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Home My WebLink About068-010-005COMPLAINT GIVEN TO CODE ENFORCEMENT " DATE: NORTH SIERRA CONSTRUCTION 80 Bessie Lane, Oroville-lot 5�4111r161 contr: owner-�rJ� rermi982-75B,P.EM(new SF). —.•North Sierra Const., Oro:. #4620-75M(add'l mech. per mit for #1982-75) ;ha ►j1i >,I r7 68-01-05 1655-89B RENDAHL, Bill & Terri 80 Bessie Lane,-Oroville 'ContR: K -Designers, Sacto �) (vinyl siding)SF l/ Fir .,.068-10-0-005 93-1549 B RENDAHL, BILL- s 80 BESSIE LN, OROVILLE REROOF/SF 068-010-005 PERMIT#9572495 RENDAHL, Bill H. " 80 -Bessie Ln., Oroville (P Reroof/SF B06-2665 068-010-005 MISCELLANEOUS LPG Tank (AbvGmd) NEW HVAC- NEW PROPANE TANK A 80 BESSIE LN.gj,�.j /a HOPKINS, DANIELLE AND MICHAEL' � ®t"�'7 �— BUTTE COUNTY County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Michael & Danielle Hopkins ADDRESS: 80 Bessie Lane CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 1/31,2007 JAN 10 201+ 33EVELOPMEN1 SERVICES 37 3_19a %/ a,7 /0 '7 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 068-010-005 Permit No.: O6`C.51 PAID RETAINED REFUND Develo ment Services $ 55.00 $ - $ 55.00 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ - $ - TOTAL $ 55.00 $ - $ 55.00 ............ ............................................ ............ ' ............................................. ............................................. .............. .............. ............. .............. ............. .............. ............. 101001 DVLPMNT SVC 440-001 4210500 $ 55.00 1011822 THERM DRNG 1800 280 $ - .....:..•.•. ..,,,..... .'• �.'• ... ' 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 1 4617240 $ - TOTAL 1 1 $ 55.00 $ 55.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and coorrr]ect as stated. n 9n p J n , ' 0 , yj-i 'yn�� S- - - Dated this ! `ITA'-\ day of w' ` 200' 3t ��`� , Cak,'b ,lAfN,UC!"`-- � l + v L✓W�y�A Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropr' ion or Specific Board Approval (Check onef for the same. Dated thisCalif. n day of 20 at Oroville Ci, 3S . ��/ f f i Department Head or Authorized Deputy Dept. SEE Exp. 11 Code BREAKDOWN Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 6 T Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buftecounty.net/dds ADMINISTRATION * BUILDING * PLANNING December 20, .2006 Michael & Danielle Hopkins RE: Permit No. 06-2665 APN #068-010-005 Owner: same Dear Mr. & Mrs. Hopkins: Please sign and return the enclosed claim form so we may process it for payment. This is for the $55.00 overcharge on the above -referenced permit. Once we get the claim form back, we will send it to the Auditor's Office to process for payment. The Auditor has a set schedule for processing of these claims. If we are able to turn it in by Wednesday of one week, they generally cut a check by the Friday of the following week. We are sorry for any inconvenience this may have caused you. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior Administrative Division Enclosure: Claim $55 County of Butte Oroville, Califomia GENERAL CLAIM CLAIMANT: Michael & Danielle Hopkins ADDRESS: 80 Bessie Lane CITY & STATE: Orovi2lle, CA 95965 OATF OF CI AIM - SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 068-010-005 Permit No.: 279564 PAID RETAINED REFUND Develo ment Services $ 55.00 $ - $ 55.00 THERM DRNG $ - $ - $ - SMIP $ - $ - $ SHR $ - $ - $ - SRA $ - $ - TOTAL $ 55.00 $ - $ 55.00 ............ ............................................ ............ S% ......•. ............................................. ............................................. :`' It ;fit ti0l'N :;:.:;:;>::::i .............. G :T .............. ............. .............. Ac OV.NT ............. .............. ............. ...... N' 101001 DVLPMNT SVC 440-001 4210500 $ 55.00 1011822 THERM DRNG 1800 280 $ - 1011430 SMTP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 55.00 $ 55.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 200P 3t Calif. Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 20D? at Orovlle Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE RFI OW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Receipt Number: B879 BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Permit Number: B06-2665 Job Address: 80 BESSIE LN Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: THRESHER HEATING AND A/C 10 BO Y LE LANE OROVILLE, CA 95966 Printed: 12/19/2006 4:22 pm Fee Description Account Number Fee Amount Air Handler w/ducts to l Ok cfm 0010-440001-4210500-1010 $55.00 Gas System (enter outlets) 0010-440001-4210500-1010 $55.00 Heat Pump (Package Unit) 0010-440001-4210500-1010 $55.00 Total Fees Paid: $165.00 Date Paid: 11/15/2006 Paid By: HOPKINS, DANIELLE AND MICHAEL Pay Method: Check 2061 Received By: KEJ yOe�/%,�= Butte County Department of Development Services Building Division 7 County Center Drive Oroville CA 95965 (530).538-7541 BUTTE COUNTY REFUND REQUEST APPLICATION DEVELOC� for REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for a mentrocessin . CLAIMANT'S NAME: = - MAILING ADDRESS: ": Y =;;_; :.4'; : Vii -77 :, , �o ..: = l _ PHONE: -0 0i5 ASSESSOR'S PARCEL NO.: .0,b [Please use one claim form per permit.] .. , t,., ,v ups .:..'l.:e..�.: ,v BLDG PERMIT NO.: = ' Receipt No. 1 Receipt No. 2 Receipt ff is ':. : :: ':1; i.,; : _,..; .�,:�,�.: _ _ �:Y� �_� � I,+. T,:i.� � — _ P�_�e.L, _ �,*ii•.. - RECEIPT NO.. rs:�: - : RECEIPT DATE: RECEIPT AMOUNT: d �v�✓r• "�_........._ ._. ... REASON FOR REFUND REQUEST: e+'0-A"1WW(-0D i Check those fees which you wish to have considered for refund: wilding Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a < �_r___�.,< 441 inner— may nick them uo prior to that time. Ke uesf for Refund. II uu rrana u�c - - Si ature K:/Forms/Refund Application 082203 IEN'i ES ��a��eV Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2665 / Issued: 11/15/2006 Address: 80 BESSIE LN OROVILLE APN: 068-010-005 Permit Subtype: LPG Tank (AbvGrr Owner: HOPKINS, DANIELLE AND MICHAEL Applicant: HOPKINS, DANIELLE AND MICHAEL Description: NEW HVAC- NEW PROPANE TANK AND LI I MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE NOTES OFFICE COPY - -- - - - -Bldg Permit:-- •---. GAS By:- Electric y: Electric PERMITS BECOME NULL AND -VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149E . . Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 - Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test fir- 404a(, Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 0 �_ .. _ - .,-✓a: ti: -is.. :. :s --:_a w ��5._ y y;�,: tib'!' .......... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 1X9101em(j 04- �2ti��J 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 call for re -inspection when correction of work is completed. f you h any questions pertaining to this matter, or need additional explanation, pleasq�tontacyffie Inspector as indicated below. /1 //rI/.///Imp/1/0 /1—'-1 n A� 1, /-✓7, 'Z_' r- �C i Date/; 7 y Inspector �� C/ 1 AIII All " A' / REV 4/05 Phone # 7� - `2'7 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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.net\dds PROJECT INFORMATION Site Address: 80 BESSIE LN Owner: Permit NO: B06-2665 APN: 068-010-005 HOPKINS, DANIELLE AND MI Issued Date: 11/15/2006 By KEJ Permit type: MISCELLANEOUS 80 BESSIE LN Subtype: LPG Tank (AbvGrnd) OROVILLE, CA 95966 Expiration Date: 11/15/2007 Description: NEW HVAC- NEW PROPANE TAN] (530) 589-5119 Occupancy: Zoning: AR1 Contractor Applicant: Square Footage: THRESHER HEATING AND A/C HOPKINS, DANIELLE AND M Building Garage Remdl/Addn 10 BO Y LE LANE 80 BESSIE LN OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-5002 (530)589-5119 FEE INFORMATION Air Handler w/ducts to 10k cfm $55.00 Gas System (enter outlets) $55.00 Heat Pump (Package Unit) $55.00 Total Charged: $165.00 Fees Paid: $165.00 Balance Due: $0.00 Receipt No: B879 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License THRESHER HEATING AND A/C CSLB-747884 / C20 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such peril to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date -11, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansalion insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the peril is oror one hundred ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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' X 11/15/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 11/15/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this peril does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 11/15/2006 Name of Permittee [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this peril is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor INSPECTOR COPY Lenders Address City state zip Ca10ERTS - Certificate https://www.calcerts.com/cf4r_print_cerdficate.cfm?lots=0,47021&U CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 80 bessie In - oroville, CA 95966 thresher heating and a/c / 747884 Project Address Contractor Name / License No. b06-2665 Contractor Contact Telephone John Revilak 530-518-1109 HERS Rate Telephone December 1, 2006 CerfyiV§i7gnatur4l Date Fir • Revilak's HERS Rater Street Address: PO Box 1609 Permit Number 47021 Sample Group Number CC14-1798387603 Certificate Number HERS Provider:CaICERTS, Inc. City/State/Zip:Magalia / CA/ 95954 Conies to: Homeowner. HERS Provider and Buiidinci Devartment This CF -4R has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verificatlon, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 1 eakag- Flew InGFM! Ente- Tested N/A 2 Fan Flow: Calculated (Nominal Q Cooling O Heating) or 0 Measured Enter Total Fan Flow in CFM: 1000 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 43 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] - (Only If Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: 4.30% Q Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass ❑ Faii 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection ❑ pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass If One of Lines *9 through X12 pass ❑ Pass ❑ Fall 1 of 1 12/1/2006 4:18 PM 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.net\dds PROJECT INFORMATION Site Address: 80 BESSIE LN APN: 068-010-005 Owner: HOPKINS, DANIELLE AND MI Permit No: B06-2665 Issued Date: 11/15/2006 By KEJ Permit type: MISCELLANEOUS 80 BESSIE LN Subtype: LPG Tank (AbvGrnd) OROVILLE, CA 95966 Expiration Date: 11/15/2007 Description: NEW HVAC- NEW PROPANE TANI (530) 589-5119 Occupancy: Zoning: ARI Contractor Applicant: Square Footage: THRESHER HEATING AND A/C HOPKINS, DANIELLE AND M Building Garage Remdl/Addn 10 BO Y LE LANE 80 BESSIE LN OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-5002 (530)589-5119 FEE INFORMATION Air Handler w/ducts to 10k cfm $55.00 Gas System (enter outlets) $55.00 Heat Pump (Package Unit) $55.00 Total Charged: $165.00 Fees Paid: $165.00 Balance Due: $0.00 Receipt No: B879 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires THRESHER HEATING AND A/C CSLB-747884 / C20 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 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. X 11/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date -11, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. impro for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; EA AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not a completed if the permit is oror one hundred ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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' X 11/15/2006 - compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Ow is Signature Date provisions. X 11/15/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and properly damage caused t is arising out is a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I herebyrti that I am the property owner or am autho ized I, a on a property owners behalf. T /15/2006 Signa re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ;Vie of P Pmt [SIG Print Date wner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last,Name First Name i Mailing Address 0 City os/ State zj5! Phone Fax E-mail (ifn APPLICANT INFORMATION CONTRACTOR Name City Address C Address Fax D _ y_ F City &MOXI Page State 44. Zip Phone State License Number FaxSSO�S -SOOZ— E-mail Lic.74 Class ¢ APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name d" Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# Property Address City Cross Street N WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name La AO Address Description or Scope of Work: 2�� lle zoo - S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date:' f o� 1l0 � Total BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINTF�. Date: � l �; I O -L -- Owner: 1-2-,) t C f t.1'1L Address: �� 1JC.Ss) pt irl� nyov ; L te- G4 ci <='t &G ComplaintlViolation Location:__ ZSR \5 e TYPE: [ ]Building [ ]Health [ ]Planning COMPLAINT: \-)' CAIN U � : -� Cct r S AP# CIS -Gl C) O Zoning: General Plan: Supervisorial District # �tiJ nV-0V Complaint Taken By: 024_f 1r4L'i i t I ]Yes [ -]No Permit History on File: [ ]None [ ]As follows: INSPECTOR'S REPORT Tenant: Address: Decription of Violation: Approx. Size of Bldg.A1.H. [ ]Occupied Has Electricity: [ ]Yes [ ]No [ ]Vacant Has Sanitation: [ ]Yes [ ]No Under Construction: [ ]Yes [ ]No Hazards:[ ]No [ ]Yes,(explain)_ Person Contacted: Approx. Age of Bldg./M.H. Has Gas: [ ]None [ ]Propane [ ]Natural Obvious Sewage Problems? [ ]Yes [ ]No Built by/for: [ ]Present Owner [ ]Previous Owner Describe Action Taken: INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE! ACTION RECOMMENDED Inspector: [ ]Information Only, File [ ]Complaint Unfounded [ ]Resolved per Inspector's Report Date: [ ]Hold for Days [ ]Other [ ]Send Letter for Compliance .. t �- NORTH SIERRA CONSTRUCTION 65-01-06--, 80 Bessie Lane, Oroville-lot 11e, � %�� contra owner 5�.�l��J !•N Permit# 1982-75B,P,E,M(new SF)I� _ CONTR: North Sierra Const., Oro.. --Permit #4620-75M(add'1 mech. per-",, . mit for #1982-75) I;k"x x1r7) 68-01-05 1655-89B RENDAHL, Bill & Terri 80 Bessie Lane, Oroville ContR: K -Designers, Sacto (vinyl siding)SF F 068-10-0-005 93-1549 B RENDAHL, BILL s 80 BESSIE LN, OROVILLE REROOF/SF � _ I 068-010-005 PERMIT#95-2495 RENDAHL, Bill H. 80 Bessie Ln., Oroville (l Reroof/SF -- ,,, 9 61 81 068-010-005 PERMIT#95-2495 . kENDAHL,; Bill H.. `'.. 80 Bessie Zn., Oroville. Re'roof / SF r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMrr.NO. APPLICATION AND PERMIT ASSESSORPARCELNUMBER .,_ ., ... '/. ZDMNG BUIL ING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS" > '" - " :, . , • '`, CONTRACTORS WILE .. TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ .: ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENMEER'S MAINNG ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMITFEE $ �> PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑> Describe Work: J Mobile Home ISI GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000Y OR LESS \ ( 200A OR LESS J 23.00 Main Service ( 200A TO 1000A ) 46.00 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 m license is in full force and effect. Y License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. ) so. 3.5Q FT. NEW CONST. MULTI.OUTLET NONN•RESID. ( BRANCH CIRCUITS ) 97.50 ( INL APPARATUS ) ,POWER SINGLE oLmEr AIR EX. Occup. ( OUTLET OR FIXTURES) IiA0 ® 1.50 EX. Occup. FIXED APPLNS. OR p (ovnETs (AESID.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 :H PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'r X b 1'r� ' =� ��_�,2_Date 1/�1 f% A� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST TYPE TOTAL FEE $ . HAZ. 1 D. FEES I IMP FLOOD CDF 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 aliove for which fees hav�'ben paid. BY Date PERMITEXPIRESON (Date) rReceiptNo/'' , ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIV ION 7 County Center Drive - Orovifie, California 95965 - Telephone (916) 538-7 PERM_[I NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-010-005 ZONING ARl BUILDINGPERMIT OWNER BILL H. RENDAHL TELSIMNE 589-2037 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 80 BESSIE LN OROVILLE, 95966 12 SQ 1 60 ' 00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDREss 80 BESSIE LN PERMITFEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBONL4pN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CY Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: REROOF W/COMP Mobile Home ISI GI W @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service --A -OR LESS ( 200A LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: pI, 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 NEW CONST. DWELLING OCCUP. OR ( a T) SO. 3.5¢ FT. CNS.ONST. MULLTI-OUUTLETLE - NEW CT NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a sT ELE OUTLET ES EX. Occup. (ourLEr OR FIXTURESt20. .00 Ex. Occup. OUTLEEDTSA ((RRESID j EaOWNER-BUILDER ( Temporary Service Mobile Home Facilities Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 10 of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date /d % _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 41.00 HA2. D. FEES IMP FLOOD CDF PARCEL POJHO This permit is hereby issued under the of the Butte County Code and/or indicate ve for which fees hav By PERMITEXPIRESON applicable provisions Resolutions to do work b paid. Date 7 7 (pare) Receipt No. WHITE-D.D.S.-B.D. CANARYCASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4k Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your - signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 14 NO[ ]. 2. I HAVE[?(] HAVE NOT[ ] 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: CONTRACTOR'S 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: CONTRACTOR'S 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: A PROPERTY OWNER: j_D � SOCIAL SECURITY NUMBER:�� DATE: NOTE: This owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. .. ...y .. _ O.B.-•1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under. limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin1c rel Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER .4� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OroviIle, California 95965 - Telephone: 916'538-7541 �� APPLICATION AD PERMIT ASSESSOR PARCEL NUMBER 068-010-005 ZONING AR -1 BUILDING PERMIT OWNER Bill Ren ahl TELEPHONE 589-2037 SO. FT. OCC. BUILDING VALUATION 00 l U. OWNER'S MAILING ADDRESS 80 Bessie Leen Oroville 99566 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation J$720.00 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 19.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee JN 34 $34.50 JV 50. PLUMBING PERMIT FilingFee 15.00 80 Bessie Lane Oroville Each Trap 5.00 .. Solar or heat pump water heater 20.00 LOT NO. l2 SUBDIVISION NAME Canyoo Dr. PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W TYPE OF WORK New ❑; Addition _) Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Reroof w/Comp. i�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 l Main service 600VORLESS 200A OR LESS 18.50 Main service 20CATO1000A) 37.50 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- 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 OCCUPM oR ACDNS. AGC, BLDGS. / 3.64 sq.ft. NEW CONST R. MULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5'00 /POWER APPARATUS e (POWER OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES20 @ 760 Ex. Occup. our ETS IPLINIS R RESID )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 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. 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. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating ooling [!Hood 6.50 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 ofthe granting of this permit. Date ?r' ` 3 Signature of Applicant — Ownerff 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 - $ occ CONST TYPE TOTAL FEE S+.50 HAz I DFEES I IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby 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. DIRECTOROF PUBLIC WORKS BY � :yl.� Date �� 10 PERMIT EXPIRES Date-- r . /l ?fq 4 J Receipt No. 143135 WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Qalifornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0. 9 ASSESSOR PARCEL NUMBER 068-010-005 ZONINGBUILDING AR -1 ~� P1 17' PERMIT OWNER Bill Renoahl TELEPHONE 589-2037 SQ. FT. OCC. BUILDING VALUATION 12 @ 60 720.00 OWNER'S MAILING ADDRESS 80 Bessie Laen Oroville 99566 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$720.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 34.50 PLUMBING PERMIT Filing Fee 15.00 ville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAME Canyon Dr. PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New'" Addition D Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work:_ Reroof w/Comp. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 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 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. I DWELLING OCCUP.N OR ADDNS. ACC. BLOGS. _37.50 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e SINGLE OUTLET CIR. EX. Occu Occup(OUTLETS OR FIXTURES 20 T6d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. 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. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 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 agai st said County in consequ ce of the granting of this permit. X r Date '�" `� — signature of Applicant Owne 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 34.50 HAz DfEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above for which fees DIRECT=RIC By PERMIT EXPIRES Da re—f applicable provi- resolutions to do have been paid. WORKS D to S�a� 40 Receipt NO. 143135 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT iP COUNTYOF BUTTE - DEPARTMENT OF DEVEIJOPM ENT SERVICES -BUILDING DIVISION -�ti •7 COUNTY CENTER DRIVE - OROVILtE, CALIFORN! 958 TELEPHONE (916) 538-7541 e a PERMIT APPLICATION DATA SH, OWNER 6lLL /!�_, ��/T 1 i A. P. o.-0/0'aCjS-' Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... ................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings.F ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobileh`ome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit .... ...... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: �...... W 18. Contact Land Development about (A) Improvements (B) Drainage. .... ...... . 19. Driveway permit (construction approval required prior to occupancy). .. . P`e-li swc'°" `6qu est 20. Pre -inspection for required. .-'. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ............ 22. Certificate of Workmans Compensation Insurance. ........ ............ 23. Owner -Builder Verification (Given to owner , Mail to ow er _�. ........... 24. Recorded copy of Agricultural Acknowledgement Stateme t . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation , Acreage Applicant ate s a6 93 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. 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 -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of, Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) c.),::L-- 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 Lidense 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 SignProp y � Property Owner R� Social Security NumberShy— � Date 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. w f80 8-01-05 1655-89B '• ' S NDAHL, Bill & Terri •Bessie Lane, Oroville ntR: K-Designers, Sacto (vinyl siding)SF 1 FINALED r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT y PERMIT N0. / ASSESSOR PARCEL NUMBE/R' ZONING BUILDING PERMIT OWT4tR--( .Its .-I--� LOWNER'S TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS` , IJV) „ie ! -y r �'� �-i 1 r Cp CONTRAC OR'S NAME -- .� i )p c. -(CS TELEPHONE il`f \ [.w CONTRACTOR'S MAI. NG ADDRESS 1G t vl_ J 0. ( c to—, Ls( t;_. Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ _--_r7�)> 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 $ -7 W. S PLUMBING PERMIT Filing Fee 10.00 ) t_� 1 ,�� Each Trap 2.00 �r �i Q P t Ca f- r 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 r SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is H=1 0.00 ea TYPE OF WORK New ❑ Addition [:1 Remodel ❑ Utilities ❑ Installationg] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 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 fu(/ll force land effect. License No. 99'6SCI.O Classification C" -(. (A ❑ 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 ❑ f l -am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.61 , OR ACDNS. (ACC. SLOGS. /2Osgft NEW CONSTNON.RESID R. .BRANCH C•IRCN TS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. 1 / 0@50C EX. Occup\OUTLETS OR FIXTURES ew O30 FIXED ALINIS EX. OCCup. OUTLETS P(RESID )REA.) 1 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 forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. 1 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 consequences of.,the granting of this permit. X I- ' c C �� _ �-�FC Date r �� . j Signature of Applicant — Owner ❑ Contractor ❑ Agent Q 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 S Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL PD No 39U,E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which s DIRECTOR OF'PUBLIC By }' :,.�r .'r ! IF - iry PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date [� 4� /;- Receipt No. _ t WHIT[-D.P.W.. TELLOW-ASOC3SOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT Ow E 1 N 1 � err; -i E TELEPHONE 5 -ao3� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Cb1_ roue� 'CP CON RAC R'SCNAME TT EEL,EPHONQE� CONTRACTOR'S MA NG ADDRE S C^ �Q � rc-l� - -Q-3-c�1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �p15 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 $ `7g. b PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 �(� 3, J Q� 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 ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W I hO-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation® Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eODV 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 Professio sq ode and my license is in full force and effect. 1 � ... License No. Classification - El 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 con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.eI OR ADDNS. ( ACC. BLDGS. , /:2sq ft NEW CONSTR. MULTI—OUTLET 2.50 ea NON.RESID BRANCH CIRC 1 5 POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES DAL@30 eALoso FIXED APPLINIS Ex. Occup. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00tract- Misc. Wiring 9 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 forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 Countyof 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 liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in consequence theanting of this permit. I �%%�' X Date = �l� l Signature of Applicant — Owner ❑ Contractor ❑ Agent Q� 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-T7PEJ SCHOOL FLDoo PARCEL I PD HD I ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for Ich P LIC DIRECT 01 B OERWEXPIRES Od the applicable provi- resolutions to do fees have been paid. WORKS &_., Date �� Receipt No. WHIT!-O.P.W., YELLOW-ASe ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 #1 IN THE WEST;' DE.SIGNEIBS -.Tm 31761 Fito Circle, Suite 1 Sacramento, Calilornia 95827 (916) 361-8800 TO: DATE: SUBJECT: BUILDING PERMITS JOB SITE ADDRESS: (�-)> PLEASE ACCEPT THIS AS YOUR AUTHORIZATION TO ACCEPT THE APPLICATION AND ISSUE A. BUI ING .PERMIT FOR THE ABOVE DESCRIBED JOB SITE SUBMITTED BY A REPRESENTATIVE OF'K-DESIGNERS. PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB SITES ONLY AND NO OTHER PERMITS ARE AUTHORIZED IiEREIN. (SIGNATURE) RESPECTFULLY,�� IVAN COLE PRODUCTION MANAGER . - "°" li r."°'"' II,I 2330 511, Ave. So. 6325-J Sin, Lane 5941 N. Broadway 4355 Haroldsen Drive r;n.p9•, Wy..1;d;,q nOg; ; Billings. tdonlana 59107 Amarillo, 1 exaS 79109 Denver, Colorado 80216 Idaho Fells, Idaho 83401 (d06)245.6804 (806)358-8661 (303)296-6900 (208)522.9611 " PERMIT NO. P E t M L'7 10 e, -7 J-- Cy /f 4-o- QO e G // 9xc /l0 bYta «9 + /v/< al �y /i 9r <s c c f�aas�,c �irgyr 'i 07' SCiv« c �drd�//o�S g t--, 411d s ti 6 �—'O �cns'G� gray�c oi5 sTrd� 6 �✓ / H 5 � �/ y9<s!< rf / u � �� Sod lis/ f UTIL. iMIT NO. x 1982-75B2P2E,M PERMIT EXPIRES NER North Sierra Construction NTR. CATION (A.P. 80 Bessio Uaria, lot 5, Oroville rp /3 e-- /2,-7 13 Temp. Power Pole Called PG&E Temp. Elea Serv. 14 — 7J C Iled PG&E Te p. Gas Serv. Called PG&E JOB L �' (Da ) ,pinaSigna re) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garaoe Stemwa I I Slab Footings Slab Patio Footings Masonry Walls Reirf. Steel Bond Bea - Framin Stucco Mesh Scratch Brown Finish Interior Lath Door Closer /1/�� /4.. wG`- G c�a. a� �e�i /•/�v v�2 /`= s-o.� 7L 13�, l2��0 l� /� G�'?' G'- t G%�� •B r7 /'�rG� `j i-i�/ GooF iar �71ilQ/,h yr- 7// �e<-1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 'WORKS ' BUILDING INSPECTION RECORD o��- �oo��r" �ox �, 'BUILDING BUILDING (Cont'd) r PLUMBING l %Z '"7J I/ ,---7 Firewall Parapets Restroom Finish Windows / Siding Roof Sheathing Roofing 1 i Fdn. Vents ..--- Garage Vents Prov. for physically handicapped Conformance of A. structure r Final Foot FIREPLACE Soil Piping Final I 1st Floor FIRE SPRINKLEF �b `7 Test 3rd Floor Final 2-2� % MECHANICAL - i Heating Sewer Cooling Fixtures Ducts Water Htr. Ventilation 7. Heaters -----" Final / / - 7 -- 7 cr Soil Piping 1st Floor 2nd Floor 3rd Floor To out --� Water Piping Sewer Fixtures - 73 Water Htr. Heaters -----" Appliances Gas Piping & Test -. Temp. Gas Sanitation Final a%-- 7 ELECTRICAL Roughs j Fixtures - Motors 6ZW,.� suopanels 4 Grd. Fault Prot. Service'? jr2�sr,P�- Temp. Pole Urideraround Final J/ - -7 - 7 i DATE REMARKS OR CORRECTIONS jo 44 ;P cr-a- r_/I 6,''% 9 rovlGYC e S / \ l� / G C �v ei r -L� e-1.0 ele� �`cY orGr `G^r L�cG/.�ooy! �e G l(N4 c �� 6j e atm- e of v ie 00(V4 0, e/, So � (� t�a� s`�6 ca r�p�• ��L�J c�S THIS IS TO CERJY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS � a'lL = l Manufacturer Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag Sq: Ft. Covered R Value FLOORS �_ Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R V Width of Insulation -inches FOUNDATION WALLS GENERAL BYE Thickness/Type R Value "pLICENSE No. a 3 DATE 75 INSULAT N CONTRACTO : HAWKINS INSULATION CO. LICENSE No. 215-925 BY TITLE DATF COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT 7 v I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "z r�fg Date $i lure of Per a or Agent Receipt No. X5 � R White-D.P.W. - Yellow -Ass ssor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for is fees have been paid. TOR UBLIC WORKS �' /D ) By f �Dyate permit expires Date / �d �''? BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address 9"OO �(o DL Permit Fee Plan Checking Fee&/or Penalty Telephone No. /a7 Permit Fee Building Address ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,Q Each gas water heater or vent 1.50 �� C/ A. P. No. v Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ,6.Gi &W tatttm I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements=Lawn sprinkler system 2.00 -Oldeg. PIOMT-tec'd I Parcel Approval I Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER Dg ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y al 10 Receps., switches & fix outlets bat Q 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: G NPIZ->'f� %/�Z1L� i1�yT. /�✓G Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 2 S3Z / License No. Q Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 •000 Heating Cooling,40W Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X "z r�fg Date $i lure of Per a or Agent Receipt No. X5 � R White-D.P.W. - Yellow -Ass ssor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for is fees have been paid. TOR UBLIC WORKS �' /D ) By f �Dyate permit expires Date / �d �''? or f t/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / v { °' • Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner 0� ��j SQ. FT. OCC. BUILDING VALUATION // 5po Z Z e -i- o 0"0 Mai I i ng Address &V Telephone No. / ef 4L?Vr Fireplace Contractor`. ` a Total Valuation O Mailing Address pZ�/� Q��eY£ Permit Fee Plan Checking Fee &/or Penalty Telephone No. 7 Permit Fee Building Addiess Q 3 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 30-0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "� �S' — �+ J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sa i ion Fire Dept. Fire Zone Use.Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration 1Parcel Ma p 60' R/W Im rovem p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel proval Plans kpproval Permit Fee $ $ �2 NEW Q�- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meterZ"AyP c7J Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 /,6-0 Water ater or Spa eater 1.00 dw Light fixtures '20025 3 2� Re , swi2tf& fix 5(ntER bo i t@ In 6`0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �'/ H , E or F.A. Furn. Motor 1.00 Q9 Evap: g6oIer, gar, disp. or D.W. 1.00 /. Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Z��Z�/ License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 7� MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. . jull I have placed on file with the County of Butte a certificate of A5-+ Workmen's Compensation Insurance. FJI certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating /t;2PV-4LW_ Cooling Ventilation Hood 2.00 Permit Fee $ $ _221f 7i 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby TOTAL PERMIT FEE 1$ /5 S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. hn Date5__ O_7 Aoo ee or 'a itA ent /7 Y D j s� `7 `f Receipt Not 42 White-D.P.W/ A2 %). srss — Pink -Inspector — Goldenrod -Applicant This permit is hereby.issued under the applicable provisions of the Butte County Code and/or resol res ted wo i dicate�- above for which fees have been pai DIRECTOR 0 UBLIC WORKS VI 7 2 � i riding permit expires Date �' - y � 7/