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Home My WebLink About061-640-006, f 61-64-6� �1 i VI-U.T9N. NEGG - ----- - '�/ 9565 Oro -Quincy Hwy, Berry reek Contr: Butte Electric Permit#2396-87E(ele ser re air) 4F7 61-64-06 3097-90B,P HEGG, Karl & Vivian 9565 Oro Quincy Hwy, Berry.Cree (new roof structure/sf), U o Q,q OA 'IQ - I J t 1ol r r � RESIDENTIAL 61-64-06 3097-90B,P . HEGG, Karl &;.Vivian 9565 Oro Quincy.Hwy, Berry Creek (new roof structure/sf) 4 4 IS 1 JOB FINALE Signature V OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single, & Duplex) Date UNDERFLOOR (Plans) OK except #'s • 1 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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearino (NOTE: An entry must be mac Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer • `/ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 y Comments at Final: e each time you visit job site) J=tlK O = Not OK -=Not Applicable MOBILE HOMES' =Not Ready ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) LANEOLIS. OK except #'s 2. Footings; SoiIS=.Siie=Depth-Spacing-Connectors-Steel 3. Decks; Griders aiid%or Joists -De king -Bracing -Stairs -Rails 4. Wedd'�n-:-Pnsts-Beams- rs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric r ',Silo-Anchors-Ski9s-R -Trusses- 9. Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date; Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK ®xcegt #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness, 3 Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Etec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Ground ing;.'EquIp. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures=PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 .:ttd. 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete _ 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 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/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 LANEOLIS. OK except #'s 2. Footings; SoiIS=.Siie=Depth-Spacing-Connectors-Steel 3. Decks; Griders aiid%or Joists -De king -Bracing -Stairs -Rails 4. Wedd'�n-:-Pnsts-Beams- rs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric r ',Silo-Anchors-Ski9s-R -Trusses- 9. Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date; Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK ®xcegt #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness, 3 Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Etec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Ground ing;.'EquIp. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures=PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 .:ttd. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f196 Memorial Way, Chico — Phone: 891-2751 7. County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 r ,CORRECTION NOTICE MI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contactthis office immediately. Date d. Inspector 4824- _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 .4 1APPLICATION AND PERMIT PERMIT NO. 3097-9 A SS11WSOR PARCEL NUMBER 61— — ZONING U BUILDING PERMIT OWNER Karl M V'v' TELEPHONE 589-2959 SQ. FT. OCC. BUILDIN VALU TION g64 C 8 640 OWNER'S MAILING ADDRESS 2950 Fritz Cove d, Juneau, Alaska 99801 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee$ 74.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9565 Oro Quincy Hwy, Orville Permit fee Permit 121.25 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 ba Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: new roof structure- _ extend vent 5.00 Permit Fee. $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'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- 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 ADDNS. (,DWELLING , 2/z¢sgft NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES S AL@ AL®0 3 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (AI I shall not employ any person in any manner so as to become subject Lf" to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s d C-Znty i conseque ce of the granting of this permit. X� Date /�� Signature of Applicant — r Contractor ❑ Agent ❑ An OSHA permit is required -for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ co ST TYPE j%,v TOTAL FEE $ 136.25 HAZ CUA PARK SCHLFLD PA PD ID I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above forwhich fees � E O: C By !ate PERMIT EXPIRE Date the applicable provi- resolutions to do have been paid. WORKS LRecei:pt,No.73372 .W., YELLOW-ASBCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilte,' ;-,H drnia 95965 - Telephone: 9161538-7541 APPLICATION AND PERMIT (T //— ASSESSOR PARCEL NUMBER ZONIN ex /- C $/ d oOC "-b BUILDING PERMIT OWNER. // 7O ( 4-N SO. FT. OCC. BUILDING VALUATION OWNE if>t MAILING DDR�� / �C E / Soy CONTKAC CO CONSTRU LENDER ARCHITE ARCHITE LOT N OR'S MAILING TION LENDER MAILING ADDRESS CT OR ENGINEER'S MAILING ADDRESS ADDRES h SUBDIVISION NAME I PARCEL M • I 1 USE OF STRUCTURE SF)6,j Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ti liti ❑ Installation Other Describe work: �/L/Ftt) AM � St- u C'-'ru r6i CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �(] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure 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 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. rM I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ;�ents, costs, and expenses which may in any way accrue against sa' ynseq ence of the granting of this �ppeermmit.`X Date G l `7 (�y Signature of Applicant — Ow Contractor ❑ Agent ❑ I- An OSHA permit is required for excavations over 5'0",deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WRITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENPOO-APPLICANT Fireplace $ /6 ,, e( Contractor Total Valuation $ Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Filing Fee $ NEW CONST. DWELLING OCCUP.I>i OR ADDNS. ( ACC. BLDGS. 10.00 Permit Fee $ `( Plan Checking Fee $ ,ac Energy Plan Checking Fee $ Penalty $ Permit fee $ 1 oZ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00ed A Permit Fee $ /6 ,, e( Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.I>i OR ADDNS. ( ACC. BLDGS. t�2 2. 2sgft NEW CONSTR.MULTI-OUTLET ,.1t1w1-RFCIn RRANfH f'IR('III TS 2,50 ea,� (POWER APPARATUS tr l SINGLE OUTLET -CIS 20es0a Ex. Occup(OUTLETS OR FIXTURES IsAL030 Ex. OCCUp. O,UT ETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 2 HAZ I CUA I PARK I SCHL I FLD I PAR I PD HD ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF.BUTTE'- DeO rtmenit of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-53$-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for .n 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. k1. I personally plan to provide the -major labor and materials for construction of )) the proposed property improvement (yes or no) k2. I (have/have not) Q 4 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 Address _ City Phone Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of'the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner i Social Security Date ? n 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. WIT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEtALIfOFtNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER L II EG 6 A. P..No. / Proposed -Building Use ��/zoy� Building Inspector ,/ Date `% v At ti71. permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED i 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. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... . 26. 27. When you issue the permit process as follows: �_o Mail to contractor. Telephone S S and hold for p' ue. Deliver w. /inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept.i/ Ilution Date . Copy of plans sent ---HealthDept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mall counter by ..date Contractor, designer, owner, was advised of above required data by_phone_malj_=,,,.counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date This set of plans and specifications MUST bb - kept on the job at all times and it is unlawful to make any changes or alterations on same withotl written permission from the Department of Public Works, County of Butte. j � 6�M t/C � /21 �-,.- A setback of 5 tt. trorn rri� Property lines and a setback Of 50ft. from the road centerline shall be clear of structures or equipment exo30 for a 2 ft. eave overhang 4-. Sir f•�/ls .3c "OTE:AII Materials & Workmanship Stt'all, B61n Accordance with Recognized Good Practices and Of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 2y' .�D 7 - BUTTE BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E® /9- i f., s o M. Y. 'e .y .. 1 � y It 5 Ine3, 1' • .�Ig �(trJ s • + z/ • -• ;`2. a x KK a L (C Ki -rR i K - -' L/ Ira y« 5 Ine3, 1' • .�Ig �(trJ s • + z/ • -• OFFICE COPY Address GAS Meter By Date ELECTRIC `?—( ?— Meter By Date s A- 4 !/� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, Califc!nia 959,5 - Telephone: 916/538-7541 APPLICAYION AND PERMIT PERMIT NO. ,ASSESSOR PARGE UMBER _ z°"'NG BUILDING PERMIT OWNER , V JI�/t Q i F TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S/M rI LING ADDRESS I I� 7 S ipo u 4K 9900 CON�T(r�7A T R^S NAME T HO,N % OR MAI 'NG A RESSY CO'N�fD !( (((/�\/1 Fireplace CONSTRUCTION LENDER / UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 [� / Each Trap 2.00 �,4 0 A Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Rymade I UtilitiesE4-)Installation[] Other Describe work: ��- r (a l' r I e v e r✓ t to _ Aie IDG i /tH nl i >e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 OR LESS 10.00 1OROR LESS Main service EA. ADD'L 100 AMP 2.50 g CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): G I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. ��'� /(r� License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.&) '/z2sgft OR ADONS. ACC. BLDGS. NEW CONSTR.ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS fit SINGLE OUTLET CIR. / 00509 EX. OCCUp(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®� I shall not employ any person_ in any'manner so as to become subject to the W. C. laws of California. ', Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must'fothwith comply with such provisions or this permit 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 County at Butte to enter upon the above-mentioned property for inspection purposes. I also agree to -save, indemnify avid keeplharrniess the County of Butte against all liabilities, judgments, .costs, and expenses which may in any way accrue against said County in,conse46ence of the granting of this permit. X `�� O'` 1:1 Signature of Applicant — Owner0i Contractor Agent^ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovveerrC3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , �� occu P. CONST.TYPE - FLOOD PARCEL PD ND 39UE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indi ate,d above for which fees have been paid. / A DIREST fOF PUB IC ORKS / ff e 14 Ay, B �� PERMIT EXPIRES Date �� Receipt No. �a / )�� WNITE-D.P.W.. YELLOW-A38CS90R, PINK -INSPECTOR. GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Orovi;fe#.Cal'4ornia 95965 - Telephone: 916/538-7541 APPLICATION ANC' PERMIT A SSE S$OR PAR UMBER —C69 ZONING BUILDING PERMIT OWNER lleaao TELEPHONE SO. FT. OCC. BUILDING VA• ATION OWN 7V ILING ADD R SS I J. Co T R'S AM PH C OR'S MAILU4WG A I RES$ 1`✓ Fireplace CO TR TION LEN ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSvie DVW,_ , Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 n 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 X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00 ea TYPE OF WORK New Addition PmIdelJ ❑ Utilities ❑� Installation Other] Descry work: ❑� r cr r v _ r 106 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 9/ 7 �Q License No. Classification Fl 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 oa ADDNST DWEACCLLIN GOCCUPM S. '/ztCsgft NEW CONSTR MULTI*OUT LET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 200e0Q eAL030 FIXED PR Ex. Occup. OUTLETS IRESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /S Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County i on quence of the granting of this permit. _/� �.^7 X D to / Signature of Applican Owner contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ol Occu P. CONST.TYPEJ I FLOOD PARCEL PD 1 ND 1 SSUE This permit is hereby issued under sions of the Butte County. Code and/or work indi d above for which DIRE F PUB B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 1 ORKS Dae f0(� Receipt No. WNIT!-D.P.W.. ♦ELLOW-ASDE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT