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HomeMy WebLinkAbout068-050-064Dr. Wm. Bunstock Lemon Hill Dr.; Oro-Ville nt James W. Scales, Paradi9e Permit �k4.319-81 ,E,Mja% ami y r . room/SF) F/ r 68-05= f Contr - wa -•el AC, Oroville Permit-82M(install gas pak/4319-81) 00 Contr: George Roofing Ft r? Permit#1403=86B(reroof/SF) t r Permit#1403-86B Dr. Bunstock 124 Lemon Hill 'Dr, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT-1 N AND PERMIT ASSESSOR PARCEL (�UMB�R i� / ZONING BUILDING PERMIT OWNER - 1 Dr. runs -cock TELEPHONE .33�4- 0750 SQ. FT. OCC. BUILDING VALUATION /� :a _ OWNER'S MAILING ADDRESS 124 Lemon Hill Dr. Oroville CONTRACTOR'S NAME 17 orae Roo;ina TELEPHONE 133-6393 CONTRACTOR'S MAILING ADDRESS 3913 Olive rmv. Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ / ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 124 Lenton Hill Dr. Orovillc: Permit fee $ f PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W J ho.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Q Describe work: R00:1:ina _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 fullforce and effect. License No. 452266 Classification C-39 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h , New DCONSTR(A /20sq It "'ULT'OUTLET .50 ea NO N.R ESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 52L@ 300 FIXED APLNS. Ex. QCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 9 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 consequence of the granting of this permit. %� Date Miry 2n r 19aG Signature of Applicant - Owner g pp ❑ Contractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep and demolition or construct -;DIRECTOR; ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occ"P, CONST.TYPE FL000 PARCEL I PD F NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC4ORKS By ,....'f PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p .' Date !_,�, Receipt No. - _ WNITE•O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C,alif'ornia 95965 - Telephone 916/534-4541 APPLICATION ARD PERMIT PERMIT jNO. r ASSES O PARC L N`MBER ZONING BUILDING PERMIT OWN R Dr. Bunstock TELEPHONE 534-0750 SQ. FT. O.CCA I BUILDING VALUATION OWNER'S MAILING ADDRESS 124 Lemon Hill Dr. Oroville CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 3923 Olive Hwy. Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 124 Lemon Hill Dr. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I O.00ea TYPE OF WORK New Add ition❑ Remodel[:] Utilities❑ Installation❑ Other EX Describe work: Roofing _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Is I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. 452266 C-39 License No. Classification FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 , /20sgft New OONS. A C._BI ODGS. C NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 200500 9AL@3O FIXED Ex. Occup. OUTLETS (PRESID )REA.) 1 2.00 Temporary service 10.00 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saig County in consequence of the granting of this permit. •at�. X Date May 20. 1986 SiSignature af•A Applicant — 'Owner g pp ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3Lstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST*TYPEJ I IFLIOOOIPARCELI PD ND 99UE This permit is hereby issued under sions of the Butte County Code and/or work Indic d above for which IREC F PUB Bate PERMIXPIRES Date the applicable provi- resolutions to do fees have been aid. p C ORKS Receipt No. Sac -)-0 WHITE-D.P.W.. YELLOW -ASS E990R. PINK -INSPECTOR. GOLDENROD -APPLICANT 9 �o�,��)�d3o �° 1 I— %ft. ;i PERMIT NO. 4319-81B,P, E,M y1Y PERMIT EXPIRES OWNER Dr. Wm. Bunstock CONTR. .Tames W. Scales, Para. ASSESSOR PARCEL 68-05-41 LOCATION 124 Lemon Hill Dr., Oroville D A4fol I"i 0/vv �v_✓ � ��iy�L� Wim/ Rr Y S. if ,i `lt } w a' i Temp, Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E V JOB FINALED (Date) Signature is ,x_ J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDER OR Plans OK except #'s Steps -Door & Sidelight Protection -Landings requirements -Setbacks -Easements €uraasa;�Coale- arance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection tg., Main; Soils-Steel-Elec. Grnd.- /i'x/" Ftg. �tadroom Exiting 3. G.F.I. & Bath Fixtures & Tub Access Fig., Porches & Decks; Soils -Steel- / /" Ftg. I _ twalls, Main; Steel-Blockouts-Wrapped-Slab Stairs R Rails 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab >/�� 7. Piers- at Wood Panel; Int. & Ext. . D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -2- 9. Gas Pipe; Size -Anchors ec. Outlets &Receptacles at Kit. Counter 0.Water Pipe; Test -Anchors -Regulator -Service Test ing-Landing-Closer 11. Electric; Underground a�� Plenums &Ducts; Clearance -Material -Support -Ins. 12--1 3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - olts-Joists-Vents-CripplesCard-8)/, Elec. & Mech. Equip. Listed for Location 71. rage; (G.F.I.)-Romex Protec. 72. Card -B/ �, , Date -S- - Card -BI Card -B '61 __Date � a l .AW -El l Date Date PLUMBING (Permit) OK except q's 14. - Air FellewiRg ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No mer Pipe; Test & Anchors -Nail Protection h tii�B'ClV.; Test-Fttngs & Anchors -Nail Protection Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 17. ub Access _ 18. oor- Flub Access Electrical, Plumbing 19. hors Card-6Q/GC_-Datep9-Z-&'_)..-Gard-BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except q's i�xture & Transformer Clearance -Ins. Protection Vic. Receptacles Spacing -Lights & Switches at Doors 2 ze Bwes & No. of Conductors -Stapled 2 omexI stalled Close to Edge of Studs & C.J. 2 qu�,-Ground made up w/Mech. Fasteners -Bond Gas & Water _ 26v -11 -Appliance Circuits in Kitchen & nductor Size 26. Subfeed Wire Si e / ga. CuA A.C. Wire Size / / ga. Cu 27. Range Circ. /&p/ ga. Cu01�- Insulated Neutral [ No V(S28. Service -Riser Conductors & Ground -Main Disconnect uip. Clearances; Panels-Motors-Mech. Equip. 30. -Shower Light Date FRAMING (Continued) 48.y fine firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. a6te9rs,-9tlltiTfrYleadroom-Rise-Run-Landing-Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers j -Nailing -Veneer FC e - np reed - ng Area -Glass Prote Card -BI Card -Bl Late .s -. Date Fdn. Vents-Underflr. Access -tion-Skyl ights-Plastic O I -BI Date 1 -BI Date Card -BI Date Date FINAL LP4ens) OK except N's 9& -'Ext. Steps -Door & Sidelight Protection -Landings 57. 58. €uraasa;�Coale- arance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. �tadroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access kj,-S-1ec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs R Rails 6 _ ve; Clearances -Hearth 89.�1'rr�,Autlets at Wood Panel; Int. & Ext. Kit. Fixt. & A Iiance; Grnd.-Air Gap -Cooking Clearance _Stops; Furred Ceilings -Stairs -Chases -Tub p`y - er &Beam -Size & Bearing _ _ ._ ers-Post Caps -Anchors -Connectors Cing. Joist-_Rf_tr. Ties-Purlin-Root Brac.-Truss-SAK,Rfnq. _ 44. Type A Flue -Fireplace Throat ec. Outlets &Receptacles at Kit. Counter 67. ing-Landing-Closer 68., mper 69. ce-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Zj Elec. & Mech. Equip. Listed for Location 71. rage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails�Deck Construction -Post Caps 74.. Fdn. Vents & Crawl Hole D rainage & Wood -Earth Clearance Looked under Floor es 75 FellewiRg ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76, h AIA.q.-Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet A -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Electrical, Plumbing xterior Elec. Trim G.F I Receptacle -Underground Card B-Ilii:/GT--fat$ 7D -V- ezrd=Bi Date n dation throughout House Card B -I Date Card -BI Dateo --tion 83.-�6orresti® aSfrom Previous Inspections Date MECHANICAL (Permit) OK except p's 84. -Meters Tagged; Gas -Electric � A.C. Ducts; Insulation & Support Pater &Sewer Connected -C/O to Grade -HD Approval 32. Y,ertt baa; ������h m�nsulation Energy Compliance Certificate -Other Certificates _ ___33. C ow; Size & Grade 34. F . Air -Return Air Vent -115V outlet 35. Amt +' if Furnace in Attic ( J Card- _ Date, F ard-BI Date Card -BI Date Card -BI Date Date FRAMI G(Plans) OK except q's Card -BI -/�- Date Card -BI Date Card -BI Date Comments at Final: . _ oel-S Proper -Material & Anchors _ _ alallss; Studs -Nailing, Spacing & Bracing -Plates -Sound Bpafing Walls over Girders & Floor Nailing__ Dr Stop in Walls (rat proof) - _Stops; Furred Ceilings -Stairs -Chases -Tub p`y - er &Beam -Size & Bearing _ _ ._ ers-Post Caps -Anchors -Connectors Cing. Joist-_Rf_tr. Ties-Purlin-Root Brac.-Truss-SAK,Rfnq. _ 44. Type A Flue -Fireplace Throat Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles 46." rm._W;ndow_s or_xiting Doors -Sill Hgt. & Dimensions 47. tion Framing (NOTE: Anentrymust be made each time youvisit jobsile) Card -BI Date OK Not OK _'Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) L,,. xcept f _ 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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.-S)tthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc..)S..ies 6. Gas; LocatiorrTest-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 Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'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/0 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-1 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Da -.e ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS r AT 12• -Lt L•65-Mbf'J. . O -PLL 'VA. ©0-bUDLL1: (location) _ BUILDING PERMIT NO.q%jq-2)is ID I.7.A.'P. NO. 2 --As- y/ THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: / -Slab Edge /V//• Single Glazed (/ Fdn. Walls A111A Special (Insulated) Floors CERT. & LABELED WDS. Walls & SLIDING DRS. Ceiling/Roofg, /y WEATHERSTRIPPED DRS. Ducts POP- Al 4kjUA L. BACK DAMPERED FANS Circulating Pipes ,!/% INTERMITTENT IGNITION DEVICES APPROVED HEATER y�T- CERT. APPLIANCES APPROVED WTR.HTR. 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. Insulation Applicator Name A46 !r M/4 (pl Signature of ase print) _ Insulation Applicator State Contractors License No. General Contractor/Owner ✓� ��r (pl ase rin Signature of General Contractor/Owner Date 1-;2- .2,9 tate Contractors License No. 2Z3 b C00_=; 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. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT, NO- ' NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AsSboQQA�UMBE'© ZDNr BUILDING PERMIT OWER 14 �' TEL PHONE SQ. FT, OCC. BUILDING VALUATION OW 'MAILIG A DRESS ft9S N q_ CO CTOR'S NAME ELEPHONE Sc 74, C NTRACTO 'S MAILING ADD ESS , _1, ®,y` S ( Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation. $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ $ ARCHITECT ORPenalty ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS t l PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ZS Repair drainage or vent piping 5.00 Water piping .rO r0 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,— USE OF STRUCTURE SF LTJ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utin ies ❑ Installation ❑ Other ❑ Describe work: ( Permit Fee $ 17,0V Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main SBNICe 100 AMP OR00V OR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONS. D ELINGOR ADDNST (ACCLBLDGO 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business80 and Professions Code and my license is in full force and effect. �EX. License Nc r ��n Classification _ E / ❑ I, as the owner, or my employees with wages astheir sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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 TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEw CONSTR. POWER APPARATUS &I\ NON. ( RESID. (SINGLE OUTLET CIR. / a 25¢ Ex. Occup OUTLETS OR FIXTURES BALP+ QCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT FiIirig 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 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. Heating Cooling Hood 3.00 Ventilation pelt 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 buil construction, and hereby authorize representatives of the Countyot Bu to a ter upon the above-mentioned property for inspection purposes. I Iso agr to save, indemnify and keep harmless the County of Butte against I liabili ies, judgments, c sts, and expenses which may in any way accrue a ainst Coun in quence of the granting of this/p/ermit. X Date) Ii ( -1Z_— S' ture of Applicant — Owner ❑ Contras+or [ Agent ❑ 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 $ TOTAL PERMIT FEE $ S OCCUP, GROUP 3 TYP OF CONST. —�� PARC PD/ ND Y SSu 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. ORKS �J PERMIT EXPIRES Date �� �� Receipt No.J,�;=te WHITE-D.P.W., YELLOW -AS 6ES SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT — -�. s �.-..----a...-....-.n++r.+�..vn�. .ti�..Y "i+-vwv.'S�r:�'+`�.s �.- �.-••ww.+•...."`�-"' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION r 7, COUNTY CENTER DR, VE - OROVILLE, CALIFORNIA 95965 = TELEPHONE: 916/534-4541 z PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract. Price Permit No. A. P. No. ,Jg` DPW Valuation jj xplain) Date 1 l,- I �%' R'/ At time of permit application, I was advis4d the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED �1 All items have been ubmitted. Plot plansuplicate triplicate. Complete plans In duplicate./triplicate. Complete engineered plans and acs. 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 $ . . . . . . . . Letter of signature authoCization. Sanitation approval from Xm • Health Dept. 11. Planning approval for (A) Use:. (B)'Parking: .0 12 Certificate of Workmen's Compensation Insurance.,w Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownerE, Mail to owner E.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre -Inspection for Re uir d,•Pudding In request to P q wilding Inspector 6k6 Other �i� tr �/Nt P X i s 1 0?r When you issue the permit, process as follows: Mail to owner. _ Telephone and hold foy-pick—upi-at office. Other 7 Ap Copy of plans sent Health Dept., Fire,f7ept., Other ate) 1 f Mail to contractor. _Deliver w/inspector. k!c Date / 7`'- ' "L Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above nt time pf a is do , circle item.) 1. Index permit for above Items No. 2. Additional items required: (Con ac r, Designer, Owner) was advised of above required d ZE Telephone Mail Other /is1 / By ul Date & nt 7 checked 'lam LDate Plans I ....-..%L1/Date Copy -DPW To: Building Department From.. Environmental Health subject: Sanitation Clearance Owner --` Location AP.t Plan Approved for: Sewage disposal _ water supply. .Hold final for: d, titer supply Final clearance O.K. for: Nater, supply 4 Clearance for bedroom mobile home. Other r.o C� Sanitarian. Date �l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSt PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 APPLICATION AND PERMIT ASSESSORp C Off�Rq / (� ZONING BUILDING PERMIT oE}, / A �� �_�C/� CJ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C NTR�C/T 'S NAME 00 A)p• /�e, 33 —,O%E T I l�/�T/o TOR(9�C/MA_ILING ADORES - Off^. /OCj�/ /Z -/fC/i V Arz—. Cx- Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Is ' Filing Fee _ $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI cy� ESS,t11,1QA1 HI LL �i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 (� �L Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition D Remodel ❑ Utilities ❑ Inst Iqtion❑ Other Describework: L(� �9 S�[}K 1C:bP— - 6 JP� 4t3d'-El Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING OCCUP.al OR ADDNS. ACC. BLDGS. 20 sq it 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 Profess' !o s Code and my license is in full' force and effect. License No '13 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CO ID R. BRANCH OUT LET ITS2.50 ea NEw NON -CONSTF RESID. SINGLE OUTLET CIR. POWER APPARATUS e soa@1 Ex. Occup OUTLETS OR FIXTURES BALOC FIXED APP LHS. OR EX. OCCup.�OUTLETS (RESID,) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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 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 shal I be deemed revoked. Heating 7 57 Q 0 Z) OU )qS Cooling37- , O a Hood 3.00 Ventilation Permit Fee $ 2 p Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s (d)County-,in consequence of the granting of this permit. X X-16 Date / Z Sign tore of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND SSUE Tiohis ermit is hereby issued under sf the Butte County Code and/or w dic ed above for which D CTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date g �/ Receipt No. 5 O O 7,— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I l 71 ' r ♦ k k n a 1 i i i + F 1 A N y e i r w S 'A7 a � °f " 4 F 1 . Q , All R' 11KaD�v � 1. .1 sP3 h t F 1.},�, 1✓ b �,Jr q A4 itt if{,y A�yxMJ k.l t.V�4 p ,�q, , ;1U�3� Hli�}fit/ �P xy� W 3 �+;� ,, }YiBw•t "MIX x`1141 `,, Y;M �P ii7 s,�y� hw 24 a: e tii �,{ •{ w ��. f "� ci ,t 1 41 iR, hr +ViN k'"� as,i• aYjll^ 1 i l l i y7 d ,r\'' �' ~.��,i�°��.�� ",fir x r1 t�` �# r➢�y� rI e ,{9 IN t Psi{ h ,{. • ! D3 �4P ��S '. �5 a �«YXI g N f y � MIS-`A;Ip'�Q,YaJ,1i +. dgg�• . 1,y t y •;,,'4-ia 4 i ��rq �t h �', `rAi AAS", � e�y 1 y � { *IP I