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HomeMy WebLinkAbout040-180-120` REODE;'' 40=18-21 ML ADDITION AND NEW FDN }{ OO NO PERMITS n / - NED VERNOGA S/20/93 VI-o�afroSpd;lv - 9474 Jones Ave, Durham /� �% �' _, `�,t ,z, �• ? PErmit#244q-87B(reroof/SF) 93-1481:-BPE 040-18-0.021.' i r ,VERNOGA, STEVE ;' <., AVE, •DURHAM `; 4 9474 JONES`I �a `I Y q � REPAIRS a • i • f ` } t • 1 1 T i. ' 1 • e ' "W"v9pr'"1-""fib.1 COUNTY OF BUTTE DEFIARTMENT OF PUBLIC WORKS 7 County Center Drive - Orot il1e, California 95965 - Telephone: 916.'538-7541 q�_-- APPLICATION AND PERMIT PERMIT NO. q3 - PYSJ AS ESSOR PARCEL NUMBER 040-18-0-021 ZONING A-5 BUILDING PERMIT OWNER STEVE VERM)GA TELEPHONE 345--8165 SO. FT. OCC.1 BUILDING VALUATION n E OWNER'S MAILING ADDRESS Iff 9 332 Ferson Avenue Durham CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9474 Jones Avenue Durham Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 5.00 20.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 1 . , USE OF STRUCTURE N Duylex❑ Mobilehome❑ Other SFTN SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15 .00 Mobile Home S I G W 615.00 TYPE OF WORK New r" Addition `; Remodels Utilities ❑ Installation[ Other ❑ Describe work: Replace dAmaR,*d valla ate rww _ Renlare dAmARAd lanndrb R hath Permit Fee $ 69.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Install fdn under exist house Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury �eck one): F-1NON•RESID I am licensed under provisions of Chapt. 9, QXv. 3 of the Business and Professions Code and my license i�, ),full force and effect. License Ao. 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 OCCUPM 3.6d sq.ft. OR ACDNS. ( ACC. SLOGS. // NEW CONSTR. MUL.TI.OUTLET BRANCH CIRC ITS @ 5.00 POWER APPARATUS.a. (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 76d A 464 FIXED APP LHS, OR Ex. Occup. OUTLETS IRESI0.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g 15.00 Permit Fee j 30,00 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 Filing Fee 15.00 Heating Cooling Hood 6.50 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 sWM-County in consequence of the granting of this permit. X ' `'' h-'' '' Date e- e" '" l� Signature of Applicant - Ownontroctor E]Agent ❑ An OSHA permit is required for excbvati ns 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 $ 260.25 HAz 1 0FEES I IMP FLOOD I COF PARCEL PD I HO ISSUE, This permit is hereby issued under the applicable provi- sions of the B C )unty�de and/or resolutions to do c efp work indid,ab6ve,•f which fees have been paid. j ®1 1! OF PUBLIC WORKS By ' D e PERMIT EXPIRES Date 4�-t 140402 Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT V= OK O = Not OK Not ' = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 1. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch), 5. Electricity; location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'L"ft. / /"Net. or/ /" L"ft./ P'LPG 7. Well Clearance &Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #. ' 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve --Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initlal DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 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 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test 1 P r` V -OK O - At OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. oning-Setbacks-Easements-Flood-Slope 0116 ,OC Ftg., Main; Soils-Elec. Grnd.-/&' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors J,,Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11.Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation -1 R1Dtrls•/ Date/Initials PLUMBING (Permitj OK except #'s .'Water Htr.; V -Access -Combustion Air -Baffle vAgater Pipe; Test & Anchor -Neil Protection VPID.W.V.; Test -Fittings & Anchor -Nail Protection 19 -Shower Pan; Test, First Floor -Tub Access 2A Fest Tub & Shower, Second Floor -Tub Access Zl'^Gas Pipe; Size & Anchors G& Date/initials ELECTRICAL (Permit) OK except #'a 22. F ture & Tran ormer Clearance -Ina. Protection Elec.acles pacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 25/'Romex Installed Close to Edge of Studs & C.J. 26.