HomeMy WebLinkAbout068-150-10568-15-105 68-15-105
Permit#34-88A A ricultural B1d Exem - CARL RYSER s
farm im lements st loran e trees X60 Skyline Blvd, Oroville
�?rmit#1282-87B(add decks/SF) /
~i
68-15-105'
(Permi-t#952-88E(chahge
W OWNER '
RY CRAIG
tr: Strang Elec i
ele ser)SF
068-150-105 PERMIT#95-04 6
CRAIG; Mary
#60 Skyline Blvd., Oroville
Cont: Christiansen & Son
Reroof Garage/SF (N
068-150=105 PERMIT#95-0545 ~
CRAIG, Mary
#60Skyline Blvd., Oroville
-Cont; R.D. Robbins Const. �S
Reroof garage 3I 3b
T
150-105 OS -2458
GAS, GUSHAVO
KYLINE, OROVILLE
OWNER
UILDING
B06-2655 068-150-105
MISCELLANEOUS HVAC Change Out
HVAC CHANGEOUT EXTERIOR DUA
60 SKYLINE BLVD
VILLEGAS, GUSTAVO
z -
r
BUCHER; Carl — -
17-66E
34-19-
6,0 Skyline Blvd., Oroville
C'ONTR: Harmony ldrs., P.O. Box 578, Oroville
(repairs) _ /'/ r
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.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 60 SKYLINE BLVD
Owner:
Permit NO: B06-2655
APN: 068-150-105
VILLEGAS, GUSTAVO
Issued Date: 11/14/2006 By TMP
Permit type: MISCELLANEOUS
60 SKYLINE BLVD
Subtype: HVAC Change Out
OROVILLE, CA 95966
Expiration Date: 11/14/2007
Description: HVAC CHANGEOUT EXTERIOR D
(530) 589-6941
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
W.V. ALTON
W.V. ALTON
Building Garage Remdl/Addn
211 ELM ST
211 ELM ST
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Other Porch/Patio Total
(530) 742-7119
(530) 742-7119
FEE INFORMATION
Heat Pump (Package Unit) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B856
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
W.V. ALTON 231910 C 20 & C 43 / /
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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
X 11/14/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE,
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
as required by
�My
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
ection 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
�w �� ��� (gyp ..ZLL'J j
Carrier. "
�,�
Contractor's License Law.).
� ) ItQF=_1 ►�LWolicy Number:�1 r J L Exp. Date:
(This section need rfM be comr eft if the permit is for one�undre�dollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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 1 should become subject to the workers'
X 11/14/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners
Owners Signature Date
provisions.
X�'� .v 11/14/2006
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
►Vr`—,
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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
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,
( )
injury, including death, and property damage caused t is arising out is a in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro a owner or am authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
K- 11/14/2006
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner Wcontractor OR; E]Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
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.buffecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name V 1 LL_
irst Name
Mailing Address W � � 11' U
(,
City CV -0 V 1 t� �;
Stated,
Zip
Phone vCc� y
�—
Fax
E-mail
CONTRACTOR
Name
Wl.
Address.,
City VyzP' l_
Stat
44 01
Phor)__1_1j2_ I
Fax
E-mail
Lic. # 2-7--IC111 n
1 c7...0.4
---- -
ARCHITECT/ENGINEER
Name
Vj
Address
Type Const.
City
Map Book
State
Zip
Phone
Date Approved:
Fax
E-mail
State License Number
---- -
APPLICANT INFORMATION
Name \tJ.
Vj
Address
Type Const.
City
Map Book
State
Zip
Phone
Date Approved:
Fax
E-mail
APPLICANT SIGNATURE
X "1
For office use only:
Zoning
Flood Zone SRA
I Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
—
C' C': co az
Property Address
60
City
Cross Street
WORKER'S COMPENSATION
Policy Number
I i Eg=CA — 2_OCDS X'• I b -CJ 1 _�j
Carrier
Nhiring 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:
34C° G' a
Sq FT- Living Gara a 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
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: Q557, C12) Bldg
SRA
Receipt#: 'I--' Sheriff
SMIP
I I Date;/- / 11—Q(o .,.,,
Total
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 –TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and conYucted to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. f,IV
ZONING y-8/
OWNER 45
PHONE O:
OWNER'S ADDRESS 6D� G��
LOCATION OF BUILDING
USE OF BUILDING
0
SIZE OF STRUCTURE 9
' x —32— SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF CO)5V
FLOORTYPE
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT%:z )'►7+� SIDES +✓+ REAR IA
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as st d about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the b Iding is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to co ly with the requirements in effect at that time and before
occupancy.
J r
Date (� Signature of Owner
Permit Fee ,$109.98 The above described AG Building is exempt from a building permit.
OD I PAgCEL ROOF IIyG ISSU
Receipt No.
1 Manager Buildin Division
( B1yz
Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
», Y.L: ?}' .; =r,-='Hi?tg9Kl -"r..'S4k•s..t .Y+x 'S+l:Mlre�',.i, a.; i.4t v 1 4 e 1 ry nr %`�-!n
X068-150-105 PERMIT#95-0545
CRAIG, Mary
#60 Skyline Blvd.,
Y Oroville '
*'._ Cont'; R.D. Robbins- Const. '
r= Reroof garage. L. '
A
,
ti
i
s .3 3 4
i
A.Fr r."� wv"`1.�w _'-. °'St.t �r�.C-:►''�f+•'✓Y'e.s •Wy[i' .s -ter :r nh.�= -. [.«.,
t
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541] � T NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 068-15-105
ZONING AR1
BUILDING PERMIT
OWNER MARY CRAIG
TELEPHONE ss9S261
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 75-
#60 SKYLINE BLVD OROVILLE, 95966
• 00
CONTRACTOR'S NAME TELEPHONE
R.D. ROBBINS CONSTRUCTION 345-5734
CONTRACTOR'S MAILING ADDRESS
PO BOX 734 FOREST RANCH
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
LENDER'S MAIUNG ADDRESS
Filing Fee $
20,00
Permit Fee $
5 •
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESSPERMITFEE
#60 SKYLINE BLVD '
$
OROVILLE CA 95966
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
j 15.00
TYPE OF WORK t
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other f
Describe Work: RER009F GARAGE
Mobile Home S G W 920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service000v OR LESS
( 200A OR LESS )
�..
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. �f
License Class � Lic. No. 6?6082..
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and -Professions Code for this
reason• - - --
NEW CONST. DWELLING OCCUR
OR ( a ACC. )
SO.
3.5Q FT.
NEW CCONST. MULTI-OUTLENS.
UTLEBLDS
T
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS
a SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
IAL .50
EX. Occup. ( OUTLETS RESiD.j ERA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
_ Contractor
_ WORKERS'` -COMPENSATION DECLARATION /.•
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of -the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Lab6r.Code„for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation ,
IPERMITFEE 'S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
6111, certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
7 hwith comply those provisions.
c
X _ Date '�' �J _
Signature of plicant - ❑ Owner Contractor ❑ Agent
An OSHA pjKitis required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ. I
D. FEES
I IMP
I FLOOD
FEDF
PARCEL PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab ve for whit fees have been paid.
La -,4, ate .
PERMITEXPIRESON 427
I (Date)
Receipt No. '175596
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO
APPLICATION AND PERMIT �� � � 1
ASSESSOR PARCEL NUMBER 068-15-105
ZONING ARI
BUILDING PERMIT
OWNER
MARY CRAIG
TELEPHONE
ONE5261
85
SO. FT. OCC. BUILDING VALUATION
5 300.00
OWNER'S MAILING ADDRESS
#,'60 SKYLINE BLVD OROVILLE, 95966
CONTRACTOR'S NAME I TELEPHONE
R.D. ROBBINS CONSTRUCTION 345-5734
CONTRACTORS MAILING ADDRESS
PO BOX 734 FOREST RANCH
Fireplace
CONSTRUCTION LENDER N/A
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
-60 SKYLINE BLVD
14 PERMITFEE
$ '
OROVILLE CA 95966
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDNSX)N'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other fl'
Describe Work: REROONF GARAGE
—
Mobile Home I S I GI W 1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service a OR LESS
( 2ooA OR LESS /
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. /
License Class � Lic. No. 63!j01@
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ACDNS. ( a ACC. BUDS. )
SO.
3.S¢ FT.
NEW CONST.ULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
eAL 20 Q I.50
S0
PLNS. OR
Ex. Occup. (OLIT LETSFIXED (RES D.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
,alone hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply t o provisions.
^ C
X _ Date � 12� �J _
S6nare of plicant - ❑ Owner Contractor ❑ Agent
An OSHA p mit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated a ove for whic fees have
PERMITEX IRESON
applicable provisions
Resolutions to do work
been paid.
Date �� Q
(Date)
Receipt No. 1755036
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�> - v��
. � 3��9s-
-�
---fie �z� C,'�� d s,� /�� ��U�!
. ��� o`er y �
��� C�� `
., 068-150=105 ,. PERMIT#95-0406
CRAIG, Mary
,zR #60 -,Skyline Blvd. ,•.Oroville ;
u, "t Cont: Christiansen,& Son
Reroof Garage/SF
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILG DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (91 538-754.,,,, PERMIT No.
APPLICATION AND PERMIT
ASSESSOR PARCEL PARCEL NUMBER 068-150-105
ZONING
BUILDING PERMIT
OWNER MARY CRAIG
TELEPHONE
SO, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 60 SKYLINE BLVD OROVIU.E
360.00
CONTRACTOR'S NAME CHRISTIANSEN & SON ROOFING..
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
7 Total Valuation is
LENDER'S MAILING ADDRESS �'
Filing Fee $ 20'00
Permit Fee $ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
#60 SKYLINE BLVD
PERMITFEE S35.00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
ss USEOFSTRUCTURE
SF ®X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X
Describe Work: b SO COMP GARAGE
Mobile Home I S I G W 1 @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.'00
Main Service a00V OR LESS
( 200A OR LESS 23.00
Main Service ( 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class [�� 3 Q Lic. No. (p 700q
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
OQ I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR ` SO.
OR ( 8 ACC. BUDS. / 3.5¢ FT.
CNS.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS 97.50
( POWER APPARATUS
8 SINGLE OUTLET US
Ex. Occup. ( OUTLET OR FocruRES) 20 Q 1.00
BAL so
Ex. Occup. (oUTLE°Ts RES D.)EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE _
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
l�( I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
n /of
X (ifs/ �(y�y�j. �,Q,i7 _ Date ,����
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee $
OCC
i CONST. TYPE
TOTAL FEE $ 35.00
HA2.
1 D. FEES
IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
//
Bat T- ' Date L
PERMITEXPIRESON
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
, c
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - :(9/16r538-7542?,C�
UILG DIVISION
7 County Center Drive - Orovill Califc,, nia 95965 - Telephone PERMIT NO.
APPLICATION AND PERMIT=�a�
ASSESSOR PARCEL NUMBER 068-150-105
ZONING
BU I LD I NG P ER M IT
OWNER MARY CRAIG
TELEPHONE
SO. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
60 SKYLINE BLVD OROVILLE
'
COMRACTOR'S NAME
CHRISTIANSEN & SON ROOFING
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UN -OWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
X60 SKYLINE BLVD
PERMITFEE
$ 35.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF &XI Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublites ❑ Installation ❑ Other ❑ X
Describe Work: 6 SC COMP GARAGE
Mobile Home I S I GI W
@20.00
PERMITFEEg
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 600V OR LESS
( 200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class (�� 39 Lic. No. (p $ 7CJC>y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0Q I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( &ACC. BUDS.
SD.
3.51t FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS
97.50
( POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
eAL so
Ex. Occup. (ourLEE°rs RESID.°ERa %
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
IX I certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Qp.AZ_ Date �� 1-
Signature of Applicant - ❑ Owner )q Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
FEE $ 35.00
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PO
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B/?iL
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date 9�—
(pate)
Receipt No.
WHITE-D.D.S.-B. D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville7 Califd"rnia 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
XU R
ZONING
BUILDING PERMIT
OWNER
TaEP ZONE
SO. FT. OCC. BUILDING
VALUATION
OW 5 MAI ADOAaS �
RACTOR'S E
i
TELEPHONE
NTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAULING ADDRESS
Penalty
$
WILDING ADDRESS
PERMITFEE
$
PLUMBINGPERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1�
n � _
Describe Work: 5� C -%(MVV Q�a&g, J2
Mobile Home I S I G W 1
920.00
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service500v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR AOONN. ( d BLOS. )
ACCLICENSED
SO.
3.5¢ FT.
LTI-
NEW CONST. UTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
d SINGLE GIBLET CIA.
EX. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
6AL .50
Ex. Occup. (ouiiED (REN o.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
S
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
1 0. FEES IMP I FLOOD
CDF
PARCEL
PO HD ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN 800-APPL ICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
Q
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricurtual products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL N -
49 9 - ---
ZONING
OWNERMi,�_, 'J ��Q1
PHONE NO.
OWNER'S ADDRE S
LOCATION OF BUILD
I I
LVU VJ rnl 1
USE OF BUILDING
SIZE OF STRUCTURE //�^� n
Ito 'X_ CqV - o15!) SQ. FT.
TYPE OF CONSTRUCTIO,J `
WOOD FRAME V/STEEL CONCRETE OTHER (Specify)
TYPE OF SIDIING
ROOF OVERING
FLOOR TYPE
u3b
ESTIMATED COST OF CONSTRUCTION
$ -546 �
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follo
FRONT SIDES ,��r REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
/� V�
Date Signature of Owner�'L
Permit Fee - $25.00 The above described AG Building is exempt from a b ' ing permit.
ReceiptNo. Director of Public Works
By `� Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTMENT-OF`PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI`LL,E,Z"ALit0RNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET -
Permit No. —•—
_fibOWNER A•. P. No. /0 �^ �—
Proposed Building Use ®ll 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. All items.have been submitted. . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans.
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. - School District "Fees Paid" Stamp on Floor Plan.
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: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
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. . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required, Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
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
Applicant Date
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---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copv—DPW
a
PERMIT NO. Q
PERMIT EXPIRES � U
OWNER
CONTR.
ASSESSOR PARCEL hR-1 5—Th
LOCATION 6(1 Skirl i nP, nrovi 1 1
,Temp. Power Pole
I Called PG&E
{
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E __
JOB FINALEO Q
Signature
y m iiri
n Not Applicable MOBILEHOMES
# a Not Ready
MISCELLANEOUS ,
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DE S, COVERS, CARPORTS, ETC. (Plans) OK except O's
1. Zoning Requirements -Setbacks -Easements
1.,2106ning Requirements-Setbacke-Easements
2, Solle; Special MH Support -Sketch
F rings; Size- opth-Spacing-Conneclors'
Decks; Gir a and/or Jo -Oec-Bratsir�Sla�-Ra"
3. Sewer, Location -Teat -Fall -C/O -Concrete
4, Water; Location -Teat -Easement Needed (Sketch)
_
L --Wood Awn.; P --Rllron0acf5hthg�- recing�'
5. Electricity; Locatlon-Clearances-Grnd.-/ / Amp -Concrete
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
8. Gas; Locallon-Teat-Wrep:/ /"L"Il./ P'Nal.or/ /"L"ft./ /"LPG
8. Carports; Windows -Doors —
7, Utility Clearance
7, Elec. _-
Card -BI
Date Card BI Date
Card-BI(KD
Dateyl 7 Card -BI Date
Card BI
Date Card -BI Date
Card -BI
Date Card -81 Dale
Date
MOBILEHOME INSTALLATION (Plans) OK except ti's
Date
POOLS (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings: Size -Spacing -Marriage Line
2. Soils: Compaction -Structure Stability
3, Gas; NH Teat -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Grein; MH Test -Fall -Flex Connector
8. Water; MH Test -Regulator -Connector
7, Water and Sewer Connected -C/0 to Grade -HO Approval
8. Gas and Electricity Tagged
Card -BI
3, Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
5, Elec.; Pool Lighting; 15 volts-GFI
B. Elec.; Enclosures;Conduit Entries -Terminals -Listed
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8, Elec.; Grounding: Equip. w/S'-Circulating Equip. -Pool Lghig.
Boxes-Enclosures-Peneiboards-Ins. to Main in Conduit
9, Health Department Approval
10. Plumb; CIr.'Test-water Supply Test
Date Card -BI Date
9• Exits: Insp.-Sketch
10, Carl. of Occupancy
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
1'
J OK
O = Not OK
r - =
Not Applicable
j a Nor Reidy
RESIDENTIAL (Singlo and Duplox)
Date UNDERFLOOR (Plans) OK except Us
-
I. Zoning requirements -Setbacks -Easements -- --
2. Ftg., Main; Soils -Steal -Flet. Grnd.- / /" Ftg. Depth
_ 3. Fig„ Garage; Soils-Steol- / . , /,. Ftp. Depth
FIg„ Porches & Decks: Soils -Steel- / /^ Fig. Depth
i -- - 5_ Stemwalls, Main; S1eoi-Blockouls-Wrappod-Slab
I! 6. Stemwalls, Garage: Steel-_Blockouts-Wrapped-Slab
Piers-Fireplaco Ft Steol
_-8. 8. D.W.V.: Fall-Flltings-Test-2 way C/O -Sewer Test
_Gas Pipe; Sizo-Anchors
10. Water Pipe; Test-Anchors-Rogulator-Service Test
J ---11. Electric; Underground
ii 12. Plenums & Ducts; Clearance-Matorial=Support-Ins.'
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -Bi - --Date- Card -BI Date
Card -BI Date Card -BI Date
Date PLUE113ING (Permit) OK except vs
ta.
Water H1.: Vont-Across-Combustion Air
15.
_Water Pipe: Test & Anchors -Nail Protection
16.
D.W.V.: Test-Fttngs &_Anchors -Nail Protection
17.
Shower Pan: Test, First Floor -Tub Access
18.
Test Tub & S_hower_2nd Floor -Tub Access
19.
Gas Pipe: Sizo & Anchors
Card -Bi -
Date - - _ Card•81 Date
Card-BI
Date Card -BI Date
FRAMING tContinued) .
48._Property Line FIrewelJ 6 OpenIn0s -_-
49._ Ext. D00rs-One_3'-Check Garage -3rd scary, 2 exits
50. Stairs: width-_Headro_ om_gl- ya_Run-Landing_Fire Protection
51, Plywood on Roof Ovemartg-Attie Vents-Raflef Outriggers
52. Slciinq-Nailing-Veneer_.
53. Stucco kiesh-Drip Screed-Fdn. Vents-Underflr, Aecnsa
... xs,airng „roa-iatass Protect
55. Shear walls; Nailing -Bolts
Gard•BI
Card -B I
Date FINAL (Plans) OK except •'
56. Ext. Steps -Door & Sidel
57. Smoke Detector
Protect
s -Plastic
Date
Date
Date
go. rurnace; vents -clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
59, Bedroom Exiting
60. G.F.I. & Bath Fixtures & Tub Access
61. Elec. Trim & Subpanel: Breaker Sizes -Labels
II 62. Stairs & Rails -
63. Fireplace or Stove: Clearances -Hearth
64. Elea. Outlets at WnM Pnnat• int a c.,
w, nil. rrzt. & Appliance: Grnd -Air GSD -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door: Swing -Landing -Closer
Date ELECTRICAL Permit OK except Ws
Card -BI
Date
Card -BI
Date
Card -81
Date
Gard•BI
Card -B I
Date FINAL (Plans) OK except •'
56. Ext. Steps -Door & Sidel
57. Smoke Detector
Protect
s -Plastic
Date
Date
Date
go. rurnace; vents -clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
59, Bedroom Exiting
60. G.F.I. & Bath Fixtures & Tub Access
61. Elec. Trim & Subpanel: Breaker Sizes -Labels
II 62. Stairs & Rails -
63. Fireplace or Stove: Clearances -Hearth
64. Elea. Outlets at WnM Pnnat• int a c.,
w, nil. rrzt. & Appliance: Grnd -Air GSD -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door: Swing -Landing -Closer
Date ELECTRICAL Permit OK except Ws
68.
A.C. Duct in Garage -Damper
- 20.
Fixture & Transformer Clearance -Ins. Protection
MECHANICAL (Pern•it) OK except p's
69,
Wit. Mir.: Vents -Clearance -Comb. Air-Connector-P.R.V.-
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Ducts Insulation &
84.
In Garage: Above Floor -Meth. Protection
22.
Size Boxes & No. of Conductors -Stapled -
32. Vent Fan. Exhaust above Insulation - --
32.
70.
Plb.. Eiec. 11-Mech. Equip. Listed for Location
_
23.
R_omex instilled Close to Edge of Studs & C.J.
Energy Compliance Certificate -Other Certificates
---- -
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
' 2a
Equip. Ground made up %/Meth, Fasteners -Bond Gas & Water
----------- ---------------
72•
Insulation -Foam -Looked in Attic O Yes
25.
2 Appliance Circuits in KitcRen& C_onductor Size
---•-• - -----•--------- -- ---
73.
Gard Rails & Deck Construction -Post Caps
26.
Subleed Wire Size % I ga. Cu_orAI-A.C. Wue Size / / ga. Cu or A.I
7a.
Fen. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
27.
Range Circ. / / ga. Cu or AI -Oven Circ, / / ga. Cu or At.
- - ....
Dane Card -DI Date
_
Looked under Floor Yes
-
Insulated Neutral Yes ;No
FRAMING(PI-irrsi OK except n's
75.
Following insild.: Drive (- Yes No; Walks Y
(; [ es [ No;
28.
--_.-.
Service -Riser Conductors &Ground -Main Disconnect
- .-..._-.-_-----
Planters r_;Yes :JNo
29.
- --
Equip. Clearances: Panels -Motors_ Mech. Equip_
76,
Stucco: Brown -Finish
30.
_
Clothes Closet Light -Shower Light
-
77,
A.C. Unit: Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
39.
--
79.
Vents Above Root; Plbg.-Appliance-Firepl.-Clearance to Opngs.
40.
- - ----• - --- ------
79.
Water well, Disconnect, Electrical, Plumbing
Card B -I
Dale - -' - - --
Card -BI Date-
_80.
_
_Exterior Elec. Trim: G.F.I. Receptacle -Underground
Card B -I
_
.., - - _ _ ----
Date Card -BI Date
81.
---
Ventilation throughout House
___ 82.-
Glass Protection
Dale
MECHANICAL (Pern•it) OK except p's
83.
Corrections from Previous Inspections _
31.
A.C. Ducts Insulation &
84.
Gas Test -Meters Ta_Support 9ged: Gas -Electric
85•
_ Water &Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan. Exhaust above Insulation - --
32.
33.
Concensate Drain & Overflow. S_ize_& Grade
86
Energy Compliance Certificate -Other Certificates
---- -
.-_._--
34.
F,unace-Vent. Access -Comb. Air -Return Air Vent -115V outlet -_-
-'----------
----------- ---------------
35.
Attic Access & Platform II Furnace in Attic
-----
---•-• - -----•--------- -- ---
Cartl•DI
Date Care -BI Date
--
Card -BI
----
Date Card -BI Date-
---- ---- - --_ - -
Card -01
- - ....
Dane Card -DI Date
Card -BI
- - - -
Cara-B1
Oate Card -BI Date_
---
Date Card -BI Date
G.He
FRAMING(PI-irrsi OK except n's
Comn-ems at Final
it,.
Sills. Proper Mmv,ial & Anchors
- .-..._-.-_-----
37.
W.rlls Stud;-N.iihn9•Spdciitq&Urac jig- Planes - Sound
- _ .-_..__.-• ----------------- --
38.
fle.0III, l 1'aatls ovvi (iudors & Floor Nadme,
39.
D,;111 Stop III Ivalls (rat prom)._
--
40.
rue Slup. Fulled Ce_ilmyS-Sl.ura-Chases-Tub
.
d1
H,`.uh`r K lii).un-•Si:e & Heauirrq
-- -_. - ._-•.--.--- - -----------
.t�.
li.ontr•r...f'o`.I C.q„-nn; hor`,-ctnrnrctru.
- - ---- --- -
.1}.
lin-Root B"Ic.-TrusS••Shlhatt.-Rhiq,-I
I,
rurpi.,,e 1 ..s o, 1 tpe A Vlmr Focpt,rce 1li.oai
---------
-- - - - - -- --
•t'.
Alin A. 6 Itumr• F'ruleClntn--D,dll Siup-lob. Bailie,
46.
Kilu,. t' 0n N> w 1 •,Iniy tlo,.,,b-Sill 1191. N Urmrab,uos
.
COUNTY OF BUTTE - DEPAR-TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cralifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
/PERMIT NO J
ASSESSOR PA CEL NUMBER
ZONING
BUILDING PERMIT
OWNER
v -
TEPHO E
3i
SO. FT. C. BUILDING VALUATION
OWNER *S MAI LINGADDDJ SS
21 Z
CONTRA CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENOER'SS M ESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Q Q15
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ ,
BUILDING ADDRESS
611) LJ /1J� r3L✓�
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
SX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
New ❑ Additior>A emod ❑ Utilities ❑ Installation❑ Other ❑
Describe work: y /�' _
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
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
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
GOCCUP.8d) yx¢sgft
oR ADDNST ( DWEACCLLING
S./
NEW CONSTR ULT' -OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS
POWER APPARATUS e
(SINGLE OUTLET CIR. d
Ex. Occup( OUTLETS OR FIXTURES 20®SOQ
9AL®3o
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fS� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments ts, and expenses which may in any way accrue
against ou i o se ice oVranting of this permit.
X �Z���' y
Date
Signature of Applicant — caner ntractor ❑ Agent ❑
An OSHA permit is required for excovi s over 5'0" deep and demolition or construct-
ion of structuresover3 Stories in heigh .
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
oc CUP.
CONST.TYPE
I
NDIP,RCELI
PD ND
59UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
PER EXPIRES Date _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
't *�
Receipt N/L 5f� h
o.
WHITE-D.P.W., YELLOW-ASeCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534541 ,
PERMIT APPLICATION DATA SHEET /
Permit No. /
OWNER li� . 67e, 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
andJor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
Letter of signature authorization.
SAO: Sanitation approval from C��_--_,M,e4/ ealth Dept. 1y_ 2 /— L% S
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
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. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other r,
Applicant Date
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_-jnall—counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall co ter by date
Plans checked by Date Plans approved by %Date
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
E
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
o er
ocation Ar#
Plan Approved for: Sewage Disposal _zy_-_ Water Supply x
Hold final for:
Final clearance O.K. for:
Clearance for _ bedroom mobile home.
NOTE
Sa
Water Supply
Water Supply
Other
U -- OC -77
Date I—
0
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 9167538=7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or. no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address/
City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name _
Address 6P �_ X _ _ City
Phone Contractors License No.
5. I will provide some of the work.but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: _ /J
Property Owner �/�
P -e1>010-111
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are pe:K
mitted to issue the permit.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIie — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ER
�—9 2a
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
mar, or need additional explanation, please contact this office immediately.
% e,'S (- 2-a A
Olit —G �, c CA c�ov ��✓ , �� cs R T c
Inspector Date_��
��, �.a-wr+'` .;'H" 4.rrn..evF�+.�'.�.7:.t"i.J'��.��T.+�.�•���y.�''3�"4°,t'�i"'•'�'p,+'%�rY..�::,�.{'�,�,��.... _e,••i�1"`.�+rr`'�;1�,�,.-+F ``� j.�•i ",: �= � -�:
Permit#952-88
Mary Craig
60 Skyline Blv d, Oro
r �
Id WAYS
• t. .
r
5
FA
OFFICE COPY
Address
y
ELECTRIC.
Meter By Date
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS , PERMIT NO
W 7 County Center Drive - Oroville, Cdlifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
AS ESSOR PARCEL NUMBER
60I){- I5 - / Cl,
ZONING
BUILDING PERMIT
OWNERTELEPHONE
f. C.�ct S
.p
t.: c, _ a�o�
t?
SQ. FT. OCC. BUILDING VALUATION
OWNER'S � AILING ADDRESS
,I
lD1 %./C
CONTRACTOR'S NAME "" -
l�
TELEPHONEV
-
CONTRACTORd5 MAILING ADDRESS
_i
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 i.
"-_! 6 _
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
C
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑. Other ❑
Describe work: - 1 �' •;
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
CONTRACTORS LICENSE LAW
I de cl a under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.
License No. �f 51 , Z Classification C U
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.a\
OR ADDNS. \ ACC. BLDGS. // /2 Qsq ft
NEW CONSTR U TI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES eA 030
FIXED PR
Ex. Occup. OUTLETS (RESID OR2.00
Temporary service 10.00
Mobile Home Facilities 15.00
g 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
9J,Consent to Self -Insure.
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 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.
- s
X /- -- 'G Dated y
— ❑ 'ntrector ❑ Agent ❑
Signature of Applicant Owner
An OSHA permit is required for excavatijCoons 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 $ 2 % 5�
Occup.
CON5T.TYPI[J
SCHOOL
FLOOD
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
/
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
- /
Receipt No. % U �
WHIT[-D.P.W.. 7CLLOW-ASe[330R, PILAR-INePlCTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NOW
d�
� BR
ASS S R PAi�CSSrL_NU"'
ZONING
BUILDING PERMIT
o ER �1�Qi,�^J
HOij
al
SQ. FT. OCC. BUILDING VALYATION
WNER'S LING ADD
CONTRACT NAME r
TELEPy EC
JJ�,((✓✓:{( //77//
CONTR CTOILA ADDRESS
4122
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS A �-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other'
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ �(Uttilities ❑ Installation[ Other ❑ i
CSL
Describe work: • ( 41/it� �!�1��4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR LESS
100 AMP OR LESS
00 ��{{
10.r(/'"
Main service EA. ADD'L 100 AMP
2.50 S
` CONTRACTORS LICENSE LAW
I decd under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions o
nns Code and my license is in full force and effect.
License No.,,/ -5 v 2– 3' Classification 4'-4 V
EJ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the wofk,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.EI ,
OR ADDNS. C AGC. BLDGS. /20sgIt
NEW CONSTR U TI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS S
(SINGLE OUTLET CIR.
20@500
EX. OCcup(OUTLETS OR FIXTURES .ALO 30
FIXED LNS.
Ex. Occup. OUTLETS APP
(RESID.)REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $ U
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
Consent to Self -Insure.
Lirl 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
i Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities judgments, c nd expenses which may in any way accrue
agai ai ounty in on Cof t e granting of this per t.
\\
iF Date 3
Signature of Applicant — Owner ❑ ontractor ❑ Age
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 $ -37,50
OC cu P.
CONST,TYPIJ
ISCIIOOLIFWODIPARCrLi
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By --/
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
77
Date / J�
Receipt No.
WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
oioll.
Who
'l,
7- :1
dJ � I II�h iP �I i I I I � °}',• hl I" � I l: ! I;' ' i i, '� �� :SII
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it
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