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HomeMy WebLinkAbout068-350-085t � 8-35-85 • JUNE HOSE .3830 Hi�dsle, Oroville n --' 35x,0 08.51't ,:,.Aa,92t, 0381���,a?; �'JACKSTERRY CONTCY�RI SU I T4,ELECTR I C 1i 383 I DALE, VE; OROVFI �e . ELEC •SERV/SFS r ;i'. •4" 4 ' 068'-" ° ' risk � .4 W �-,^le � . } -A35 0-08 r,m r �` =r. 2 0407 -'! tJACKSON' ERRY._�";�{ ,t', .CONTR�3DASL'H&AC N,38Hl DALE LAVE; �0R0V{ LLE; -,,p,,,, ARAT GAS L I,NES" 068-350-085 '" 01 109.8 JACKSON; MELAME • �� V 3830 HILLDALE DRIVE, OROVILLE" CONTR:.ROBERT WARD'; BTHRM REPAIRS, REROOF 068-350=085 01-1610;f u� JAC_KS_ON; MEL'ANIE � • � _ � sy , 3830 FHLL'DALE DR.-,.'`FOROVILLE ` CONT: ROBERT WARD MISC WIRING FOR•B_P# 01 410983 068-350-085' ., , ' .01-1790", 113 JACKSON, MELANIE'.,' 830 HILDALEA'VE:`.OROVILLE+t CONT_ ROBERT•WARD ,r `✓ ADDITIONAL REPAIRS PER ORDER' a *1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job hard In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on the job site. A.P. No. Owner Contractor O-6-elL Permit No. Expires to 'oZ�-�� a PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Shower Pan >:Oo Insulation Fireplace Footings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final L o Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Oroville - 7 County Center Drive 538.7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 COUNTY OF BUTTE r DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this lob card In a safe, conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plans must be available on the job site. A.P. No. =� Owner ! Contractor Permit No. Expires ' PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final .d DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY 'Adfress>>><<>` Oroville - 7 Count Center Drive 538-7541 538-7636 Chico - 411 Main Street 891.2751 891.2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 5,W:7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT a_-1/ /0 AsVVV!P_tb VVJ ZONING BUILDINGPERMIT 'ACKSON, MELANIE TELEPHONE30221 SO. FT. OCC. BUILDING VALUATION 1% 11 DGEVIEW DR. OROVILLE CA 95966 CONTRACTOR'S NAME WARD, ROBERT TELEPHONE 533-3569 �ofnTOHIGH ST. EOROVILLE CA 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3830 HILLDALE DR. OROVILLE CA 95966 Energy Plan Checking Fee $ '-.. $ PERMIT FEE $ LOT NO. SUBMIGIM'S P"E PARCEL MAP _ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O UOlities ❑ Installation ❑ Other O Describe Work: MISC. WIRING & 1 CIRCUIT FOR RP# 01-1098 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home FiTW W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service 60.0Voa .ss 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 i force and effect. �Q ^ License Class Lic. No. `( 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 48.00 NEW CONST. DWELLING OCCUP. SO OR AD ONS. ( 3.50FT. MACC. uSLDS. NON aEs10. @7.50 PS0 APPARATUS a swGLE ourLt� C,., Ex. OCCU . OUTLET OR FIXTURES FDCE PPLNS. OR Ex. Occup. oMDTARa,D, Fa 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE t LF$.QQ 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. O 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. a workers' comp ti carrier)"0"- policy number are: Carrier ...� l 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.) ❑ 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' comps tion laws of I'rfornia, and agree that If I should become subject to the work o e provisions f section 3700 of the La or e, I shall fo fth o ply rovi ' S. X Date �0 7 Signa re of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 48.00 HAz. o. FEES IMP FLOOD COF PAR- PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. —V / ate PERMIT EXPIR to ` ReceiptNo. WHITE-D.D.S.-B.D. CANARY- SE SOR PINK -INSPECTOR GOLDENROD -APPLICANT .�• � III ..��� � � w /.. .. 'aa Proposal 4 Date:.1/15/O1 To.-1~Ielanie Jac ,..e` Job Address: 3830 Mldaleve 57"gevie ve¢ Oroville, CA 95065 . Oro -011c, CA 66 i L '"- (530) 533-02221Oer ` `i4.•4 > �a• �� ote— - All item numbers relate directly to the ite numbers on the work write-up from Connerly ax and Associates. Scone of Proiect ."'•� 1. Permits $ 450.00' 2. Dumpster $ 260.00 011 3. Smoke detectors $ 150.00 4.: goof. Approx. 9 squares of composition roofing. Approx. 8 squares of buit up hot roofing. It is difficult to tell whether or not all necessary flashintts been tolled where the existing roof meets side walls of dwelling. If flashing is nolr�•. present it must be installed. Where flashing needs to be instalfd at the bottom of horizontal walls, the 1 "x 8" V -rustic siding will be removed, flashing installedd new `siding installed. On vertical rake walls flashing will be installed and then a board `will be installed over the flashing. Thif flashing will be masticed to the wall the trim willgbe masticed to the flashing and`the top f the trim board will be caulk �to the building. ' • Tear -off $ 850.00 • Composition $1,125.00 • Hot mop $1,400.00 , • ` ' `* Total roof $3,375.00 .. ` t-,"-° . g at walls must be instape a charge of $30.00/hr. and cost'of materials" us 10% '-app Eshniated cost if all flashing needs to be done is about $ 680.00. 5. Windows. All exitin-g windows to beieplaced with same size windows. Propo windows will be "-I*ulate" vinyl windows with vinyl grids between window' The ' actual cost f these windows is now less expensive than anodized aluminum: $3,145.00' r Robert Ward 555 High Street Oroville, CA 95965 (530) 533-3569 . CA Lic. # 309787 6. Carpet. As per work write-up for carpet. I have added vinyl flooring for all bathrooms, kitchen and utility porch. Vinyl installation includes new underlayment and vinyl base. There are 117 yards of carpet and 47 yards of vinyl. $5,574.00 7. Septic. The existing system will be eliminated. The old tank will be pumped and filled in with 3/8" pea gravel and or sand. A pump station will be installed at the present tank location. This pump will pump all material up to a new tank that will be located at the top end of the driveway. A new 300 foot leach field will be installed in grassy area left .of the house. Contractor takes no responsibility for existing landscape. $5,600.00 8. Bathroom. Make repairs and install anew fiberglass shower stall. Install "FRP" one foot above tub to act as a splash. $1,560.00 Subtotal $20,114.00 Supervision 1,005.00 Hard Cost $21,114.00 Overhead and Profit @ 15% $ 3,167.00 C, Contract Price $24,281.00 .,50 Extras (total costs) 9. Scrape, pressure wash, prime and paint exterior. $1,800.00 10. Prime and paint interior. ,.$2;400.00 11. Repair drywall in two upstairs ceilings. $ 180.00 12. epair subfloor and 3 floor joists under living room wood stove. Install 2 pier blocks d 4"x 6" girder. There is considerable water under the house. There is actually a pond where water has accumulated. Existing piers and posts in this area are insufficient. Recommend pumping standing water and filling this area with approx. 9 yards of concrete. Install 4 new posts and piers on this new concrete. Hopefully this will eliminate the ponding now taking place in this area. $1,.115.00 13. There is an electrical panel with circuit breakers under the house. This panel should be eliminated Eliminate existing panel and install necessary splice boxes. Make sure all circuits are accessible from exterior main panel. $ 480.00 RespectfulRespectfWly submitted by Robert Ward CHANGE ORDER Date The con truct'on agreement date `Q and (Contractor) pertaining to the property located d betwe nJ a (Owner) at 39 is hereby modified and amended by the following deviations from original plans and specifications: en nd, tually agreed that for s ch change the contract price is *�Ua ecreased by $ The new contract amount is Increase in contract amounts will be payable upon completion of agreed upon items. Decreases in contract amounts will be deducted from the relevant paymerit, as agreed upon in original contract. All other provisions of the original contract and agreement shall remain in full force and effect, wit:Ai5x e deviations. Home Owner Representative, Connerly & Assoc., Inc. Date THIS CHANGE ORDER IS NOT VALID UNTIL'ALL SIGNATURES ARE IN PLACE AND THIS FORM IS RETURNED TO CONNERLY & ASSOCIATES. Roof • Install 2"x 4" facia on rafter tails at back of house at hot mop roof area. $ 65.00 • Remove and replace damaged roof sheathing. $ 92.00 • Install metal flashing under upstairs windowsills at front of house. NO CHARGE • Install granular rolled roofing over new hot mop roof in area above kitchen pantry area. NO CHARGE Septi • Move camper shell, pallets, cord of fire wood, doghouse, various toys, pile of lumber and car (after inflating tires) from area of leach field. NO CHARGE • Remove rubbish pile from corner of house in area of waste line hook up. 'NO CHARGE • Import and spread $ 150.00 worth of road base to drive area. NO CHARGE • Remove posts between lawn and parking area to facilitate installation of leach field (posts were installed after area was first surveyed). NO CHARGE Exterior plumbiing • Install shut off valve to both buildings for the water supply. NO CHARGE • Remove gray waterlines from rental building that presently run off in a.pipe down the hill into a gravel pit and were not hooked up to waste lines. Re -install these lines into the septic system. NO CHARGE Interior plumbing • Terminate existing plumbing for the existing vanity in the wall. Plumb waste lines and water lines for new vanity position. $ 300.00 • Eliminate gray water lines from -the upstairs vanity, down stairs washer waste, and, kitchen sink. These lines ran out the crawl space hole and outside to the property line. Replace kitchen sink waste line and replace with ABS (present pipe rotted through). Cut out and replace 3' of 4" waste line (present pipe rotted through). Rotted pipes - were discovered when a water test was applied to the waste line system for the new plumbing for the tub/shower. $ 285.00 • Remove downstairs toilet. $ 15.00 • Install new pressure relief valve on existing water heater. $ 25.00 • Remove existing water heater. Current water heater leaks from the tank Currently the water heater is hooked up to the water lines backwards and uses inappropriate fittings for the hook up and the pressure relief valve. Plumb the water supplies with V copper pipe with appropriate fittings. Install a cold water side shut off valve. Install a "Smitty Pan" for the new heater to sit in. Install new water heater. Wire for the -new heater to be placed in appropriate conduit. $220.00 • Drive to Chico to purchase and pick up new water heater and toilet for downstairs. The present heater leaks and the present toilet is cracked in two places. $ 50.00 • Cost of new heater and toilet. $319.65 • Install appropriate drain and trap for the washing machine (requested by Building Dept.). $ 35.00 Walls and drywall Build 5' of wall between new tub wall and existing vanity wall. Drywall and tape. NO CHARGE . Patch drywall holes in wash area. NO CHARGE Electrical • Install new switch for light and GFI outlet at new vanity location. Install light fixture from old vanity location to new location. Install a new circuit to this location. Install n--- w breaker in the main service panel. Replace an existing 20 -amp breaker with a mini 20 -amp breaker in order to have space in the panel for the new bathroom circuit. Terminate existing vanity light wires and cover with a solid cover plate. $ 118.00 Carnet and Linoleum • Remove and replace 5' of underlayment in the downstairs hall area. Install a block under the existing subfloor for support of the subfloor. $ 65.00 • Change vendors and installers for carpet and linoleum at the request of the owner. Owner agrees to take all responsibility for scheduling, room preparation, negotiations, inspection and quality of work. Contractor to lower original contract price by the difference of the between the vendors, work performed by vendors and a profit margin of 15%. Difference of cost is $ 1,259.25. Profit is $ 188.89. Total to be removed from original contract is; $ 1,448.14 Summary Cost of extras $ 1,589.65 Reimbursements $ 1,448.14 Difference $ 141.51 The cost of $ 141.51 is the cost above the original contract. -,. ---••� ....-.,� - an-...;:,,..-•vsy��;��a '°�-.'r'cr'n'sv."�::, � `i• ��y _-•�c i ar y :_ _ _z.� ,- �.. 068=350-085 01-1790 �� f JACKSON; MELANIE 3830 HII DALE AVE. OROVILLE CONT: ROBERT WAR) - 'ADDITIONAL' REPAIRS PER ORDER r Y� w .� N10- = 1 T / t ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-1790 ASSESSOR PARCEL NUMBER ,,jj6`_` 50 gyp VL.11.1'-350-11G� ZONING - BUILDINGPERMIT OWNER JACKr CXkl j*EL AMIE TELEPHONE 533-0221 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 579 iI7WEVIEW DR. OROVILLE CA 95%6 CONTRACTORS N"* BEn WARD TELEPHONE 533_3569 CONTRACTORS MAILING ADDRESS 555 HIGH ST.$ CROVILLE CA 95965 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 111"GADIM0 HILiAU AVE. ORtJVILd..E: CA 959650 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTAUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECFY Each Trap 1 7-007.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITIOMI. REPAIRS PER ORDER DAM 6/25/01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S• G I W @20.00 PERMIT FEE $ 72.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�a.VA ORLES 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsllof Chapter 9 (commencin with Section 7000) of Division 3 of the Business and ProfesAons Code, and my licen a in full force and effect. t� License Class Lic. No. � / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sooA To ,000A 46.00 NEW CONST. DWELLMp OCCUP. OR AR.0N ( a ACC. BLDCS SO 3.5QFT: NON g61D, MULT,•OUTLET t7G 7.50 8PS QELAE OPS QTc A Ex. Occup...OUTLET OR FIXTURES zo ® ,.pp BAL .w ED Ex. Occup. ..FIXAPP =.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • 00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain n 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' compensatiorysurancerrrier and policy number are: CarriertE. ` ��` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEI: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall note loy an person in any manner so as to become subject to workers' comper ation ws of California, and agree that if I should become subject to the IN er ' com en tion provisions of section 3700 of thj b Code, I shall f hvt co ly ' h those rovisions. �� X _ y Date _ �S' nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 115.00 HAZ. D FEES IMP FLOOD CDP PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 7-20-201}1 PERMIT EXPIRES ON 7-20-2002 Date rwReceiptNo. HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0/-/ /%6 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-350-085 ZONING - BUILDING PERMIT OWNER JACKSON MELANIE TELEPHONE 533-0221 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 579 LODGEVIEW DR., OROVILLE CA 95966 CONTRACTOR'S NAME ROBERT WARD TELEPHONE 533-3569 CONTRACTORS MAILING ADDRESS 555 HIGH ST. OROVILLE CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING AD 1930 HILDALE AVE., OROVILLE CA 95965- . 3 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7-007.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITIONAL REPAIRS PER ORDER DAT .D 6/25/01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15-0015.00 Mobile Home Is G W @20.00 PERMIT FEE S 72,00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service AoRLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin wlth Section 7000) of Division 3 of the Business and Professions Code, and my licenge - in full force and effect. .y License Class Lic. No. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT, NEW CONST. MULTI.OUTLET NDN REBID. @7.50 POWER APPAwLTus 8 SINGLE OUTLET CSI R. EX. Occup. OUTLET OR FmcrURES Zo@'-00 eAL @ .so Ex. Occup.oFurtFrs .a) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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. a workers' c�o�pQnsatio �ranco e�rrier and policy number are: Carrier � l3`.t=tom r''�"") MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall note loy any person in any manner so as to become subject to workers' com tion laws of California, and agree that if I should become subject to the enrtion provisions of section 3700 of the Lab Cod I shall ly h those rovisions. 2 X Date WofAppIrica nature nt - ❑ caner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz D FIE IMP I FLOOD I CDF PARCEL. Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for h fees have been paid. - Date 7-20-2001 PERMIT EXPIRES ON 7-20-2002 Dale ReceiptNo. 331509 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -- NflSlOR/ARCA NULelp r_v d�PO BUILDING PERMIT owNlR ' TlLpIgN! SO. FT OCC. BUILDING VALUATION 33-oa�� CONSTRUCrKWiEHD&V ------ LENDER'! kWUNO ADDRESS ARCHITECT OR EMWJM UCENS! NO. ARCHITECT OR D40MEMIS MNlNO ADDRESS ' LOT NO. I SUBMISMMO{A IE USEOFSTRUCTURE SF K Duplex ❑ Mobllehome ❑ Other ePEkiaV TYPE OF WORK New O Add�7) Remodel O UtlGties O Installation O Other iA *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NV"ER * TO k PVT INTO COMPUTER Total Valuation is Filina Fee S Flln Fee 20.00 Permit Fee S 23.00 46.00 Plan Checking Fee S 3.5err, Energy Plan Checking Fee S (7.50 S x 0 1.00 DAL s0 PERMIT FEE $ 5.00 PLUMBING PERMIT Temporary Service Filing Fee 20.00 EachTra Mobile Home Facilities 7.00 0-07 Solar or heat pum water heater Mise Wiring 23.00 Water Diping 15.00 Each afar heater or vent I S 15.00 Gas piping system 1 - 5 outlets Fling Fee 15.00 Building sewer 15.00 j SCO Mobile Home S G W (20.00 PERMIT FEE I S Hood' 8.50 { PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee b ' occ coNsr. TYPE TOTAL FEE $ HAZ D. FEES MP FLOOD CDF PARCEL PD IO 11 J=U-E This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ELECTRICAL PERMIT Flln Fee 20.00 Main Service pwon�s Main Service 200A TO I000A 23.00 46.00 NEW CONST. DWRIma OCCUP. OR ADDNS. i ACC. OLDS. 3.5err, NON-RESiO. MULTFOtJRET POWER APPARATUS i 906OLE OUTLET q0. (7.50 Ex. Occup. OUTLET OR FCfTLIRp x 0 1.00 DAL s0 I Ex. Occup. Fu�D APPUr8' OR OVRETS ES -D. EA 5.00 I Temporary Service 23.00 Mobile Home Facilities 20.00 Mise Wiring 23.00 o23 PERMIT FEE I S {� MECHANICAL PERMIT Fling Fee 20.00 Hood' 8.50 { PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee b ' occ coNsr. TYPE TOTAL FEE $ HAZ D. FEES MP FLOOD CDF PARCEL PD IO 11 J=U-E This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date Date The con truct'on a reement <Q 'a� /I , ), e J (Contractor) -711fle P CTs CHANGE ORDER dated/ l�% between and L. ,12LJ , and (Owner) pertaining to the property located at -39 is hereby modified and amended by the following deviations from original plans and specifications: *s.m tually agreed that for such change the contract price is 1n e ecreased by $ The new contract amount is . Increase 'n contract amounts will be payable upon completion ofagreed upon items. Decreases in contract amounts will be deducted from the relevant payment, as agreed upon in original contract. All other provisions of the original contract and agreement shall remain in full force and effect, withou4che because of above deviations. 4 Home Owner Cont actor Representative, Connerly & Assoc., Inc. . Date THIS CHANGE ORDER IS NOT VALID UNTIL ALL SIGNATURES ARE IN PLACE AND THIS FORM IS RETURNED TO CONNERLY & ASSOCIATES. V, , Roof • Install 2"x 4" facia on rafter tails at back of house at hot mop roof area. $ 65.00 • Remove and replace damaged roof sheathing. $ 92.00 • Install metal flashing under upstairs windowsills at front of house. NO CHARGE • Install granular rolled roofing over new hot mop roof in area above kitchen pantry area. NO CHARGE Septic • Move camper shell, pallets, cord of fire wood, doghouse, various toys, pile of lumber and car (after inflating tires) from area of leach field. NO CHARGE • Remove rubbish pile from comer of house in area of waste line hook up. NO CHARGE • Import and spread $ 150.00 worth of road base to drive area. NO CHARGE • Remove posts between lawn and parking area to facilitate installation of leach field (posts were installed after area was first surveyed). NO CHARGE Exterior plumbing • Install shut off valve to both buildings for the water supply. NO CHARGE • Remove gray water lines from rental -building that presently runoff in a pipe down the hill into a gravel pit and were not hooked up to waste lines. Re -install these lines into the septic system. NO CHARGE Interior plumbing • Terminate existing plumbing for the existing vanity in the wall. Plumb waste lines and water lines for new vanity position. $ 300.00 • Eliminate gray water lines from the upstairs vanity, down stairs washer waste, and kitchen sink. These lines ran out the crawl space hole and outside to the property line. Replace kitchen sink waste line and replace with ABS (present pipe rotted through). Cut out and replace 3' of 4" waste line (present pipe rotted through). Rotted pipes were discovered when a water test was applied to the waste line system for the new plumbing for the tub/shower. $ 285.00 • Remove downstairs toilet. $ 15.00 • Install new pressure relief valve on existing water heater. $ 25.00 • Remove existing water heater. Current water heater leaks from the tank Currently the water heater is hooked up to the water lines backwards and uses inappropriate fittings for the hook up and the pressure relief valve. Plumb the water supplies with3/a" copper pipe with appropriate fittings. Install a cold water side shut off valve. Install a "Smitty Pan" for the new heater to sit in. Install new water heater. Wire for the_ new heater to be placed in appropriate conduit. $220.00 • Drive to Chico to purchase and pick up new water heater and toilet for downstairs. The present heater leaks and the present toilet is cracked in two places. $ 50.00 • Cost of new heater and toilet. $319.65 • Install appropriate drain and trap for the washing machine (requested by Building Dept.). $ 35.00 Walls and drywall • Build 5' of wall between new tub wall and existing vanity wall. Drywall and tape. NO CHARGE • Patch drywall holes in wash area. NO CHARGE Electrical Install new switch for light and GFI outlet at new vanity location. Install light fixture from old vanity location to new location. Install a new circuit to this locRtion. Install .w breaker in the main service panel. Replace rin existing 20 -amp breaker -with a mini 20 -amp breaker in order to have space in the panel for the new bathroom circuit. Terminate existing vanity light wires and cover with a solid cover plate. $ 118.00 Carnet and Linoleum • Remove and replace 5' of underlayment in the downstairs hall area. Install a block under the existing subfloor for support of the subfloor. $ 65.00 • Change vendors and installers for carpet and linoleum at the request of the owner. Owner agrees to take all responsibility for scheduling, room preparation, negotiations, inspection and quality of work. Contractor to lower original contract price by the difference of the between the vendors, work performed by vendors and a profit f'` margin of 15%. Difference of cost is $ 1,259.25. Profit is $ 188.89. Total to be removed from original contract is; $ 1,448.14 Summary Cost of extras $ 1,589.65 Reimbursements $ 1,448.14 Difference $ 141.51 The cost of $ 141.51 is the cost above the original contract. 27 e4i 0 Proposal Date:.A/15/01 Xoi'Melanie Jackson Jdb Address: 3830 flildaale,�Kive rive 570Lod 421 Orovill6; CA 95965 gevie P Ir r Orovilk, CA 9$966 J (530) 533-02'221 7-P ote---- All item numbers relate directly to the item numbers on the work write-up from Connerl Y, v and Associates. Scone of Proiett 1. Permits $ 450.00 2. Dump9ter $ .260.00 Smoke detectors $ 150.00 4. Roof. Approx. 9 squares of composition roofing. Approx. 8 squares of bui�tulp hot ,fop roofing. It is difficult to tell whether or not all necessary flashing4rus ti en 'installed where the existing roof meets side walls of dwelling. Wfiashing is notes present it must be installed. Where flashing needs to be installed at the &ottorn of horizontal walls, the Px 8" V -rustic siding will be remdv--e-d'.flashin g installed nws e ' 'g install6d On vertical rake walls flashing will be installed and then a:idin board"w'illbe installed over the flashing. ThisTashing will be masticed to the wall, the trim will be masticed to the flashing and the top f the trim board will b-6'ca 6 ,to the building. • Tear -off 850.00 • Coi—plo's,ition, $1,125.00 Hot mop $1.400.00 Total roof $3,375'00 10/0 ,--lPfi�hing at walls'must be'installeodl-a �charge of $30.00/hr. and cost of materialsmaterials111's'"' _4010% 40 0 1 . ;ki �Fp ply - Esfifiieit6d cost if all flashing needs to be dohi'eis: 'AW4 $ 680.0'., 5. Windows. All existing windows to be'replaced with same size windows. Propos" windows will be "Jdsulate"vinyl windows with vinyl gnds between wind'ow.pands. The actual cok,4f tiie'le windAs is now less expensive than anodized aluminum. - ;$3 Robert Ward 555 High Street Oroville, CA 95965 (530) 533-3569 CA Lic. # 309787 N 0 zr- 6. Carpet. As per work write-up for carpet. I have added vinyl flooring for all bathrooms, kitchen and utility porch. Vinyl installation includes new underlayment and vinyl base. There are 117 yards of carpet and 47 yards of vinyl. $5,574.00 7. Septic. The existing system will be eliminated. The old tank will be pumped and filled in with 3/8" pea gravel and or sand. A pump station will be installed at the present tank location. This pump will pump all material up to a new tank that will be located at the top end of the driveway. A new 300 foot leach field will be installed in grassy area left .of the house. Contractor takes no responsibility for existing landscape. $5,600.00 8. Bathroom. Make repairs and install a new fiberglass shower stall. Install "FRP" one foot above tub to act as a splash. $1,560.00 Subtotal Supervision Hard Cost Overhead and Profit @ 15% Contract Price Extras (total costs) $20,114.00 $ 1.005.00 $21,114.00 $ 3,167.00 $24,281.00 Y5d. 9. Scrape, pressure wash, prime and paint exterior. $1,800.00 10. Prime and paint interior. ,.$2;400.00 11. Repair drywall in two upstairs ceilings. $ 180.00 12. epair subfloor and 3 floor joists under living room wood stove. Install 2 pier blocks d 4"x 6" girder. There is considerable water under the house. There is actually a pond where water has accumulated. Existing piers and posts in this area are insufficient. Recommend pumping standing water and filling this area with approx. 9 yards of concrete. Install 4 new posts and piers on -this new concrete. Hopefully this will eliminate the ponding now taking place in this area. $1,.115.00 113. There is an electrical panel with circuit breakers under the house. This panel should be eliminated. Eliminate existing panel and install necessary splice boxes. Make sure all circuits are accessible from exterior main panel. $ 480.00 Respectfully submitted by Robert Ward. �CP-c "^,.••:ss'`:'n..^:'7{.'F,tO%�i:fr.,�.,�1_.,�,+ - ... �R�11., �: . nr... r--r-.r... - ... .._. .-._ �. � � ;».:r.+x_^*. •a .w. >s�m .-,..or ... � •�. - .. �.v.....� —r COUNTY OF BUTTE - DEPARTMENT OF DEVEL6MENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT & . ��� As} ZON1N° BUILDINGPERMIT �.��RCKSON, 11aAlIE TELEPHONE 30 4221 SO. FT. OCC. BUILDING VALUATION LING '37J DR. OROVIU.Et CA 95966 CONTRACTOR'S NAME WARD, ROBERT TELEPHONE 533-3569 cDtlSpgpT HIGF _T.RESSR� CA 95965 CONSTRUCTION LENDER' LENDER'S MAILING ADDRESS Fireplace Total Valuation 5 ARCHITECT OR ENGINEER LICENSE N0. Fii ing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee 5 BUIDIJGADDRESS 3830 HILLDALE DR. OROVILLE CA 95966 Energy Pian Checking Fee S 5 PERMIT FEE $ LOT NO. SUBDNISI0N'S NAME PARCEL MAP I PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MISC. WIRING & 1 CIRCUIT FOR RPA 91-1098 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200 OR.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professlio Code, and my license is in•fu*force and effect. `.O �.j License Class �_ Lic. No. t OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contract rs License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole ccpensation, 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 Cold. 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 T1 FTZ`s% 4'%% 0-1 D Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of.California, and agree that f I should become subject to the workers' compensation provisions section 3700 of the Labor Code, I shall forthwith co ply witl 'tho provisions., i X �iJ �� i/t1 Date /.,.6 0 � Signatdre of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 WEE200A NEW CONST. OWEWCC NG OUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT, r,o" µp°�IS MULTI•°UTLET @° 7.50 POWER APPARATUS a sING. ourlFT ,.. EX. Occup. OUTLET OR FIXTURES BPL ®I.yu FIXED APPLNS. OR Ex. Occu . olmFTs RES,D. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 48.00 HA2. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. f lsly 7 ++. /Yl;t •lf 4Date PERMIT EXPIRES ,ON Date Receipt No. :F)-4 fs 0:� k:7 418 -00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11 .a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 53.8-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT of 1/0 /0 ASU6SgIPJ�i�C�Nt�I ZONING BUILDING PERMIT " ACKSON, MELANIE 5300221 SO. FT. OCC. BUILDING VALUATION OT% LODGEVIEW DR. OROVILLE CA 95966 CONTRACTOR'S NAME WARD, ROBERT TELEPHONE 533-3569 c° HG•E .IHSADDRESS OROVILCA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3830 HILLDALE DR. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MISC. WIRING & 1 CIRCUIT E03 RP# 01-1098 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service noon oFI 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 i 'Dforce and effect. O /� <-j Y` 7' License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. SO OR ADDNS. ( e ACC. BLDS. 3.5QFT: NR° ' MLI IDT LTI.OUTLET 97,50 POSER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FD(TURES 20 @ 1'00 Ex. Occup.SAL o .m FIXED APPLNS. OR Ex. Occup.,OUTLETS RESID. EA 5.001 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 4$.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 dpolicy number are: Carrier .J l t�� Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compo tion laws of al'rfornia, and agree that if I should become subject to the work s' o e a ' provisions f section 3700 of the La or de, I shall fo kh o ply rove s. _5 �� ©/ X Date _ Signe re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 48.00 HA2. I D.. FEES IMP I FLOOD CDF PARCEL I Po I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. PERMIT EXPIR Date Receipt No. E 725 WHITE-D.D.S.-B.D. CANARY- SE SOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • OroVjlle, California 95965 • Telephone (530) 538-7541 PERMIT NO. (RSSESS RP APPLICATION AND PERMIT ASSESSOR PARCEL NUMaEA �%/� ZONING JUNG✓1 BUILDING PERM IT OWNER TELEPHC e SO. FT. C. BUILDING VALUATION OWNERV MAOJNO ADDRESS^ /n -4/-7 n . /. - —E PERMIT FEE f ELECTRICAL PERMIT CONSTRUCTION LENOFA Main Service Main Service 2a=on LEss 200A TO I000A Fire Ince LENDER'S MAILING ADDRESS OWQLMp OCCUP. i ACC. SLDS.MT 3.5¢F°: NON•RESID. Total Valuatlon S ARCHITECT OR ENGINEER LICENSE NO. POWER APPARATUS & SINGLE OUTLET qR. Ex. -Occup. IaAL Flin Fee $ Permit Fee S ARCHITECT OR EN"EM S MAl1NO ADDREss SUIIOINOADORESS fLXED un�s'PP"WIIFs D OR 5.00 Plan Checkin Fee S ME&M=I:Mz� Mobile Home Facilities 20.00 Energy Plan Checking Fee S $ PERMIT FEE t LOT NO. SUSDNSION'SNAME PARCEL MAP PLUMBING PERMIT Each Trap USEOFSTRUCTURE SF ❑ Duplex O Mobilehome [3 Other Solar or heat um water heater Water pipin SPECFV ` TYPE OF WORK Each gas water heater or vent Gas piping stem 1 - 5 outlets New ❑ AdditionR model ❑ Utllities ❑ In tion ❑ O�� ❑ Building sewer ribs W Mobile Home S G W *PERMIT FEE PAID SRA '- SHERIFF OTHER AMOVNT RECEIVED s 4R_ *RECEIPT NUMBER 3 a 56 a * TO k WT INTO COMPUTER 20.00 =cling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 — PERMIT FEE f ELECTRICAL PERMIT Fling Fee 20.00 Main Service Main Service 2a=on LEss 200A TO I000A 23.00 46.00 NEW CONST. OR ADONS. OWQLMp OCCUP. i ACC. SLDS.MT 3.5¢F°: NON•RESID. MULTIiMWM .OUTLET @7.50 POWER APPARATUS & SINGLE OUTLET qR. Ex. -Occup. IaAL OUTLET OR FOITURES 20 11.00 .SO EX. OCCU fLXED un�s'PP"WIIFs D OR 5.00 I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE 1 t MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee S jI OCC coNST. TMPe TOTAL FEE Z I✓ HAZ. D. FEES I IMP I FLOOD I COF I PARCEL I PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT.5ERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 +,�tTelephone (530)-538-75� r , SPE 0. IRav 191961 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 068.350485 ZONING BUILDING PERMIT OWNER ,. -Q J TES'EP3�HO,�, 1 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 579 10DGL1iM W"E. OWAMM CA 95%6 - CONj,CQP S fJAM_E _ __ L� TELEPHONE 9 .�ELEj3PHON�7�7CG7 (M(1 022 CONTRACTORS MAILING ADDRESS 555 MIGH Sr.. M"=Of CA 9596 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 29 72v— ARCHITECT OR ENGINEER ., LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3M MUD= DRMa MUMi E Energy Plan Checking Fee $ $ PERMIT FEE $74-00 LOT NO. SUBDNLSIONS NAME PARCEL11 1 MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap I I 7.00 7.4x 1 USEOFSTRUCTURE i SFJp Duplex ❑ Mobilehome ❑ Other +. • 1 sPECIFv Solar or heat um water heater 23.00 < Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uil'Ities ❑ Installation ❑ Other 1 1 Describe Work: BATR�� �MM +�Z+ r I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 OOOV OR IESS Main Service 2o0A OR LESS 23.00 r I 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 s -in full force and effect. License Class LiC. NO. OWN WILDER DECLARATION t I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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. DWELLING OCCUP. SO 3 5Q FT. NEW CRADDNS ONST. MUL�TICo �itr NON-RESID. @7.50 OWER APPARATUS 8 PSIN GLE OUTLET CTR. OUTLET OR FIXTURES 20 @ '.0O Ex. OCCU SAL .50 FUCED APPLNS. OR S.00 EX. Occu . ouTLErs Fin. E0. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 F PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: J ❑ 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 theHood performance of the work for which this permit is issued. ❑ ( 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 �i4 }Lf w� Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.), ; ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers'Gcomppnsation provisions of section 3700 of the Labor Code, I shall forthwith,comply with thos provisions. _ X _ M4 a•u Date 4t /xt,� Signature of Applicant - ❑ Owner y�❑Y ontractor ❑ Agent' An OSHA permit is required for excavatfons.over.5'0' deep and demolition or construction •.of structures over 3 stories in heig t� Heating Conlin j 6.50 Ventilation . •. , ;� r PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $101.40 HA2. D. FEES IMP , FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of tte Butte County Code and/or Resolutions to do work indicate abovee for which fees have been paid. J L717//l�j! B Date y _ PERMIT EXPIRES ON J Defe No. A`t.D.S.-B. D. CANARY -AS S bN _ SIA NK-INS,PECTOR GOLDENROD -APPLICANT 'I' .11: COUNTY OF BUTTE - DEPARTMENT•OKDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT Omo* ASSESSOR PARCEL NUMBER 068-350-085 ZONING BUILDING PERMIT OWNER melanie jackson TELEPHONE 533-0221 SO. FT. OCC. BUILDING VALUATION COs,. 1,700 OWNERS MAIUNG ADDRESS 579 IODGEVIEW DRIVE OROVILLE , CA 95966 CO CTOR'S NAME �t�BERT WARD TELEPHONE 533-3569 17 1,020 CONTRACTORS MAILING ADDRESS 555 HIGH ST. OROVILLE F CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3830 HILLDALE DRIVE OROVff T Energy Pian Checking Fee $ •R $ PERMIT FEE $74-00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF30 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 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 X) Describe work: BATHROOM REPAIRS/SMOKE DETECTORS INSTALLED & RER00F Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 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,' • full force and effect.�,,,, ^� License Class Lic. No. ?U C 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 Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. .�.S�F'f. OR ( CCC CONST. MU �itr =RESID. C 97.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 .00 Ex. Occup. OUTLET OR FDCTURES �' SAL @ .50 Ex. Occup. OFuc�ELE°TSA PL.16°FRa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier nl t u rub Policy Number c (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' comps ation laws of California, and agree that if should become subject to the workers' lcompobsation provisions of section 3700 of the Labor Code, I shall forth t withithos rovisions. X _ _ Date %d1 Signatur4 of Applicant - ❑ OwnerContractor ❑ Age An OSHA permit is required for excav o c �'O" deep and demolition or construction of structures over 3 stories in heig \ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $101.00 HAZ. D. FEES IMP FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of Butte County Code and/or Resolutions to do work indicat ab for whic fees have been paid. By Date PERMIT EXPIRES ON Defe Receipt No. WHITE-D.D.S.-B.D. CANAR -AS R�-I CTOR GOLDENROD -APPLICANT of COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville;,California 95965 • Telephone (530) 538-754 EASSE"SSO 2/98) APOLICATIONAND PERMIT R MISPARCEL NUI�EA /'y/- �J _� ZONING(v/�/1/J �', (j�(BUILDING P•+/`�( FT• OCC. BUI D V DATION V 9�V Val l n WNSTRUCTION LENDER / LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGNEEA8 ►WINO ADDRESS LLUI DING AOORESS 1 LOT NO. I sUBMISIONINAME USEOFSTRUCTURE SF O Duplex O Mobilehome O Other TYPE OF WORK New O Addition O model O UEGpes O I'Ptaktioh ❑ iMA "PERMIT FEE PAID SRA '- SHERIFF OTHER AMOUNT RECEIVED 4 •RECEIPT NUMBER ��z'_qq * TO BE PVT INTO COMPUTER - Fireplace Total Valuation $ Flin Fee Permit Fee Plan Checkin Fee Energy Plan Checking Fee PERMIT FEE PERMIT Each Trn Solar or heat um water heaterWater i in Each gas water heater or vent Gas I in stem 1 - 5 outlets Buildin sewer Mobile Home S G W $ S $ $ S 20.00 _� MSPLUMBING 15.00 15.00 15.00 (iR20.00 Main Service ss 22ow OR 23.00 Main Service ZOOA TO LOOOA 46.00 NEW CONST. DWELLINO OCCUP. OR ADDNS. A M.C. OLDS. 3.50F°: - PERMIT FEE S ELECTRICAL PERMIT Flln Fee 20.00 Main Service ss 22ow OR 23.00 Main Service ZOOA TO LOOOA 46.00 NEW CONST. DWELLINO OCCUP. OR ADDNS. A M.C. OLDS. 3.50F°: NON-RESID. MULTI -OUTLET Q7.50 POWER APPARATUS a swoLE oLrtLEr as Ex. OCCU OUTLET OR FIXTURES M ®I.00 I as SO ARPLAIS. Ex. Occu 1 UTLETSFWD ,DQ .°FA 5.00 1 I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT j Filing Fee 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee S I Energy Inspection Fee $ � OCC CONST. TTPE ITOTAL FEE $ -Z• I D. FEES I IMP I FLOOD I COF I PARCEL PO HO 6SUE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ,068-35-0=089 '92-'0407-,-- Vj�, JACKSON -'.TERRY tICONT-R "DASL H&AC 3830 -H]-LLDALE• AVE",' OROV I LLE .,.,-.SEPARATE GAS L-1 'KES/ SF 03 -OFFI cklcopy,'l �v- ,,,Addressl4. Meter By Date t/21716;. 7- LECTRIC7 v Meter By --Ll� LDW6' PMO :?y}F'IN ter tTd"�r, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drlve - Orovlller Californla 95965 - Telephone: 916/538.7541 _'► + - APPLICATION AND'PERMIT 7 ARSE RPARCEL NUMBER 068_350.-085 ZONING 'AR BUILDING PERMIT OWNER Tern .OEUS n TELEPHONE 589-4530 SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS 3830 Hilldale Ave. Oroville CONTRACTOR'S NAME DASL A ti A d TELEPHONE 846-0377 CONTRACTOR'S MAIL NG ADDRESS 654 Kentucky St Gridley Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 MV Ti. a Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I{ Duplex F-1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New u Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Install New Gas Lines to Split Sere Ce to 3830 & 3820 Permit Fee $ 20.00 IMIntractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS _ Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is in full force and effect. s" License No. �+�a'� 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, 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.( OR ADDNS. DWELLING OCCUP.& ACC. BLDGS. 3.6$sq.ft. NEWCONSTIR MULTI -OUTLET NO N.R E." BRANCH CRC.. TO I @ 5.00 (POWER APPARATUS e� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 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 15.00 Heating Cooling g Hood., 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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 accrueHAz against said County in consequence of the ranting of this permit. X -- ��`� ��' • �� � Date � %'�"� Z Si nature of A Gant - Owner g pp ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE 1i TOTAL FEE $ 20.00 I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby Issued under the applicable rovi- P Y � PP P sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 61R G'TO�i OF PUBLIC WORKS �+ �/� � BY Es`!% �'a r' Date ,�//,�t.. PERMIT EXPIRES Date� .1 / w, Receipt No. 109702 `• WHITE-D.P.W.,`rELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 40. 7 County Center Drive - Oroville, C4Ifornia 95965 - Telephone: 916;'538-7541_ APPLUTION AND PERMIT ASSE SOR PARCEL NUMBER 068-350-085 ZONING i " BUILDING PERMIT OWNER Terr ck TELEPHONE — S S0. FT. OCC, BUILDING VALUA ION OWNER'S MAILING ADDRESS 3830 Hilldale Ave. ville CONTRACTOR'S NAME nd Air TELEPHONE t946-0377 CONTRACTOR'SMAIL NG ADDRESS 654 Gridley Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME __tPARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other ® Describe work: Install New Gas Lines to Split Service to 3830 & 3820 4 Permit Fee $ 20.00 -Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 0A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is in full force and effect. License No. Classification <--ZD 5=:99' ❑ 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.&\ 3.6dsq.ft. ACC'. BLDGS. // NEW CONSTR ULTI.OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS &� SINGLE OUTLET CIR. 76 Ex. Occup(OUTLETS OR FIXTURES 20 45 Ex. Occup. OUTLETS PI RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 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 FiIingFee 15.00 Heating Cooling 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 Countyof 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 ranting of this permit. X Date Signature of Ap icant — Owner C 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 $ Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $20.00 HAz 1 0 111 I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do I work indicat above for which fees have been paid. IR F PUBLIC WORKS BY v-- D t�Z/ L PERMIT -EXPIRES Date Receipt NO. 109702 WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT N, ',V' g.!,'j�.�i,.i�..wrt� 144X F i4�40 ae "i''tr --w COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS - BUILDING DIVISION J ', 7 COUNTY CENTER DRIVE - ORL'E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIP fEl-ON DATA SHEET E Permit No. _ OWNER -:kilo S 8 Proposed Building Use (1 As t?tPIN� Building Inspector Date gZ- At time of permit application, I was advised the following data must be submitted prior to permit processing, and/or issuance: w {} DATE RECEIVED APPROVED �1/All items' have been submitted "�AT�, ...... . 2. Plot -plans in duplicate/triplicatesigned 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. Hazardous Material Form ........................ .. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Building`s 8. Engineered truss details and layout in duplicate (requii,4'prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions..............................0........................ 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13, School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of; (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Bui 21. Contractor's license information (No., Name Style, Classlflcati0n)lding Inspector (Date) 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -.Builder Verification (Given to owner a, Mail to owner o) ... 24. Recorded copy of Agricultural Acknowledgment Statement ...... '` k- 25. Letter of signature authorization ............................... 26. 4 27. A . When you issue the permit, process as follows: Mail to owner. Mailcontractor. Telephone and hold for pickup at office. DeliGer w/inspector Other Applicant �ate_2 Copy of ! laz-Mat form sent Health Dept: Fire Dept. air Pollution Date Copy of plans sent Health Dept. - Fire Dept. Other Date By R. 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 —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder x Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 816. 538-7541 APPMATION AND PERMIT ASSESSOR PARCEL NUMB RZONING BUILDING PERMIT i OWNER / TELEPHONE 5-53 S0. FT. j OCC. BUILDING VALUATION I �c LSa�1 OWNER'S MAILING ACORESS _ I CVN I ni+b vn-� � $ d�>Z> TELEi'HONE 037 ' ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS I 1 1$•50 Main service 20GATO1000A) 1 CONTRACTOR' AILING ADDRESS Cr��� NEW CONST. DWELLING OCCUR.14\ OR ACDNS. ACC. BLDGS. II Fireplace NEWCONSTR. r ULTI.OUTLET NON . RES I C. BRANCH CIRCUITS) @ 5.00 CONSTRUCTION LENDER I I j UNKNOWN Total Valuation S Ex. Occup. OUTLETS PRESID )REA.1 1 3.00 I Filing Fee $ 15.00 LENDER'S MAILING ADDRESS j Misc. Wiring Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS j Penalty $ i But A SEs _2g�J� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 i USE OF STRUCTURE SF I LI Duplex❑ Mobilehome❑ Other I 7T SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 I Mobile Home 1 S ! G W @ 15.001 ! j TYPE OF WORK j New Additio ! Remodel Ll Utilities Mu Installation[ Other ❑ i Describe work: �tisrAl� /i1rrGy 61.1s I 70 .38,3 CONTRACTORS LICENSE LAW j I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification _j I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. U 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 G Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 10� 762— WMITE•D.P.W., YELLOW-ASRIPASO1_ PINx•INSPrET Permit Fee $ d�>Z> Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS I 1 1$•50 Main service 20GATO1000A) I 37.50 NEW CONST. DWELLING OCCUR.14\ OR ACDNS. ACC. BLDGS. II 3.6Q aq.tt. I NEWCONSTR. r ULTI.OUTLET NON . RES I C. BRANCH CIRCUITS) @ 5.00 POWER APPARATUS Q SINGLE OUTLET CIR, I I j Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76e R Ex. Occup. OUTLETS PRESID )REA.1 1 3.00 I Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $; Contractor MECHANICAL PERMIT Filing Fee 15.00 Heat i na Cooling Hood 6.50 Ventilation ! Permit Fee $ A Contractor Mobile Home Installation Fee 5 Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 2 O I r1AZ I D FEES IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date ' .'.•. ,�_����`��,��-�"�;1 +M���r��� 'J. R' �-ifi�4Y'�—YY���'a;r�:�'l�F���y�at,: �`"arw�R`-'Zf'•r �•r�'� J r COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orville, Callfornla 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMB R 068-350--083 ZONING. AR BUILDING PERMIT OWNER Terry Jackson TELEPHONE 5$9 -- 4530 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3830 Hill Daly Ave., Oroville CONTRACTOR'S NAME Summit Electric TELEPHONE ! CONTRACTOR'S MAILING ADDRESS 3 Townhill Way Fireplace CONSTRUCTION LENDER ti UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3830 Hill Dale Ave. OrOville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ` ❑ Utilities [�' Instal Other ❑ Describe work: Replace Main Service with Neal Muer _ '�" F_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 1 CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one): ❑� 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .4o.IA% A -VIt Classification C^ ❑ 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) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. / DWELLING OCCUP.&\ 3.6Q sq.ft. OR ADDNS. 1 ACC, BLDGS. / NEW CON5TR ULTI.OUT LET @ 5 00 NON•RESID BRANCH CIRCUITS) (POWER APPARATUS e1 SINGLE OUTLET CIR. 20 76 Ex. OCCUp( OUTLETS OR FIXTURESFIXED APLNS. EX. Occup. OUTLETS PIRESID 'OR EA.� I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Pre -Inspection I 20.Oq 20.00 Permit Fee $ 53.50 — 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 g 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 liabilities, judgments, costs, and e�(penses which may in any way accrue against said County in consequence of a granting of this permit. X Date Signature of Applicant — Owner ❑ ntractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 53.50 HAz OFEES IMP FLOOD CDF PARCEL PD HD ISSUE , This permit is hereby issued under the applicable provi- sions of the Bute County Code and/or resolutions to do Work incl ��'d 4b'avWwhich fees have been paid. p�C��l91O D F PUBLIC WORKS B � 'Tate PERMIT EXPIRES Date �° Receipt No. + 1QQ571 . . WHITE-O.P.W., YELLOW-A55[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I Of 068-35-0-085 JACKSON, TERRY 92-0381 CONTR: SUMMIT ELECTRIC 3830 HILLDALE AVE, OROVILLE ELEC SERV/SF Z(Pr�3 OFFICE COPY Address LAS EDateM_ Date OFFICE COPY Address GAS Meter By. Date ELECTRIC Meter By DateZ Z 7 COUNTY OF BUTTE - DEPARTMENT OF PUBt"IC WORKS PERMIT NO 7 County Center Drive - Orovllle', California 05955 - Telephone: 016,1538-7541 �— APPLICATdONAND PERMIT ASSESSOR _P -RC 068-350-085 068-350-085 ON ZONING- AF. • BUILDING PERMIT OWNER Terry Jackson TELEPHONE" 589-4530 SQ. FT. OCC. BUILDING VALUA' ION OWNER'S MAILING ADDRESS 3830 Hill -Dale Ave. Oroville CONTRACTOR'SNAME Surunit Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS 3 Townhill Way Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3830 Hill Dale Ave. Oroville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer EtE Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities E:T Installation❑ Other ❑ Describe work: Replace Pain Service with Dual Meter _ :S'CFUi(.E 36ZRO tr a&2 -JO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ,Jo.Classification C- N6 FlFIXED 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 Main service 200ATO1000A) 37.50 NEW CONST.( DWELLING OCCUPM OR ADONIS. ACC. BLOGS. 3.64 sq.ft. NEW CONSTR.MULTI-OUTLET NON•RESIO R BRANCH CIC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OcOup(OUTLETS OR FIXTURES 20 760 APLNS.I, Ex. Occup. OUTLETS PRESID,)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Pre-InsBection 1 20.0 20.00 Permit Fee $ 53.50 — 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 15.00 Heating Cooling 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 liabilities, judgments, costs, and a penses which may in any way accrue against said ount in consequence of a granting of this permit. X Date Signature of Applicant - Owner ❑ niractor 4 Agent Elsions 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 $ cc CONST TYPE TOTAL FEE $ 53.50 E HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE 1 This permit is hereby issued under the of the Butte County Code and/or work indi d v r which fees D OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS to W-Ir- Receipt No. 109671 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT bF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQY)kL--;40AtsIFORNIA 95965 - TELEPHONE: 916/538-7541 °vC x: PERMIT APOLICA- W' DATA SHEET Y ••rs. s � � Permit No. OWNER C�� SD (V P. No. �^ � Proposed Building Use_QCP1I\Cf' SerU:Q- . Building Inspector Date R 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. Hazardous Material -Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturers installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. w 14. Sanitation approval from Health Department ` 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW zfPi9. Driveway permit (construction approval required prior to occupancy) —L/ 20. Pre -Inspection forU(_(.1`t<<�� GS required ... Pre-Inspec. request to �_I Z ! Building Inspector te) 21. Contractor's license information (No., Name Style, Classifications ... o 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail wner. Mail to contractor. _I Telephone S�_Z/53Qnd• hold for pickup at office. Deliver w/inspector. Other Q Applicant Date2'- Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data..must--be-subm,i4ted prior to permit issuance: (Circle new -item -not -checked above). 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION. AND PERMIT ASSESSOR PARCEL NUMBER O / ^r l ZONIN . BUILDING PERMIT OWNER ��Q,e v soli TELEPHONE 5€�S—YS�O SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING AD ESS 3�3d �<< 64 Io CONTRACTOR'S NAME s�M i -r �- c TELEPHONE CONTRACTOR'S MAILING ADDRESS 16w1J dr// Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^30 ill ✓ Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition❑ Remodel❑ Utilities'' InstallationOther ❑ Describe work: AQ --01,46L 14141A) S'��ZfIC Z� (iii/��l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 1f350 r Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUR.&) OR ADDNS. 1 ACC. BLDGS. / 3.6a sq.ft. NEWCONSTR MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 8 76d FIXED Ex. Occup. OUTLETS PRESID IREA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. VVirin g 15.00 f r -:r Permit Fee $ 'Q — 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 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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 OSHAwork 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 $ J occ CONST TYPE TOTAL FEE $ 53�&, .90 HAz 1 11 111S I IMP I FLOOD I CDF I PARCEL PO HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. I WORKS Date I q/ Receipt No. I / (� 7 /PERMIT PRE -INSPECTION OWNER: DATE Z LOCATION: A. P. CONTRACTOR:- 6 u MM j4_ ZONING PRE -INSPECTION FOR: D Uc Sew (i : L Cr C%i, , &j f r a nuc G w t M IE -Fee r -C o jXj A-1 k'C ' - v r,> S fLu'+�- �� �4'�ttw eC rJ d =6 C DATE TO INSPECTOR PERMIT HISTORY: i< NONE E_j AS FOLLOWS: TYPE OF OCCUPANCY go J'S E_ls FIELD INFORMATION BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC , 5aXA/ GAS HAS SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTIO RECOMMENDED: ACTIO HOLD FOR OTHER: BY DATE. .-. U�-re a�dd3b yol, e r l q es- -� 6 V, b N ute coun� L A N D O F N A T U R A L W E A L T H A N D B E A U T Y s DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 RONALD D. McELROY Deputy Director( 7.?- FS %dv�.srl GO�/stv✓c4,d ��, 4c� /.5F6 Z ti �. Cy Cft r n/ r v 4- J