HomeMy WebLinkAbout059-088-018u
59-088-.%8� _ /j
HARVEY FISHBEIN � ��lG--�'
Manzanita, Stirling C ity 9/�4 Z
lPeril #n68-87t(eie ser ch/SF)
059-088-x/018 02-2 N LE
COLEMAN, THOMAS
17149 MANZANITA ST., STI
RE -ROOF
059-088-017 - 65
COLEMAN, THOMAS
LED
17149 MANZANITA ST, ST GJ
WINDOWS
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OFFIC COPY
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N /-�
7 County Center Drive - Oroville„California 95965 -Telephone: 916/538-7541 � � C,
APPLICATION AND PERMIT ���fff
ASSESSOR PARCEL NUMBER
G . (� _
ZONING
'
BUILDING PERMIT
OWN+
r,.
TELEPHONE '
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS T- .
CONTRACTOR'S NAME TELEPHONE
04wr
/
CONTRACTOR'S MAILING ADDRESS ”
t,
Fireplace
CONSTRUCTION LENDER ', `� - -
UNKNOWN
Total Valuation $
Filing Fee /
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH IT C� T OR ENGINEER
i,
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
r SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [y
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 Q
Main service EA. AOD'L 100 AMP
�y
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check -one):
El am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
License No. Classification
LP, 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code/
for this'reason
NEW CONST. / y2 ¢sq ft DWELLING OCCUP.8d\
OR ADDNS. ( ACC. BLDGS. /
NEW CONSTR.MULTI-OUTLET 2,50 ea
NON,RESID BRANCH CIRC ITS
/POWER APPARATUS e1
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES20 0530
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
I—
ermit Fee U $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Fq I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this pernit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
-
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilitiesAdgments, costs, and expenses which may in any ( way accrue
against said County in nsequence of the granting of this permit.
X //` 1 �I
�.. ///// \\\\\ Date �� J
Signature oflApplicant — Owner ❑ Contractor ❑ Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST.TYP!
I
JFLOOOJPARCELJ
PD
ND
s91E
f
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECT R OF PUBLIC
^�,r
r
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7n / 4 - 9 7
/_ / 6 8
ZBy
Receipt No.
WNIT!-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS _
196 Memorial Way, Chico — Phone: 891-2751
7 County Center D*rIve, Orovi Ile — Phone: 538-7541
747.Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
UWNLH- PERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,
of need additional explanation, please contact this office Immediately.
-41"/ 1 % /1 /ter 7r 611
C
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, C?,.1ifornia,,95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NP
ASSESSOR PARCEL NUMBER
Ct -r
ZONING
BUILDING PERMIT
OWN
r
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNE 'S MAI LIN DDRESS
CONTRACTOR'S NAME
TELE HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH IT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 3
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
V7777`����` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: _
_XkJper`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00 /0—
Main
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check -one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
Lev sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& ,
OR ACDNS. ACC. BLDGS. / /zQsgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
/
Ex. Occup\OUTLETS OR FIXTURES 200301
.AL930
Ex. Occup. FIXED APPL ES. OR )
OUTLETS L SID,) EA.2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
g
r
termit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have -placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
M I shall not employ any person in any manner so as to become subject
'F� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to s ve, indemnify and keep harmless the County of Butte against
all liabilities, u gments, costs, and expenses which may in any ay accrue
against said y in asequence of the granting of this p mi
u �
X Date G (
Signa re rAlicant – Owner ❑ Contractor ❑ Agent
An OSHA is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPEJ
FLOOD
PARCEL
PD
No
Is9
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTQR OF PUBLIC
�^
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 4
—/ �I`-
Receipt No. k �) / C Z+
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
_ .. ar-+�,.—...,r.ti�� i � ''hr'T 4_ .T'C.�1''✓`(1' .. :• Y �� � �! +;t ' ' . ' I . , r "ar+ ...
COUNTY OF BUTTE - DEPARTMENT Aff_p,U,$LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE ORNLLI E;,<' `4el-FOANIA 95965 - TELEPHONE: 916/534t!441
PERMIT APPLICATION DATA SHEET
Proposed Building Use
Building Inspector
Permit No.
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . , . , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ).
—15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Da a. . . . . . . . .
Pre-Insperequest to
Pre -Inspection for Required. Building Inn spector L (Date)
18. Recorded copy of Agricultural Acknowledgment Statement. r,
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, rMail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other
to
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. 7�
2. Additional items required: 1
Contractor, designer, owner, was advised of above required data by—phone ---- mail
--icounter by date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
1 — Hours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
a
Phone: 916.538=7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at'your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �.
2. I hav have not) signed an application for a building permit
for a proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction: \
Name
Address City
Phone C ntractors License No.
4. I plan to provide portions of th's work, but I have hired the following person
to coordinate, supervise, and pro ide the major work:
Name
Address
Phone Contrac
5. I will provide some of the work.but I
persons to provide the work indicated:
Name Address
Signed
Property Owner
Social Security
Date 1-1 J
r
City
rs License No.
ve contracted (hired) the following
Phone
Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
. 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive 7Moville, Galifornitg 95965 - Telephone: 916/538-7541
APPLICATW AND PERMIT, `
PERMIT NO.
ASSESSOR PARCEL NUMBER
tJ
ZONING,, '
-' �, BUILDING' PERMIT
OWN -
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE 'S MAI LIN DORESS `
It—
t—CONT
ACTOR'S NAME TELE HONE
CONTRACTOR'S
V pS
CONTRACTOR'S MAILING ADD Ess '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
L NDER'S MAILING ADDRESS
Permit Fee
$
ARCH IT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS i
Penalty
$
BUILDING ADDRESS
Permit tee
$
PLUMBING PERMIT
Filing Fee 10.00
'
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
7777rr�����` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea'
TYPE OF WORK
New Addition Remodel[] Utilities[] Installation[] Other[
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600 AMP 00V OR LESSOR
10,0 O
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
❑ I am licensed under provisions of .Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
Lev sation, will do the work,and the structure is not intended'or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST, DWELLING oCCUP.0
OR ACDNS. ACC. BLOCS. )
/vtsgft
NEW CONSTN 0N.R E." R BRANCH CIRCTI TS 2.50 ea
(POWER
/POWER APPARATUS e
OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 200500
SALO 30
FIXED APPLES. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00 r
ermit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
RA I shall not employ any person in any manner so as to become subject
'F4 to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions•of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. I
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agrAtoe, indemnify andkeep harmless the County of Butte against
ail liabiligments, costs, and expenses which may in any ay accrue
against say in nsequence of the granting of this PT mit
Date
Signa re PfAplicant — -� Owner ❑ Contractor ❑ Agent
An OSHA t is required for excavations over 5'0" deep and demoliti n t-
ion of structures over ITU in height.
Receipt No.
YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP,
coNST.Trvc
aLo
7do
This permit is hereby issued under the applicable pX
sions of the Butte County Code and/or resolutions t
work indicated above for which- fees have been paid.
DIRECTOR OF PUBLIC WORKS
Date
Name IMOORE ROBERT &LINDAETAL
Addr1 1108 ACACIA AVE
Addr2 10ROVILLE CA 95966.3618
Addr3
Addr4
Comments IWAS PT N. 059-088-004 OWNER �
Creating D oc#1 20011 M P00036 D ate 12/10/2001
Current D oc# 20011 M P00036 Date 12/10/2001
Killing Doc# D ate
Asmt D esc 119 fIANZAN I TA ST S uplCnt I `�
Zoning D well I1
Acres/S q Ft 10.18 � N /C 059
Asmt # 059-088-018-000 Fee # 059-088-018-000
Status 1ACTIVE Status Date 12/1012001
Tax 000 INORMAL OWNERSHIP TRA 093-007
Situs 117149 MANZAN I TA ST STIRLING CITY
Base D t 12}10/2001
Timber Preserve
AgPres
Etal
N otes
Bonds
Multi Situs
. Flag1
Flagg
910 MH
Asmt PP Pen
Tax PP Pen
Appeal Pending
T Split Pending
Land
S tractors
Fixtures
G rowing
Total L&I
Fix. R F
MH PP
PP
Exempt
7,000
22x000
0
0
29,000
0
0
0
0
Net 29,000
R!C#j
TIR DtI
RfC 5tati
w
1, 1
PHY OWN EXP I TAX I H R N I ATT I S I T I APR. I: RRL
0-1
NOTES
PERMIT
RESIDENTIAL
059-088-017 3-2654
COLEMAN, THOMAS" — - -
17149 MANZANITA ST, STERLING CITY I
WINDOWS i
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) / �3
Signature �'Z`�
J=OK
0 = Not OK
. = NotReadyabte
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
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
5.
4.
Water; Location -Test -Easement Needed (Sketch)
6.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
7.
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ /' LPG
8.
7.
Well Clearance & Disconnect
9.
8. Utility Clearance -
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer, Connected -:C/0 to. Grade -HD Approval
8.
Gas and Electricity Tagged -
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Enclosure; Fencing -Alarms
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
1. Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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 -GA
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
B.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panel boards -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 UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., 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.
14. 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 Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire 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. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
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. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
61. Brace Interior/Exterior Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
36. A.C. Ducts Insulation & Support
Date
37. 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
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails _
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83. Following Instld./Drive O Yes O No/Walks 0 Yes O No/Planters 0 Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card 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:
r~ 1
)'•COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'S 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P RMIT NO.
.,- b{S
(Rev.12/1ss) APPLICATION ANDPERMIT��
ASSESSOR PARCEL NUMB7ER 01�80SO17/018
ZONING
BUILDING PERMIT
OWNER '
C)OLEMM. THOMAS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
14841 KLAMATH Cr. MAGALIA 9595A
Cont
CONTRAACCTOOA''SS �NAME
V W lT L�[�
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ i
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 45.M
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
17149 MAN7ANITA RX. ST. STIRLING CITY
Energy Plan Checking Fee
$
$
PERMIT FEE
$ b5.00
LOT NO.
SUBDIVISIONS 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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 4 WINDIM
Gas piping system t- 5 outlets
15.001
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling 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,
and my license is in full force and effect.POWER
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:
91 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO tOooA
46. 00
WEE200A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. UC
SO
so
3.5¢FT:
NOµHERID. MULTI. CYRET
@7,50
APPARATUS
a SINGLE DurtET aR.
EX. OCCU OUTLET OR FIXTURES
SAL @':50
Ex. Occup. OIRLEEDTSA galp,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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
forthwit comply with those provisions. a
r�*
Xw _.� _-�c"�Date-: CP2 -03
Signature of Applicant Yd Owner O Contractor O Agent
An OSHA 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
Coolin
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 65.00
HAZ.
D. FEES IMP
---- --
FLOOD CDF
•---�
PARCEL
--�
PD/
D
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
OV
By •
PERMIT EXPIRES ON,
applicable provisions
Resolutions to do work
been paid.
,
Date f
Defe l
Receipt No. JtiO�iJ/t)�7' 1_ �•
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 Np.
(Rev.12/96) APPLICATION AND PERMIT -
ASSESSORPARCEL NUMBER
059-0888017/018
ZONING
BUILDING PERMIT
OWNER THOMAS
COLEMAN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
14841 KIAMATH Cr. MAGALTA 99994
cont 2,000-00
CONTRACTORS �N�ERAME
01WLV
TELEPHONE
CONTRACTORS MAIUNG ADDRESS '
CONSTRUCTION LENDER .
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 2
non nn
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 45.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 17149 RANZANITA NY. ST. STIRLING CITY
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 65.
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um 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: 4 WINDOWS
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '°°,'. 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.S
License Class Lie. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
if 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
Main Service 200A TO 1000A
46.00
NEW CONST. DW .Ur OCCUP.
OR ADDNS. ( DW:
ACC, Bis.
SO
3.5¢FT:
NOON -EW RESIO. OUTLET
97.50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occu OUTLET
20@'.0°
BAL @ .s°
Ex. Occup. ours AE�sID°En
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, Ishall
forthwcomply with those pro 'eitsnS.
^�
X ` _ �i,2-03
Sig ure of Applicant - O ner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 65.00:1
HAZ.
---
I D. FEES
---
IMP
--
FLOOD CDF
---- --
PARCELPD
----
—
HD
--
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated abo for which fees have
By
PERMIT EXPIRES
applicable provisions
Resolutions to do work
been paid.
- %, 6
Date , / oc
q ? -
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) 538-7541 PERMI NO.
(Rev.12/96) . APPLICATION AND PERMIT —�—
ASSESSOR PARCELNUMB / ZONING DIN
B AIA PER
GMIT
� ®V L AV YY6
OWNER A k7711, /J I TE10HGNE SQ. FT. I OCC. BUILDING VALUATION
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
u�cnac nu.
Filing Fee
$
20.00
Permit Fee
$
—�
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
46.00
BUILDINGADDRESS
DWELLING OCCUR
A ACC_ RLnS_ )
Energy Plan Checking Fee
$
Fling Fee 20.00
Heating
Cooling
Y
PERMIT FEE
g
LOT NO.
SUBONIS IDNS NAME ARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
1 7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other'
SPECIFY
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:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE i
.PERMIT FEE PAID
SRA
SHERIFF
OTHER
$ r i
EX. OCCU . OUTL.Er OR FDTTURES
ELECTRICAL
PERMIT
Fling Fee 20.00
Main Service
600VOR LESS
200A OR LESS
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
OR ADDNS.
DWELLING OCCUR
A ACC_ RLnS_ )
SO
3.50FT.
$ r i
EX. OCCU . OUTL.Er OR FDTTURES
Ex. Occup. OFlX� RLNS.ORE
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
AMOUNT RECEIVED $
DATE RECEIVED.
RECEIPT #
PERMIT FEI_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
CCC CONST. TYPE TOTAL FEE $ .�
HAZ p. FEES IMP I FLOOD I COF I PARCEL pp HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
f
059-088-017/018 02-2429
COLEMAN, THOMAS
17149 MANZANITA ST., STIRLING CITY' -
RE -ROOF t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT a -05) qe;l
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
7 {�,�/��T 'r��/y.�(�
■0L.DIAI 1C(lJ4AS
TELEPHONE
vI.J �'✓lJ l'2v
FT. OCC. BUILDING VALUATION
/+SO.
#A/lT1 EST
/'{ /'�/\
+Z 1i4RJa lAl
OWNER'S MAILING ADDRESS
14$41 KLWA11I COURT 111AOALIA CA 95954
CONTRACTOR'S NAME
OWNm
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
2,000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$ 45.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 279. 2-J
BUIUIINGADDRESS
17149 MANZANITA ST. STIRLING CITY, CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 94.25
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF IX Duplex ❑ Mobilehome ❑ 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 CK
Describe Work: RE ROOF W1111 METAL AND R=UCM' ROOF
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 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 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:
0Yi, 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.
D 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
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.)
9/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
forthwfi comply with thbs r visions. /
/7L
X Date /
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.
Main Service TO 1000A
46.00
NEW CONST. DWELLING OCCUP. CU
EL
OR ADDNS. ( d ACC. BUDS.
SO
3.5¢FT_
EW
NON-REOSID. MULTI -OUTLET 97.50
POWEPPARATUS
8 SINGLER AOurLET CIR.
.00
EX. OCCU . OUTLET OR FDRURES SAL @ I. 0
Ex. Occup. Duress A�io.°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00 23.00
PERMIT FEE $ 43.00
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 $ 137, 25
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated ov or w 'ch fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
r rr?
Date
O Te
ReceiptNo.
WHITE•D.D.S.-B. D. X fASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Ir,
g COUNTY OF,BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
'F. 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
t A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
'q completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
/
9/- C7 0 ! 4
Date " / �' O Inspector
REV 10/92
I
:r
5u.
•5
f
3T
irY
i`
!t •
Date " / �' O Inspector
REV 10/92
I
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
} 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
GO�P,�► � ✓1 -� - zyZ9
OWNER PERMIT NO
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. ,..
Date /1+ �— �! T Inspector
REV 10/92
.141,
f
.t
Date /1+ �— �! T Inspector
REV 10/92
.141,
-` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive'* Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12'/96) ' APPLICATION AND PERMIT a -92 e 4_7
ASSESSOR PARCEL NUMBER
059-088-017/18
ZONING
BUILDING PERMIT
OWNER
COLEMAN THOMAS
TELEPHONE
873-0018
SO. FT. OCC. BUILDING VALUATION
CONT ES
2.000.00
. OWNERS MAIUNG ADDRESS
14841 nAMATH COURT MAGALIA , CA 95954
CONTT77R��A77CTTOR'S NAME
OVVLVM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
2 � 000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
45.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
29.25
BUILDINGADDRESS
1,7149 T
Energy Plan Checking Fee $
$
PERMIT FEE S94.25
LOT NO.
SUBDNLS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF IX Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 EK
Describe Work: RF ROOF WITH METAL AND 'RESTRUCTURE RnnF
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 PERMIT
Fling Fee 20.00
OOOV OR LE
Main Service 200A 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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law foythe following reason:
LY 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
V,% 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 0 the permit is for work of a valuation
�6f one hundred dollars ($100) or less.)
�7/ 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'
compensaton 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
forthA comply with sr;sns.
X Date �
Signature of Applicant - ❑ Owner 13 Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service zaOA TO 1000^
46.00
NEW CONST. DW EWNG OCCUP. SO
OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT.
Z..R.0,DT- MULTI.OUTLET @7,50
POWER APPARATUS
a SINGLE OurLET CIR.
Ex. Occup. OUTLET OR FDRUREs SAL @'; 0
Ex. Occup. oflxuT>FTAPP aE.s ' OFRA 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMIT FEE $ 3.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 137.25
HAZ.
1 D FEES I IMP
I FLOOD
CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated ov or w ch fees have been
By Date
ERMIT EXPIRES ON
D
provisions
to do work
paid.
19 4
e
Receipt No.
WHITE-D.D.S.-B.D. CANAAYIAUSESSOR PINK-19SPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Dri e • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
Re
.*,F
..6 % �
PLICATION AND PERMIT �' "' L
AesEssoRPARcNualle>t >,oNra BUILDING PERMIT
D,,,a TlLOIIGNE - AA SO. FT. OCC. BUILDING VALUATION
OwNER'S DRESS
L
CONTRA MR'S NAAE !L�►gNE
CONTRACTOR'S MAJUNG ADDRESS
CONSTRUCTION U]OER
LENDER'S AMIUNG ADDRESS Fireplace
Total Valuation b
ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee b 20.00
ARCHITECT OR ENGINEER'S NAJ JNG ADDRESS Permit Fee b D O
Plan Checking Fee b
SULDING ADORE < < Energy Plan Checking Fee b
J b
PERMIT FEE _
IDT No. SUeDN6ON91MME P'WCEL MAP PERMIT
PERMIT Fling Feb 20.00
Each Tr 7.00
USEOFSTRUCTURE Solar or heat pump water heater 23.00
SF � Duplex ❑ Mobilehome ❑ Other Water piping 15.00
B°�`r Each gas water heater or vent 15.00
TYPE OF WORK Gas piping sy!tem 1 - 5 outlets 15.00
New ❑ Addition ❑ Remodel ❑ Ublitifts ❑ Instalation ❑ Other 'lP Buildingsewer 15.00
Describe Work: J l5!1Mobile Home I S I G I W @20.00
PERMIT FEE t
ELECTRICAL PERMIT I Filing Feel 20.00
Main Service =r. 23.00
Main Service 200A TO 1000A 48.00
NEW CONST. DwEUJNG OCCUR' 3.SaS�O.
OR ADONS. i ACC. SIGs.
NEW GONST. MULTI-OUTLET 7.50
NON•RFSID.
PAAA
a snaE OunZ aR
Ex. Occup. OUTLET OR FIXTURES 120 0'. -
MNO. 1 5.00
Ex. Occu .=AEslo. EA
Temporary Service 23.00
•�V� Mobile Home Facilities 20.00
Mise. Wiring 23.00 —
S� * PERMIT FEE = d D
� � MECHANICAL PERMIT Fling Fee 20.00
Heating
� � Hoodling
8.50
Ventilation
PERMIT FEP i
_ Mobile Home Installation Fee b
Energy Inspection Fee S
D`D CONST. TYPE TOTAL FEE
/
-AL
D. FEES HP I R=O COF PARCEL PD Ha 6SUI
This permit Is hereby issued under the appicable Provisions
in the Butte County Cods and/or been
m do work
I�kw1 �
indicated above for which fees have been paid.
Ile
By Data
PERMIT EXPIRES ON
WI
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your sismW&
Please complete and return this information at your earliest opportunity to avoid uoneoINN ary dei�,y
in processing and issuing your building permit. No building permit will be issued unM this
verification is received.
(al"_"PrIoperty
ersonally plan to provide the ajor labor and materials for construction of the proposed
imp vement: YE� NO C HAVE HAVE NOT ❑ signed an application for a building permit for the proposed W=L
3. I have contracted with the following person (firm) to provide the proposed constrtxdon:
NAME:
4
PHONE:
CONTRACTOR'S LICENSE NO
I plan to provide portions 6-f-dhi
supervise, and provide the major
N:,tiEE• .,
work, but I have hired the
.. ., $ .11
ADDRESS:
PHONE: C01 ACTOR'S LICE NO.
5. I will provide some of the w but I have contracted (hired) the folio persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE WORK
SIGNED:
PROPERTYOWNER: 4ftz.,
SOCI_-kL SECURITY E
DATE: �d
NOTE: This Owner -Builder Verylieation is required by Section 198.11 and 194314Vfi9
California Health and Safety Code. This verification mutt be COMP&W Md
returned to our office before we are permitted to issue the permit
OWNER BUILDER INFORINIATION 1
Cea: Proper: C•---.
An application for a building permit has been submitted to your name luting 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 [eeor+d on.sttch
a permit. Building permits are not required to be sighed by property owners unless they are personally perlformii6eir
own work. If your work is being performed by someone other than yourself, you may protect yourself from poosible
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 pian to subcontract, you ihould
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 Crneluding materials
and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors; or
subcontractors. then you may be an employer.
♦ [f you are an employer, you must register with the State and Federal Governments.as an employer and you are
subject to several obligations including'stare and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may tonancial risks for you if you do not car y out these obligations, and these risks are especially serious
With respect to worker's compensation insurance.
♦ For more specit:c information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if You wish, d, e U.S. Small Business Administration). For more specific information about your obligations under
State Law, ccr.:ac- he Department of Benefit Payments and the Division of Industrial Accidents.
If the strucn:re 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
pemlit� 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 al;eut licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 10:0 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 tratters. The building permit will not be issued until the verification is returned.
rely.
!"Nt
el C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: Tb it Owner -Builder Information is required by Section 19810 of 1h Calijornla Health and Safety CO"
OVER
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