HomeMy WebLinkAbout068-350-022FORD KAY
60 Mountain,View Dr., Oroville
'Permit #k3852-76E,M(duo-pa6) SF
Contr: LaGrone Heating
,34=&3=.M
contr: Pryor Contracting, 0 ville
Permit #3876-76B(reroof/SF -
68-35-22
HENRY F KAv
60 Mt. View, Oroville4i11gl %il//� -
f Contr: Webster Electric, Oroville`
Permit#3177-82E(ele ser ch/SF)
68-35=22
Contr: George Roofing
Permit#806-86B(reroof/SF)
68-35 22 Burtenshaw Cermit#1361-89B(newcarport
n068-350 022,' 02=0256:;-'
KAY; JAY,`
M
s 60 OUNTAIlV*VIEW;DR° ORO,' i
.CONT ARTIC AIRES ' , X
y ♦ �S
x REPLACE;HVAC,N : .1 ..;�
a
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(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT 02-0256
PERMIT NO.
ASS AAp 22
ZONING
BUILDING PERMIT
YAM KAYYIJL
OWN
TE!!rA!%562
SQ. FT. OCC. BUILDING VALUATION
OwW " 9 VIEW DR t OROVIM 95%6
jai
{� +
cONr�'[Q�lf, n1tE
`q/1,pS oe
TE 7J=�340O
coNZW P=7W g MICO 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUI%b AM&TAIN VIEW DR, OROVIM
Energy Plan Checking Fee $
PERMIT FEE S
IAT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.0023.00
USEOFSTRUCTURE
SF Oj( Duplex ❑ Mobilehome ❑ Other
r SPECIFY
Solar or heat um water heater
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑x
Describe Work: HMACE E% jM
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI G1 W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service o., OR mss 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 ° Lic. No. -_1I
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
Main Service 200A TO 1000A 46.00
NEW CONST. pWpyM1G OCCUP. SO
OR AODNS. ( a Acc. OCS. 3.50FT.
NON REOSID. MULTI.OUTLET 97,50
FOWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OVTLETORFURURES BAL@'.5500
FUMED APPLNS. OR
Ex. Occup. S.00
ouTLErs REsID. EA
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' compensation insurance carrier and policy number are:
Carrier r' ': ' 1 " f
Policy Number Y :. t
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X "' Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating • 00
Cooling •
Hood 6.50
Ventilation
PERMIT FEE $ • 00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE r�
TOTAL FEE $ •
HAZ.
I D. FEES IMP
I FLOOD
TZFFT7ZjCa
PD
I HD
I IS
This permit is hereby issued under the applicable provisions
of the ButtCounty Code and/or Resolutions to do work
indicated a ove or which fees have been paid.
'., %1 a . f „ ,
By � Date (9 cv
PERMIT"EXPIRES ON (9-(0-6
Date
ReceiptNo. 3�$7V•W
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. 1__*
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT 02-0256
PERMIT NO.
ASSfj$$OTARDEy 1'022
ZONING
BUILDING PERMIT
OwNrARANE KAY
TE�}C4} pNE6562
J
SO. FT. OCC. BUILDING VALUATION
GWT d j W'A VIEW DR, OROVILLE 95966
CONTji tt NtRE
[[` jj(( jjFd'
TE NE3488
°G
YAuft'X`2, CHICO 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BLIILD�b AQNdWNTAIN VIEW DR, OROVILLE
l°1UU
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF Ek 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 OX
Describe Work: REPLACE EX HVAC
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
OOOV OR UES
Main Service 200" 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. �-s
License Class -1 CZu C%(, Lic. No. Q,5 ' f 1 �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f9poothe following reason:
I, as owner of the property, or my employees with wages astheir 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
Main Service zoo" To loon" 46.00
NEW CONST. DWEILNG OCCUP. SO
OR ADDNS. ( a "cc. BLDs. 3.5¢x:
",os'"N-RCESIUT. MBRAULTI-OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
.00
EX. Occup. OUTLET OR FDRURES BAL @ 1. 0
FIXOR
Ex. Occup. ouT>�is Aa.) El 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23:00
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
erformance 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier Y A IA'8P►
Policy Number SnA I 5Z 2 4
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
//
X Date 2 -cam �y 002
Signature of Applicant - ❑ Owner ❑ Contractor gent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling 15.00
Hood 6.50
Ventilation
PERMIT FEE $ 50.00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
X
This permit is hereby issued under the applicable provisions
Code and/or Resolutions to do work
which fees have been paid.
*By --Date
ate
Receipt No. 343173/$50.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 1361-89B
PERMIT EXPIRES'
OWNER JANE KAY
CONTR. Burtenshaw Const
ASSESSOR PARCEL 68-35-22
LOCATION 60 Mountain View Dr, Oroville
.V�,� �
Temp. Power Pole
Called PG&E
Temp'. Elea. Service
Celled PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
i=
=,OK -
= Not OK
= Not Readyable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
D S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
tr-,W
. honing RequireTf!i -Setb�s-51af'ments
2. Soils; Special MH Support -Sketch
.Footings; Sottts-Siz6-D h -Sp ing-Connectors-Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
I ers and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
ood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -131 Date
oof; Shthg-Roofing
Card -131
Date Card -81 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Dated Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Dat Card -81, Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
Card -131 Date Card -81 Date
Card -131
Date Card -61 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
bate Card -B1 Date
Card -131
Date Card -81 Date
= UK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/. /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test.
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -B1 Date
Card -131 Date Card -81 Date
_Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AI
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date A
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
f 09
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/536-7541
APPLICATIOp" AND PERMIT
PERMIT NO /
ASSES OC§,L,tWMBE
ZONING
BUILDING PERMIT
OWNER r
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN MAILI DDR S ^
1, v'
CON ACTOR' NA E
C AILIN AD E S
LQ ma
Fireplace
ONSTRUCTIO LE DER
.
UNKNOWN
-Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
I
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
I�®
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
SPEC r
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New c� Addition ❑ Remodel ❑Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
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 BUSIneS$
and Professions Code and my license is in full force and effect.
�3 %�
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.ad) ,
OR ADONS. ACC. BLDGS. / /20sgft
NEW CONSTR U TI -OUTLET 2,50 ea
NON.R ESID .BRA CH CIRC ITS
POWER APPARATUS .&)
(SINGLE OUTLET CIR,
EX. OCCUp�OUTLET4 OR FIXTURES 20®50t
SAL930
FIXED APLNS.❑
EX. OCCUp. OUTLETS P(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
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.
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify kee armless the County of Butte against
all liabil' ' judgme cost ,and xpenses which may in any way accrue
agains County 'I thea granting of this permit.
X ti s— 3 _ �i
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 $
OCCUP.
CONST.TT
SCNooL
FLOOD
ARCEL
PD ND
�/
Is3
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date �J
iJ
Receipt No.
WHITE-D.P.W.. TELLOW-ASe9330N. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF --PUBLIC WORKS - BUILDING DIVISION
-R---.
7 COUNTY CENTER DRIVE - OROVILLE, C�IFQ,RNIA 95965 -TELEPHONE: 916/538-7541
t PERMIT APPLICATION DATA SHEET -
Permit No.
OWNER 67 V A. P. No. -
Proposed Building Use Building�lnspector Date
,w
At time of permit application, I was advised the following data ust 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .........................'............................
12. School Distri /fees paid .................
:Ii -13. Sanitation approval from aco ( Zi � Health Department ... S " S 9 .70
14. City of Chico plumbing. permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector ate)
20. Contractor's license information (No., Name Style, Classification) ..... .
1. Certificate of Workmans Compensation Insurance ........ .
22. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ........
k—w:j
23. Recorded copy of Agricultural Acknowledgment Statement ........... .
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, proc/e/�ss as follows: Mail to owner. Mail to contractor.
Telephone_yl-��T`/T9and hold for pickup at office. Deliver w/inspector.
Other / f
ApplicantA-77
/. Date <
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issua c (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---nall—counter by -'date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder ��. • r
Copy—DPW
�® Buildina Department )
FROM:_.. Environmental health j
1
SUBJECT: Sanitation Clearance
/I e Wa. 1/ 47 iM Oze &j
aa�2 r Location AP#
Ps 11 Approved for: Seoaace Disposal . Water Supply
Hold final for: Water Suppler
Final clearance O.K. for.: Water. Supply
clearance for bedroom mobile home. Other j -L
' Sanit�ar�an
Date.
Avg Sef dig MM ft
cept on the joh at all times and it is unlaWU f`A
nake any chr'"Icr^s or alter^tions on sama wffhOuf
l'�T�
itten permission from the De rt�+ lJ'�
G`
NOTE:—AR Materials & Workman.,�e IA
Accordance with p ood Practic�a and �;7}' prescri7 eJ for the Specifier case in, the
Uniform BuLding, Plumbing & Mechanical Qedes'
and
the National Electrical Codes
of 5 ft, from the
A
setback Y1.1nes and a setback
Property the road
of ell
from clear of
Centerline shall be D j
ent ex�Pt
stTuctures or eaU� rz •► C l'e.,a'r
for a eavet ove�y�S
e
yy
3
O
--
NOTE:—AR Materials & Workman.,�e IA
Accordance with p ood Practic�a and �;7}' prescri7 eJ for the Specifier case in, the
Uniform BuLding, Plumbing & Mechanical Qedes'
and
the National Electrical Codes
of 5 ft, from the
A
setback Y1.1nes and a setback
Property the road
of ell
from clear of
Centerline shall be D j
ent ex�Pt
stTuctures or eaU� rz •► C l'e.,a'r
for a eavet ove�y�S
e
yy
3
I
T.
L
71
0
-r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAT4eri AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
e
OWNER'S MAILING ADDRESSTL 0
j
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
LVt.
Fireplace
CONSTRUCTION LENDER
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
$ r
BUILDING ADDRESS
PLUMBING PERMIT
FiIingFee 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 STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home ISI GJWJ
10.00 e
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: '� ( r..
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2h2sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
F -1I 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
NEW CONSTF ULTI.OUTLET 2,50 ea
NO N•RESID BRANCH CIRC ITS
NEW CONSTR / POWER APPARATUS &
NON.RESI D. 1 SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES SA e30o
FIXED APPLNS. OR
EX. OCCUp• OUTLETS (RESID,) EA.) 2.00
Temporary service 10,00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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.
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,
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
f
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
f
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 9.5965 - Telephone 916/534-4541
APPLICATION AB, PERMIT
ASS SS R P RCEL NX!
ZONING
BUILDING PERMIT
OWNEFT
HenryKay
TELEPHONE'
534-6562
SQ. FT. OCC. BUILDING VALUAT
ON
OWNER'S MAILING ADDRESS
60 Mountain View Oroville, CA. 95966
CONTRACTOR'S NAME
George Roofing533-6393
TELEPHONE
CONTRACTOR'S MAILING ADDRESS -
3923 Olive Hwy. Oroville, CA. 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
$ '
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING
60 Mountain View Oroville CA. 95966
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 STRUCTURE
SFER Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ®
Describe work: Roofing
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
,
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[X 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. 452266 Classification C-39
❑ 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 CO IDP_ BRANCH CIRCUITS 2.50 ea
NEW CONSTRPOWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
20@50C
Ex. Occup(o XTs OR FIXTURES BAL®3o
FIXEEDD APP LNS. OR
Ex. OUTLETS (RESID.) EAJ 2.00
-Occup.
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
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 consffktion, and hereby authorize representatives of the Countyot
Butte to enter upon the,bbove-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, cost's, and expenses which may in any way accrue
against said C unty in consequence of the granting of this permit.
X
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.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IREWF PUB
BY
R I
PET EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C ORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
d
00 • d�0
gg6 ���,�oa39"
s
,C
PERMIT NO. 3876-76B
i
j PERMIT EXPIRES
OWNER %d Kay .
CONTR. Pryor Contracting, Orovi]]e
LOCATION (A.P. 34-53-22
i
t, 60 Mt. View Dr., Oroville
Temp, Poer Pole
Calle PG&E
Temp. lec. Serv.
C led PG&E
Te . Gas Serv.
Called PG&E °
l
IN r� / 1�
FINALED
(Date)
(Si ature)
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Fixtures
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Sidina
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
C
Conformance
mance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
. FIREPLACE
Final
Footinas
Footina
ELECTRICAL
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatinq
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
' COUNTY OF BUTTE —� DE-PARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 3Y76
Tel ephoae: 534-%541
11
APPLICATION AND PERMIT
BUILDING
Owner>'C /�
SQ. FT.. OCC. BUILDING VALUATION
O.
Mailing Address /o + � � Q .a
Telephone No.
Fireplace
Contractor � G Y C` r
Total Valuation
Mailing Address %3o 3 JO DOC C_. G
Permit Fee
Plan Checking Fee&/or Penalty
-� a.
T �7ne No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 341
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Saaitasion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Flans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
j p S
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
-
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b0 (d2
Receps., switches & fix outlets
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: /J ®Water
Y d ( d f9 ►-ci / f oh �r
Hood, Ex. Fan or F. A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
i
License No. .� /V O YL Classification 3
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
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
V1 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 N0.1 @ 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 7
$' n ure of P r itee or Agent
ReceiptLNo.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE $ V, f1*
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.
DIRECTOR0 P ELIC WORKS
By Date 7 —f Z L
wilding permit expires Date
Permit#3177 82E
Henry. F. Kay
MUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORT<S PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAVON AND PERMIT n
ASSESSOR PARCEL NUMBER
M,3 ' — ZZ
ZONING
BUILDING PERMIT
OWrNER� j�� v
+C
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S/!/`'-/GMAILING ADDRESS
cGc%ECTOR'S NAME fS�l� ELCG7-oe1GT
LER
" 5Zz
CONTRACTOR'S M (LING ADD ESS
.1&3 SIN VN l`�1C>flC�al�.t �,e�- �, L_L �
Fireplace
CONSTRUCTION LENDER
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
$
BUI I 1 ADDR ESS�� //� /
(J// �i'lJ )Y/ IY,IVI .(f,J\ IR
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
_
Q14C/V�� L
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 9 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: � J%C— —
Permit Fee
$
'Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS1.0.00
/eq Lw
Main service EA. ADD'L too AMP
2.50NEW
CONST.
OLING R ADDNS. ( DWEACCLBLDGS.CCUP.&`
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
�.,�
L7 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full orce/and effect.
License No. �;�yfA✓� Classification �'` 7
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON-RESID. BRANCH CIRC ITS
NEW CONSTR / POWER APPARATUS &1
NON•R ESID. (SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES BA ®90Q
FIXED APPLNS. OR
Ex. Occup. OUTLETS (REST D,1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00/_5-
Permit Fee $ V
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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 nsent to Self -Insure.
. shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 ��/'� ��/�
�✓ e: Date
Signature of Applicant — Owner ❑ 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
$
TOTAL PERMIT FEE $ �
]CCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date`V
' Z
Receipt No. 72527
_rPERMIT
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
C.9UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT,NO.
ASSESSO PARCEL NUMBE
, "--
ZONING
BUILDING PERMIT
O WIJ�F;�� r e-�� /
/Y
TELEPHONE
SO. FT. OCC. BUILDING VAL ATION
OWNER'S MAILING ADDRESS
T LEP
CONTRACTOR'
Fireplace
CONSTRUCTION LENDER
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
$
BUI DING ADDRSSy� - /� - /r/ (//AV/
U
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
_
Water piping
5.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti liti s ❑ Installation[] Other
Describe work: , G—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50 2r��
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions ((Oode and my license is in full force and effect.
i /� i O
License No. !7 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 CONSTR ULTI.OUTLET 2,50 ea
NON.RESID. BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &
NON•RESID. ( SINGLE OUTLET CIR.
20@602
Ex. Occup(o OR FIXTURES BAL®soa
FIXXEEDD A APP LNS, OR
EX. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ L?
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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
oj..2t to Self -Insure.
[R-11[R-11shallall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation,
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot�
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X �� �S �—
�� y Date
S gYnature of Applicant — Owner F-1 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 $
TOTAL PERMIT FEE $ Q
occOP. 69O7PE
OF CONST.
I
PARCEL
PD
I HD
seuE
This permit is hereby issued under
sions of the Butte County Code and/or
wor ndicated above for which
IR I TOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/n
Date`Z,S'r$Z
r t -�
Receipt NO. 1-37—
WHITE-D.P.W., YELLOW -ASSESS , PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, _
7 County Center Drive Uroville, California 95965
Tel e�hone: 534-4541
APPLICATION AND PERMIT J
autnonze representatives of the county of butte to enter upon the
above-mentioned property for inspection purposes.
X - r t Date '
Signatu//r
reof Perrmititeee or Agent
Receipt No./ �1 9J
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.
OR OF PUBLIC WORKS
=RE
By Date
Building permit expires Date "?
)I
BUILDING
Owner t <
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 6(201 ti �40 A7- (7-
Total Valuation
tt
Mailing Address I() S� `P}, r' V e
Permit Fee
Plan Checking Fee&/or Penalty
+
Telephone No
52 3%U
Permit Fee $
BuildingAddress (�� j
too 1 `► VU t,-uy (/ f (' iAJ
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
_ i;2U V 1 P
Each Trap 1.50
1
i
Repair drainage or vent piping 1.50
Water piping 1.50
r
Each gas water heater or vent 1.50
C f ,' _
A. P. N0. �i .3
Zoning &Planning
Gas piping system 1 - 5 outlets 1. 80
Each additional outlet .30
Fees I
W.C.
-9aai-taUoa.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg-P•I-ams-9ee:.a
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 eA)
U ... (
Main service 1000 AMP ORV OR LE LESS5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER e0ov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( DACCLBLOGLING OCCUP. &) 22.sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTSL POWER APPARATUS &
NON.RESID, (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)��¢
BAL@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00 .�
Temporary service 10.00
/
Mobile Home Facilities 15.00
License No. '� i Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ DO
$ S QZ
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 , uv
Heating j UOZ 4J,
Cooling jp ti ,w
Ventilation
Hood 2.00
Permit Fee $ ( �Q
$ i � 6(.
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
rr
autnonze representatives of the county of butte to enter upon the
above-mentioned property for inspection purposes.
X - r t Date '
Signatu//r
reof Perrmititeee or Agent
Receipt No./ �1 9J
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.
OR OF PUBLIC WORKS
=RE
By Date
Building permit expires Date "?
)I
J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ephoy' 53464541
APPLICATION AND PERMIT
Jfsa -,,7 �
authorze representat ves o1 the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X e•- Date / —
Signot//re o Permitee or Agent
Receipt No ( 93
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.
��R OF PUBLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner
oa J.
SQ. FT. UCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor t IR CR—.0 N /Nv
Total Valuation
Mailing Address D / V e-
Permit Fee
Plan Checking Fee &/or Penalty
/
f>� �/ /
Te ho o.
S v
Permit Fee $
Building Address V
Q �P-0 6
PLUMBING No @ FEE
PERMIT FILING FEE $3.00
�
(2-6 ulbe
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
�2
A. P. No. �^ J — 2Gas
Zoning 8 Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
FeesW.C.
5aaLtaUGA-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Declaration
I Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Pla,,46."
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3.00
Du A PAC
Main service 600v OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service VER 600V
10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTR. POWER APPARATUS &
NON -REST D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
O
/ /�w�- «> .
Ex. Occup(OUTLETS OR FIXTURES)@2-1
BAL N'
Ex. Occu FIXED APPLNS. OR
( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
az, Ccp� „
Mobile Home Facilities 15.00
License No.Misc.
Classification r_ -243 -Ce, �/
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
(I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE $3.00LIZ
Heating ,®p
Cooling /.J ,cd
Ventilation
Hood 2.00
Permit Fee $ ®®$
!b
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
$ d�
authorze representat ves o1 the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X e•- Date / —
Signot//re o Permitee or Agent
Receipt No ( 93
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.
��R OF PUBLIC WORKS
By Date
Building permit expires Date