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068-140-096
COMPLAINT TO INSPECTOR -1 ( 051. 68-14-96 BILL JOHNSON ' ahs -Alf 28 Skyline Blvd, Oroville Contr: Todd Hemstalk Permit#3173 -83B (reroo f/SF ) - - -- -68-14-96 RANDALL HADWICK 24 Skyline, Oroville Contr : Chucks Ele ►��� Permit#1985-87E(ele ser ch com (ete rewire) P Cor: Clanton Const 96 PErmit#93-88B(new storageA�" o 68-14-9.6 a Cont: Chuck's Electric � Permit #593-88E(ele ser for�stg m g) 068-14-0-096 ,93-400P,M COSBY,GLEN & KITTY 24 SKYLINE BLVD, OROVILLE CONTR: RICK MAULDIN Y44 WALL-FURNACE/SF, 068-140-096 94-1089B COSBY, GLEN14-� 24 SKYLINE BLVD., OROVILLE 'F;12 -q? y CONT: RICH MAULDIN PLBG & CONSTR. REPLACE DAMAGED RAFTERS & ^ROOF/SF B06-2249 068-140-096 RESIDENTIAL Remode REMODEL/REPAIRS 24 SKYLINE BLVD KHAN, DOUGLAS & ELINORE �. s BUTTE COUNTY' , DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541. FAX#: (530) 538-2140 WEBSITE: www.btittecounty.net\dds PROJECT INFORMATION Site Address: 24 SKYLINE BLVD Owner:. Permit NO: B06-2249 APN: 068-140-096. KHAN, DOUGLAS & ELINORE Issued Date: 09/20/2006 By TMP Permit type: RESIDENTIAL 30 HEATHER CIRCLE Subtype: Remodel OROVILLE, CA 95966 Expiration Date: 09/15/2007 Description: REMODEL/REPAIRS (530) 533-7424 Occupancy: Zoning: AR1 Contractor Applicant: Square Footage: KHAN, DOUGLAS & ELINOR Building Garage Remdl/Addn 30 HEATHER CIRCLE OROVILLE, CA 95966 Otlier Porch/Patio Total (530)533-7424 FEE INFORMATION ' Remodel - Residential $714.87 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/20/2006 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one undre dollars ($100) or I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' . compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /► _ _// X " 09/20/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $714.87 Fees Paid: $714.87 Balance Due: $0.00 Receipt No: B165 OWNER1. BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: E 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: _09/20/2006, Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal 'injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 09/20/2006 Owner Contractor OR: Agent for OwnerAgent for Contractor FILE' Bette County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2249 Location: 24 SKYLINE BLVD Parcel Number: 068-140-096 Date: 09/20/2006 Owner Name: KHAN, DOUGLAS & ELINORE Phone: (530) 533-7424 Description: REMODEL/REPAIRS Signature of Property Owner. �'`j ��'� Date: 09/20/2006 —� FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 employer, you must register with the state and federal government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor 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 requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTI LL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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 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 THE 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 4 SHLC-'y ;Sfid Iry 97)- 967.5- Hb -,-T 4 � Description: REMODEUREPAIRS Reference Number: B06-2249 Applicant Name: KHAN, DOUGL S & ELINORE Signature of Property Owner: _� ��� Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY".. OWNER INFORMATION Last Name i Name Mailing Address 3o h1�1 j Ci 2 City 02a vy & State Zip gj-l6 6 Phone S 33 . 7 Y Fax E-mail APPLICANT INFORMATION CONTRACTOR Name p WA) ta, Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 2-Y 51(zxt_6j,9 8CUO Flood Zone Cross Street D C. � c w SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT //N,, O. tJj�-2, BIN # PROJECT LOCATION AP# Property Address 2-Y 51(zxt_6j,9 8CUO City. 1/6 Cross Street D C. � c w WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ROOF, H4,77 k LE c'R. c Sq FT- Living fit) Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total i 27 June 2005 Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile Allen Makowsky 24 Skyline Blvd. Oroville, CA 95966-9443 RE: Formal Warning Notice Butte County Code Violation Address: 24 Skyline Blvd., Oroville CA 95966 APN: 068-140-096 Dear Allen Makowsky: Through our courtesy notice on April 11, 2005 you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations .on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. 2. The keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations is cause for the, issuance -of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • . Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural - Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at.a licensed junkyard location or not, from storing junk in public view. Allen Makowsky APN: 06&140-096 27 June 2005 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.2407 Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code, Section 24-3.05.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily,,, within ten 10 days from the date of this letter,- enforcement etter;enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely%e,- Nick Hoekstra Code Enforcement Officer NH: mjs cc: Department 'of Development Services, Code Enforcement PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in'the County of Butte; I am, and was at the 2 time of the service hereinafter mentioned; over the age of eighteen years and not a party to the within 3 action. My business address is Department of Development Services, Building Division; 7 County, 4 Center Drive, Oroville, California 95965. I am, readily familiar with the County's practice for 5 collection and processing of correspondence/documents for mailing with the United States Postal 6 Service and that said correspondence/documents are deposited with the United States Postal Service 7 in the ordinary course of business on the same day. 8 On June 27, 2005 I served the foregoing 10 Day Notice on the person(s) named below by 9 placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed to as indicated below, and by placing said envelope. 11 12 In the appropriate place within the Department of Development Services where 13 mail is collected for mailing with.the United States Postal Services on the same 14 day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Allen Makowsky 17 24 Skyline Blvd. 18 Oroville, CA 95966-9443 19 I declare under penalty of perjury under the laws.of the State of California that the foregoing 20 is true and correct and that this declaration was executed on June 27, 2005 at Oroville, California. 21 .. 22 lug Myles Y. Sti nd 23 Office Assistant Il 24 25 26 27 2$ Charlotte Ann Miller Johnson APN: 1 036-230-072 11 April 2005 Page 2 • Butte County Code, Chapter 24, Section 24-305.240 - Junk.. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily. defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24 Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who -is suspected or alleged to have violated or to be in'violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 2. Remove all inoperable/junk vehicles from the property. You have thirty(30) days to voluntarily comply with the' above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH: mJ s cc: Department of Development Services, Code Enforcement ,�. y-� ,�_�. � . ` ..W'!"'_,_,m-A �.,,s.: T:�$aR!.!'v-• r. s ,.:rr aS x;:9T.•?��Riv: ��n�� 1 ' o(.PS -140 - OCL i i��flt7 Ki }i� CASB ' Qr��►1be. , �ms+�xfl OcL I ce) T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ! " 9 3 - Yo ASSESSOR PARCEL NUMBER 06A-1 40"M6 ZONING I BUILDING PERMIT OWNER r.T,FN An T TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6 APICA AVE. OROVILLE CA 95966 --' CONTRACTOR'SNAME RICK MATILDIN PLBG AND CONST. TELEPHONE 534-1451 CONTRACTOR'S MAILING ADDRESS 1845 HIGH ST., OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER I�rwF UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee a ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS b SrflINE BLVD. OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 or heat pump water heater 20.00 JSolar LOT NO. SUBDIVISION NAME °"' PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[K] Installation ❑ Other ❑ Describe work: INSTALL WALL FURNACE Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS , 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess s Code and my license is in full force and effect. License No. 100 Classificationf 3G ;✓ %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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.tr\ 3.64sq.ft. OR ADDNS. ACC. BLDGS. // \ NEW CONSTR ULT LOUT LET NON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 4AL- La 45 I Ex. Occup. OUTLETS (RESID )FIXED APPLNS. REAJ 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 1 15.00 Heating 50,000 BTU 1 19.00 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabjl4*'es, judgments, costs, and expenses which may in any way accrue against saiACo tyin consequence of the granting of this permit. t X' Date sign tuc of Applicant — Owner ❑ Contractors 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 $ 44.00 HAZ DFEES IMP FLOOD cDF PARCEL PD HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or. resolutions to do work nd)cated `bov /for which fees, have been paid. DI FT OF PUBLIC WORKS BY Date PE IT EXPIRES Date Receipt No. 135440 WHITE -D. P. W., YELLOW-A58L990R, PINK-tN9PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO. ASSESSOR PARCEL NUMBER _ ZONING _ BUILDING PERMIT OWNER OgIly TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS 6 APICA AVE. OROVILLE CA 95966 CONTRACTOR'S NAME PLBG AND CONST. TELEPHONE 534-1451 CONTRACTOR'S MAILING ADDRESS 1845 HIGH ST., OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER NQNF UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONF LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Pjan Checking Fee $ Penalty $ BUILDING ADDRESS 94 SKYLTNE BLVD. OROVILLE Permit fee $ . 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 [J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: INSTALL WALL FURNACE Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Profess io s Code and my license is in full force and effect. License No. Classification�x�is/� 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) EJI, 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 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. SLOGS. // 3.6asq.ft. NEWCONSTR ULTI.OUTLET D NO N-11 ESIBRANCH CIRCUITS) @ 5.00 (PO WER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d 1A[ 0 ARA FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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 FilingFee 15.00 Heating 50,000 BTU 1 19.00 Cooling Hood 6.50 Ventilation Permit Fee $ 24.UU 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 liab' es, judgments, costs, and expenses which may in any way accrue again s d Co in consequence of the granting of this permi . X'`� Date - S19. arur of Applicant — Owner ❑ / Contractor Agent An OSHA permit is required for excavations over 5'O" deep and demolition Dr construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S i Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 44.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD IS;/ This permit is hereby issued under the Bions of t e Butte County Code and/o work � dI ated a o or which a DI PU C By V_ PE IT EXPIRES Date applicable provi- resolutions to do have been paid. ORKS Date Receipt No. 135440 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT f RESIDENTIAL - 068-140-096 94-1089B COSBY, GLEN 24 SKYLINE BLVD.; OROVILLE CONT: .RICH MAULDIN PLBG & CONSTR... REPLACE DAMAGED RAFTERS & REROOF/SF yl 0�5 n rc JOB FINALED (Date) Signature V=OK O=Not OK = Not Applicable MOBILE HOMES ! Date/Initials MOBILE HOME UTILITIES (Plans) OK except#'a ' -1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4: Water; Location -Teat -Easement Needed (Sketch)' 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas;Location-Test-Wrap:/ /"L"ft.� / P'Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance. •i .i .. r Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line _ 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8..Gas and Electricity Tagged 9..Exiti; insp.-Sketch 10. Cert. of Occupancy ' MISCELLANEOUS ' Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1.' Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness ' Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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-Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i ' MISCELLANEOUS ' Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1.' Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness ' Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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-Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Teat -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ge. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsu cation -Wal Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 81. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kiffixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive 0 Yes 0 No; Walks 0 Yea 0 No; Planters 13 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive = OPoville, Califofnia 95965 - Telephone (916) 538-7541 PERMIT APPLICATION AND PERMIT g14_ ASSESSOR PARCEL NUMBER 068-140-096 ZONING BUILDING PERMIT - OWNER GLEN COSBY TELEPHONE SQ. FT. OCC. BUILDING VArUArhA CONTR 6,100.00 OWNER'S MAILING ADDRESS 24 SKYLINE BLVD OROVILLE 95965 CONTRACTOR'S NAME RICK MAULDIN PLBG & CONSTR. I TELEPHONE 534-1451 CONTRACTOR'S MAILING ADDRESS 1845 HIGH ST OROVILLE 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 40.00 ARCHITECT OR ENGINEER uCENSE NO. Plan Checking Fee MTN $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 24 SKYLINE BLVD PERMIT FEE $ 133.00 ORCIVILLE., 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF _i Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities O Installation 1:1 Other ] Describework: REPLACE DAMAGED RAFTERS & REROOF PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FSTO.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and my license is in full force and effect.Ex. License No. Classification �— �� 0 � O I, as the owner, or my employees with wages as their so a compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Occup.FIXEDAPPS.OR ( OWUTLETS IRESIO.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. )6I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 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 Butte County Ordinances and California 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 liabilitie , gments, costs, and expenses which may in any way accrue against said Coun in ons a ce of the gra of this permit. n X Date / Y140f Applicant - ❑ Owner jContractor D Agent An O HA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 133.00 HAZ• I D. FEES I IMP I FLOOD T CDF PARCEL I PD 1.HO ISSUE 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. D BY � Date z 0 I PERMIT EXPIRES ON Z Qajej Receipt No. 162385 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVE�ORMENTSERVICES -BUILDING DIVISION r ; A,, y i ' 7COUNTY CENTER DRIVE - OROV',"ILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ' JO A.R. No. 04 Proposed Building Use " t Building Inspector Date y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 seh, signed by preparer of plans . ........................... Complete plan ,4 3 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). .. . . 20. Pre -inspection for Prey Building Inspector required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to 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 . ............... Existing violations/expired permits . ...................................... " Ian check list . .................................................... . 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - / and hold for pickup at office. Deliver with inspector. -� Other Parcel Creation Acreage Applicant 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 1. Index permit for above items No. _ 2. Additional items required: rmit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owne advised of above re ired data by _ phone _ mail ter 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 S I ! i ! STRUCTURES AP40 : E+ WANGS SHALL 13E C ? R 1' BACK OF 10 ll. FT. EIEC l4 T.141" Rl=gn ,2 FT. SAVE QVERHA s t I �� ramie At✓D ,5i%� T�n� 47CP � I f i MENT IINCLU®ING T ALL EASEMEI 1TS. )m THE SIDE AND (PERTY LINES AND a i i —7 t?v�r OrC.��-•Anc� . I 11 r.� A2_3 NOTE:—Ali Materials &Workmanship Shall Be'in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the uniform Building, Plumbing & Mechanical Codes and'�a the National Electrical Code. �ug�x1!� C�irn�rE� ?b FsE UIi✓D aFP oz kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte.. i r /J ; BUTTE .COUNTY BUILDING DEPARTMENT APPROVED. - -�� -m SR fYC.�..5;2.uT � r � CAPPED OF p RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX &`MISC. ONLY) Q Bldg. Permit # 5 C) OWNER G-CCAJ CBA.P. #4(r)":Z-CQ Plan Checker GENERAL ening requirements: (sideyards and number of permitted living units). 01l�V -1-uation. 3� Plans signed by designer. oper description of work on application. violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ecor notice of violation. d. 2. 3. 4. 5. 6. 7. 8. Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. i (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). .5. Human impact glass (Sec. 5406).. 6. Required room sizes, ceiling heights (Sec. 1207)., 7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (sec. 3304 (f). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS '. St-andara bracing or engineered design (Table 25V) 2.� i4"atia4-Nshape, size, or split level house requiring lateral design. 3" eie _�*wry requiring balloon framing and/or engineering. T r—ee�tory building requiring engineered calculations and plans. 'on plan complete enough to construct building. struction details complete enough to construct building. -tfVdLx-er+s and wall construction details complete enough to construct building R f construction details complete enough to construct building. e construction details and talcs if necessary. Rafter ties or bearing ridge beam. 1�--Fag door or porch header sizes. fie --soils - special foundation design. 1walls requiring design. 11 Inspection required. 8/91 RESIDENTIAL PL -;AN CHECKING GUIDE M MISCELLANEOUS ITEMS7TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). 3. Brick or stone veneer (Chapter 30). 4. Exterior plaster — weep screeds (Sec. 4706). 5. Proper roof pitch for roof convering (Chapter 32). 6. Roof covering type — (fire hazard). 7. Foam insulation — protection. 8. 36" halls and stairways. 9. Living area over garage — complete 1—hour separation required on garage side including supporting walls and posts, etc. 10. Two exits on three—story dwellings (sec. 3303 & see Mezannines — 1716). 11. Attic access and ventilation (Sec. 3205). 12. Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances — L.P.G. requirements. 14. Noise requirements on duplexes. 15. Energy design. 16. Flashing at all exterior openings. 17. CDF responsible area requirements. Temp. Power Pole :. Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service F Called PG&E �f j JOB FINALED (Date) Signature. r. =OK 0 = Not OK Not ' MOBILE HOMES MISCELLANEOUS = Not Ready Date- MOBILE HOME UTILITIES (Plans) OK except Ws . Date DEC ;COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements i lerZping Requirements-Setbacks-Easements . Footings; Soils-Size-Depth-Spacing-Connectors-Steel 2. Soils; Special MH Support-Sketch 3. Sewer;, Location-Test-Fall-C/O-Concrete yrs and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4-V/ee4—A•wn`Posts=Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5.Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / /"L"ft. 5 mns-Connections-Splice- Decal-Enclosures 6_Ca ports7Wlndows-Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Z_E er._ @ffr g; Si nc -St - f - ru es ing; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-B1 Date 't . R, Shthg-Roofing Card-81 Date Card-B1 Date . ' 1 . xt.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-B1 Qn Dated-1,b, and-B1 Date 2. Footings; Size-Spacing-Marriage Line Card-B1 Da Card-Bi Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date VOOLS (Plans) OK except ff's 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval _ 3. Pool Structure; Steel-Connections-Thickness- 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater Card-81 Date Card-B1 Date B. Elec.;Ground ing; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card-B1 Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B1 Date - Card-B1 Date Card-B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready e , • Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils -Steel-/ /" Fig. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card Date Date PLUMBING (Permit) OK except #'s -B1 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -131 Date Card -Bi Date Card -131 Date Card -61 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -61 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS E MIT N ;� 7 County Center Drive - Oroville, Califarnia 95965 - Telephone: 916/538-754 ' APPLICATI6N ANSI PERMIT ASSESSOR PARCEL NUMBERr .� ZONI BUILDING PER T . OWNER . j5f7 TEL!EPHONP 9— SO. FT. OCC. BUILDING VALUATION O`er v OWNER'S A LI G AD SS CONTRAC O NAM TELEPHONED CONTR TOR'S AI LING ADDRESS �J rvqw Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee- $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ o ARCHITECT OR ENGINEER r LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ T IN ARCHIECT OR ENGINEER'S MAILADDRESS Penalty $ BUILDING ADDRESS C u .. l� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SF ❑ Duplex❑ Mobilehome❑ Other ._� �l �Gi �j ECIF,T C/ Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Q --_Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: �' `aqf - kk7lds V I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service e01v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): IL—J( I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professioirls Code and my license is in full force and effect. License No. O Classification License 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 CONST. ! DWELLING OCCUP.N) yz2sgft OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. MULT "OUTLET 2,50 ea NON.RESID BRA CH CIRC ITS POWER APPARATUS e\ SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES 1.20050C °AL°30 Ex. OCCUp. FIXED P 11 OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as 'to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie judgments, costs, and expenses which may in any way accrue against sa' County in ons %4epceI the granting of this permit. of Applicant — Owner ❑ Contractor ®/gent ❑ Sig?7�.A An permit is required for excavations over 5'0" deep and d rgolit'ongr gyyct- ion structures over 3 stories in height. (/ Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oceuP. �ONJSC1IOOLJ17JP;C'JPD No E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A,-— ��/ I S• O Receipt No. ' WNITL-D.P. W.. TlLLOW-A9e[33011, PINK-IN9PCCT0R, GOLDEN ROD -A (CANT U _ C �F'yi i'`,ti/�`..:r�; . ��...;,11�cp....�;C��l�`.�.•�:�+,�+7r"c.t. t,,,�...t':-5�i'`� �:T.l+.-v.-. -v�,{1t�S�-e.{r.,';�4`►i-:y, •=G..::r i-�t� �:Lf�.���i:.r'�4-..�t.,. rf^l�.''�s..+�..' :FR�'L:..vS. :�y.' ",t�!'1'� -,�• 4': j, COUNTY OF BUTTE -'DEPARTM NT"OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, Al i�VR A,.95965 - TELEPHONE: 916/538-7541 /f PERMIT' APP.LIC.ATION DATA SHEET f 4,. Permit No. OWNER_- �CC)lC `' A. P. No.,,/– Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 0. 11. 12. 13. –14. 16. 17. 18. _19. 20. 21. 22. All items have been submitted. . . . . . . . . . . . — Plot plans in duplicate/triplicate, signed by preparer of plans. . Complete plans in duplicate/triplicate, signed by preparer of plans. Complete engineered plans and calcs, with w'et signature on plans. Plans with Energy Design Compliance Statement. . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . ... Letter of signature authorization. . . . . . . . Sanitation approval from 0l�o _ Health Dept. ZZ– Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . . Pre•Inspec.request to (Date) Pre -Inspection for__ _.. _ _. _ Required. Bu;Idlna Insoector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of When you issue the permit,.p.ocess as follows: Mail to owner; Mail to contractor. !/ Telephone. -52 S� and hold for pickup at—off ice, Deliver w/inspector. Other _ Applica ate Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date Contractor, designer, owner, was advised c: above required data by—phone —ma iI—counter _ly. date Plans checked by Sets Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet – /1) X P�l AP folder e 1– 1 a TO FROM: SUBJECT: Buildinct Department Environmental Health Sanitation Clearance " 9V z,6 caner Loc tion AP# r. Plan Approved for: Sewage Disposal. Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. Water Supply, Water Supply Other �'`C � ; � ..-`"',,'=i � �:��,,,.,,, �3C�1,r"ti.:r--,'�,.'(rr'^.v4�,.="�e!`a!.d'i%.��"1.,;;,./`."1-.L.,�.-^,/n.-J..;rr''"�.,,;�^�i^Y..-'�;.^.-,-v+a...., _J;;..M+v�..'iJti ti,:%%.^1-=''"''i``r'�..✓.`r;..; �.". y�..---.��.:. - .t. -:-='-- -3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f y 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION S MAILING ADESS OWNER'S DR rr11 CONTRACTOR'S NAME �Ae TELEPHONE 3 ; 9 CONTRACTOR'S MAILING ADDRESS ' � Z114, Fireplace CONSTRUCTION LENDER UNKNOWN 77 Total Valuation $ C? 49 l/ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /5r CC) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 7 ;: t.0 BUILDING ADDRESS Lf� S��•/L/i-tJG P,l/`%�._ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 a f7L Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 2 Duplex ❑ Mobi lehome ❑ Other . SPECIFY Building sewer 5.00 Mobile Home S I G I W10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation ❑ Other Q Describe work: _-lb �'�� /R �� /9tf V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. I 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Fp--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 No1"� `Q /? Classification / 2_ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTFL MULTI-DU2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR( POWER APPARATUS &'� NON-RESID. SINGLE OUTLET CIR, z0®SOa DR FIXTURES .ALO 30f Ex. Occup(o XED A FIXED APP LNS. OR Ex. OCCUp- OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under, penalty of perjury (check one): '( NQ�The permit is for $100.00 (valuation) or less. !� ®/1 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 $ 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. '`4��,� ,�,...�---•�" �� ; X �• Date Signature of ApplicantrC� Owner ❑ Contractor 0.o -Agent, ❑ , An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ JS" 6-0 OCCUP. GROUP I TYPE OF CONST, PARCEL P11 ND SSUE 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 By � •I Date — 1 r PERMIT EXPIRES Date �/ r r�- �q-� ✓ Receipt No. %, WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Catifornia 95965 - Telephone 916/534-4541 APPLICATION IND PERMIT PERMIT NO. 3I -�3 ASSESSOR PAR L NUMBER — ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESSr�� _0V C-/ /l/wel AW./p,v� CONTRACTOR'S NAME�y/ p TELf.EVPHONE CONTRACTOR'S MAILING ADDRESS ,5'�!� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /.Si ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z5 60 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF)Z Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W ea __10.00 TYPE OF WORK New F-1 Addition❑ Remodel❑ Utilities❑ Installation❑ Otherjj Describe work: Jaagoor le Seo (J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS � 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/20sgft CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I alicensed under provisions of Chapt. 9, Div. 3 of the Business In and Profes i s Code and m license is in full force and effect. y License Classification �'o�' ❑ 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 ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) NON-RESID. \SINGLE OUTLET CIR. 200800 Ex. Occup(o OR FIXTURES 9AL®ao D A FIXED APP LHS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare unde alty of perjury (check one): o (t 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, c sts, and expenses which may in any way accrue agains said County in c s quence of the granting of this perm' . Date Signature of Applicant — Owner[]Contractor gen An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ (@� OCCUP. GROUP I TYPE OF CONST, I PARCEL PD ND IssDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DCTO OF PUBLIC By PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS Dat e I— X70 Receipt No. d ?-4 WHITE-D.P.W.. YELLOW-ASSESSO . PINK -INSPECTOR. GOLDENROD -APPLICANT .�; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE.:CA-01FORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA -SHEET Permit No. OWNER/G/_ _'3'c?f/�'>gT,,(� A. P. No. Proposed Building Use��F,,,i��n S Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector !Q&Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./tripiicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: Com. Certificate of Workmen's Compensation Insurance. . . . . .�/6>^�� _�`_ 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑•) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other AppIidwit Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW �'� • 1••`�f.,.ir �.r �43������x•�:,c4',� �'��. `'� •i.":7: c� .��� F.;. � h�'�!�i F"-�Ml�f�'Yfi..t�fyfl� /r�'�..� if�js! v�['' ^.�b� 111 :0i.'W+"Y'�"•79.'�.{iy0. �+�C�.�7`W ''i��.. �� �4 r •i ,... 1985-87 i Randall Hadwick 24 Skyline s, t v i 5 • 9 OFFICE COPY Address G AS Meter By Date ELECTRIC Meter By .. .. � Dat/ i' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIN AND- PERMIT PERMIT NO, ASSESSOR PARCEL N MB R Y / - ZONING BUILDING PERMIT OWNERj/ j / /]arc/^( ,1 w o i < //yp TELEPHONE Q SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL �'N�' / D/ �E J / /7CON ji3FL RACTOR\•SN AME /�Il"r r/-� eAr'^'EPHONE (r // C CONTRACTOR'S MAILINt/G'ADDRESS Fireplace CONSTRUCTION LENDER /^ vI F I UNKNOWN Total Valuation Is FilingFee 10.00 LP-NDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _/nh�-- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / (� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK rrr��trrr New Addition[] IR-emodel❑ Utilities❑ Installation❑ Other Describe work: l (� ��P r ` F �� Q rl) %Qyft (let tc /14 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 l Main service 00V OR LESS 100 AMP OR LESS 10.00 1 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCu yZ�sgft�`� OR ADDNS. \ ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. E x. Occu 20e30e p�OUTLETS OR FIXTURES eAL030 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for'$100.00 (valuation) or less. ❑ I have placed on file with'the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ISI 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. f _ O( ,/ `r`—' / X i ��+� ��t /� �Y% Date — Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ n occuP. CONST.TYPc FLOOD PARCEL PD I No I 1390E 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. DIREECTOR"OF PUBIC WORKS �'' /``,/ n /� By r �.�.n / /.. /Y/J� Date PERMIT EXPIRES Date Receipt No. (J�[� p WHITE-D.P.W.. YELLOW-ASeE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIC"i-OWAND PERMIT PERM T+'NO. ASSES 0,1:2 PARCELB R [(.ZJ' �- ZON INiN BUILDING PERMIT OWNERTELEPHONE IZ - SO. FT. OCC. BUILDING VALUATION OER'S MAI�iyJ ADO ESS CO ACTOR'S NAM n ' /v+kel.C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTIOON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCH, ECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT -OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r (/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G yJ 0.00ea TYPE OF WORK New ❑ Addition Remo ❑ Utilities ❑d stallation Other Describe work: lil e i' r ✓ 1 CE C -9i _ __ eL Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 UJ, 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 -s CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ACONSD DDNST I ACCLBLDGS.CCU 21/4sgft NEW CONSTR. ULTI.OUTLE 2,50 ea NON•R ESID BRANCH CIRCUITS) ( POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. OCCU 20050` p OUTLETS OR FIXTURES GALA 30 EX. Occup. OUTLETS PRESID IFIXED APLNSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 5 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. J1 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 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabiliies, judgments, costs, and expe(ses which may in any way accrue agains said Co nt in eon 3q ence of the ranting of this permit. X w �— Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYP! I I FLOOD PARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County. Code and/or d above for which work ZDIR;E7TFPUB B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS Date _ _ Receipt No. WNIT!-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 J" APPLICATION ANMERMIT ✓ ASSESSOR PARCE NUMBE" �•r - ZONINrJG f! BUILDING PERMIT 4 OWNER" N n r �� rte c TELEPHION 5 .� SQ. FT. OCC. BUILDING VALUATION S MAILII-NG ADD�/j'E OWN^EER''y` CONTR4 CTOR'S NAME TELEEP}H NE COqAC)TOR'S MAILING ADDRESS 41 q( 1 ` ✓f l))'IQ U (� / 7 /.s Fireplace CONSTRUCTION LENDER UNKNOWN" Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS (\ //� ^ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 P Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE>,1-1 SF ❑ Duplex❑ Mobilehome❑ Other! / ? �/' Q f sPEcl r Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 0.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ t Other Describe work: �� e 1 I I I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty perjury p y of p f y (check one : i ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Q 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) J ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCc , oR ADDNS. ACC. BLDGS. / b0sgIt NEW CON5TR TI-OUTLET NON-R I -SID 2,50 ea .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES eAL030 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 41 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ' ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance ora Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject I 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 Fi ling Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee 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 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. C �`,f/f' I"�a-L, (� 1 X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy, Inspect ion Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE 5c1IooL FLOOD PARCEL PD No SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I � DIRECT,OR OF PUBLIC By. �a,n / /Date '.� ` ` . ", - PERMIT EXPIRES Date the applicable provi- resolutions to do fees, have been paid. A WORKS . Ay1h Receipt No. WNITE-O.P.W., YELLOW-ASSE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT If;, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —. Phone: 891-2751 f �� 7 County Center Drive, Orovi Ile — Phone: 538-7541 t 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION. AND PERMIT ASSES RF€4 ��yq �j Zo"' BUILDING PERMIT OWNS ,y a w �G N TELEPH ,5 SO. FT. OCC. BUILDING VALUATION OWNER '$ MAI ADD ESS Q � n CON :TOR/S NA E / ri T L PH NE - COy A�j 'S MAILIN D ESS _ i d �%�O Ui Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 e© o i eSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP -Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR r SF ❑ Duplex❑ Mobilehome❑ Other [J SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RerRoc/del ❑ Utilities ❑ Installation[] Other j Describe work: ! �f1 i� C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen• sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) (] 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONST oR ADDNST GSCC Y20sgft 15.I NEW CONTI.OUT LE NON.RESID .BRA C CIRC TS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200300 eAL03o FIXED PR EX. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 g Permit Fee $ a. 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 ` Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilit' s, judgments, costs, and xpenses which may in any way accrue against ' Cou y i co a Zen a ofVh ranting of this permit. X l a a2 Sg Date Signature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON5T.TTPZJ SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indlC above for which f i REC PUB By311 P T EXPIRES Date the applicable provi- resolutions to do fees have been aid. p ORKS ate 1 Receipt No. WHITE-D.P.W., YELLOW-ASe[OSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT IN Owner: KNE REVISION: BP# 06 APN. Date 7 6 FILE COPY d. er° � i d. er° �