HomeMy WebLinkAbout040-240-043i
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40-24-43
THOMAS BEERS
-"
9206 Holland Ave., Durham
Permit##2620-8OP,E (ele ser ch &
inst . new as meter - for--.2--rental
units) � �
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�
t
`j 40-24-43
° 0
84B,
Permit#2571-new detached stg/gar).;
40- -43
Permit#k1442-86B(lst rene 1/2571-84) r
40-24-
Permit#1461-87B(2nd�renewa 17 5 84)
-
40b- 3
Permit#192-89B(3rd re wal/2571-84)gar
-24-43
Permit#1701-89 4th renewal/2571-94)
r
PC
-Ai
PERMIT NO.
A4h Renew t of Pr
PERMIT EXPIRf 1P—YLPjnz (D —90
,*4 e --f 140
AC I'VIJ
OWNER TOM BEER
CONTR. owner
92 ASSES I SOR PARCEL 40-24-43
4j LOCATION 9206 Holland Avenue, MERX Durham
/10
4ra-
fll
Temp. Power Pole
Called P(
Temp. Elec. S
Called P(
Temp. Gas Sei
Cal led PC
JOB FINALE[
Signature
V = OK
O = Not OK '
- = Not Applicable RESIDENTIAL (Single and Duplex)
�E = Not Ready
I
Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
3.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
49.
50.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
f
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
• 23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E) Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Oyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
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
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
PK '
Not OK
Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready `
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'r
1. Zoning Requirements -Setbacks -Easements
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)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
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
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'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
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. 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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
a
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
X1469 Humboldt Road, Chico, CA - (916) 89*1-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
r 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 e>ostat
the above address and should be corrected. Please notify this office when correction at work
is completed. If you have any questions pertaining to this matter, or need additional enplarw i=6
please contact this office immediately.
11r' TI-PQS-®n�G�-�
LJ (4 C a v, S 1.O
;. Date ,-16-92
Inspector
s
;lv Es'YF w a MCRPMC
FOR
DATE TIME ;` P.IVI.
M
OF
PHONE -
AREA CODE NUMBER EXTENSION
�TELEPHDNED� �
PLEASE GALL
N �;'
WANTS TO SEE YDU
W�
RUSH
�„ 7»x.,'y�i
•1�a��
,.at 2 �Y.izc
RETURNEDYDURCALL
3�i`S''�i".?�
SPECIALTTENTIDN
c
�.... �....� fel �r �� •. � � -
Poor FAow
3/r= to
_ PAR -C E I. r* _.
J40— 2-4- d — OL41 0
NOTE -,-All Materials & Workmanship Shalls in
Accordance with Recognized Good PrbcticolIan& and
of a quality prescribed for the Specific usethe
Uniform Building, Plumbing & Mechanical Cod
the National Electrical Code.
This set of plans and specific,:�-tions MllS be
pt on the job at all times and it is unlnwf! c"
Ae any changes or alterations on sane wit f
itten permission from the Department of P ' vc
orks, County of Butte.
77
I
it
� � ldorart �
dAL
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
I4tructures or equipment excep
r a 2 ft. eave overhang.
% S
p
BUTTE COUNTY
BUILDING DEPARTMENT
APPROWD
i���
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541
APPLICATION AND PERMIT
ERMIT NO.
D/
SSESSOR PAR EL NU BER ZONING
A40
BUILDING PERMIT
o, weR TE 2HONE
SO. FT. OCC. BUILDING VALUATION
O NE M (LING ADDRESS
CONTRACTOR TEL NONE
C N CTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee(-00�i
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDI
VISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFE] Duplex❑ Mobilehome❑ Other
SPEqrrY
Gas piping system 1 - 5 outlets
5.00
Building sewer
Mobile Home S I G I W
5.00
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
$
iw
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10OV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
111
I declare under penaltC57 perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a
OR ADDNS. ACC. BLDGS. ,/20sgft
NEW CONSTR. TI -OUTLET 2.50 ea
NON.RESID .BRA CH CIRC ITS
/POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUp(OUTLET3 OR FIXTURES DAL@3
200030
FIXED LNS
Ex. Occup. OUTLETS APP
Ex.IRE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
ORKMEN'S COMPENSATION INSURANCE
I declare under natty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 , ty in consequence of the granting of this permit. q
X Date S'��/
Signature o Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYP!