-Equlp. Ground made up w/Mach. Fastners-Bond Gas & Water 27 -2 -Appliance Circuts in Kitchen & Conductor Size/GFI 26-ftZreed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29-Raa4e Circ. / / ge. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30 -Service -Riser Conductors & Ground -Main Disconnect 31. uip. Clearances Panels-Motora-Mach. Equip. 32--6to les Closet Light -Shower Light -Spa Light Smoke Detector / I Co -2.k -rN+2 -C G, Date/Initials MECHANICAL Permit OK except #'s 34. A.C. Ducts Insulation upport 35. Vent Fan; ExhaVWabove insulation 36. Condense rain & Overflow; Size & Grade 37. Furn ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. 4tfic Access & Platform if Furnance in Attic Date/Initials FRAMING Plana OK except #'a IIs, Proper Material & Anchors 4 Wells Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Wells (ret proof) 41 Fire Stops; Furred Ceilings -Stairs -Chases -Tub A. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) ars-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng -Rf 47'. -Fireplace Ties or Type A Flue -Fireplace Throat clearance 49r-Athc Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49-8d7m. Windows or Exiting Doors -Sill Hgt. & Dimensions !%:6 ge Fire Protection Framing Property Line Firewall & Openings Af'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 99rdite(re; Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 96-6tucco Mesh -Drip Screed -Fd. Vents-Underflr. Areas 5jelb Area -Glass Protection -Skylights -Plastic r Walls; Nailing -Bolts 9. In la n- in 6 . Infiltrat -Wa s -Win ows GG Date/Initials FI Plana OK except #'a Ext. Steps -Door & Sidelight Protection L nga 62.'Smoke Detector 63.-T-urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64r-Bedmom Exiting Of G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels 6%-SUAs & Rails 66-ftreplace or Stove; Clearances -Hearth 6W-Eiec'Outlets at Wood Panel; Int. & Ext. 70-10ffixt. & Appliance; Grnd: Air Gap -Cooking Clearance 7T.-Elee-Outlets & Receptacles at Kit. Counter 71�e Fire Door, Swing -Landing -Closer 7 . , uct in Garage -Damper F r.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection Ib., Elec. & Mach. Equip. Listed for Location El�c. Receptacles in Garage; (G.F.I.)-Romex Protection insulation -Foam -Looked in Attic ❑ Yes I-S.-G-Ard Rails & Deck Construction -Post Caps . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yea . Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No SN Sfu'cco; Brown -Finish 92. A.U. Unit; Disconnect, Electrical, Plumbing W -Vents Above Roof; Plbg :Appliance -Fireplace. -Clearance to Openings 84 -Wafer Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground 49"Ventliation Throughout House .88'iCorrectio rom Previous Inspections . ,Gas TO -Meters Tagged; Gas -Electric Va- j G Jj 90.,Water & Sewer Connected -C/O to Grade -HD Approval Comments at Final: A5 -CG ' 91 -O; 3 - `G(-) v� COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 „4 CORRECTION NOTICE y V \2 OWNER PERMIT NO:,c� A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work xs' is completed. If you have any questions pertaining to this matter, or need additional explanation,, please contact this office immediately. : s 34* l.f���lnlG 1N 1�liL(�e_i14�y 0+ T R, �►Ft llT �-�C� —y 2 ' h 1 S DateinspectorInspector - REV 10/92 COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT' SERVICES 1469 Humboldt Road, Chico, CA - (91.6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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 notify.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. VC — V"NC"I M . ' `�) k Tu l nl.St,, I A T .4 I Date Inspector REV 10/92 Insulation Certificate BUILDING OWNER: j�w 1/ E ���y/�J/�,g BUILDING PERMIT BUILDING LOCATION: 126f � L� Description of Installation ROOF Material ©1/K Z �•¢ YRS /,� J-f� T ,s Thickness (inches) GDX /--LY' CEILING Brand Name Thermal Resistance (R -Value) Batt or Blanket Type j�,4 iT Brand Name Thickness (inches) >-/'L Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weighbft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Matehal Thickness (inches) 3 L RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material y CoNC, Thickness (inches) y �� Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name G&2 -r Y Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. eneral Contractor (Builder) .SIL l Signature and Title Sub -Contractor (Insulation Installer) Signature and Title License Number Date License Number Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541C) 3 _ pill APPLICATION AND PERMIT ,� r ASSIESSOR PARCEL NUMBER 040-18-0-021 ZONING A-5 BUILDING PERMIT OWNER STEVE VERNOGA TELEPHONE 345-8165 SO. FT. OCC. BUILDING VALUATION Est 10,000 OWNER'S MAILING ADDRESS OXXXXX 9832 Ferson Avenue Durham CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9474 Jones Avenue Durham Permit fee $ 161 95 PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 5.001 20.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ` PARCEL MAP Water piping 7.00 7,00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New" AdditionD Remodel; Utilities❑ Installation❑ Other❑ Describe work: Replar-e damaged -walls t -room _ ReplaGe damaged laundry & bath Permit Fee $ 69,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Install fdn under exist house Main service 600V OR LESS 200A OR LESS 18.50 - Main service 200ATO1000A1 37.50 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 .Jo. 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.&` OR ADDNS. ( ACC. BLOGS. / 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS 1RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. j� 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 becomesubject 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 15.00 Heating Cooling Hood 6.50 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 again s ounty i c sequence of the granting of this permit. C�7 X Date 2 /3 Signature of Applicant — Owne ontractor ❑ Agent ❑ An OSHA permit is required for e c Vati s over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei t. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE I TOTAL FEE $ 260.25 HAz 1 DFEES 1, IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the B C unty de and/or work indic e a ve which fees C OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS / �e G y Receipt No. 140402 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT `Ar+r'``�r�r( "1;Y'..,� '+iv".�.,w,J^�r'►r`'^y,•�^i�".' I'7i►�,..-...1 �'-`v-"�-•At�/'�Mr,7�a.1.-cit._» . . COUNTYOF BUTTE - DEPART-MEN''OF DEVELOPMENT SERVICES - BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET ' o - OWNER A. P. No. Proposed Building Use o.>.4 d,.V, J Building Inspector L Date Z 5� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $....................................... . 11. Impact fees as shown on attached schedule. ............... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for P..re4nspe.. . cbon `eQ°�— required. . to au;;d;ng;napedor (Date) Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ..........................� Owner -Builder Verification (Given to owner Mail to owner �. ......... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ......................................... 28. Mobilehome utility clearance, .............: . ........................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................ :........ . 32. Plan check list . .................................................... 33. .34. When yfu issue the permit, process as follows: Mail to'owner. Mail to contractor. l% Telephone %Z r-Kand hold for pickup at CHIC'= ' office. Deliver with inspector. Other Parcel Creation �--� Acreage Applicant - ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to permit is 1. Index permit for above items No. 2. Additional items required: e: (Circle new item not checked above).\ ^ ks_ J Contractor, design% , oPn was advised of above required data by _phone mai ��Counter by� Date Contractor, designs ,, was advised of above required data by _ phone _ ail C unter by _Date Plans checked by Date Plans approved by c-�;Z Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER'S MAILING ESS 2 S (/�nL,y/L`v L CONTRA TOR�'Sy AME S fi_i/ P TELEONE �� - C TRACTOR'S M ING ADDRESS Z 1 Fireplace CONSTRUCTION LENgEjt Atl UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS O O�/ Filing Fee - - $ 15.00 Permit Fee $ ARCHITECT OR GINE R LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A TECT OR�r°1GINIEER'S MA LI ADDRESS y Z [ PI"S� l�(% ��Q.�.�—:� Penalty g BUILDING ADDRESS _ Y7 K 67 -t -P s Permit fee $ . PLUMBING PERMIT Filing Fee 15.00 �� Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.001 Mobile Home I S I G JW 1 615.001 TYPE OF WORK New7. Addition _RemodelUtilities ❑ Installation[ Other ❑ Describe work: grrtS,� � EPAl'yZH rc n��G� ��el/ST.4LL ,cd�>.ub�no�/ L�iS�7�Tt fi�Cl�S°,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON 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 .JO. Classification 1J 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.tE OR ADDN5. ACC. BLDGS. 3.64 sq.ft. NEW CONSTR UL7I.OUTLET -R ESID BRANCH CIRC ITS /� 5�76 POWER APPARATUS e SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20 A FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 -(valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. II 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 15.00 Heating Cooling Hood 6.50 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, judgment costs, and expenses which may in any way accrue against sa- unty in c asequence of the granting of this permit. X Date –5 / -- Signature of Applicant — Own9rV Contractor ❑ ❑ Agent An OSHA permit is required for eXCations over 5'0" deep and demolition or construct. ion of structures over 3 stories in heig 1. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLOOD COF . PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . � � � � ��(�� � l� Zl � � �u �i�� �� ���/ � ,�--yam = `�3 ��� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --0 2 — QQ ZONING ;p - - BUILDING PERMIT OWNER TELEPHONE SOC. FT. OCC. BUILDING VALUATION OW �jE6 MAILING ADQF: ESS� / ����' (i(j j/v Il I-+c/J-!/lam ^(�—J �J tj OQOt7 . CO TRAC TOR'S NAMETELEPHONE la7L ,tlLTz�"Ir 3` 9Z 51 CONTRACTOR'S MAILING ADDRESS f e?4 4,VJZl_= L_Aj ,q /v( � � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ /Op o0 LE OER'SM (LING ADDRESS Filing Fee $ 15,00 Permit Fee $ y'�! T -Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 191 Permit fee $ PLUMBING PERMIT FiIingFee 15.00 Each Trap Ly 5.00 2p — Solar or heat pump water heater 20.00 LOT NO.SUBOI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EB/Dupiex❑ Mobilehome[-] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 s Building sewer 15.001 Mobile Home S G W @ 15.00 TYPE OF WORK New: Addition RemodelI Utilities Installation[ Oth�❑ Describe work: RIFAI, 4'41 J7nyo&A � MIA GLS 2" PAP64GIE' G-411.11 0 Permit Fee $ 7127 - Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Er 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 ,4o. OZf�'3 Classification C' F, 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.tr) 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. NEw CONSTR ULTI.OUT LET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED ARLNS. Ex. Occup. OUTLETS P(RESID )REA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ TO — 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 PERMITee 15.00 Heating Cooling g Hood 6.50 Ventilat' pe 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 Co ty i onsequence of the granting of this permit. X - Date ✓r Z — q� ! Agent Signature of Applic t Owner Contractor LJ g 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 $ occ CONST TYPE TOTAL FEES `Z. O,L� HAz 0FEES IMP FLOOD CF PARCEL PD HD sSUE 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 By DatePERMIT EXPIRES Date Receipt No. / / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J '741 r, MOTES: All Materials & WorkYnanshiP. $hull Be T ce with Recog ed Good Practices t o r Accordan 2 -' Prescribed f the pec' .of a Quality Yu�nbizlg @ x I k. in the •QnifPrm Building, Coded >3A the Nataanal - - - - - - - - - - - Thisaet of plans and speciSc Ions MMT be ful kept on th®.job at alltirnes and, a , 1 I changes or alteratio. on ane wait p o l I I make any ent of pubuo• I written permission :L the QODUV of Butte. I 1 f r4 V ' t I I I i I I � I . II � I 41 I I YC— az? az?� 1 I I --a.� Provide W" x 10" anchor belts @ V O.C. max. 'and within 12' C, BOLT f 6 �oG .Ax-�jvrx."