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HomeMy WebLinkAbout040-170-129na 129" 40-17-129 SCMEINDL, Leonard 3855P x930- B% LEO D4SCHREINDL i 975-68B** 9519 C qp�ings Rd, C hico PErmit#24` 4-87B, P, E(new rrq c�; _ . -906-68E� . - - -- . 40-17- 5.4 " d 1500 I w/s Cumm' gs Rd / no . Oro -Durham Pkwy, Durham 40-'1?=12'9 3855P=--. Permit#473-88P(ga all furnace/g� e) rep ace) co /vert gara e to family rook, 40-17-129 fi / Perm�#Y�71(6-88B(I'st Prenewal/2474=87) '- - i f ;x;�Yi" 3rd ` i ' PERMIT NO. a PERMIT EXPIRES Z2 S LAUlk SCHREINDL. OWNER 't CONTR. OWner )' ASSESSOR PARCEL 40-37-129 . LOCATION 519 CuMMi iii Rd, ('h i r n 1.. 5, Temp. Power Pole Called PG&E Temp: Elac. Service y Called PG&E i Temp. Gas Service . Called PG&E JOB FINALED (Date) Signature / = OK '0 = Not OK Not'Raadiyable MOBILE HOMES ,MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D S,COVERS,CARPORTS,GARAGES, (Plans)OK e3(ce t #'s 1. Zoning Requirements -Setbacks -Easements KZxfning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Soils -Size -Depth -Spacing -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. t.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date and -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Dat Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged . 9. Exits; Insp.-Sketch - 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5'. -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -131 Date ,- - Card -131 Date Card -131 Date 9. Health Department Approval - - " 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date 0 V WK 0 = Not OK '- = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s .-46:-Water Ht. Vent -Access -Combustion Air &T -Water Pipe; Test & Anchors -Nail Protection _48-91N.V.; Test-Fttngs & Anchors -Nail Protection _9. Shower Pan; Test, First Floor -Tub Access --fie:7-st Tub & Shower, 2nd Floor -Tub Access rMIGas Pipe: ize nc Card -B1 r�, Date11J7- Card -B1 Date I Card -B1 f Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 12.r1'lure & Transformer Clearance -Ins. Protection AA._ffe. Receptacles Spacing -Lights &�ches at Doors ize Boxes & No. of Conductors- I Romex Installed Close to Edge of Studs & C.J. CMEquip. Ground madeyp w/Mach. Fasteners -Bond GIs_& Water e?-,"ppliance Circuits in Kitchen-rConduc or Size AB.ftReed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. I Cu or Al -20-flange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No ,36-8rtrvice-Riser Conductors & Ground -Main Disconnect 31. Equip. ClearancesQj ane `Motors-Mech. Equip. I X92. eft)thes Closet Light -Shower Light -Spa Light Card-B1/�,Date�J11_ Card -B1 Date Care Date Card -B1 Date Date MECHANICAL Ducts Insulation & Support #'s (.WVent Fan; Exhaust above insulation ­95-Uondensate Drain & Overflow; Size & Grade urnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet &7-Mic Access & Platform if Furnace in Attic Card -B1 Date I I— Card -61 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s bar.Sps, Proper Material & Anchors W Is Studs -Nailing, Spacing & Bracing -Plates -Sound ring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) la.2te Stops; Furred Ceilings -Stairs -Chases -Tub 41r Header & Beam -Size & Bearing Date FRAMING (Continued) H rs-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fire,pffice Ties or Type A Flue -Fireplace Throat tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -liff.-Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions Fire Protection Framing ly Line Firewall & Openings cors -One 3' -Check Garage -3rd story, 2 exits Width -Headroom -Rise -Run -Landing -Fire P d on Roof Overhang -Attic Vents -Rafts ut Nailino Veneer 46-'Ttucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -•te"Glazing Area -Glass Protection -Skylights -Plastic -*?-,Shear Walls; Nailing -Bolts 58. Insulation -Wal Is-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date / L Card -131 Date Card -B1 Date Card -B1 Date Date FRAL (Plans) OK except #'s Ex!. Steps -Door & Sidelight Protection -Landings e etec or Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection e room Exiting ath & Tub Access -S a / ec. Trim 6 Scpane eaker Size ails ove; earances-Hearth . Elec. Outlets at Wood Panel; Int. & Ext. 69 ' 94 p npp1iaac G nd. -Air Gap -Cooking Clearance 6ntlets &-Receptacles at Kit. Counter U. Garage Fire Door; Swing -Landing -Closer mper - rance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection P ., Elec. & Mech. Equip. Listed for Location Iec. Receptacles in Garage; (G.F.I.)-Romex Protec. m- oo ed in Attic O Yes 7 Construction -Post Caps 71$. dn. V Hole Door -Drainage &Wood-Eart h a'ad under Floor 0 Yes . Following instld.; Driy6 es O No; Walks es O No; PI nters 0 Yes ErNo - tucco; Brown -Finish ec ncal, Plumbing SR. ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Well; isconnElectrical, Plumbing K. Ext2lior Elec. Trim; G.F.I. Receptacle -Underground V tilation throughout House Protection from Previous IIilt as T20 /,U,- uWeters Tagged; Gas -Electric /0 '- . Water & Sewer Con acted -C/O to Grade -HD Approval omp lance Certificate -Other Certificates Card -B7- Date � and -B1 Date - Card -B1 _ DateV 1r and -B1 Date Card -B1 Date Card -61 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) 1� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751• 7 County Center Drive, Orovi Ile — Phone: 538-754.1 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER 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 correction of work Is completed. If you have any question pertaining to this matter( or need additional, explanation, please contact this office Immediately. f W v 4 0 I Inspector ��� Date 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 OWNER 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 cor ction of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office Immediately. o n, f< DCIS Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 '7 County Center. Drive. Orbvi Ile — Phone: 538-7541 747 Elliott Road, Paradise'— Phone: 872-6307 CORRECTION NOTICE ,�P--/-7\-/- � �- OWNER T 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 correction of work is completed. If 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 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 �Y7�- OWNER 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 correction of work is completed. If you have any question pertaining to this mp4itpr, or need additional explanation, please contact this office immediately. w;; 4 / 0 1 Inspector W. `W, 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 4 CORRECTION NOTICE. 0 J-17(1 OWNER 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately: a Inspector Date JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSsr PERMIT NO. 7 County Center Drive - Oroville, Californi%95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER ZO i BUILDING PERMIT o r E EPHONE SQ. FT. OCC. BUILDI G VALUATION O WT4E 'S//MAILING ADDD'R�E�SS CONT ACT RSN E TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCT LENDER UNKN nl Total Valuation is a Filing Fee $ 10,40 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT R E GINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ i 7 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 �5— Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other clFv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 — Mobile Home S I G I W 10.00 ea TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ 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 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 QUI, 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.m) yZ0sgft OR ADDNS.• 1 ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS &I SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 BL9 FIXED PR Ex. Occup. OUTLETS (RESID 1EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 j = Permit Fee $ 2— Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurancebr 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 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 saCounty in conseque a the granting of this permit. // X .�� >Z hoiM Dat 3 Signature Of Applicant — Owner 99—Contractor ❑ A4Znt ❑ 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 $ 5� occuP. CONST.TYPE I JF�OD PARC PD ND Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECT OF PUBLIC By. P IT EXPIRES Date the applicable provi- resolutions to do -fees have been paid. WORKS Date o ��-- Receipt No.—IM WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �-�Ny��� COUNTY OF BUTTE DEPARTMENT OF. -PUBLIC WORKS BUILDING D-IVISION ^ onov wmosea TELEPHONE: rCOUNTY CENTER onws /� 'o�moou�e� PE�0�lT����| ����T|M� ��T������T .. APPLICATION .~ ',. SHEET �~~ Permit No. Proposed Building Use Building Inspector46-115 Dat Attime nf permit application, | was advised the following data must be submitted prior to permit proneauind ond/ovioouanne: DATE RECEIVED APpnmvso . 1.' All items h d, . , , . , , , , . , , _-____------ --' Plot plans oate, signed by proporor of plans. , omp|eta plans /trip|ioate, signed by pneparer of plans. ~ ---__-~�~Complete engineered plans and oa|oe, with wet signature on plans. -----_ 5. Plans with Energy Design Compliance Statament, . . . . . .-----� 6, School District "Fees Poid" Stamp on Floor Plan. 7 Statement of ( AC Buildings. . Fees of $ ^ ' '" / . . . , . . , . , 9. Letter of signature author i , . . , ... . Sanitation approval from Health- Dept. . . 11. Planning approval for (A) Use: -___-(B) Parking:---___--__ ' 12. Certificate ofWorkmen's Compensation Insurance , . . . . ' 3. Contractor's License Information (no., name aty|o. o|aooif,) . 14. Owner -Builder Verification (Given to mwno/D. Mai| to mwnerEl) � _15. Improvements may barequired ' , . . ' . , . . . . _ ____.1S, Mobi|ohomo Installation Data. , . . . . . . . . . . '' � 17' Pre -inspection fov Required. p��/�"�" request`" *"` ----- --------- - ---- ""'"'"e'""~�`�' o ' __-_-1O. Recorded copy/~f"Agriou|tuna| Acknowledgment Statement. ' --_--_19. Driveway Permit. -__-_-___----_ _ !,O. P|u4 plan approval frorn city of ----_^21� ` . . -----_22. � When you issue the permit, process as follows: _____Mai| to owner, —Mail t000ntnao\nr' e|ephone -3and hold for pickup office.----_.Do|ivor w/innpooto/. Other The following data must be submitted prior �Q- ermit issuance: (Circle new item not checked above). 1 . Index 'permit for above items No. ' » was advised of above required hon -Ar7 Contractor, designer, data AR e --in *'n er byJA'6- date 772 Contractor, designer, owner, was advised ! above requireduum by—phone— Plans checked by 4 0.Date_7/_1�;?_2_PIans appro-ve'd by -Date —Sets of plans on hold in —File cabinet _AP folder , ' . ` Copy-DPw/ �.` SO -k ve, td l TO. Building Department FROM:. "°'� Environmental Health SUBJECT: Sanitation Clearance Owner Location APO Plan Approved for: Hold final for: Final clearance O.R. for: Sewage Disposal Water Supply Clearance for _ _ _ bedroom mobile home. NOTE nitarian Water Supply Water Supply _ Other �" GJQM Date 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. 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 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 In 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF 'PUBLIC WORKS PERMIT IN 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION PERMIT JJJ ASSESSOR PARCEL NUMBER� ZONING s BUILDING PERMIT OWNER , TELEPH0 E SO. FT. OCC, BUILDING VA UATION OW MAILING ADDRESS CONTRACT R' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDEUR 11 UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT, OR ENGINE E LICENSE NO. Plan Checking Fee $' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 dPLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUgE SF❑ Duplex[] Mobilehome❑ Other SPEC IFv Gas piping system 1 - 5 outlets 5.00 p -Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New Addition❑ InstallationOther Describe work: ��©�� �T �i 7 �— ; Permit $')o - Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100v 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 and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ ACC. SLOGS. DWELLING OCCUP. I OR ADDNS. ` a\ 'h¢sgft NEW CONSTR U '.OUTLET 2.50 ea NO N.RESID .BRA C CIRC S POWER APPARATUS eI SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES .200030 Ex. Occup- OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate � /of Consent to Self -Insure. 2 ' 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costp, and expenses which may in any way accrue against said ounty in consendlenem of the granting of this permi . X Date Signature of Applicant — Owner Q' 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 $ r TOTAL PERMIT FEE $ t , 02) Occup -1 CONST.TYPC SCHOOL FLOOD PARCEL I PD ND 139uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R TOR OF PUBLIC By PERMIT EXPIR Date the applicable provi- resolutions to do fees have been paid. WORKS Date -Z � Receipt No.' WNITE-D.P.W.. YELLOW-A3eC330 PINE-IN8PECTOR.. GOLDENROD -APPLICANT . COUNTY OF BUTTE - Deparfinent 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: 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 per- mitted to issue the permit.' �J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. , /r✓ 7 County Center Drive - Oroville, California 95965 - Telephoner 916/538-7541 V X APPLICATION AND PERMIT 0 CJ Filing Fee 10.00 ASSESSOR PARCEL NU�+BE C/o— / oZ ZONING OQ _ — BUILDING PERMIT 2,50 ea OWNER Z,CO®A., r SCS, 6'e ' n TELEPHONE _ 41,1,K,S0. FT. OCC. BUILDING VALUATION .200030fl OWN S MAILING DDRESS IRA p 11 5 /� r1 2.00 Temporary service CONTRACTOR'SNAME TELEPHONE 15.00 Misc. Wiring CONTRACTOR'S MAI ING ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee f $ 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, YPARCEL. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W I I h0-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utill]ities Installation[] Other ❑ Describe work: ' St. 'Oe Aj s. a- l .o 1: 'Rt- i 941 Zi C? ( RePeg- 'Ea ct7 3-66 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 U 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 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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. 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 against s 'd County i cons ce of the gra ting of this perm't. X L Date o � Signature of Applicant — Owner ontroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-AP►LI CANT Permit Fee $ f Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.1m OR ADONS. ( ACC. BLDGS. /20sgft NEW CONSTR TI -OUTLET NON-RESID BRANCH CIRC S 2,50 ea POWER APPARATUSe SINGLE OUTLET CIR. $ Ex. Occup(OUTLETS OR FIXTURES .200030fl Ex. OCCUp. OUTLETS FIXED APP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL PO NO This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab ve for which fees have been paid. R ORJOF PUBLIC WORKS By Date Z4 PERMIT EXPIRE Date IV j 4,J -W-W Too- inn VN 40- 4" �N. "A"Y 4F .1 A S, HIM ilyt!tt;t a I Ws 1 Is Yy Ww"s Too 1M -04#! -'�O! A 916"Qi�QiWA 00 0004TJ T Iwo, - 6, 0 low 0, 0444`01 —00.4, 000000 0", MTIRFV�- T71' V Wm W, "I 777 7T MAT