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HomeMy WebLinkAbout068-130-112lis Foster / � �&/�� SIS Walnut Ave., 800 W.o Canyon Dr., Oroville Permit #5855-78B,P,E,M(nw single family) 68-13-119, Permit #651-80B(lst renewal for permit #5855- 78) V,068 13-0 —11 � ~ ,� .' —.91-3606, 7. 'FOSTER; ELL" I-S�• ''' Ir s° "CON TR i 4, UNKNOWN , 80'.WA'LNUT� -AV,E , OROVJLLE ° REROOF/SF Q Clol .!� f PERMIT NO. 5855-78B,P,E,M :Y. PERMIT EXPIRES f Ellis Foster OWNER r CONTR. owner 34-07-18 I LOCATION (A.P. ) Walnut Ave., 800'W.of Canyon Dr., Oro. a s .. i i t - s r t <P . Temp. Power Pole Called PG&E Temp. Elec. Sen. Called PG&E. 6�j Temp. Gas Serv. Called PG&E JOB FINALED�� (Date) G` /K -i (Signature) anal Mesh MECHANICAL Grd. Fault Prot. a" is-.� Scratch Heating Service Brown X Cooling Temp. Pole Finish Ducts �� . , ci Underground Interior Lath Ventilation Permanent Door Closer - / 0 0 Final Final O MOBILEHOME UTILITIES ------------ ------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage. Gas Piping DATE % REMARKS OR CORRECTIONS LvI47-V , Ao? S `X 4,t_C i ,7 d ,4e 4l12 P-9-7 5.7- 1044 i IK -90 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING Setback - - 7 Firewall L.34. O Gc._.`_ Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Foot in s Windows 3rd Floor Stemwal I Siding Too out "7 Slab Roof Sheathing 7 Water Piping --2 Pier Roofing _7 7 qZ.Z:6� Sewer .- -t-- Garage Fdn. Vents J"7 "% `�iZ=___� Fixtures Footin StemwaII G Garage Vents nsulation 9E. Water Htr.' Heaters Slab Carport Po Footings Slab Prov. for phsically handica ed Conformance of ex. structure Final - '- 6 Appliances 4P - c--- Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final o`Z- Footin s 1 -2 Footing b 6 - "K -4.4L ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final , "/ o Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 2- Test Water Htr. --5 /3 C__ - anal Mesh MECHANICAL Grd. Fault Prot. a" is-.� Scratch Heating Service Brown X Cooling Temp. Pole Finish Ducts �� . , ci Underground Interior Lath Ventilation Permanent Door Closer - / 0 0 Final Final O MOBILEHOME UTILITIES ------------ ------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage. Gas Piping DATE % REMARKS OR CORRECTIONS LvI47-V , Ao? S `X 4,t_C i ,7 d ,4e 4l12 P-9-7 5.7- 1044 i IK -90 (NOTE: An entry must be made on this form each time you visit the job site.) 0 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION -REGULATIONS AT '90 4e,-19 L /Y vT — -- - (location) BUILDING PERMIT NO. SSsSS 7$ A:P. N0: 3 ¢— O 7—/ S THE FOLLOWING HAVE BEEN INSTALLED 'AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. &A Fdn. Walls 61A Floors N A Wallsy Ceiling/Roof l.-'_ Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING:- Single LAZING:Single Glazed Special (Insulated) V CERT. & LABELED WDS. .& SLIDING DRS. , ✓ WEATHERSTRIPPED DRS. v BACK DAMPERED FANS INTERMITTENT IGNITION. DEVICES_ CERT. APPLIANCES i,' 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 J' A77,4eb,j_R ' Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name -S Fo:7 j F_2 (please print) Signature of General Contractor/Owner �_s� Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITHTHE THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL•INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. Permit# INSULATION CERTIFICATION 80 Walnut Avenue 0/Z.'Pa *,(-i If= /?v 7".= Number and Street City County Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material :'Fiberglass Brand Name Certainteed ,�n ' i- ��- ): 11 , v Thickness finches) ThermalResistance (A Value) CEILING i Batt of Blanket Type Fiberglass Brand Name Certainteed rr _ Thickness (inches) Thermal Resistance (R Value) 19 Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags '' Weight per bag Ib Area Covered (0) Thermal Resistance (R Value) FLOOR,ELEVATED Material — Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB Material Brand Name Thickness (inches) Thermal Resistance (Fi Value) Width (inches) FOUNDATION WALL Material Brand Name' Thickness (inches) d, Thermal Resistance (R Value) HEATING SYSTEM Gas Furnaco Make Model Description ; Rated Bonnet Capacity t ,.71 A r, i_,e DECLARATION _ hereby certily that the above insulation was installed in the building at the above location inconformance with the current regulations setting Energy Conservation Standards For new residential buildings (located in Title 24 of the California Administrative Code). EL e i S s t General Contractor (Builder) License umber ignature and Title 'L. Date Hawkins Insulation Co., Inc. 215925 Sub -Contractor (Insulation Applicator) License Number azcIC Owner 5/23/79 • - Signature and Title r. Dale ,P CERTIFICATE REVIEWED BY Date BIN -029 (Building Inspection Of:ice) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address -706or 01,5JZ. /�� yy��� orz<> : Tele hone No. IS Contractor D w kQ�L I Mailing Address Fireplace Total Valuatio Telephone No. Permit Fee z Building Address 6 Wi6�ti�C�T' �. D Planng Fee&/or Penalty Permit t Fee ould V641PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 orz,o Repair drainage or vent piping 1.50 A. P. No. -U7- f� Z� k— k Zonl g anning Water piping 1.50 Each gas water heater or vent 1.50 Fqpe YY_• Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I Parcel Declaration Parcel Map -Approval 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPe0ov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ACDNS. ACCLBLDGS.CCUP. 4') 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 131 Professions Code under the name style of: TLET 1 NEW RESID. /BRANCH CIRCUITS NON.RESID, 1 BRANCH CIRCUITS/ 2.50ea ' " NEW CONSTR. POWER APPARATUS & NON.RESID, SINGLE OUTLET CIR. Ex. OCCUR{OUTLETS OR FIXTI1RES gA@L FIXEAPPLNS. OR Ex. Occup. �DOUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. 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 State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE ; - $ Y/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date'l/—k0 Signature of Permit e�AgentYY�� 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. BY L, Date` v'r Building pe t expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 P; Telephone: 534-4541 APPLICATION AND PERMIT 0 � _.— ,O;v Out lunce reNresentcluvt s or the uuunry or tsutte to enter upon the above-mentioned property for inspection purposes. X/ Date !U -3- 7 v /T Signature of Permitee or Agent Receipt No.,/9"22 74 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 70 B ding permit expires Date BUILDING Owner �L% b,S%�%� SQ. FT. OCC. BUILDING VALUATION y© ,aC) Mai I i ng Address ®6 g i z -A r- S•ron ef- 31901. 19 0, 0 0 Tele hone No. 61ez)0ILLL l� 95-995- r/ -�S/ 9' Co 4 2 b Contractor GC-, ve-'e— Mailing Address Fireplace CLASS 6-60 ®p0 Total Valuation 44 41 ,1 , 0 0 Telephone No. Permit Fee 119.t C3 0 Building AddressPIanCheckingFeeVorPenaIty X.fL4 r 4VC' T 9- Permit Fee 1`10.0 11 �t 960' , tar- XJ GA,; d7 id. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,06 Each Trap Y 1.50 Zoning Y�i$ee$ioa 9a1� �%10U/.L LG Repair drainage or vent piping 1.50 A. P. No. �+ h 3 / —®% '� /O� a Zorn ng Planning Water piping 1.50 (1 Each gas water heater or vent / 1.50 i,5b Feks Me S ' n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 J'S -6 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improoments Each additional outlet .30 Building sewer 5.00 Bldg. ans Rec'd Parcel roval Plans Approval Lawn sprinkler system 2.00 NEW CK ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ .ad$®[ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,00 Main service 1000V OR 0 AMP ORSL=SS 5.00 Single Family 10 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. 22sgft 4'1MULTI 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: Y NEW CONSTR.ANC OU � BRANCH GIRCUITS) 2.50ea NON.RESID BR NEW CONSTR /POWER APPARATUS 9 NON-RESID. \SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI,RES I g L2; Ex. OCCU (/ FIXED APPLNS. OR p• 1 OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ 576, 40 $ 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. ❑ 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating &7,*&bpbf! Cooling 6i GT tvo eTG 41-00 Ventilation Hood 2.001 91 C& Permit Fee $ ,ai> $ 9CC 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 Land Development Fee by TOTAL PERMIT FEE $ 0 b Out lunce reNresentcluvt s or the uuunry or tsutte to enter upon the above-mentioned property for inspection purposes. X/ Date !U -3- 7 v /T Signature of Permitee or Agent Receipt No.,/9"22 74 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 70 B ding permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Perm t # 15 5:5. 7& OWNER `' A.P. # 3 O7 S A. GENERAL �oning requirements (sideyards and parking). aluation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ��Gtading, ther buildings or structures. fills, drainage. C. FLOOR PLAN d. Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). 0".' Required windows for second exit (Sec. 1404). llowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). ,V G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures,'switches, receptacles, and exterior receptacles for maintenance of .9,�echanical equipment. -Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec. 3303d). <�Im_oke ireplace location. detectors (Sec. 1413). DA, SZWCTURAL DETAILS Foundation plan complete enough to construct building. loon construction details complete enough to construct building. levations and wall construction etails,complete enough to.construct building. oof constructidIrTmeTails complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. SCELLANEOUS ITEMS TO LOOK OUT FOR CCX.plywood on exposed locations and overhangs. Stairway details (Sec. 3305). 30."' Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). 5y Exterior plaster - weep screeds (Sec. 4706 & 4708). `6 Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. dequate bracing. - complete 1 -hour separation required including supporting io Living area over garage al and posts, etc. ]Two (2) exits on three-story dwellings (Sec..3302). .�.s.'•mmti'..."^i "sir„^"���..,r:;,:�q�sA��.a,..�:t,;,•w,..�'-.�,•r.�cz.'v'►34ct.?�;j`Yis:"�"*'-""&�'ct`ia�;"!N'++a5'.ifti,�`.ti'•d'i?^•zaxr'.�u::,,r;,�er7�t� Y.�c.,.is+s;,�;t •s��?-�+•`�C-�'`w�"„���t .'�i� 068=13—p-1 12X914 36064`: FOSTER!, ELL I S p;,•, CONTR : UNKNOWN ` = 80 ;WALNUT AVE, OROV I LLE a REROOF/SF' �` } 21 t COUNTY,:OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 .. APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM R ++ 6 ZONIN0 BUILDING PERMIT OWNER ELLIS FOSTER T�EPHONE SQ. FT. OCC.COKF— -39 BUILDING BUILDING VALUATION �Q f OWNER'S MAILING ADDRESS 80 WALNUT AVE OROVILLE CONTRACTOR'S NAME UNKNIM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNNM Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 80 WALNUT AVE OROVILLE Permit fee $ 60.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Lit 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 ❑ Remodel ❑ Utilities ❑ Installation[] Other © Describe work: REROOF CSW Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): p y p jy ( ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) - Q 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 .s: NEW CONST.DWELLING OCCUP3.64 sq.ft. OR ACDNS. (ACC. BLDGS. NEW NON-RESID R. BRANCH CTRCTITS I @ 5.00 (POWER APPARATUS 61 SINGLE OUTLET CIR. / @ 76 Ex. Occup(oUTLETS OR FIXTURES A200 464 Ex. OCCUp. OUTLETS ((RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 shal I 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 15.00 Heating Cooling g LHood 6.50 Ventilation permit Fee $ L 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 co sequence of the granting of this permit. X Date S / �-yyj Signature of Applicant — Owner ElContractor EJAgentEl,/-, 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 FEES GO• OO HAz I DFEES IMP I FLOOD I CDF PARCEL I PD I HD IS E - This permit is hereby issued under the applicable pr vi- sions of the Butte County Code and/or resolutions to do � � afor which have been paid. work�ZindaratedwlMIR j f)F P 16 /1 WORKS ! DI By Datel PlRM T EXPIR Date n �� - f "- Receipt No 01322 60.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 4 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER �" ELLIS FOSTER TELEPHONE 589-2515 SO. . FT. OCCBUILDING VALUATION OWNER'S MAILING ADDRESS 80 WALNUT AVE OROVILLE r� 'Sq 2,280 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is 2,2bu LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee Energy g $ Penalty $ BUILDING ADDRESS Permit 0 WALNUT AVE OROVILLE fee $ 60.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: RFROOF COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUPM l OR ADDNS. ACC. BLDGS.NEW 3.64 sq.ft. CON5TR MULTI -OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L.FIXED 76 Ex. OCCUp. OUTLETS PRESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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 FiIingFee 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. 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. X -� Date t Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ cONSTTYPE TOTAL FEE $ 60.00 HAz I DFEES IMP FLOOD CDF PARCEL PD HD IS E This permit is hereby issued under the sions of a Butte County Code and/or wor n ated for wh' h es DI R F p p XPIRE Date applicable provi- resolutions to do have been paid. WORKS Date r Receipt No101322 60.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFYPUJBLIC WORKS -,BUILDING DIVISION 7 COUNTY CENTER•D.BIVE = OROVILLE, CALIFORNIA 95945 - TELEPHONE: 916/538-7541 PERMIT,_; rPPEICATI01 DATA SHEET Permit No. ill&4-fe//QQ OWNER _�S�it A. P. No.ta C Proposed Building Use <Z.)�7_ Building Inspector Date 16 -9 _9 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and ACBuildings ............... 8. Engineered truss details and layout in duplicate°(required prior to plan check) 9. Mobilehome installation data including, manufacturer's installation instructions ................... ` 10. Fees of $ >::..................... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...................................................... t. 13• School District fees paid .............. 14. Sanitation approval from `" Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Namq Style, Classification) ... 22. Certificate of Workmans Compensation Insurance ................::. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... ; 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup%t office. Deliver w./inspector. Other Applicant �1 \Y�� Date �..!.�.� 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: (Gircle 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--jnail—counter by Contractor, designer, owner, was advised of above required data by—phone —mal i_counter by Plans checked by Date Plans approved by Sets of plans on hold in File cabinet _AP folder Copy—DPW -date date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. A13ESSOR PARCEL NUMBER — - Z ZONING _ • BUILDING PERMIT OW _ ,d I TELEPHONE 9- SQ. FT. OCC. BUILDING VALUATION OWNS (LING AO� �.v�u �� Rs�it��� C�If �� 2 � O CONTRACTO 'S NAME on (< wCA.-O J/\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ LENDER'S MAILING ADDRESS Filing Fee 5 15,00 Permit Fee $ Lf,5__010 ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS nK^, U Permit fee PLUMBING PERMIT Filing Fee 15.00 \ C C, Each Trap I 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 } USE OF STRUCTURE SF,V Duplex❑ Mobilehome❑ Other !�` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition Remodel ❑ blit' s ❑ Installation❑ Other Describe work: e C �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?OOA 0R LESS 18.50 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 con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI 37.50 NEW CONST.( DWELLING OCCUP.&\ OR AODNS. ACC. SLOGS. / 3.5C sq.ft. NEW CONSTR. 1AULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d RA \ Ex. Occup. OUTLETS (RESIO.)REA.J I 3.00 Temporary service 15.00 Home Facilities Mobile Home 15.00 Misc. 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 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 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 against said County in consequence of the granting of this permit. X Date signature of Applicant — Owner❑ Contractor E]Agent ❑ An OSHA ion of structures toverr39storiesoin hei excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE c,C> I TOTAL FEE $ HAz 1 OFEES I IMP I FLOOD I CDF I PARCE PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1��2 .0 �y ~TE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT