF ' = 407-1\6-0- Permit#2437-83B(3rd-rene al/3739-80) _ 40-16 / 0 Permit#2341-84B + (4th rene 1/373§L 40 6-0: Permit#2057-85B(5th enewal/3739-80,) 40-16-,* Permit#2013-8 (6th renewal/3739-80) 40-16-28 Permit# 85-87B(7th renewal/3739-80) .yi 40-16-85 Prmit#2291-88B(8th renewal/3739-80) 040-160-085 99-0607 SHARON BACON REVOCABLE TRUST ! 1892 Kay Lee Lane, Durham Contr: Jesse Heating & AC adding AC woo c � ii 1 l eurtF BUTTE COUNTY Land of Natural Wealth and Beauty o zo °ouNty - Lindsay Book Property Appraiser Butte County Assessor's Office 25 County Center Dr, Suite 100 ' Oroville, CA 95965 (book@buttecounty.net (530) 538-6326 http://www.buttecounty.net/assessor Fax (530) 538-7991 rEs NI CEL LANEOUS BUILDING ' ;R°E,CORD 9C -a - SHEET OF_; SHEETS - DESCRIPTION OF BUILDINGS - . I ayi. 'd9 'o. Structure Size Found. Roof- Wall dt Exterior - Type Cover Second Story Yeor Floor 8 Interior Detail or Loft Built Est. Tot. Life Yrs. _ -- a-.. 3 �QEeGBour/D N//}r LiK9✓ �5 �10Bt . ,� si"�� � �166� iT /SE,E'S E2..,ly (e 197 1 j COMPUTATION All 531-H 9-'46 AH 531-H 9'46 M _ r . w ,) / / M®�®• • . I® 1®-�� 1 All 531-H 9-'46 AH 531-H 9'46 ®� 040-160-085 9-069 07 SHARON BACON REVOCABLE TRUST r i 1892 Ka-.ee'Laife, Durham , Contr: Jesse Heating & AC Jz i adding AC :,' / C', COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PERMIT NO. el, (Rev. 12/96) APPLICATION AND PERMIT 7— '''(7 ASSESSOR PARCEL NUMBER , IO_ i•(� ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERSMAIUNG ADDRESS rr 755 CONTRACTOR'S NAME Akt 3*1 t_ TELEPHONE S I y41 I, CONTRACTORS MAILING ADDRESS _d5,.4 'C X1410C !, G O95,;7 5i - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FIIIn Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ N PERMIT FEE $ LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE � SF [Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent .1 5.00 TYPE OF WORK / New ❑ Addition ❑Remodel [3Ulilities ❑ Installation Other GY Describe Work: (/AA"VA.e e -;>a 1"/eo- ssi t e A - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V 0 R LESS Main Service 200.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �G %r � Lic. NO. C. � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: E7 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co pensation insurance carrier ag.ct policy n tuber are• Carrier r Cb —! N el- � Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws ofIifornia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall AcrtKwith comply w' ose provision -- f X l r. Date —'�—Af -C Signature of'"App icant - wner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 8 ACC. BLD S. 3.5QFT, rN,OONN-A6D, MULT.1 CIRCUITS@7,50 a BOINWG�LE o �TcS 20 Q 1,00 Ex. Occup. OUTLET OR FIXTURES BAL .SI Ex. Occup. OUTLETS Ra .) k 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 0 PERMIT FEE $ G,% . &_Q MECHANICAL PERMIT Filing Fee 1 20.00 Heating 00 o Cooling7- o� Hood 6.50 Ventilation PERMIT FEE S o -c Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE❑ TOTALFEE$ E0CCONST D FEES IMP I FLOOD I CDF PARCEL I PD I HO ISSU 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. %� r By j CN � Date 3- 3*- 9 7 PERMIT EXPIRESION I Pate Receipt No. c7l a7 % 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE /o? R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 2 Inspector;` 11, u 4 S C REV 10/ 2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County.Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE IJaLe) d7 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected: Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contac is office immediately. r f/' / N �i S C S .rv- Date �— r Inspector S -i e REV 10/92 �� V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 08 5 ZONING ID BUILDING PERMIT OWNER N QC OC,w � %14 TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS E>tar 95q COHTRACTO R'S NAME Jr I e TELEPHONE 851 y�z-L COM TORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS q 2- � � N Energy Plan Checking Fee $ tAr GL+^ $ PERMIT FEE $ LOT NO. SUBDMISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Moo' Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ©� ita'/� ti Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Rs Main Service "AORLESs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. �} ` License Class rL Lic. No. / OWN R -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 herby affirm under penalty of perjury one of the following declarations: 7 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c ` pen ation insyyg�a��nce carrier . policy er ar Carrier CYD /V S : Policy Number Z� UMobile (The above sections need not be completed if the permit is for wor of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' com ensation laws o Iifornia, and agree that if I should become subject to the wor rs' compensa on provisions of section 3700 of the Labor Code, I shall ith comp provisio X ose / Date Signatur A i ant - ❑ wner Contractor ❑ Agent An OS permit is required for excavations over 60" deep and demolition or construction of stru ures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. BLDs. 3.50FT. T. NON-REESID MULTI -OUTLET @7,50 POWER APPARATUS SINGLE= cIR. 20 @ 100 Ex. Occup. OUTLET OR FaTUREs BAL o .50 Ex. Occup. ours R6 O.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 41_ t+'f� MECHANICAL PERMIT Fling Fee 20.00 Heating �0,o Cooling , &iD Hood 6.50 Ventilation PERMIT FEE $ 7o—o Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D FEES I IMP I FLOOD CDF PARCEL I PO HD ISSU 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. By Date 3- 6- 9 PERMIT EXPIRE ON 0 J Date Receipt No. 8a % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 .ram 4 Srl r• �i �� �� 1 ' 6 �OGSNb(''Gtii�✓ ti''..ro`✓� 11 ' PERMIT N0..z °I b ' N Go .,..� I S2..J� • /'"Nrh.�ttit.✓ �!'., s„t,lyr,,,� r�'' Y- - i 5..�,.M, y ..r' a F y A -A; PERMIT EXPIRES�+ u'/'+<rr��`' C1ait Bacon}-, OWNER ? z' t'• ,.- CONTR. owner rfa-i 40-16-28 LOCATION (A.P. )? . u ll 1892 Kay Lee Dr., Durham ? `� 1 exl -� �."`^P+ r� ♦ - -- mss_+� • � If ta.. � 'fI � �` i t T �� 3 OFFICE COPY V +` ��Address �''� �' w • 4 _ rr �3 I ete By Date` Temp. Pc Calle Temp. EI Calle Temp. Gi Calle JOB FINALE[ ------------ COUN'E:y,-,0E--;bUTTE — DEPARTMENT OF 'PUBLIC WORKS 'BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings `Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport I Footings Prov. for phslcally handica ed Conformance of ex. structure Appliances Gas PI ing & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final i' Footings Footing ELECTRICAL Masonry Walls Throat Rough l4einf. Steel Final Fixtures 1 Bond Beam FIRE SPRINKLERS Motors --Fraining. Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior'Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) JK S Not OK fti.Applicable Not Keady' ot, l RESIDENTIAt (.SinO1e-*G'hd,Uup1exi bait UNDERFLOOR C944 -ns) OK except #'s, bate FRAMING1 (Cornintid�fl 1--f—oning requirements-Setbacks-Easements Property,ftne & �Openii�ngsj Main: Soils-Steel-Elec. Grnd.- 2-1- Fig. Depth �F*Uewall s s Ig., Garage: Soils-$teel- //2_1;' Fig. Depth Stairs; Width -Headroom-' Rise-ffRun-Landing-F ire Protection �9-1 Porches & Decks; Soils -Steel- 112-1- Fig. Depth g- Atgc P 1 9 �L ��,�n Rool'Ovethang- At Vents -Rafter Outriggers Sli,enrwalls, Main: Steel-Blockouts-Wrapped-Slab 11 ing-NaiIing-Veneer-,,,,jP 5eWwalls, Garage; Steel-Blockouts-Y-.Irapped-Slab r._ccfts 7 .A'Piets-Fireplace F(g.-Steel /ZL_ Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test Shear Walls: Naiiih-g-Bolts 9. Gas Pipe; Size -Anchors II 10.7<Water Pipe: Test -Anchors -Regulator -service Test 12..)SPlenums & Ducts: Clearance -Material -Support -Ins. 13.. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BW ciaTe-Date Card -BI Date Card -BI Date -BI-BI )11 Date Card -BI Date C, _BI - , Date- Date• Date Card -BI t Card -BI Date Date FINAJ,Plans) OK except #'s - xt. iStepsa Ig D Date PLUMBING (Permit) OK except #'s Smoke Detector ir-Conneclor- In Garage: Above Floor X14 Water HI.: Vent -Access -Combustion . stion Air yl 15. Water Pipe: Test Anchors & -Nail Protection -Ducts -Meth. Protection 6. D.W.V.: Test -Flings & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access Ted mess 18. Test Tub & Shower, 2nd Floor -Tub Access W-Elec. Trim & SLs<a_neI: Eh er Sizes -4904s 19. Gas Pipe: Size & Anchors Cl anr h I -- - Outlets at" -1 Pam 6; 14:�: _ixt 9 Oppliap@@, Gii94 F;1, P D*+n7-G4e&rance Ca Card -BI Date ��a ��D GoPlIRGIgis Kit. eounter Card -BI d B 11 Glaser Date ELECTRICAL (Permit) OK except # s A er - _e4 a9�98 pam-P _W 20 Fixture & Transformer Clearance -Ins. Protection 2 El Rece#.L� s Spacing-'W_iqhts & Switches at Door, I Ir. Hir.; V - C lea Lq+<-e-Com4,,A -ir- C onrpero7- Garage: b or -Meth. Protecti ,Fi -1 ;If!� Oil _b__E P & N-1 _quip 4,a(w 1 5 �xes & No. of Conductors -Stapled lec. Receotacles in 4a-Rpw*-71 ns , aClose7 0 to Edge Of Studs & C.J. Garage; (G.6_Pj--RomeKg9.r�c. 1?.'