HomeMy WebLinkAbout040-250-019nA
3
040-25`-19
Stuart More
9!Q Goodspeed Rd., E/S Goodspeed
Rd . ,, ap1�.450' S . of Fbr ida, Durham
contr: BiNl1� dams Const., Chico
Perm t#6138-& ,E(new pri.garage)
40- -19
FContr'Joe Fillippelli, aradis
ermit#6202-80B,E(tran erf co, /
6138 -80 --new privat gar
40-25-191
Contr - e Fillippelli,Paradise
Perm_j-.twl65-81E (ele/6202-80) garag
.040-250-019 PERMIT#97-0825
HULL, Allen
9226 Goodspeed; Durham
Reroof /SF �'yZ• oil
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A
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I
E
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3
040-25`-19
Stuart More
9!Q Goodspeed Rd., E/S Goodspeed
Rd . ,, ap1�.450' S . of Fbr ida, Durham
contr: BiNl1� dams Const., Chico
Perm t#6138-& ,E(new pri.garage)
40- -19
FContr'Joe Fillippelli, aradis
ermit#6202-80B,E(tran erf co, /
6138 -80 --new privat gar
40-25-191
Contr - e Fillippelli,Paradise
Perm_j-.twl65-81E (ele/6202-80) garag
.040-250-019 PERMIT#97-0825
HULL, Allen
9226 Goodspeed; Durham
Reroof /SF �'yZ• oil
-1
A
�r
PERMIT NO. 6202-80B
F
/2L
>
PERMIT EXPIRES
OWNER STUART MORE
CONTR. Joe Fillipelli,
Paradise
ASSESSOR PARCEL 40-25-19
LOCATION 9226 Goodspeed
Rd, Durham
s •
1
Y.
Temp. Power Pole
Called PG&E
� r
Zrvice
Temp. Elea
Called
Temp. Gas Service
Called PG&E
`►�
JO NALED (Date)
7
C
Signature /
I
Pvv,,,k.
J= 0)<,_ ' - r_. m
0 = Not OK
= Not Applicable
Read
= Not Readv RESIDENTIAL. (Single and Duplex)
�
Date UNDE LOOR Plans OK except #'s
Date FRAMING -(Continued)
2o • g requirements -Setbacks -Easements
4 rorty Line Firewall & Openings
tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
rage; Soils -Steel- / /" Ftg. Depth
`u"h d..� ^adroom-Rise-Run- Land ing-Fire Protection
es & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls, Main; Steel-Blockouts-Wrapped-Slab
ing-Nailing-Veneer
Garage; Steel-BIockouts-Wrapped-Slab
=Drip Screed-Fdn. Vents-Underflr. Access
- fireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
s; 'ailing -Bolts
Fa4--Fittings-Test-2 way C/O -Sewer Test
L9. OasPtpe784? -Anchors
ipt?; Test -Anchors -Regulator -Service Test
rt-E4eelri"Undarground
��-PFenti ia& Ducts; Clearance -Material -Support -Ins.
_%_.G`.'d^m$-11s-Anchor Bolts -Joists -Vents -Cripples
Card- Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card-B� Date / Card -BI Date
Date FINAL (P+9hs) OK except N's
Ext Ss -Door & Sidelight Protection -Landings
Card -BI Date Card -BI Date
Date PLUMBING (P emit) OK except q's17ke-Betector
_ 14. Water Ht.; Vent- Access -Combustion Air
59c-FoTftTce; VEnts-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Te -Fttngs & Anchors -Nail Protection
5 . 'ting
17. Shower Pan; Test, First Floor -Tub Access
Bath ixtures & Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
`6&--6leirs^&T i I s
18. Test Tub & S ower, 2nd Floor -Tub Access
19. Gas Pipe; Siz & Anchors
love; Clearances -Hearth
ec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI DateS7-R-iT._F_ixt'.
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date -
Bft"lttuy'�& Receptacles at Kit. Counter
/fr�yk�
Date ELECT P
AL erms O xce t p's u�L�,L 1;
B7"'G'�age7ire Door; Swing -Landing -Closer
in Garage -Damper
fixture & Trans ormer Clearance -Ins. Protection
its -Clearance -Comb. Air-Connector-P.R.V.-
Irytparage; Above Floor-Mech. Protection
p ` S a
ecing-Lights & Switches a Do rs
B o. o onductors- t �,
f9 Plb lec. & Mech. Equip. Listed for Location
x Installed Close to Edge of uds &42-1
7b-"Elec. Receptacles in Garage; (G.F.I.)-Rom ec.
Equip. Ground made up w/Mech. FastenersAs&-
nsu ati�o T�Eoam Looked in Attic ❑ Yes
P6..-2AppLiance Circuits in Kitchen & Conductor e
antp& Deck Construction -Post Caps
—74!
2 ubfeed Wire Size / Z./-ga Cu or AI-A.C. Wire Size. r r ga Cu.pr At
dn. Vents &Crawl Hole D r rai age &Wood -Earth Clearance
Looked under Floor [��
ga. Cu or AI -Oven Circ. / / ga. Cu or At,
I ulated Neutral ❑Yes El No
75. Following instld.: Drive Yes o; Walks Yp� E3 No:
Planters E] Yes V
Serv' -Riser Conductors &Ground -Main Disconnect-Bpwn-Finish
2 quip. Clearances; Panels-Motors-Mech. Equip.
77-7isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
es loset Light -Shower Light
Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
e ; isconnect, Electrical, Plumbing
xte 'or Elec. Trim; G.F.I. Receptacle-Underg
Card B- Date Card -BI Date
41, -'Ventilation throughout House
Card B- Date and -BI Date
otection
If
Date MEC NICAL (Permit) OK except q's
orrections from Previous Inspections Z Z Z
ft- -Meters Tagged; Gas -Electric
31. AV. Ducts; Insulation & Support
86:—Nor-8r6ewer Connected -C/O to Grade -HD Approval
32. Vet Fan; Exhaust above Insulation
8t}--EneRCompliance Certificate -Other Certificates
33. Con ensate Drain & Overflow; Size & Grade
34. Furn ce-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic kccess & Platform if Furnace in Attic
Card -BI r• Date Card -BI Date
Card -BI Date Card -BI Date
Card -Dat Card -BI Date
Card -BI Date Card BI Date
_
Card -BI Date Card -BI Date
Date FRAMI Plans OK except q's i r
Comments at Final:
s; Proper Material &Anchors , �
__
Walls; Studs -Nailing, Spacing & r c n -PI -S
38r-Qeacio8 Walls over Girders & Floor Nailing
3 ra top in Walls (rat proof)
_ it tops; Furred Ceilings -Stairs -Chases -Tub
41,,11_ e r & Beam -Size & Bearing t
angers -Post Caps�nchors-Connectors
Cln oist-RftrVries-PvH4"-Roo rac. sShtbdoq.-Vrrq.. -
p4rFirepfac'>' Ties or Type A Flue -Fireplace Th
15-*tti),- ess; Size & Romex Protection -Draft Stop -Ins. Baffles
4e.--&&ffr-Windows or Exiting Doors -Sill Hgt. & Dimensions
4Z QErage Fire Protection Framing11
(NOTE: An entry must be made each time you visit jobsite)
J = OK
O = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
. , W
Date
MOBILEHOME UYILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
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-Rfirs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
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
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
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/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
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
COUNTY OF BUTTE
-Q DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
W07
BUILDING OR PROPF,i'{TY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
�� - t — — I
Inspector Date 111,01J51
COUNTY OF BUTTE
t tPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and EI•liott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROVERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspect /�� Date
COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS PERMIT NO.
r 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 /a� �d
APPLICATION AND PERMIT co .1;7—
ASSESSO,RpRA.RCEL NUMBER
C;k / r
ZONING
BUILDING PERMIT
OWNER
r '}no
TELEPHONE
SO. FT. - OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
CAQAITR A`C j?R'S,/�--QME t f
�7 1 IL/V1 �V� it
TELEPHONE
$%'74Fa
CONTRACTOR'S MAI ING ALTDRESS,
"7 �g
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$10.0
LEND R'S PMILtNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ t 0_
BUILDING ADDRESS - n
to 4S (J'
PLUMBING PERMIT
Filing Fee 10.00
OI CA •
I�f
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other. 1 t3
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New* Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00'
Main service 800V OR LESS100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.01)
OR ADDNS. 1 ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
y I am licensed under provisions of Chapt. 9, Div. 3 of the Business—Ex.50@2150
and Professions n QCode and m license is in full f rce and effect.
S17/y
License No.>, 6 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 -OU LET 2,50 ea
NON.RESID BRA CH CIRC TS
NEW CONSTR./ POWER APPARATUS S)
(SINGLE SINGLE OUTLET CIR.
Occup o FIXTURES SAL@1
A PDR
FIXED LNS R
Ex. Occup.(OUTLETS (RESID )EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ ,
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 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
agains aid Co y in consequence of the granting of this permit.
X Date J&-014—aC7
Signa u e of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures[ over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ —
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
1 -HD
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Di OR OF PUBLIC
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ! 2' Lb -10
a
Receipt No.
P 7 �c�S
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V �►� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT A
ASSESSOR PARCEL NUMBER
6(0
ZONI G
_"y
BUILDING P R IT
OWNS Kyr
T LEPHONE
SQ. FT. OCC. BUILDING VALUATION
{��
o
OWNER'S MAILING ADDRESS
CONTRA OR'S NAME '•
° S
TELEPHONE
-O z
CONTRACTOR'S MAILING ADDRESS
k C j Cv
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ Q Q (]
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ p
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /C/, 00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS �J
dco ,SIO£
PLUMBING PERMIT
Filing Fee 10.00
_
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. I.SUBDIVISION
1,5
NAME
1F LI& 1,71/,,c
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCT E
SF ❑ Duplex❑ Mobilehome❑ Other /ei. LL0j.
S P Eoc I Vy
Building sewer
Lawn sprinkler system
5.00
'
TYPE OF WORK
New Addition❑ Remodel[:] Utilities❑ Installation[] Other EJ
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filin6Fee 10.00
0V OR L
Main service 100 AMP ORSLESS
5.00
Main service EA. ADO'L 100 AMP
2:50
NEW CONST. ( DWELLING •SI)
OR ADDNS. l ACC. BLDG
2� 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. :7lotofr�i� I Classification R — f
❑ 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 -OU. L T 2.50 ea
NON.RESID BRA CH CIRCUITS
NEW CONSTR. (/IPOWER APPARATUS 6
NON-RESID, SINGLE OUTLET CIR.
250
Ex. Occup OUTLETS OR FIXTURES a �@1
IXED APPLNS. OR I
EX. Occup.�OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 6 Q
Contractor f
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
.❑ The permit is for $100.00 (valuation) or less.
n 1 have placed on file with the County of Butte Building Department
(P 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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
ainst
alaiso agree to liabilities, j dgments, costs, nandeexpen eless the s which mayin any wayof Butte aacc accrue
against said County consequence of the granting of this permit.
XDate &� %—�
_
Signature of Applicant — Owner ❑ Contractor ®- Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $91, Zo
OCCUP. GROUP
M—/
TTY�PE/o�P�ONST.
°
PARCEL
✓
H ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date I -t6�
z _ _
Z L�/
Receipt No.,Z 7 4r Z
� L
WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT plo.
ASS OR PARCEL NUMBER
�-- —/c .
ZONING
BUILDING PERMIT
OW .EF�—
J C- kA_1 rte• j -1Y) p
TELEPHONES
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S'R�ME
TELEPHONE
CO TRACTOR'S. AILI DDR SS ,
CF r I
Fireplace
CONSTRUCTIO LENDE.W
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LE DER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
N' A
LICENSE No.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other I 1
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities,❑ Installation ❑ OtherX
Describe work: �'=-�Ut t -v'
ig 62:2 0:2,— ,!F Q
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50 dam'%
NEW CONST. ( DWELLING OCCUP.N)
OR ADDNS. \ ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
r penalty of perjury (check one):
I d*�an�d
licensed under provisions of Chapt. 9, Div. 3 of the Business
Professions Code and my license is in full force and effect.
License No. -:AK')g1vT Classification B
❑ 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 I-Ou LET 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR I/ POWER APPARATUS 6
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES a ��
00
(FIXED APPLNS. OR
EX. Occup,OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
,the permit is for $100.00 (valuation) or less.
QX"'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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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 Iia 'pities, gments, costs, and expenses which may in any way accrue
again t s id C(unly in consequence of the granting of this permit.
D e tv )�_ SS�
Signo ure of Applicant Awner ❑ Contractor Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
`=',o -
Occup. GROUP
I TYPE of CONST.
PARCEL
PD
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI TOA OF PUBLIC
By
PER1111f EXPIRES Datee1j
the applicable provi-
resolutions to do
fees have been paid.
WORKS
(Date
��/�
r/•JG �� Q 11
Receipt No. �y,;9D `
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California* 95965 - Telephone (916)538 41( PERMIT NO..
(Rev. 12/96) APPLICATION AND PERMIT `71 za
ASSESSOR PARCEL NUMBER
-250-61
ZONING
BUILDING PERMIT
OWNER
LLQ u
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS `
04A 760-00
CONTRACTOR'S NAME
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
0— O d
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ ' Oo
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS q
1 0 01
Energy Plan Checking Fee
$
$
PERMIT FEE
S _ ® Q
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Aq
Describe Work: 'Q 2D0 F �/ COMQ.
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
LE
Main Service ioon oA
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
AI, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
ADDNS. ( BUDS.
So
3.52FT:
NOR
EW CONST. MULACC.
NON-RESID. ,ucTH' , c
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
BAL @ 1,50
Ex. Occup. GuiELE°rsA RE�SIO) F
5.00
—Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, 1 shall
forthwith comply With tho a provisions.
��/
X C1CJC.�- — _ Date _ ^,2 3-1�_
Signature of ApplicantOwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ C/5-00
HAZ,
I D. FEES IMP
FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By �`f �c
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Daate q pI 9ReceiptNo.
iI —�(-9
Data
zz I'7I A
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
`s O.B.- l
OWNER -BUILDER ,VERIFICATION
Attention Property Owner: _M N `_
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and'return this"information at you= earliest opportunity to avoid unnecessary delay
in processing and' issuing your building permit. No building permit will be issued until ' this
verification is ieceived.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement :.YE NO ❑ ,
2. I HAVE • ` HAVE NOT Q signed an application fora'building permit for the propose work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:.
PHONE:
CONTRACTOR'S 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: CONTRACTOR'S 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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: It -- 2 3 — 9 7
NOTE. This Owner -Builder Verification is required by Section 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.
C�]iI X1.:7
I OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for.which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer. _
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
i rely
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of die California Health and Safety Code
OVER
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California ,95965 - Telephone (916) 538 7541 PERMIT N0.-�.
(Rev. 12/96) APPLICATION AND PERMIT //'
ASSESSOR PARCEL NUMBER i 9
c� —�r
ZONING
BUILDING PERMIT
OWNER
is Ct fA( hitt
TELEPHONE
3 y -Z5,7G
SO. FT. OCC. BUILDING VALUATION
16 sa. coop Cl
coo. vv
OWNER'S MAILING ADDRESS
P_ o. Gay 7.37 i t le NAM
CONTRACTOR'S NAME
TELEPHONE '
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 760.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ Zs. oo
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee
$
BUILDING ADDRESS p
1 a 0J,113 Spec
Energy Plan Checking Fee
$
PERMIT FEE
S 5_J0
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF . Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat,pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
❑ Installation ❑ Other
New ❑ Addition ❑ Remodel ❑ (z 0)
Describe Work: f (z0) F L41 COM P.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service loon oRR o ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A To 1000A
46.00
NEW CONST. DWELLING CC
OR ADDNS. ( a ACC. sOUP. LOS.
So
3.52FT.
OUTLCIRCUETS
NON -RES ST B=
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FORURES
20 Q 1.00
BAL @ .50
Ex. Occup. OUTEL' RES D.OEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
`pr I certify that in the performance of the work for which this permit is issued, I shah
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X C.l.XJzf-c_Date _ -z 3=9 '�
Signature of Applicant- rC�' Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE 4/5.00
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
f -
By AZ(;_
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
LDaate
lT `et_93
Dale
Receipt No. E4 1-71 A
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
040-250-019
.,PERMIT#97-0825
HULL, -Allen
. '
9226 Goodspeed,
Durham
Reroof/SF
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