/ .;GT, L iwr�+ vND�S, o Az 41,Atoto S d vras�e /mac C l O// as 1. ��I elf J 3 J C f' LL, �. ,{•t '� .� J C f' �. ,{•t '� .� .,rt , yy Y ■ • -. - ;n�i/1R�C .IS,i — y.�• .. ''"ww,.r..k�gf'3i� Lodi e.'�`Pl '•I .� s . _ �i _'� \ \�� 4 `� . y r �- �%' . ,�. �. . `°.� -r.--�'' .�� Y1� � y'r , $ _ 1T r � �: +. ' .. -.. � .`. � 1 -COUNTY •OF-- BUTTE . Department of Public -Works 7 County Center Drive, Oroville,-CA 95965 Phone: 916-538=7541 COUNTY OF BUTTE BUILDING DEPT R- OWNER -BUILDER VERIFICATIONJUN ,Q 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 buildinb'permit will be issued until this verification -is received. 1. (_,personally plan to provide th.e 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 r, construction: Name Address City Phone Contractors License`N6: .4. I plan•to provide portion's of this work; but 'Ihave hired the following person to coordinate, supervise, and provide the major work: Name Address City - ''.` Phone .. -Contractors Licenses -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 Mork - .. . o -- K .�zs o car c -pe- Signed: v Property Owner.- Social wner.Social Securitg Number Date s -,v4 A4 NOTE: This Owner -Builder Verification is sent to you as.required by Sections 19831 and - -- X19832 -..of- the -California Health. and Safety-: Code._-, -• - This verification must be completed and returned to our office before we are per-. milted to issue the permit. . . .. _., � - ,. .-.rr-r� ,s art ..--...��-s'�""�r"-'ti y+t„-:. ti...,a: i,,. -,R i' -...a •.1.5��,+:* « - ... COUNTY OF BUTTE ^' f BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 8914751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 v - CORRECTION NOTICE �L(-lL( �( 6,fZ N ?i G a (DN 6 S A V V- . 1-tARt(Arn R EQ l R(:5� . y, OWNER PERMIT NO.'-"-, d4o- I.So-021 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. Hyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. '(aA -t ��1 C OSI 't.\G, vJ �-OLANN$\ N lord t,.)o7-\, ANTI 0SVAid aMcr . Date Inspector'J, REV 10192 COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS: r RM"no acv�in� ./Efi•cr'ziiecf� .C? �Canrcer� 20 CONSTITUTION DR., SUITE A CHICO, CA 95926 'ot<lJ y .. _. .......... --- yr A S rn v D S 1 t,c_ 'rTDA 2 it ��� ;'_... ,c --- nljc_Icorz.; -In 94-74- " �FtEN. �' Q Vi A • CERTIFICATE :A ISSUE DATE (MM/DD/YY) 6/10/93 PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Pat Lynch CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE CalFarm Insurance Agency, Inc. Cal-Ag Insurance Services DOES NOT AMEND, EXTEND OR ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1215 C Mangrove Ave. -- y COMPANIES AFFORDING COVERAGE Chico, CA 95926 COMPANY t -LETTER A The Zenith Insurance Company 10405 COMPANY 13 LETTER ` INSURED .xS.t.ephenm-Ver-no-gam& Ne-d Vernoga 9-8`32"Fresno Roa COMPANY '�• LETTER C+ COUwyor e Durham, "CA 95938 BUItInING COMPANY LETTER D. JUN. - - COMPANY E LETTER • ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. ` CO LTR TYPE OF IN URANCE _ _ POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS , GENERAL LIABILITY - BODILY INJURY OCC. _ $ COMPREHENSIVE FORM " BODILY INJURY AGG. $ PROPERTY DAMAGE OCC., $ PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PROPERTY DAMAGE AGG. $ BI & PD COMBINED OCC. $ PRODUCTS/COMPLETED OPER. �. r CONTRACTUAL INDEPENDENT--CONTRACTORS r BI & PD COMBINED AGG. $ PERSONAL INJURY AGG. $ BROAD FORM PROPERTY DAMAGE -r PERSONALINJURY AUTOMOBILE LIABILITY' _ ANY AUTO ' ,. �' ALL OWNED AUTOS•(`,Priv. Pass. ) ALL OWNED AUTOS (Other Than Priv. Pass. a - BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY BODILY INJURY & PROPERTY DAMAGE $ COMBINED EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION y STATUTORY LIMITS EACH ACCIDENT $ 1 OOO OOO AND EMPLOYERS' LIABILITY WF 6827988 - O1 /O1/93.`O1/01/94r DISEASE—POLICY LIMIT ' $ , , DISEASE—EACH EMPLOYEE $ ,MO, OTHER - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Job Sixte�: 9474. Jones Ave nu -ham,; .�A- '95938 •• Butte County Department of Public SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Works EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLy,K 7, County Center Drive MAIL 10 DAYS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE '. 'Oroville, CA 95965 LEFT, MX-XXIDX-MX XENXFXX(XMX)OXKXX4X$CXl�OXoDXIX4T)OX)OX AUTHORIZED REPRESENTA IVE ' DEp pUNTy r of u, JUN 1993 , m Q, -: ,� .. ._ y -. � , �r,,.� �.,,�. , �� ,�, �; ��� , �, _ -r , v'��� � �. � �� � Joys ��..� f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. J I 7 County Center Drive - Oroville, .California 95965 - Telephone: 916/538-7541 APPLICA i 10N AD PERMIT ASSESSOR PARCEL NU-MBER /Kl10 — L�t) ZONING BUILDING PERMIT OWNER P, NO �.. TELEPHONE —t?l6 SQ. FT. OCC. BUILDING VALUATION � OWNER'S MAILING ADDRESS Lr1. X CO RACTOR'S NAME TELEPHONE CON�TpRACTOR'S MAILING ADDRESS/l /� 7 11 Q ✓ (�/_.• ar_ .i-/ Fireplace CONSTRUCTION' LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S,MAILING ADDRESS \ Penalty $ BUILDING ADDRESS 41 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 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �' �� �"tr"� �1� ✓! 2—f�—�� — U l i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business i and Professions Code and my license is in full force and effect. License No. ,��,f' ,h:^r Classifications ❑ 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) Contract- ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reasonPermit .I NEW CONST. ( DWELLING OCCUP.8! Yz2sgft OR ACDNS. ACC. BLOGS. NEW CONSTRMULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(ou XFIXTURES eAL030 FIXED ED AAPPPP LNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service :10.00 Mobile Home Facilities „15.00 Misc. Wiring •15.00 Fee $ .. Contractor .• :; __ _ +w _ 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 f Ventilation ----3.00 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 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. f l ���� 7 '� —. X-- Date Signature of Applicant — Owner❑ Contractor ❑ Agent ®" ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct-D1RECA.GwData Mobile Home Installation Fee $ Energy Inspection Fee $ ,TOTAL PERMIT FEE $ , OCCUP. CONST.TYPC I I ILOOD PARCEL PD I ND I 133UE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do r .which fee have been paid. work indicated, above for OROF PUBLL11CC�WORKS K2�J,'YXIA By - — _r3-; - /) PERMIT EXQI� Date 1 1ME Receipt NO. WNITC-D.P.W.. YELLOW-ASe(330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR,TMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville. Cal 3rnia 95965 - Telephone: 916/538-7541 APPLICATIJAN*[�PERMIT PERMIT N0. ASSES OR P CEL BER i ZONING BUILDING PERMIT OWNER - 4 TELEPHONE SO, FT. DCC. BUILDING VALUATION OWN ER'S MAILING ADDRESS _ CO RACTO 'S NAM TELEPHONE ca r 1 CON FACTOR'S MAILING A RESS 9-11 Fireplace CONSTRUCTI LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN EER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER AILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 3PLUMBING 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 SFZ Duplex❑ Mobilehome❑ Other 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 ❑ Installa ion❑ Other ❑ Describe work: ifLjt6264n ,� c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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.A Classification ^3 9 ElI, 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.ad\ yzQsgft OR ADONS. l ACC, BLOGS. / NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL930 6AL® 30 FIXED APPLNS. Ex. Occup. OUTLETS IIRESID )REAJ 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. (� 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 n`ot employ any person in any manner so as to become subject, to the W. C. laws of California.Ventilation Notice toApplicant: 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 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 consequ ce of the granting of this permit. // '1 p X l��_�+ —�- �� Date �a -7 Signature of Applicant — Owner El 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 $ ,j0 occu P. CONST.TYPe I FLOOD PARCEL P11 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County,Code and/or work ind'above for which 1 EC PUB ByWADate— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS I� Receipt No. 19LS d- WNITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ���z�``C