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HomeMy WebLinkAbout041-100-067A.P. 41-107 RAY PORTER illiams Rd., 2- mi: of . ez Permit 1'51-74P,E (aifo`��1�1I�)' T 41-10-% UNNIE SHEPHERD 3065 Williams Rd, Oreille WIN -7 PErmit#2756-87E(install 266 amp) 041-100-067 00-0194 STEVENS, GARY 3065 WILLIAMS ROAD, OROVILLE CONTR: DEL JOHNSON NEW HVAC C1'AWZ, �j9�OD I 0 0 It PR 1.r 041-100-067 00-0194 STEVENS, GARY "' 3065 VVII.LIAMS ROAD, OROVILLE CONTR: DEL JOHNSON NEW HVAC . n1;41%'f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N s (Rev. 12/96) APPLICATION AND PERMIT &--)-i � ASSESSOR PARCEL NUMBER 041-100-067 ZONING BUILDING PERMIT OWNER GLARY STEVENS TELEPHONE 898-M SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 8785 �j 3065 D, ORO 95965 CONTRACTOR'S NAME 1 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. 1 Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' 3065 WILLLMISRD OROVIUE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL; MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other i SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: NE14 HVAC Gas piping system 1 - 5 outlets 15.000.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Feel 20.00 800VOR LE Main Service 20.A OR LESS 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. pPOWER License Class e = V'; Lic. No. 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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.! ❑ 1, 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 TO I 46.00so WEE200A NEW CONST. DWELLMIG OCCUP. U OR ADONS. ( & ACC. BLDS. SO 3.50FT, NON-RESID. MULTI -OUTLET 97,50 APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL ®I:5500 FIXED APPLNS. OR Ex. Occup. ouriETs REBID. EA 5.0010.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. IY'I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers') compensation 1 surance carrier and policy number are: Carrier �ri�<il.�-r,sr�:� _ i�e,rrl[.+.ir ii�i�A�_'t_ �� . Policy Number e'L/�/ l W 7 I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply_those provisions. A X 1 i. � �./�'�� Date Sig'natd-re of Applicant - ❑ Owner W -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating .4;PJJT 30,00 Cooling Hood 6.50 Ventilation PERMIT FEE $ :)V• uu Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 115 TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Y Date - PERMIT EXPIRES ON o�O� �o� (Da te ReceiptNo.�orn�n WHITE-D.D.S.-B."D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 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 notice 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. 34 9 C- ru'� � ' c c,._— ( > Z C> Q C- Date Inspectors REV 1014 `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT N . (Rev. 12/96) APPLICATION AND PERMIT 00 -� ASSESSOR PARCEL NUMBER 041-100-067 ZONING BUILDING PERMIT OWNER GARY STEVENS TELEPHONE 898 - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 WILLIAMS RD, ORO 95965 o 878 O CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3065 WILLIAMS RD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW HVAC Gas piping system i - 5 outlets 15.0015.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE S 35,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 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.^�7 License Class C-20 -- = *_j Lic. No. 3:7:3 � % C� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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 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. tYT-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 works c mpensation i surance carrier end olicy number ar : Carrier t v � Policy NumbeIVj4,/'7F' (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, I shall f comply with ose provisions. X G Date4, Sign re of Ap cant - ❑ Owner ®'Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction2–�– of structures over 3 stories in height. TO AAAA 46.00 Main Service 200ADWELLING NEW CONST. DWELLING OCCUP. 3.5Qs. ( ADDNS.ALCTIC. sunEr MUOR NEW CONST. NON-RESID. c @7.50 POWER APPARATUS 8 SINGLE OULET TCIR. 20 Ex. Occup. OUTLET OR FIXTURES BAL gp FI APPLNS. OR Ex. Occup. ouTLETs RESID. E.A. 5.00 10.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : 30.00 MECHANICAL PERMIT Fling Fee 20.00 Heating SPT,TT -10-00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 115.00 HAz. D FEES IMP FLOOD CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y L4' //��Date//�� PERMIT EXPIRES ON A—cg -01 Date ReceiptNo. WHITE-D.D.S.-B. NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT D(-/ I bo 0 3 ;), ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E RIVIII NO. (Rev.12/96) APPLICATION AND PERMIT q_ ASSESSORPARCEL NUMBE9� / 1 0 ©^ b6 7 ZONING BUILDING PERMIT OWNER /� TELEPHONE 4 SO. FT. OCC. BUILDING VALUATION OWNERS MATING ADDRESS If COM i -v TC('�7*; o CONTRAC RS MAl1NG ADDRESS L CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flan Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MATING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS r Energy Plan Checking Fee $ 3 PERMIT FEE i LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE S42r 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 ❑ Describe Work: 14L,) C� Gas piping system 1 - 5 outlets "1`5.00 S SBuildin sewer 15.00 Mobile Home IS I GI W Q20.00 PERMIT FEE t ELECTRICAL PERMIT I Fling Feel 20.00 Main Service zo A OR LESS 23.00 L 6 Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG ffUP. 3.5Qso OR ADDNS. ( d ACC. BU)S. N ONS MULTI.OUTUT NON-RESID. .97.50 POWER APPAMTUS 8 SINGLE OUTLET qR OUTLET OR FvruREs 20 ® 1.00 EX. OCCU BAt ,yD Ex. Occu OU 0,A LM RA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTAL FEE $ S EoccCONST. HAZ. 0. FEES IMP F1A00 1 CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Iru-I 3 50 OFFICE COPY Address G Mete y Date- ELECTRIC ate ELECTRIC Meter By _ Date�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovilJe California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT ASSESSORPARCEL N MBER - ( -O - i�.� -'(� ZONING v BUILDING PERMIT OWN R Un h t TELEPHONE 3Y2- -3'5 1 R SQ. FT. OCC. BUILDING VALUATION OWNER'S(,, < NG ADDRESS ! � / I (J CONTRACTOR'S NAME TKLEPHONE CONTRACTOR'S MAILING ADDRESS > • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 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. SUBDIVIS ON NA ,P: a PARCEL MAP �'/''/A Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �1 PIAL/il4 ( 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, /�ther ❑ Describe work: it, sin 1100 bh)! ii1 5 �t'G 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 a6d`my license is in full force and effect. License Nod ''s-- -, Classification J..-, 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot intended or offered for sale. (Sec..0 - - 1. ❑ I, as the owner, ',am;exclusively'contracting with licensed contract- ors. (Sec. 7044) 1 F]I am exempt under Sec. r , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 , h2sgft OR ACDNS. ( ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS B. (SINGLE OUTLETCIR. ) Ex. Occup(OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service10.00 Mobile Home Facilities, 15.00 , ' 15.00 rI!� % Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or.less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Codling 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 gra Ing of this pe it. G - �'1 w X Date Signature of Applicant.2 Owner Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures aver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.TYPEJ I I IFLOODIPARCrLI PD ND 39UE / This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR OF PUBLIC By I PE RMIT(EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / I? 0!!i Receipt No. T WNITE-D.P.W.. YELLOW-A9G0A. PINK -INSPECTOR. GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS te 7 County Center Drive - Oroville, 6alifornra 95965 - Telephone: 916/538-7541 APPLICATIOA ANE*RMIT C� ASSESSOR PARCEL ' MBER qJ _t --0 _ ql - Q ZONING U BUILDING PERMIT Ow R v n TELEPHONE 3Y2_3�f SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS V5%cq4,ylskill 0/out1(e 'K CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ------ Penalty $ BUILDING ADDRESS f 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / / 6 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIYI ION N PAF3,CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other 40-;n/ P� /C�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Fs G W I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationOther El Describe work: in �� U 20Q ��X 1615 99C at' _ 100 box Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) yZQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESIO BRANCH CIRC ITS POWER APPARATUS e1 SINGLE OUTLET CIR, Ex. Occu 20 0 60m Occup(OUTLETS OR FIXTURES eAL&30 FAPPLES. OR Ex. Occup. OUTLETS 1RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in conseq nce of a gra ting of this per it. X Date 3 Signature of Applicant - Ownero 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 $ occu P. CONST.TYPE FLOOD PARCEL PD ND 1990E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which RECTOR OF PUBLIC BY PER IBES Date the applicable provi- resolutions to do fees have been paid. WORKS �7 Date k rRecelpt No.���/ NI TE-D.P.W., YELLOW-A98C990 R, PINI(-IN9P EC TO R, 60LDEN RO D -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OP`PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, C�LIFOi INIA 95965 - TELEPHONE: 916/538-7541. r ,. JPERMIT APPLICATION DATA SHEET /l -1 1- Permit No. OWNER A. P. No/0.,/ �- Proposed Building Use uilding Inspecto Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.—_..._15. Improvements may be required. . . . . . . . . . . . — 16. 17. Mobilehome Installation ata..... - Pre-Inspec. r .est4, Pre -Inspection for �`-._ Required. � d �S S 4C.Z Dote) �r� 18. -- Building Inspector Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of _ 21.- 22. -- When, you issue the ��p/eerm) Locess as follows: —Mail -to owner; Mail t.o'contractor. Teleohone-3, a and hold for pickui�ffice, Deliver w/inspector. .0,1 Copy of plans sent Health Dept.; Fire Dept., Other Date e- The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: __-_- (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder Date r, UTILITIES FOR MOBILE HOME PERMIT NUMBER - B ' 151-74P,E P E PERMIT EXPIRES zR 75 OWNER Ray Porter CONTR: Owner LOCATION (A.P. 41-10-26 Williams Rd., 2 mi. N. of Pentz Rd. 3 7 cy i g /Z ' ;7q 1 ��C�CiiG�� r7=rr 1171'2 � COUNTY OF BUTTE Department of Public Works I BUILDING INSPECTION RECORD Zoning _ Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel_ Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary :?2 'Z� %`7 Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS g /Z ' ;7q 1 ��C�CiiG�� r7=rr 1171'2 � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT . •� -� ...r,...,...,....,.w , I— _--y ui ouiw iu ciitri upun tilt:above-mentioned property for inspection purposes. X .� � � Date Signa t re of Permitee or Agent �/L/ - Receipt No. _ li�Zi 7� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date 7--16-- i,/ � Bu lding permit expires Date -2— _1J-- 7, J BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ^ I hone No21i. /389 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 rid Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1`.50 ,j Each gas water heater or vent 1.50 O / A. P. No. — C2 (p AZonl - Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 s Sa t qn FireDept. Fire Zone Use Permit Building sewer 5.00 O EQA Parking Plans Parce ' R/W Declar tion parcel Map 60 Improvements Lawn sprinkler system 2.00 BI d Parcel Approval % Plans Approval Permit Fee $ 0 9 V $ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE , PERMIT FILING FEE $3.00 3,©-0 Main service incl. 1 meter" --;;;,r' r Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbalfdio Receps., switches & fix outlets 20025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , 6 Q $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $p� 00 . •� -� ...r,...,...,....,.w , I— _--y ui ouiw iu ciitri upun tilt:above-mentioned property for inspection purposes. X .� � � Date Signa t re of Permitee or Agent �/L/ - Receipt No. _ li�Zi 7� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date 7--16-- i,/ � Bu lding permit expires Date -2— _1J-- 7, J ME S i ra (Z r o rrn 3` 1 4-o' r o vy C4 s 'PV' ort, LIJ E46 -V Septic system arad.lec- _ / -/ • 7 .�,• + 'U.19 dri"A--s4tfb Out to be as per Butte County Health Dept. Re- quirements. ! f 1 Pa� All utility connections be located Within 4 ft, shall rear third section outside the rear on the left (road) side mobile he obile home. e fhis set of plans and specifications MUST be A- ` sept on the jab at ali times and it is unlawful to make any chi nges or alterations on same without written perm4son from the Department of Public d Works, C.ounsy of Butte. 3 BUTTE COUNTY 8U;LDIN.G DEPARTMENT APPPOVED