HomeMy WebLinkAbout065-510-078t7�
SHINNERS ;willaxdr w.
644.-72
WILLARD SHINNERS / ' ._ _.` - 706::72E*_ f ' "
6952 y, M
Ridgeway,
g Mag
Contr : ' Illumination Ele
Permit#2661-88E(ele.for well) �. `• r
065-510-078 '' ' t - 6 pox. 1000' off - e/s of Coutelenc Rd. 1.8 r` '
r 03-1966'
ROMINE, LLOYD t north of Slyway intersection a ..
16952 RIDGEWAY, MAGALIAr Q,\ (new single family) - - (j'temp.pole
' u
Cont: PERFECTION POOLS
NEW PRI SWIMMING POOL 1 w
U65-51 U 078'- 9; X04 329 i 3
� KOMINE,•CHARL;ESh��;,•".� `��'"''�'"''"� i - �
6952 RIDGEWAY; MAGALI ISLE
Cont: GREENE &` SONS ' `
4
RE ROOF 28 ,
♦ �, = r � T a t�,
{�9
T
• r.
a
I
i,
f
t7�
SHINNERS ;willaxdr w.
644.-72
WILLARD SHINNERS / ' ._ _.` - 706::72E*_ f ' "
6952 y, M
Ridgeway,
g Mag
Contr : ' Illumination Ele
Permit#2661-88E(ele.for well) �. `• r
065-510-078 '' ' t - 6 pox. 1000' off - e/s of Coutelenc Rd. 1.8 r` '
r 03-1966'
ROMINE, LLOYD t north of Slyway intersection a ..
16952 RIDGEWAY, MAGALIAr Q,\ (new single family) - - (j'temp.pole
' u
Cont: PERFECTION POOLS
NEW PRI SWIMMING POOL 1 w
U65-51 U 078'- 9; X04 329 i 3
� KOMINE,•CHARL;ESh��;,•".� `��'"''�'"''"� i - �
6952 RIDGEWAY; MAGALI ISLE
Cont: GREENE &` SONS ' `
4
RE ROOF 28 ,
♦ �, = r � T a t�,
{�9
T
• r.
a
t7�
SHINNERS ;willaxdr w.
644.-72
WILLARD SHINNERS / ' ._ _.` - 706::72E*_ f ' "
6952 y, M
Ridgeway,
g Mag
Contr : ' Illumination Ele
Permit#2661-88E(ele.for well) �. `• r
065-510-078 '' ' t - 6 pox. 1000' off - e/s of Coutelenc Rd. 1.8 r` '
r 03-1966'
ROMINE, LLOYD t north of Slyway intersection a ..
16952 RIDGEWAY, MAGALIAr Q,\ (new single family) - - (j'temp.pole
' u
Cont: PERFECTION POOLS
NEW PRI SWIMMING POOL 1 w
U65-51 U 078'- 9; X04 329 i 3
� KOMINE,•CHARL;ESh��;,•".� `��'"''�'"''"� i - �
6952 RIDGEWAY; MAGALI ISLE
Cont: GREENE &` SONS ' `
4
RE ROOF 28 ,
♦ �, = r � T a t�,
{�9
T
• r.
��.� u�
��
NOTE 4 RESIDENTIAL
03-1966
µ rROMINE,
65-510-078 Y .
PERMIT NO. - LLOYD
6952 RIDGEWAY, �VIAGALIA
Cont: PERFECTION POOLS
NEW PRI SWIMMING POOL
I
t
i
E
1
i..
1
SPECIAL CONDITIONS .
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
t�
-JOB FINALED (Date)
ignatuI�V `
f Sre" `
�. r M
J=OK .
0 = Not OK
s = NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements.
2. Soils; Special MH Support Sketch ._
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
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
7.
Well Clearance & Disconnect
2.
8.
Utility Clearance
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Date
7.
Card B-1 Date Card B-1
Date
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Roof; Shthg-Roofing
1.
Zoning Requirements -Setbacks -Easements
12.
2. Footings; Size -Spacing -Marriage Line .
3.
Gas; MH Test -Demand -Valve -Connector
10 03
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
(�
5.
Drain; MH Test -Fall -Flex Connector
Date
6.
Water; MH Test -Regulator -Connector
Date
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements. -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6. Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date Card B-1 Date . Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Con nectors
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 lans) OK except #'s
cks-Easements
c; ompaction-Structure Stability
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9. Heplth Department Approval
0.
umb.; Cir. Test-Water.Sepply Test
10 03
• t Niche
(�
1
.Enclosure; Fen ' g -Alarms eM ,��V
Date
Card B-1 [ to Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not
- =Not AAppplicable
. = Not Ready
RESIDENTIAL
Date
UNDERFLOOR (Plans) OK except #'s
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
1. Zoning -Setbacks -Easements -Flood -Slope
Date
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Date
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Date
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Garage Fire Protection Framing -RC Channel
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
6a. Hold Downs and Special Anchors
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
7. Slab, Steel -Wrapped
58.
8. Piers -Fireplace Ftg.-Steel
59.
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
60.
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
61.
11. Water Pipe; Test -Anchors -Regulator -Service Test
Date
12. Electric Underground
Date
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Date
14. Girders -Sills -Anchor Bolts-Joists-Vents-CriDDies
(Single & Duplex)
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)
15. Access & Ventilation
Hangers -Post Caps -Anchors -Connectors
16. Insulation
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Garage Fire Protection Framing -RC Channel
17. Water Htr.; Vent -Access -Combustion Air Baffle
Property Line Firewall & Openings
18. Water Pipe; Test & Anchor -Nail Protection
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
19. D.W.V.; Test Fittings & Anchor -Nail Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
20. Shower Pan; Test, First Floor -Tub Access
58.
21. Test Tub & Shower, Second Floor -Tub Access
59.
22. Gas Pipe; Sixe & Anchors
60.
23. Fire Sprinkler; Test
61.
Brace Interior/Exterior Wall Panels
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 All
Insulated Neutral ❑ Yes ❑ 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
91. Corrections from Previous Inspections
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
Date
38. Condensate Drain & Overflow, Size & Grade
Date
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Date
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 ❑ Yes
_
83. Following Instld./Drive 0 Yes O No/Walks O Yes O No/Planters 0 Yes 0 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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION J^1
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PR`n�I No.
(Rev. 12/96) APPLICATION AND PERMIT 'vt
ASSESSG0'65 S=078
ZON1VNG 4 1
BUILDING PERMIT
OWNER Ralmine Lloyd 873-6952
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
6952 Ridgemy Ma alia Ca 95954
CONTRACTOR'S NAME
Perfwadon Pools 895-04.7
TELEPHONE
CONTRACTORS MAILING ADDRESS
897 E 20th Street Chico CA 95928
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $ .1i on
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ 797. SO
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ ,A P)
BUILDINGADDRESS
6952 Ri ewa
Energy Plan Checking Fee $
$
PERMIT FEE Syn !1
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00 1 S rn
Each flS water heater Of vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Pool Master #500-01
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE 539).()n
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 2o0AoRLESS 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 C + 15 Lic. No. Si (p�,. G. (�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compo/[ sation insurance carrier and policy number are:
Carrier M�n
Policy Number s 17.,!520 —0-3
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
lc�X�/jU —
�4C.�'jt,- Date _
Signat a of Applicant - ❑ Owner ❑ Contractor ❑Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING UP. S°
OR ADDNS. a ACC. eLOS. 3.5¢FT;
T MULTI
NOWRESID-OUTLET 97,50
1 CIRCUITS
POWER APPARATUS
a sw.LE OunEr R.
20 Q 1000
Ex. Occup. oun ET OR FIXTURES 8 .
Ex. Occup. OflxuT Aa ° 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
Pool o-1 30. C,"T
PERMIT FEE $ 50.(10
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 $&7S
HA2 D FEES IMP
�-....
FLOOD
CD F PARCEL
PD
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.
6W_e1�4
By /� Date tw_.-,
PERMIT EXPIRES ON
✓ ' �efe i
Receipt No. /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP043297 ✓
LICENSED CONTRACTORS DECLAR7full
I hereby affirm under penalty of perjury that I d under
provisions of Chapter 9 (commencing with Section 70ion 3 of
Issued Date: 11/16/2004 APN• 065-510-078-000
the Business and Professions Code, and my license ie and
effect.License Class: ( License Number:OJT
Site Address: 6952 RIDGEWAY MAG
Dater /- Contractor: l7YC�P/c,}tvyc+�iz
Map Index:
Description: REROOF (28 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROMINE LLOYD CHARLES
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6952 RIDGEWAY
signed statement that he or she is licensed pursuant to the provisions of
MAGALIA, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95954-9738
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the properly, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: GREENE & SON ROOFING
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
PO BOX 2467
provided that such improvements are not intended or offered for
PARADISE, CA 95967-2467
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-873-3940
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: GREENE & SON ROOFING
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
PO BOX 2467
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95967-2467
530-873-3940
Date: Owner:
License #: 275057
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.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer: I LW
required by Section 3700 the Labor Code, for the performance of
�Z�2
the work for which this permit is issued. My workers' compensation
V' p
insurance carrier and policy number are:
Carrier: ZTA'q F�Leo a0
Total Square Ft: S.F.
vv�� // �j•
Policy #: Zz3r5 J" 1 Z,
Valuation: $0.00 1 �'
Census Code:
❑ 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 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.
•%Df/ -
Date:
Applicant: (/
// //
J 00
` lll(YY�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is hereby issued under theapp cable provisions of the Bllffe Count COdR anrUor
Resolutio I doNork indi d a f which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES ON:
Address:
ate
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name! . I Jj.J, /, �7�1e— Signature:
/
Date:
0 Owner ractor ❑ Agent for Owner 0 Agent for Contractor
ti
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netlidds
PERMIT NO.
BP043297
LICENSED CONTRACTORS DECLAR7full
I hereby affirm under penalty of perjury that I ed under
provisions of Chapter 9 (commencing with Section 70sion 3 of
-
Issued Date: 11/16/2004 APN• 065-510-078-000
the Business and Professions Code, and my license ice and
effect. 9License Class: License Number::�JO
Site Address: 6952 RIDGEWAY MAG
Date:/ /V'V - Contractor. o�ez,
Map Index:
Description: REROOF (28 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROMINE LLOYD CHARLES
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6952 RIDGEWAY
signed statement that he or she is licensed pursuant to the provisions of
MAGALIA, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95954-9738
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant•- GREENE & SON ROOFING
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
PO BOX 2467
provided that such improvements are not intended or offered for
PARADISE CA 95967-2467
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-873-3940
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: GREENS &SON ROOFING
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
PO BOX 2467
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95967-2467
530-873-3940
Date: Owner:
License #: 275057
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of pedury 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
Architect:
is issued.
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
ll
Carrier: oJ3 i d
Total Square Ft: 0 S. F.
valuation: $0.00
Census Code:
Policy #:
❑ 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 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.
Date:
// /7� 00
f tll„CCC///
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
- 'CONSTRUCTION -LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
-This'permiYis ereby-issued under the app cable provisions of the Butte Count -Godo anrUor -
Resolutio t dorwork indi d a f which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
/to k
Name:
By' Date:
PERMIT EXPIRES ON:
ate
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: JJ- A— ��— Signature: (� +
p
Date:
0 Owner _ <X-2vntractor ❑ Agent for Owner 0 Agent for Contractor
COUNTY OF BUTTE - DEPARTMENT -OF kVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416
(Rev. 12/96) APPLICATION AND PERMIT V
ASSESSOR PARCEL NUMBER
065-510-078
ZONING
1Iri-1
BUILDING PERMIT
OWNER Romine Lloyd 873-6952
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
Ridgeway Ma alfa Ca 95954
cont32,000.00
CONTRACTORS NAMETELEPHONE
Perfection Pools 895-04
7
CONTRACTORS MAILING ADDRESS
897 E 20th Street Chico CA 95928
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
297-50
Plan Checking Fee $
BUILDING ADDRESS
6()92 Ridgeway MaRalia
Energy Plan Checking Fee $
$
PERMIT FEE $90
LOT NO.
SUBDNLS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: �pcl- MggtP_r #900-01
Gas piping system 1 - 5 outlets
15.00
Buildino sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
I Filing Feel 20.00
Main Service 000V OR LESS
20011 OR LESS
1 23.00
LICENSED CONTRACTOR'S DECLARATION
1 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. 5 (01.��5 4
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUP.SO
OR �
3.5¢x;
corsr. MuACOo�
NOµRID.
@7.50
OWERAPPARATUS
8 SINGLE OUTLET C1 R.
EX. OCCU OUTLET OR FIXTURES
BAL @' 0
Ex. Occu . . FIXED
s PRM.DeA 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
Pool- elert
30 00
PERMIT FEE $
50.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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' compo ation insurance carrier and policy number are:
Carrier(` Q"
Policy Number /n -7a 5 �1!4- —,Q S
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
ith comply 'th those provisions.This
Q
X�(!� Date
Signatu a of Applicant - ❑ Owner ❑ Contractor ❑Agent
An OSHA permit is required for excavations over 50" deep and demolition or constructionA&�
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP FLOOD CDF p11RDEl pp HD SU
permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
Date
PERMIT EXPIRES O -7
provisions
to do work
paid.
// n
` 03
P%
ra
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
's
sub'7�++�i"�Srro�T-rs�►R[�7rP�`-rr�-��=--,-�+w'�-v"�-'�'�f11G""iV6�i'�"'��"'�`+VrTa!'"'-r'yL+Y"f"''�`l�a'�,�,�S�+R^•'�i^'.i
COUNTY OF BUTTE -DEPARTMENT DF DEVEL ENT -
� S CES BILD NG DIVISION
7 County Center Drive, Oroville, CA -95965 Phone (530)538-7541 Fax(530)538-2140
PERMIT,,APPLICATION DATA SHEET
-OVJT ER: (� L0 1 r') r, ASSESSOR PARCEL NUMBER (6) 5 ' S(O — 0 (�
Proposed Building Use: Counter Technician: Date: 03
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
i 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the l reparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature'on plans AND 2 sets of stamped and signed calculatifts.
❑ 4. Engineered truss details and layouts in'duplicate. No faxes! '
❑ 5. Energy compliance design and supporting documentation in duplicate. `
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer."
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner ......................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. • Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
8 16. Sanitation and plot plan approval from the Environmental Health Department in 0 4 ( 60
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20-- Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑�21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
El24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural AcknowledgmenttyStatement....................................
❑ 28. Manufactured home utility clearance............................................................... ;
❑ 29. Existing violations and/or expired permits.......................................................... ,3
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone — and hold for pickup.
I have been i rr
ed of the above ' e s and requirements for obtaining a building permit.
Applicant: Vk�Date: 71 -rlo
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, :.•.0 counter, by Date:
Contractor, designer, owner, was advised of the above data by . ❑ phone, ❑ mail, El counter, by-7—Date:
Plans reviewed by: Date: Plans approved by` .moi • / Date:
Structural reviewed by: - - Date: Structural approved by:: Date:
Note transfer by: Date:
Yellow: Building Divisinn
E.H. USE ONLY
Pbt Plea An.cw L4 tO,Q
Pl. PI. AM heJ-
-Il 'r
TO: �'' Building Department `
FROM: Environmental Health
SUBJECT: Sanitation Clearance
wner Location AP#
Plan Approved - for: Sewage Disposal
Clearance for bedroom mobile 1
Hold final for:
Final clearance O.K. for:
NOTE: .,
Date
8/92
-.�. �---n-'7��i.-��(*.`.�H-t�'T�.-�'�'a�*"'s 3.`i"v='+ ,.�.��-i.-.. --�•�- -.,y e.....d�..--rc�� ew•.�,'�,r ._..__ _,ss;'iiwi
rs}
;'` �. �
x , � '+ ,. _
S . � ..
.. + }
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS `PE iMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephorie: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUM R.,
j/G`•�
�', 7
ZQNIN
BUILDING PERMIT
OWNER
/r
T LEPHONE
.-
t
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIL NG.ADDRESS
CONTR CTOR'5 NAME- ,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
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
E$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS !. '"'1 / /
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
t
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 [I Duplex❑ Mobilehome❑ Other l' ' /' ', •'• I' I'
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W
0.00 ea
TYPE OF WORK
New Q' -Add ition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:„ !fir' i� /✓� 6, iContractor
Permit Fee
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslneS$
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
NEW CONST. DWELLING oCCUP.81� /zQsgft
OR ACDNS. ACC. SLOGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRA CH CIRC ITS
POWER APPARATUS e�
SINGLE OUTLET cIR.
EX. DCCUp(OUTLETS OR FIXTURES 2AL93t
eL9 30
FIXED ALINIS
Ex. OCCUp. OUTLETS P(RESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 ?
9 _srir
Permit Fee $ a 4
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1..have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 said County in consequence of the granting of this permit.
I1 % I I
X - �- Date `�
Signature of Applicant — Owner ❑^ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP,
CONST.TYPEJ
SCHOOL
FLOOD
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
i
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. . ^
WNITI-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- MIT N
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT «(OOO
ASSESSOR PARCEL NUMB -
5Z Y�: 17eBUILDING
ZONING• +\^
PERMIT
OWN� / F
TTii�ri'D C
SQ. FT. OCC. BUILDING
VALUATION
OWNER'S II„ N DDRESS
CONTRACTOR'S NAM .
TELEPHONE
"
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VNKNOWN
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` �� /
l/C� (/1(' Ht
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
SF ❑ Duplex❑ Mobilehome❑ Other Kall-
sPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK j
New Addition❑ Pernod 10 Utilities[] Installation❑ Other ❑
Describe work: 4�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
I
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force and effect.
License No. Classification
F1 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) '
rWfi 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.eI , ft
OR ACDNS. ACC. BLDGS. /z¢sga
NEW CONSTRESIO. CH TLETCIRCUITS 2,50 ea
NON-RESID BRANCH CIRC TS
APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200030
FIXED APLNS
Ex. QCCUp. OUTLETS P(RESID )KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9 (i
W49—
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
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s 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
age st said County in consequence of the granting of this permit.
X �,%
�m� ,.�, , sr.•Q Date .7
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 1
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 $
OCCu P.
CONST*TYPEJ
JSCI1OOLJ
FLOOD
PARCEL
PO
I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
B
PERMIT EXPIRE Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date y-- e/9 Oa
S(
Receipt No. 1%Q�
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
TO: Butte County Building. Division
7 County Center Drive
Oroville, CA 95965
Phone (916) 538-7541
Fax (916) 538-2140
DATE 9-- 6"'
SUBJ: Request for Building Permit Information
Request you research'the building permit records for the following parcel:
A.P. # ADDRESS OWNER'S NAME
NS -516-07,? (,9'Y2-
Please
9s z
Please research any building permits applied for, issued and finaled on this property.
I understand a research fee of $23.00 (minimum) is required by. the Building Division.
Research and report,time in excess of 30 minutes.will be billed at $46.00/hour in 30 minute
intervals. (Butte County Ordinance #3075, effective 7/12/93, requires payment of this fee.)
Please X Mail ❑ Fax report to me at address/Fax # above.
Signature of Requester
,Atch: Check for $23.00
(Payable to.'Butte County Treasurer)
eo"rr. a I E
BUILDING DEPT
�,e ,: 0 1996
HELP -U -SELL
P.O. BOX 115
PARADISE, CA 95967
FROM: Name:
(;EAJC-
�. `�AeP—T `
Address:
D
OX
r24AA D /SC
9.5-9 K 7
Attn:
G E -.y C-
B. A/ c!�/i2- i X
Phone:
`?/6 a/a/
Fax:
9/ 6 —
7,2- — a e?/ c�
TO: Butte County Building. Division
7 County Center Drive
Oroville, CA 95965
Phone (916) 538-7541
Fax (916) 538-2140
DATE 9-- 6"'
SUBJ: Request for Building Permit Information
Request you research'the building permit records for the following parcel:
A.P. # ADDRESS OWNER'S NAME
NS -516-07,? (,9'Y2-
Please
9s z
Please research any building permits applied for, issued and finaled on this property.
I understand a research fee of $23.00 (minimum) is required by. the Building Division.
Research and report,time in excess of 30 minutes.will be billed at $46.00/hour in 30 minute
intervals. (Butte County Ordinance #3075, effective 7/12/93, requires payment of this fee.)
Please X Mail ❑ Fax report to me at address/Fax # above.
Signature of Requester
,Atch: Check for $23.00
(Payable to.'Butte County Treasurer)
eo"rr. a I E
BUILDING DEPT
�,e ,: 0 1996