JSC1IOOLJFLOODJPARCrLJ
PO
I NO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
� DIR T OF P B
BY �
PERMIT EXPIRES D e
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
Date
-' -
Receipt No. LSI
WHITE-O.P.W.. YELLOW-ASe(SDOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
'COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person.(firm) to provide the proposed
construction:
Name
Address- City
Phone Contractors License No.
4. I plan to provide portions of this work, -but I have hired the following person
to coordinate, supervise, and provide the major work:
Name 01ti e_
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number
Date 15 —Z --
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Y
P R I T O.44
I,
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 CJS(
APPLICATION AND PERMIT
ASSESSOR PARC L NUM ER ZONING
I
BUILDING PERMIT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
tOR AI ING A DRESS
AC OR' NAM
TELEPHONE
r�f, MAW
C NRAC 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
1Ati dA M41a
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME -
ARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
s ECIF
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
0.00ea
TYPE OF WORK
NewR. Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe'
Describe work: (�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pen I y f perjury (check one):
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.SINGLE
License No. Classification
A{- 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING occuP.a
OR AODNS. % ACC. BLDGS.
, /20sq ft
New CONSTR. TI.OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
eA O30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities.
15.00
Misc. IYirin g
15.00
Permit Fee
$
ORKMEN'S COMPENSATION INSURANCE
I declare underifferTalty of perjury (check one):
❑ The p mit 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
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes. I
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said gounty in consequence of the granting of this permit.
X �l�'l�Lt- 3^�3q
_ Date /
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
oCCUP.
CONST.TYPEJ
ISCHOOLIFLOODIPARCELI
PD
I ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIR CTO PUBLIC
By
PERMIT E PIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
7
Date
L"
Receipt No.
WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541.
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
'
2. I (have/have not) �./kJ eal- signed an application fora building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name G V%- -�
Address City
Phone Contractors License No. .
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name `N N V\,
Address City
Phone Contractors License No..
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner o7��
Social Security Number _
Date 1-21-9-101
NOTE: This Owner -Builder Verification. is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO2,411
��
ASSESSOR PARCEL NUMBER
v — /-/ "
ZO NG
BUILDING PERMIT
OWNER
�
TELEPHONE
V -SOS ��
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
ew&'
CONTRA TOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
N 0 tve,
UNKNOWN
Total Valuation Is
Filing Fee
g
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee r,
$ Q. UO
ARCHITECT OR ENGINEER
/\J vI"e-
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ so. (56
PLUMBING PERMIT
Filing Fee 10.00
Each Trap _
2.00
r-
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 jGas
SF ❑ Duplex❑ Mobilehome❑ Other `u� Y �arui
S ECI FY
piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00 ea
TYPE OF WORK
New Addition ❑ ^^Remodel ❑ Uti I'ties ❑ Installation❑ Other ❑
Describe work: I J �Cc ' _
c,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR
Main service 100 AMP ORSLESS
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 Bushes$
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-
will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)Mobile
I, as the owner, am exclusively contracting with licensed contract-
7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8d ,
New CONSTR.(A h2sgft
UC TII-OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS s
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURESFBAL@30
FIXED APPLNS. ORi,
Ex. OCCup. OUTLETS (RESID.) EA.1sation,
Temporary service
Home Facilities
Misc. �Virinors.(Sec. g
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
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againstsaid Co my in consequence of the granting of this permit.
X _Date 496
Signature of Applicant - Owner -O 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 $ OD
OCCUP.
CONST.TYPC
FLOOD
PARCEL
PD
ND
1990E
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.
ADIRE 0 PUBLIC WORKS
BY
PERMIT EXPIRES Date aG .7
Receipt �4
ce pt No.
WNITC-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center•Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.,
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) 1
V .
2. I (have/have not) signed an application for a building permit
for the proposed work,--.---
3.
ork .
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner s�
Social,Security Numb r
Date 1115--3d
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT Lj5z
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
ONVNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
'S ING ADDRESS
C NTRAC OR NAM
TELEPHONE
C TRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee Z_
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ GJ ®�
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
USE OF STRUCTURE
Sr[—] Duplex❑ Mobilehome❑ Other
SP IFY
Gas piping system 1 - 5 outlets
M00Oea
Building sewer
Mobile Home S G W4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
Z-1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Icheck.one :
P Y P I Y 1 )
❑ 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
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.&) yZ0sgft
OR ACDNS. l ACC.
NEW CONST R. U TI.OUTLET
I"OUT
NO N.RESID BRANCH CIRC ITS 2.50ea
POWER APPARATUS B9
SINGLE OUTLET CIR. )
0050t -
Ex. Occu zALO30
p\OUTLETS OR FIXTURES ALO 30C
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.I EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
FI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date > (-->
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IRECrft
ion of structures over 3 sttoorries in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup -1
CONST.TYPC
FLOOD
PARCEL
PD I
ND
I 1390E
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
PUB
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C ORKS
Date y�
'63
Receipt No. V
WHITE-D.P.W., YELLOW-ASDEDSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) r -
U .
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name K
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner, /4 ' �-
Social Security Number - -
Date .5-6
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
LIS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
� 7 County Center Drive - Orovillit Califdinia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT 11A o
ASSESSOR PARCEL NUMBER
ZO G
BUILDING PERMIT
OWNER
ELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER' AILING ADD -RE!
CONTRACTOR'S NAME
/y AA
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Qp
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 6.10
Penalty
$
ARCHITECT OR NGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
za
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTUR / '
SF ❑ Duplex ❑ Mobi lehome ❑ Other
PECIF G
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: L �'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONSDN S.T. DWELLINGOR &
DCONSTR(A
2�
IzQsgft d
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
RL I, as the owner, or my ert4ey4es 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 U TB OU L T
NON.R ESID BRANCH CIRC ITS
2.50 ea
NEW CONSTR POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@5
BALO 0FIXED
APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 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.
101 shall not employ any person in any manner so as to become subject
` to the W. C. laws of California.
Notice to Applicant: if after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date 65-1? —/3,
Signature of Applicant - Ownerg] 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 $
` 1
TOTAL PERMIT FEE ✓ V
OCCUP. GROUP
I TYPE Ov CONST.
PARCEL
PD
ND IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTM OF AUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Qate 6-7.6-73
�Z'6— Ir 6
Receipt No. oC,5 7,1,1
WHITE-D.P.W.. YELLOW-ASSeSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMEW Pi& PUBLIC,W,ORKS - BUILDING DIVISION t
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/5344541
PERMIT,APPLICATION DATA SHEET
Permit No.
OWNER /�� /��� A. P. No.0
Proposed Building Use �/ U• 5�'�i�r���fc% E
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other(E p ain)
Building Inspector 9yG �., Date �� �V
At time of permit application, I was advised the fo.00 ing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. .Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9 Letter of signature author ization��
Sanitation approval from GI`r/ G U Health Dept..
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
�i13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0 Mail to owner ❑)�/=k`1'
15. Improvements may be required. , , . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
17. Pre -Inspection for Required.
request to (Date)
P q Building Inspector
? Other S�7crly&,, L LS -Sb -Ed' G`•/
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�n9L4�� _ Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time gpopplication, circle item.)
1. Index permit for above Items No. SCC
2. Additional items required:
(Contractor, DesigneK,,g&_aeL)-�as advised of above required data by -Telephone Mail Other
By dz`YL% Date 'fid
Plans checked by
Plans approved b,
Other:
Copy—DPW
Date
Date
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
y3 -
Ow er Location AP#.
Plan approved for:
Hold final for:
sewage disposal
water supply
water supply
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. ' Other rk �6 �,
Note***
Sanitarian
Date
COUNTY OF BUTTE --Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BU ILDERVERIF ICAT ION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) 1
v .
2.• I (have/have not) ����-e_ signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name AD UL Q
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
I & .o A _e, —
Signed:
Property Owner �I`i7)yN !a �F
Social Security number - -
Date
Date 9,_ t Z, - P�
NOTE: This Owner -Builder Verification is sent to you as required by'Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,, CA 95965
Tom Beer
9206 Holland Ave.
Durham, CA 95938
With reference to the above subject:
Attached is:
Application for 'permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
fg1 We need the following information:
PHONE: 916-534-4541
DATE Aii�tat .2n�' 19RG►
RE: Building Permit Application #2511-84-
A.P. # 40 24-43
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
Permit application signed and completed where indicated with all copies returned.
Fees of'$ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or'check exemption statement.
Contractor's License Law information or check exemption statement.
X_ Complete plans in duplicate including plot plans.
Plot plans in
X_ Structural details in duplicate
Complete plans and calcs in by registered engineer or architect.
Energy design including . '
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
_ Sanitation approval from Butte County Health Department at:
_ X 196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy.of agricultural acknowledgement statement.
OTHER
Should you have any questions concerning the above,° please contact this office.
Yours very,truly,
William Cheff
Director of Public Works
j
.F. Glander
JFG/aj Chief Building Inspector
X
Poor pz&v
3/Y=lo#
_ o4Rc E i. '*_ I
040- 2-4- o
I
NOTE -,—All Materials & Workmanship {ShallQ in
Accordance with Recognized Good Pr4icticos and
of a quality prescribod i;or the Spec,fie use i the
Uniform Building, Plumbing & Mechanical1Cod ate,
the National Electrical Code.
This set of plans and specific�--tiont MUS be
kept on the job at all timps and it is unlowf! to
make any changes or alfervfions on sv-ne wit }
written permission from the Department of P rc
Works, County of Butte.
r25 7/ _8 +
BUTTE COUNTY
BUILDING DEPARTMENT
APPROWD
--1
;t
.77
� I Nowt
Ig
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment excep
,1#'r a 2 ft. eave overhang.
121
j,1400 45AoW J _6': Yi
rn, 'x
zt
-bO
'.70
O
j,1400 45AoW J _6': Yi
L
- U TT E
-COUNTY
ING DEPARTMENT
-7
D-i-
7-
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- U TT E
-COUNTY
ING DEPARTMENT
-7
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Yes r eo4/eBUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
MaA..; C.Qo
BUTTE COUNTY
BUILDING DEPARTMENT"
Sm
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a
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'Y
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BUTTE COUNTY
BUILDING DEPARTMENT"
BUTTE ,COUNTY
3UILDING DEPARTMENT
APPROVED
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kol
BUTTE ,COUNTY
3UILDING DEPARTMENT
APPROVED
j COUNTY OF BUTTE - DEPARTMENT OF•PUBLIC WORKS PERMIT NO. r�
----- r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
t APPLICATION AND PERMIT
ASSESSO_A CIF
E NUMBER -
ZONING
BUILDING PERMIT
OWNER
{/
/ v 7/�--
TELEPHONE
TELEPHONE
-
SQ. F -r. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
y
CONTRACTOR'S N MEQ
/
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation is
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERCENSE
LINO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-----
Permit fee
$
BUILDING ADDRESS'
�/r
PLUMBING PERMIT
Filing Fee 3.00
_
"
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
,r 2.exj
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other
Describe work: fi el—
Mli!21,01-4- ,V251,1 ,!94<� .A0Lt-2FZ' /ZAZ ;k /n11L
Permit Fee
$ .7 00
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
0V OR L
Main service 100 AMP ORSLESS
/ 5.00 5,U
�J/,tiff/�r� r��qi,�, f�// r
�DWELING
Main service EA. ADD'L too AMP
��
2.50NEW
CONST.
OR ADDNS. \ ACCLBLDGS.CCUP.&)
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON-RESID,
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
®. I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. UL '_OUTLET
NON -REST D, BRANCH CIRC ITS 2,50 ea
NEW CONSTR. /POWER APPARATUS &)
\SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES B iP 0a
FIXED APPLNS. OR `
Ex. Occup.(OUTLETS (RESID•) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25 6T
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I� I shall not employ any person in any manner so as to become subject
9� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said, -County in consequence of the granting of this permit.
X Date N ✓
Signature of Applicant — Owner. Contractor E]Agent❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $ %, S
OccUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR C�TOR OF PUBLIC
l
B .�
i /
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
_
r-�i!
/in
Receipt No. /
�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
A�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telepl�'.ine 916/534-4541
APPLICATION AND PERMIT I' 1 a A
ASSE'SOR t7CE NUMBER
�L -- -
ZONING
,e -
BUILDING PERMI
�ON
OWNER
�MOAAS
TELEPHONE
SQ. FT. OCC. BUILDING VAL
OWNER'S A�� ADDRESS
CONTRACTO S NME "����
TELEPVtONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
2.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
❑ Addition ❑ Remodel ❑ Utilities [:1Installation❑ Other
Describe work:
2462: % ti � ifs M� �D� � �
Permit Fee
$ 6700New
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 10001 OR 0 AMP ORLESS/
5.00 ,;DO
O ,�011ND IAIASN O s
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELING
OR ADDNS. ( ACCLBLDGS.CCUP.&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR MULTI -OUTLET 2,50 ea
NON-RESID. BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS 11
NON-RESID. (SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES BAL@1
BAL�10c
Ex. Occup.FIXED APPLES, OR
(DUTLETS (RESID.) EA,� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring �r, 6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
iizlit 1 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 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai County in consequence of the granting of this permit.
%� �=� ���i Date—�.3�fJ
.a
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 $
Land Development Fee $
TOTAL PERMIT FEE $ S
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PO
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOR OF PUBLIC
By
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 4 �o
��
Receipt No.
���59
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT