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HomeMy WebLinkAbout040-180-0030— ,4 4 0 - 18-03 W Midway, Durham contr: Philli s Const —Permit 23-87B epajr fire damage)SF ---------- ----------------- 401I-03 ,,,gntr: Phillips Const Permit jjZ5-87E(reajr amage)ele 40-18-03.' Permi846-90P,Kf, L(r od �1'- =at�Y,-:' fo Le 1'- �a� I 040 -lid -603 99-2019 DURHAM UNIFIED SCHOOL DISTRICT' . 9 9501 MIDWAY; DURHAM, CA C CONTR: GEORGE ROOFING', RE ROOF ID ., L wr 0— ,4 4 0 - 18-03 W Midway, Durham contr: Philli s Const —Permit 23-87B epajr fire damage)SF ---------- ----------------- 401I-03 ,,,gntr: Phillips Const Permit jjZ5-87E(reajr amage)ele 40-18-03.' Permi846-90P,Kf, L(r od �1'- =at�Y,-:' fo Le 1'- �a� I 040 -lid -603 99-2019 DURHAM UNIFIED SCHOOL DISTRICT' . 9 9501 MIDWAY; DURHAM, CA C CONTR: GEORGE ROOFING', RE ROOF ID ., L _ .. - . q. .. .:. � - __-� .: . -.. i .� t Y.. .. .. ..-: ,... - ....7ft ,!d : .-+i�•.+hzaw.;`wig*.- ,..n,. .o aar+.'r-ne ."RB_ . � i .. v - r ,� ... _ .--ter.-...-- _...- .. ..-•----• �- •--.�... -, r ...�....'r ... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. APPLICATION AND PERMIT~" 9 ASSESSOR PARCEL NUMBERO _010A ---v �I ]]VVt� ZONING BUILDINGPERMITv OWNER Durham Unified School District TELEPHONE 895-4679 SO. FT. OCC. BUILDING VALUATION 2000 Om 1200.00 OWNERS MAILING ADDRESS PO Box 3UU, Durham, CA 95938 CONTRACTOR'S NAME George Roofinc TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS ^ 6810 Lincoln Rlyd, Oroville, CA y CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1200.00 ARCHITECT OR ENGINEER LICENSE NO. FIIIn Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9501 Midwa Durham CA 95938 Energy Plan Checking Fee $ $ PERMIT FEE S 49.UU LOT NO. " SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF43 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 ®XOther ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL .PERMIT Filing Fee 20.00. Main Service zoonoass 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 C-39,14,42 Lic. No. 455 2 2 6 6 -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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT. tNjON-RESID. BRANCH IRCUITS. MULTI -OUTLET @7,50 POWER APPARATUS SINGLE OUTLET CIR. a Ex. Occup. OUTLET OR FIXTURES a41- @ '.50 OWNER Ex. Occu . ouTiers AaoOE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of conse'".Fto self -insure for workers' compensation, as provided for by section 3700&f the Labor Code, for the performance of the work for which this permit is iced. ;IQ I 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' compensation insurance carrier and policy number are: CarrierVillanoya Insurance Company MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number ViL �u o 5 Tifiy (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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith colnply with those provisions. X l I��rT ,yJ/ l.Date r / �__ Signature'of,Applicant - ❑ Owner ,O Contractor)Q'Agent An OS4�e mit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE y . v TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE 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 r 1 PERMIT EXPIRES ON Date Receipt No. 17 'S X , IlZ WHITE-D.D.S.-B.D. 'CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT r f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �9 PER NO. (Rev. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 00 , %�U ✓ ////�+//VV))School ZONING BUILDING PERMIT Durham Unified District 895-4679 SO. FT. OCC. BUILDING VALUATION OWNEA'S MAILING RBB PO Box 3�d, Durham, CA 95938 2000 comp1200.00 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd, Oroville, CA 95966-7716 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1200.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9501 Mi dwa Durham CA 95938 Energy Plan Checking Fee $ $ PERMIT FEE $ 49-00 LOT NO. SUBDIVISION'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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation J?X Other ❑ Describe Work: Composition Shi ngl eG Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service "oAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C-39 , 1 4 , 42 Lic. No. 452266 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 Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OWE OR ADDNS. ( a Acc. sLOs. SO 3.50' NEW CONST.9 NON•RESID? MULCTI.00UTCET @7,50 POWER APPARATUS 8 SIN GLE OUTLET CIR. Ex, OCCU OUTLET OR FIXTURES BAS � ',50 Ex. Occup. ouTEitrs Ro JE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by -section 3700 of the Labor Code, for the performance of the work for which this permit is issued. XIR I 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' compensation insurance carrier and policy number are: CarrierVillanova Insurance Company MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WC I 20537019 (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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c mply with those provisions. X _ __ Date �-d7 _ Signatu o Applicant - Ow ContractorXAgent An O permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE49.00 TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE 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 Dat epeh�m� PERMIT EXPIRES ON O Def Receipt No. c WHITE-D.D.S.-B.D. CANARY•AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. ss--:..-.: ✓ .'.r...n.-'rT « - „;, t 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, ParWdise — Phone: 872-6307 CORRECTION 'NCITICE �2�1n1rJ ��4�n-qd 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. C -Ir L S ',-N U t;",, t k C, T '- fl i m arJ CZG,(6,- UG1AS `A(�lk Tln'U9-, t � Date a — 2' °� C� Inspector -r- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 7 County Center DrivCj, Oroville — Phone: 538.7541' 747 Elliott Road, Paradise — Phone:.872-6307 CORRECTION NOTICE 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 matjdr, or need additional explanation, please contact this office immediately. ��T�Ir3• ,[�ro�„ "� PJc./- Al.o�ero/s �—�p �/GG-1t ��/i� f f� �rrr».-1 I�D�• Ila a' 'f 23 - 97- d"o' Xr'i c -t;, t� /�./a S l9 SPG-(• t ` 4="V d .Z Date " _ �� / d Inspectorr�" �� H "00 `7v Date " _ �� / d Inspectorr�" �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 r:; s 7 County Center Drive, Oroville — Phone: 534-4541 • �I Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 Yy 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. /J r, fin e --j— G /: Inspector-cc),-C-- nspector Date 7 PERMIT NO. 423-8�B PERMIT F�IJ5 EXPI(_ RAY BROWN Z9H6-9'o OWNER CONTR. Ph1111pS Const. ASSESSOR PARCEL 40-18-03 df 90 07 ,.o¢S LOCATION -194-M Midway, Durham SbD In 2 m F -A. I� trn af S c Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature ll J = OK 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready _ f MISCELLANEOUS L Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS,• CAR PORTS, ETC. (Plans) OK except a's ti 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -.Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed. 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal •w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date t V = .OK O =- Not OK -,= Not Applicable RESIDENTIAL (Single and Duplex) } = Not Ready D to UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _ __1. 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3 4. Fig., Garage; Soils -Steel- / /" Ftg. Depth Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection__ _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic - B. D.W.V._Fall-Fittings-Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric: Underground 12. Plenums &_Ducts; Clearance -M eriat-Support-Ins. 13. Girders -Sills -Anchor Bolls -Jo' ts-Vents-Cripples Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Card -BI DateCard-BI Date Date Card -BI Date Date FINAL (Plans) OK except #'s Date PLUMBING (Permit) OK except #' 56.. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Com ustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test- t'& Anch rs-Nail Protection Shower Pan: Test, First F -c -Tub Access Test Tub & Shower, 2nd Floo Tub Access Gas Pipe: Size & Anchors Date_ Card -BI Date Date Card -BI I Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #[s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. _ Fixture & Transformer Clearanc Ins. Protection - - Elec. Receptacles Spacing -Lig is & Switches at D ors Size Boxes & No. of Conductor Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners _ and Gas & Water 2 Appliance Circuits in Kitche & Conduct r i Subfeed Wire Size / / ga. C or AI-A.C. Size / / ga. r AI Range Circ. / / ga. Cu or A -Oven irc / ga. Cu or Insulated Neutral Yes No Service -Riser Conductors & Ground ain - sc nnect Equip. Clearances: Panels -Motors_- ch. ip. _ Light _ __ Clothes Closet Light-ShoweI,, Date Card- Date _ Date Card- Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-Tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes [I No: Walks ❑ Yes ❑ No; Planters ❑Yes 1_J No 76. Stucco; Brown -Finish 77, - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80.. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas est -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support Vent Fan: Exhaust above Insanon I _ Condensate Drain & Overflow: Size & Grade Furnace -Vent. Access -Comb. ir-Return Air Vent -115V outlet _ Attic Access & Platform if Fur ace in Attic Date Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - -- - --- -- - ------ -- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING( Plans) OK except #'s Com tents at Final: 36. 37. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & B\c.,ng-Plates-Sound38. Bearing Walls over Girders & Flooiling Draft Stop in Walls (rat proof) --- Fire Stops: Furred Ceilings -Stairs -Chases -Tub _ _ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin - Roof Brac.-Truss-Shthrig -Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ - -- -- -- --_---- -+-+�_j --- O`- _ (NOTE Anentrymust be made each time youvisit jobsite) �fu 4C4 �rw�l %JBccr�.Je� O✓ /lz14C ijV e,t151�rwy S rcc o �.,: �� 'VO4 rey4"c �1.�ep SCirt.P 2// 7/r'J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ZONING PERMIT NO. -/.Y —6--11 -5',,C .Z I BUILDING PERMIT O WNLR7���J TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS � L-O/7S7 CONTRACTO 'S Ms AILING ADDRESS CONSTRUC?ION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER /z%/.4, ARCHITECT OR ENGINEER'S MAILING ADE BUILDING ADDRESS - UNKNOWN LICENSE N ESS LOT NO.SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New Addition ❑ Remodel❑ Utilities E] Installation❑ Other Describe work: _Iq�� f?/rL Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty _ Permit fee PLUMBING PERMIT Each••Trap-• - - Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS - ---- 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 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 Main service EA. ADD'L 100 AMP NEW CONST./ DWELLING OCCUP.p+ OR ADDNS. ( ACC. BLDGS. // NEW CONSTR U TI.OUTLET NON- MESIO, BRANCH CIRC ITS (POWER APPARATUS e\ SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APLNS.I, EX. OCCUp. OUTLETS IPRESID.IREA.7 Temporary service Mobile Home Facilities Misc. Wiring Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Permit Fee Contractor I certify that 1 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 liab' 'ties j gen Sts, nd expenses which may in any way accrue ag in aid Co ty equ of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractors 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./ 7,--// W}11YC-D.P.W.. TlLLOW-ASelSSOR• PINK-INSPCCTOR, COLDE1R00-APPLICANT Mobile Home Installation Fee Energy Inspection Fee TOTAL PERMIT FEE 3CC-1P• CONST.TYPEI FLOG $ 10.00 m F i I i ng Fee 10.00 10.00 2.50 yz¢sq It 2.50 ea 2.00 10.00 15.00 15.00 Filing Fee 1 10.00 MM S 3 $ RCELI PD IND 139UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. � DIRECTOR OF PUBLIC WORKS �Y�: �ZaL'!'Z' Dater % PERMIT EXPIRES Date 4- CQUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .7 County Center Drive - OrouiIIe. C` Iifornia 95965 - Telephone: 916/538-7541 APPUCAT13 AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 40-180-D3 ZONING BUILDING PERMIT OWNER Frances Brown TELEPHONE 343-4696 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9501 M1dwa Durham CONTRACTOR'S AME Denny Conqt-- TELEPHONE 342-7056 CONTRACTOR'S MAILING ADDRESS PO Box 7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 501 Midway Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 31 2.00 6.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 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 5.00 Mobile Home S G W 0.00e TYPE OF WORK New❑ Addition E] RemodeIZ Utilities❑ Installation[] Other E] Describe work: Bathroom _ RE 423-87 Permit Fee $ 26.00 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 1 declare under penalty 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. Classification License No. /� I, as the owner, or my employees with wages as their SOIe 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.N OR ADONS. ACC. BLDGS. 2/20sgft 2.00 NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e� SINGLE OUTLET CIR. Ex. Occup( P OUTLETS OR FIXTURES Z0 0 AL@ 30 .200030 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 $ 12-00 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. ❑ 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 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, udgments, costs, and expenses which may in any way accrue against sa- C unty in c nsequence of the granting of this permit. X Date 8_��✓l % Signature of Applicant — ner ❑ ContractorA Agent ❑ An OSHA permit is requireg 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 $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLo PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which fees DIRECT OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date _ . f 1 Receipt No. 70714 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT � .r .. . � .! • �, .•�� 6r 13 i l.�} Y'.f, r.�};1`S.�N +i �}+ f 17r �� �``,,�ryy(/,]txi-r4:l),v.,�{�, rya..« ti. ljr� F'�!i[ti✓,6d:�jd rlry�y�--,j,�.-:.G":'-"i. ��}.p�br T.., 1 w�: '�'�i.�`;c, ., 1 / -f M'. �r 1' '� G•' "ITh• 'i r ..� � "'7►'l ��iafl� 4A��..S.��.'.� �YEJ .•'*'J rd ++ l ` .. � .. 1 r � r •- � i � j � ' f r ,W ILS WWI;" 't'" 4"'I it�� � t / COUNTY OF BUTTE - DEPARTMENT -00 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQL�E,..yALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER _:::j,44/G D (� � ��r A. P .N Proposed -Building UseL?6-1jR0 ./: &,fZ7± Building Inspector Date )Y r 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, signed by:,preparer of plans........'` 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ................. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant Date M L( Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items 'required: f Contractor, designer, owner, was advised of above required data by_phone�nail_counter by ..date— Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Planschecked by Date Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIti►9V AND PERMIT ASSESSOR PA CEL N� • ZO N DO r�EPHONE OWN 'SM _LI G ADDRESS IY,,9d4 CONT A��/N/lt 161 T LLEPH E BUILDING PERMIT SO, FT. OCC. BUILDING VALUATION CONT ALTO l MAILING ADORES% �� 0 �% Z % ' lFireplaceCONSTRUCTION LENDER uation $LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER _ LICENSE NO. e $ 10.00 e Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDR S SU WA ) Energy Pian Checking Fee $ Penalty Permit fee $ $ 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 500 V V Each qas water heater or vent 5.00 USE OF STRUCTURE SDuplex❑ Mobilehome❑ Other // �� sP`ECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G �V 10.00e TYPE OF WORK - New❑_ Addition[] Remoda+N Utilities ❑ Installation[] Other❑ Describe work:��1 2F—,- Permit Fee g LZ o 01 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions -of Cha t. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification El1, as the owner, or my employees Wlth 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 Main service EA. ADO'L too AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADONS. ( ACC. BLDGS. /4sgft G( q'O NEW CONSTFL ULT I -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS 91 (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20@50S a ALa 30 FIXED OR Ex. Occup. ouTLETS (RESESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Q WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti.lation 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 Countyor 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 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 S Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ ��c FEE HAZ CUA PARK SCHL i PAR PD HD I ISSUE T` -'s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.By WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS• 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 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. Inspector Date OF TOON1- Op C' IV, FIRT9.1?19048 ' pl •{ REPORT FC -18 (3/88) ' /--N ORIGIN LOCATION ORDER NUMBER R2. I R.U. INCIDENT N;. START MO. _ DATE — YEAR COUNTY FIRE NUMBER J �C, FIRE NAM/E:: RE�: R U , NO. thru _ I r } r I 'MILES TOWNSHIP{ LL gN RANGE Imo_ L�❑t iE I s _ W 'MILES DIRECTION aFROM IN. NATIONAL FOREST, FIRE DIST., CITY 8 STREET, NO., 11 ETC. Al WILDLAND BURNE6 OR THREATENED I .y , 3 INCIDENT ' TYPE 2 3 FIRE ❑ FALSE ALARM—GO TO BLOCK 10 I RESPONSIBILITY ! %A 4B DLLAaN=V U$E (STARTS IN r , l .pOMESTIC I ❑ RANCH -FARM ❑ DUMP. ❑ ROAD,` + Cl UTILITY, RAILROAD j I Cl UTILITY,' ELECTRIC 1) O 0 OR O ONLY) ❑ FOREST INDUSTRY ❑ RECREATION ❑ OTHER INDUSTRY-COMRCL. ❑ WILDLAND + ❑ NON-WILDLAND { ❑ OTHER /� k , /1 DAMAGE,( 16,62 6OR 60 ONLYI '% �. 3 • V STATE ZONE & STATUTORY O❑ WILDLAND BURNE6 OR THREATENED . Rou off to NearoK $100 RESPONSIBILITY 2 8/or 8 ❑ CDF LOCAL GOVi. CONTRACT Ir ` (0 AT ORIGIN) O0 O❑ UNPROTECTED D ❑ STATE YOUNG GROWTH ❑ ASSIST OTHER AGENCY (Not I,� City) ❑ U.S.F.S. LOCAL ZONE i, -CDF LOCAL GOVT. CONTRACT ' ❑ B.L.M. ❑ B.I.A. O ❑ ASSIST OTHER AGENCY (Not City) WILDLAND VEGETATION F] OTHER FEDERA ©❑ FEDERAL ZONE ASSIST FED. AGENCY (Not Mil.) ❑ OTHER O ❑ CDF LOCAL GOVT. CONTRACT O❑ MISC. AND OTHER ASSIST CITY, CONTRACT OTHER AGRICULTURAL PROD CO.,IMIL, (STARTS IN o 0 o OR 0 ONLY) t LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE rCAUSE CAMPFIRE ❑ARSON ( OTHER/MISC. SMOKING ❑ EQUIPMENT DWELLINGS -CONTENTS DLLAaN=V U$E (STARTS IN r , l .pOMESTIC I ❑ RANCH -FARM ❑ DUMP. ❑ ROAD,` + Cl UTILITY, RAILROAD j I Cl UTILITY,' ELECTRIC 1) O 0 OR O ONLY) ❑ FOREST INDUSTRY ❑ RECREATION ❑ OTHER INDUSTRY-COMRCL. ❑ WILDLAND + ❑ NON-WILDLAND { ❑ OTHER /� k , /1 DAMAGE,( 16,62 6OR 60 ONLYI '% �. 3 • DIRECT $ DAMAGE PROTECTION Number . Rou off to NearoK $100 1 2 8/or 8 5 Ir ` OTHER TIMBER &/OR # tE#,'•:E<:: r:;:;:;?: D YOUNG GROWTH ;.tip;>;;�J�• {{•• WILDLAND VEGETATION � �•syk>s:: I Other , thon T 8 Y G AGRICULTURAL PROD .:"` ^ }''• (Other than T 8 Y G) :;z<c`? DWELLINGS -CONTENTS aoo� 8/OR OTHER STRUCTURES 8/OR CONTENTS VEHICLES 8 CONTENTS OTHER TOTAL ACRES OF VEGETATION BURNED OVER PLEASE VEGETATION FIRES ONLY) �' •, CDF 7540-130-0118 86 39852 1 10 DIRECT AGENCY PROTECTION ACRES BURNED CDF r l0 S ' , ' OTHER TOTAL D OVER PLEASE VEGETATION FIRES ONLY) �' •, CDF 7540-130-0118 86 39852 1 10 ORDER NUMBER rl OUTSIDE FIRE STARTED Enter 1S' INSIDE FIRE DISCOVERED IGO TO 12 .Z a / 7 7 "9 1 .nnvnuT.ia�cr _.ow:n .....w.....a.1...i....4...a� FIRST REPORTSITE R.U. INCIDENT NO. 1i YEAR Ez L_ 3-q 9 9 7 OUTSIDE FIRE STARTED Enter 1S' INSIDE FIRE DISCOVERED IGO TO 12 .Z a / 7 7 "9 1 .nnvnuT.ia�cr _.ow:n .....w.....a.1...i....4...a� FIRST REPORTSITE ORGAN- IZATION PERSON HOURS T l NAME: ORGAN- IZATION PERSON HOURS AIRCRAFT FLT.HRS. r12t ATKCREW SITE SECOND REPORT NAME: FIRST ATTACK BY CDF FIRE CONTAINED / iZ oa j, /\ /"ACU/ /A\/CDLIG A A DGf AD11 TATE& LOCALGOVT CONTRACT REW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT.HRS. r12t ATKCREW i CDF OVERHEAD TOTAL ON 1 2 8 FIRES, ENTER TOTALS BELOW �•:::.:•;•«•.�.; :}:.z.•:}<•>}�.:ex:•>};Y }} :{s,'#::>:i>%�: U.S.f.5. (Incl. Overhead) TOTAL :lio:•: OTHER FEDERAL (Incl. Overhead) TOTAL 'Y>?S4MsC FIRE DIST. & OTHER LOCAL TOTAL PAID HOURLY E.F.F. TOTAL VOLUNTEERS (Unpaid) TOTAL ''>'"w •`.v�}'"' ❑ FCABB (Additional crew activity) ATTACHED o-, nRlr_lNAl RFPnRT RV. COMMENTS MAP IS: gONE SECTION FOUR SECTIONS ❑ MAP ATTACHED APPROVED BY: 14 SIGNATURE ' �� TITLE DATF INTL. DATE r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Carifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER/MMIIT( N0. ASSESSOR -PARCEL NUMBER —/ f — ZONING 5',e 7— BUILDING PERMIT OWNER ��0 TELEPHONE SO. FT. OCC. BUILDING VALUATION O N R'SSS MAILING ADDRESSS CTR/C T9 R'S NAME TELEPHONE CY+' P; CONTRACTTO •S MAILING ADDRESS p Fireplace CONSTRUC ION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHlw T R 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. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work:el_ (57 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 000V OR 0 AMP ORLESS10.00 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 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) ❑ 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 New DONSTR.� A t ULT'OUTLET .50e NON•RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. FIXTURES 2C eAL@L030 \\ Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ TOO 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. ❑ 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 PERMITFiling Fee 10.00 Heating I Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 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 liab' 'ties j dg ,en sts, nd expenses which may in any way accrue ag in aid Co ty ' e��ranting of this permit. p X Dateo?—� l3 Z_ Signature of Applicant — Owner ❑ ContractorA Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- r-33 stories in height. ion of structures over Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCu P. CONST.TYPEJ FLOOD PARCEL PD ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —1� � 1 , Receipt No. ql WMITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orouille, Carifornia 95965 - Telephone 916/534-4541— APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _4/0'� / — ZONING Ste, I BUILDING PERMIT OWNER R.R) Q ova'!�/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION P.J civ o • t;.� i7 OWNER'S MAILI G ADDRESS I t 1. LAJ L tt r k CONTR CTOR'S NAME _. �. �' TELEPHONE _ CONTRACTOR'S MALIN DRESS t� V_- C;, I'w4" Fireplace -_ & "J14 I. .1 164-1 CONSTRUCTIOr LENDER - UNKNOWN Total Valuation Is Ov UV Filing Fee ,$ 10.00 LENDER'S AILING ADDRESS Permit Fee $ ARCHITECT OR JENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee - , A$. $ ARCHITECT ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS aM i Permit fee $ o1g. Sa PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 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(S,Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 out is 5.00 Building sewer 5.00 Mobile Home X1 G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: e,Qa:Jr rt, c r,.,.uGs_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS / 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declafte under penalty of perjury (check one): MNO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code /R�d my license is in full force and effect. S V License No. Classification El 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 OCC P.p � OR ADONS. ACC. BLDGS. /2Osq ft NEW CONSTR ULTI.OUT T 2.50 ea N.RES'D BRANCH C ITS POWERA ARATUS e SINGLE TLET CIR. SINGLE / Ex. Occup(S OR FIXTURES eAL030 Ex. QCCUp. OUT ETS PIRESID.IIREA.) 2.00 Temporary ser ice 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g 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. 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 FiIirig 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, judgmqAts, costs, and expenses which may in any way accrue ag i said oun c e ence of the granting of this permit. it X ate' rt Signature of Applicant — Owner E]Contractor Agent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q , 5-,C> OCCu P. CONST.T7 I IFLOODIPARCELI PD ND IS This permit is hereby issued under sions of the Butte County Code and/or indiC ted above for which F PUBJAAORKS 10 B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. Da el - Receipt No. % 76O Q R WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 131 /3�2GlCr C.cl ! 7 _ 17,&- J,---- _ ,C?Zn-1 _App ayo- 19-0--oo.3-0 4 \1;4 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS.- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �v7 r -o �,...J A. P. No. yU Proposed Building Use Wkr Building Inspector Od Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or 1 suance: I DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans.- 3. lans.3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . 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❑, Mail to owner ❑•), —15. Improvements may be required. . . . . . . . . . , , 164-Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -Inspection forRequired. Pre-Inspec. request tto (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. mit��p 19. Driveway Permit. / 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, it to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicantt Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of -above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. s�a, ra X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95955 - Telephone 916/534-4541 APPLICATION AND PERMIT 45SESSOR PARCEL NUMBER _ ZONING 5f21 BUILDING PERMIT OWNER 1 CL O u/ r�J TELEPHONE SO. FT-. OCC. BUILDING VALUATION �C) r I c) , WNER'S MAILI G ADDRESS II r c� A✓L' Ltr hr>rL `.1 CONTRA TOR'S NAME TELEPHONE -1$� .. CONTRACTOR'S MALI ADDESS .4/ 3 �w Rr" kit, Fireplace CONSTRUCTI0 LENDER UNKNOWN Total Valuation $ Filing Fee ,� 10.00 LENDER'S AILING ADDRESS Permit Fee S t. ARCHITECT OR INGINEER �GINEER'S LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT Ir MAILING ADDRESS . Penalty $ BUILDING ADD ZSs9_ . ( 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME V PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 1,TJ G I W I 110-00ea TYPE OF WORK New F!"'. Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: C a n n f �1 r c c �::., �:.: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declgFe under penalty of perjury (check one): ,trJl, I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio ode /n�d my license is in full force'fand effect. <� S�V ,3 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 this reason oR ADDNST (DACCLBLDGS.00C %UP tk) hIt' NEW CONSTR U TI.OUTU T 2.50 ea NON.RESID BRANCH CARO ITS POWER A9 ARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLE S OR FIXTURES 20950t eAL030 EX. Occup. OUT LETS FIXED �R ESID )LNS.RE A.) 2.00 Temporary ser ice 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. 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 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, judgmqAts, costs, and expenses which may in any way accrue ag i said oun c e ence of the granting of this permit. �1 X /Date f9—ld �� Signature of Applicant - Owner E] 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 $ 0V, OCCUP. CONST.TYPEJ I_FrLOOOJ PARCEL I PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. % ;7 Ca 17 S� WHITE-D.P.W., YELLOW-ASeESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT