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HomeMy WebLinkAbout058-590-02112 bol F MOORE 5-P No th-end_.of.Faith PAf . I I I I ILI q= 7, - Hill, Foville Permit $k 8-74B',E (move -in__ a e) Permit 4521-75B (new prefab garage) 7 0 �<z Permit #1649,477B(lst unewal f #4521-79) 017 *17yawx,A— Glen Moore N/enT—o—fFaith R ., Yankee Hiltl Permit #4727-79B, new ica ada & cabana/MH) ermi # 3 Per ser for 4 P p ermit#32-80 wood stove) cabana er �; t sting g te, sti _..w sting site) MH 7 a R Yankee A Ya BkK 058-590-021 01-2920 MOORE, JEFF(�461&k I I T 11164 FAITH RD, OROVILLE ELEC SERV DUE TO. FIRE EDAMAGE /a B'Fwio wood stove) 1>9�E= MLiW058w590-021 01-2990 MOORE, JEFF 11164 FAITH HILL, OROVILLE TRAVEL TRAILER TO RE .,%'X�k�,CE EX DUE TO POE FIREI(,t' 6� OT 15 LN i 09 0587590-021. O- 1 2990w,, MOORE, JEFF 11164 FAITH HIL -L, OROVILLE TRAVEL TRAILER TO REPLACE. EX DUE TO POE FIRE 1 f l i 4 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 85965 - Telephone (530) 538-7541 P R (Aev.12/96) APPLICATION AND PERMIT ., ASSESSOR PARCEL NUMBER 058-590-021 ZONING PR 1) BUILDING PERMIT OWNER im MOORE TELEPHONE 533=01 57 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 111" FTATH R11- ORM771,17 05965 CONTRACTOR'S NAME OWER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Z ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $23.00 LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Cr Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other To I ----� Describe work: INSTALL TRAVEL. TRAILER TO �P11� EX TT BURi!iED IN FIRE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S 'W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 600V OR Main Service 0." ORLEES SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Secton 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 1 License Class Lic. No. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 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.) O 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. . � r r': X �. Date Signature •o— f A ant - p'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To L000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. stns. 3.5¢FT: N ONS MULTI.OUTLET NON•RESID. @7.50 POWER APPARATUS a SINGLE oLmFr c1R. Ex. Occup. OUTLET OR FOCTURES BAL@' o FIXED APPLNS. OR S.00 Ex. Occup. ourLETs RES, D. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 40.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I� HD su This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1 By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dilate / Date 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) 538-754 q9_0R T NO. (Rev. 12/96) APPLICATION AND PERMIT ' _r) ASSESSOR PARCEL NUMBER 058-590-021 ZONING FR9 BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAKING ADDRESS 11164 FTAT14 RD, DROVITLE 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee I $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11164 FAITH RD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 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 I1 Describe Work: INSTALL TRAVEL TRAILER TO REPLACE EX TT BURNED IN FIRE Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home as 920.00 60-00 PERMIT FEE s ELECTRICAL PERMIT Fling Feel 20.00 600V OR LES 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 is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law,for the following reason: ,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 zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( S. 3.50so NOR EW CONST. MULTICOU�TL ET NON•REslO. @7.50 OWER APPARATUS 8 SINGLE OUTLET CI R. EX. OCCU OUTLET OR FDCTURES .00 BAL @ ,. 0 Ex. Occup. oFur ED S REsID°Rw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure. for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 those provisions. X Date Si ro App icant - Owner ❑ Contractor ❑ Agent A A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D FEES IMP ROOD coF PARCEL HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. By _ Date %Za PERMIT EXPIRES ON 17'14oil Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :<...'�' S � '...,.r,i»^y....Ary I.1"'wf-y .+M9 v � • .. - . 4 •.1L "' q ^w ery%j ..a -j . �-... f. . r. .. , eo 'C'OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,+ RNIA 95965 -TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: MQ�n�� ASSESSOR PARCEL MBER: O J �� Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be �ubmit d prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. 10. Fees of $.......................................................................................................... fl'4. Impact Fees as shown on the attached schedule ........ ...... ....................... ....... ....................... California Department of Forestry Plan Approval ees. ..............��. ...: ... / ..................... Flood Elevation Certificate. . 0 Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: (B) Parking: .......a ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel . ...................... :�;' ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) . ....................... t... ❑ 20. Pre -Inspection for ' required. Request to Building Inspector _ (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number . ................................... ................. .......:................ ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... Ll 30. Other .................... Wh n you issue t _e ec it, ro Mows: ❑ Mail to Ow to In' actor. � �felephone a d hold for pickup at ffice. L] Deliver with Inspector. Applicant: / /. % Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A144/tion Date: _ By: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Date: _ By: +4 1. Index permit Application for the above items numbered: _ ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Divisi ou er, By: Date: Plans reviewed by: Date: Plans reviewed by: _ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: _ Date Yellow Copy - Department of Development Services - Building Division Ll I A 7 - E. USE ONLY Plot Plan Attacha Floor Plan AneIt Sent to B.C. 1 -- TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispo\ Water Supply: Public PrivateW II Clearance for dwelling. Other 13,�1aj17 =1,3)Q. —2 W I rA �� Hold final for: Final clearance O.K. for: NOTE: Environments Health Specialist 8/96 -41 --� Date 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. Ipersonally plan to provide the major labor and materials for construction of the proposed property improvement: YES )tf, NO O U I HAVE �t\ HAVE NOT C3 signed an application for a building permit for, the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: /1% ADDRESS.- PHONE: DDRESS:PHONE: 4. I plan to provide porti supervise, and provide the NAME: ADDRESS: PHONE: I will provide some the work indicated - NAME 7 NED: CONTRACTOR' CENSE NO. of this work, but ave hired the following person to coordinate, haior work: work but I have ADDRESS PROPERTYOWNER: SOCIAL SECURITY WT7OER: JDTE. CITY: 'S LICENSE NO. the following persons to provide PHONE TYPE OF WORK NOTE. This Owner -Builder Ver cation is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORiMATION I 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability -insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to,worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +Micel Vi ira, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Secdon 19810 of the Californla Health and Safety Code. OVER �Y6513-5g6-02-(. I I'L4 - FA74+4-) )�-'d - ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF � Q FT. FROM THE SIDE AND FT. FROM THE READ PROPERTY LINES AND 9-0 FT. FROM THE ROAD CENTERLINE SHALL BE CLE kR OF STRUCTURES AND EQUIPMENT EXCEPT AOR A 2 FT. EAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted %approved with conditions p attach • sf � et. (i 19 Si ate J Olt CDF FIRE SAFE REQUIREMENTS `�-- S�-Sri ID AP# PERMIT # N E Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will .be made by the Butte County Building Department for compliance. . [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ j 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles,. includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. I- 2. The length of vertical curves in roadways exclusive I_ of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1`j 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. V4 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3.-. j' CDF FIRE SAFE REQUIREMENTS `�-- S�-Sri ID AP# PERMIT # N E Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will .be made by the Butte County Building Department for compliance. . [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ j 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles,. includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. I- 2. The length of vertical curves in roadways exclusive I_ of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1`j 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. V4 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3.-. O I Mz'eE Nip AP # PERMIT # NAME. [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than.800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. rv11273.10 Turnaround. A turnaround shall be provided at all �_ building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. �] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [>p] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 �t V AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves Vk W12.L4_ NAME [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri.ikler system per NFPA 13D - Glass area not'to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal - Other Butte County Fire Department approved materials Date Signature Page 3 .of 3 �...--.n..;.:r,.�.x�s�+g.+►;.rn•-r'rn+c�,•:-_ --...- y ,��, �8'�` '�.�r"-'�i"�'�F� �'t�•*""_l..o��•..f`?4+'•'.v..rS�e.�9�/a... 058-590-021 01-2920 MOORS, JEFF 11164 FAITH RD, OROVILLE ELEC SERV DUE TO FIRE ` DAMAGE s kyr 4T'F�• a - 7 d i • OFFICE COPY Address M�efBy D�rle� +� r ELECTRIC Meter By Date qy" ., g COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California ;95965 • Telephone (530) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT t % 4 - ASSESSOR PARCEL NUMBER U58--533-021 ZONING BUILDING PERMIT OWNER '=X7 J r L' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS •II CY!• I'tXI'TH St r CA 95965 CONTRACTOR'S NAME 0:::�7n TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGAD � ESS, O O r 111G4 FAIT -11 RD. CROVILLE Cdr 5.65 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome a1 Other sPEc�v 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'V Describe Work: I 7E 1 a`c $n Via; MID Fu.'!171 L M:. TIRE, D.V GE REPAM r?iT'i 1 P` X i I T J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE S t ELECTRICAL PERMIT Filin .Fee 20.00 Main Service '*.A OR LESS 2'3.00200A LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hVeby affirm under penalty of perjury that I am exempt from the Contractors License law fo a 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 11 to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWEWNG OCCUCUP. SO WEE OR AODNS. ( 6 ACC. BLDS. 3.59 FT. =R.,... CONST,MULTI-OUTLETRCUITS @7,50 PBOWERINLE APPARATUS d D OUTLET CIR. OUTLET OR FIXTURES 20 ® '. EX. OCCU B 500 Ex. Occup. DFlxLITLE�DrsA Aa D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _3.(0 WORKERS' COMPENSATION DECLARATION 1 hereby 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (jhe above sections need not be completed if the permit is for work of a valuation �6f one hundred dollars ($100) or less.) tlj l 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 �_ ,� ,. r'i %!� i_C,.. (D.te /%-- 1 y -Q/ Signature of Applicant ("¢'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. { B/� Date y l�/Y"n ; ,� PERMIT EXPIRES ON pare ReceiptNo. ih. ` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVEP nPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovillo, C- 2#6rhia, 95965 • Telephone (530) 538-7541 PERMIT NC. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-590-021 ZONING BUILDING PERMIT OWNER MOORS JEFF TELEPHONE _ SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11164 FAITH RD. OROVILLE, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION (ENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.OD Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11164 FAITH RD. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX 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)Q Describe Work: NEW ELEC SERVICE AND POWER POLE POE FIRE DAMAGE REPAIR EXEMPT. PERMIT Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE i ELECTRICAL PERMIT Fling Feel 20.00 Main Service 200A oR LESS 3.00 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I h eby affirm under penalty of perjury that I am exempt from the Contractors License w f e following reason: Gr I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I 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: yn 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 6.00 NEW CONST. DWELLING OCCUP. NEWCod cQueL O1 F3.5,ts . Mu NON-RESID. 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu ovnETGRFocrLIREs BA��':50 Ex. Occup.D 5 I*IXEDRES, 6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 : PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Policy Number heabove sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. X to Ignature Applic t wner ❑ Contractor Agent An OSHA permit is requir r excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ D PEES ["OD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have kJZ�Q PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �rLL "L Date Receipt No. EXEMPT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O - 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. I personally plan to provide the 'or labor and materials for construction of the proposed property improvement: YES NO ❑ 2 I HAVE ❑ HAVE NOTsigned an application for a building permit for the proposed work I have contradted with the following person (firm) to provide the proposed construction: NAME: i ej % /9 —s-• 1-'700 /� e--, . ADDRESS: 1116 7-14 CITY: 0)/// PHONE: L?9.—o CONTRACTOR'S LICENSE NO. 4. I plan to provide portio of this work, but I have hired the fol wing person to coordinate, supervise, and provide the m ' r work: NAME: ADDRESS: N11 TY: PHONE: CONTRAS LICENSE NO. 5. I will provide some of the work but I have co acte red) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK GNED: PROPERTYOWNER: - w % —7 SOCIAL SECURITY NUMB6)I. TE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 of the California Health and Safety Code. This verification insist be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORiti1ATION I 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of the Californla Health and Safety Code- OVER oda OVER 4". } `y PERMIT NO. t P E M �MH UTIL. d PERMIT NO. i PERMIT EXPIRES OWNER Jeff Moore w CONTR. owner I?,OCATION (A.P. 41-01-64 ) at north end of Faith Rd., Yankee Hill t� x' �s Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB 1,131-7 FINALED (Date) d (Signature) ( I .t. COUNTY OF BUTTE — DEPARTMEN'T OF PUBLIC WORKS BUILDING INSPECTION•RECORD •h BUILDING BUILQING_ (Cont'd) PLUMBING SetbackFirewall t_ =a Soil Pipi Forms Parapets 1st Floo Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding.To out - Slab Roof Sheathing 1 Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final % Sanitation Patio FIREPLACE Final Footings Footing ELECT ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP INKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final v Final DATE REMARKS OR CORRECTIONS X5111 ✓;AW COUNTY OF I;UTTE - DEPARTMENT OF PUB06 WORKS I �7 County Center Drive - O�ovi•Ile, California 95965 „ Telephone,w4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x A1&1e Date " t of Perrmiteeor Agent f / RAe N0. 6314 / 3f�p�gZ White-D.P.W. — Yellow-Assesso — Pince 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. DIRECTOR. PUBL.IC WORKS By j " _ Date 7-1 J - 73 wilding permit expires Date BUILDING OwnerAloe SQ. FT. OCC. BUILDING VALLIATION a - Mailing Addref �-�2 73 Telephone No. �7 Fireplace Contractor Total Valuation Mailing Address Permit Fee ^- Plan Checking Fee &/or Penal ty Telephone No. Permit Fee Building Address Q - PLUM ING No. @ 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. -� v�`� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees Sake+ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im Improvements p Lawn sprinkler system 2.00 ec'd Parcel pproval Plane Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 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 Light fixtures b0 2 Receps., switches & fix outlets 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 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 Ventilation Hood 2.00 Permit Fee $ $ I certify that l 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 o� TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x A1&1e Date " t of Perrmiteeor Agent f / RAe N0. 6314 / 3f�p�gZ White-D.P.W. — Yellow-Assesso — Pince 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. DIRECTOR. PUBL.IC WORKS By j " _ Date 7-1 J - 73 wilding permit expires Date COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS • 47 County Center Drive — UroGille, California 95965 r Tel ephone:.534-4,941 APPLICATION AND PERMIT uUt"OFcc fEP1E6cnLaUVeS UI Lilo Guunry of Buiie to enter upon the above-mentioned property for inspection purposes. X % Datea�.5 = 4,7 Sig2r/uregPPermitee or Agent Receipt No. Z� Q 6 ,S� 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. R CT R OF UBLIC WORKS B Date gem+Rg_permit expires Date _ BUILDING Owner J� �%%O0 LT SQ. FT. OCC. BUILDING VALUATION Mailing Address kz 6 0 1< a 3. � Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee / 2 Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address TN PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / LL Each Trap 1.50 040 U /`LU Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z—/Q�— `p Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&e Ue I Sarrli"rtion FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 A1.d9-P+wrrs Recd I Parcel Approval Plans Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 n V OR L Main service i°o°o AMP ORSLESS 5.00 7S Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others � OER Main service 100 AMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 ^^K� '0,47� tit (V,/7 NEW CONST. DWELLING OCCUP. & \ OR ADDNS, %ACC.BLDGS. / 20Sq ft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESIDSINGLE 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) @25C 3AL�1 Ex. OCCU P.(FIXED APPLNS. OR OUTLETS (RESID.) 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 $ $ 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. JU 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 Cal i forni a. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE uUt"OFcc fEP1E6cnLaUVeS UI Lilo Guunry of Buiie to enter upon the above-mentioned property for inspection purposes. X % Datea�.5 = 4,7 Sig2r/uregPPermitee or Agent Receipt No. Z� Q 6 ,S� 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. R CT R OF UBLIC WORKS B Date gem+Rg_permit expires Date _ i. PERMIT NO. 3288-74B,1; P C r M MH UTIL. PERMIT NO. PERMIT EXPIRES _ /J OWNER Jeff Moore CONTR. LOCATION (A.P. 41-01-64 ) @ North end of Faith Rd, Yankee Hill, Oroville r e/ R Temp. Power P'ol"1 Called PG&E �_ Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB v �{ FINALED) ° t' (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF"PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback. -/ Firewall Soil Piping . Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures F o o t i n g s17' `�— Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK I �� 7 County Center DriV2--- br viIIe, California 95965 ; + Tel e� e , 94P4541 APPLICATION AND PERMIT o Lit Or'4e F6PfeS_nraus vCUr lrle Cuunly of Buiie to enter upon the above entioned property for inspection purposes. X Date �L ature of Permitee or Agent 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 0 UBLIC WORKS By pate llding permit expires Date.................cj.-.k....... a....... BUILDING Owner Owner V^FF H DO %L t SQ. FT. OCC. BUILDING VALUATIO �j Mailing Address R t /3O D /J� 1/1 Telephone No. Fireplace Contractor (' (,4.) &/E12— Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee -'7 Building Address D/L% �� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 9 T �C /�EL� / / Each Trap 1.50 /GnO Y///(!7 / / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Lj%� Q Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 a io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration parcel P 60' R/W Im r p ove nts Lawn sprinkler system 2.00 P a' c'd Parc Approval Plons Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ CTHER X ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 _ H6V'e 4 X3fLA Gc" Main service incl. 1 meter Additional meters, each 1.00 Single FamilyJX Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 9 20025 0 5 s 10 Reol s., swi hes & fix 00ets .'Z,5 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.Misc. Classification 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 Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this 0 �I 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 $ $ 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 o Lit Or'4e F6PfeS_nraus vCUr lrle Cuunly of Buiie to enter upon the above entioned property for inspection purposes. X Date �L ature of Permitee or Agent 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 0 UBLIC WORKS By pate llding permit expires Date.................cj.-.k....... a....... �2RMIT 4727-79B,E: NO. .�/�/�� `OWNER Glen Moore CONTR. owner LOCATION (A.P. 41-01-64 N/end of FAith Rd.CY=ankeeHill 4, Temp. Power Pole Called PG&E Temp. Elec. Serv. Zv Called PG&E :M'l f fro e6 — Temp. Gas Serv. Called PG&E JOB FINALED (Date) (S nature) f f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOWREC&RD BUILDING BUILDING (Cont'd) PLUMBING_ • SetbackFirewall MECHANIC Soil Piping Forms Para ets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows Underground 3rd Floor StemwalI r `� Siding Door Closer To out • Slab ,-._ 'Roof Sheathing Water Piping Piers Garage Roofing 8 Fdn. Vents Sewer Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phslcally handlca ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final r- ` Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough d Reinf. Steel Final Fixtures -r—e-1�-- Bond Beam r. _ 1 .., i FIRE SPRINKLERS Motors r— Mesh MECHANIC Gird. Fault Prot. Scratch HeatingService -I Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final- MOBILEHOME UTILITIES --------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M� O�OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ,�f (NOTE: An entry must be made on this form each time you visit the job site.) Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driv; - Qroville, California 95965 Telephone: 53.4-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address _ a ____t 3 Telephone No Contractor Mai I Ing Address Telepnone No. Building Address A. P. No. 416/" D / Zoning & Planning F S644ati.oa Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements ,&'dcg.PkmrR•e'rd— Parcel A roval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER PA -9 4_ -7�i - Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No. Classification 594 am exempt from the Contractors License Laws of the State of California. 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. J;cl I certify that in the performance of the work for which this XmJ'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 inspection purposes. X� Date Signature of Permiitee or Agent Receipt No. 3�40I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace ELECTRICAL No. Total Valuation PERMIT FILING FEE Permit Fee Main service 100 AMP ORSLess Plan Checking Fee &/or Penalty Main service EA. ADD'L 100 AMP Permit Fee Main service OVER 600V 100 AMP OR LESS PLUMBING No.1 @ FEE PERMIT FILING FEE J$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 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLess 5.00 Main service EA. ADD'L 100 AMP 2.50 0( Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELBLDGS.LING Ccup- C / OR ADONS. ACC 22sgft NEW CONSTR. MULTI.OUTL T NON.RESID. BRANCH CIRCUITS ;2.50ea NEWCONSTR. POWER APPARATUS 9 NON . RES I D. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES) 50@ BALM' 10S EX. Occup. (FIXED ALN OUT LETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 '- Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Coo I i Vent Iation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ ;N " I SCI 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. DVRECNf OF P BLIC WORKS Date p /—/� Oo Building permit expires Date — 1''17'"60 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivo — Oroville, California 95965 — /}� T Teleph� ne: 534-4541 ANCJIX/U APPLICATION D PERMIT authorize representatives of the County of Butte to enter upon the above -men Toned property for inspection purposes. is Date / SO Signature of Permitee or Agent Receipt No. '3-3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated abyve r which fees have been paid. VIR OF BLIC WORKS 14 g Date/—, -3 — (3-0 Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Q Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / �v / A. P. No. (,7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F&s Sa4"eA+e Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 F31dgr-Pearn-i�efdParcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE _ 617 PERMIT FILING FEE $3.00 Main service 100 OR LESS 100 OROR LESS 5•00 Single Ffmily ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L loo AMP 2.50 �iG, ®„ (ifs �(�(�,� Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ACCLBLDGS.CCUP. 5i) 22sgft 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 st le of: Y NEW CONSTR BRANCH CIR T NO N.CON � BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXT(IRES 5 L� Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 to I am exempt from the Contractors License Laws of the State of Cal ifomia. 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. No. MECHANICAL @ FEEPERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men Toned property for inspection purposes. is Date / SO Signature of Permitee or Agent Receipt No. '3-3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated abyve r which fees have been paid. VIR OF BLIC WORKS 14 g Date/—, -3 — (3-0 Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dr;ve, .- .Oroville, California 95965 - Telephone: 534-4541 = APPLICATION AND PERMIT 4Un0.111Ge ICPICJCIILGLIVCS UI Lilt: L✓UUnLy UI DULLC LU enLel UPUn lne This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X1/✓� & � �� Date. §` DIRECTOR OF (PUBLIC WORKS Signature of Permitee or Agent By / a Date 'p—p— c% Receipt No. 2.2002 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ilding permit expires Date Q BUILDING Owner l.► G / A! t1 GNU SQ. FT. OCC. BUILDING VAL ATION r ( Z ci Mailing Address P.T t ��� 2-73 ( r CA on © ( o o I u - c- ^ elephone N oq CS Contractor AfE Mailing Address Fireplace Total Valuation Q Telephone No. Permit Fee Building Address N C✓m 010 r 1-rff Plan Checking Fee&/or Penalty Permit Fee 77 (,b PLUMBING No.. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 A� 0o� )e v ,C6 Repair drainage or vent piping 1.50 �I_��_�� A. P. o. '"1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes I WKC. S26 on Fire Dept. Fire Zone Use Permit piping system 1 - 5 outlets 1.50 EQA Parking sans Parcel Declaration Parcel Ma pBuilding 60' R/W Improvements Each additional outlet 30 sewer 5.00 Bldg. Plans Rec'd--L Parcel Approval Plan pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ it /ef►^4D,+ ELECTRICAL No. @ FEE ��Q J►/ PERMIT FILING FEE $3.00 loo OR LE Main service 10000 AMP ORSLESS 5.00 �( Single Family EJ Duplex E] Mobil Home IBJ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( // INGGS. OCCUP. 7i OR ADDNS. LD20sq ft r.,( 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: NEW RESID. BRANCH CIRCUITS) NON-RESID, (MULTI-OUTLET CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON.RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETs OR FIXTIIRES1 a �� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ---Vi am exempt from the Contractors License Laws of the State of California. Permit Fee $ zp $ 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. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 Land Development Fee IS TOTAL PERMIT FEE $q�R 4Un0.111Ge ICPICJCIILGLIVCS UI Lilt: L✓UUnLy UI DULLC LU enLel UPUn lne This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X1/✓� & � �� Date. §` DIRECTOR OF (PUBLIC WORKS Signature of Permitee or Agent By / a Date 'p—p— c% Receipt No. 2.2002 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ilding permit expires Date Q