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HomeMy WebLinkAbout068-160-079A.P. 60-16-79� Y i� ORLIN CAMPBELL •3923 Olive Highway, Oro. CONTR: Holiday Pools, Chico Permit 1907-74B,P,E (swim. pool) ,. 68-16-�g DON GEORGE] 3923 Olive Hwy, anvilTe Contar: George Roofing Permit#2930-84B(reroof/SF) 068-160-079 PERMIT#95-2660 1t THULTS, Mike_ 3923 Olive.Hwy,' Oroville Cont; C & G Plumbing Gas*Line/SF r I i D � t i A.P. 60-16-79� Y i� ORLIN CAMPBELL •3923 Olive Highway, Oro. CONTR: Holiday Pools, Chico Permit 1907-74B,P,E (swim. pool) ,. 68-16-�g DON GEORGE] 3923 Olive Hwy, anvilTe Contar: George Roofing Permit#2930-84B(reroof/SF) 068-160-079 PERMIT#95-2660 1t THULTS, Mike_ 3923 Olive.Hwy,' Oroville Cont; C & G Plumbing Gas*Line/SF r I i D � t i i ��J I� ®r o o �� �s- CR C-� ` x- 7 1 1 ` � r �I 1 OFFICE COPY ' Address GAS 4 Meter By Daleo ELECTRIC Meter—Ery-- Date 3 a �J i i• A • Y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT 'A PERMIT NO. ASSESSOR PARCEL NUMBER 068-16_0-079 ZONING BUILDING PERMIT OWNERHIKE rMiLTS TELEPHONE SO. FT. OCC. BUILDING' VALUATION OWNER'S MAILING ADDRESS 3923 OLIVE %1Y, OROVITIE CA 95966 CONTRACTOR'S NAME C&G PLUMPING TELEPHONE c33-7696 CONTRACTORS MAILING ADDRESS 2011 12TH ST 0*20V•T r CA 95965 Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation Is LENDS MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty► $ BUILDINGADDRESS OLIVEHITY, Ogoymz PERMITFEE923 S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT N. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 • Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities q Installation ❑ Other ❑ Describe Work: INSTAII. WO N1,74 GAS I-1"TE.S R WA HFAATEX & COOT C;Tn%TE TO BF DISTAIIED Mobile Home S G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Ii4 FUME Main Service ( 200A ORLEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ' .j r> Lic. No. �9� 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) (LD7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ I•00 BAIL Ex. EX. O CCU p. OUTLETS FIXED (RES D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) JA I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 1folthwith comply with those provisions. � '7�3 � 1 ",r• r. _ Dated, �A Slg`nature of Applicant - kowner ��,Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE w 35.00 L HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE z This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resdlutions to do work indicated above for which fees have b/en paid. ! �, 10/24/95 + /Y Date BY 1Ad PERMIT EXPIRES ON 10/24/96 (Date) Receipt No. �?4 I WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n "A COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV/S_c5p 7 County Center Drive - Oroville, giblifbrt� a 95965 - Telephone (916) 538-754R MI D}Q• APPLICATION AND PERMIT1OV ASSESSOR PARCEL NUMBER 068-16-0-079 ZONING BUILDIN ERMIT OWNER MIKE THULTS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3923 OLIVE HWY. O.OVILLE CA 95966 CONTRACTOR'S NAME C&G PLUMBING TELEPHONE 533-7696 CONTRACTORS MAILING ADDRESS 2011 12TH ST., F CA 99969 Fireplace CONSTRUCTION LENDER NONE, UNIOVOWN Total Valuation is LENDER'S MPJUNG ADDRESS Filing Fee $ 2p.QQ Permit Fee $ ARCHITECT OR ENGINEER NON17 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS _ PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 1b XU Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other ❑ Describe Work: INSTALL TWO NEW GAS LINES FOR WATER HEATER (0y COOK STOVE TO BE INSTALLED Mobile Home I S I GI W (—W20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 IN FUTURE Main Service ( Zoon oR Is-' ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C YG Lic. No. Sgq 15'6? OWNER -BUILDER DECLARATION( I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) S O. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 US ) ( POWER APPARATourLET CIA. a SINGLE Ex. Occup. ( OUTLET OR FIXTURES) 20 00 Loo BAL . PLNS EX. Occup. OUTLETS (RES D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 folthwith comply with those provisions. k X Date S gnature of Applicant - kowner QVontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate ve for ich es hav By /)M, applicable provisions Res• utions to do work b n paid. Date 10/24/95 10/24/96 (Date) Receipt No.PERMITEXPIRESON WHITE-D.D.S.-B., RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroertle,t„�Jifornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS ;PARCEL NUM ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNES NO ADDRESS (4 vc( e COI�f '� O ' NAME p l 1. /V J fT�E�P�HONE \ J t�/i -76 CONTRACTOR'S 0 11MAIUNO ADDRESS 5+ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MALUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS CA t �'` PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 © J-1 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 oti Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ / `� �`��� �p Describe Work: �if/� 7�c- [� � Gti S i �F D Treo Ar L, r Mobile Home S G W @20.00 PERMITFEE $ tea Contractor - ELECTRICAL PERMIT Filing Fee 20:00 0V OR LESS Main Service ( 20 A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is "ll force and effect. GG License Class Lic. No. ,sO� 56 7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 provisions. Date L aignatureof pplicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP.3.5c OR ADONS. ( 6 ACC. BLOS. ) 50. FT. NEW CONST, MULTI -OUTLET @D7. NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. OUTLET OR FIXTURES 20 a 1'00 ( ) BAL Ex. Occup. ( OUTLETS AESID.) EA.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST- TYPE TOTAL FEE $ S L HA2. 1 O. FEES IMP I FLOOD I CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT eftwtf* q i ute OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ­ - BARBARA. PIERCE ADDRESS: 3074 GAWTHORNE AVE CITY & STATE: OROVILLE CA 95965 IMPORTANT: 7/15/93 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM. TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CLAIM NO. APPLICATION MADE ON WRONG PARCEL NUMBER. (BLDG PERMIT APPLN. #93- INV. DATE ENCUMB. GROSS AMT. 2109,RECEIPT. 1 3531 DATED 6—F3-07-93, A.P.--.#068-160-079). TOTAL FEES PAID ----------------------------- $105.00 RETAIN BUILDING PERMIT FILING FEE ---------- TOTAL REFUND DUE ----------------------------- ----------$90.00 $90. 00 I i I i I TOTAL $90. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have be p rformed or/0 vered, and that this claim Is true and correct as stated. Dated this .................... day of ,'J �.L�. 199(.{ at.f 1..4�uikj;�...... Calif. ..... fir%GC �� •`.. r.............. Sig n ature of almant I, the undersigned, hereby certify that, to the. best of my knowledge, the services or articles specifie e h v n performed or de. livered and that there is a Budget Appropriation or Specific Board Approval0 (Checkone)4 the, Dated this ..............15TH.......... day of JPLY ............... 1993., at ........OROVILLE, Cauf. ... ................................................................... Department Head or Authorized Deputy I Dept. 440=002 Exp. 4210500CONST PERMITS Code............................................ Code................................................PAYABLE FROM ...... 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. Q ASSESSOR PARCEL NUMBER 068-160-07 ZONING H -C BUILDING PERMIT OWNER Barbara Pierce TELEPHONE 532-0533 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3074 Gawthorne Ave. Oroville 95965 CONTRACTOR'S NAME Mobile Home Center,Inc.533-4403 TELEPHONE CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New r Addition U Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: MHI "HUD" Required _ (MHU # Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A08LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I dec[are 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 f rce and effect. License No. a6 ?D Classification n — ❑ I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B OR ADDNS. ( ACC. SLOGS. 3.64 sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d EX. OCCUp. FIXED APPLNS. OUTLETS RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie dgments, cos and expenses which may in any way accrue against sai Co •ty in cons Q ue ce •f the granting of this permit. XAyeA..t.,C/J Date �D :-3Q `0 An OSHA permit is required/for excavations over 5' ' deep and demolition or construct- ion of structures over 3 stor s in height. Mobile Home Installation Fee $70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 143531 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT nP�OUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS .c1�ounty Canter Orive - Orovtite. CattfomtW95965 - Teieonone: 916/538-7541 APPLICATION AND PERMIT I LK42-b RACTOR'3 04AIL91NG AOORES3 1 �/ icle e- V v,, R dip ' TR CTiON LE54513R UNKNOWN BR -3 IAA11. ITEC. OR ENG1NG6R LLCEN3G, IIT CT OR ENGLNCiiR-31AA1Ld NG AOOR63S 131NG AOORK= NW I SU901VIS10N HAMM I PARCEL. 1A UM -OF -STRUCTURE: F0 OualexQ Mobilehome4 Other SPECIFY TYPE -.OF -WORK 4ew Q Addition I/./ Remodei Q Utilities QCT Installation Other )ascribe work: CONTRACTORS UCENSE'LAW& delt�re under penalty of perjury (check one): ter I am licensed under provisions of Chact. 9. OIv.3 of the Business l� and Professions Coe and my license is in full, force and effect. License No. Classification. Q I, as the owner, or my employees with waqes as their sole comoen- sation. will do tae work.and the structure is not intended or offered for sale. (Sec. 7044) Q I. as the owner. am exclusively contracting with licensed conrract- ors. (Sec. 7044) Q 1 am exempt under Sec. Business and Professions Code - for this reason WORKMEN'S COMPENSATION INSURANCE I dectareunder penalty of perjury (cnecx one): The permit is for 3100.00 (valuation) or less. j I have placed on file with the County of Butte Building Oecartment a Certificate of Workmen's Compensation Insurance or a Certificate at Consent to Self -insure. I snail not emolov any person in any manner so as. to become -subject t0 the W. C. laws of California - Notice -to Appllcanr. If atter making this statemenr. should you became-suoiect to the W. C. provisions of the Laoor Coca. you must torthwltn comply with such provisions or this permit snail be seemed revOKeo. PERMIT NQ. 9-? _ 710 BUILDING PERMIT SO. F7. , OCC. 1 BUILDING VALUATION I � I FilingFee-; 15.cc Main service 2000AOORLEss Firectace Main service 200ATO1000Ar I 37.501 Total valuation I S �3.66 'r OR AOONS. ACEl LOGS. Filing Fee S 15.00 Permit Fee 1 / POWER APPARATUS 6 L Plan Checxinq Fee S FilingFee 5.cc Energy Plan Checking Fee S P enai tv 5 I Permit fee - i 5.50 ventilation PLUMBING PERMIT FilingFee 15.00 Eacn Trao Contractor 5.001 Solar or heat pump water heater 20.001 Water piping 7.001 Eacn aas water heater or vent 7.001 Gas piping system 1 - 5 outlets 5.001 Building sewer 15.001 Mobile Home S I G I W @ 15.001 Permit Fee- S- Contractor ELECTRICAL. PERMIT- I FilingFee-; 15.cc Main service 2000AOORLEss 18.50 Main service 200ATO1000Ar I 37.501 NEW CONST. DWEC. LLING OCCUP.B, �3.66 'r OR AOONS. ACEl LOGS. va.tal i NF -Y4 CO`�UN R. 1@ 5.001 O N.A E." 9RA.I }m CIRCT TS 1 / POWER APPARATUS 6 L I I I EX. OCCtrO OUTLETS OR FIXTURES 20 Wea Prm rXED APPLN5. OR EX. OCCUO. pUTL =T5 IRESI O.1 EA.L I 3.001 Temoorary service- I 15.001 Mobile Home Facilities I S.00ll Misc. 'Airing I 15.001 I ►. I Permit Fee - - Contractor t Contractor MECHANICAL PERMIT FilingFee 5.cc Heating I I I Cooling I HOoa i 5.50 ventilation I P ?rmtt Fee• S Contractor I certify that I have read tats application and state that tne-aoove•informatron j Monde Home Installation Fee- S is correct. 1 agree. to comply to all County Ordinances and State Laws retating to building construction. and hereav authorize representatives of the County of -nergy Insoectton Fee S Suite to enter upon the aoove-mentioned prooerty for- insoectton purposes_ XC CONST TYPE I I also agree -to save. indemnity and keeo harmless the County at. Butte against , !TOTAL Ftp $ ��✓ all Iiaotlittes. judgments. costs. and exoenses wnlcri may in any way ac rue ^AL10 FEES wo i FLOOD COF i PARCEL 101 n0 i .__. against said County to consequence of the granting of this permit. I - I X Cate his neTTntt 1s nereov lssueo under Tne aooncacte crc Srgnonue or Aoerrcanr antroctor r� %sem I—-:ionsor Trle-Butte Ciunty Ciae ant]/or resciuttons tp c orK :ncicotea aoove for wv,nicn fees have oeen pate. OSHA oorm•r .wu•rne ilii ..co.er.onz o.er j'a" :eeo aha aemour.on or consr.ucr- r DIRECTOR OF PUBLIC 'rVORKS n a�rrucrures ov..r vio••ws -.ani. Date ir�.�•.•,�,�:•i w_4.+1�+• .r-'.�v�rZ+r.rn.. '' p-"�y`ye�..n'ai w.in.� r �..``4.r�-�•.f." i/"..'-�'fth.. - ..iii'...• _. •titr�t�eY.,-' �-...., -�. 14 COUNTYOF BUTTE - DEPARTMENTORDEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1t?01-6 rA- V i erCe__., A. P. No. /)69- 160-0-79 Proposed Building Use /��{-L Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .......... :....... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .................. .................... . -� 11. Impact fees as shown on attached schedule. ......... . r 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. ............. L-' 17. Planning approval for (A) Use: l/ (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Z0. Pre -inspection for a'ea" °" req° required. . to Beal ing Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... !� 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone .5;3-UUo-g and hold for pickup at ; /�f_ office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution / ate Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 04' 93'2i0i Ovs-ico-o,9 i—S—y3 / ,(ie014353/ yppv mH� � a 0 re- -7/3/%Y OWNERS NAME: ADDRESS: BUILDING SIZE/AREA• CERTIFICATE OF ROOF COVERING A. P. #: t PERMIT #: /LDING USE: 7 4 * FIRE '0 HAZARD ZO/#1 LOWED-`ROOFING; FROM L'ISTS BELOW- ELOW _ F] VERY HIGH V;: #2F HIGH ,'#2, #3 F] MODERATE, #2, #3, #4 LIST #1 LIST #3 CLASS 'AAASBLY CLASS 'B' ASSEMBLY CLASS 'AFING BUILT-UP ROOF PER 3203(e) CLASS A OR B PREPARED ROOFING LIST #2ASBESTOS CEMENT SHINGLES ME' L ROOFINGNC. OR CLAY TILE 4NG (OTHER FIRE RETARDANT ROOFING)Q SLATE SHINGLESST #4 (0'CIII?R NON-COMBUS'I'I.1fl-J.-;CI..,ASS 'C' 235# ASI'HAL.I' SII.I.NGLI?S -L AREBY CERTIFY, I TNSTA.LLED ROOF COVERING AS INDICATED ON THE ABOVE BUILDING, TN CONFORMANCE WITH STATE AND LOCA REQUIREMENTS. FIRM NAME/OWNER (Please Print) SIGNATURE OF GENERAL CONTRACTOR/OWNER STATE\CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTTON APPROVAL. January 1988 Permit#22M2930-84• Don George _ 3923 Olive Hwy COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. _A ASSESSOR PARCEL NUMBERZONING BUILDING PERMIT OWNER 1 . 0— TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ' j TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS -/' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCT ' SF Q, Duplex ❑ Mobi lehome ❑ Other W.d Building sewer 5.00 Mobile Home ---FSG W 10.00 e TYPE OF WORK Ul New ❑ Addition ❑ Remodel ❑r Utilities ❑ Installation ❑ Other'0' Describe work: ►'' ✓ • ,1}� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR 000 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS, l ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 NON.RESID R. BRANCH CIRC TITS 2.50 ea NEw CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20@50a Ex. Occup(o s OR FIXTURES BAL0300 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC t ' B r (� ' �.��� y PERMIT EXPIRES 'Date the applicable provi- resolutions to do fees have been paid. WORKS Date - t 1 r Receipt No. a WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARC �6- ZONING BUILDING PERMIT OWNER 110 14 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRE CONTRA T OR'S NA T E ONE t CONTRACTOR'S M :7 A®D Fireplace CONSTRUCTION ENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 C (� j✓Q Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets. 5.00 USE OF STRUCTURE SF,XDuplex❑ Mobilehome❑ Other ! _ SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑,.,Utilities ❑ Installation ❑ Other ` Describe work: ��— >� � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2t/2 Esq ft CONTRACTORS LICENSE LAW I declare under pen t 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 �rce and effect. / / /ey License No. /� Classification G —=& ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET 2,50 ea NO N.RESID BRANCH CIRC 'TS NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20@50C p(ouTLETs OR FIXTURES SAL®300 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undef penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Xr I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa'd County in consequence of the granting of this permit. /—��-rJ� Signature of Applicant — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 Stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE of CONST. PARCEL PD ND 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. C R OF PUBLIC WORKS C/ By Date PERMIT E RES ate 8— ao�ver Receipt No. �6-3 / 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCE NUMBER _ ZONING BUILDING PERMIT OWITEW . TELEPHONE SO. FT. OCC, BUILDING VALUATION V- OWNER'S MAILING ADDRESS COy�TRACTOR' S NAME TELEPHONE ,2 J e h CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 1,10 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ A;VPTECT OR ENGINEER LICENSE NO.i. Plan Checking Fee ,E$. Energy Plan Checking Fee $ OR ENGINEER'S MAILING ADDRESS AR CH10T EC Penalty $ BUILDING ADDRESS Q/ , Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF$5- Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut' lities [IInstallatio ❑ Other g Permit Fee $ Describe work: Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUR.& , t I declare under penalty of perjury (check one): New CONSTR.( A ULTB OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID, BRANCH CIRC ITS POWER APPARATUS h (SINGLE .500 and Professions Code and my license is in full force and effect. OUTLET CIR. / Ex. Occup(OUTLETS 20®60t License No. Classification OR FIXTURES .ALO 30 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED PR Ex. Occup. OUTLETS IRESID IEA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against Occup. CONST.TYPEJ FLOOD PARCEL PD ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I against said County in consequence of the granting of this permit. X This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. BY Date WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE =jDEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER' ,�/� Fi,- .c f , t, 4 kp r n � Uri t Al r:nA#iPJ) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ( CON -TRACTOR'S NAME 01,0 11,P TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTOR ENGINEER WDN G LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q�l UP' do Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Vne). vi // Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF.R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition [:1 Remodel ❑ Uti lities ❑ Installation.❑ Other (n Describe work: ( o 14 ly,/) 4 /1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �— 01 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty Of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. CONST. ACC. BLDGS. DWELLING OCCUR.& I �Z2sgft NEW CONSTR ULTI.OUTLI-T 2,50 ea NO N•R ESID BRANCH CIRC ITS (POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu 20 0 a0a Occup(OUTLETS OR FIXTURES BAL030 FIXED PR Ex. Occup. OUTLETS (RESID.IEA.� 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile Hot- Misc. 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� 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. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OC CUP. CONST*TYPEJ FLOOD PARCEL I PD ND Is9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �' 5,-- /1 - )9 ZONING BUILDING PERMIT OWNER' �1 �( I �+1„ 411,0 r h n ��fC f /�"tCItM�iMl� TELEPHONE ,SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME v - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER '41, t/r G UNKNOWN Total Valuation $ FilingFee C $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /AN LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS c� ^ Mo ly Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ /}Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: r � In + / �4 /a 7� n - -' i AerCY� 1h /4 A"n14, cf- )grjIV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 d Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1 ❑ orsa th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.� , 1 hQsgft NEW AMULTI-OUTLET CONSTR. BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. D® Ex. Occup OUTLETS OR FIXTURES eZAL030yoe FIXED PR EX. Occup. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Oc CUP. CONST.TYPE I FLOOD PARCEL PD ND , V/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER j. �/ 1 1 r . /1 .. �'f f, r %T , . r 411< j 1.1.iCL A"'t " it TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A, `- r UNKNOWN Total Valuation is Fi in Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 'IDN CEnergy LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSi � Jt1 +' 1 ( Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other X Describe work: Alt• ?/"fi tT j i?1 k:,. _ rr� ih Pi %tnr• tvl `� �":u�i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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. BLDGS. /zQsgft NEW CONST R.OUTLET 2.50 ea NON, ESID BRANCH CIRC ITS POWER APPARATUS e OUTLET CIR. Ex. Occu ZOe5Oa p OUTLETS OR FIXTURES eAL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis 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. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ s OCCUP. CONST.TYPEJ IFLOODIPARCELI PO MD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Idr.S� c�r)Uther Permit No. A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/orissuance: 1. 2. 3. 4. 5. 6. 7. 8. 9. V 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans. Complete plans in duplicate/triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. CUSD ''Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ Letter of signature authorization. Sanitation approval from Health Dep Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑ , Mail to owner ❑. Improvements may be required. Contact Land Dev. Sec. of..D.P.W. Mobilehome Installation Data including manufacturer's installation instructions. Pre -inspection for required. Recorded copy of Agricultural Acknowledgment Statement . Driveway Permit (Construction approval required prior to occupancy). Plot plan approval from city of (See city for other reqts). When you issue the permit, process as follows: Mail to owner. - Telephone and hold for pickup at office. Other Applicant Mail to contractor. —Deliver w/inspector. Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m. Paradise. . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 9:00 a.m. Oroville . . . 7 County Center Drive Phone: 534-4281 Hours: 8:00 a.m. - 10:00 a.m. Paradise . . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 534-4601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant TO Building Department w .•�- FROM: Environmental Health SUBJECT: Sanitation Clearance -% - - _ 77 S f * r• Location (,�} AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply _ Clearance for NOTE/* * * Sanitarian Date OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . , , , , , 9. Letter of signature authorization. . . . . . . . . . . �0. Sanitation approval from Health Dept./ 11. Planning approval for (A) Use: (B) Parking: ✓ . 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) • 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. ate) When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a.m. - 3:00 p.m. 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) 2. I (have/have not) for the proposed work. 3. signed an application for a building permit I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security 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. PERMIT NO. 1907. %4B, P, E P J ) E M } X QMH UTIL. PERMIT NO. PERMIT EXPIRES ��� / 7S� PwNER Orlin Campbell CONTR. Holiday Pools, Chico LOCATION (A.P. 34-16-79 ) 3923 Olive Highway, Oro. o °i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD", r 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 Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final .Footings Footing ELECTRICAL Masonry Walls Throat • ' Rough 6 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS _ Motors Framing Test Water Htr. Stucco Final Subpanels.7-7 — MeshMECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i 4 Owner /%i / COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _ BUILDING SQ. FT. OCC. I BUI)_QING VAL-LLA-TION Mailing Address ' Telephone No. Fireplace Contractor Total Valuation Mailing Address— Permit Fee Plan Checking Fee &/or Penalty ;e&;Je& n Permit Fee Building Address `v PLUMBING No. @ FEE PERMIT FILING FEE $2.00 f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "�' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe i n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PI qP40eRecd Parcel rovoI P I arU.Arf roval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / Main service incl. 1 eter Additional meters ach 1.00 Sub -panel 02 ess) (more than 12) Single Family Duplex ❑ Mobil Home Q Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal to 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: O / au on / Receps., swi s & fixtbutlets Hood, Ex. Fan or F.A. Furn. Motor 2 X25 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump q. Water Mobil Home Facilities 5.00 Temp. Power Pole 5.00 / License No b'l- 3dd2. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability floor///Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date g re of Permitee or AgeenJ Receipt No. - / & _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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 P BLIC WORKS By Date�— B ding permit expires Date.................�....�.......%.,1