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HomeMy WebLinkAbout068-030-151A.P. 03-22.l- ED CLARK �S X 1 NPI L- - 2y..9 ti . CLARK-, _Edward �Lc�4348-738, E ' 605_69B 160 Canyon Drive, Oroville /****1039-75E Iy� Permit 4348-73B E (new arage) r ' ##110-75B 496-69P .. ,,� 558-6 E = 331-75B -o EDWARD CLARK AP 3-03-� �a,�.lS I _s - P loom . Z _ .Z�`� �%f 160 Canyon Drive, Oroville 160 Canyon. Dr. ' Oroville ( convert g ale to living area) De rmi t# 110 - F �� z- - - - . 75B ( l.st�RENEWAL �-/ i - 7 � _ )_. (`new gar ge) ( JS RENEWAL Permit #331-75B (covered (#**covered breezeway & reroof) 75 breezeway & reroof K *'�A -1-�`'-�r I (j� /* *heat & AC ntr �i NAl 2 ._ WaibgAC, r Oro i-13 :. AP 34-03-IQQ)sl DAWS ON, Fred 1265 CONTR: Waibel AC, Oroville ---1091P� Perini 73 -4 heat &,y - 3- �5 AC) Lila -� y- - `` just . Dr Canyon s w� Y ,Can J Fast Ward B v M contr :..H6liday Pools, Chico Orovi4l. 1. Permit 15124-77B,P,E(new private swim' .1 . Contr:. S. John Voorhees, P.O. Box 120 --pool),i. �. Oroville -I(-C. 68-03=151--- -- i QED CLARK/�/p/S?'yj 1160 Canyon Driven 0 4vi a ,.�`.'�.�`.�.�. - rermi Contr: J & D Construction, Orodille'' _ S 118�83B;P;E(remodel/ {' r 1 - :: "��..- ---..,..•rte• - :i-" �. '" ;�. { 068-030-151 PERMIT#96-1196. _ ~ CLARK,Edward & Marjorie '160 Canyon Dr., Oroville ` i °i i Yts 0 U _ ''�i �- r._ ,r.. r.rr.rILYAEt�.. 068-030-151, 'PERMIT#96-119,§ CLARK, Edward & Marjorie 160 Canyon Dr., Oroville N� Reroof/SF 00 1 • �- "" COUNTY OF BUTTE- DEPARTMENT OF, DEVELOPMENT SERVICES -BUILDING DIVISION'S 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 j1'� w `P MIT NO. APPLICATION AND PERMIT ASSESSOR PAR CEL NUMBER 40&1.1 030/.1'/ ZONING` 441010 - BUILDINGPERMIT OWNER �4A iZ r ;ld . Q TELEPHONE 333- 3303 SO. FT. OCC. BUILDING VALUATION t OWNERS MAILING ADDRESS CONTRACTOR'S NAME' TELEPHONE CONTRACTOR'S MAILING ADDRESS --r-.--�--�'" Fireplace CONSTRUCTION LENDER ww_4 UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS SS -..,,.,..-.•.�.» Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS _.._.....,.._...�. Penalty $ BUILDING ADDRESS p O r / P PERMITFEE S / , PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO, SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF'q Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other x Describe Work: `f+ 0�►� 1 Mobile Home I S I G W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 j Main Service ( zoon o mss ) 23.00 Main Service ( 200A TO I000A ) 46.00 I LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter k 9 (commencing with Section 7000) of Division 3 of the Business and Prof sions Code, and my license is in full force and effect. License Class Lic. No. } OWNER -BUILDER DECLARATION 1/hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ' 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. r ❑ 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. SO. OR ACDNS. ( 8 ACC. BLCS. ) T. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. 0 POWER APPARATUS (& SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 FIXED Ex. Occup. (oF. ETs(RESIoOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 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 t + w MECHANICAL PERMIT Filing Fee 20.00 g 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 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 L'sbor Code, I shall forthwith comply with those provisions. /�� � fi •�� Date �i�3.� �S,66nature of Applicant - 1A 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 $ occ CONST. TYPE TOTAL FEE $ ()0 HAZ. I D. FEES I IMP I FLOOD CCf PARCEL1 PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/OF Resolutions to do work indicatedlove for which.fees h ve been paid. By 441,11 Date PERMITEXPIRESON �,,/ q',/ I (Date) Receipt No. 40 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE- DEPARTMENTDFr DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 _ I�PEBMIT NO. APPLICATION AND PERMIT 6 ASSESSOR PARCEL NUM ER O �i ((//��__ ZONING Idle- I BUILDING PERMIT OWNER .. ph TELEPHONE -5-33-3363 SO. FT. OCC. BUILDING VALUATION OWNERS MAUI ADDRESS' • /e 94 /60 /L - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ !�!J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 0 v P PERMITFEE $ ed PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF)k Duplex ❑ Mobilehome ❑ Other SPECIFY 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: fio Mobile Home ISI GI W1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License 11C e'eby w 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 ACDNS. ( & ACC. BUDS. ) SO. FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 P7. POWER APPARATCI (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FUTURES ) BAL Q I:50 Ex. Occup. FIXED 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 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 9 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 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. QQ Date �®''.3�'! ��n_atdner ❑ 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 $ Occ CONST. TYPE TOTAL FEE $ 00 HA2. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate a ove for whic fees h ve BY 1 PERMITEXPIRESON applicable provisions Resolutions to do work en paid. Date e "9 1.19z, (Date Receipt No. QCANARY-ASSESSOR WHITE-D.D.S.-B.D. CA�Y-A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this, verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ NO[ ]. 2.' I HAVE[,K] 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: QTY' 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: PROPERTY OWNER: =� SOCIAL SECURITY NUMBER: DATE: (o - 3 NOTE: This owner -Builder Verification is required by Section 19831 and 0832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER _o 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, «ithout a licensed contractor or subcontractor, only under limited conditions. A frequent practice of uniicensed persons professing to be contractors is to secure an "ownerbuildef' building permit, erroneously implying that the property owner is providing his or her own Iabor 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. Sinc rel ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is iequired by Section 19830 of the California Health and Safety Code. t . OVER 1 3 a PERMIT NO. ' 1118-83B,P,E PERMIT EXPIRES OWNER ED CLARK CONTR. J_& D Constauction, Oroville ASSESSOR PARCEL 68-03-151 LOCATION 160 Canyon Drive, Oroville _ s 0 1 i 1 M I i i i i Temp. Power i t 1 i Called PC i Temp. Elea S + 6 Called PC Temp. Gas Sei I ' {' Called PG I ' JOB FINALE[ Signature = OK = Not OK = Not Applicable RESIDENTIAL (Siigle and Duplex) = Not Ready Date UNDERF OOR Plans OK except #'s Date FRAMING (Continued) o 'ng requirements--Setbacks-Easements 48. II & Openings tg., Main; Soils-Steel-Elec. Grnd.- // Ftg. Depth 3 E`+_,C_ @e: Soils -Steel- / /" Ftg. Depth & Decks; Soils -Steel- / /" Ftg. Depth 49 50. 51. heck Garage -3rd story, 2 exits oom-Rise-Run-Landing-Fire Protection -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab ..Siding -Nailing -Veneer A_%amwallc Garage; Steel-Blockouts-Wrapped-Slab - ip Screed-Fdn. Vents-Underflr. Access _ 7r-Pier7-PRLplace Ftg.-Steel area -Glass Protection -Skylights -Plastic -Fittings-Test-2 way C/O -Sewer Test 55"'` ar 24^11tF. "'ailing -Bolts ,9,�ae-Fie! Size -Anchors Water Pipe; Test -Anchors -Regulator -Service Test _ 11. Electric; Underground ' 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples I Date• Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date BI Date$ / Card -BI Date Date FIN�J�(1 fans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 1 t.; Vent -Access -Combustion Air 6. Ext. Steps -Door & Sidelight Protection -Landings 58. ' Furnace; Vents -Clearance -Comb. Air -Connector - Ift ar�Above Floor -Ducts -Meth. Protection a Pipe; Test & Anchors -Nail Protection V.; Test-Fttngs & Anchors -Nail Protection 59 _ wer Pan; Test, First Floor -Tub Access 60. _ Tub Access 18. Tes -rUb & Shower, 2nd Floor -Tub Access Pec. Trim & Subpanel; Breaker Sizes -Labels 19r-GeS'Pipe; Size & Anchors 62. Stairs & R-at� — - -- 63. nc s -Hearth 64. iUU1, int. & Ext. ged-BI� Date Card -BI Date 6 Ixt. & Appliance, Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 615-Zite-c. Outlets & Receptacles at Kit. Counter Date ELE CAL Permit OK except q's fi7 68r-A-er sarage•Fica ^^^r- Swing -Landing -Closer stet-rn-Garage-Damper Fixture & Transformer Clearance -Ins. Protection --- _ - ec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr -Verits-Clearance-Comb. Air-Connector-P.R.V.- ac Above Floor-Mech. Protection ; 1,1 ., Elec. & Mech. Equip. Listed for Location t xes & No. of Conductors -Stapled (G. F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. --- - ui . ound made up w/Mech. Fasteners -Bond Gas & Water 77 Incl latinrl Fna•^ ' ^'tic ❑Yes 73. - ost Caps - ppliance Circuits in Kitchen & Conductor Size In. Vents oor-Drainage &Wood -Earth Clearance under Floor Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ga. Cu or AI -Oven Circ. / / ga. Cu or AI, WIC0Insulated Neutral 'Yes ❑No iser Conductors & Ground -Main Disconnect 75. Followin .. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ers Dyes ❑No 76 . Simssal - ces; Panels-Motors-Mech. Equip. 77. XCD.Nil; ces-Brkr. & Cond. Size -115V Outlet 30--C f MffTCloset Light -Shower Light _ encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ------ C_ B_I ate _Card -BI _ Date Card B -I Date Card -BI Date 7 r e isconnect, Electrical, Plumbing G.F.I. Receptacle -Underground Ventilation throughout House 82. e Date MECHANICAL (Perrr..it) OK except N's _ Inspections 84- agged; Gas -Electric 31. A.C. Ducts; Insulat' &Support e_ onnected-C/O to Grade -HD Approval 32. Vent Fan; above Insulation 33. Condensate ain_& Overilow; Size & Grade nergy Compliance Certificate_ -Other Certificates 34. Furnac ent;_Access-Comb._Air-Return Air Vent -115V outlet 35. AttAccess &Platform if Furnace in Attic BI at and -BI Date ----- _"- --------___.- Card -BI - Date - _ Card -BI_ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI laps) OK except q's Comments at Final: fits; Proper Material & Anchors s u_ds-Nailing, Spacing & Bracing -Plates -Sound 3�,,, ea�ring Walls over Girders & Floor Nailing__ _ C1.�'d i Stop in Walls (rat ro pof) _ � ire tops; Furred Ceilings-Stairs-Chases-TLID eeader & Beam -Size. & Bearing anger ost Caps -Anchors -Connectors -- -- - 4 ng. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthnq.-Ring. 4 ce i ype A Flue -Fireplace Throat 45 e Romex Protection -Draft Stop -Ins. Baffles 46.ng Doors -Sill Hgt. & Dimensions 47. in - - (NOTE:Anentrymust be made each time you visit jobsite) J = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; ocatior-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports: Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5., Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CU R NT ENERGY CONSERVATION REGULATIONS r !i (1 cation) BUILDING PERMIT N0.4p % THE FOLLOWING HAVE BEEN INSTALLED AS PER'APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: (!� Slab Edge-- �/ , Fdn. Walls�,, Floors Walls Ceiling/Roof Ducts Circulating -Pipes APPROVED HEATER APPROVED WTR.HTR. r GLAZING: Single Glazed Special (Insulated) bV4.1 AAle CERT. & LABELED WDS. • & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES_4 /Z - I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. #e— Signature Insulation Applicator Name \/ �() �pyg �_ JAtJe �,�l2 / % Signature of ( /�aseprint)Insulation ApplicatorL(,pl :1� State Contractors License No. General Contracto Owne Name OE (please print) Si of General tractor/Owner Date State -Contractors License THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A -CONSPICUOUS LOCATION WITHIN THE DWELLING. Sim son - . p Simpson Building Supply Company Santa Clara Distribution Center 500 MATHEW STREET SANTA CLARA, CALIFORNIA 95050 (408) 727-3222 May '20,.1983 D.G. Shelter Products Co. P.O. Box 1947 Oroville, Ca. 95965 Gentlmen: The Glue Lam Beam shipped to.you per our order # 200883 is a�5-1/8 x 15 pcs 1/20 is a portion. of th.e.G1ue Lam Beams shipped .to us .for stock per our order # 30201. from Standard Structures Inc. The ATIC certificate.is enclosed. Si ncerel y., S•IMP.SON BUILDIN.G SUPPLY CO. en Sucher Shipping Supervisor Enclosure • 0 ': r FEB -10 X333 OF CONFORMANCE 1HE UNDERS/GNED MANUFACTURER HEREB Y CERT/F/ES that the products identified below and on attached sheets Nos. are marked with the collective mark of the American Institute of Timber Construction (AITC) and are manufactured in accordance with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code, as modified by ICBO Research Report No. 3983. and that such manufacture has been at our plant in Santa Rosa, CA , which plant has a quality control system approved by the Inspection Bureau of the American Institute of Timber Construction and inspected periodically by such Bureau. JOB NAME: Simpson ln9nl JOB LOCATION: Aeldrwss TTnlrnnwn CUSTOMER'S ORDER NO. 30201 DATE ^lam-�+t-- MFGR'S ORDER NO.--:aI=����� �6 1 trl ii 1 am Roam SIGNATOR COMPANY STANDARD STRUCTURES, INC, TITLE finality Control Dir ADDRESS P•AD• BOX K DATE_ 2/8/83 A/TC HEREB Y CERT/F/ES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of .products which comply with applicable provisions of said code and report(s), that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the undersigned, said company is capable of complying with applicable manufacturing and testing provisions of said code and report(s) in respect of products manufactured at said plant. Conformance with the said code and report(s) in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCE - S AITC Certificate No. E 26045 Signed for IICAN INSTITUTE OF TIMBER CONSTRUCTION �Gl� awe rse11 P. Wibbens five Vice President Jack Minneci irector, Inspection Bureau © 1982 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville— California 95965 - Telephone 916/534-4541 "`�`• APPLICATION AND PERMIT PERMIT NO /// leldsl ASSESOR PARCEL NUMBER _b3 - -� ZONING BUILDING PERMIT OWNER Y TELEPHONE ,SQ, FT. OCC, BUILDING VAL ATION O WN AILI ADDRESS Dr7 COTOR•S NE TELEPHONE w� is CONTRACTOR'S MAILING �ADDR S �7GFireplace CON TRUCTION LENDER UNKNowry •� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Asno ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE^ r tL\l ton, PLUMBING PERMIT Filing Fee 10.00 W Each Trap 2.00 Solar Water Heater 20.00 Q r -D Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 / USE OF STRUCTURE SF L�,� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S -TTFF 10.00e TYPE OF WORK New❑ Addition ❑ Remodel[�Utilities❑ In Ilation❑ Other[ Describe work: H ►� h i �t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. Z1hQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Tam 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. 29:3 c2_2 7— 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 CONSTR ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR, EX. OCcup(OUTLETS OR FIXTURES gAL N., FIxeD APPLNS, OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 Qishall not 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 again said Cou y in consequ nce of he granting of this permit. ��ro2U -73 X Date JJ Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0c P GROUP a(,/ 3✓\�—F/J-- TYPE OUST. i�v/ � PARC ES ✓ (/ D SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO UBLIC BY % P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2-6—.P_7 p ��7i,4— I Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �.......Iy%'!`J"i�"'ryt..'`i"'r ��Y►''."'S'v`•; r,.... r_.-._-.-�. . ..�-....-� �r"�.�+I�. .,'r.�li :...,: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION CAL 7 COUNTY CENTER DRIVE - 0R0VIL`I, IFORNIA 95965 - TELEPHONE: 916/534-4541 .PERMIT APPLICATION DATA SHEET Permit No. OWNER _ ` A. P. No.T Proposed Building Use i Permit Fee Based Upon: Complete Contract Price l DPW Valuation Oth'er-(Explain) Building Inspector. _ Date !L4— At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance,Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , . . , 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health'Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .,Pre-Inspec. request to (Dote) . 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: Mai�to owner. Mail to contractor. Telephone- 9/q L, and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desi Owner) was advised of above required data by Telephone Mail By Date Plans checked b Date Plans approved b UY Date Other: Copy—DPW Other 11 -PERMIT NO. P E M 331-75B MH UTIL. PERMIT NO. PERMIT EXPIRES `OWNER Edward Clark J'CONTR. (owner) LOCATION (A.P 34-03-21 1. 160 Canyon Rt..., Or6ville u. Temp. Power Pole Called PG&E Temp. Elec.' Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 4- c,..T 14 :. V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS •.7 County Center Drive — broville, California 95965 Te0aphorn er534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��V� 6�epeU14Date a% 7— Signature ofP+errmitee or Agent Receipt No. 12(��z�1'0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been�id. DIRECTOR OF/PWBLIC WORKS BY Date 1-31— _/6� Ving permit expires Date.....................J3i`u. BUILDING Owner �,� Cls'9� SQ. FT. OCC. BUILDING VALUATION ,O Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address (y*4-7 Permit Fee 2 Ba Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Z 079 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — �_3 —z Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es �eft+�ati®a Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvem nts P Lawn sprinkler system 2.00 Bldg. rLr ec'd Parc pproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 collr 4 zE rXoojc Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family JZDuplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20b.1%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: Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ky� I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 2 OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��V� 6�epeU14Date a% 7— Signature ofP+errmitee or Agent Receipt No. 12(��z�1'0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been�id. DIRECTOR OF/PWBLIC WORKS BY Date 1-31— _/6� Ving permit expires Date.....................J3i`u. NOTE:—All Mnterir is & 'Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescrilaed for the Specified .use in <' Uniform Building, Plumbing & Machanical Codes and the• . National Electrical Code'. ' 7X4 '/i✓ axowlr-4%Ar9 I {' �NC xG s aTleg SNAif'E mot -v 001, GO, MA&,E Com. This' set of plansasgesel#s MUST be I kgpt,, on the' job et all times. and .it is unlawful to `— rea6l.any changes. or alterations on scree without written perm4sson from the Department of Public 'Works; County of Butte.!; �X/� D.f / 6yegbE . I)o0e_ 11/46/e iPa �L - 4P At-,n boo, i8� X 7 =` jMD0T// ;,OvnE 66A7!Eh BUTTE COUNTY .BUILDING D.EPARTMEE41Y _ :a ARPROVED� i r= % PEf�iMiT NO. 5124•-77B,P;E PERMIT EXPIRES OWNER Edward Clark 'CONTR.' Holiday Pools, Chico . LOCATION (A.P. .34-03-122 ) 160Canyon Dr., Oroville f ;t i 7 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED -TSignature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phslcally handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h / a J_ Reinf. Steel IC7 ,3 Final Fixtures Bond Beam/v/;//7) FIRE SPRINKLERS Motors [ Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. J 7 CEJ Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping I Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE �D/�/ /%� REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^- 7 County Center Qrive, —, Uroville, California 95965 61c;;2-9 77 Telephone: 534-4541 APPLICATION AND (PERMIT ,tJ V authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date �!'r3 A,> ure%of Permmiitene orQAgent Receipt No. !([J�`7 K 7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 P BLIC WORKS BY Date 7 7 Building permit expires Date l'`Ly 7 BUILDING Owner 'E `&t- SQ. FT. OCC. BUILDING VALUATION r Mailing Address Telephone No. Fireplace Contractor S Total Valuation Mailing Address I SSen a a Permit Fee Plan Checking Fee &/or Penalty 01 Tele hone No. Permit Fee $ D 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 10 To V t Each gas water heater or vent 1.50 A. P. No.(4--03— n_-1— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 C. S i ion Fire Dept. FireZone Use Permit EQA PPlans Declaration Parcel Map 60' R/W Improvements Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. ns Recd Parcel Approval Plans pproval Permit Fee $ JZ TSP NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 0V OR LEMain service 100 AMP ORSLESS 5.00 Main service EA. ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ri NEW OR ADDNST (ACCLBLDGLING OCCUP. &) 20sgft NEW CONST R. -OUTLET NON-RESID, (MULTI BRANCH CIRCUITS) 2.50ea cv NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 11OLZ.OAV 100044 Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL@1 Ex. Occu FIXED APP LNS. OR P'(DUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. _2o ,91• 3,2�2 Classification S3 Mi so, Wiring r-- 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee 4$ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ® I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date �!'r3 A,> ure%of Permmiitene orQAgent Receipt No. !([J�`7 K 7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 P BLIC WORKS BY Date 7 7 Building permit expires Date l'`Ly 7 NX, M0 - -7� V 4348-73B,E PERMIT NUMBER B 4 P E PERMIT EXPIRES � —,9c--74f— �"'OWNER Ed Clark I'CONTR: Owner • ,,LOCATION (A. P. 34-03-21 160 Canyon Drive DATE REMARKS OR CORRECTIONS A71 �-/Z: COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback ���'2 �� Forms ' ✓"�� '�?' Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr., Htr. Furnace Kitchen Vent Firewall Garage Vents ' Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS A71 �-/Z: COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORp 0 Q r7S- 7 County Center Drive - Oroville, California 95965 I Tel ephone: 53434541 APPLICATION AND PERMIT �N .a �VVO, u. uM t,uunty u1 ouue to enter upun me above-mentioned property for inspection purposes. X d zate4- /3'%`-7 Signature of Permitee or Agent Receipt No. lo? 7,7t5` 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ` DIRECTOR/GF PUBLIC WORKS Be�' Date %-/ !o - 7� uiIding permit expires Date. �'................ BUILDING Owner - SO. FT. OCC. BUILDING VALUATION Mai I i ng Address r✓ Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Y $ _� $ Building Address PLUM NG No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F _-Safl4a4ron Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans . Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE. PERMIT FILING FEE $3.00 Main service incl. 1 meter <1 Additional meters, each 1.00 Single Family ❑ ,s Duplex ❑ Mobil Home ❑ Others, Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal a20 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan orF.A. Furn: Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring x I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE l am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of 'the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. -I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �N .a �VVO, u. uM t,uunty u1 ouue to enter upun me above-mentioned property for inspection purposes. X d zate4- /3'%`-7 Signature of Permitee or Agent Receipt No. lo? 7,7t5` 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ` DIRECTOR/GF PUBLIC WORKS Be�' Date %-/ !o - 7� uiIding permit expires Date. �'................ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR` 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLIdATION+AND PERMIT auuwiicc lUPlVOelltQrIVCS ui rile UountY of tsutte to enter upon me above-mentioned property for inspection purposes. IF //-a7-2 $i ure'of Permittee or A ent Receipt No. /1,/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date/��7� Building permit expires Date . f L_ .� l BUILDING Owner SQ. FT. OCC. BUILDING VALUATION G•" Mailing Address Telephone No. - Fireplace Contractor Sf 6 - 3 �3 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Gy Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe . . . a a Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plan c d Parcel A Plaproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRfCAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b�a�l�1?�o Reeps.,swi hes&fix tlets 20025 vv CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring LiNI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ —c WORKMEN'S COMPENSATION INSURANCE 1 am aware of. the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. KA I certify that in.the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuwiicc lUPlVOelltQrIVCS ui rile UountY of tsutte to enter upon me above-mentioned property for inspection purposes. IF //-a7-2 $i ure'of Permittee or A ent Receipt No. /1,/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date/��7� Building permit expires Date . f L_ .� l �� ,j, . ., COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive!( — Ovville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plars Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbalfaTo Receps., switches & fix outlets 9 sin CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEEPERMIT WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date .v COUNTY OF BUTTE—'%DEPhRTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection pu oses. Date 41� Signature of itee or Agent (� Receipt No. �v / White:D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P IC WORKS By Date �J✓�� Building permit expires Date ............... BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor f4t6.41Total Valuation Mailing Address © /�4w, Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address / PLUMBING No. @ FEE PERMIT FILING FEE $2.00 L19V20 61Each 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. <G —0 3 / —� ZoningGas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C. 3zirrFt�Trt)n FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION TILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r 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 bal io Receps., switches & fix outlets 2u (01 2b 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: / /� Vv & / 8 f At (..6Ao 0. JAle— Hood, Ex. Fan or F.A. Furn. Motor 1.00. Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Q Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. r ' �D j Classification Q 6 Z4 t3 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. +k-lo,l have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection pu oses. Date 41� Signature of itee or Agent (� Receipt No. �v / White:D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P IC WORKS By Date �J✓�� Building permit expires Date ............... I _____ - - __ - - __ I 1. �. . ___, � _ __ , _ ,___ � ___ ''.1-1, -_11 -1-1-.,--�,---,-.-"-..,--,�-��l,- � I ­­ . ,,�. �j. T,ig" 46i ,: I !::; I I : I � .T - , , , � ; � I I I I , I , � .- � , " . , 't ��,_,! -, ., , - - , - - �* I I _� -_ - -"- �. - _�, S ,� i ,Y�`*'', i � .�,i ; 44, I! ;: " 5'!, - �, ,�� ,�'. , .. I ""I, ,; � - .i , . 11 . ��,­`i, , ,4�,'�,� 4q� � �R -, � , I �, � , - � �. .. __ ­ .�, , gRRMS-'up f ,., I -,,�� 4 �. , ��; . 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