The URL can be used to link to this page

Home My WebLink About068-160-035A.P . 6S-16-35 r-- - AL LINDSTROM 2778 Quincy Rd.� Oroville CONTR: S. John Voorhees Permit 288-73B,E Fw1tw2-16-q-T (addition) AP 34-16-35 ALDEN LINDSTROM (01141M 2778 Quincy Rd., Oroville Permit ( swimming pool) Co oojs�C,Rja I 068-16- 035 93-1562 E ENGLE;.RAINE 2778 ORO QUINCY, ROVILLE PROPANE LINE/SF 068-16-0-035 93-1602 ,M ENGLE, RAINE 2778 ORO QUIN HWY, OROVILLE CONTR: WAIB AC HVAC/SF VVo-1VV-VJJ VI-G'YoI FOX, WILLIAM & BARB 2778 ORO QUINCY, OROV CONT: TML INC ADD SQ FT TO MASTER BR 068-160-035 - 01-3166 FOX, WILLIAM & BARBA INJ 2778 ORO QUINCY, OROVIL E3• CONT: TML INC ELEC SERV FOR BP O 1-2481 068-160-035 y ( 0. -0499 FOX, WILLIAM 2778 ORO QUINCY, ORO 11�L LED CONT: TML INC -f Dµ ADD KITCH/DINING/RE DEL 068-160-035 03-2074 FOX, BILL Cl�' 2778 ORO QUINCY, OROVCONT: TML INC �A�DD_ /SQ_ FT.1 TO BPa� 9��2�3 2 B.H. & Georgia 2778 Oroville ncy Hwy., Orovil�l (addition) �p 068-160-035 03-3430 FOX, WILLIAM 2778 ORO QUINCY HWY, OROVILLE Cont: TML INC STUCCO GARAGE b l 'A - /2� S ---I 0 548-67B 1065-67P P_ERNIT NO. 2844-74B.P,E sP E M`, t MH UTIL F PERMIT NO. PERMIT EXPIRES �r��~�✓ PWNER Alden Lindstrom :ONTR. Holiday Pools, Chico _OCATION (A.P. 34-16-35 ) 2778 Quincy Rd., Oroville n l q Temp. Power Pole 1 Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 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 /4 REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965�w Telephone: 534-4541 APPOCATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. Date ;S;Pure of Permiteeeejor Agent Receipt No. ��G 2s/ 0 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 ?UBLIC WORKS By ` Date] 2-3 - 7 B ding permit expires Date .............. -7-7-3.-.7 BUILDING Owner S SQ. FT. OCC. UILDING VALUATION ed too. Mailing Address ;2 ZZeD yi /`ho L G C Telephone No. Fireplace Contractor OO S Total Valuation Q, Q Mailing Address Permit Fee -.-7 , Q Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Q $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r00 O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 g Q Each gas water heater or vent 1.50 A. P. No. .►3�Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Af IS Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 4Bldg. Plans Recd Parce proval '0 Pla pproval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 `, Q p - Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 ess) (more than 12) Q Single Family 4 Duplex ❑ Mobil Home ❑ Others ❑ Rattge, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures % 20 (d lo .2 Receps., swies & fix out is 2 IT25 I r05010 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: ��/s Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Z As Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. n� ®7' -3c�� Classification_ r S .3 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ s 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 ,XWorkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. Date ;S;Pure of Permiteeeejor Agent Receipt No. ��G 2s/ 0 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 ?UBLIC WORKS By ` Date] 2-3 - 7 B ding permit expires Date .............. -7-7-3.-.7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ISION r 7 County Center Drive • Oroville, Clalifornia 95965 • Telephone (530) 538 54 PERMIT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-160-035 ZONING AR B DIN MIT OWNER William- Barbara Fox 533-2730 TELEPHONE SO. FT. Oct.BUILDING VALUATION 448 R 24 192.00 . OWNERS MAILING ADDRESS 2778 Oro Quincy Oroville CA 95966 cont est 34 000.00 CONTRACTORS NAME IM Inc 589-1529 TELEPHONE CONTRACTORS MAILING ADDRESS 2944 Heritage Road Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 9,q 1q9 ARCHITECT OR ENGINEER LICENSE NO. -nn Filing Fee $ 20.00 Permit Fee $ 499-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2778 Oro inC Oroville e Energy Plan Checking Fee $ 9.3 on PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 oo Each as water heater or vent .15 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: add kitchen/ dining and remodeling Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 49.00 ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service zo.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,,, and my license is in full force and effect.Q 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lOooA 46.00 NEW CONST. DWEWNCi OCCUP. OR ADDNS. ( a ACc. aCc SO 3.50,. 15.70 R ON T. MULTI.OIlILET g7.50 POWER APPARATus 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ �. 0 Ex. Occup. D�LEE°�A(Ra16.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' porDpensation insurance carrier and policy number are: Carrier 7 7� C'4 a /i Policy Number 5,7, 3 �_ (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 p Isions. P/'f pC Date.2 -% 1-0-3 ;gn�ature f Applicant - ❑ Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig t. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation -extend ducts QEZ6-6- PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ c� �.3 coqNTYPE YOTJ5L FEE $ 982.45 HAZ. D. FE P OD CDF PARCEL - L., PD H ISs This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. 2 Q� �J l3 ' ale Receipt No. , 9. WHITE-D.D.S.-B.D. ANA Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ►s i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance i�44 0,3 . . dl( -77. (l /off OW L1Aj&)C-N4 Owner Location Plan Approved for: Sewage Disposa)-_-, Clearance for dwelling. Other 2i Hold final for: Final clearance O.K. for: NOTE: Water Supply: E.H. USE GAILY Piot Plan Attached Floor Plan AtW tod---, Sam to ®.D.�! � AP# Private Well Pztvrx,&�� l 4) 7"d I '-y� Environmental Health Specialist Date 8/96 �'7.1�C-�.fi.J+• �Fti.ia+P'f=di�iT..i.+r�i' -" T.""A^�-. '�7�'r�r..4 '7'�`„'i'.•".�` A�vE�'�. n-r'�+s7jj:•^FM""�'�.'r�'l�"�'�1i. +n�y�ii.'"` f 17 - 1 t ," COUNTY OF BUTTE -DEPARTMENT OIC D EEOPMENT SERVICES-BUILDI DIVISION r " ' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530 38-2140 PERMIT APPLICATION DATA SHEET OWNER: 7TY ASSESSOR PARCEL NUMBER Proposed BuildingUse:aA&(Aj,-)n Ynk% Counter Technician: Date: Items a required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. , '1=1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. j 4. Engineered truss details and layouts in duplicate. No faxes! T 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The-permitwill be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ............................... :...... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. -Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet .... �J. c oo. /................... 15. Statement of Intent for -Non -heated and A/C Buildings ........................................... anitation and plot plan approval from the Environmental Health Department in,� City of Chico Plumbing permit .........................../.................. .............. .. , 18. California Department of Forestry plan approval E7'paid. Sent. by:...G ❑ 19. Planning approval for (A) Use: O A- (B)Parking: (C) PJel Check: '� 3 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:...............:.............. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)..` ............... ❑ 26. Letter of Signature authorization ............................................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone '- / and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: i �f Date,��. 1. Index permit application for the above items numbered: ( / `f" / Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: p Date: e Inw- Rn ldinp Divicinn 03-0/-/91 " COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER -n A PROPOSED BUILDING USE 1'Aj c �h� f= 19 A?DZZp-9 1. BUILDING PERMIT FEES 3-7,0-403 Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) tl-Pi� 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # (08--I 6 — 73 DATE a RECEIPT # DATE REC. -310105 370 3 2��,4A At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE I --1. I— 0 -;1 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy- Applicant 3rd Copy - Owner (Rev. 6/00) o o1 a o 01 ...� , BUTTE, COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number �� j!p ��j Jurisdiction: City County Property Owner Q Property Location/Address �7% �WW tv( (/fi 0 it Subdivision ) Lot No. ............................................................................................................... Residential Development Sq. Footage No of Living Mobile Home AdiiitioN 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): €................................................................................................................... Commercial/Industrial New Addition M AM Building Department Representative Sq. Footage (Including Exterior Roofed Areas) ;;�&/ 3 Date Irloor runs reviewed oy Scnooi uistnct t-ersonneu District Identification No. rJ rjj 1 S r. School District certifies that ? ; > (Applicant)• !t (Street Address) V (Phone Number) /(City) (State) (Zip Code) has complied with the requirements of Resolution No.y \ - 0 X -4- O by payment of $ N I c- representing LV+ S square feet: AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) . feeform.xls 110/981dmm .- a COUNTY OF BUTTE = D'EARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . ``,417 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541., PERMI NfJ. (Rev. 12/96) APPLICATION AND PERMIT U D , ASSESSOR PARCEL NUMBER 068-160-035 ZONING AR BUILDING PERMIT OWNER William- Barbara Fox 533-2730$ TELEPHONE SO. FT. OCC. BUILDING VALUATION R 24 102.00 OWNER'S MAILING ADDRESS 2778 Oro-Quincv Oroville CA 95%6 cont est 34.000.00 CONTRACTOR'S NAME TML zncz 589-1529 TELEPHONE CONTRACTORS MAILING ADDRESS Al" 9gr9#1m Road Oroville CA 9596 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ sgal q9 ori ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ qS BUILDING ADDRESS 2778 Oro inc Oroville Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $ S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex•❑ Mobilehome ❑ Other SPECIFY Each Trap r 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 S Each as water heater or vent .00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: add kitchen/ linjt and rwWeliTig ' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W @20.00 PERMIT FEE S 49.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in.full force and effect. / �� License Class CS Lic. No. ! ' OWNER -BUILDER DECLARATION r' I h eby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Slw rf' e, /7p f J Policy Number Zx-,z 7 72- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ i certify that in the performance of the work for which this permit is issued, I shall fy P p 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 a provisions. X .,?, �!'� _ /� .ai► ,� Date 7 �� % /`� _ Cignature of Applicant -'❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructiony"�`+il'``tJ� of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5QF°: 1 5.70 ( NEW CONST. MULCT' --p ULE7 NOWRESID, CIRCUITS14 97.50 POWER APPARATUS {• 8 SINGLE OUTLET CIR. .♦ Ex. Occu ; i OUTLET OR FocruREs 200 1•00 SAL @ .50 i Ex. Occup. OFlxunEEDrs A� DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00.00 PERMIT FEE $ 58.70 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Lr, ryl DCC 1�J' DDNST. TYPE TOTAL FEE $ 982.45 Vi� HAZ. ., . D. FEES P ✓ OD CDF PARCEL (/ PD r HD �' ISSu d This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By t/" �.T� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date , Data ' Receipt No 7DIA V cP • V S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (::E:-RTIFICATI•� OF C.OMPLIANCr_._ Rf`SIDENTIAL. Pae;e 1 c F ll= s='ro.iect Title ....... ,... ADDITION Date..01/24/03 09:19:57 Project Address ........ 2778 ORO --QUI NC:EY 'HWY . _ ... O OVIL LE: *v6..0:J.*' Q .._A....... ...._ 1' ............ Documentation Author... WILLIAM F . FOX �* �=k:*��; Bdi nn /P-rmit, kipFox Company7................................... 3995 olive, Hwy. Plan Check / Date Orovi.11e, CA 95966 ...................................................................................................... 530-5::)3-2730 Field Check/ Date Climate Z o n �::..... .. .. .... 11. Compliance Method...... MICROPAS6 v6.0.1 for 2001 Standards by Enercomp, Inc. MICROPA;,_'6 v6.01 File-FOX2112N Wth-CTZllS92 Program -FORM CF --1R User#-MP1809 User-F(--jx Company Run -HOUSE GENERAL INFORMATION Conditioned Floor Area.... - Building Tyr:). .............. Construction Type .......... Building Front O•ri.entation. Number of Dwelling Unita... Number of Stories.......... F'.loor Cgnstructi.on Type..... Glazing Percentage......... Average Glazing U ---factor... Aver—age Glazing SHGC....... Average Ceiling Height._.. 448 sf Single Family Detached' Addition Alone Front Facing 0 deg (N) 0.27 1 Raised Floor 21.4 % of floor area 0..46 Btu/hr-sf-F 0.5 8.6 ft. Location/Comment, OUTSIDE OUTSIDE Attic BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total. Assembly, Type Type R -•value R --value R -value U --factor trJ<,11 Wood R• 1.5 R --O 0.08 J. Wall Wood R 21 R. --4.8:J. R 1 0.044 Root Wood R-~11 R-27CR 0.025 Floor- Wood R.._J.9 R-0 R R-.19 0.037 0�37G W:i n d o w Right (W) 30.0 0 :.1370 FENESTRATION Location/Comment, OUTSIDE OUTSIDE Attic Area U-- 0iientation Exterior (sf) Factor Shading Shading Fin: 0,670 Standard Window Front (N 12.0 0 (S -00;t Window Front (N) 12.0 08,0O'�, VJi.ndow 8a,ck (S) 12..0 O�.e00` Windoiw, Right (W) 30.0 0�37G W:i n d o w Right (W) 30.0 0 :.1370 Location/Comment, OUTSIDE OUTSIDE Attic Ove r -.. Interior Exterior hang! SHGC Shading Shading Fin: 0,670 Standard Standard Yes 0.670. Standard Standard Ye 0.670 Standard Stz,,ndard Ye ; 0.390 Standard ._ StandardNona: 0.390 Standard Stand ,..-d iJnr,<^ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF-.:i.f- Project Title ....... ... ADDITION Dat.e..01/24/03 09:19.57 MICROPAS6 v6.0.1 File_-FOX2112N Wth-CTZ1.:1S92 Program -FORM CF --1R User#-MP1609 User -Fox Company Run -HOUSE ---------------------------------------------------------------------------------- HVAC SYSTEMS Refrigerant. Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual ThermostaIt Type Efficiency Airflow Location R -value Leakage D Type Furnace O`y?0 A UE. n/a AtticR-S No No Setback. ACSpii.t 12~00 SEER No Attic i R -g No No Setback. SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- =r•,'a„r. Items in this section should be documenterd on the plans, �=K* installed to manufacturer and CEC specifications, and *� verified during plan check and field inspection,. This building incorporates non --standard Duct R -value. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL. Page 3 CF -L!,'. Project Title .......... ADDITION Date..01/24/03 09.19:5-.,. MICROPAS6 v6.01 File--FOX2112N Wt&CTZ11S92 Program --FORM CF -IR User#--MP180 9 User --Fox Company Run --HOUSE -------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations:, and the administrative regulations to implement them. This certificate has been sinned by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... WILLIAM H. FOX Company. FOX COMPANY Address. 3995 OLIVE HWY. OR.OVILLE CA. 95966 Phone... 530-S33-2730 License. 34.5.............................................................................................. Signed.. ..... ..... .. ......................_/��Q3............... (date) ENFORCEMENT AGENCY Name.... Title.. Agency.. Phone... ....................................... Signed. (date) DOCUMENTATION AUTHOR Name.... WILLIAM H. FOX Company.. Fox Company Address. 3995 Olive Hwy,. Oroville, CA 95966 Phone,... 530-533"2730 Signed.. (d. �e ) MANDATORY MEASURES CHECKLIST: RESIDENTIAL. Page 1 MF -•-1( Project Title: ......... ADDITION Date...01/24/03 09:19:5-. Project Address........ 2778 ORO•-QUINCEY HWY. - ••-..- OROVIL..L.E rv6.01* Documentation Author... WILLIAM H. FOXBuilding Permit :4 Fox Company ........................................................... ......................................... 3995 Olive Hwy. Plan Check / Date Oroville, CA 95966 530-533--2730 Field Check/ Data Climate Zone,...,......... 1.1 ---_.------.___-----_..w.._.-.__. Compliance Method...:... MICROPAS6 v6.01. for 2001 Standards by Enercomp„ Inc. MICROPAS6 v6.01 File-FOX21.12N Wth-CTZ1.1S92 Program -FORM MF --1P, User--MP1809 User -Fox Company Run --HOUSE -------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with a asterisk (*) may be superseded by more stringent compliance requirements liste, on the Certificate of Compliance. When this checklist is incorporated into t.h permit documents, the features noted shall be considered by all parties a• minimum component performance specifications for the mandatory measures whethe they are shown elsewhere in the documents or on this check.li.st. only. BUILDING ENVELOPE MEASURES Design-- Enforce meat *150(x): Minimum R--19 ceiling insulation. er ,,,, 1.50(b): Loose fill insulation manufacturer's labeled R --Value.. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U --factor in metal frame walls (does not apply to exterior mass walls) . *1.50(d): Minimum R-13 raised floor insulation in framed floors. 150(l): Slab edge insulation - water absorption rate no greater than 0.3°x, water vapor transmission rate no greater than 2.0 Perm/inch. N�/) 1.18: Insulation specified or installed meets insulation .quality �� standards. Indicate type and form: Alit. ...._..._.... 1.16-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1.. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2.. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstri.pped all .joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 1.4 and 16 only.. N/A...... 1.50(f): Special infiltration barrier installed to comply with Sec,. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Lags 1... Masonry and factory -built fireplaces have: a. Closeable metal or glass door MANDATORY MEASURES CHECKLIST: RESIDENTIAL- Page 2 MF - I Pro•ject, Title:......:.... ADDITION Dat.e..01/24/03 09:19:57 MICROPAS6 v6.01 File-FOX2112N Wt.h--CTZ:1.1S92 Program -FORM MF -1R ; User#-MP1£309 User -Fox Company Run' -'HOUSE ; -------------------------------------------------------------------------------- b. Outside, air intake with damper and control c:•. Flue damper and control 2. No continuous burning ryas pilots allowed. SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES ---------------------------------------------------------------- Design- Enforce: er meat 110--113: HVAC equipment, water heaters, showerhe•a.ds and faucets certified by the Commission. ............ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. 150(x.): Setback thermostat on all applicable heating and/or cooling systems. 150(,j): Pipe and Tank insulation 1. Storage gas water heater:; rated with an Energy Factor less than 0.55 must be externally wrapped with insulation having an installed thermal resistance of R--12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater-):. 3„ Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R.-•-12 external insulation or R-16 combined internal/external insulation. 4, All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in-- su;l.ated, to meat the requirements of the 1998 CMC sector::::, 601:, 603, and 604, and standard 6-3;. ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that, meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhes:ive duct tapes unless such tape is used in combination with mastic and drawbands. :' Exhaust fan systems have backdraft or automatic dampers,. 3.. Gravity ventilating systems serving conditioned spar_:, have either automatic or readily accessible, manually operated dampers, NA 1.1.4: Pool and Spa Heating Systems a,i-.d Equipment 1. System is certified with ";;;„ thermal _,ffic.i,e::nc.y, on-off switch, wreat.her-proof c.:pnr< t.i.ng instructions, no electric MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1F Project Title'''''''''. ADDITION Date'.01/24/03 09:19:57 | MZCROPAS6 v6'01 File-FOX211ZN Wth-CTZ11S92 Program -FORM MF -IR | | U5er#-MP1809 User -Fox Company Run -HOUSE | _______________________________________________________________________________ resistanoo heating and no pilot light. 2' System is installed with; o. At least 36 inches of pipe between filter and heater for future sola} heating. W Cover for outdoor pools or outdoor spas' 3' Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaoes, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances, with pilot < 150 Btu/hr). .'V LIGHTING MEASURES _________________ Design- Enforce- er ment 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 15O(k)2: Rooms with a shower or bathtub must have either at " least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Seo' 150(k)2'; and recessed'ceiling fixtures aro IC (insulation cover) approved' COMPUTER METHOD •iOD SUMMARY Page 1 C••-0 Project Title........... ADDITION Date..01/24/03 09;.19;;57 Project Address_ ...... 2778 ORO ---QUI NCEY HWY . OR.O'VILLE *v6•.01* .................................................................................. Documentation Author... WILLIAM H. FOXBuilding Permit # Fox Company 3995 Olive Hwy,. Plan Check / Date ; O rov ...l l e , CA 95966 ..................................................................................................... 530..-533-2730 Field Check/ Date Climate Zone ........... 11 ---------------------- Compliance _._-..-_._.__--_--_-_--_----__._-.Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-FOX2112N Wth-CTZ11S92 Prbgram•--FORM C -2R User#-MP1809 User -Fox Company Run -HOUSE --------------------------------------------------------------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY - Energy Use Standard Proposed Compliance (kBt.0/sf-yr) Design Design Margin = Space Heating,........... 20.04 1V31 5,7.3 = Space Cooling.......... 14,.50 18.88 -4.38 = Total 34.54 33.19 1.35 Water Heating not calculated GENERAL INFORMATION Conditioned Floor Area..... 448 sf Building Type .............. Single Family Detached Construction Type .....•.... Addition Alone Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units,... 0.27 Number of Building Stories. 1 Weather Data Type........... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volum-:......... Slab -On -Grade Area. ...... Glazing Percentage.: ..... _ Average Glazing U ---factor.. . Average Glazing SHGC.... .... Average Ceiling Height ..... Raised Floor 1 3872 cf 0 sf 21.,.4 % of floor area 0.46 Btu/hr--sf-F 0.5 8.6 ft. COMPUTER METHOD SUMMARY page 2 C-2R , . Project TitIe'..'.''.'' ADDITION Date''01/24/03 09:19,57 | MICROPAS6 v6'01 � File-FOX2112N Wth-CTZ}lS92 Program-FORM C-2R | | --------------------- User#-MP1809 User -Fox Company --------- _------- M______-_--_______________-_____________- Run-HOUSE | 8UILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Jone Typo -------------- (sf) _____ (of) ------- Units itioned Type ----- _______ ----------- (ft) (sf) Credit ________ --------- HOUSE ----- Residence 448 3872 0'27 Yes Setback 2'0 Standard No OPAQUE SURFACES Area U- ---- ___________ InsuI Act Solar Form 3 Location/ Surface -------------- (sf) ------ factor ----- R-vaI Azm Tilt Gains ----- __- ____ ----- ------------ Reference Comments HOUSE - New -____-__-_______ I Wall 95 0'081 15 O 90 Yes W'15.2X4'16 OUTSIDE 2 Will 107 0.081 15 180 90 Yes W'15'2X4'16 OUTSIDE 3 Wall. 276 0.044 25.81 270 90 Yes W.21'R5 OUTSIDE 4 Roof 448 0'025 38 n/a 0 Yea R'38'2X4.24 Attic 5 Floor 448 0'037 19 n/a O No FC'19'2X8'16 FENESTRATION SURFACES _____________________ Area U- Act Exterior Shade Interior Shad,, Orientation ______________________ (sf) _____ factor 3HGC Azm Tilt _____ _____ ___ ____ Tyme/3HGC Typo/3HGC ______________ --------------- _____________HOUSE HOUSE- New 1 Window Front (H) 12'0 0'600 0'670 O 90 Standard/0'76 Standard/0.68 2 Window Front (#) 12'0 0'600 0.670 O 90 Standard/0'76 Standard/0.618 3 Window Back (S) 12'0 0'600 O'670 180 90 Standard/0.76 Standard/0'68 4 Window Right (W) 30.0 0.370 0'390 270 90 Standard/O'N Standard/0'68 5 Window Right (W) 30'O 0'370 0.390 270 90 Standard/0'76 Standard/0'68 OVERHANGS AND SIDE FINS ------------------------ ______________________---Window-- -----Window -- ------Overhang----- ---Left Fin--- ---Right Fin- Aree Left Rght Surface ----------- (sf) Wdth ----- ----- Hgth ----- Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hgh L HOUSE - New ---- ---- ---- ---- ---- --- ---- ---- ---- --- 1 Window 12.0 3'0 4.O 2'0 O n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 12'0 3.0 4'0 2.0 O n/a n/a n/a n/a n/a n/a n/a n/� 3 Window 12'0 2'0 3'0 . 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 3 Project Title .......... ADDITION Date...01/2/03 09:19:57 MICROPAS6 v6.01 Fi.leiFOX2:.112N Wth-CT7_1.1S92 Program -FORM C -..2R U5er##-MP1. S09 User -Fox Company Run -HOUSE ---------------------------------------------------------------------------------- HVAC SYSTEMS SPECIAL FEATURES AND MODELING ASSUMPTIONS -------------------------------------------- -h. Items in this Section should be documented on the plans, installed to manufacturer and CEC specifications, and = verified during plan check and field inspection. This building incorporates non-standard Duct R --value. REMARKS RefNigerant Tested ACOA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eft HOUSE Furnace 0.920 AFUE n/a:, Attic R --S No No 0,.70? . ACSplit 12.00 SEER No Attic: R-8 No No 0.6Q., SPECIAL FEATURES AND MODELING ASSUMPTIONS -------------------------------------------- -h. Items in this Section should be documented on the plans, installed to manufacturer and CEC specifications, and = verified during plan check and field inspection. This building incorporates non-standard Duct R --value. REMARKS P. TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive • Oroville, California 95965 • Telephone (530) 538-1541 O -pmt 0 16 2— APPLICATION AND PERMIT O 2? 5 aPAF1C1L MM . / ll 6 • � � 2o: BUILDING PERMIT I a J ZELEMOi ?� SQ. FT. OCA. SUELDING VALUATION •� ��/ O t Q 1 II�46 GGG, vv =w� L_ 7 . . Isa Fireplace SCOxs UMM Boase= Total Valuation Pima= COL u as Filing Fee 5 20.00 Permit Fee D S== OR SmESM e+oma AD== Plan Checking Fee c1 r� d Energy Plan Checking Fee S 3 v U ; PERMIT FEE ar►Ga z pAZNA"� p/pOa PLUMBING *PERMIT Fang Fee 20.00 Each Trap 7.00 / y. o v USEOFSiRUCTURE 2' gY A L- ;FA Dupla 0 Mobilehome 0 Other $ ' Solar or heat um water heater 23.00 Water piping 15.00 15-.0 Each gas wetter heeler or vent 15.00 TYPE OF WORK New 17 AdOm qRemodel i� Usfies 0 hsWdm O Other 17 ' ' Describe Works 'i 39. �L yC.c �0 v1GF L(-fv14�{ Q ��C & r 4 Gas piping system I - 5 outlet, 15.00 Builft sewer 15.00 Moble Home S G W L&20.00 PERMIT FEE S . Q ' ELECTRICAL PERMIT RTing Fee 20.00 Allem Servics CORR 25.00 Y, U' �9 S • *PEPAIT FEE Pub $ O O9 - C/ S RJ - SHE�.iFF $ $PERmrT $ . $ •R' NVNM (p rvkm mm 70 so" 45.00 OR (owau+s oearr s = erss` • . 3.5C�- 5,'7 C) '� @Iso P311H1 APP.�R+aus rEr.- u Duna oR mmma 00 o FA 5.0D Servce 23RD ome FacilitiesSRS ;<, 2s oo �2 3. o 0 • - FEE S S8 • 7 U MECHANICAL PERMIT FAng Fes 20.00 Heeding CoXm Hood 6.50 Ventilation PERMIT FES s 3 5 0 v Moble Home Installation Fee i ergy Inspecflon IFee TOTAL FEE $FM t9l C�P� 11P11 This penult Is hereby Issued under the apple} Ne provisions of the Butte County Code and/or Resohftns to do work indicated above for which fees have been paid By . Dais RexiptNo. ' PERMIT EXPIRES ON Vnim-D-a AA L MAAARY-A=ESSOR PIMG-1lCSP6CiOR r.=ENRD0.APPUQWT M.1.1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 (Rev.12/96) APPLICATION AND PERMIT 6 3 -,M ASSESSOR PARCEL NUMBER 068-160-035 ZONING AR '1�ILDING PERMIT OWNER T TELEPHONE _ SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS p 60 C 780.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 2944 HERITAGE RD OROVILLE 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total valuation $ 3240.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 63.00 Plan Checking Fee $ 40 99 BUILDING ADDRESS 2778 ORO UINCY EIN OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 123.95 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition M Remodel )0 Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD SO FT TO BE 03-0499 AND CONVERT Cn PORCH TO MUD ROOM Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 ile Home ISI GI WT_- 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is n full force and effect. n / %0 / p License Class '% Lic. No. 3 A 3 OWNER -BUILDER DECLARATI N 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. 6 ACC. BLDS. so 3.5¢FT, ppµR�.glpT• MULTI -OUTLET @7.50 POWER APPARATus & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURESBAL @': o AL. P 'IS Ex. Occu . ourLE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00. 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. �j 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 S %q /E' el)"Ip Policy Number z3 77_ (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 with comply with those prov' s. ✓�� Date �� '� ;atu:reofApplicant - ❑ Owner j�'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ toner. TYPE TOTAL FEE $ 166.95 HAZ. D. FEES SMP x FLAOD CDF x pggCEL `Y I HD x ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1 B p PERMIT EXPIRES ONVr O the applicable provisions Resolutions to do work been paid. O3 I '?/0 D to [ Date Receipt No. TR�47D�'�RS_ h5 // REFUidD 2 7n -a - WHITE-D.D.S.-B.D. CANARY-ASSESSdR PINK -II 7PECTOR G0 NRO -AP� PLICANT t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 / PERMIT APPLICATION DATA SHEET Q , OWNER: yL>fl COX ASSESSOR PARCEL NUMBER �C�U Zi�� Proposed Building Use: ( � (,(��C1� (7!��(e b +o (7?L7dRo"ter Technician: Date: Items required in order to apply f rd a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 9. Plot plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner. ❑ 12. Hazardous Material Form. ❑ 13., Other. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 15. 'Statement of Intent for Non -heated and A/C Buildings. l Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit. VIT. California Department of Forestry plan approval 0'paid. Il �✓ 7� �� 19. Planning approval for (A) Use: (B)Parking: - (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required. ❑ 23. Contractor's license information. (Number, Name Style, Classification). ❑ 24. Worker's Compensation Carrier and Policy Number. ❑ 25. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner). ❑ 26. Letter of Signature authorization. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement. ❑ 28. Manufactured home utility clearance. ❑ 29. Existing violations and/or expired permits. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to; H.C.D. $ ❑ 31. Other: When issued Telephone — and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 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. Original -Applicant •.. ram o9�-ao� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (: 38-7541 PERMIT 3f((Rev.12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER j ZONINO �t BUILDING PERMIT OWNER / / TELEPHONEBUILDING VALUATION OWNERS MAILING ADDRES _. COM RU E M • CONTRACTORS UNG RESS I COS CONSTRUCTION LENDER Pr LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BURRING ADDSX.Sk — _ _ _ /' LOT NO. I SUBDIVISIONS NAME tir Fireplace Total Valuation $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ PERMIT FEE PARCEL MAP PLUMBING PERMIT USEOFSTRUCTURE "Z,gtjC h Trao 3F)I0 Duplex ❑ Mobilehome ❑ Other sPECIFv TYPE OF WORK New ❑ Addition 171 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ��D I J J 2D ET ±2 4 z0-;-gJ3-e)Yj a,&—(',cel 1, ��5% CzV-e-UC.t? 0 (T` , Ft,OT5b� X r /wd a?I)ii' SISlboa �ft&y. I T P co 44 -mor e l0 �r1� Oy4a Ntaw X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Solar or liftt-pi Water piping Each gas water Gas piping syst Building sewer Mobile Home water heater iter or vent 1 - 5 outlets fling ree 7.00 23.00 15.00 15.00 5.00 15.Oa @20.00 20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service p A OR LESS 23.00 Main Service -QA TO 1000A ) 46.00 NON-RESID. I aoeuru roorurts ) 1 1 97.501 Ex. OCCU . OUTLET OR FDRURESDAl BAL .50 OR Ex. Occup. OUTLETS RESID.) EA 5.00 Service 23.00 —Temporary Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 1 $ L/"? -r-0 MECHANICAL PERMIT I Fling Fee 1 20.00 1 Hood 1 6.50 Ventilation PERMIT FEE 3 Mobile Home Installation Fee $ Energy Inspection Fee $ i D°D CONST. TYPE TOT • L FEE $ HAZ- I D. FEES I 1MV I FLOQD C EL HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERT O. (Rev.12/961 APPLICATION AND PERMIT 3- ")7P4 P4 ASSESSOR PARCEL NUMBER 068-160-035 ZONING AR BUILDING PERMIT OWNER BILL FOX TELEPHONE 511-7730 SO. FT. OCC. BUILDING VALUATION 60 Ir.8 00 OWNERS MAILING ADDRESS 2778 ORO OUINCY 0PDVT.L1AE 95966 c TO u".0 f')f') CONTRACTOR'S NAME � it -!!.r .L TELEPHONE 5PA-1529 - CONTRACTORS MAILING ADDRESS 2944 HERITAGE RD OROVMY F 95966 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 32 A) ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 63,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $-q4 440, lc BUILDINGADDRESS, 1/78 ORO QUINCY HWY OROVILLE Energy Plan Checking Fee $ - - $ PERMIT FEE S 11,23,95 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other All SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel:© Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD SO FT TO BE 03-0499 AND an Mai To t"IfJD psm Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ,,.,,Mobile Home S I GI W 1 @20.00 -d± PERMIT FEE $ v ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license iys in full force and effect. , J/� License Class `� -% Lic. No. 13 [� /[J2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. UDS. so 3.50FT; MULTRANCI-OUTLER.T Pior1 I. @7.50 PowER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFIXTURES 2/O -'II BAL O .50 Ex. Occup. o.FIXED IUTxiEt7s gESIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00,n.00 PERMIT FEE S (.( 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. ,L[J I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carriers 74 %F. Q? InIJ Policy Number X.'3 7,Z L'1 (The above sections need not be completed 0 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 1 should become subject to the compensation provisions of section 3700 of the Labor Code, I shall /forthwith comply with those provisions. X,��jjjj,,,,��jt1f.-� /C -. /,/. _ Date?'" %"� S`gnature of Applicant - ❑ Owner 113 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.95 HAZ. p, FEES IMP X ROOD x CDF X PARCEL ? pp ,P HD :� ISSUE Xworkers' 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. B!� _ `J Date t 9 3 PERMIT EXPIRES ONVI Dafe ReceiptNo. 382470/V85.65 ./,/ RM- WEI 04.70 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0-3 COPY County of Butte Oroville, California GENERAL CLAIM CLAIMANT: TML. Inc. ADDRESS: 2944 Heritage Road IMPORTANT: CITY & STATE: Oroville, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 9/5/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Reason for the Overcharged Refund: Bldg Permit App No.: 03=2074"7 AP No: 068-160-035 Receipt No.: 382470 Receipt Date: 7/11/03 Bldg Permit Fees: $196.65 Receipt No:: 382470 Receipt Date: 7/11/03 SRA Fee: $89.00 Receipt No.: Receipt Date: Bldg Permit Fees: Owner's Name: BIII Fox TOTAL FEES PAID: $285.65 TOTAL FEES -RETAINED (Breakdown Below): $255.95 Building Permit Filing Fees: `''"' $20.00 Plan Checking Fee: $40.95 Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: $20.00 Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: Permit Fees: $ 86.00 SRA Fee: $89.00 $29.70 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and c t as stated Dated this zz� day of 2003, at Calif. U_44aj.," g _Z4111 Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this 94h day o , 2003, at ali . I Y' ��''F✓ Department Head or Authorized Deputy Dept. Exp. Code 440-001 Code 4210500 PAYABLE FROM Construction Permits FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). 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 are not refundable. Fees paid to other County Departments are not covered by this claim. CLAIMANT'S NAME: 77,yK MAILING ADDRESS: Z,3 Y q % '.� %� G �' - �1 `' 0,Ca Ui 1 X ASSESSOR'S PARCEL #: `- BUILDING PERMIT #: x 3 z6-7 Lf RECEIPT NUMBER(S): 3 8` Z q -7Z) A request for refund of fees paid on the above receipt number(s) is for the following reasons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans ( ) Sheriff Fees ( ) . Other (specify): Signature J Date .9-117-193 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. FOR BUILDING DIVISION USE ONLY: Receipt Information: Number: Date: -�-1 I Issued To: Ml _Trr, ` Amount: Fees Retained: Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: YX Elec Filing Fee: owz. Mech Filing Fee: $ Energy P/C Fee: $ Plan.. CheckFee:. $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $ TOTAL REFUND DUE: $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ REFUNII'CALCULATION SHEET RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED 382470 7/11/2003 TML, Inc. 5332 285.65 03-2074 `F FILING FEES Building 20.00 20.00 0.00 Plumbing .= 0.00 Electric 20.00 20.00 0.00 Mechanical 0.00 PLAN CHECK Yes No X Yes No Yes No X Ener - 0.00 SRA -BLDG Building $46•' 46.001 46.001 0.00-• NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED 382470 7/11/2003 TML, Inc. 5332 285.65 03-2074 `F PAID I RETAIN REFUND `BLDG 440-001 •' : 4210500 ' SRA 0100 4617240 SHERIFF " 280` r`_ 1011811 `F FILING FEES Building 20.00 20.00 0.00 Plumbing .= 0.00 Electric 20.00 20.00 0.00 Mechanical 0.00 PLAN CHECK Plan Check ` 52.651 40.951 11.701 11.70 Ener 0.00 . INSPECTION Ener - 0.00 SRA -BLDG Building $46•' 46.001 46.001 0.00-• PERMIT FEES Building `=Plumbing -i-Plumbing Mechanical 81.00 23.00 63.00 23.00 18.00 :18:00 0.00 0.00 0.00 OTHER -Overcharge �: 0.00 SRA -FIRE Fire $43 43.001 43.001 0.00 SHERIFF - $360 Sheriff PROCESS'FEE 0.00 0.00.' 0.00 $ 285.65 $ 255.95 $ 29.70 !$ 29.70, $ - $e - $ BLDG "'; SRA SHERIFF ° 440-001 0100 280 , '4210500 1 4617240. ,. 1011811 CHECK: $29.70 DIFFERENCE: $0.00 Should be Zero! DATE: 8/25/2003 NOTES RESIDENTIAL F 068-160-035 03-2074 PERMIT NO. _ FOX, BILL 2778 ORO QUINCY, OROVILLE CONT: TML INC ADD SQ. FT. TO BP#03-0499 03 -C" SPECIAL CONDITIONS CHECKED BY ZSRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) c, Signature J=OK 0 = Not OK : = NotReadyabte MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3.. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5' Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. /• P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. ,Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector. 7. Water and Sewer Connected -C/O to Grade=HD Approval 8.' Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. _ 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date - Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer. Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 ' Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date isconnect, Electrical, umbing RFLO (Plans) OK except #'s Exterior Elec. Trim, G.F.I. Receptacle -Underground K. Zo ' g -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.- tg. Depth Sntilation Throughout House 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth - e ers agge , - tric 5. Stemwalls, Main; Steel-Blockouts-Wrapped .a er & 7Sewer Connected -C/O to Grade -HD Approval 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors pnn er 7. Slab, Steel -Wrapped Date f t ` 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card 13=1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Co stion Air Baffle 18. Water Pipe; Test & Anc-herNail Protection 19. D.W.V.; Test Fittin Anchor -Nail Protection 20. Shower Pan; First Floor -Tub Access 21. Test Tub hower, Second Floor -Tub Access 22. Ga pe; Sixe & Anchors 23. re Sprinkler; Test .101 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s er Clearance -Ins. Protection 2 2 . c. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 2- inn . _ 'o Kitchen & Conductor Size GFI 30 Sub1eed Wife CRP/ /ca Cu or AI-A.C. Wire Size/ /ga Cu or AI - ven Circ. / /ga Cu or All Insulated Neutral ❑ Yes O No 92. and Main Disconnect -Motors-Mech. Equip. 3 oset Light -Shower Lig t -Spa Light Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s _ 36. A.C. Ducts Insulation & Suppo 37. Vent Fan, Exhaust ab insulation 38. Condensate D ' & Overflow, Size & Grade 39. Furnac ent Access -Comb. Ait-Return Air Vent 115 Outlet 40. _Attk Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Permit) OK except #'s Sills Proper Materials & Anchors Zj"alls Studs -Nailing Spacing & Braces -Plates -Sound aj__8t14'nng,WaIls over Girders & Floor Nailing raft Stop in Walls (rat proof) 4 aire-Chasers-Tubs eaders & Beams -Size & Bearing Date FRAMIN ontinued) ost Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Wm"-Shting.-Rtng. A Flue -Fireplace Throat Clearance cess; ize & Romex Protection -Draft Stop -Ins. Baffles n ows or Exiting -Doors -Sill Ht. & Dimensions ire Protection Framing -RC Channel 5 me firewall & Openings Ogr.—Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5i - ea room -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers i ing-Nailing Veneer 8. Stxq Mesh -Drip Screed -Fd. Vents-Underflr. Access ZR'Glazing Area -Glass Protection -Skylights -Plastic ear alts; Nailing -Bolts 1pffEce I r/Exterior %yaLLPanels sulatio eilings 63. Infiltration -Walls -Windows Date/d Card B 1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA ans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings e ec or ce ents clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection aix ures cess -Spa ec. Trim & tairs & Rails 7 h 7 sa ooane , n . & Ext. 7 . i . & Appliance; Ground -Air -Gap -Cooking Clearance uets & Recep ac esa i . Counter rage ire oor; wing- ing-Closure 7 cin ara e- am Vents -Clearance -Co . Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 28 lec. & Mech. Equip. Listed for Location ep ac es i Protection ion -Foam -Looked in Attic 8 i s eck ons ruc io - ost Caps n. Bents & Crawl Hole Door Drainage & Wood -Earth _ Cl nce Looked under Floor ❑ Yes Fo stld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No ,,_ Stucco Brown Finish 8&r_ -AZ, Unit �Disconnect, Electrical -Plumbing 8 s Bove Roof, Plbg-Appliance-Firep ace -Clearance to Openings 87 isconnect, Electrical, umbing Exterior Elec. Trim, G.F.I. Receptacle -Underground Sntilation Throughout House ag"blass Protection orrections from Previous Ins—p-e—cf0ft 9 - e ers agge , - tric 9 .a er & 7Sewer Connected -C/O to Grade -HD Approval 9 ergy Compliancedertificate-Other Certificates 9 pnn er Date %g��/ Card B-1 Date Card B-1 Date f t ` Card B-1 J Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 i' 7 County Center Drive • Orov.ille, CA • (530) 538-7541 f CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, -or need additional explanation, please contact this office immediately. /� _ 4 _ fA r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER -a y,.:Ff PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date off/ Inspector REV 10/92 ( , Insulation Certificate :x BUILDING OWNER j j . / i ` rm (l BUILDING PERMIT # : ©? ---d y9 9 BUILDING LOCATION: Description of Installation ROOF Material Brand Name Thickness (inches) Thermal Resistance (R. -Value) CEILING Batt or Blanket Type AA 7— r Brand Name M�A-1-5- P i t, Thicimess (inches) Thermal Resistance. (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weightle lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL /�- Material / + iE?_�i, Brand Name SKS V11Z Thickness (Inches) Thermal Resistance (R -Value) L2* .. RAISED FLOOR Material Q !2 n 4 r777 - Thickness (inches) ' SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name M A Si%S fl,' L L � Thermal Resis.ance (R -Value) k =: Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) ermal Resistance -(R -Value). Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. 4 3 G z a � General C n for(Builder) License Number S ignarure and Title Date Sub -Contractor (Insulation Installer) Signature and Title THIS CERTIFICATE KUS a .I3E APPROVAL AND A COPY S License Number Gate PROVIDED TO THE.BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION HALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 • s' i NOTES RESIDENTIAL 068-160-035. 03-0499 tFOX WILLIAM t PERMIT NO; � :.��.�r__..,.bM........-...:,�.....�r-..,...w.r-- 2778 ORO QUINCY,,OROVILLE : CONT: TML. INC ,k a• ADD KITCH/DINING/REMODEL J 03_x, 7 �j�;. �1... 1.. i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Z o�' i t Signature ` J=OK 0 = Not OK . = NotReadyable MOBILE HOMES,., Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easemeritsy- dsn 2. Soils; Special MH,Support Sketch _. , 3.' Sewer; Location -Test -Fall -C/O -Concrete 4:•,Water, Location-Test=Easement Needed(Sketch) i +,s�5J Electricity;:Location=Clearances-Grnd-/ - /Amp -Concrete a.°.r.. 6. Gas; Location -Test -Wrap;-/ ' /" L'fi�i• / .r."/' Nat..or /,, f' L ,.ft./,', A LPG , c, _ .. . 7. Well Clearance 8 Disconnect. 1 :8.YUtility Clearances r 7'oil .ii• •. Date Card B-1 ; Date '- b Card B-1 Date a -.'!Card 13-1's L -PDate _ r. Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements" + 2. Footings, -Size-Spacing-Marriage'Line - 'It 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances H : 15. Drain; MH Test -Fall -Flex Connector -d d .'6. Water; MH Test -Regulator -Connector t_ 7. Water and Sewer Connected:-C/O;to Grade -HD Approval ,t:] 8. Gas and Electricity:Tagged. , ?,,gtF I 9. Tie Downs -Type -Installation Certs =.'o:r;: 10., Exits; Insp.-Sketch, c,:. _ j :io i 01..- Cert. of Occupancy,•,;-+ e .,u•� Date . Card B-1 j - ' ,, , Date.: 3 T.i E Card B-1 Date Card B-1 Date ;£ tCard 13-1 Date PERMANENT,END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements �e 2. Footings; Size -Spacing -Marriage Line 3. Blocking 'r . .Ji e a , 4. Gas; MH Test -Demand -Valve 4 r�,F 5. Electricity; MH.Test. -,4 6. Water; MH:Te"st Date 7. Waterand'Sewer:Connected+-, Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 8.:Gas and Electricity Tagged + ryt 2. ;9. Exits ' 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 10. License Decals Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. 11.1 Verify -#'s with Office 6. Carports; Windows -Doors 7. Electric 8. Date Card"B-1 Date .., .. , :. Card B-1 Date t Card.B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms C.. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GH 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date U D OOR (Plans) OK except #'s d1407 S Z " g -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ ?iP'Ftg. Depth 3. Ftg., Garage; Soils-SteekElec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test ater Pipe; Test -Anchors 12. Electric Underground 13. Plenums & uct ;. Cle nce-Materi I -Su rt -I 75. - ill - n or Bolts-Joi -Ve s='Cpies 15 Acces & Ventilation. 16. nsulation Date 6 a3 Card B-1 Date .,Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle ,,j&. - g__ er Pipe; Test & Anchor -Nail Protection tja-S.WY; Test Fittings & Anchor -Nail Protection _90 Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s L24-'fi`xtww & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors Si Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 28_E Ground.made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI Su ed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI -'Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32 tors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light �5. Smoke Detector I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH CAL (Permit) OK except #'s A.C. Ducts ion & Support 3 ent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s _ ills Proper Materials & Anchors 2. s Studs -Nailing Spacing & Braces -Plates -Sound 3. aring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 6. aders & Beams -Size & Bearing Date FRAMIN ontinued) &Zefan a ost Caps -Anchors -Connectors 8. g. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 ting Doors -Sill Ht. & Dimensions arage Fire Protection ra ing-RC Channel 53-P-repertgtine Firewalri -Openings Garage 3rd Story, 2 Exits 56 oortl'Rise-Run-Landing-Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers rreer- tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access &9!GTazinq Area -Glass Protection-Skvliahts-Plastic 61. 13-tnteridr/Exterior Wall Panei��= nate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINALaahs) OK except #'s . E�c2-Steps-Door & Sidelight Protection -Landings AfeT Smoke Detector 6. a e V nt ance-Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting a iztures-&Tub-Access-Spa ec. Trim & Subpanel, Breaker Sizes & Labels 0!Sfairs & Rails 'Fire kice_oL Ctrnia r'IP.arance:-Hearth Vic. Outlets at Wood Panel, Int. & Ext. /y3rKit'i & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door: Swing -Candi -Closure 76. mb. Air Connector-P.R.V. i G .a e; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (FF.I.)-Romex Protection 80 is ec 'Construction- Post Caps &82-dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Fol Instld./Drive No/Walks s ❑ No/Planters ❑ Yes U.N& Stucco Brown -Finish connec , ical-Plumbing 8 s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 Plumbing er or Elec. Trim, G.F.I. Receptacle -Underground entil tion Throughout House N-Glaiss Protection Inspections 9 - ers lagged, f3as-Electric �Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ress Posted 9F��ica-Sryrinkl2l-- Date 4 Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 `�� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-160-10,15 ZONING BUILDING PERMIT OWNER tIM&HONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS600 O s CONTRACTOR'S NAMETELEPHONE CONTRACTORS MAILING ADDRESS ?q44 LDMITAGE RD OROVILLE, Q4 9_59669 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 54..00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 74-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: S'TgJr.('n-(;E Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceeooV OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -y ,�¢¢ License Class /� Lic. No. 3' "] / U / OWNER -BUILDER DECLARATIONEx. 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 Mein Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. stns. SO 3.5,s Np pO�lp ' MULTI -OUTLET I. 97.50 POWER APPARATUS a SINGLB OUTLET CIS. Occup. OUTLET OR FaruREs 20 @'.00 SAL @ .50 Ex. Occup. DFlxL,xEeo�A A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I 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. IV1 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. Myworkers' c ^pe sation insuranc�g carrier and policy number are: Carrier /A `' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number T (The above sections need not be completed 0 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 vi ' ns. ol Date // — /) �j ;inat�lulre of Applicant - caner KContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee'' $ /. Occ CONST. TYPE TOTAL FEE $ HAZ D FEES IMP FLOOD COF PARCEL PD HD ISS This permit is hereby issued under the applicable of Butte unty Code and/or Resolutions indica deb for whic fees have been By Date PERMIT EXPIRES ON it Da provisions to do work paid. f' /5r 03 '7 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �• . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION P No. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754193, 3n A . LICATI®N AND PERMIT (Rev.12/96) z�oN3INGo�f / z�l .BUILDING PERMIT [72N /0./E�I IN UAT N OCC. CONSTRUCTION LENDER LENDERS MNUNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MA UNG ADDRESS BUILDING ADDRESS n n LOT NO. SUBDNLSIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ . Addition ❑ R el ❑ U666es ❑// tnstallai Describe Work: �! v �L .PERMIT, FEE PAID $ SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED $ DATE RECEIVED I mroarinT 44 � ` I Total Valuation im oR LESS cJ.UU N° Erin Fee $ 20.00 Permit Fee $ 3.50 Checking Fee $ Energy Plan Checking Fee $ (@7.50 64Plan - - PERMIT FEE PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 17.00 Soler or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent .00 Gas piping system 1 - 5 0 15.00 Building sewer _J� 15.00 Mobile Ho S G W @20.00 F PERMIT FEE 1 $ 11 Feel 20.00 Maid Service im oR LESS cJ.UU Main Service 200A To -A 46.00 NEw coNsT. Dwe1.ING Occup. 3.50 OR ADDNS. A ACC. BLDS. NM CONST. r mual-q1in�j- 1 (@7.50 a Occup. OUTLET OR BAL @ .50 Ex. Occu DIM ErS RJ I ) L L 5.00 twriVio—rary Service 23.00 Mobile Home Facilities 20.00 Misc. Widnq 23.00 PERMIT FEE I $ I MECHANICAL PERMIT I Firing Feel 20.00 Heating, Cool'Ina PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ =c CONST.TYPE TOTAL FEE $ �— HAZ D. FEES IMP FI.oOD I CDF PARCEL I FD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 09 -Oct -2001 2001-0046643 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-5 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The . property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use 'of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers;. and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of the Southwest quarter of the Northeast quarter of Section 15, Township 19 North, Range 4 East,.M.D.B. & M., being more particularly described as follows: BEGINNING at the Southeast corner of said Southwest quarter of the Northeast quarter; thence along the East line of said Subdivision, North 00 11' West, 753.75 feet to a point in the South line of the Oroville-Quincy Road; thence Westerly along said Road, being a curve concave to the North having a radius of 780 feet, through a central angle of 100 22' 24" for a distance of 141.22 feet, (the long chord bears North 81' 44' 35" West, 14-1.02' feet) to the true point of beginning for this description; thence continuing along said Road and along the above described curve continuation, through a central angle of 250 421, for a distance of 349.87 feet to a point in the East boundary of the parcel of land described in the Deed from Tandy S. Walker, et ux,, to James M. Foree, et al, recorded December 11, 1946, in Book 384 of Official Records, at page 406, records of Butte County, California; thence South 00 40' West along the East line of said Foree, et al, property, 510 feet; thence North 740 29' East, 342.36 feet; thence North 20 47' West, 265 feet to the true point of beginning. Date io/B AIF r / State of CaljLornia County of�`� before AP No . 0.68=i -.&-Q--0-3-53 personally appeared ersonally known to me (or proved to me on the basis of satisfactory evidence) to bet a person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by, his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the Derson(s) acted. executed the instrument. WITNESS my hand and official seal. Signatu - Seal: A. P. #. �isfrj COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Blion Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,--') (�' PERMIT NO. Aradeeird+eates that the following violations of Butte County Ordinances exist at thejiih e 1 and should he corrected. Please notify this office when correction of work "sc alleead WVmhmw any questions pertaining to this matter, or need additional explanation, Die -b /Al 3 Inspector vim/ COUNTY,OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959E•5 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. !i3;_/ 07 . ASSESSOR PO.RCEL NUMBER 068--160-035 ZONING f. BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Raine Engle 533--851i� OWNER'S MAILING ADDRESS 2778 Oro Quincy, Oroville 95965 CONT5E�a y3 - IL WaibelAirCond. CONTRACTOR'S MAILING ADDRESS i 1650 Feather River Blvd., Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. tl Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2778 Oro Quincy Hwy, Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New ❑ Addition;_; Remodel❑ Utilities❑ Installation❑ Other [N Describe work: Install Itg 82 Ac _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. L License No. �L.�7 �� Classification �>•--Q-T ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. ( DWELLING OCCUPM 3.6asq.ft. OR ACDNS. ACC. BLDGS. / NEW TLET NON•RESID, BRANCH CIRCU ITS^ 5.00 APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 A FIXED \\ Ex. Occup. OUTLETS P(RESID,)RE A./ j 3.00 �• 00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 1 Contractor , — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. -09 have placed on file with the County of Butte Building Department U a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,EjWI`shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating I 4.00 9.00 Cooling I 6.50 16.SQ Hood 6.50 Ventilation Permit Fee $ 40.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a al st said Count y i consequence of the granting of this permit. Z X > Date �c_� I C, 5rn-+�re of Applicant - Owner gy. pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P DCC CONST TYPE TOTAL FEE $ 58.50 HAz I D FEESJ IMP I FLOOD I CDF PARCEL I PD HD Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do * ..i work indicated above1for which fees have been paid. r ��! /' t P�/�IREC gR F PUBLIC WORKS -, / BY h10' / \i.( r''/�1 Date/' (PERMIT PIKES Date 1431 Receipt No. WHITE-O.P.W.. YELLOW-ASSISSOR, PINI( -INSPECTOR. GOLDENROD -APPLICANT 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W 7 County Center Drive - Oroville, California 95965 - Telephone: 91 .`538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-160-035 ZOtJfNG BUILDING PERMIT OWNER Raine Engle TELEPHONE 533-8518 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2778 Oro Quincy, Oroville 95965 CONTRACTOR'S NAME Waibel Air Cond. TELEPHONE 533-8128 CONTRACTOR'S MAILING ADDRESS 1650 Feather River Blvd., Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2778 Oro Quincy Hwy, Oroville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition tJ Remodel ❑ Utilities ❑ Installation❑ Other 9 Describe work: Install Htg & Ac _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO I000A) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License Jo.L+�7T_ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDG S' 3.64 q.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS 1, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 1 I 3.001 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 18.00 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): i he permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 1 15.00 Heating 1 19.00 1 9.00 lin Cooling 1 16.50 16.50 Hood 6.50 Ventilation Fee $ 40.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a st said Count in consequence of the granting of this permit. Date �9- /" 9 5 re of A Applicant – Owner pp ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 58.50 I HAz OFEES I IMP FLOOD cDF PARCEL I PD HD 14 This permit is hereby issued under the sions of the But County Code and/or work ind a d abov r hich fe IREC O P BLI BY PER PIR S Date applicable provi- resolutions to do ave been paid. RKS/ Dat � Receipt No. 143160 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT II COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone. 916 '538-7541 APPLICATION_AND PERMIT ASSESSOR PARE NUMBER 0Ca _ C — ZONING BUILDING PERMIT OWNER TELEPHONE 3e/ff SO. FT. OCC. BUILDING VALUATION OWNER'S M LING ADDRESS D d CONTRACTOR'S NAME Z A 1AZY3L4_C Art (f,017.16, TELEPHONE 53 /.? CONTRACTOR'S MAILING ADDRESS 0 V lo, Fireplace 'CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 A DRESS L.0, Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New Addition _ Remodel Utilitie Instal ation them] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW of p i y (check one): I declare under penaltyperjury ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ 3.60sq.ft. OR ACDNS. ACC. BLDGS. II NEW CONSTR. ULTI.OUT LET NON.RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d PR FIXED ��//�� Ex. Occup. OUTLETS IRESID IEA.) I 3.00 UO Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating 7-6 AV 0 �. Cooling DO/ y re -_W Hood 6.50 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ 5 50 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 0FEES I IMP I FLOOD I COF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. ! jy31 4b WHITE-D.P.W.. YELLOW-ASSE»OR. PINK -INSPECTOR, GOLDENROD -APPLICANT °'.4t -„h. t'.. }:t ' -. } ” ^x 'y • - •'1 'Lt.h 4':i. #.ii i •' , .F.. r.a 1. .ar; . .ki . `,.F ny —,.. . ,.,.Z„•. t � 068-16-0-035 93-1562 E r _ - ENGLE, RAINE ,, F. ORO QUINCY, OROVILLE _ >?*' t ,y. PROPANE LINE/SF III -Pti" Tr �`•^:... 4" . -. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County'Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 ��/0. APPLICATION AND PERMIT it ASSESSOR P CEL NUMBER 068— 60-035 ZONING, AR HC `� • BUILDING PERMIT OWNER Paine Engle TELEPHONE 533'•8518 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.Q. Box 1030 Oroville 95965 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , Permit fee $ PLUMBING PERMIT Filing Fee 15.00 777A Orn Nfriev I:fwv Oroville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE ,� ' ,I SF ® Duplex[]Mobilehome1 Ot�rL q(�, SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPEt F WORK New t_ Addition _ Remodef,,tLl UtilitiesInstallation❑, Other " Describe work: Instajl lfr�pane Line t _ Permit Fee $ZU• Contractor ELECTRICAL PERMIT Filing Fee 15.00 1 t Main service 600v OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW 1 I declare under penalty of perjury (check one): I ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and 'my license is in full force and effect. License .Jo. Classification V� I, es the owner, or my employees with wages as their soleI 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.&) 3.64sq.ft. OR AODNS. 1 ACC. BLDGS. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 751 I FIXED APPLN5. OR c Ex. Occup. OUTLETS (RESID.) EA.) 3.00 I j Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — ANCE I declare under penalty of perjur � ahedk WORKMEN'S' OMPQ�ISATION7ss. The permit is for $100.00 (valuation) or ❑ I have placed on file with thi County of Butte Building Department a Certificate of Workme -G pensa 'on Insurance or a Certificate of Consent to Self-lnsur � __ec I shall not employ any person' in n ' n o 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 d' Ted revok _ , Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read thl Ina nd stalekhat the above information is correct. I agree to comply to all ou t d 6�t6�ces� and State Laws relating to building construction, and hereby author a repres6tatives of the County or 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 con�'equence,of the granting of this permit: X t�� a �+�' Date V /-=1 7� >_ Signature of Applicant - Ow efr "_ Contractor ❑ Agent ❑ An OSHA permit is required for -excavations over 5'0" deep and demolition or construct- ion of structures over_3 stories in height. Mobile Home Installation Fee $ Energy -Inspection Fee $ OCC CONSTTYPEr TOTAL FEE $ 20 QQ HAz OFEES IMP FLOOD coF PARCEL PD Ho ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / BY ��-4F/ A"r �>e.l r/ Date PERMIT EXPIRES Date—a— -if-12 in riQ6�/ i ' 1•iJ �� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATI ON_ANu°PERMIT PERMIT NO. _� >_�cl� ASSESSOR PARCEL NUMBER 068-160-035 ZONING AR HC BUILDING PERMIT OWNER Raine En le TELEPHONE 533-8518 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS P.O. Box 1030 Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 9778 Orn Quincy Hwy-, Oroville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 11 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New a Addition Ej Remodel ❑ Utilities LJ Installation[] Other [X] Describe work: Install Propane Line Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License .Jo. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCc.& OR AODNS. ( ACC. BLOGS. U 3.64sq.ft. NEW CONSTFLMULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED APP LNS. OR\ Ex. Occup. OUTLETS (RESID.) EA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject (� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also ee to save, indemnify and keep harmless the County of Butte against all Ii ili ies, judgments osts, a expenses which may in an way a crue agai st ide-ounty in c equen a of the granting of this permi . X ,/}�( Date Signature of Applicant – O rl� Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 20.00 HAz DFEES IMP FLooD coF PARCEL PD HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI O 5 OF UBLIC ByAr PERMIT EXPIRES D applicable provi- resolutions to do have been paid. WORKS Date5 '' 143138 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �.ny:-:.'� ��".:,vw.�:`i',:,er�.,R...�--•zf�k.k�.r^T-.�.y-ti...-. as. ��.r.+�.+A.l;�..,�y..`.V+.,...rr..-..��WV+��.-.��.w.._,,,,.7-+��.`.��"'�"�'+.-�.,.yT,:iai�,.:�rt� iniiY 4, COUNTYOF BUTTE -DEPARTMENT OFjDEVELOPME.,NTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�C.AC-IF1 RNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER -/� 5A. a%s "® Proposed Building Use Building Inspector Date 0 At time ofpermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY v 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 P`eI"spection'eq°�- 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: 1,.-"_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. De 'ver with inspector. Other Parcel Creation Acreage Applicant ��JDate S 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date i By The following data must be submitted prior to permit issuance: (Circle new item not chec 1. Index permit for above items No. 2. Additional items required: above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916 538-7541 APPLICATION AND PERMIT PERMIT NO. I ASSFy�S� P l t! !� "H L '��.. I"'y'117/ ��u BUILDING PERMIT I OMER LC7JC� / o T�E`LLEPPH—ONE SQ. FT. OCC. BUILDING VALUATION �RESS_67 30 O ELEPHONE TYPE OF WORK New:—Addition i__i Remodel ;_ Un Itiespll/,-I . —I It stallation/❑ Other Describe work: VISTA CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification j� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) . 1 am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any, way a crue a ainst said County in consequence of the granting of this pe Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WHITE•O.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR. GOLDENROD -APPLICANT I Permit Fee $—')A /-,) 7) 1J Contractor Fireplace Filing Fee 15.00 Main service 600VORLESS 200A OR LESS CONSTRUCTION LENDER Main service 20CATO 1000A1 UNKNOWN Total Valuation $ 3.6Q sq.ft.1 I Filing Fee $ 15.00 LENDER'S MAILING ADDRESS 20 @ 76d Permit Fee $ Temporary service ARCHITECT OR ENGINEER Mobile Home Facilities LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING noDRESS040 � 1U � C7'C) � 9� N Permit fee $ PLUMBING PERMIT Filing Fee 15.00 O 4 0 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other /I SPECIFY Gas piping system 1 - 5 outlets 5.00 (> Building sewer 1 15.00 Mobile Home S I G I W I I @ 15.001 1 TYPE OF WORK New:—Addition i__i Remodel ;_ Un Itiespll/,-I . —I It stallation/❑ Other Describe work: VISTA CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification j� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) . 1 am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any, way a crue a ainst said County in consequence of the granting of this pe Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WHITE•O.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR. GOLDENROD -APPLICANT I Permit Fee $—')A /-,) 7) 1J Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 20CATO 1000A1 37.50 NEW CONST. / DWELLING OCCUP.&\ OR ADDNS. \ ACC. BLDGS.NEW f 3.6Q sq.ft.1 NON.RESID CONSTR BRANCH CIRCUITS @ 5•00 POWER APPARATUS e SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 15.00 Heatina I Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $2O, O a I HAZ 10 FEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE—1, This,permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date j PERMIT EXPIRES Date COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention -Property-Owner: Phone: 916-538-7541 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)'� �S 2. I (have tis-a-� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions.of this work,.but I.have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone'*Contractors License No'. 5. I will provide some of the work but I have contracted (hired) the following persons to provide.the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secur' y Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 4 PERMIT NUMBER - B 288-73B,E f P E c r, V rl PERMIT EXPIRES- OWNER Al Lindstrom L 4 `CONTR• S. John Voorhees, Oroville µ LocATION (A.P. 34-16-35 2778 Quincy°Rd., Oroville J o i COUNTY OF` BUTTE Department of Public 'Works BUILDING INSPECTION RECORD Zoning Setback Forms ;2 Foundation Piers & Girders Fireplace .Rgh. Plumbing Bond Beam C.-tha Plaster AWN Rein. Steel ' Gas Piping & ,Test Found. Vents Framing Plmg. Topout, Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING , Temporary Temporary Cert. of Occup. Final Final" Final DATE REMARKS OR CORRECTIONS 03 77,�_- 3 �S 11F, 7Z 7� �e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK5k 7 County Center Drive — Oroville, California 95965 Tel gphon9= 534.-4.54.1 APPLICATION AND PERMIT �cNicacn tau vca u! LIM i,uuniy vi outte to enter upon ine above oned grope y for i spection pu ses. X �! ate Sig a re of P%erjmitee or Agent Receint Nn / V 40 i`-'% White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date�L—moi-- 7 Building Permit Expires, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION G Mailing Address Fireplace Contractorr ,S3_; -f tal Valuation Mailing Address a P� Permit Fee Plan Checking Fee&/or Penalty or Permit Fee $ $ fV ^� Building Address .2/ -2 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 C A. P. No.3 4/ 3 J^ Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. ,/ Sanitation Q Planning Building sewer 5.00 Plans Fees W111, I W. C.V"I R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION X1 OTHER4F Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Ligh fixtures 121 Rec ps., swit hes & fix o tlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State liforni usines & Profe ions Code under the name styl e Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. �Z� ?_ Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2 $ / 75 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 ermit is issued I shall not em to p employ an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby tate Fee for n rg Motion $0.07/$1000 Evaluation nate Fentation n gMot $ TOTAL PERMIT FEE $„7 , 7� �cNicacn tau vca u! LIM i,uuniy vi outte to enter upon ine above oned grope y for i spection pu ses. X �! ate Sig a re of P%erjmitee or Agent Receint Nn / V 40 i`-'% White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date�L—moi-- 7 Building Permit Expires, APPLICANT: OWNER: PERW, A. P. #: WORK PRC -ECT PROCESSING RFr'ORD L- to.lu - 01 to •,2 ;2 -cD i roo 2xC.e Iz "� c a -I C- e, 2 x o r7l Wl 1 -bo p- AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2 0 0 1— 0 0 4 6 6 4 3 Recorded I REC FEE 7.00 Official Records I CONFORM .00 CouuntyyUTTf i COPIES 1.00 CANDACE J. GRUBBS I RecoROSEMARYDICKSONder I AGRICULTURAL STATEMENT OF ACKNOWL] Assistant I Maureen FOR RESIDENTIAL DEVELOPMENT 09:01AM 09 -Oct -2001 I Page 1 of 1 Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of the Southwest quarter of the Northeast quarter of Section 15, Township 19 North, Range 4 East, M.D.B. & M., being more particularly described as follows: BEGINNING at the Southeast corner of said Southwest quarter of the Northeast quarter; thence along the East line of said Subdivision, North 00 11' West, 753.75 feet to a point in the South line of the Oroville-Quincy Road; thence Westerly along said Road, being a curve concave to the North having a radius of 780 feet, through a central angle of 100 22' 24" for a distance of 141.22 feet, (the long chord bears North 810 44' 35" West, 141.02 feet) to the true point of beginning for this description; thence continuing along said Road and along the above described curve continuation, through a central angle of 250 42', for a distance of 349.87 feet to a point in the East boundary of the parcel of land described in the Deed from Tandy S. Walker, et ux, to James M. Foree, et al, recorded December 11, 1946, in Book 384 of Official Records, at page 406, records of Butte County, California; thence South 00 40' West along the East line of said Foree, et al, property, 510 feet; thence North 740 29' East, 342.36 feet; thence North 20 47' West, 265 feet to the true point of beginning. Date mel / State of C ornia County of�`� before me, AP No. 068-160-035 \\ (Z - personally appeared L `L\ L� ��x �.t �Ye-rsonall y known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signatu -Seal: A.P. # 4- - t e:o t ,u NOTES RESIDENTIAL " PERMIT NO. " 068-160-035 01=2481 FOX, WILLIAM. & BARBARA 2778 ORO QUINCY, OROVILLE CONT: TML INC ADD SQ FT TO MASTER BR� J e i r i 9 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address ELECTRIC 4*2 — Meter By Date JOB FINALED (Date y D Signature t CHECKED BY ✓ = OK 0 Not OK = NotApplicabii3 ., MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except It's /'Nat. or/ /"L"ft./ /'LPG 1. 7. Well Clearance & Discohnect' 2. 8. Utility Clearance 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date Carports; Windows -Doors Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 4. Elec.; Receptacles and Lighting, Distance-GFI Date 5. Card B-1 Date Card B-1 Date 6. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single = Not Ready Date I D derfloor (Plans) OK except #'s ng -Setbacks -Ease me nts-Flood-Slope YJr Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Z4-0-ec. Receptacles Spacing -Lights & Switches at Doors P ize Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / pa. Cu or AI-A.C. Wire Size / / as Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 7. Slab, Steel -Wrapped -5 -angers- Post Caps -Anchors -Connectors 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. p6ctric Underground 6715 35. . Pleagms & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 15. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 60. 61. 16. Insulation Infiltration- alls-Windows 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Wat tr.; Vent -Access -Combustion Air Baffle Date ater Pipe; Test & Anchor -Nail Protection 1,9iCfW.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Z4-0-ec. Receptacles Spacing -Lights & Switches at Doors P ize Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / pa. Cu or AI-A.C. Wire Size / / as Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Date FRAMING (Permit) OK except #'s Si . roper Materials & Anchors 4T -Walls Studs -Nailing Spacing & Braces -Plates -Sound B g Walls over Girders & Floor Nailing 4 . 9,ceff"$top in Walls (rat proof) 47 F ops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing & Duplex) Date 31. Service -Riser Conductors & Ground Main Disconnect -5 -angers- Post Caps -Anchors -Connectors 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date .5�13drm. Card B-1 Date Card B-1 Date lection Framing Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 6715 35. A.C. Ducts Insulation & Support Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 36. Vent Fan, Exhaust above insulation 60. 61. 37. Condensate Drain & Overflow, Size & Grade Infiltration- alls-Windows 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Si . roper Materials & Anchors 4T -Walls Studs -Nailing Spacing & Braces -Plates -Sound B g Walls over Girders & Floor Nailing 4 . 9,ceff"$top in Walls (rat proof) 47 F ops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing & Duplex) Date FRAMING (Continued) e -5 -angers- Post Caps -Anchors -Connectors mg. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. pe A Flue -Fireplace Throat Clearance 41- AUeAccess; Size & Romex Protection -Draft Stop -Ins. Baffles .5�13drm. Windows or Exiting Doors -Sill Ht. & Dimensions lection Framing 52. Properly timrFirewall & Openings Ine '-Check Garage 3rd Story, 2 Exits 6715 Stai idth-Headroom-Rise-Run-Landing-Fire Protection ? D 58. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. 61. Brace Interior/Exterior Wall Panels Insulati •Wa s- ei mgs 62. Infiltration- alls-Windows Date Card B•1 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s Ext eps-Door & Sidelight Protection -Landings Smoke De tor - 5. nate Vents -clearance -Comb, Air -Connector - In age; Above Floor-Ducts-Mech. Protection Bedr kiting F.I. ath Fixtures & Tub Access -Spa ec. Trim & Subpanel, Breaker Sizes & Labels 69 s & Rails 70.g4RMtff I!a or ove, nce-Hearth u ets at Wood Panel, Int. & Ext. 72, r Gap -Cooking Clearance els Recep Kit. Counter 4 0 , ding -Closure 7 r Connector-P.R.V. in G age; Above Floor-Mech. Protection D.-.-IP-1b., Elec. & Mech. Equip. Listed for Location 78. s n arage (F.F.I.)-Romex Protection U810-1 in Attic 8 ec onstruc ion- st Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes Followin stld./Drive J Yes J NoXalks 0 Yes 0 No/Planters 0 Yes ❑ No tucco Brown-Fi s 6*Zt%i On 115, unfitict, ctrical-Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings r- connect, Electrical, Plumbing �.xjaaw Elec. Trim, G.F.I. Receptacle -Underground 186"'VentilgliorrThroughout House ass Protection 9 sous nspections as -Electric c ed -C/O to Grade -HD Approval 4eaergy Cqpajliance Certificate -Other Certificates ss Posted Dat rd B-1 Date Card B-1 Da Card B-1eY Date Card B-1 Date Card B-1 11Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. J Iv - Date / / Z 4 4/ Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive)•Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the .above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date REV, 10/92 COUNTY OF BUTTE. BUILDING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES 4: 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville; CA • (530) 538-7541 - CORRECTION NOTICE /- 2 OWNER ` PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the r; above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, rF please contact this office immediately. P - C ,,, " S ,i a' / I' Date Inspector,r'/,O REV 10142 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7 41 PERMIT NO. Rev. 12/96) APPLICATION AND PERMIT 01-2481 ASSESSOR PARCEL NUMBER 068-160-035 ZONING AR BUILDING PERMIT OWNER WILLIAM AND BARBARA FOX LIVING TRUST TELEPHONE SQ. FT. OCC. BUILDING VALUATION 320 R 17 280.00 .OWNERS "UNG ADDRESS 3995 OLIVE HWY OROVILLE 95966 CONT R 80000.00 CONTRACTOR'S NAME TML INC JIM1589-1529 TELEPHONE CONTRACTORS MAILING ADDRESS 2944 HERITAGE RD, OROVILLE 99966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 25 280.00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 258.50 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 168.00 BUILDINGADDRESS 2778 ORO QUINCY, ngoyTi.T.F. Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 469.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 4 1 7.00 28.00 USEOFSTRUCTURE SF 4C Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition x7 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITIONAL SQ FT TO MASTER BR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI WF-_ @20.00 PERMIT FEE $ 78 Q ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.FOWER License Class Lic. No,3 3 G / D9i OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier�� AaAlP Policy Number /5-2.3 4q (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) 11I 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 ro ' ions. X Date I nature of Applicant -13 Owner j0I Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. 3.5QF'0 2 ACC. EZCDCr OR o"� M NON RESID. @7.50 APPARATUS 8 SINGLE OUREr CIS. .00 EX. OCCU . OUTLET OR FIXTURES SAL @ 1.50 3.00 Ex. Occup. o.JR61D.OERA 5.00 M. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 4.50 4.50 PERMIT FES $ 24.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R 3 CONST. TYPE VN TOTAL FEE $ 652.20 HAZ, D. FEES IMP X FLOOD X CDF X pARC0. PD X X HD X 5SU This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Dat 42101 PERMIT EXPIRES ON / D 2- to FReceiptNo. 332334/$271.00 -D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO -APPLICANT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance USE ONLY oft) ov,,,et'l �,(. ��'//e ��8'-1 0 r� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other /6X3' Hold final for: Final clearance O.K. for: NOTE: tal Aealth Specialist 8/96 _/O//,5 -/D/ Date GGffjf�.f, ....# 0- 1UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector:'Date:- O At time of permit application, I was advised the following data must be sub ted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ------------ : Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- E15. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. --------------------------------------=-- ==-------- x ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- [ Hazardous Material Form.------------------------------------------------------------------------------------------ — Manufactured Home data and installation ' ctions including Tie Down Specifications .------------------ Feesof $-- ,91, -t ---Z-40 ------------------------------------------------------------ ❑ 11. pact fees as shown on the attached schedule. ------ ---------------------------------------------------------- .California Department of Forestry plan approval/fees. ---A4- :�•d/_2_-/_n_Z________!r�__�____-- ❑ lood elevation certificate. --------------------------- it 40e '� �' 3 L 3 ?' c{ } - ------------------------------------------------------- %aA'nijtation and plot plan approval ) Health Department ------------------------------------ 5of Chico plumbing permit.----------------------------------------------------------------------------------- Mt' ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------------------------ ❑ 17. Planning approval for (A) Use: 0 k (B) Parking: --------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ DrainageQ,5�egal Parcel. -----------=--"`-- ❑ 19. Encroachment Permit for driveway(constructionapproval prior to occupancy). ----------------------- ❑20. Pre -inspection for required. Request to Building Inspector on _ '4 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number.----------------------------------------------------------- _ 1123.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- (Date) E ❑,`24. Letter of signature authorization.-------------------------------------------------------------------------------- N JAL 5 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑,3 0. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone S8 1 " 1 �J a- q and hold for pickup at 01 y office. ❑ Deliver with inspector. Applicant: �. ,/ Date: /D Z O / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, 9 Other• Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above redata by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: I r Date:�' ,9- O Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PR PO ED BUILDING USES--�''`�I . BUILDING PERMIT FEES --Balance Due ........................................................ $ A.P. # OC.(�O IC.�y3� DATE &I R EIPT # ATE REC. --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ *2. SCHOOL DISTRICT FEES (paid at District Office) U 3. SHERIFF FEES (paid at Building Division) d Residential .................................... x $360.00 = $ / Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES ]Z 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) ed /0 l z`/,&-1 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 3 3x33 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE /D " 2 "O v Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) t . „ .,. � n .... .rte . ....... j. � . .. r .. _ .• v , ,.. - - .- L "4.` School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) CYL 4AAUY1 ) c,' Building Department No. c�t,si • 1 L`�3 • () Jurisdic+tionCity► County Property Location/Address Subdivision Lot No. Residential Development ..............................................................................., q g 012 N ..............Xdgion/ S Foots eNo of Living Mobile Home 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): €................................................................................................................... Commercial/Industrial Addition Sq. Footage 4" (Including Exterior (,,New JORoofed/ Areas) . Building Depaitodnt Representative moor runs revieweD Dy acnooi uisinci rersonneil Date District_ Identification No. Sa 0 CJlt,-1-1 ;y School District certifies that �,(� � Jc*c, V (Applicant) (Street Address) V (Phone Number) 996 G (City) (State) (Zip Code) �/ has complied with the r/Vhequirements of Resolution No. �y_ d U — Z)S by payment of $ h representing square feet. AB 2926 $ FULL MITIGATION $ School District Representati,4d/V Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with {+' Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit ' you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm o -aye/ • CERTIFICATION OF INSULATION 't v • ADDRESS OR TRACT - , • a - . ' _SACRAMENTO, INSULATION CONTRACTORSZ1. .Y BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 LOT wP.O. 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 ❑ P.O. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 �V ( 6 jn�J �n ' ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 OAT I ULA O O PLETED lt • • - ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION_ • MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM FORM FORM BATTS BATTS & BLOW BATTS - MANUFACTURER'S PRODUCT I.O. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER " MANUFACTURER '. MANUFACTURER OCF OCF OCF BAGS R'= VALUE:. ' APPLIED R - VALUE ' APPUED MIN. INSTALLED .. R- VALUE` APPUED .INSTALLED THICKNESS v INSTALLED' THICKNESS WEIGHT PER SQUARE FOOT INSTALLED ' THICKNESS I� a • .-, KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE • MATERIAL FORM R VALUE —7 ANUFACTURER FIBERGLASS BATTS. OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER W R GRACE THIS IS TO CERTIFY,TH INSULATION AND/OR -SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE' CODES, MATERIAL" STANDARDS AND REGULATIONS: + � • SINAT —MT'rr TITLE MANAGER DATE y� U SIGNATURE—GE L CONTRACTOR TITLE DATE REMARKS: SIC -303 White - Builder copy, Green - Builder copy, Yellow - Customer copy Pink - Attic copy, Gold - File copy J , - - r��i�.rw-.-^r-'•+••ti...�f.. ,, .tlti,. �•1 :=k...��o>i.'., �- •'Ky i�4.r.inn{�Sii-,,..�,�,ryrr-+.•"'yaw'r�.{.�:.•-n.-..•,r-ter`.+,:s^•rh..-••n^...-.-• ... r...-..-YY.s{�,,,. ...,..... OI- � CERTIFICATION SOF INSULATION g £�r • ADDRESS OR TRACT i SACRAMENTO INSULATION CONTRACTORS _ r , f' 4 J 0 P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 '` LOT w �..•-�'� 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 dl-P.O.. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 aj ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 ,1 ( (/� / / �1 ((),Out v V {! '(,1. HTV J 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 DAT IN UTATIOFI COED • • - ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL . ' - -- . r-". MATERIAL ; •.MATERIAL , S' °,';.'• FIBERGLAS ' —FIBERGLASS .•:+ FORM FORM FORM BATTS BATTS & BLOW BATTS - MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.O. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF OCF BAGS R'- VALUE APPLIED R - VALUE APPLIED MIN. INSTALLED R - VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS WEIGKT PER SQUARE FOOT INSTALLED .'THICKNESS 1 Ll SILI 0 KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM It R VALUE MANUFACTURER FIBERGLASS BATTS OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER W R GRACE - THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS. • SI NATURE --INS CATION CO TRACT R tMANAGER TITLE DATE i SIGNATURE=GENER L CONTRACTOR TITLE DATE rr REMARKS: -- White - Builder copy, Green - Builder copy, Yellow - Customer copy SIC - 303 Pink - Attic copy, Gold - File copy J ..d�...r••`l+.^�•`X^'--'.--.....•A,r..—....,Sr.+....�.vI,1....•+-.-.--�..w-......."".'yw�.+... �..y....•.�.-•r� %��`' �•�y—�. r .v...n,+-.�..a•a......r Y. �- _ �. /s..v� „F�- a.�l.•`ti.r�ut . CERTIFICATION jOF INSULATION ' ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS LOT w �� P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 l❑�P.O. 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 .s- ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 (0 { j j �� / 1 f j (j l� V i (l 1 14W L ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 DATE INSULATION COMPLETED ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL` FIBERGLASS ' " ' ' ' ' MATERIAL f- -" ' ' '" FIBERGLASS°�` ` �' MATERIAL -t `' ' =� FIBERGLASS * ' ' • . FORM FORM FORM BATTS BATTS & BLOW BATTS MANUFACTURER'S PRODUCT I.O. MANUFACTURER'S PRODUCT LD MANUFACTURER'S PRODUCT I.O. MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF OCF BAGS R - VALUE APPLIED R - VALUE APPLIED WNEINSTT PEED R - VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SQUARE FOOT INSTALLED THICKNESS 1 1�� IL I KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R VALUE MANUFACTURER FIBERGLASS BATTS OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER j f —t-- 11 v W R GRACE THIS IS TO CERTIFY._THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS. • SIGNATURE =INSULATION CONTRACTOR � TITLE MANAGER DATE 24101 A 17- SIGNATURE -GENERAL CONTRACT09 ` TITLE DATE - REMARKS: s White - Builder copy, Green - Builder copy, Yellow - Customer copy SIC -303 Pink - Attic copy, Gold - File copy `;YY"1�e.-+T.4Re.•�r'�.s.- ..yM,..,. ......+r.�n.ri .... � M1. a...Aa.w.'.Yt ..t ....l,r-......r•..+�w. a.- .tides r"�� 'r . ^l h.�. .y ...-....•r. r.{//nj.'��/\.j -± LOT K � �I/Ky{.-.-'y 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 �///�%y��!(,,.R�� dl-P.O. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 y1 (o 1h1IJLJ (� ( t i) 4 r ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 It CERTIFICATIONOF INSULATION ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS , LOT K P, P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 dl-P.O. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 y1 (o 1h1IJLJ (� ( t i) 4 r ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 It DATE INSULATION COMPLETED ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF' INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS'-- FORM BATTS FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.O. MANUFACTURER MANUFACTURER MANUFACTURER OCF 'OCF OCF BAGS R - VALUE APPLIED R - VALUE APPLIED MIN. INSTALLED R - VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS WEIG T PER SQUARE FOOT INSTALLED THICKNESS KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE ` MATERIAL FORM R VALUE MANUFACTURER FIBERGLASS BATTS OCF AIR INFILTRATION SEALANT MATE RIALMANUFACTURER W R GRACE {1 ,/ THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS. • SIGNATURE -INSULATION CONTRACTOR TITLE MANAGER DATE j �% �% %� i f 1 C..4 �V SIGNATURE—GENERAL CONTRACTOR TITLE DATE I } REMARKS: f ' White - Builder copy, Green - Builder copy, Yellow - Customer copy SIC -303 `r Pink - Attic copy, Gold - File copy 068-160-035 01-3166 .FOX, WILLIAM & BARBARA 2778 ORO OPINCY, OROVILLE CONT: TMUINC ELEC SERV FOR -13P,01-2481 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE NO. (Rev. 12/96) APPLICATION AND PERMIT ASSE SORPARCELNUMBER 68-160-03� ZONING BUILDING PERMIT OWNER WILLIAM & BARBARA FOX TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3995 OLIVE HWY OROVILLE CA 95966 CONTRACTOR'S NAME TML INC. TELEPHONE 584-1524 CONTRACTORS MAILING ADDRESS 2944 HERITAGE RD., OROVILLE CA 45956 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2778 ORO QUINCYs OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFA1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK y4yy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ttY Describe Work: RELOCATE EU SER FOR BP#01-2481 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full force and effect. , y N�License Class Lic. No. '� �' L7 OWN WILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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' co p�e.G� sation insurance carrier and policy number are: Carrier � a J fir, 1 %� 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. r^ ..✓° X �: ,i. ;r .. !...r tee.• 1 _ Date /.� ^�+`-�' _ Signature of Applicant - ❑Owner fl Contractor ❑Agent Aw6SHA permit is required for excavations over 5'0" deep and demolition or construction of structures overstories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( & ACC. BUDS. FT. _3.50 NEW NOµgESID. T. MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OIfTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 1.00 aAL so FILED APPLNS. OR Ex. Occup. OUTLETS RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD TPYTISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1 a 1 f B y / r PERMIT EXPIRES ON ( the applicable provisions Resolutions to do work been paid. ] �" Date ,-/ Iv i t Date 23 Receipt No. �J {%t`S WHITE-D.D.S. _.D. CA A Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541D�_ 2/CMII NO. APPLICATION AND PERMIT V ASSESSOR PARCEL NUMBER 068-160-035 ZONING BUILDING PERMIT OWNER WILLIAM & BARBARA FOX TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3995 OLIVE HWY OROVILLE CA 95966 CONTRACTOR'S NAME TML INC. TELEPHONE 589-1529 CONTRACTORS MAILING ADDRESS 2944 HERITAGE RD., OROVILLE CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2778 ORO QUINCY, OROVILLE, Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RELOCATE ELE SER FOR BP#01-2481 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is'n full force and effect. icense Class Lic. No. -4 3 (d / © / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. sD 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS7.50 POWER APPARATUS 6 SINGLE Our. C1 R. Ex. Occup. OUTLET OR FIXTURES 20 p 1 .00 BAL .SO50 Ex. Occup. DFIx�E�oTSA Aa oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c9ffpeasation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those X _ Date Si ure of Applicant - ❑ O ner Contractor ❑Agent A SHA 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 $ 43.00 MAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fee have been paid. " c� B Dat q D PERMIT EXPIRES ON V� I Iete Receipt No. WHITE-D.D.S.-B.D. CA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT o ka i 7'f } oo rr d ,, err •�-L �,9-6 - '77 1 o d CP \ L N i 0 63—r �S w N N OA�YE%S