Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
041-520-025
. ` . . � � / � r ` . ' � . . Cherokee (new single family WATER PIPINGS/F"41-52-2549 a41-52-25POrmit#7 5-83B,E,M(convert private garaget ' family room/SFo)*CA;A -0/"*x JI41-52--25^ROBERT BREMER F1 j [20556 eg 2556 Oregon Gulch Rd, Orovil/e Co7ntr:Sunshine Chimney Sweeps / ' ~ ` ` i I! ` . �'���' I 1 i'� { ; _ ���, f' PERMIT NUMBER - g 1161-73B,P,E,M P E ,k PERMIT EXPIRES 4-02 `f -/ ;OWNER Frank. Sanchez i owner TCONTR: LOCATION (A. P. 41-25-69 n n/e corner Condor Rd. & Oregon Gulch Rd., Cherokee le s 'COUNTY OF BUTTE Department of Publie Works BUILDING INSPECT&QN RECORD Zoning 0/<" 22— / 0 Setback Forms 6 r } Foundation®10" / �O `7---,§ Piers & Girders Fireplace dbot Rgh. Plumbing 452;2� t2 lh !J Bond Beam Lath & Plaster Rein. Steel Gas Piping & Testes Found. Vents Framing ::7 Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall ^"�� Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary a x::7 7 Temporary Cert. of Occupy p Final -:;�L<C Final Final DATE REMARKS OR CORRECTIONS ,'- A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 / Tel eplone: 531-4541 APPLICATION AND PERMIT auuiurize iewesentauves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xi �_ Date _4i�� Signature of Permitee or Ageirt asReceipt No.i�z,� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol enrod-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 OF—PUBLIC WORKS BY Date �' Zai-� 3, 9 Peit ex ires Date ......-- BUILDING Owner �- �, ra SQ. FT. OCC. BUILDING VALUATION S UU G '00 Mailing Address I% '96 % T lephone No. 2 0 Z C✓Cf Fireplace Gca Contractor ( Total Valuation I)Q Mailing Address �/'' Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address L `/'�PERMIT PLUMBING No. @ FEE FILING FEE $2.00 00 W (//-P'CeZleilC �2/lf - Each Trap 1.50 7, O Repair drainage or vent piping 1.50 Water piping 1.50 f Each gas water heater or vent 1.50 A. P. — S Zoning a Planning Gas piping system 1 - 5 outlets 1.50 f - Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma 60' R/W P Improvements p ovements Lawn sprinkler system 2.00 Bldg. PI ec'd �j�rcSt Parcel Appcfl»a�� Plans Ap Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _i5 06 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1 1.00 Water Heater or Space Heater 1.00 Light fixtures (� ba_ Ifaj_p U R eps., switch s & fix 6utIets CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ �n n Hood, Ex. Fan or F.A. Furn. Motor 1.00 DU Evap.cooler, 2ar.disp.orD.W. 1.00 00 Air conditioner or heat pump .17-e' Water pump ✓O Mobil Home Facilities 5.00 L Temp. Power Pole 5.00 License No. -V4 S„i �� 6_l Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ a 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling .pd Ventilation Hood 2.00 Permit Fee $ $ fJG 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 TOTAL PERMIT FEE $ 3 ,2f- auuiurize iewesentauves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xi �_ Date _4i�� Signature of Permitee or Ageirt asReceipt No.i�z,� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol enrod-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 OF—PUBLIC WORKS BY Date �' Zai-� 3, 9 Peit ex ires Date ......-- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS wit 7 County Center Drive — Oroville, California 95965;7V Tel epM.tte: 534-4541 / [� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X PDate Signature Permitee or Agent Receipt No. 62 012(!) 4 White-D.P.W. — Yellow -Assessor — Pink nspector — 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. DI PUBLIC WORKS Date 0+� Building permit expires Date ............................................ BUILDING 0 SQ. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. C Fireplace Contractor r Total Valuation Mailing Address r Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @FEE PERMIT FILING FEE $2.00 1+� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. a "� 'E� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F "4N. . S o ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER PJ_" ELECTRICAL No• @ FEE PERMIT FILING FEE 1 $3.00 o Main service incl. 1 meter ✓ _711 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 fixturesbai�iio Receps., switches & fix outlets fmi 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 $ $ WORKMEN'S COMPENSATION INSURANCE 1 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 P� have Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ l authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X PDate Signature Permitee or Agent Receipt No. 62 012(!) 