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068-150-083
Ben Hargrove 68'15-83 NIS Oro -Quincy Hwy,app.400'W.of Olive Hwy, lot 4, Oroville ' Permit #1626-77B,P,E,M(add bedroom & bath/SF),� `068LI50-083 PERMIT#94-2497, SILVA, FRED . 2949 ORO-QUINCY HWY,'OROVILLE A�0 REPLACE DAMAGED ELE-SER/SF Iv� 068-150-08.3 06-1401 SILVA, FRED 2949 ORO QUINCY HWY, OROVILLE Cont: OWNER RE ROOF ��, �b -7.07 Butte County Department of Development Services ur aaFa NOTE S 7 County Center Drive, Orovilie, CA 95965 (530) 538-7601—.byttetounty.n@ydQs RESIDENTIAL _ 068-150-083 --"' 06-1401 APN' SILVA, FRED a ^-0 i Owner. 1 2949 ORO QUINCY HWY, OROVILLE Cont: OWNER Site Addrei RE ROOF _ Contractor Type of Permit: .ti S t 1 t `i P CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 0 DATE JOB FINALED: Q SIGNATURE: = OK t� MANUFACTURED HOMES MISCELLANEOUS- RHE__j Lj PERMANENT FOUNDATION _ SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUCIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Gmd 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ----DATE ID EC KS -COVE R S -C A R P O R T S -G ARA G ES 1 Zan ingSetbacks-Easements 2 Figs; SoilsSz DpthSpacing-CnnctmSteei 3 Decks, Girders/Jotsts-Dcking-Brcing Stairs -Guard_ /Handrails 4 Wood Awn; Posts-Seams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctasSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Fang; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IP O O LS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclsAAng; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Egp-Pool lghtg Boxes-En6lsrs-pnlboards4nsultn to Main Conduit 9 Health Not Applin 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 4P o`er o� e`er Pool Drawing 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING a.vunyvcauabW-Ga3CIfICf1L5-r IOOQyIOpe 7+ - 2 Ftg Main; Soils-Elec Gmd Ftg DRth 3 Ftg Garage; SoilSSteel-Elec Gmd Ftg Dpth 4 Ftg Perches/Decks;`SoilsSteel Ftg Dpth 5 Stemwalls'Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & VnUtn 16 Insulation 40 90 „DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs-Nailirig Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders.& flr Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops,'Fiirred CeilingsStairs-Chasers-Tubs 22 Headers &bear isSi &' Bearlr g- 23 Hangers -Post Caps-Anchrs,Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A FIui3=Frplc Throat Cimc 26 Attic Ace; Sz &'Rinx .Pitctn-Drafi Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtct i Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts4Utr Outrgrs 33 Siding -Nailing Veneer - 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrfir Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration Walls-Wndws 41 49, DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz , ❑ CU or ❑ AL AC Wire Sz ga ❑ CU or ❑AL 48 Range Circ w ❑ CU or fAL Oven Circ ca ❑ CU or El AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector k :Jib. = 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan;,Test, Fist fir -Tub Ace 57 Test Tubl: Stiwr, 2nd fir -Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 4e 0.ss DATE IMECHAMICAL 61 AC Ducts Insuitn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loetn 82 Elec Rcptcls in Garage (GFI) Ramex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dm e & Wood -Earth 86 Cimc Dmge Planters [] Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDINGPERMIT BP061401 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/12/2006 APN: 068-150-083-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 2949 ORO QUINCY HWY ORO License Class : License Number: Map Index: Date: Contractor: Description: RE -ROOF 20 SQ'S COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SILVA FRED SS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2949 ORO QUINCY RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 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 (8500).): OSI, 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 Applicant: SILVA FRED SS Code: The Contractors' State License Law does not apply to an 2949 ORO QUINCY RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed to the Contractors' State License Law.). -6/ursuant 1 am Exempt under Article 3 oft Business and Professions Code Date:4-12,06Owner: License #: WORKERS' COMPENSATION DECLARATION 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 1 workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 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: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. i f CGi CONSTRUCTION LENDING AGENCY This p=: -i' `s hereby issued under I. e r ft.able provisions of the nulla ounty Code and/or I hereby affirm that there is a construction lending agency for the Resol ons do work indicted ab e f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: oe 11 Date: �. i Name: PERMIT EXPIRES ON: Address: ate •❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have.read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of aofficial form or docum t of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos IV Print Nam(2 Signature: Date: 'IF-Owner ❑ Contractor Cl Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 ' ' PERMIT NO. BP061401 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/12/2006 APN: 068-150-083-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 2949 ORO QUINCY HWY ORO License Class : License Number: Map Index: Date: Contractor: Description: RE -ROOF 20 SQ'S COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SILVA FRED SS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2949 ORO QUINCY RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 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).): OSI, 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 Applicant: SILVA FRED SS Code: The Contractors' State License Law does not apply to an 2949 ORO QUINCY RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed ursuant to the Contractors' State License Law.). 1� l am Exempt under Article 3 of tW Business and Professions Code C Date: `� -0 Owner: License #: WORKERS' COMPENSATION DECLARATION 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 Architect: Labor Code, for the performance of the work for which this permit , is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: II 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 forthwithcomply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. co r CONSTRUCTION LENDING AGENCY This permit is hereby issued under the licable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolrns2 do work indicted ab e f which fees have been paid* performance of the work for which this permit is issued (Sec 3097 Civ.)Z-4 By: Date: Z!942 Name: PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of aofficial form or docum t of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos c Print Name: h I Loa Signature: //�J Date: 47 ;;z .—D (n Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION4: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X9AI� ': I fL - For office use only: OWNER INFORMATION Last Name/ [,, irst Name Addres City Occ. ro tO c// 6v City Phone Stat , 6 Phon 3 3 �3 Fax E-mail Class APPLICANT SIGNATURE X9AI� ': I fL - For office use only: CONTRACTOR Name Flood Zone Address CG City Occ. State Zip Phone 3 7z 32 33 Fax E-mail Date Approved: Lic. # Class APPLICANT SIGNATURE X9AI� ': I fL - For office use only: ARCHITECT/ENGINEER Name Flood Zone Address CG City Occ. State Zip Phone 3 7z 32 33 Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X9AI� ': I fL - For office use only: APPLICANT INFORMATION Name _ r Flood Zone Addres CG Cit y,�r�U Occ. Sta e 'p 6 Phone, �G 3 7z 32 33 Fax E-mail Date Approved: APPLICANT SIGNATURE X9AI� ': I fL - For office use only: Zoning Property Address r 1 c Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMITfA �P f BIN # PROJECT LOCATION AP#/ — D 0 - Property Address r 1 c City 4/ Cross Street W RKER'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 Page 1 of 3 Description or Scope of Work: r q T- Livi S OGarage Open Cov O Structure Built without Permits O 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 bylpj Amount: Or %. Bldg Receipt #: q �s S ?//(!p CAZ4 SRA Sheriff SMIP Other I I Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for aC permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 4 ''OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �; 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-754 St/_E IT NO. APPLICATION AND PERMIT ASSESSOPARCE BAR /� O ©a (l// zeNlN,cn ? BUILDING PERMIT OWNER i, TELEPHONE SQ. F7, OCC. BUILDING VALUATION OWNER'S AILINGAO KESS ©� C /VWore, CONT TOR'S NAME TELEPHONE V1 ISL y - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIO LENDER n'e- UNKNOWN Total Valuation $ LENDER'S MAILING A03RESS Filing Fee $ 20.00 Permit Fee $ ARCHITEC OR GINEERucENSE NO. Plan Checking Fee S — ARCHITECT OR £NGINEEn'S MAILING ADDRESS Energy Plan Checking Fee S Penalty $ — RUILDING A(nrD E n 0 `( �� ��J PERMIT FEE $ PLUMBING PERMIT n Filing Fee 2U.00 Each Trap - 7,0; Solar or heat pump water heater 23.00 -d LOT r10. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 _—A —USE USE OF STRUCTURE SF Duplex ❑ Mobilehome El Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 15.CIOT 15.U0+ I , M _ Mobile Home S G W @20,(70 TYPE OF WORK -� i - PERMIT FEE New O Addition ❑ Remodel O Utilities O Installatio O Other Contractor Describe Work: Q (V,- / C r ` 'f ELECT_RICAL PERMIT Fling ee - 20.0 T_ OR LESS Main Service`1 2001 OR LESS I 23:00 200A j - Main Service ( 200A TO 1000ANEW lir ' CONST. O OR ADDNS.1 BEACCLLINGBLOS. I 3.5i. F -r. - CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) 1 O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. CiassificationI NEW CONST. MULTI -OUTLET NON.RESiDBRANCH CIRCUITS 7. . ( I ` 5G ( FO=E I`ARA TCUS 8 SINGLE OUTLET Ex. Occup. ( OUTLET OR FIXTURES 1 l I 20 E' I.co -- Ex. FIXED APPLNS. OR 1. Occup. ouTLETS (RESID.I FA. I Temporary Service 23.(:0 ❑ I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code Mobile Home Facilities I 20.00 I _ Misc. `PJirin — . g 7310 ' 1- --------- -a for this reason -•-- _ PERMIT Fr. E $ n WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ -f his permit is for $100.00 (valuation) or less. O 1 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. O 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. __ Contractor✓ MECHANICAL PERMIT Filing Fee "i - 20.00 - -"-" __— Heating Cooling Hood Ventilation -- 6.5p PERMIT FEE j S 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I— Mobile Home Installation Fee $ ---- --_—_ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES _ HAZ. II O. FEES IMP F,L000 COCOF] PARCEL PO Oil) ISSUE X Date - This permit is hereby issued under the applicable provisions Signature of Applicant - O Owner O Contractor O Agent of the Butte County Code and/or Resolutions to do work. An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. indicated above for which foes have been paid. By ••-Date _._ Receipt No. [ !� IPERMIT WHITE-D.D.S."B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT EXPIRES ON C?UNTYOFBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector A. P. No. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 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. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Telephone and hold for pickup at Other Applicant Mail to contractor. _ office. Deliver with inspector. EXPIRATION OF APPLICATION Date Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �n.,is-nJ�+PT�yR�o....»ih/L.�tsa•{M1�,+it�Z'�-t�'S°'i"..-......�.�ve►•�s+r_s*-^++.,.-►-'�.*�-y,.snw'^ri.+.t'".Vi"`"h'_ t;�*--v"1w-.,+,��+-r.,,....w--'-....-Y••iF,rt.�r'..r'v-.'1._1;-..�-r,-'�r'r�i`_�.-�•��� . VIJN.TIYOJF'BUTTE - DEPARTMEMTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 ti PERMIT APPLICATION DATA SHEET OWNER 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 BY 1,. All items have been submitted . ........................................ '2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... ._..-.. 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... . 11. Impact fees as shown on attached schedule. ............... ............ . 12. California Department of Forestry plan approval/fees. ................... ' ... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department.` 15. City of Chico plumbing permit . ................ :....................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. Z" # 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). .. 'ansction 20. Pre pe request Pre -inspection for 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 . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ................................................ ) 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. �+-1 \ Telephone and hold for pickup at office. Deliver with inspector. -Other Parcel Creation Acreage Applicant Date h' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date r Copy of plans sent Health Dept. Fire Dept. Other Date By ' 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: ti Contractor, designer, owner, was advised of above required data by _ plione _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. r 068=150-083 - - ---•PERMIT#94-2497- (1%-,SILVA, FRED _ _ 2949 ORO=QUINCY HWY, OROVILLE REPLACE -DAMAGED -ELE-SER/SF---- - --- PERMITTEE MUST CALL FOR INSPECTIONS Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final "Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ;:< :.;:;;;;;;.;:: >:<;:.:::'.<: >:>nformation ...24 :Hr Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 068-150-( SILVA, F3 2949 ORO - REPLACE . t. 068-150-083' PERMIT#94-2497 SILVA, FRED HWY, OROVILLE 2949 ORO -Q REPLACE DAMAGED ELE SER /SF COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES s 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 FRED SILVA 2949 OR0—QUINCY HWY O.ROVILLE_, CA 95966 PERMIT NO. a 3630-76B PERMIT EXPIRES -1%-7.7 OWNER NEXYM Hazel Hough CONTR. owner LOCATION (A.P. 34-19-79 2949 Oro -Quincy Rd., Orovil.le s Temp.,Pow Pole 1 Calle G&E Temp. ec. Serv. C led PG&E Te . Gas Serv. Called PG&E JOB _ FINALED (Date) (Si ature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING'INSPECTION RECORD BUILDING BUILDING. (Cont'd) PLUMBING Setback _ 3-6 ""7 C Firewall Soil Piping Forms — - L Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor SternwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS V X7`76 -L ;e 5dvc� �� /4elile� 10K�r 4C, 4 /p, els 7`7( - (NOTE: An entry must be made on this form each time you.vislt the job site.) W COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR O t� 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 7 authorize presentatives o the County of Butte to enter upon the above -me tinned property f r inspection purposes. / X �� /6 Date S' n Lure oflPermitee or gent Receipt No.— ,a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By l Date ding permit expires Date 7-12-77- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addre �b �A Telephone No. — Fireplace .Zd&4" Contractor Total Valuation Si Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee — Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F? S- Fire Dept. Fine re Zo Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plan ed Parcel 494ap oval Permit Fee $ $ NEW ®. ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others �. Main service OVER 600V 100 AMP OR LESS 25,00 Main service EA. ADD•L 100 AMP 1.00 'NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2�syft NEWCONSTR. MULTI -OUTLET NON -RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BA@L� Ex. Occu P -( FIXED APPLN9 OR OUTLETS (RES(D.) EA) 2,00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner XS0s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize presentatives o the County of Butte to enter upon the above -me tinned property f r inspection purposes. / X �� /6 Date S' n Lure oflPermitee or gent Receipt No.— ,a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By l Date ding permit expires Date 7-12-77- �,© C,4 -7–C4 NOTE:—All M-terinls & Wcrkrnanship Shall Be ire Accordanr;e 'with .R!. rn'0n;7erl . Gnnd Practices "atO; f a ` `u' nlitu nreccr��+r•a for f e Specified use in the o q Uniform: Bui.ldino, Phamhing & oc,60nical Lades and . the National Electrical �e� ` .' �A✓�� �S��.s,Es��. fh�e side • Setback shf. I be 5 ft. fi (his set of lads• s l�J4i property 1�- nrl 5n r� f, P the centerline ofX ronrl. r,A-m;ff kept on the .job' at all times and i,' is U66wful id a maximum oft make any. changes or, alteration's 'a same without eav _h written per.misson ' from, the. ©'epar ment of Pubes, Works, County 'of'�8l,tte i� ® BUTTE COUNTY BUILDING DEPARTMENT APPROvF-n • e 0.e. r Y,� Op Mt 451 1626-77B,P,E,M PERMIT NO. ' _ / — 74 PERMIT EXPIRES OWNER Ben Hargrove CONTR. owner d, _ 19 83— LOCATION (A.P. 34=) NIS Oro-Quincy Hwy,app.400'W.,ofO1ive Hwy, Oro. n • k s- 1 Temp. Power Pole Called PG&E Temp. Elea Serv./,//7 Called PG&E� _ Temp'. Gas Se`rv. PG& E JOB /LED I� (D a.t (Signature) ----- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Mesh MECHANICAL Gird. Faul rot. Scratch Heating Service Brown Cooling Temp. Pol 'Finish Ducts Underground Interior Lath % 2R66—` Ventilation Permanent Door Closer Final Final .-.:2-3- , MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBI�LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE _ �—�O REMARKS OR CORRECTIONS Ze Gam` -,7 (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback —( 72 e�2z_1 Firewall Soil Piping Forms Parapets 1st Floor `%'7 Main Bldg. Restroom Finish 2nd Floor Footings -� Windows �-'%% 3rd Floor or S t e m w a I 1 Siding To out Slab Roof Sheathing Water Piping Piers % Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final 7i CeP Sanitation Patio FIREPLACE Final Footings Footing E CT ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIREINKLERS Motors Framing 1 % 7 `% Test Water Htr. Stucco Final Suboanels Mesh MECHANICAL Gird. Faul rot. Scratch Heating Service Brown Cooling Temp. Pol 'Finish Ducts Underground Interior Lath % 2R66—` Ventilation Permanent Door Closer Final Final .-.:2-3- , MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBI�LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE _ �—�O REMARKS OR CORRECTIONS Ze Gam` -,7 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 •7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR OROPERTY ADDRESS 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. 4/e i Z2 -; � I /� a�� �s/ COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC W K 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 2r/ � y APPLICATION AND PERMIT � 10 BUILDING Owner �a SQ. FT. OCC. BUILDING VALUATION v d Mailing Address 07/ �'/ — �j` �� r. C /!/ Te ephone No�S ,,,i G .. Fireplace Contractor Total Valuation Q d Mailing Address Permit Fee Q Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address Al PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Y,QU 4wue WA Z, Each Trap 1.50 ,/t (/ Repair drainage or vent piping 1.50 Water piping 1.50 Q 26 — % Each gas water heater or vent 1.50 A. P. O. Zoning & Planning / Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Vs I W Sa i ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Pa el Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 -LamnS Recd Parcel Approval s Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 QQ d Main service 1001 OR L 0 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service 100EAMP OR LESS 25.00 Single Family DuplexE] Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGSO- / &.) 20sq ft Vo NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: a Ex. Occup(OUTLETS OR FIXTURES) 50L2t100 Ex. Occup. ( OUT LETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $$ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Q0 Hood 2.00 Permit Fee $ S OE 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 herebyI( r$s TOTAL PERMIT FEE aurnunce represeniallves or the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 5' nature of P itee or Agent Receipt No. ,/ 'V � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS B2i'ldilng Date — permit expires Date ®R®VILLE TITLE: COMPANY CHICO OFFICE MAIN OFFICE PARADISE OFFICE 191 E. 5th ST. 1835 ROBINSON<. . , �' 6440 SKYWAY 342-7553 533.2414 877-6262 343-0268 877-5734 OROVILLE /sl 1'• (3u -de- Cb 1,2"4C Derr- in y o 0, s e- Tic. S -,P - I FAZ�7�1' '13& 1 A-V C iia .r COUNTY OF BUTTE - DEPARTMENT ��,F PUBLIC WORKS 7 County Center Drive, Ore"ville, California 95965 PHONE: 916-534- 1 DATE % 6 ' RE: '3 -3 With reference to the above subject: Attached is: Application for permit Typical Plan Sheet Building Plans Mobile Home Sheet Engr. Calcs. List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ Certificate of Workmen's Compensation Insurance. Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets .of plans in accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave.. Chico- 7 hic7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradis( Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or -right of way by deed. Verification of legally created parcel by deed. Deed for right of way. Parcel map recorded. As soon as we receive the above data,,we will process your application, or, should you have any questions concerning the above, please contact this office. JFG:dd Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Assistant Director CSS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / -76 Telephone: 534-4541 APPLICATION AND PERMIT Date + ` Siff .tyre of Per- ee or Agent Receipt No. ��� n; White-D.P.W. — Yellow -Assessor — Pink- nspector — Goldenrod -Applicant the Butte County Code and/or resolu 'ons to do work indicated above for which fees have been paid. DIRECTOR OF PUBLI WORKS BY D e Building permit expires Date BUILDING Owneraf)✓�� SQ. FT. OCC. BUILDING VALUATIO 43( Mailing Add re s S 40 PLumAs IiL ©Pu VI1 i � (IC Telephone No. oma` Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty elephone No Tr—� J' L Permit Fee $ Building Address �' Q . Uf IVG PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ffs • / W V t 1 Each Trap 1.50 Repair drainage or vgKt piping 1.50 Water piping 1.50 Each gas water Oater or vent 1.50 (,f A. P. No. I Zoning &Planning Gas piping sy em 1 - 5 outlets 1.50 Each additi al outlet .30 Fees W. C. Sa i ' n Fire Dept. FireZ a Use Permit Building 94wer 5.00 EQA IParking Parcel Parcel Ma 6 R/W Plans Declaration Im r p ovements Lawn s rinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Pe it Fee $ NEW' ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE ERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Other OVR 60 Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 R `� nn 'v�6 NEW CONST. DWELLING OCCUP. & OR A.D.S. ACC. BLDGS. ) 2�sgft NEW CONSTMULTI-OUTLET NON-RESID R. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, v. 3, of the State of California Business & Professions Code der the name St le Of: Y . Occup(OUTLETS OR FIXTURES)1L 29¢ BAL�1 . FIXED APPLNS. OR ExOccup.(0 TLETS (RESID,) EA) 2.00 Temp rary service 10.00 Mobile ome Facilities 15.00 License No. Classifi tion Misc. Wir g 6.25 W_ am exempt from the Contractors License aws of the State of California. Permit Fee $ WORKMEN'S COMPENSn3ION INSURANCE 1 am aware of the provisions of Sect 700 of the California Labor Code which requires everyemplo�to be insured against liability for Workmen's Compensation. ❑ I have placed on file with a County of Butte a certificate of Workmen's Compensation surance. �Icertify that in the p formance of the work for which thi s permit is issued I shal not employ any person in any manner so as to become subject o the Workmen's Compensation Laws of California. MEC NICAL No. @ FEE PERMIT FILING E $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have ad this application and state that the above information is corre . I agree to comply to all County Ordinances and State Laws lating to building construction, and hereby authorize represe atives of the County of Butte to enter upon the on., ., ahnve-mentinneri rnnerhr f- i- r.a TOTAL PERMIT FEE $ This permit is hereby P y issued under a applicable provisions of Date + ` Siff .tyre of Per- ee or Agent Receipt No. ��� n; White-D.P.W. — Yellow -Assessor — Pink- nspector — Goldenrod -Applicant the Butte County Code and/or resolu 'ons to do work indicated above for which fees have been paid. DIRECTOR OF PUBLI WORKS BY D e Building permit expires Date