�IEquip. Ground made up w/Mech. Fasieners-Sond ater F98111 1!:KVZJ 1.1 AMC t5� p, F Ilek--9eor-Diainage & Cco-J_Earth Clearance I <Q� lar4pr PIgg, D�s • j.VFollowing _ins[ld.: Drive r, es w [-'&4evra-lks ❑ Yes LZ.We- �d Wire Size Cu , A ie ,e ga. -Eu or A I gn. =or Al -Liven WM77, u At, Service-Risei& nductors & Gi nd-Mairf�ir A Planters Yes 49 29. Equip. Clearances; Pane ls::Niolot s-Mech. Equip. on A p rice-Eisgol _Ven, s v Roof; 121W,�_Ap C-Laar,�Pngs. _�h 30. Clothes Closet Light—Shower Lir c ,9 Card B - _1 PaLA,.11r, CBI Date j ng 4g/�Exterior Elec. Trim: G.F.I. Receptacle—U%�. ....... Cald 0-1 Datel��� Card -131 Date 81. ve 14 i HtTroll uT7Tduse W/L _____—m7ghM __ct P Date MECHANICAL (Pera.-ICOK except #'s its s Meters Tagged: Gas -Electric Sewer M_� 31. _A.C._Ducts: In?1,1661)& Support Vent Fail: Ext Tu��b.v� Insulation ei & Connected -C/O to Grade -HD Approval _.A��� _32. .33. Condensate pslin & Overflow*, Size Glade 4 r's"ifiGW9 _& 34. Furnace-VeN: Access -Comb. Aii-Retuin Air Vent -115V outlet 35. Attic Access &--F44tform if Furnace in Attic Date Card -BI Card -BI Date -- - —, Cald-61614 Card -81 Date Cat d -B 1�� DZ Ca,;- 6:3— -- - - - - Date Card -BI Date i�r Card -BI Date Card -BI Date Card -BI Date Comments it Final: Dale FRAMING(Plans) OK except #'s O -Sills; Proper Material & Anchors Studs -Nailing, Spacing F. &alateS Und 'i 7—e :e9,—eZa 1-111 g1,7/i Ts_o v'e Girders & Floor Nailing Daa Lt (p � in ialls (jai proof) _je16: Fite Stops: Fulled Ceilings -Stairs -Chases -Tub jellieldei & Bearii-Size & Bearing Hangei s -Post Caps -Anchors -Connectors ✓ Cing. Joisi-Rilt. Ties-Pui I i it -_RoOZ.14,_r,1 rl;k-shl hilo. -R Ilia. l'i c Access: Size & Rornex Protection -Dina Siop-Ins. Battles - `-- -------------- -4-.- 6 d i i i I __�l i f i d E7), & Dimensions _(Qp�,__ -4-:w Garage File Protection Fiatimig (NOT E: Ali Onli y must be ma(jtt each illile yolfvlsll )obsile) 'r � '�T y'!?n�"i�uay.ry ,.-J.. �,<4+.�,ay, . ys•'�t �^s.-... _-,o..<. . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE VNER / PERMIT N A routine inspection Indicates that the following violations of County Ordinancc exist at the above address and should be corrected. Please notify this offic( when correction of work is completed. If you have any question pertaining to thi: Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE WNffR PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correc ' of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. C Inspector Date M COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ::n 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 f` a' 747 Elliott Road, Paradise — Phone: 872-6307 A routine inspection indicates that the following violations of County Ordinance exist tify this office w Ar ion nf wnted. If ou a aining to this matter, or need additional exp ana io office immediately. Inspector f s -COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961; Ext. 57 CORRECTION NOTICE BUILDING;OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. 1.0, you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS,' 7 County Center -Drive - Orovillc, California 95965 - Telephone 916/534-454- : APPLICATION AND PERMIT PNO.0 �2: 7-5,D ASSES,�99R PAggff EL UMBER `1�'/(0"$ ZONIp�G BUILDING PER IT ow?KAIA ,AL3-��-'O�S.— SO. FT. OCC. BUILDING VALUATION y 0�. Q5R�ACOA/ /1 OW(J Rei MAILI �e / ESr Er-- t pV eg# �7 9/V /✓ � 99a. 00 CONTRACTOR'S64 NA/M�E���/J� q V�v- iW✓ TELEPHONE 3�0 i�% � 1 /1 GSC C go ' Oo ' CONTRACTOR'S MAILING ADDRESS .CONSTRUCTION LENDS • UNKNOWN Fireplace 7,SD Total Valuation $ 62-Z_ .00 LENDER'S MAILING ADDRESS Permit Fee $ ,Up ARCHITECT OR ENGINEER 11h4 LICENSE NO. Plan Checking Fee $ 3Z®a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ f6. 00 BUILD G ADDRESS �(��p� �7 8T PLUMBING PERMIT Filing Fee 3.00 - �� Dei, C— ? � O T l�,`i C_ V Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 2.pp Gas piping system 1 - 5 outlets Z pd USE OF STRUCTURE �,/ SF l� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 / TYPE OF WORK New ❑ Addition 2 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: iO/7'TI0 60V�!�i Permit Fee $ ,.00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP. OR00V ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( ACC. .GS.0 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p ir y (check one): ❑NON-RESID. 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 CON5TR ULTI.OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR.POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occu 50 N'25Q P(O OR FIXTURES BALe1os FIXED A FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. X1 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 Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 in consequence of the granting of this permiiyt X �� C4 ���y�-- Date � Signature of Applicant — Owner l� contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and -demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTALPERMIT FEE ��^� oCCUP. GROUP ✓� TYPE OF CONST, v IPARCEy i PD f/ HD ISSUE I/ I, - This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CTOR On PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '`'44D Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION f a� t +7 County Center Drive — 0roville,,Califoraia 95965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET //�� Permit No. � OWNER �[ . lk f3�C'�.c/ A.P. No. ZX Proposed Building Use fow;/o SC/eCE j /'� hl"G!%DOD S/4g' Permit fee based upon: / Complete Contract Price DPW Valuation // 4 her/(explain) Building Inspector (.0 �_ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. A. Letter of signature authorizationA.'�'.................................................... la YU �� 10. Sanitation approval from �'� Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 3. 5ont�ors=License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre•inspec. request to (date) 16. Other bldg. -inspector ./ When you issue the permit, process as follows: '-' Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other AppI icant Copy of plans sent Health Dept., Fire Dept., Other Date1 During the plan checking process, the following data must be submitted prior to permit issuance (For required items not checked above at time of application, circle item.) t; 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by clans cnecKed by Plans approved by OTHER: Copy/DPW Telephone Mail Other Date Date Date To: Building Department From: Snvironmental Health Subjects Sanitation Clearance Owner Docaion G �� AP Plan approved for: Sewage Disposal mater Supply W Hold final for: water Supply Final Clearance O.K. fora Water Supply Clearance for _ _ bedroom mobile home. Other Clearance for addition of ;CL Q�P It e Note-K* Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County'Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 . OWNER -BU ILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your,mameand 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) id -t,4_1. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 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: 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�vc 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. CM:Z — Alo rIX - S -70 �C' �C A setback of 5 ft. from the ' Property lines and a setback. of 50ft. from the road centerline shall be clear of structures or equipment e for a.2 ft. eave overhang, �f ' ti�..uu�� shc�l 7 boas e . n pw New MOTE:—All Materials & Workmanship to nd Accordance with Recognized Good of a quality prescribed for the Snecified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. q. v �� . • This set of plans and sp ecificatians MUS'e d 't is unlawful to kept on the job at all Mmes an . in c. --me without, make any changes or al the De artment of Public written permission fr e p Works, County of Butte. i 73 9UTTE COUNTY BUILDING DEPARTM"N'r . . APPROVED 'r /a, o rt P/4611 '�1c l 2 /�Ce.cel ov „5/ab A::'/oo/r s/47 to Goopr y Do o.K. Ael .4-x 10AC, a. O poweg Pole O /fur„xe m Iuof C,�+ M+ ,a ed d era g d Sr� l S�oY e w eod pg4a .S/4 b Iefp ore. 3 Domxs .S,CIfea17-/1' Plq H 44e Ce"t-e Sa/i d Ctlw // !FM �415' ) o u 5 e, b� BUTTE COUNTY 1LDING DEPARTMENT k.P,PROVED _ COUNTY OF BUTTE - DEPASTMENT OF PUBLIC WORKS PERM T 0. 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT ASSESSOR PARCEL N BER ZO ING 9 _ BUILDING PERMIT OWNER EPHONE 17- 201S SQ. FT. CC. BUILDING VALUATION ;1L*�Irlarl/ OWNER'S AILING ADDR S J9 U CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S -MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S M ILING ADDRESS Permit fee $ a BUILDING ADORES 02L_ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑emodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1����iV��./�ZCje ;�,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F1 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- ontract-ors.(Sec. 7044) ors. (Sec. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR '_OUTLET NON.RESID BRACH CIRC ITS 2,50 ea NEW - (POWER POWER APPARATUS 61\ NON RESID. SINGLE OUTLET CIR. J . EXOccup(OUTLETS OR FIXTURES BALM (FIXED APPLNS. OR Ex. Occup.oUTLETS (RESID•) EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fK I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shal I be deemed revoked. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains Id ounty in consequen e of the granting of this permit. �( 8' Date Signature of Applicant — OwnerK Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures o//ver,3 stories in height. Mobile Home Installation Fee $ TOTAL PERMLT FEE $ p OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTRIR OF PUBLIC By PERMIT EXP the applicable provi- resolutions to do fees have been paid. WORKS Date ��`���/ '� Receipt No. 171/ ®� WHITE-D.P.W., YELLOWf ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT yr_`.�"<-.:..T,,;..,..-�r.ir....-n-sa.r-.T.a: t:,.,s,,:ti•..w.>..s-""r' w-�s•ewl3:'by.�craiFd'o+oa",�+.�..er�: �:+-�'�y,,,,r,�jF^{.",•-._-",.---.--..�:--n`...-a. ti-r;v.-.a.-P.•w-.< .:r^��,... •,.,, _ ... I,, COUNTY OF BUTTE,:D_lfPARTMENT *c��F#PI BLIC WORKS - BUILDING DIVISION 7,,COUNTY CENTER DRIVE`- OROVILLE,,. GA,L'1Fa RNIA 95965 - TELEPHOfyE: 916/534-454*1 f% PERMIT APPLICATION DATA SHEET 4 Permit No. OWNER G(CD A. P. No. 5 Proposed Building Use �S Permit Fee Based Upon: Complete Contract Price �---- -I�PW Valuation ____�POt a (Explain) _ Building Inspector �Date — MR At time of permit application, I was advised thefo wing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: & 12. Certificate of Workmen's Compensation Insurance. . . . . . 13 Contractor's License Information (no., name style, classif.) G% x/14. Owner -Builder Verification (Given to ownerE1!MaiI to owner ❑)-Z/7��q/ o) 15. Improvements may be required. . . . . . . . . . . . _ 16. Mobilehome Installation Data. . . . . . . . Pre -17. Pre -Inspection for Required- Building request to (Date) p q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup�at office. Deliver. w/inspector. 1!Other iSS//S 4:2JFW AppIicant� 1 �'.rn�� Date // Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved by Date Other: Copy -DPW Other 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 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) a , 2. I (have/have not) signed an applic ion for a"building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: I� Name /1 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: 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 _4== _ Signed: Property Owner _�� Social Securit number ��' Date '7 / -7 API / 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, COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center,Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A-40 'PERMIT r PERMIT N_ . / 1 ASSESSO PPARCEL UMBER ZO ING BUILDING PERMIT OWNER C TELEPHONE Io SO. FT. OCC. BUILDING VALUATION OWNER''S AILI G ADDRESS IfI2 a 44 'CONTRACTOR'S A E TELEPHONE CONT ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ��v/DER'S UNKNOWN Total Valuation $ Filing Fee $ 10.00 MAILING ADDRESS Permit Fee / $ L�o2.D0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Ov BUILDING ADDRESS ZZZW _ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Rgmodel ❑ Utilities ❑ Installation❑ Other Describe work: /eEi1/f�-G✓! Z Dom,&" 7ZF, JD Permit Fee $ ractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR111 01 LESS5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ( DWELLING OCCUP.N) OR ACDNS. ACC. BLDGS. _ 22 Sq ft CONTRACTORS LICENSE LAW 1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR .OUTLET 2,50 ea NO N.RESID BRA CH CIRC I S NEw CONSTR (SIPOWER APPARATUS 61 NON-RESID. NGLE OUTLET CIR. / . ExOccup OUTLETS OR FIXTURES a � � ITEC APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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 said County in consequence of the granting of this permit. X�tr�L Date Signature of Applicant — OwnerX Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , Q OCCUP. GROUP I TYPE OF CONST, PARCEL Pb I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicat above for which DI O OF PUBLIC By PERMIT EXP1R Dae 7— the applicable provi- resolutions to do fees have been paid. WORKS J Date✓t'" 2 Receipt No. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL&, CALtF:.ORNIA 95965 - TELEPHONE: 916/534-t5' Z l ,) 2--^— PERMIT APPLICATION DATA SHEET Permit No. OWNER �//1 dJl.Go.cJ A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price PW Valuation 8 (Explain) Building Inspector Date At time of permit application, I was advised the following -data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. ... . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. '. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13., Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner ail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector 18. Other Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. T lephone and hold for pickup at office. Deliver w/inspector. Other eleal Applicant4."!tet r+ -._Date �z 2— Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved by Date Other: Copy—DPW Other COUNTY OF BUTTE - Department o -f Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name "and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name /A _ Address i' //0 - " _ 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 // ( _ - City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secu 'ty 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r PERMIT NO.� ASSESSO PARC 2L NUM E _ G_ ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUA ON OWNER M 15NG ADDR CONTRAC OR'SNAME JTELEPHONE CONTRACTOR'S MAILING RESS Fireplace CONSTRUCTION LENDER UNKNO Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a, v0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 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 L� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e • TYPE OF WORK_,Permit New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 3 -7 .g 9 — 8o Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under pena ty 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.R ESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR, 20e50a Ex. Occup(o Ts OR FIXTURES BAL®30 IXED PR 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 enalty of perjury #,(check one): ❑ The permit is for,$100A0'f(vNlbation) or less. ❑ I have placed on file with the County"lofIButte Building Department a Certificate of Workmen,s Compensation`I'nsurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of'the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application avid 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. 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 Inst said Count in consequence of the granting of this permi . X a Date % ignature of Applicant - OwnerW 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'�o OCCUP, GROUP I TYPE OF CONST. PARCEL I PD HD IssuE This rmit is hereby issued under sio o the Butte County Code and/or W k i a ab ve for which DU E TOR -OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �7r 7-20-193 Date / — 20 93 _ Ck, At /S -I �� �—,�( Receipt No. . WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT S r s ' 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. 1 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 fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. f V V 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: Name Address ! City Phone IVContractors License No. -5. I will provide some of the work but,I have contracted (hired) the following persons to provide the work indicated: Name -- Address Phone Type of Work Signed: �. Property Owner Social Security number 1 .-, 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AMD PERMIT PERMIT NO:., M- _ ASSESSOR PARCEL NUMBER 40-16-28 ZONING. BUILDING PERMIT OWNER Clair Bacon TELEPHONE SO. FT. OCC, BUILDING VALUA TION OWNER'S MAILING ADDRESS 1892 Kay -Lee Dr., Durham CONTRACTOR'S NAME Owner TELEPHONE 4th Renewal ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ Fee $___32. ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 42.00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 1892 Kay—Lee Dr. Each Trap 2.00 Solar Water Heater 20.00 Durham Water piping 5.00 LOT NO. SUBDIVISION NAME 7_1PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — 4th Renewal Permit #3739-80 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 m Ord Renewal #2437-83) Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under p7nV1ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for kh!p reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS & NON •R ESI D. ( SINGLE OUTLET CIR, ) EX. OCcup(OUTLETS OR FIXTURES 2A 0 LQ 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 00 WORKMEN'S COMPENSATION INSURANCE I declare un er 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. MECHANICAL PERMIT Filing Fee 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 inst said County in consequence of the granting of this permit. %� Date Z 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 $ 42.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —*3 / 7� Receipt No.52„6L��� . WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 oo4�rya� RM 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 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 application for a'building permit for the propo a work: 3. I have contracted with the following person (firm) to provide the proposed construction: Nameti-- Address. City. Phone ,Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person- _to coordinate,,_ supprvise, and, provide the .major work: Name _i/i 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 . S igned : Property Owner Social Security numb r• — / - 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. 1-0 �0 �d . `O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AICD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT WNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S M LING ADDRESS ' �C� CONT ACT N ME TELEPHONE ONRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FiIingFee 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 ❑ Duplex❑ Mobilehome❑ Other ,Acu('f7tl!/5 SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: — s7_7__CL �1 & m,!t �9 ea 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. DWELLING OCC UP.& OR ADDNS. ACC. BLDGS. 2h�SQft ONTRACTORS LICENSE LAW I declare under pt 1yof 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. �cense No. Classification 21' 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 NON -RESIT R. BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@50C P�o OR FIXTURES BALD 30 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare undff 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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'lhe County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ip consequei of the granting of this permit. _ L '- Date Signature of Applicant — Owne—r;< 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 TYPE OF CONST. PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT PU BY PER T PIRES ate— the applicable provi- resolutions to do fees have been paid. IC WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSF.SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPT. OF PUBLIC WORKS JUL 181985 -11 • 1, f 11 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Attention Property Owner: OWNER -BUILDER VERIF ICAT ION Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing ` your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid"unnecessary delay in processing and issuing your build= ,ing permit. No'building permit,will be issued until this verification.is"received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) signed an°applica ion for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name r,� n iLP> 0`-C.GLC�a Address. City Phone Contractors License No, 4. I plan to provide portions of this work, but I have hired the,following person to coordinate, su ervise, and provide th major work:. Name ;7 i9 --��, a - ��- Address - `" — _ `"� City Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following, persons to provide the work indicated: Name Address Phone Type of Work Signed: < Property Owner Social Security number Date 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. 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 .r ZONING4. BUILDING PERMIT O N R _ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S AILING ADDRESS CO R CTOR SNAM 'I -TELEPHONE nCR AIJ N RA TO MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fe $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE��"" SF ❑ Duplex❑ Mobilehome❑ Other I1•G1Ft•-bwt SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other j;;� Describe work: 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 ONTRACTORS LICENSE LAW I declare under pens y of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thi reason NEW CONST. DWELLING OCCUP.a , New CONSTR.( A �22sgft ou ULTI LET NO N.RESID BRANCH CIRC ITS 2.50 ea - POWER APPARATUS t1 (SINGLE OUTLET CIR. Ex. Occu 20 50C j p OUTLETS OR FIxTURES eALO30 FIXED APLNSO EX. OCCUp. OUTLETS P(RESID .)R EA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ORKMEN'S COMPENSATION INSURANCE I declare unde enalty 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce 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 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 upontheabove-.rhehtioged property for inspection purposes. I also agree to sa'tie aind�emni fy and kegp harmless the County of Butte against all liabilities, judgMIin'$r)- b_I,sts, and expenses which may in any way accrue against :said County In c §�=9e,,q,e grantingof this permit�v �5� Date Signature of Applicant — Owner W Contractor ❑ Agent An OSHA permit is required for ex ovations 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 $142 OCCU P, CON ST.TYP! FLooD PARCEL PD ND 199 This permit is hereby issued under sions of the Butte County Code and/or work indica above for which D ECTO ELIC By PER E IRES Date the applicable provi- resolutions to do fees have been paid. KS to Receipt No. WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r r 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 appfied;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'•issu'ing 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 the following person (firm) to provide the proposed construction: 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: 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: Signed: Property Owner Social ,Securit Number — / — Date. %/ / � / NOTE: This OwneY�:Builder�.,,Yerification is sent to you as required by Sections 19831 and 19832 of the Cari`£or`nia Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I Ll 1W 9 �Mens ��e J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'Califorriia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO l r ASSESSOR PARCEL NUMBER 6-06 ZONING BUILDING PERMIT o R clzri TELEPHONE SQ. FT. OCC. BUILDING VALLYATION O N R HILI G ADDRESS CAK4TRACTOR'S NA E LEPH ON C R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fe $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Feb ,$ Energy Plan Checking Fee ' $ ; ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT FiIingFee 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 STRUCTU E SF ❑ Duplex❑ Mobilehome❑ Other E-->� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W10.00 ea T- TYPE OF WORK NewEl Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 •� C•_ main service 6001 OR LESS M 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen ty 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a!), OR ADDNS. ACC. BLDGS. 1 h0sgft NEW CONSTR. ULTI.OUTLET 2.50 ea NO N* RES BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. ( Ex. Occup\OUTLETS OR FIXTURES 20050Q eALeao FIXED APP LNS. OR 11 Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and enalty 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 th above -,mentioned property for inspection purposes. I also agree to save, indemnify�and�keep harmless the County of Butte against all liabilities�•judgments,,,gpsts, and expenses which may in any way accrue against said County;in,consequence-of the granting of this permit. �!—d'�'�/ •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 $ Energy Inspection Fee, $ TOTAL PERMIT FEE $ ZEA OccuP, CONST.TYPEJ --[-FLOoo PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indi above for voich IRECT UBLI BY PE IT XPIRES Date the applicable provi- resolutions to do fees have been paid. RKS at �- Receipt No. WNITE-D.P.W., YELLOW-ASSE350R, 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 the following person (firm) to provide the proposed construction: 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: Name _ -,(._ Address�0,3 Z. {�v,G/-�,.,. _ J City Phone $!Ec_3 :5 &5�2 Contractors License No. p I will ome o acted (hired) the fo wing perso ovide the work indicated: --- Name Addr Phone Type of Work Signed: Property Owner�,,,��� % Social Securit Number _ ' Date % 2 IP -7 NOTE: This Owner -Builder Verification is sent to you as required by�•Secti.ons 19831 and 19832 of the California Health and Safety Code. v This verification must be completed and returned to our office before.we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O TELEPHONE SQ. FT. OCC. BUILDING VALUATION O E MAILING ADDRESS C RA TOR'S M T LE HONE 1 JO Ida C T ACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ; ARCHITECT OR ENGINEER LICENSE NO. Plan Check ee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee s 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 SF Duplex❑ Mobilehome❑ Other �.�fg�/1'792{a f —' ° SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Oth Describe work: �`7�^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �F Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business an Professions Code and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` , OR AODNS. ACC. BLDGS. / h2sgft NEW CONSTR MULTI -OUTLET 2.50 ea ..RES.. .R ESID BRANCHCIRCUITS) POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@030 FIXED PR Ex. Occup. OU LETS (RESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 f Consent to Self -Insure. 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 FiIirig Fee 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 1s 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 in conseque ce of the granting of this permit. X ate Signature of Applicant — Owner EY—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 $ OCCUP. CONST.TYPEJ ISCHOOLIFLOODIPARCILI PO ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i d above for which DI R OF P B y T EXPIRES Date the applicable provi- resolutions to do f s have been paid. WORKS Date _ Q —� 7 Receipt No. 173 Z WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 the following person (firm) to provide the proposed construction: 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: 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: 7 - Property. Owner Social Securijtv Numbeex 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.