4 White-D.P.W. — Yellow -Assessor — Pink nspector — 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. DI PUBLIC WORKS Date 0+� Building permit expires Date ............................................ a PERMIT NO. 1525-86 9 PERMIT EXPIRES- XPIRES OWNER ROBERT BREMER OWNER CONTR. R & R ASSESSOR PARCEL 41-52-25 LOCATION 2556 Oregon Gulch Rd, Const Cherokee s ' a PERMIT NO. 1525-86 9 PERMIT EXPIRES- XPIRES OWNER ROBERT BREMER OWNER CONTR. R & R ASSESSOR PARCEL 41-52-25 LOCATION 2556 Oregon Gulch Rd, Const Cherokee 4 7 . I i I 1 . Temp. Power Pole ` Called PG&E Temp. Elec. Service Called PG&E s ,r Temp. Gas Service' j Called PG&E JOB FINALED (Date) Signatures _._ V>;OK- O Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DE S, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements . Zoning Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch 2 tze— epth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concreteecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—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 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI /'A-) Date —,ZCard-BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except It's 1. Zoning Requirements—Setbacks—Easements Card -BI Date M Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 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 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9; Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -B1 Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) - _ 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grhd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / / 'Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Fig., 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. Ste_mwalls., Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date -rd - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI _ Date _ Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access-Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V. Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes ;No ___ _ _ Service -Riser Conductors & Ground -Mai n_Disconnect _-_ Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ ----- -------- ------ - --- Date Card --Bl--- Date -- Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl dole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters El Yes IJ No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except q's 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Card -BI Caid•BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ - _ - Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Ve_n_t-115V outlet Attic Access & Platform if Furnace in Attic _ Date Card -BI Date _ - Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -- - - - --- - - - -'- - - - Card -BI Date Card -BI Date Card -BI ')ate Card -BI Date Card -61 Date Card -BI Date Date FRAMING(Plans) OK except N's Com lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub_ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng -Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - (NOTE Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 Sp�b APPLICATION ANDvPERMT ASSESSO ARCFy'b- MBER r ,`(J� ZONING BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE MAILI G ADDFj.�S /��( CO C OR'S A T E HONE C OF N� CT 'S MA I ADD S r Fireplace CONS RU ION L NDER UNKNOWN Total Valuation $ Filing Fee $• 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16,01) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BU I G ADDRESS c?Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Add ition❑ mod I❑ Utilitie In tallation❑ Other Describe work: '� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V 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): [P�I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. License No. A/2i —57i2 ClassificationTt ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM, OR ADONS. ( ACC. SLOGS. 1 ZAOsgft NEW CONSTR. MULTI -OUTLET _NON .R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 2ALO 30 eALaao Ex. OCCup. OUTLETS P(RESID )FIXED APLINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T rmit is for $100.00 (valuation) or less. 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 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 liabi ' ies, judgme costs, and expenses which may in any way accrue againsts d County i c seq a ce of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP, CONST.TYP! I I FLOOD PARCEL I PD ND seu This permit is hereby issued under sions, of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 0/'� /.� Receipt No. L7 G 7 WNIT!-O.P.W., YELLOW-ASeE380 , PINK -INSPECTOR, COLD EN ROD -APPLICANT Y' > COUNTY OF BUTTE - DEPARTMENT OF'POBLIC"WORKS - BUILDING DIV,IS ON 7 COUNTY CENTER DRIVE - OROVILLE, CALIFGRNJ�A,'14965 - TELEPHONE: 916/53'44541 PERMIT APPLICATION BATA SHEET OWNER Proposed Building Use, Permit Fee Based Upon >her+ /_ Y-C--1�KF Complete Contract Price Permit No. DPW(Valuation Building Inspector /AHy/uate ci/ Q -dl C-)(0 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 1. anning approval for (A) Use: (B) Parking: 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. Mobi lehome Installation Data. . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. guilding-Inspector (pate) 18. Record �,�tu I Ack�owl d ment State ent . 19. Other DIAR A� �� ill ��onstrurteio� approval required prior to occupancy 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 /r& --LA 'i //v-cl/ _ Date -S 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 ti a application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By t Date r' Plans checked by Date Plans approved by Date Other: lr Copy—DPW Other s' I . t `"' PERMIT NO. 735-83B, ,m /-,I PERMIT EXPIRES &�) ' OWNER ROBERT BREMER CONTR. owner ASSESSOR PARCEL 41-52-25 i LOCATION Upper inters Oregon Gulch Rd & Cher i — okee Rds, Oroville 3 j Temp. Power Pole Called PG&E t . Temp. Elec. Service (" 'i i Called PG&E R � Temp. Gas Service _. Cal led PG&E JOB FINAL ED (Date) Signature J OK 0 = Not OK = Not Applicable * = Not Ready r t t MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -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. y Card -BI Date Card -BI. , _ = Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1 . Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 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 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 V = OK , 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (S'ingle,,and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) �. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. PI ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer - 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 19. Gas Pipe; Size -Anchors 0. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Coo Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's Date FINA (Plans) OK except N's 450,_Ex�ps-Door & Sidelight Protection -Landings L7 --Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air c -e ens eearance-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 5 room xiting 17. Shower Pan; Test, First Floor -Tub Access 6 th Fixtures &Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61 lec. Trim & Subpanel; Breaker Sizes -Labels ai s 19. Gas Pipe; Size & AnchorsOn 3. F' place or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card I Date Card -BI Date 6 nce; Grnd.-Air Gap -Cooking Clearance Card -B1 Date Card -BI Date 66.e eptacles at Kit. Counter Date EL TRICAL Perrr,it OK except q's ; Swing -Landing -Closer 68. rage -Damper ture & Transformer Clearance -Ins. Protection 69L, W4 W4 ; Venis arance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ec. Receptacles Spacing -Lights &Switches at Doors _ Size Boxes & No. of Conductors -Stapled 70. ec. & Mech. Equip. Listed for Location 7 ,_ in Garage; (G. F.I.)-Romex Protec. 7 _ - oked in Attic ❑Yes 73. onstruction-Post Caps - omex Installed Close to Edge of Studs & C.J. 24--Eq-uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 ppliance Circui s in Kitchen & Conductor Size - _ 26. ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74.--ftn,. VVMz-&.,Erawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __ 27, an. Cu or AI -Oven Circ. / / ga. Cu or Al, � Insulated Neutral Yes El No 75. Following instld., Drive es ❑ No; Walks es 0 No; Planters es 0_ No - 28. ductors & Ground -Main Disconnect 7 - tnish _ - 29. Equip. Gle raTrMqa:� Pane Is -Mot ors-Mech. Equip. ntt; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. set Light -Shower Light - Ve is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------- -- ater Well; Disconnect, Electrical, Plumbing Card B -I ----. Dater Card -BI _ Date _- 80_ Ex:_ie Fai- E'__ TF : G.F.I. Receptacle -Underground 81� n t a ton t roughout House Card B-1 Date Card -BI Date 82. n Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections 84. - ged; Gas -Electric _ 31.-_ A -2c DUCr7,-h suIation & Support - __ 32. Vent _Exhaust above Insulation 33. GeAdopsale Drain _& Overilow; Size & Grade 85. 85-C/0 ewer to Grade -HD Approval ompliance Certificate -Other Certificates 34 ce-Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI Access & Platform if Furnace in Attic Date - -_ Card -BI Date Date- Card -BI Date Card -BI Date Card -BI Date Caiid-BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _36. i s; roper aterial & Anchors - ---_39-._.Asan-Stop _ 37. *a115SS- _-ST9CNailing, Spacing & Bracing -Plates -Sound 38..8=%meg walls over Girders & Floor Nailing in Walls (rat proof) --- ID 11 4 _ Stops; Furred Ceilings -Stairs -Chases -Tub 46-�H. eader & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors Joist-Rfir. Ties-Purli oof s-Shthn Brac.-Trusg.-Rfnp 44. Fireplace Ties or Typ Flplace Throat -45. -- 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) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 955 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 2 ASSESS R PARCEL NUMBER Z NZ BUILDING PERMIT ow RTELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAT,4E O V\ x—, -y - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ` " .010A10 CONSTRUCTION LENDER IQ UNKNOWN Total Valuation $ cv Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 79,vo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ -a aQ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ t� BUILDING ADDRESS �— PLUMBING PERMIT Filin g Fee 10.00 9:d!eA-T) ke Q -P, C4-9 Each Trap 2.00 Solar Water Heater 20.00 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 STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition Remodel❑ Utilities Installat'on❑ Other Describe work: Lico/�r Tj-Ir T1 Gilt— — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service ADO'L 100 AMP 2.50 //EA. NEW CONST. OR ADDNS. l DACC.WELL LIN V &) 21/20Sq ft OO CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20s0e and Professions Code and m license is in full force and effect. y License No. Classification 25 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 ULTI-OUTLET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o Ts OR FIXTURES eBAL@300 FIXED PR Ex. Occup. our ETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 14 A I D0 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. ❑ 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. 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. Heating Cooling t Hood 3.00 Ventilation d_0 ,D 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 agounty in sequence of the granting of this permit.- X Date I� 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 $ occuP. GROUP 3 I TYPE (INST. TY'7-' PARCES (r// PD HD 5su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for' which 0 DIRECT R F PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid.. WORKS Date 2`2?r 8 7— 7- p Receipt No. O o`��S'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT This set of plans kc 2t on t'3e job at m `:e any changes out wr6t�'-_n permiss Public Works, Coun 'A -setback of 5 ft. from the property lies and a setback of 50ft. from the road centerline shall be clear of structures or equipment cxcep 'fora 2 ft. eave overhang. Work,ar5ship Shall Be 'I I Y� �cci$ications MUST be �ecc �nize,� Good Practices andt 0Accor l���� �^� s and it is unlawful -to o� a -uz Nty C -cry"�: for t';ac Specified use in t'ne r4'rion5 on same with- �9riform Su;ld;; n_, PI'. mr :ng & Mechanical Lodes m the Department of anze d t'National Electrical Code. uttq" .tv,4 ' 13 ✓ f + �' ./e� t .._�. �•< _ .. 1 / v, ` fir' 1 @` =,� .} �^1 ( !y t� 2 r �. 4.3 0 V f "•tea ro f� C� ,�'� 5k--0 Lit a,�,g1Ja„ 1 10®Y J JO !•S V/ .1 N4 INA w Provide adequate clearance & protection and a Type Flu©. C. K ., a G z , dp jo: I OUN-1 Y till I lkf�:RTNBEG�I�' LJ : e c� W, LU -A Z Q OO Eu- WD -,n _t CY LU �. W cl • 4 X. a z _ J � pZZku sell I _ •' 7r( A -S W, r 6 � P LU -A Z Q OO Eu- WD -,n _t CY LU �. W cl • 4 X. a z _ r 6 � P LU -A Z Q OO Eu- WD _t CY LU �. W cl • 4 X. a z _ r 6 � P F- -A > Q O u _t <Q Q �Ll LU �. W cl Q O Q a z _ /UL V6 4 U PE? MAMu� 1 / sj /GTo1/5 . G/ST�A� . !. J`rCi �i CZ7J j 1rJ �' ty. I Pwvide adequate clearance - 1rdfktion and a Type -A Flue, 14 r �• � ri.:�.i�,.�i_�f�.�1:�rR-a_ �1Y:.C:_l�:l-.::i� 1_. 1 , p �/• j( .. BUTTE COUNTY t.. BUILDING DEPARTMENT . A P P R 0 V F -D ' Nee v " 40 -A"O- ov, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD .Deputy Director March 2,,' A88g . RO�ii3u$ $ RE:� Building Permit at 1� .x 315 A.P. #41,.52.-g5 Oro}vi.ttbr • 8590 With reference -to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for,the work you.are doing.as,follows: COAVOV the lnt4.4 fAMII)lP>r m 1,411 a V004 save a.0: your, ! Ia n' 144at ' *ff Gut 0 OrOV111,00 Since permits and.inspections are required. by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply,for the required permits, and pay the appropriate fees: Ona aed m It A All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. " Your cooperation in resolving this matter would certainly be appreciated. Should .' you,have any questions concerning this matter, please contact this office. Yours very truly, 9 JFG:dd Clay Castleberry Director of Public Works Original signed by J. F. Glarsder J.F. Glander Chief Building Inspector 4 cc: Building Inspector "`'w' �b W -NA,- c-� . 3 - / I - �r� Wt -"d' S -lb v V, . 1% MES W,!; E TO 4 M &&t* OF MESSAGE By TIME JPH3 T elephoned Please Coll Was In Returned Coll Will Call Again Wants to See You Information Note and Reply Comment U Re-route Ll Signature Investigate U Return 0 Approva I I i Contact Me U File Lj Forwarded Per Request MESSAGE By BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS f . SPECIAL INSPECTION REPORT Owner: 5. Hot and cold water to fixtures: .-6. • Heating' facilities: 7.' Natural light and. ventilation: 8. Room and space requirements: 9.. Bedroom window or door for second exit: i 10. Infestation of insects, vermin, or rodents: I U.''Connection-to-sewage disposal: I 12. Connection to wate;r'.supply: I 13. Rubbish and garbage facilities: I 14. . Comments ' I i B. Structural 1. Piers and footings: 2.. 'Floor construction: L Wall construction: .4. Ceiling and:robf construction: 5. Fireplaces:! 6. . Comments' C. Electrical. l.. Service and groundf 2. Receptac.' es: ' 3. Fusing: 4. Comments: Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & PcI. Maps Perm its D. Plumb Ing 1. Fiktures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments: E. Other i. 1. Maintenance and repair: 2. Fire hazards: ."s. Safety hazards:— " 4 Weather protection: 5. Underfloor and attic ventilation: 6: Comrsents • . F. Ccmm►ercial Buildings 1. Roof covering: 2: Disrarce to property lines: 3. Physically handicapped: 4. Rest -room floors and walls: 5. Exits: 6:_ Improvements: 7. Zoning:_ _ 8. Comment -i: G. Field Probl.ris or Viclations 1. Pr lcm o liolatior.� (give completed ,; on) 0 : ?. W .at ctio:i taken (0-e comp' to descr -3. What action re • ended: 7 -7k.' -Information only - fil•:!. B. Hold for ten (10) days, then wri-e letter. !3- Write letter. D. Other: COUNTY OF BQTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center*Dri;�e — Oroville,'California95965 Tele, hone:'W4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent 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 OF PUBLIC WORKS By Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address - Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation' FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ ' '� — $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (J, Main service incl. 1 meter 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 2 -- Light fixturesb 10 Receps., switches & fix;butlets - 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 $ ,) - `� $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 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. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent 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 OF PUBLIC WORKS By Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date V COUNTY OF .BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965• / OC Tel ephone=534454,1 / APPLICATION AND PERMIT v authorize representatives of the County of Butte to enter upon the above-ment', ned property for inspection purposes. ' X ate C Signature of Permitee or Agent Receipt No. /3 2-� A r 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. I EC OR OF PUBLIC WORKS (� tRV_() `/Date �0 0 � 13rn �LeC%• ermit expires Date / O /P / %( BUILDING Owner m �'YL SQ. FT. OCC. BUILDING.:VALIIATION Mailing Address )2 f 0 X r 3 US - Telephone No. -3 3 -a3 7G. Firdplace Contractor Ow/v&j2 Total Valuation Mai I Ing Address Permit Fee ' Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address en, PLUMBING No, @ FEE PERMIT FILING FEE $3.00 12tr/1-E e cl jo ( C9 Le t4 Each Trap 1.50 O' - f2UV i C ,sr0oz /�®w,v Repair drainage or vent piping 1.50 Water piping 1.50 �—• S p G Each gas water heater or vent 1.50 A. P. No. �- Z-t�Q . Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SarT1raTrori• Fire Uept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 5409--P+vrn-Ree'd Parcel Approval Plans Approval Permit Fee $ — $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER g'J ELECTRICAL No. @ FEE PERMIT FILING FEE ' $3.00 ' n t L 6-3% ,e C. (k)(: L L, to w Main service incl. 1 meter tie I n 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 fixtures b 02 T Receps., swi hes & fix utlets a'L 10 1 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 IV. — 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 $ 1$ WORKMEN'S COMPENSATION INSURANCE 1 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. 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 s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00, Heating Cooling Ventilation #2.00 Hood Permit Fee $ $ 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 TOTAL PERMIT FEE, $ 7g authorize representatives of the County of Butte to enter upon the above-ment', ned property for inspection purposes. ' X ate C Signature of Permitee or Agent Receipt No. /3 2-� A r 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. I EC OR OF PUBLIC WORKS (� tRV_() `/Date �0 0 � 13rn �LeC%• ermit expires Date / O /P / %( _�•r•,,�,�wrv�+..�•v+tc7'ilffitsli-'S(+["�SiMk.P�w•'S(��.'s.4i�e+►-�sP�'Sriw Yy�•orcq.�,y�taFSA+,'w.�•••rw!aeS.n�..RaO�•"-�1►!W+r-'�'�;.�aa�va� rrhµ�{,.� [7 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. w 7 County Cenjer Drive - Oroville, California 95965 - Telephone,916/534-4541 • - APPLICATION AND PERMIT ASSESSORPARCEL NUMBER L f _ _ ZONING BUILDING PERMIT OWNER E'' JA+ F' L rN o Y TELEPHONE .5Q. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS l+`r I r ( 1 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 00 UNKNOWN Total Valuation Is Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ rs , ARCHITECT OR ENGINEER �SS LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .00 BUILDIN ADDR �( r' ��_.. r PLUMBING PERMIT Filing Fee 10.00 4 4� 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 ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ UtiIities ❑ Installation❑ Other 0- Describe work: )t ii •1 , r '__ -? r r, Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51 OR AODNS. ACC. BLDGS. 20sgft 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRTI-OUTLET 2.50 ea NO N.R ESI D BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS 6� NON.RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a @� 00 IXED 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 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall 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 against said County in consequence of the granting of this permit. \, 1 X �� �- `� >'- - }) Date `- Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ CJoo OCCuP. GROUP I TYPE OF CONST. PARCEL PD HD 550E 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. (D1fiEC R OF PUBLIC WORKS By �^� Daate � �� PERMIT EXPIRES bate „yr -...f + ". Receipt No. �in WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r, ' C45 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 Jf r �� tiy. "n -6.' 1 .Q JJ lf�-.1 BUILDING OR PROPERTY 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. ✓ � 7•� r � I / �I ( 1 i� l 11 It'd � -f,� iA / /.� %�\ Inspector / ! 1 •• � �� 1 Date j �.�zCOUNTY OF BUTTE - DEPARTMEWT OF PUBLIC WOR PERMIT NO. 7 County Center Drive - Oroville, Caliturnia 95965 - Telephone 916/5 4-4541 APPLICATI AND PERMIT ASSESS R PARCEL NUMBERit ..— ZONING BUILDING PERMIT O E TELEPHONE SQ. FT. OCC. BUILDING VALUATION O ER'S AILING ADDRESS 1 CON RACTOR'S 14-AME7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ` CONSTRUCTION LENDER UNKNOWN Total Valuation $1104071) Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 6 , BUIL N ADDR 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 [E Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ I stallation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.61� OR ADDNS. ACC. BLDGS. 2Q SClft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F-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 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 WCO CIRCUITS)CONSTR (MULTI -OUTLET 2,50 ea CONSTR \ POWER APPARATUS 61 NEW .RESID. SINGLE OUTLET CIR, / NON Ex. Occup OUTLETS OR FIXTURES BALM Ex. Occup. �00 IXED APPLNS. OR OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing 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. 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. 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 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 agp4a.%Lsal ounty in qaftseque ce of the granting of this permit. X Date le I � �2.D Signature of Applicant — Owner*X Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE -61Butte OCCu P. GROUP I TYPE OF CONST. PARCEL PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C OR OF PUBLIC By ` PERMIT EXPIRES bate�L the applicable provi- resolutions to do fees have been paid. WORKS ^^ Date ��� Receipt No. �7l / I WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT „..-. - . _.,,�,,.,t-i,�”V'truxy'+-,s�ry+..�rlr!rt;+....,,�_s.x .car+ .mar.. , f.,.— .r.�it�..h-.:rc. .r-�.�ry w--. �.. ,,,.,�.,"CwY"Iif^.v"�-i.;.��,�..^^�S :.i j.r'�-��Lr. {•-.. .. _ `•"` ` Petmit#3722-87B " Robert Bremer 2556 Oregon Gulch Rd, Oro _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.�j�' ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �APPLICAVON'AND PERMIT ASSESSOR PARCEL NPMPER �, 'y ZONING •` BUILDING. PERMIT OWNER r ,'.:, II" i TELEPHONE _> SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS-"— CONTR-ACTOR'S NAME /- "� �`t-- -' +� Y- It- U,"kl le , f / l TELEPHONE -.., CONTRACTOR'S MAI LIN �°'DDRESS C)rn ./ 'Hee. 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 `/ J Permit fee $ 7 SO PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SU BDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I 'S G W 0.00ea TYPE OF WORK Newn' Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: /! I r1 '/..%,<. 1, l 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 (check one): ' ❑ 1 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 isnot 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.SI , OR ADDNS. ACC. BLDGS. hOsq ft NEW CONSTR. TI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. z0050s OR FIXTURES eALO 30 EX. OCCUP. FIXE A LNS Ex. OCCUp. OUTLETS P(RESID )REA.� 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. IE:] 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 fdrthwith comply with such provisions or this permit shal l be deemed revoked. ' i MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County. Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot% Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting,of this,permitt. / /� X -' *'� - - "Date If /t // Signature of Applicant — Owner ❑ •r ❑ ❑ Contractor Agenr 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 $ , ' Z Occup. CONST.TYP! JSCN00LJFL000J_FZ;7 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR,OF PUBLIC By " /,t- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date ,a -2 I- Receipt No. WNITE-DJ.W., YELLOW-ABBEBSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS R 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541V-P/O APPLICATION AND PERMIT ASSESSOR P (. jL ER �J ZONING 15- BUILDING PERMIT OWNER TELE HONE 7 SQ. FT. occ.1 BUILDING VALUATION OWNER' MAILING ADOWS S CON CTOR' NAME ••, TELEPHONE ` ` LfiG� CONTRAC 'SAILIN DDRESS � � L I0 L� Fireplace CONSTRUCTION LENDER Uk"KNOWN 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 7 40 PLUMBING PERMIT Filing Fee 10.00 Aro Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W4110-00ea TYPE OF WORK - New ❑ Addition ❑ Remodel[:] Utllities❑ Installation❑ Other ❑ Describe work: P919(���N PMJ� i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SDDV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one):CO ' neSS ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBuSIeffect. ,ro�7 and Professions Code and my license is in full force and License No. Classification 6I, 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) 11,as the owner, am exclusively contracting with licensed contract- rs. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N) OR ADDNS. ( ACG. BLDGS. / /20sgft NEW RESIC. NC. CIRCUITS) 2,50 ea NON-RESID .BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET cIR. ) EO�20050t Ex. OR FIXTURES eAL03o FIXED APLNS. Ex. OCCUp. OUTLETSP(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 F 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 agai 'd ou7i csequ o of the granting of this permit X ate / 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 $47—SID Occup. CONST.TTPZJ ISCHOOLIFLOODIPARCELI PD r_7FJ_;7= This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS c Date /' "a a. Receipt No.la WHITE-O.P.W., YELLOW-ASeiSSOR. PIN[-INSP[ TOR, GOLDENROD -APPLICANT 4 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). 2. I (�have have not) �,,, M� signed an application for a building permit fore proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name IN L Address City Phone Contractors License No. 4. I plan to provide portions of this work, bbt I have hired the following person to codinate, supervise, and provide the major work: Name AddreAN 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: Named Address Phone Type of Work Signed: Property Owner RW_ Social Security Number Date P G /N o \ 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.