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HomeMy WebLinkAbout068-140-064,Y 68-14-64� WARNETH MITCHELLMOM IMP l 95 Ward Blvd, Oroville Contr: Servamatic Solar Systems Permit##1327-81P (install solar wtr heater system)SF G* - OF 61, 068-i4-0-064 92-3364B,P,E� Dudley --h .I . e 'y;�, �Ir �1'i'�" - MONTGOMERY,: 91` 95 Ward Blvd, Oroville windows, insulation, sheetrock/sf 068-14-0-064 92-359b MONTGOMERY, Dudley --t7 95 Ward Blvd, Orovillef elec sery & bathroom plbg/s_f_ (��I 4 068-14-0-064 93-1144 B - MONTGOMERY, DUDLEY &MARY 9�23-i3 95 WARD BLVD, OROVILLE . REROOF/SF X068-14-0-064 93=1704'B . J° MONTGOMERY, DUDLEY& MARY _ 13 95 WARD, `,OROVILLE 8- PARTIAL SIDING/SF,..'.i. 068-140-064 PERMIT#97-0623 MONTGOMERY, Dudley �/�� ti �7 95 Ward Blvd„ Oroville Add Garage/SF 068-140-064 02-0739 MONTGOMERY', DUDLEY IN � �3 95 WARD BLVD., OROVILL"fig FAMILY RM ADDTION 068-140-064 02-1657 MONTGOMERY, DUDLEY & M. 95 WARD BLVD.,'OROVILLE INALE CONT: SCRIBNER CONST. NEW WOODSTOVE �C CSI, �--��� A�IJ,ia'.+a�K13�:7�Ir'. t�fi�327'P`rx`5..�a f4:': Ai�§i��c.ti �+�.�.c.-�,r p ry ...., :..�+•rm.r,.'!7n�r a�v2•.. .. s . ,..,�.; „ :..r . ±�v�-ri<-s:.c-„*+y'�y:'Y":iw 'V?'�.`f'Y�R°Y`^yK.s:.y 0'68 140=0"64 02-1657 " C ; _ MONTGOMERY, DUDLEY &MARY 95' WARD BLVD;, OROVILLE CONT: SCRIBNER CONST. ' ' NEWiWOODSTOVE . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO; (Rev. 12/96) APPLICATION AND PERMIT 02-1657 ASSMAf�F�I.J�LIMB ZONING BUILDING PERMIT °`"^� DL1E(Y�(JAND MARY i�JNTGOMEft 559-406 SO. FT. OCC. BUILDING VALUATION OWN$3 MUARD DBLVD, OROVILLE 95966 CON9 CTOR'S NAME RIBNER SONST TELEPHONE 595-3038 CONTRACTORS MAILING ADDRESS LIVE OAK CA CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 95 WARD BLVD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF Z7 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK y New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other '© Describe Work: NEW W00DSTOVE Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 0LE Main Service . "OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. '®, 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 2 TO 46.00 CCU000A E0 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. T. NON -EW R61D. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OurLEr CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q': o FIXED APPLNS. OR Ex. Occup. OUTLETS 5.00 RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,A X . +. ; ., _Date Signature of Applicant - ❑ Owner ❑ Contractor [3 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP I FLOOD cDF PARCEL PD I HD UMUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a or which fees have been paid. / •(��" "By _Date PERMI EXPIRE "O N Dale "� � ReceiptNo. .0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT — 02- 657 AssT&A7p 1D40U 064 ZONING BUILDING PERMIT OWNERt7tS DUDLEY AND MARY MONTGOMERY TELEPHONE 589-4062 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 95 WARD BLVD, OROVILLE 95966 CONTRACTOR'S NAME SCRIBNER CONST TELEPHONE 695-3038 CONTRACTORS MAILING ADDRESS ' LIVE OAK CA CONSTRUCTION LENDER Fireplace A 1500.00 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 95 WARD BLVD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 70 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: NEW WOODSTOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOVMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00 CCUOOOA NEW CONST. DWELLING OCCUP. SG OR ADDNS. a ACC. eLDs. 3.50FT; W:,L No pEOSID T. MULTI.OUTLET @7,50 APPARArus 8PSINOWERGLE OUTLET S Ex. Occu ourLFT OR FaruREs en0 @ I:so FIXED APPLNS Ex. Occup. Gvi RES p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 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. X __ Date Z Signature of p)'cant - O ner ❑ ntractor ❑ Agent/��// An OSHA perm�t�required for xcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE55.00 TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a for which fees have been paid. aye•() , By r n Date ll PERMI EXPIREWN `-t' ' 0 2 Dafe ReceiptNo. 354132/$55.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I NOTES RESIDENTIAL 068-140-064 '' 02-0739 ` MONTGOMERY DUDLEY + 95 WARD BLVD., OROVILLE FAMILY RM ADDTION 4 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i t -JOB FINALED (Date VirSignature 1 i I CHECKED BY J V= OK 0 = Not OK =Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg. -Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility'Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements .Card 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test . Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg. -Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date .Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability _ 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test . 11. Light Niche Date . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (%E Date nclerfloor (Plans) OK except #'s Hater gers-Post Caps -Anchors -Connectors ng -Setbacks -Easement s -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth c�Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped R or -ws�or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped re'Protection Framing 6a. Hold Downs and Special Anchors irewall & Openings 7. Slab, Steel -Wrapped 50 -15 -xi -Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel airs; eadroom-Rise-Run-Landing-Fire Pro-.ection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test ywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test ding -Nailing Ven Ler 11. Water Pipe; Test -Anchors -Regulator -Service Test ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Br Interior/Exterior Wall Panels 12. Electric Underground InsulaIio njKaI__1:s:> a i I i n g s k , 13. Plenums & Ducts; Clearance- Material- upport-Ins. Infiltration -Walls -Windows 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies Card B-1 Date Card B-1 15. Access & Ventilation Date 16. Insulation 63. Ext. Steps -Door & Sidelight Protection -Landings Date 64. Card B-1 Date Card B-1 Date 65. Card B-1 Date Card B-1 Date 66. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 73. Elec. Outlets & Receptacles at Kit. Counter Date 74. Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date 76. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 78. Elec. Receptacles Spacing -Lights & Switches at Doors 2-1-,<ze Boxes & No. of Conductors Stapled Insulation -Foam -Looked in Attic 26. ex Installed Close to Edge of Studs & C.J. Guard Rails & Deck Construction -Post Caps 28. uip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Clearance Looked under Floor O Yes 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Following Instld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No 3.11'!�rvice-Riser Conductors & Ground Main Disconnect 83. . 33. 34. Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date%j p Card B-1 AA Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 89. ent Fan, Exhaust above insulation JV 37. 38. 39. Condensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Apprc•val Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sill Proper Materials & Anchors Date 4 alls Studs -Nailing Spacing & Braces -Plates -Sound Date Bearing Walls over Girders & Floor Nailing Comments at Final: 43. D ft Stop in Walls (rat proof) Fie Stops, Furred Ceilings -Stairs -Chasers -Tubs 456eaders & Beams -Size & Bearing dingle & Duplex) Date FRAMING (Continued) 46. Hater gers-Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 8 Fireplace Ties or Type A Flue -Fireplace Throat Clearance A8r-4TM-A' c�Size & Romex Protection -Draft Stop -Ins. Baffles SG.*.Bdim-M R or -ws�or Exiting Doors -Sill Ht. & Dimensions re'Protection Framing 5 irewall & Openings 50 -15 -xi -Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; eadroom-Rise-Run-Landing-Fire Pro-.ection ywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Ven Ler 59. 60. ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Br Interior/Exterior Wall Panels InsulaIio njKaI__1:s:> a i I i n g s k , 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date �ZCard B- g:� Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Apprc•val 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY -OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 ' 3r 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 110 4 - - -/-- - L . J_. { COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above ad/Iou nd should be corrected. Please notice this office when correction of work is completehave any questions pertaining to this matter, or need additional explanation, ple cois office immediately. o,. Date % .� °� Inspector_ REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMI NO. Av.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-140064 ZONING BUILDING PERMIT OWNER MONTGOMERY DUDLEY F. TELEPHONE — SO. FT. OCC. BUILDING VALUATION 432 R-9 54.00 23 328.00 . OWNER'S MAIUNGADDRESS 95 WARD BLVD. OROVII].E , CA 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $23 328.00 ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 243.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 157.95 BUILDII§YDRESS WARD BLVD. OROVTT T.F Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 443.95 LOT NO. SUBONISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 L USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Cq Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITION OF FAMILY ROOM TO EK. MD. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) with those provisions. X�p___ Date�_ Sig lure f Applican - ❑ Owner ❑ ontractor ❑ Agent An OSHA permit is req ired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a AcC. BLns. 3.5QFT: rNON•RES D. CONSTMULTI.OUTLET 97,50 OWER APPARATUS d SINGLE OUTLET CI R. Ex. Occup. OUTLET OR FIXTURES 20 @' 50 SAL p .so Ex. Occup. oF,ELE'A AESI�OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ ^ 23^ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation duct extension 15.00 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ TO L FEE $ 1 4.0 I o D �;g c P c HD SS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve whi fees have been paid. LQ By Date _/ 14WMJ PERMIT EXPIRES ON 2 1 11De ReceiptNo. 83 514.07 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT is -COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:__,bUdiP4 1)100— o n/e r 1.1 ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. L. Plot plansY 4 sets, signed by the preparer of the plans. *Complete plans, 3 K4 sets, signed by the preparer of the plans. Engineered plans,, or 4 sets, with wet signature on plans ANIS sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D)'Tie down or foundation plans, all in duplicate. 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be ----indd/exed and returned to the plan review line-up when required items are received. t' 8. Flood Elevation Certificate wet -stamped and signed, Date Received By p 'g in duplicate ................................ ❑ 9. Plot plan and business license approval from the bty of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by, he owner ..................................... ❑ 12. Hazardous Material Form. . ......... .......... ....................................... ❑ 13. Other' Re finiFng items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1 ees as shown on the attached Schedule of Fees Due Sheet ....................................... ► t - ,Statement of Intent for Non -heated and A/C Buildings .................................. . . . anitation and plot plan approval from the Environmental Health Department in � ? City of Chico Plumbing permit....... J W e California Department of Forestry plan approval ❑paid. Sent by J 1.9. Tanning approval for (A) Use: 0;e_ (B)Parking: (C) ar el Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:...:;.......................... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization ............... ...........:........ ............................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 13/�/ o 1. Index permit applica 'on for the above items numbered: '9 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ maid; ❑ counter Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed Date: Structural approved by: Date: Note transfer by:%rr`, Date:Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ r / --Revised Plan Checking Fee .......................... :...... $ VV l� e 2. SCHOOL DISTRICT FEES O (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE - $2500.00 (paid at Building Division) A.P. # OA ef DATE RECEIPT # DATE REC. 17 Q 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit: These fees may be changed during the plan checking process. APPLICANT DATE -t�2 o Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) ' r BUTTE COUNTY SCHOOLS IMVACT FEE CERTIFICATION FORM (One form per Building) School District �� �LE/y�[�� Building Department No. V A.P. Number ��� �7 �46ey Jurisdiction: City County Property Owner Property Location/Address 6?'S 4✓AKA 94i 11) '�xJ,Z(- c. Subdivision Lot No. .+fr i ..................................................................................................................: Residential Development © Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(N o foundation inspection): � Commercial/Industrialt Sq. Footage New Addition (Including Exterior �J Roofed Areas) Building Department Plans reviewed by School District Personnel) District Identification No. S -;;?lo I Date 104 ,,I) :, A r Y".. _ School District certifies that Or, (Applicant) ell qs— (Street Address) (Phone Number) %C��C0 ig (City) G (State) (Zip Code) has complied with the requirements of Resolution No. representing 4- 3 i square feet. ''' ''j -- .- . , -4 . - ... . I t. District Representative Paid by Check # Remarks: by payment of $ 11AB 2926 $ FULL MITIGATION, $ r' Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) r feeform.xis 110/98)dmm O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ,, NO 13DUi HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: 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: QL�s 1 11 PROPERTYOWNER: DATE: L NOTE: This Owner -Builder Ver (cation is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORiti1ATION I 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 parry 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. f f 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 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emplover, 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. ♦ 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. ♦ For more specific information abouty our obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+Mge'r%:uil?dini'z Vi.B.O. Inspection NOTE: T/1 is Owner -Builder Information is required by Section 19810 of t/ie Californla Heallh and Safety Code - OVER Insulation Certificate B[TILDING OWNER: BUILDING PERMIT 6 % #: .-- ti fd BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) Brand Name -------- Thermal Resistance (R -Value) .CEILING -- Batt or Blanket Type --Za� %`-/1� Brand Name ~� Thermal Resistance_(R-Value) �' - Thickness (inches) Brand Name Loose Fill Type Contractor's minimum installed weight/ftlb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material ThickneZ/ 'ss (inches) RAISED FLOOR Material _ Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name 'Dermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Material Brand Name Thickness (inches) .ermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Ir �' S i griimf eand Titic Sub -Contractor (insulation Installer) Signature and Title License Number —�—zL,Q©3 Date License Number Date ad . THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 R< I E.H. USE ONLY yy Fiat Plan Attached Floor Plan AChad dant to 8.D. — 13 l r-i�Z TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance —ILI LL Ory r / Location AP# Plan Approved for: Sewage Disposal 7�j)/",CA Supply: Pu� Private Well Cleararice for dwelling. OtherL Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date I Z 0 i w ub a . n ell �• w :i4. h�.V -. e;t�tw+C; �> t . - . `� : 1�:. �.� y'+� It+4:� :. 'r .- � r ,� v .. a v'.:�..�. �. :.•-x; e< �1..:-. p� t a .�,. •a....�.... .i - a+. r- s: ii'"`�C`1-' ' •� "' Y ff�{�(r',�+, # t`''�4r�, �„,k`r, Y _kyr 3aai' i�stT.jzti 0N�•'0F. BUTTE - DEPARTMENT OF PUBWC' WO �{ t Cciunty Center Drive - Oroville, California,95965 -Telephone: 916i53 APPLICATION AND PERMIT ,>•y . PERMIT NO. i iti 14 ASSESSOR PARCEL NUMBER t - 068-140-064 r - - - I ZONING AR 1 .F ,•_BUIL.DING,PERMIT, OWNER F DUDLEY FRANK MOPCY ; TELEPHONE 589--x:062 SO. FT. OCi(';. %� BUILDING VALUATION OWNER'S MAILING ADDRESS ♦�,�� - 329 S'KMNE BLVD 9 EST ' B I �,t i, t t 2 , , CONTRACTOR'S NAME . E OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace `-.- CONSTRUCTION LENDER `!J� ( ` r \ r \ UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS S a� >c Filing Fee $ 155,00 Permit Fee $ 37.5U— ARCHITECT OR ENGINEER \ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 95 WARD BLVD OROVILLE 95966 Permit tee $ 52,50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 'J Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex F] Mobilehome❑ Other " ' SPECIFY -, Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 ' Mobile Home I S I G JW @ 15.00 TYPE OF WORK 1 New ❑ Addition ❑ Remodel f� I L__; Utilities ❑ Installation❑ Other ❑ Describe work _ REPLACE PARTIAL. IMIDO.11S. INSUi_.A_TE 'RCI X,_ r»VRfi1S"I7Nf; (SAS NEATER �+ ' I — Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee .15.00 Main service 600V OR LESS 18.50 ip 200A OR LESS _ Main service 200ATO1000A) CONTRACTORS LICENSE LAW _ I I declare under penalty of perjury (check one): _ ❑ I am licensed under provisions Of Chapt. 9, Dlv'3 of the -Business and Professions Code and, my,license Is In full force and effect. License No. I Classification ER�1, as the owFIXED n r, 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 _37.50 DWELLING OCCUR.&) 3.6asq.ft.' NEW CONST.( ACC. BLDGS. / OR ADONS. NEW CONSTR. MULTI -OUTLET @ �.00 NON•RESID BRANCH CIRC ITS (POWER APPARATUS h1 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 APLNS. Ex. OCCUp. OUTLETS (PRESID )REA.), I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 r 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. Ell,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 FiIIng Fee 15.00 Heating NEI WALL MUM Coolin g LHood 6.50 Ventilation DO permit Fee $ . Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws.relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agajA,St said County in consequence of the granting of this permit. X*\1(M�' •' �< �) �'-+ - —_ Date �� ' �1� Signature of Appl?Cont - Owner Contractor ❑ Agent ❑ - An OSHA permiti3 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 $ 40.00 occ CONST TYPE TOTAL FEE $156.50 HAz 1 DFEES IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE ' This permit is hereby issued under the applicable provi- sions of the Buutty County- Code and/or resolutions to do Work indicatedrabove,for which fees have been paid. /DIRECTOR OF PUBLIC WORKS By ,Zi'f7 -y Date 9'-d 5 - PERMIT EXPIRES Date — Z-5 " P'y 25838 R -D. No. ITE WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION, DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise,,CA - (916) 872-6307 CORRECTION NOTICE OWNER / / PERMIT NO.. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work -; is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Nn/. J. 40 Date Inspector REV 1019 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 068-140-064 t %ONING AR 1 BUILDING PERMIT OWNER DUDLEYFRANKMONTGOMERY TELEPHONE 589-4062 SO. FT. OCC. BUILDING VALUATION EST 2,000 OWNER'S MAILING ADDRESS 329 SKYLINE BLVD 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 2,000 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 37.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BOING ADDRESS 95WARD BLVD OROVILLE 95966 Permit fee $ 52.50 PLUMBING PERMIT Filing Fee 115.00 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 Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer15.00 rr��rr SF 9 Duplex❑ Mobilehome❑ Other Mobile Home S G W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ 20.00 Describe work: REPLAr'E PARTIAL WINDOWS INSULATE, ROCK,Contractor MnvF Rul—STING GAS HEATER ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.&� OR ADDNS. ACC. BLDGS. NEW CONSTFLMULTI-OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS 9 OUTLET CIR. Ex. o p UTLETS OR FIXTURES D APLNS Ex. Occup. our LE Ex. P(RESID )REA.) 3.6Q sq.ft. @ 5.00 20 76 I 3.00 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) Temporary service Mobile Home Facilities Wiring g 15.00 15.00Misc. 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ 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 Consent to Self -Insure. Heating L HEATER Cooling g 9.00 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. Hood Ventilation Permit Fee Contractor 6.50 $ 24.00 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 ag st said County in consequence of the granting of this permit. Mobile Home Installation Fee $ Ins Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE X Date This permit is hereby issued under the applicable provi- Signature of Appl cant — Owner Contractor ❑ Agent ❑ sions of the But Co n Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. `^fork indic a v or which fees have been paid. R OF PUBLIC WORKS Receipt No. 125838 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BY Date -L3 PERMIT EXPIRES Date — L3 —93 � �Tid t7 ARW1 COUNTY OF BUTTP= PARTMENT'OE PU®LIC WOF. BUIL®ING DIVISION 7 COUNTY CENTER DRIVE - ®ReVI;I� CA�l' ORNIA 95995 - TEKEPb®NE (919) 539.7541 ` PERMIT APPLICATIOWDATA SHEET ,* y1, A OWNER Proposed Building Use L Ins �/4Z Date At time of per ' application, I was advised the,f'ollowing data must be submitted prior to permit processing and/or issuance: // DATE RECEIVED BY 1, All items have been submitted. ..................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ...... * * * ' * * ...... * * * * * ..... ... * . * * .. . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..6 r . e�s Pre -Inspection equ- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ....... 77 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ........... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed ' and (B) Parcel meets zoning area and frontage requirements . ............... '31. Existing violations/expired permits.............................I......... . 32. Plan check list . ..................................................... 34. 33. When you issue the permit, process as follows: v Mail to owner. M`YiPto Cotrt_ractor. ;� Telephone and hold for pickup at office. Deliver ith inspector. Other Parcel Creation � Acreage Applicant �` ��e tte 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS? • P RCEL NIyMBER _ , (/J ZONI�� BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 9 OWNER'S MAILING—ADD����� C O.NZ C,TOR NA TELEPHONE CONTRA/CTO/R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING AD ESSW, I gD G L VZ_:? Permit fee $ 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 Duplex❑ Mobilehome❑ Other ///��� SPECIFY Gas piping system 1 - 5 outlets 5.00 D Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilitiies ❑ Installation❑ Other Describe work: L� it—noL, �� �X 117�%2- Permit Fee $ 5 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions of Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification 17I, 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 200A TO I000A1 37.50 NEW CONST.( DWELLING OCCUP.�\ OR ACDNS. ACC, BLDGS. / 3.60sq.ft. NEW CONSTRESID, RANCOUTLET NO ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76FIXED d Ex. OCCUp. OUTLETS PRESID ILNS.KEA.) 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 16UJ Cooling Hood 6.50 Ventilation i F Permt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte a ainst all liabilities, judgments, costs, and expenses which may in a way ccrue against said County in consequence of the granting of this ermi . X Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and , emolition or construct - on of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 0 OCC CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW-A88CSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.of.Pubric Works -. 7 County Cent'er'Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied -for -'in your name and bearing your signature. Please complete and.return'this'information at your earliest opportunity toavoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification -is received. 1. I personally plan to provide the major labor and materials for construction of .the proposed property .improvement (yes or no) . 2:.. I (have/have not) signed an application for a building permit 'for' the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 CT) ���� Social Security Number Date -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, t✓aliforni-a 95965 - Telephone 916/534-4541 /„ V J4 _-64 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / e/ _ ZONING ' BUILDING PERMIT OWNER t TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE r CONTRACTOR'S MAILING ADDRESS I/( .,, , , 1,;, ,,,, I , /, i Fireplace CONSTRUCTION LENDER / UNKNOWN Q Total Valuation $ Filing LENDER'S MAILING ADDRESS Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER X. - '`L_ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF2- ` Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 519X-,.0 5 < _ �� 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E�9' Describe work: A /( A' / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP,ei OR ACDNS, ACC. BLDGS. I 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q'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. ( —Classification / License No. �•S '' ' ❑ 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 -OUTLET 2,50 ea NON -REBID BRA CH CIRC ITS NEW CONSTR. I POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR, a 25C Ex Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ex. Occup. OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0/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 permit Fee S Contractor 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 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 againsVsaidtCounty in consequence of the granting of this permit.i r / /� J�iG� ��� 7 / 8� 'X 1 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ©�SFdi'�CGf(� ice, construct,- a t, An OSHA permit is required for excavations over 5'9" deep and demollti n(or consr�uct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 1 Date' PERMIT EXPIRES_ Da Receipt No.T.- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville,,California 95965 - Telephone 916/5 -4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING ' BUILDING PERMIT OWNER e -el, -- TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS NTRACTOR'S NAME ,e . TELEPHONE 8 2 - /8d CONTRACTOR'S MAILING ADDRESS 6 Fireplace CON RUCTION LENDERR/�y� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESVSK' Permit Fee $ ARCHITECT OR ENGINEER 4,10n,IL LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets r- USE OF STRUCTURE SF 94 Duplex❑ Mobilehome❑ Other ' SPECIFY Building sewer Lawn sprinkler system 5.00 OQ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work,,,;F .S?ALL .SG ^e /vw*,e .4e,ope.P . .2�6TC/XJ - Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADONS. ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW I decVtr penalty of perjury (check one): licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License NoJ 60 N`S ClassificationL 26 S� q� Jr 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 CONSTRMULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS b NON-RESID. (SINGLE OUTLET CIR. 250 EX. Occup OUTLETS OR FIXTURES gAL� IXED APPLNS. OR Ex. Occup.(OUTLETS (RESI01D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T�)hp permit is for $100.00 (valuation) or less. 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 Permit Fee S 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. aloe I al a to save, indemnify e p harmless the County of Butte against s, judgments, c s, and xpenses which may in any way accrue gai id ounty in on quen f the gr ting of this permit Date y�► Signature of Applicant - Owner t /� g pp ❑ Contractor ❑ Agent �V�i //,L,�`GL4yL�,,� An OSHA permit is required for excavations over 5'0" deep and defiZS 1 C'6ff eruc'f- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ () OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF PUBLIC B G PERMIT EXPIR a'� the applicable provi- resolutions to do fees have been aid. p WORKS Date -/ Receipt No. �S~VZ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT """"`;.,�',R'="�!�L"�:�:�IC1�7i�,,�?�°`:F�,c��`"=�jrty/¢■,c'�'c�t'?�-T,�T'"4 �t�' � � '�$t�'=�t�i;!;E�'T::'.'�^aTC. ,."..,�, ` `' "n �'r;. _�.,ti�,-,,, .r,.r•'r-4F. k; - , "`�:�5.� y:� ��� a - '�: t, a � ., a _ _�. � .. � � •. � y - ... 1 d, -y { j � � r . r - ... _ �-N _"YY� ."' fir„ �-�,�1'0....rM1w'-z�d�Y�...i^,� T'�Jfti.ir '1... "y7"w'4' ►irli' 7�'(��..,tq-,..�. .ti._R . �;,:v I;i�� �'`, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'938-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-140-064 ZONING AR -1, BUILDING PERMIT OWNERt� Dudley& Mar Erlont tomer TELEPHONE 589'4062 SQ. FT. lOCC. BUDDING VALUATION 14 60 8 .(� OWNER'S MAILING ADDRESS 329 SF linetHlvd. 'Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$840.00 LENDER'S MAILING ADDRESS ,. Filing Fee $ 15.00 Permit Fee $ 21.W ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Penalty $ BUILDING ADDRESS 95 Gard Blvd., Oroville Permit fee $ 36.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME __TPARCEL � MAP - r Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JWI@ 15.00 TYPE OF WORK New.— Additionu Remodel L' Utilities❑ Installation[ •Other'© Describe work: Reroof w/Comp. _ i - } Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 OV OR LESS Main service ?p0A OR LESS 18.50 r Main service 200A TO 1000Al 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): f ! _. ❑ I am licensed under provisions}}of Chapt. 9, Div. +3 of the Business! and Professions Code and my llicense is ,in `full force and effect. 1 License .Jo. ' �- Classification % l!Jt 1, as thelowne� 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) f • ' t - ❑ I, as the owner, am -exclusively contracting with licensed contract- ors. (Sec: 044) � I ❑ I am exempt under Sec. Business and Professions Code for this reason o ''� NEWC ONST. / DWELLING OCCUP.l4\ 3.60 sq.tt. OR ADDNS. 1 ACC. BLDGS. // NEW CONSTFL MULT'.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS R l SINGLE OUTLET CIR. 20- Ex. Occup(OUTLETS OR FIXTURES L_ 7611 0) 464 FIXED APP LNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 4 Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and.state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way -accrue against said County in consequence of the granting of this permit. X + �' z •� t Date -' ; Signature of -Applicant — Owner ( Contractor Agent L❑ \ El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE X36.00 HAz 1 DFEES I IMP I FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 1 work indicated above �fo� which fees have been paid. DIRECTOR'OF PUBLIC WORKS By twr• /' ett7` r`� y,/1,71V:�& Date 9A � . .`. PERMIT EXPIRES Date ' �`%7 /ys.{ / 1 C1s75 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION ASID PERMIT PERMIT NO. 5 ASSESSOR PARCEL NUMBER 068-140-064 ZONING AR -1 - I BUILDING PERMIT OWNER Dudle &Mar Mont omer TELEPHONE 589-4062 SO. FT. OCC. BUILDING VALUATION 14 @ 60 840.00 OWNER'S M ILING ADDRESS 329 Sk line Blvd. Oroville CONTRAC TO 'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$840.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS q5 Ward Blvd., lle Permit fee $ 36,00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 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 ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition L_J Remodel ❑ Utilities ❑ Installation ❑ Other] Describe work: Reroof w/Comp. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification /jy�lll 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.8\ OR ADDNS. ACC. BLDGS. 3.6Qsq.ft. NEW CONSTRESID. RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS) @ 5•00 /POWER APPARATUS 6 \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APP LHS. OR Ex. Occup. OUTLETS IRESID.) EA.) I 3.()0 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 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 1 15.00 Heating Cooling g Hood 6.50 I Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this permit. X -- o/ %1 2'7 9 ,3 Date Signature a plicant – O r Caner star ❑ 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 CONST TYPE I TOTAL FEE$36.00 HAz I DFEES I IMP FLOOD CDF I PARCEL I PD HD ISSUE , This permit is hereby issued under the sions of the Butte County Code and/or work di ted a e which f es DIR F PUB By PERMIT XP . ES ate applicable provi- resolutions to do ave been paid. 0RKS Date Receipt No. 140575 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF FUBLiC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION- AND PERMIT PERMIT NO. ASSESS(/,_JGRgRCEL NUMBER ��/(' � ZOWG /qr'x`, BUILDING PERMIT �e eG TELEPHONE SO. FT. OCC. BUILDING VALUATION wo OWNER'S AILI G ADDRESS 3� S 6 -o o t ( S�9- 01; CONTRACTOR'5 NA TELEPHONE CONTRAC DR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ I, t90 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $$ BUILDING ADDRESS S Ile Permit fee $ (p.0 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New_; Addition;_i Remodel r- Utilitii s❑ Installation[ Other Describe work: ' `E Y �C) 6cJ/ ��INt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License :Jo. Classification _ LJ 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.e\ OR ADONIS. ACC. BLDGS. / 3.6E sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESIO BRANCH CIRC ITS @ 5 00 POWER APPARATUS D (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLES. OR EX. Occup. OUTLETS IRESID.1 EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor CI Agent ❑ An OSHA q 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 $ Ener Inspection Fee $ 9Y p OCC CONST TYPE / TOTAL FEE $ 3(0� iAz 1 DFEES IMP I FLOOD I COF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code andtor work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES DateITC-D.P.W.. applicable provi- resolutions to do have been paid. WORKS i Date I j 11� eceipt No. 77J TELLO W -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APOLI CANT F COUNTY OF BUTTE - Department of Public Works 7 County Center Prive,*Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at. your earliest opportunity.to avoid unnecessary delay in processing and issuing your building perm`it.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2.- I have' ave not) signed an application fora building permit for the proposed work. 3. I have contracted with the following person(firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4:: I plan to provide port'ions'of this work, but I have hired the following person to coordinate, supervise, and provide the major' -work: Dame'. Address. City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired:).th.e following persons to provide the work indicated:. Name Address Phone Type of Work Signed Property Owner Social Security Number Date -/ / .-2 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the .California. -Health and Safety Code.. : .. - . _ . 7.- - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. T't r'�a'�tl;` j'P� r�3"."r�ui+-�".Llvi ".`�iC;�';'��,'."`-1Tja'.7;et�'r 7' r.�,.. g.;.r•f',:F i[FR"larr . / t 5 - . Fo 068-14-0-064 MONTGOMERY93-1704'B.. 95 GUARD DUDLEY& MARY - - OROVILLE PARTIAL-SIDING/SF ' f 1 i :-A- ,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORVS' `,, PERMITS) 7 County Center Drive - Oroville, Californiaf95965 - Telephone: 916.53 -7541 -_ ! , APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER 068-140-064 ZONING ARI BUILDING PERMIT OWNER r DUDLa AND MARY M01V �GOA=Y TELEPHONE 583;4062 SQ. FT. OCC. I BUILDING VALUATI EST ; t 15t7U MAILING ADDRESS 329 SKYLINE BLVD., OROVILLE CA,95966 _! CONTRACTOR'S NAME = f 1_TELEPHONE otrTER CONTRACTOR'S MAILING (ADDRESS I %, Fireplace CONSTRUCTION LENDER! , UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS t 1 O,:E Filing Fee $ 15.00 Permit Fee ,,re $ ;j(), ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS NOTE Penalty $ BUILDING ADDRESS i e+ Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 95 WARD BLVD., OROVILLE Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION, NAME I ��+ ` PAROL MAP Co ' t � `(`tater piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF � Duplex[]Mobilehome❑ Other SPECIFY 1!t:. Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New!7 Addition L_J Remodel j_, Uti litiesInstallation C Other Q Describe work: REPLACE PORTION OF SIDING 111- _ Permit Fee $ Contractor 'u ELECTRICAL PERMIT Filing Fee 15.00 r Main service 20000AA OR LESS 2OR LESS 18.50 Main service 20GATO 1000A) _ 37.50 CONTRACTORS LICENSE LAW f ' 1 I declare under penalty of perjury (check one): t ❑ 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 .Jo. Classification Ak 1, as the owner, or my employees with wages as their sole compen- sation, wifl-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.tr) OR A.D.S. ACC. BLDGS. 3.6psq.ft. NEWCONSTR ULT'.OUTLET NO E." BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76d FIXED APPLN S. OR Ex. Occup. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 ~ Misc. Wiring g 15. 00 ' Permit Fee $ ) WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): i ❑ 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! , r 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 Coolin Cooling 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 < < ll - --j rl < Date i . % `r ; Signature of `pplicant — —Owner ❑ Contractor ❑ Agent ❑ i n 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 1 CONST TYPE TOTAL FEE $ 45.00 HAz 1 0FEES IMP FLOOD CDF PARCEL I PD 1 HD IssU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above, for which fees / DIRECTOR OF PUBI-16WORKS B / � �/� � y /! / :F� .'r,: SPL PERMIT'EXPIRES Date applicable provi- resolutions to do have been paid. �/� Date ,r /. / ' 4:31U1 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT a COUNTY OF BUTYE BUILDING DIVISION +, DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Dliv-Do�C6276 OWNER PERMIT NO� A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date - — .7Inspector REV 10192 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT �I ASSESSOR PARCEL NUMBER 068-140-064 ZONING AR1 BUILDING PERMIT OWNER DUDLEY AND MARY MONTGOMERY TELEPHONE 589-4062 SO. FT. OCC. BUILDING VALUATI EST 1500 OWNER'S MAILING ADDRESS 329 SKYLINE BLVD., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS NONE Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS NONE Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 95 WARD BLVD., OROVILLE Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer E[H Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition E Remodel ❑ Utilities ❑ Installation[! Other [� Describe work: REPLACE PORTION OF SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO 1oo0A) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. 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) ElI, as the owner, am exclusively contracting with licensed cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft. NEW CONSTR MULTI -OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET cI8, R. Ex. Occup( OUTLETS OR FIXTURES 20 @ 764 Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ract- Misc. byirin 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 Pernit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X Dat & `7 3 11 Signature o Ap licant — caner D-ntractor E]Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz 1 OFEES IMP I FLOOD I CDF PARCEL I PD I HD ISS This permit is hereby issued under the of the Butte County Code and/or hich f work in a d abo�R�F DIR URL By /JL PE IRE Date applicable provi- resolutions to do j ave been paid. RKS Date Receipt No. 143202 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLiC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT ASSESEL CNU R (�r % t�(p ZONI R BUILDING PERMIT OW i Q f^ ( 0 �^ TELEPHONE _ SO. FT. OCC. BUILDING VALUATION $ O NER'S MAILI G ADDMS a r 9 Cf7RACTOR'S NAME VL64L V, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ AR HI ECT OR ENGINEER onP LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE s Permit fee $ 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 M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New, Addition LJ modeles Utiliti 0 Installation❑ Other® Describe work: C r h _ i jo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 VL Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penaltyof 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. ClassificationEx. � j 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.�\ OR ADONS. ACC. BLDGS. // 3.60 Sq.ft. NEW CONST R.ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 20 764 \ Ex. Occup. OUTLETS FIXED PIRESID,IREA.J I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin 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 — OwnerElContractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. _= WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE = Department of Public Works 7:County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)' 2. I 6hav ave not) signed an application for a building permit for the proposed work. 3. I have contracted with the following'person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4:.. I plan to provide' portions .of this work, .but I .have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 Numbe Date o %'7� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL -- --- ---- - 068-140-064 PERMIT#97-0623 ;MONTGOMERY, Dudley 95_Ward Blvd., Oroville !Add Garage/SF 1 4 Iy � 1 Ole K/a-'I/97 IVa4" R t r1 1 k' 4 r� Y JO® FINALED (Date) 2 Signature f J V =OK O = Not OK t = Not Applicable =Rol Read"--ImAO���rQd7Itl1;�.5 .3160 Date Date Date Date 5A 5. Electricity; LocatiorrClearanoe>;aGmd-lr,VAmp.COdnd'dt 6. Gas; location-TestlAfrap?/A i itUi 9 9nU paq n9 .Sa rpixjlNet�'oP�s Fre"ft7s7¢IPG9ft0•'E soGzlooO Jx3 .EZ •1. 3. Gas: MH B-1 .1.1.0 '. 9on916e1J gnIAoo3-gs01W:.bnuol0 ;9on.0ggA S .1xi9 .JiN .ST ------ -- 191nuoJ .01 is zslsoiig9o9R 8 z191)u0 .9913 .0 sntzol0-gnibns_!-gniw2 poo0 9ili 9ps16r7 .A' 19gnts0-9pms1Jni7ou0.0.A .0 - V.R9 io7osnno0 tiA .dmo0-eonsiwlO-21nsV ;.VH AW nod39lo19 .ria9M zool9 9v2dA ;9gs1s0 n! HV _- nodwoJ iot b91ziJ .giup3 .rlosM. S .4913 .A19 _ ST _ no4o91o19'xsmofi-(.!3.0_) qpsisu ni zsl6sigeo9la .3913 .8T of iA ni bsAooJ-mso9-nobsluznl .8S ags0 /zo9-n& 3u1,tenoO AosO S zlisi bisuD .08 r0hs3-booW 8 sgsnisi01ooO 91oH IwsiO S zmeBV .nb9 z9Y Q 10019 isbnu bsAaoJ sonmsslO J8 -- oW 0 z9! Q m91ns19\oW 0 z9Y 0 zAls\Mol4 0 z9Y 0 9vhC1\.bll3nl gnivrollo9 .28 riainR-nwoi8 000ul2 .E8 gnidmul9-IsoiVo913 ,iosnnoozi0 7inU .O.A M zgninsg0 of 9onsissl0-soslg91i9-9onsilggA-gdl9 ,fooR svodA zin9V .28 5 gnidmul9 ,IsoiV3el3 ,foennoo2i0 ,IIsW 19isW .88 _-- bnuo1g19bnU_sloWgso9R .1.9.0 ,mi1T.39!31oi1six3 N8 eauoH fliguoirif noiisldn9V .88 - noifosfal9 zzsla .e8 enoifosgznl auoivsl9 moil z'noifosro0 .02 -- oh",13-zs0 ,b9g@BT osJsWesT zs0 .t0�- levoiggA OH-sbs10 of CAO-belosnno01sws2 S 197sN1 ;SO -- _ 29Js3lins0lsr!)O.91s3nifls�t sansilgmn0 �g1sn3 -_-_ .EQ i-8 bisO 9Js0 r-8 bisO sis0 - r-8 bieD v 9160 _ -- - r-8 bisO sis0 r-8 bi&O 91s0 f-8 bisO eis0 Asni9le cinsmmoO •A I l NO = �s I A°gyHHU-1 319' :IOJow =.O I 9ldsoilggA inti -_. W��AA ��++ ,,�� pp�w�w,, r� ��ee •ibsufl Joh? = . . S -C, ELLP�N EGGS ._.._.,._ 6360 DECW, COVERS CARPORTS; GARAGESc ,laria :OKrexcept #'s _ Zo _&iementsSe$ia�ks� a96A6 M ,.019 .S ' _'r'�'ss;Soils�li�De'ri�r:S�aeln"gCofinPe[ois3`t'eelE 3. rbz&s;FGiraers ar?dldPzWi§fs-9&kA BFaciiig°Sfei�s Ftails _ 4. Wood AAJvv iF*,j ds' `�e§i St 's""� Corifir*cto'r§�^t'9J8 .a Shth Rf" .it#rabi'^ 3018-1991? ;9gsis0 ,811awm912 .a _ 5. Alum. Awn.; Coluirifi bhk(iZ onsmli kcal-`fndosures 6. Carports: Windows -Doors b9ggslW-19x1 s d , .Cr Boxes:Enclosures:P_anelboards:lns._to.M ain.in_Conduit 1-tY D1�J U 1-O D1GJ 9.-Health_Department:A'ptoval__-- 91:U .71'+'-J tC• ppl - -U C16J :�0. Plumb.• Cir. TesNMater'Su '7 Test 916U' e'* 7gaoxs N0 (firms9) JAOIRT33J3 91s0 (101139)019 .2n1-93n61ti91.719m1O12ns1T 8 9luixl9 .ES ------_ 21U04 16 29fi311W2 S zldgl_1-gfllO6g2 29bs1ys39i3 .AS Date' _Card B-y'slysl2 21o13ubr,(et .nV1 S zsxo8 sit Ceid.B_1__-- Date CarcW-Vbu12 to egb3 ol6dfdO b911si2ni x9moA Ca d B.1 1elsW S nO bno8.219nizs9 d3sA4�w qu sbam bnuoi0 .giup3 Ng AD esi2 iofaubno0 S nedoliN ni 2lu_xiO sonsilggA S .8S IA io u0 sg\ \ ssi2 9'IiW .O.A-lA 10 u0 .sg\ \ 9si2 siiW bssid_12 L .es - t IA io uO sl? \ \\ mi0 n9vO-IA io u'l sq \ \ .olio 9'•,.3611 000 2sY 0 IsVusW b�,/sluznl - .OE y 1osno3210 nieM-bnuoiO Z ziotoubno01sa R eo'nns2 .tE giug3 .rlo9M-2iofoM-al9ns9 29onsisel0 .giup3 .SE _ 1rlgiJ sq2-JdgiJ iswori2.-1flgiJ lszolO zsrifolO .EE ' 10139/90 9Aofn2 .AE ` --- 1-8 bisO -- 9160 _ t-8 b1s0 -- 9160 t-8 bisO 9160 r-8 b1.s0 91x0 ! z'* fgsoxe NO (fim199) JAO, bAAHOW 6160 hoggl_2 S noifs ul zn_l zlbu0: 0.A .ZE r noifsluzni roods 12usrix3 ,ns919V .ae { 9briO S 9si2 ,wo1h9v0 S nis10 elszn9boOo0� 191fuo Z r t 1n9V 1iA mui9flaiA .dmo0-aeso3A insV-9onsmu� .8E y oi11A ni 9osfnu9 fi mIoH619 S eas=A 31tJA eE t-8 bts0 e1s0 r-8 bisO sfs0 t-8 bisO 9;6(1 t-8 b160 9160 - 2'*�g90x9 NO (ens!9) DWIMAFiq 9fa0 . - z1or13nA 8 alsh9fsM 1sgo19 68 .0P _- bnuo2-29fs19-z9om8 S gniosg2 gnilisW-zbui221leW .rf� gnilisVi'tool9 ,8 219b)i01svo 211sW gni1s98 .SP --^- _- Qoo1q im) z11sW ni goi211610 .EA ----- --- 2duT-z19zs i0-z1isJ2-2gnili90 b9ru9 ,zgd12 9119 _ .4 gnhr98 S 9si2-m&98,% 2lsbesH .dA ✓ = OK 0= Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /° Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 49. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. LIE Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Int. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels -Motors -Meth. Epuip. Following Insfld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/0 to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-TrussShting.-Rfng, 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Insfld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J�_ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 4 J 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 —o RIv�T (Rev. 12/96) APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER 068-14o_n64 ZONING ARI BUILDINGPERMIT �z OWNER INIT)LEY MONTGOMERY TELEPHONE SO. FT. OCC. BUILDING VALUATION 480 U 8640. OWNER'S MAILING ADDRESS 95 W RD BLVD- OROVILLE, CA 953966 , CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 198 20 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF WX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition AX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 71 On ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 110% I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IIOOA 46.00NEW CONST. DWELLING OCC OR ADDNS. ( 8 ACC. BLD..UP. SO 3•50FT. NON -RES DT B ANC I c R.0 S @7.50 OWER APPARATUS 8 SINGLE OUTLET C. Ex. Occup. OUTLET OR FIXTURES 00 BAL @ I 0 ED Ex. Occup, OUTLETS RESID.o 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 97 Signature of A plicant -` wner0 Vontractor ❑ Agent An OSHA per ' 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 $ o CONST PE TOTAL FEE $ 306.00 HAZ. D. FEES IMP — .- FLOOD XX CDF pggCEL PD HD S 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. /1 Q By Da pal J PERMIT EXPIRES ON / I U Receipt No. 210361 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chieo, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 4e'75 mr-i 'Ae I i - C -Y. W ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete you have any uestions pertaining to this matter, or need additional explanation, please c tact this offic ' mediately. 7 7 : C' d .C) r AA ! l/d i- , / / - - e rve-- i --, it Date Inspector REV 1019 r " COUNTY OF BUTTE t ' BUILDING DIVISION 'i. DEPARTMENT OF DEVELOPMENT SERVICES s' 1469 Humboldt Road, Chico, CA - (916) 891-2751 ,. 7 County Center Drive, Oroville, CA - (916) 538-7541 `— `' 747 Elliott Road, Paradise, CA - (916) 872-6307 i`- ,a r•. CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is comple ed. If you have any questions pertaining to this matter, or need additional explanation, please __tact this office immediately. .L� GtJ U z 1 a- F• 'c�R: Fj Oate g Inspector I� ;- REV 10/ f. F pe - C COUNTY OF tSUTTE BUILDING DIVISIdN DEPARTMENT OF'DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 ''7 r�— 7 County Center Drive, Oroville, CA - (916) 538-7541 --" 4 747 Elliott Road, Paradise, CA - (916) 872-6307 • tt _ CORRECTION NOTICE OWNERS > PER O. F A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work i• is completed. If you have any questions pertaining to this matter, or need additional explanation, 'y please ontact this office immediately r tL ZD r •r -12 ' 0 i R of 1 1• �•.( • ✓•H 17 ILA? Date G L L % 7 Inspector REV 10/92 . , � (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 • APPLICATION AND PERMIT PERMIT NO. ASSESS RP C NUMBER zONIN R 1 BUILDING PERMIT OWNER TELPPMONE SO. FT. OCC. BUILDING VALUATION OWNERS M 1L1NG ADORESB / n r Iv tiro v y ;COIOM R'8 NAME _ . (A% in 6 -, TELEPHONE . CONTRACTORS MAILING ADDRESS :.COgaTR17�� p)�-49 E.NDER ' /V i1 Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCMrrECT 'R ENGINEER nn LICENSE NO. Filing Fee $ 20.00 Permit Fee $ /08 00 ARCMITECT OR ENGMEERS WAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ j^Q ✓ PERMIT FEE 91910 Cor wo. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 4 Duplex ❑ Mobilehome ❑ Other svECIFv Solar or heat pump water heater 23.00 Water piping 15.00 /!�' D Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: ("7ct 1-6( Q �— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 16`i (9 IC) Mobile Home S G W @20.00 PERMIT FEE $ P/t9lo ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for. the following reason: D 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 4 I 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEN CONST. OWELLMG OCCUR SO OR ADDNS. ( 1p, ° �. NEW CTM L''O;'n� @7.50 POWER APPARATUS 8 SINGLE 0XET C.R. I OUTLET OR FIXTURES 20 4 I.00 Ex. Occup.SAL o .50 FIXED APPINS. OR 5.00 Ex. Occu ourLts RES10. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 114.9-0 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ MAZ. O. FEES IMP FLOG CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ (Date) ReceiptNo. WHITE-D.D.S.-B.O. CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT :'..k �,., ��1� '� T���Ri��-'i�.t��'rit"" `f�,�,�����. � Khr• '�r�. Tr��"'�i"""-�S• .�� ,�1i •.t�11`� vr.�i �t _�#`Y'{�1'i'i ti, ♦. ♦. �, , COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 01A j 116 ' 49,il 19we rtj ASSESSOR PARCEL NUMB / — IAI 0,— Proposed Building Use:ANC/ �404g4& Building Inspector: Date: 11914 At time of permit application, -1i was advis the following data must be submitted prior to permit roce sing a d/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ------------------------------------------------------------------------------------- 1 pact fees as shown on the attached schedule. --- ------------------------ ---- California Department of Forestry plan approv fees. a� (¢------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plana roval 10 CHealth Department - ------------------------------------------- - _ ❑ 15. City of Chico plumbing permit. ----------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑ 20. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---- 0 22. Workers' Compensation carrier and policy number. ---------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ------ 024. Letter of signature authorization. ------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------------ 026. Letter of intent on building use. --------------------------------------------------- ❑ 27. Manufactured Home utility clearance. -------------------------------------------• ❑28. Existing violations and/or expired permits. -------------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail toc9 tractor. L�Telephone J5 —'i06 p� and hold for pickup at Otl0t/ rz� . office. ❑ Deliver with inspector. (Date) Applicant: OLS Date: 9:ii 7 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polluti n Date: By: q / Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Dat Plans reviewed by: Date: Plans approved by: Date: ' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to 8.13, Owner Location Ck2) AP#, Plan Approved for: SewageDis I Water Supply: Public Private Well Clearance for dwelling. here NOTE: �� �J/✓ ( 7 Environmental Health Sp ialist Date 8/96. OWNER-BUILDER-YERIFICATION Attention'Property Owner: An "owner -builder" building permit has been applied for in your'name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing. and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan'to provide the major labor and materials for construction of the proposed property improvement : YES NO ❑ 2.,'1 HAVE HAVE NOT. 0 signed an application for a building permit for the proposed work. 1 I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1, 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: ` PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: I • q 9 '7 U , NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our -office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: i 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: ♦ 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 entireproject, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ 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. ♦ 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. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Cade. OVER S CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to'assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [� 1273.02 Surface. All driveway surfaces and structures (bridges, / 1273.07 culverts and other apparteaant structures which supple- ment the.roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. (�] 1273.03 Grade. Not to exceed 16 percent unless paved. I 1273.04 Driveway Radius ] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet . [�(] 2. The length of vertical curves in roadways exclusive I of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. �] 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along.its entire length. Page 1 oaf - 3-• AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but . less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be -used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger,shall provide a mini mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �,r f==ial inspection of a building permit. Page 2 of 3 AP # �7-0(oz3 Y, �uac�y PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed lot of wall area toward property line with insufficient setback Siding from the following list: Stucco '- 3 coat Hardi-Board or Plank 'Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 7 Date Signature Page 3 of 3 • i � ! � t i .I ( i I I I I I I S e 116,0( ;; i i ALL 01UCTUR� I. -OVERMANS �iHp AE T BAPK II OF + G`P 1 FT. FROM ' I I j I i. O K 1 i , '�' I i ! ! S' _ _ FT FFA CL A� JP STFIU FOO A F'} �E�WEI 4 I 3 t l .i PROPea'.u'►ie 80' I QwN � � � I � f � J• � �}IS ! i I I ' ! i 1 ( I n i •i j �. I �. j I i) ..+ j- I I ! �� I i i- � I ?i - FT} FgON TH R _Ad P R DP; TH . RC -AD ICE ITE TU iE:G A D EQU OVA=± II.I CA !F. ap lrm aD: )rr,tr pai ait, t 'LmA.e ` t + ! 1zort t •� W I s I t.��� �►.�Salo g4`1i1m8Clt aR a;,Ynu O1l6k� a;' I i 1 ! I I I t I ai r�t;tf lett i 1 i I w10 Ij j t;!!� I' iNbLODR O I 81D� A D Ur4E j Ai! D SHALL E Vi? EX,-EF-9- :v XCEFT : EIAEC BNT ECC. aR 'DEPT. )E "T. i FO RE TI Y I I �c s U'br lift d ad with co diti ns a 00 Afa or rt 3: W 1 G LT orl Go ;i Cll a Cly �P�7Z�+� e�woll :19 . -b ed L=tee d lz—t ! Io rJ FA m 0 P' � r ! O U 711 --•�.•___•__ _.f�:___,._._._L.._.. c�s�,r , rte/' � -� I. , .c: TD 9nw co G f V ep i Qi Lp z - Fm rn G r� !� WEGJAL.ROOF COVERING REOLWEfl. �p mss r A �..�r ;I ..I i i a �U .�e'4'`- C;o nVi Provide approved fla XI4 ai; COUNT IF Al, 00 CD 0 0. on lot C) 0 Qj -Tz' tpe- '.'o Z - "JA 7Z -- Al, 00 CD 0 0. on lot C) 0 Qj -Tz' tpe- '.'o Z - "JA 7Z -- On 49 RA F-1 f L �' c•c. Vre ks. aX�ri �e I ` and venLi]ation Per IIHC 5n 12` P r j-e h I C, 1z. yam; i i I S7uds Roer� , s ab SLAB ! i.pwe,P- ! i ! r,�n� ; �u Sides I I j I i�etvi tioasc j S IIaB ! ! I � S � �C Sew , ., ' to STervt cw�w G��iiA �� n D SSS /(�, `'0 fI t i I I pre uc cw i MAwji rG SI(�Ira� I i j ! ( I (a Cid in tchen, b�t.%rooms, gana$e, and i ' I I i � ! i �teriflsr cdutlete per art. 210�i NP�� ' � ! I ; i LEC1 ICAL. MECHANICAL, AND-PLUMB Nqr, AT, I ! QONST UCTION ( NO T PLAN CHECKED i i�.� 6fzoic r Etafidl SHALL OMPLY WITH CURRENT �1 , i I i I OF I N IOr UMO AND UPC. VV 00" i i Val ��i Dudley Frank Montgomery 329 Skyline Blvd. Oroville, CA 95966 / Ci)UN'IY CENTER DRIVE - OROVILLF. CALIFORNIA 9591315-3397 TELEPNUNL: 19161 538.7541 FAX: 19161538-2140 September 21, 1993 RE: Building Permit #92-3364 Expiration Date 9/23/93 A.P. #068-140-064 Dear Mr. Montgomery: Replace Partial Windows, Insulate, Rock Move Existing Gas Heater With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: ❑ Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $2!0.00 filing fee). The renewal permit will extend the building permit for an additional, year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form., No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt.attention concerning this matter. JFG:hla cc: Building Inspector Attachments : ❑ Renewal Application ❑ Owner -Builder Information ❑ Owner -Builder Verification Yours very'truly, J.F. Glander Manager, Building Inspection Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 i 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATItN-ANDPERMIT (Q ASSESSOR PARCEL NUMBER 068-140-064 ZONING AR ] BUILDING PERMIT OWNER DUDLEY FRANY r f)N7''C�`TRY TELEPHONE 599-4062 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 329 SRY11,11R BLVD 9596r) CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 95 WARD RIND f)T;t' VIll 959`'6 Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 3 5.001 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.001 7.00 Each qas water heater or vent 7.00 ��yy USE OF STRUCTURE SF Lam' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W=:d @ 15.00 TYPE OF WORK New❑ Addition❑ Remodelo Utilities❑ Installation Other E] NEW 01,1:TRIC S MTCP :�?`I �'I.'.7` i!3I�`tl Describe work: _ IN BATHRW4 Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 E' E •c r; �r Main service 600VORLESS 18.50 0 200A OR LESS Main service 200A TO IOOOAI 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- A 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 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. ( DWELLING OCCUP.6i) 3.6Qsq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 0 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 ' Contract—g 15.00 Permit Fee $ 36. 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. XI 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. 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 a ainst said County in consequence of the granting of this permit. X 1-1' - Date /6 "' I -i ' Signature of , pplicant — bwnerR 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 $ DCC CONST TYPE TOTAL FEE $ 88.50 I I HAz I DFEES I IMP I FLOOD I COF I PARCEL PD I HO Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/oyr resolutions to do work indicatedbove or which a p have been aid. � � '� '' DIRE 0 ,OF PUB/0C WORKS f /.+� " Y By -. f �I,..�.% Date PERMIT EXPIRES Date 1 -- 1207133 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DTVI*IQN DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z-�SS'L PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 10/9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -ASID PERMIT PERMIT NO. 9 ::� ASSESSOR PARCEL NUMBER 068-140-064 ZONING AR 1 BUILDING PERMIT OWNER DUDLEY FRANK MONTGOMERY TELEPHONE 589-4062 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 329 SKYLINE BLVD 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 95 WARD BLVD OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP - Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE - SFE] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: NEW ELECTRIC SERVICE AND PLUMBING IN BATHROOM Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 r —S-3 � Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO 1o0OAI 37.50 .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 VT I, as the owner, or my employees with wages as their sole compen- cation, 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.&\ OR AODNS. ACC. BLOGS. I/ 3.3 NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FAL 045 _ FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.I EA.) I .3.00 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 36.50 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 penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ainst said County in consequence of the granting of this permit. X Date �6 —4 —�1 si nature of�, g pplicant — 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 CONST TYPE TOTAL FEE $ 88 cin HAz 1 0FEES I IMP FL000 I CDF PARCEL I PD HD ISSU This permit is hereby issued under the cions of Butte Coun Code and/ work d� ted e r which DI O OF U By PER I XPIR S Date applicable provi- o resolutions to do have been paid. ORKS Date AA Receipt No. 126133 WHITED. P. W., YELLOW-ASSC930R, PINK -INSPECTOR, GOLDENROD -APPLICANT F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califoriia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / U�c� - /L/Q - O ZONING ;1 BUILDING PERMIT OWNER a,OW 6 on�f>o2 TELEPHONE - yDGZ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R -Sz 9 2 -Ne &Lo 15 CONTRAC5OR'S A TELEPHONE CONTRACTWWR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ R 155,00 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 y Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 7[PARCEL MAP Water piping 7.00 7,p,3 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer_ 15.00 Mobile Home S G W 015.00 _UV TYPE OF WORK New❑ Addition❑ R)emodeIn Utilities Installation ❑ Other Describe work: s(/fC� /fes _ %(1Md�NC --TN .4i44A410 Permit Fee $O Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 ,Sp CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business arl} Professions Code and my license Is In full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO 1000AI 37.50 OCCUP.tr\ NEW CONST. DWELLING OR ADONIS. ACC. BLDGS. I 3.60 sq.ft. NEW CONSTR ULTI.OUTLET NO N.RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APPLN Ex. Occup. OUTLETS ((RESID.)EA. R) 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit 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 i I CONST TYPE TOTAL FEE S88s- HAz DFEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. / a 6l WHITE-O.P.W,. YELLOW- ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -Department- of 'Public' Works - 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER=BUILDER VERIFICATION Att.ent.ion Property Owner: An.'owner-builder".build-ing permit has been applied for in your name and bearing your signature. _ Please complete and return this information at your .earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide 'the major labor and materials for construct.ion of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 7. 4. I plan to provide portions -of this.work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone: Contractors Lic'en'se 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/4.= NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.