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058-500-012
E:H: BROWN .500' off W/S Nelson Bar Rd, app: 7/10 mi. W of Concow Rd. -Permit'#4239-76E,('temp ser pole f fut. const. SIF 58-.19-1 %000 _ contr _Triple "S"{Custam Homes, Para Permit"4k6804=T6B;P`E.,1�(new single fam.) _Mary F Ellen_ Brown ; n/s _Nelson Bar Rd. app. 2 mi:east of �" J Concow. Rd. _Permit" 66-71B ( dditio 058-500-012 - 00-2783 CONN, LLOYD 3224 BUZZARDS ROOST RD., ORO CONTR; ARTIC AIRE HVAC, M15C WIRING,c1 jh w// -/r O 058-500-012 00-2813 CONN, LLOYD . 3224 BUZZARD'S ROOST RD OROVILL CONTR: ARCTIC AIRE GAS LINE F/iU#L // -Z4 ',00 058-500-012 03-2752 CONN, LLOYD 3224 BUZZARDS ROOST RDI WREW - REMOVE DECK/ADD STUly �� b ENVIRONMENTAL HEALTH CLEARARANCE DATE o3 El'ilimilAo'l NOTES RESIDENTIAL t, 058-500-012 PERMIT NO. --CONN, LLOYD 03,2752_..• 3224 BUZZARDS ROOST RD, OROVILLE REMOVE DECK/ADD STUDY .eftt 1 ' rl t rFhf, l; I .S I x, SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER sR r JOB FINALED (Date) Signature . , /. rte CHECKED BY J=OK 0 = Not OK . = NotReadyab1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch - 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3.. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6.. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals. 11. Verify #'s with Office Date 'Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date 8. Utility Clearance. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Elec.; Pool Lighting; 15 Volfs-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. 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3.. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6.. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals. 11. Verify #'s with Office Date 'Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volfs-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNP .ERFLOOR (Plans) OK except #'s Zo ' -Setbacks-Easements-Flood-Slope 12 g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baff 18. Water Pipe; Test & Anchor -Nail Pro n 19. D.W.V.; Test Fittings & Anc ail Protection 20. Shower Pan; Test, loor-Tub Access 21. Test Tub & wer, Second Floor -Tub Access 22. Gas e; Sixe &Anchors 2 ire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date - ELECTRICAL (Permit) OK except #'s 24. F' re & Transformer Clearance -Ins. Protection Par -El eceptacles Spacing -Lights & Switches at Doors . Sip -Boxes & No. of Conductors Stapled Ro ex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water _2&.--2-A'ppIiance Circuits in Kitchen & Conductor Size GFI u feed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. E ui . Clearances Panels-Motors-Mech. Equip. 34. gleffies Closet Light -Shower Light -Spa Light Ag'Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s P6. _AG-'6ucts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Permit) OK except #'s 4 . Sills Proper Materials & Anchors 4 ails Studs -Nailing Spacing & Braces -Plates -Sound earing Walls over Girders & Floor Nailing 404. Draft Stop in Walls (rat proof) 45. F tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA G (Continued) Hangers -Post Caps -Anchors -Connectors ��8!G9ir g. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. replace Ties or Type A Flue -Fireplace Throat Clearance - Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles or Exiting Doors -Sill Ht. & Dimensions 32-Garacie Fire Protection Framina-RC Channel -%A_-efcE Doors -One 3' -Check Garage 3rd Story, 2 Exits . Stam Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. Siding-Nailina Veneer 58-- AUCM lWe'sh--DrhrSereed-Fd. Vents-Underflr. Access Area -Glass Infiltration -Walls -Windows Card B-1 Date Card B-1 Date 7-*/-`� Card B-1 Date Card B-1 Date FINAL Fans) OK except #'s 64, -Door & Sidelight Protection -Landings moke Detector urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection X63 Bedf6bm Exiting & Bath Fixtures & Tub Access -Spa (69-'Elec. Trim & Subpanel, Breaker Sizes & Labels _& Rails Lie'rireplace or Stove, Clearance -Hearth _72-Etec:. Outlets at Wood Panel, Int. & Ext. txt & Appliance; Ground -Air -Gap -Cooking Clearance -74-fler-Cutlets & Receptacles at Kit. Counter rage Fire Door; Swing -Landing -Closure in Garage -Damper -7J VVR'Rfi';'Gents-Clearance-Comb. Air Connector-P.R.V. it rage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location e eceptacles in Garage (F.F.I.)-Romex Protection ns lation-Foam-Looked in Attic u d Rails & Deck Construction -Post Caps 92"-Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No -84-Gtuceo Brown -Finish mit Disconnect, Electrical -Plumbing. -86ove Roof, Plbg-Appliance-Fireplace-Clearance to Openings B�Wa e eI , Disconnect, Electrical, Plumbing xter'or-Elec. Trim, G.F.I. Receptacle -Underground en Jori Throughout House las rotection orrections from Previous Inspections Wit -Meters Tagged, Gas -Electric r 8 Sewer Connected -C/O to Grade -HD Approval En�Compliance Certificate -Other Certificates Address Posted �96r-Eire-Spri ri kl'e� DatCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: In f Insulation Certificate BUILDING OWNER: BUILDING DATION: A0 u a ml's' Q5� �D6—ni_ Description of Installation CRIJ Ile, :03- ,=)7S:� ROOF Material 'r2 a Sti 0,A a w -t ��^n i � � Brand Name Lo V av` ON C�_ < < � Thickness (inches) _ '�/�'' Thermal Resistance (R -Value) tM\6kATX-%. CEILING Baia or Blanket Type Q� r^ rt- ( F:1n ZA �t�.ss� Brand Name cf1.vxr 1 VI-li Thickness ('inches) 1';- • Loose FLU Type -4 Thermal Resistance.(R-value) -3 8 Contractor's minimum installed weight/ft— lb Brand Name Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXT_ ERIOR ViIALL Material �', b x,� G i.t s ' l`�'� ��_ 60,1K3 Brand Name Thickness (inches) Thermal Resistance (R -Value) - l RAISED FLOOR Material �b�C �.SS Pc�.CaOS�lwarZoi ��' i3 Thickness (inches) Brand Name �,��.�s rn.�.,, t Thermal Resistance (R -Value) P,- l Ci SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name "M.ermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. L l o'1 o w -v e", koA �a� J- Q� General Contractor (Builder) License Number `7,o O c{ Signuure and Tide Data Sub -Contractor (Insulation Installer) Signuure and Title License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR To FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. � JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/9,15) APPLICATION AND PERMIT PJ_-21� ASSESSOR PARCEL NUMBER 058=500-012 ZONING - BUILDING PERMIT OW��NEE7R0��57�8 X00 LLII i D AND MACHEI. CONN 511-3940 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX '6 280 R 15120.00 CONTRACTOR'S NAME owm TELEPHONE o 392.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1500.00 Total Valuation $17012. 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING AD ESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE t 340. LAT NO. SUBDIVISIONS NAME PARCEL AP PLUMBING PERMIT Filing Fee 20.00 USEOFSTIR RE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 ❑ or ❑ Describe Work: REMOVE 16 X10 DECK ADD STUD J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 _ i1e Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Ch ter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C e, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION Law for the following reason: 1 hereby affirm under penalty of perjury that I am exempt from the Contractors LicenseKMOHome 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 in Service 200A TO 1000A Main 46.00 CONST. DWELLING OCCUP. o DNS. ( SO ¢x: N.REOSID. MULTI -OUTLET BRANCH CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 1'00 SAL O .50 o xiJ.I D Ra . 0. 5.00 Service 23.00 Facilities 20.00 23.00 PERMIT FEE $ 2 O 9.80 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 MECHA CAL PERMIT Fling Fee 1 20.00 Heating EftND DUCTS Cooling Hood 6.50 Ventilation PEROIT FEE S 35.00 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, I shall forthwith comply with se provisions. X y\O Date aI32�od 3 Signature of Tkpplicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ova 5' ' eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE r3 VN TOTAL F $ 369.80 This permit is hereby issued under the of the Butte County Code and/or Resolutions indicat d jtbove for which fees have PERMIT EXPIRWO applicable provisions to do work been pai`. /ate9qZ1_3 to Receipt No. WHITE-D.D.S.-B.D. CA ARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT t. ).? �• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: , n ASSESSOR PARCEL NUMBER . to � Proposed Building Use: &Jc�i+" 1 by Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST -,,,,be checked OR mai d:NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped _and ,signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ' Energy complia cce design and supporting documentation in duplicate. e�" , ❑ 6� Manufactured hotthes: (A) Data sheets and installation instructions, (B) Marriage line in odo , (C) Floor Plan, (D) Tie down or foundation plans, allln duplicate. ❑ T. Metal buildings: (A) M til Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicaib\.All of these must be stamped,and wet -signed by the engineer. Items required for initial plan revie Ifchecked items h e not been received, plan review cannot proceed. The permit will be indexed and returned to the plan revie line-up when re red items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet-sta\frot.he , u*4c plicate ................................ ❑ 9. Plot plan and business license approy of Big9�.... X .......................... ❑ 1lk-"Letter of intent for non-residential b _'7.............................................. ❑ 11. Detached Accessory Building Forme owner..... ..... .... ❑ 12. Hazardous Material Form................................� ......................................... r ❑ 13. Other Remaining items needed to issue the permit. (May require 1. 6an review upon receipt of the following ite s.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet.............—� .................... 0 1,5 Statement of Intent for Non -heated and A/C Buildings ..................... .//l . .�.. 3 6. Sanitati and plot plan approval from the Environmental Health De artm�nt inJJ — -� 17. C' f Chico Plumbing permit .................................................... ....... p California Department of Forestry plan approval ❑paid. Sent by:.�lp 19. Planning approval for (A) Use: 0_(B)Parking: (C) Parce Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. jEncroachment Permit for driveway from the Public Works Dept. (construction \proval...prior to occupancy). ❑ 22. Pre -Inspection for required .... ❑ 23. Contractor's license information. (Number, Name Style, Classification)..........•❑r24. Worker's Compensation Carrier and Policy Number.................................5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ............. ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30..0 Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to ❑ 31. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ':QO 4 �� Date: I3I Z•O O 3 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required \ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:. • . Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by "`7—'Date: Plans reviewed by: Date: Plans approved by:Date:AZZ Structural reviewed by: Date: Structural approved, by: Date: Note transfer by: Date: Yellow: Building Division � ,.—l'......"i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ^� `s i o3-Z7SZ E.H. USE ONLY Piot Plan Attached Floor Mai Anschad7s ` Sam to G.D. !� 0t, U n) ?:, 4) 1-i2,1AI 41s ��� _ S� —S1� —/ `?— Owner Location AP# Plan Approved for: Sewage Disposes_ Water Supply: . Public,_ . Private WeIN_ Clearance for dwelling. Other W bt n! i T i j n— �TIm V--) — Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 /) SCHEDULE OF RECEIPT OF FEES �l �( ) OWNER (�' /�' A.P. #u PROPROSED BUILDING USE DATE / V RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........:.. $ -- Revised Plan Checking Fee.... $ 2 SCHOOL DISTRICT FEEO_&_l 1 aid at School District Office) (form available aft 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES Residential (per unit)..... X $0.03 = $ Sq.Ftg. (paid at Building Division) X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES Ai3(paid at Building Division) FIRE INSPECTION AND PLAN CHECK FEE (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ........ 10. OTHER At time of permit applicati96, I was a may be changed duringXe plan checl APPLICANT X =$ Sq. Ftg. Amt. A the above fees are required to be paid prior to issuance of the permit. These fees process. DATE_a Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) +r' a� f .. :K. �. . �. ,.•y. l* �.. � .. .-s .... .. we .� ..� _mss`.. 'n Ma3t.:.'';!'Yl>'�Y...�..`^,�"�++r.t-..r .. .,. �. •. ._ i .. ., ' P0 -000 BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ' .(One form pe ullding). , ` I) t School District Y Building Department No. A.P. Number - Q. ,L jbG �Jurisdiction: City County Property Owner Property Location/Address &VwV Subdivision • Lot No. Residential Development ......................�.T`......1...,............................................................................. I /V I Sq. Footage No'of Living Mobile HomeQAddit •Supplemental to �on (Group R) Units Installation Permit # *(No foundation inspection): Commercial/Industrial 1 7 New 0 Addition (Floor Plans District District Identification No. / I -/� _ / i A tY7. school District certifies that (Street Address) (City) has complied:with the requirreemJeents.of Resolution No. representing Q? Q v square feet. School District Representative Paid by Check # A 1l k Remarks: Sq. Footage (Including Exterior - � -0 Date Areas) 9 Date (Applicant) (7 yy (Phone Number) � �K1406 (State) Q' (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ 3 - 69•OR.b3 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis(t0/98)dmm O.B.- I OWNER-BUII..DER 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. (f personally plan to provide the major labor and materials for construction of the proposed Qproperty improvement: YES 7K NO 0 I HAVE 0 HAVE NOT ❑ signed an application for a building permit for the proposed work, `Q I have contracted with the following person (firm) to provide the proposed construction: r a w err CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: Lam- CITY: PH NE: CONTRACTOR'S LICENSE NO. 5. I will rovide some of the work but I have contracted (hired) the following persons to provide the rk indicated: AME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOQVNWKa �- DATE: NOTE: This Owner -Builder Verlcation is required by Section 19831 and 19832 of the California Sealth and Safety Code, This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUIELDER 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 time city or county. They are also required by law to put their license number on all permits for which they app$'• 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 T300 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, woricers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific inf nination about your obligations under Federal Law, contact the Internal Reverme 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 contactor 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 brat 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, C.A. 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. V Mc B.O. er, Building Inspection NOTE: Mir Owner -Builder Information is required by Secdon 19830 of the Cakforida Health mrd Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVEL EN CES - BUILDING DIVISION 7 County Center Drive • Cirovilllle, CCaliforni 5 one (530) 538-754 , a PER 1 0• (Rev. 12/96) AP P LI CA 1' ® F ASSESSORPARCEL20�_ BUILDING PERMIT OWNER T" SO. FT. O C. UILDING VALUATION UCL 15? COY - 0 $ G ADD R SS ` e6 G /V\ IVl TELEPHONE CONTRALTO S NAME U CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ v ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � Energy Plan Checking Fee. $ $ � / � Y / Q PERMIT FEE $ --� LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 S � $_,9 7.00 Eac USEOFSTAUCTURE Solar or hea m water heater 23.00 SFDuplex ❑ Mobilehome ❑ Other Water piping 15.00 X - -SPECIFY Each as water heater o nt 15.00 TYPE OF WORK15.00 Gas fin stem 1 - 5 outlets New ❑ Addition ❑ Remodq ^Utilities ❑ _Insttallllati)on%�n r"her ❑ Building sewer 15.00 LXN� 7l v �J�C, Mobile Home S G W1 -1 0.00 De$cribe Work: , / - Q 0�w �-{� (� PERMIT FEE $ 1 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo A OR LESS 23.00 P .0 L 0 aq g] ; I S D-0 —rib q Main Service 200A To 1000A 46.00 r` �� , �� L NEW CONST. DWELLING OCCUP. 3.50Fr. 1� OR ADDNS. ( .W. BIDS. FT• °ERMIT FEE PAID $ �( NONRESID• MULTI•CLITLET @750 POWER APPARATUS b SINGLE OUfIEf CIR _• � A @ I.50 EX. OCCU OUTLET OR FDCTURES BAL @ .50 APPEx. Occup. ouT>tis I. I EA. 5.00 SRA_ $ - Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 SHERIFF $ PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 OTHER $ Heating .(1D Cooling Hood . 6.50 $ Ventilation PERMIT FEt $ Mobile Home Installation Fee. $ $ I E ergy Inspection ee $ CONST. P TOTAL FEE $ �/ , X HAZ. D. FEES FLOOD CDF d P M UE AMOUNT RECEIVED $ ~ — This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work DATERECEIVED. indicated above for which fees have been paid. By Date RECEIPT # PERMIT EXPIRES ON 1 - — Dale COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION JP 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/9�)APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 058=500-012 ZONING OR -, BUILDING PERMIT OWNER LUM AND MAGELL OONN 931-1940 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 4124 11 17 T F cA qgqs;s;Qn n„ CONTRACTORSNAME TELEPHONE Q • CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1500.00 Total Valuation $ 17012 ()() ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ R(1 M. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ Ir BUILDING ADDRESS 3224 BUZZARDS ASMST ROAD R F Energy -Plan Checking Fees $ ?4 - . $ PERMIT- FEE $ 340.M LOT NO. .. j SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 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 ❑ _ Describe Work: REWVE 16 X10 DECK ADD SW= Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMITFiling Fee 20.00 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, ( 9 ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J 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. OWELUNG oCCUP. OR ADDNS. ( a Acc. BLDS. s0 3.50FT. R0 NEW CONST. MULT NDN•RESID. @.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET oRFaTUREs 20 @'O0 BAL Q .50 Ex. Occup. oFur EDs AESID 1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $29.80 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 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.) `El' 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 forthwith comply with .ose provisions. X ��Ot\-, `t` _ ti Date �' / Z� V 3 Signature of Applicant - 'M Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'Wdeep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating FJt`j'E',N[) DUM 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ -S • Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE r.3 co Ii TOTAL FEE $ 359.60 "Az . D. F This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By ( - � ON vl PERMIT EXPIRES applicable provisions to do work been paid. Date )h U ` � , / to Receipt � P ' � `C 1 b U WHITE-D.D.S.-B.D.—'—CANARY-ASSESSOR-if PINK -INSPECTOR GOLDENROD -APPLICANT ,�.. „ .. „; .. .. .....,. �v �,,.yr.:�-.'�vroa:r...�.xgc�g�r...�—ra.... .. ....,, , s..—.0�--r.-.T� .. _ �. .. ...�r�w- :::t....�w� ...:..-,•......-.-,fir-^.. ,.,—.-..'.... ,. 058-500-012 00-2783 ra CONN, LLOYD �. .'* 3224 BUZZARDS ROOST RD., ORO ii CONTR: ARTIC AIRE , c HVAC, MISC WIRING f • 41 . 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 , PERMI�NO, (Rev. 12/96) APPLICATION AND PERMIT'' ASSE$$9RPARrEI NUMB{{��pp�� ZONING BUILDING PERMIT OWNER. • „ TALWHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME COff WTPRS MA1WN9-ADDRPF CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUp,D)NQ TREss_-, . _. _.. _,,o ^ ,ra-r,..... . J Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISIOWS 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: r .S�o ' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA 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�0) of Division 3 of the Business and Professions Code, and my license is in Bull fpr gra �drt. .rIr' - License Class t- No. rf � I 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 WORKERS' COMPENSATION DECLARATION I 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 N700 of the Labor Code, for the performance of work for which this permit Is issued. My workers' compensation insurance carrier andpolicy number are: Carrier 1U? r • Com. Policy Number1—Doe, A - '. (The above sections need of 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 with those provisions. .' ��� X �- �- ��'- : f 'Date / � � • � (J'- -�--- Signature of Applicant - ❑ OGvner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones In height. Main Service WEA TO 1000A 46.00 NEW CONST. DWELLING Occup. 3.52Fr:s° OR ADDNS. a ACC. BLAS. NEW MULTI -OUTLET NGN.RESID. 97.50 .MOPUTL�ErT ICR. ET(, OCCU OUTLET OR FD(TURES eA ® 1.00WNEILDER Ex. Occup. ops Ao .OR") 5.00 Temporary Service 23,00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating= •+i + - Coolingr: •<> - Hood 6.50 Ventilation r,., PERMIT FEk Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE HAz. D FEES IMP FLOOD CDF PARCEL PD Ho ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY.- (ILI/ % . �. :, ,� PERMIT EXPIRES ON (�,�//1 the applicable provisions Resolutions to do work been paid. Date 01 �J/0 a rReceiptN.. 1-777-7777, ''' �✓ rj �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P RMIT NO. (Rev.12/96)R APPLICATION AND PERMIT ASdg PTOOM 012 ZONING BUILDING PERMIT _ 'T OYD CONN T533-3940 ELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 3224 BUZZARDS ROOST RD. OROVILLE CA 95965 C ARTIC AIR TM -N3330 DUs11�IaQflDORtiVE. , CHICO, CA 95973 j� CONSTRUCTION LrEN[DjEjA( Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUI INQ ADDRESS 3224 BUZZARDS ROOST RD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 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: THEATING, COOLING & MISC. WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR ss S 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 7 0) of Division 3 of the Business and Professions Code, and my license is 'n a d act. �� .a License Class IC. No. —J " WNER- ILDER DECLARATION I hereby affirm under pena of pFIXED erjury 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 OCCUP. OR ADDNS. ( a Acc. BLDS. s0 3.5QFT. T. NON-ROE,RIIDD. MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 a �';� A OR Ex. Occup. Qi PM 5.00 Temporary Service 23.00 -. Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.0( PERMIT FEE $ 43.00 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. I have and will maintain workers' compensation Insurance, as required by Section 700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranceier d policy number are: Carrier l� c rG— S, ca, Policy Number — — (The above sections need of 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 11th thos rovisions. X �- _ ate Signature of Applicant- ❑ ner ❑ Contractor ❑ Ageht' An OSHA permit is require or excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 1 -20.0( Cooling 20.0 Hood 6.50 Ventilation PERMIT FEt $ 60.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $103. 00 HAz. D. FEES IMP FLOOD Cof PARCEL PO HD ssUE This permit is hereby issued under of the Butte County Code and/or indicatard above for which fees have By I" �'C PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date e FReceiptNo.. ITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P.Ol COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P56. I,Rev.12/96) ASSa.DR.ARoriNUM.ER APPLICATION AND PERMIT :oMrro BUILDING PERMIT OWNER TcN.q7 / l S0. FT. OCC. BUILDING VALUATION CONSTRUCTION LENDER LENDER'S MNlNNO AoOAESs ARCHITECT OR ENOINEOI ARCHITECT OR ENOwEEgs MAANNO ADORESs S IDT NO. I su/DNsIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Repriodel c❑ Utilities ❑ inste Describe Work: _ S RECEIPT # QO 0 SRA SHERRIF $ TOTAL (�_, ITFEE IS 20.00 -lung "91 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 cccv ANVMI. rcnML 1 I LICENSE NO. Total Valustlon Is Filina Fee S Permit Fee : Plan Checking Fee S Energy Plan Checking Fee i S a0sv OR Less SNA oA LEss PARCEL MAP PERMIT FEE S PLUMBING PERMIT Each Tr • acm TO 1000A Solar or heat pump water heater Water piping Each gas water heater or vent SPEerr ❑,, Othsr.o Gas I In system 1 - 5 outlets Building Bawer Mobile Homs SIG W RECEIPT # QO 0 SRA SHERRIF $ TOTAL (�_, ITFEE IS 20.00 -lung "91 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 cccv ANVMI. rcnML 1 I Facilities PERMIT FEE I S Lj '-5 - b T� MECHANICAL PERMIT Fling Fee 20.00 Heatin Cci in o Hood 6.50 PERMIT FES 1 ! U vO Moblle Home Instaktlon Fee i Energy Inspection Fee S D" TOTAL FEE S/ O o� M_. O. FEES COP FLOOD COP HD asuE This permit Is hereby Issued under the appikable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. 110 By Date Receip PERMIT EXPIRES ON WNITE•O.D..D.s.•a.0. CANARY -A& PINK•INIPECTOR OOLDENROO-APPLICANT Filing Fee 20.00 Main Service a0sv OR Less SNA oA LEss 23.00 Main SeMce acm TO 1000A 46.00 NEW CONST. OR b�•SDsPEW OWOCCUP. 3.5¢SC NO"ESW. COWT.. MULTI.OUTLET @7.50 POWER APPARATUS SNOLE O CA Ex. Occup. OUTLET OR POCTURES ao o I. SAL b Ex. Occup. ESIp EA Ops 5.00 Temporary Service Y3.00 Facilities PERMIT FEE I S Lj '-5 - b T� MECHANICAL PERMIT Fling Fee 20.00 Heatin Cci in o Hood 6.50 PERMIT FES 1 ! U vO Moblle Home Instaktlon Fee i Energy Inspection Fee S D" TOTAL FEE S/ O o� M_. O. FEES COP FLOOD COP HD asuE This permit Is hereby Issued under the appikable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. 110 By Date Receip PERMIT EXPIRES ON WNITE•O.D..D.s.•a.0. CANARY -A& PINK•INIPECTOR OOLDENROO-APPLICANT Contractor's License # 234913 A RTic AiRE HEATING • AIR CONDITIONING • REFRIGERATION RESIDENTIAL • COMMERCIAL • INDUSTRIAL SERVING THE NORTH VALLEY SINCE 1960 )1,14-00 C> udAory-N i -l- ma�,-j corcerY-, � 2838 HIGHWAY 32 11 G I n ce-rCl V) • CHICO, CALIFORNIA 95926 0 (916) 895-3330 '�'•'—i�+n::`i:nw-�s:.r-n.x-.�. S-tea..+.p,�+�- - z"�c:.-�w• �T= 15H:..`;� 058-500-012 00-2813v CONN, LLOYD 3224 BUZZARD'S AOOST RD OROVII.,L CONTR: ARCTIC AIRE GAS LINE --ir OFFICE COPY Address 3a �� �y-Z Z60,6 ��% GAS Meter By Date L- 7-00 ELECTRIC Meter B�� Date / 1 • r/ i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541— r 1PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (L J ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNEI'-.ir�� . SO. FT. OCC. BUILDING VALUATION r?ray' OWNE"ICINCi.–APA. i:._. Jt_3 ..Z.— CONTRACT9R'JS NAME *-M TELEPHOSIF.�,�,� CONTRACT 5 MTINO.,�DDijESS //'� /n� R� !� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER5 MAILING ADDRESS Plan Checking Fee $ sulLOIVG��oREss_ Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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: ' `y"'—� Gas piping stem 1 - 5 outlets 15.00 o Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A 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 i4.jv full force and effect.�. License Class L — = Lic. No. [ . 'J 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 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 work rs' compen�setion insurancg carrier and policy number are: Carrier ' i t i �. `1; n t_ iJ ' Policy ber_- —+/ f' - . 10 - ) �' -� Nu (The above stctlans rkeed�not be completes ermit is for work of a valuation of one hundred doll a-*$IM:brdess.h` / ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ Ty person in `any manner so as to become subject to workers' comper�saUon to rs of alifo fa, andta'r that ff I should become subject to the workers' compensation -- �o wns'of se%ion 3700 of the Labor Code, I shall forthwith complyw' h those provisions. \ �``\ X YJ� _, Q � —; �t t� "� .,//Date �� :� ��'N Signature of Applicant -J❑-Owhet '❑-CBntractor ❑ Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hett._�__ ~ Main Service zooA To ,000A 46.00 NEA CONST. DwELLMIO OCC UP. 3.5QFr. OR ACDNS. ( a ACC. BLD.. NEW CONST. NON•RESID. MULTI.OUTLET 97.50 POWER APPARATUS a sINOLE 0 T. C.. 00 Ex. Occup. OUTLET OR FIXTURES BAL®'.500 ED Ex. Occup. ovns R� D °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE •*_ +� TOTAL FEE $--10 .0 HAZ. D. FEE. IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Buttetaoyn Co a and/or Resolutions to do work wo,fees have been paid. indical0d 4ovh lf�h } I1! lIAn By ! •i.G' Date PERMIT EXPIRES ON 11 �'✓ PaW / Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75AJ PygMIT NO. (Rev. 12/96) APPLICATION AND PERMIT W-,Ry1 `� ASSESSOR PARCEL NUMBER QS -Q-500-012 ZONING BUILDING PERMIT OWNEIloyd COM =° l�Q SO. FT. OCC. BUILDING VALUATION °W" 4"GgUards Roost Rd., Oroville, CA 95965 °°"`Aris dire 158933 °°wI ldi Tz;; c °Xve. , Chico, CA :-95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3224 Buzzard's Roost Rd. Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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 ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas Line Gas piping sy2tem 1 - 5 outlets 15.0015.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S - ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' 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 iUll force and effect. p) License Class-Cn " -- • LIC. No. Z'5� / OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 here affirm under penalty of perjury one of the following declarations: I 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 workgrs ompen ation Insuranco carr er and policy number re: Carrier L I U jai l�uid-XE �n!a, • U ' Policy Number – — a d– 7:;)--!f3 (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 c with those provisions. X y _ Date Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING occuP. 3.5QF°; OR ( NEW CONST. MUL°Tcou�rLEsr NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OurLET CIR. EX. Occup. OUTLET OR FD(TVREs BAL. @_.50 APPI Ex. Occu , ops aJ EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $35.00 HAI. D. FEES IMP I FLOOD I COF PAiiCEI PD HD ISSUE This permit is hereby Issued under of Butte 01n Co a and/or indi a d aov o whic fees have By . PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. I a)te L� �1 bz C)MI, fa ReceiptNo. L� — �— WHITE-D.D.S.-B.D. CANARY-ASSMQR PINMNSPE OR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538.7541 No. (Rev. 12/96)'- APPLICATION AND PERMIT ��' A.sHWR►ARCeLT AIM son,lo BUILDING PERMIT b SO. FT. OCC. BUILDING VALUATION OWMM1 A711 DD AD , �J' 5 73 IF10EJ1 Fireplace LENDUm wA M ADDRESS Total Valuation = ARewrfaTOREMNM UC069140. Flina Fee E 20.00 Permit Fee E AACwMCT an 09MEMs wuNo ADOREss Plan Checking Fee b eULDNO ADDRESSZ'� A Z /� Energy Plan Checking Fee = i PERMIT FEE _ 'USMIS10N°a""E PARCEL wP PLUMBING PERMIT Fling Fee 20.00 Each Trap7.00 USEOFSTRUCTURE FSFODuplexO Mobiiehome O Other Solar or hent um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel —07 Utilities O h Gntion 01 Other O Describe Work: ( / Gas piping system 1 - 5 outlets 15.00 { S Buildingsewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S'— ELECTRICAL PERMIT Filing Fee 20.00 Main Service "'vDA�Lss 23.00 _ *PERMIT FEE PAID $ SRA - $ SHERIFF $ OTHER $ $ $ J AMOUNT RECEIVED $.'515 - '515This *RECEIPT NUMBER * TO BE PVT INTO COMPUTER Main Service aoa► TO IOWA 46.00 CONST. DWE11H0 OCCUP. 3.50 so. OR ADONS. ACC. AIDS. FT. fg1�R610. MVLTFDUTLET 07.50 POWER APPARATUS i SINOLE OUTLET C.0. Ex. Occup. OUnEf OR FI)MMESg20 0 1.00 Ex. OCCU XO A"U48. OR OlRLM ESID. EA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mist. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood e.5 o Ventilation PERMIT FEt $ Mobile Home Installation Fee = Energy Inspection Fee E ocD I co►asT. nPE TOTAL FEES 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 N 3 ti j PERMIT NUMBER - B 566-71 P E 511-71 P, PERMIT EXPIRES AowNER Mary Ellen Brown Ji CONTR: owner ii 58-19-112 `"�*-?LOCATION (A. P. A n/s Nelson Bar Rd, app. 2 mi. east of Concow Rd. „y a,C _1 CO"UNTY OF BUTTE' Department .o$ Public Works Zoning BUILDI 1N PECTIOM RECORD Setback (9AVV Forms Foundation Piers & Gir ers 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 Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS et r COUNTY OF BUTTE DEPARTMENT !OF PbBLIC WORKS / r 7 County Center Drive - Orovllle, California 95965 Phones 533-1230, Ext. 259 APPLICATION AND BUIL D I N 0 P E R M I T Permittee Owner- v .• - 2 - . ✓ Mailing Address '-- �� �' �_ _; •r A. P. No. - Fire Zone Zoning Contractor. !r Mailing Address BLDG. Address Sanitation ` Plannin Plans ic Fees s W.C. ` R W Encroachment NEW E] ADDITION ED- REPAIRS O OTHER E] Others Single Multi USE OF STRUCTURE Family Q -Duplex E] Dwelling 0 Others F 0 U N D A T 10 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN r Girders t �Y �7 joists - 1st Floor joists - 2nd Floor Fireplace joists - Ceiling f " Total Valuation 7 Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee �— Bearing Walls UUWTKAGTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name styleof..............................................................................................................................................................................................:................................................. . License No, ,,,,,,,,,,,,,,,,,,,,,,,,,,, Classification,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. X.............................................................................. Date .................... SIGNATURE OF PERMITTEE OR AGENT Receipt No . .................................... :.................................................................. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date - ..............:! ............... Permit Expires Date ,••• COUNTY OF BUTTE DEPARTMENT OF rPUBLIC WORKS "f 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner A. P. No Mailing Address Mailin¢ Address BLDG. Address%/,/ . .�/�Ge_ -G cry/_ _�./' �G! --rte. •s' DESCRIPTION OF WORK PERMIT FILING FEE NEW F__j ADDITION 0- METER SERVICE F-1 Supplementary Filing Fee Main Service OTHERS: Sub -panel 12 or (more than less) 12) Remarks: Range, Dryer or Water Heater Oven, Cook -Top or Spac` He eater USE OF STRUCTURE Liehc Fixtures Single Family 0 Duplex Q OTHERS: Remarks: Muld Dwelling Q Receptacles., Switches & Fixture Outlets Hood, Exhaust Fan or F.A. Furn. Motor Evap. Cooler, Gar. Disp. or Dishwasher Air Conditioner or Heat Pumo Mi No. Fee $2.00- _7 1.00 Each Each L00 / Each :..50 / First 2D .20 Each Additional .10 r� C'— First 20 .20 Each Additional .10 Each .50 Each .50 TOTAL 'FEE i CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of..............................................................................».......................................................................................................---...............................................»» . License No Classification,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, fo&other statutory exemption....................................................................................................._...............».....»_..»....»._» .»... .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on File with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that 1 have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. DIRECTOR OF PUBLIC WORKS X................:...........................:...... ........................... ...`-Date r SIGNATURE OF PERMITTEE OR AGENT By....................................................................... Date ..5............................ ReceiptNo................'............................................ r' . .��yGG'C�yl.-yc.�c, c10 . � � ��rc_e_ ,� � G���.� , Cz`". �'' / �� v+ , � f 1. ,� r' . .��yGG'C�yl.-yc.�c, c10 . � � ��rc_e_ ,� � G���.� , Cz`". �'' / �� 11 iV2- WWI/ H- COUNTY OF BUTTE o-=—l�'EPARTMENT OF PUBLIC WORKS 11+ t 7 County Center Drive — Oroville, California 95965 Tel e0hone: 5'34-4541 APPLICATION AICD -PERMIT authorize representatives of the County of Butte to enter upon tete above-mentioned property for inspection purposes. D a t Signature of Permitee or Agent i Receipt No. ____ /(- 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 '7_ -7 r_ _ BUILDING Owner- r-'/Zow / /._ SO. FT. OCC. BUILDING VALUATION Mailing Address 2 C Telephone No. Fireplace Contractor ✓ Total Valuation Mailing Address �/ Permit Fee _ PlanCheckingFee&/or Penalty Telephone No. Permit Fee $ $ Building Address ✓L pQ C�' O� %= �/ , f�� PLUM-BING PERMIT FILING FEE No. @ $3.00 FEE ©� y o ��' 2 �i i-Y���•o Each Trap1 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. `� �� S G — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W �apiiaiiect Fire Dept. Fire Zone Use Permit Building sewer 5.00 EGA Parking Plans Parcel Declaration a e P 60R/W ' improvementsLawn, sprinkler system 2.00 _ 961y. Plnmr-f�� arca pprova ons APProvol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL. No. @ FEE PERMIT FILING FEE $3.00 j. 0 — /-Z"v/ L// C_ c' 15:OL Main service 600v OR OEss 100 OR OP LESS 5•00 r-v!t-/• ce G�J�'S� fir✓ C � dCN Main service EA. ADD'L 100 AMP 2.50 , Main service OVER goov 100 AMo OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ _ Main service EA. ADD•L too AMP 1.00 _ NEW CONSTDWELLING OcCUP. & . OR ADONS. ( ACC. BLDG S. 2¢sgft NEWCONSTR. (MUL TI.OUTLET-- NON .RF -SID. BRANCH CIRCUITS_ 2.50ea APPARATUS &) NEVI CONSTR. (POS'/EF. L' NON-RESID. 1 SINGLE OUCIR. 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: Ex. Occup(OUTLETS OR FIXTURES' BAL62?5j Ex. Occup. ( FIXED APPLNS. OR OUTLETS IRESID.) EA) 2.00 Temporary service % 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /?7 0 L 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. perrnit is issued I shall not employ any person in any manner FoI certify that in the performance of the work for which this 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 TO fAL PERMIT FEE $ O� authorize representatives of the County of Butte to enter upon tete above-mentioned property for inspection purposes. D a t Signature of Permitee or Agent i Receipt No. ____ /(- 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 '7_ -7 r_ _ 71 COUNTY OF BUTTE '` dEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epfione: 534-4,541 APPLICATION AND -PERMIT 5'23 9-7� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent UL Receipt No. 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 OF PUBLIC WORKS wilding permit expires Date BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION Mailing Address /3x ,2/-,-5- (�JGv Telephone No. — z_5S 7 Fireplace Contractor,ti Total Valuation Mai I i ng Address W/ Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address :5'o �� "g I-- T S/ PLUMBING PERMIT FILING FEE No. @ $3.00 FEE fE ,Q6Z /C c[ . i^r%5%��io 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. s�' — 7 — �LJ'Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire one Use Permit Building sewer 5.00 EQA Parking Plans Parcel60' Declaration a el p R/W Improvements provements Lawn sprinkler system 2.00 ane Approva Permit Fee $ $ arca pprova NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 D ETI! aaA /Z f/IGc /5'0L 9 )CO2 Main service 100 AMP ORLESS5.00 wrli/2L^' �i✓S�i2(/ Tjp/�J Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON -RES'.. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 (FIXED Ex. Occu FIXED ALNS. OR (PPRESID.) EA) 2.00 Temporary service / 10.00 p Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 t54I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /3 0.$ PQ 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 o 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 $OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent UL Receipt No. 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 OF PUBLIC WORKS wilding permit expires Date q. y. o BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner:- ' ��%• %3i?•oyv�/ A. P. # Address: /2T '1:3X Date of Inspection Tenant: Inspector Building Location: SO o FT pl;r w�s ox. Gf/ - D'e 6i; c .t. ,e,:,(, Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to /Z 4. Other (specify) e Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 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: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: �. 2. Floor construction: 3. Wall construction: - 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and 2. Receptacles: \ 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: a 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 0 7. Zoning: 8. Comments• G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. / / B. Hold for ten (10) days, then write letter. " C. Write letter. 77D. PERMIT NO. 68�-04-76B,P,E,M - PERMIT EXPIRES r; OWNER Earnest H. Brown- �3 CONTR.Triple "S" Custom Homes,Paradise LOCATION (A.P. 58-19-152 ) S/S pri.rd.,app.1/8 mi.W.of Nelson Bar Rd.,app 2 mi.W.of Comcow Rd.,lot#152., Concow Area -c V If k 7 >4 Temp. Power Pole /" Called PG&E rG / �flec. Serv. Called PG&E ' Temp. Gas Serv. iq t Called PG&E ' JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING Xont'd) PLUMBING Setback — g'. z-- Firewall f 1P `7`�/ice Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out 17 Slab Roof Sheathin Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I _ Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab r pehysically handica Conformance of ex. structure Final Appliances Gas Piping&Test Temp. Gas Sanitation Patio FIREPLACE Final Footings : Footin ELEC RIC L Masonry Walls Throat Z % % Rough — Reinf. Steel Final _ r -- = Fixtures Bond Beam FIRE SPRItJKLERS Motors Framing Z Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Servic- Brown Cooling Temp. Pole Finish DuCtR - I I.A.-.-A Door Closer �111V"7 QW- I Final /&f -.7 / %//- I Final - /rte 5f % DATE REMARKS OR CORRECTIONS y/77 Oi.Q A . 1 N (NOTE: An entry must be made on this form each time you visit the job site.) Fiber Glass Insulation I . ,BUILDERS INSULATION STATEMENT BLOWN INSULATION . Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as shown: R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above. recom- mendations to provide a value of R using bags of insula- tion to cover square feet of area. Insulation Contractor (Sign) / Builder (Sign) Company Name Company Name BATTS AND BLANK Date R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 ; 61/2" R-13 35/8" R-19 6" R-11 31/2" Meets Federal Specification HHI-521E Fiber glass batts or rolls have been installed in accordance with the 6/ manufacturer's recommendation to provide an R -Value of / in the ceiling, in the exterior walls, in the floor or crawl space perimeter. l Joe G 4 1 sulation Contrbctor (S�i'g ) t (�Bu er ,.(Sign) . al EI, if)!A, "'Company Name _e Co pafKy'Name \CSG -32-11-C ^ Date CERTAIN -TEED PRODUCTS CORPORATION. RP RATION P.O. BOX 860 VALLEY FORGE, PA. 19482 • C8i1�IlAffO CMNTY OF BUTTE - DEPART' dNT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 ' Telephone: 534-4541 v / �(C�./• APPLICATION AND PERMIT Signature cVPeerAtee or Agent Receipt No. (� ,�sBY Date F White-D.P.W. — YeJ��le s —PintdQGold ro k -Id -Applicant B ilding permit expires Date r t BUILDING Owner C. BUILDIN V �IJD Mailing Address z Telephone No. /0(0 Fireplace C( �� ContractorU ' Total Valuation LV,„ // Mai l i ng Address ©�4/ S,lbjoal A Permit Fee PI an Checki ng Fee &/or Penal ty 7” - Permit Fee 400 Building Address SFX1 JCLte PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,60 C O Each Trap 1.50 A_Ar /., (� Repair drainage or vent piping 1.50 i 0n1% Water piping 1.50I d Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.5o e� �� EA A. P. No. 0 9 g Each additional outlet .30 F s S Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Declaration Par Ma 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd rcel Approval Plans Approval Permit Fee $ 15 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEEPERMIT FILING FEE J$3.00 3,c1T� Main service 600V OR LE 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ ER 600V Main service 10 0 AMP OR'LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING 0 OR ADDNS. ( ACCLBLDGS. 8) 2¢sgft ,SC) / NEW CONSTR. MULTI -OU L T NON-RESID. (MULTI-OUTLET BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. 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 hof: 11 / & f,4��y lel t' �'! t , Ex. Occup(OUTLETS OR FIXTURES)@02SQ BAL@1 FIXED ALNS. EX. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 69 /1 f Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. 10 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. 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 insp ction purposes. X Dater�"/ MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 :31 C1.0 Heating Cooling d� Ventilation Hood 2.00 ,D--0 Permit Fee $ 3 �f Or, TOTAL PERMIT EE , Q 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 paid. 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