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HomeMy WebLinkAbout069-130-031r A,.P. ,f 31, ORO RIDGE PROPERTIES 16 STANDARD SYSTEMS 'INTERNATIONAL 541'-71B�� 5.0 Silver Leafr.,_ Orovill 750-71F -Permit•--2.908- (patio f -73B. _ - _ 91, ( pr ex. mf*, P -- - Lot; 86, Silver Leaf Dr, i Kell d Y Ridge #1 t?r_ 69-13-31 (new single family' JERRY KINSMAN 506 1.Silverleaf,-Oroville�k' IO.Zp��3 t r Contr: Hardesty & Sons, Chico 1 Permit#3213-83B(.power-.wall insulation system)SF 69-13-31 3541-90E WHITTON,- Lynn , 506 Silverleaf Dr, Oroville J (elec for hot. tub/sf 069-130-031 PERMIT#95-2620 COWLING, 7 .506 Silverleaf 6r2m ., Orovill / -- Cont; Christiansen & Son Roofing Reroof/SF 111 3 1 t �I r A,.P. ,f 31, ORO RIDGE PROPERTIES 16 STANDARD SYSTEMS 'INTERNATIONAL 541'-71B�� 5.0 Silver Leafr.,_ Orovill 750-71F -Permit•--2.908- (patio f -73B. _ - _ 91, ( pr ex. mf*, P -- - Lot; 86, Silver Leaf Dr, i Kell d Y Ridge #1 t?r_ 69-13-31 (new single family' JERRY KINSMAN 506 1.Silverleaf,-Oroville�k' IO.Zp��3 t r Contr: Hardesty & Sons, Chico 1 Permit#3213-83B(.power-.wall insulation system)SF 69-13-31 3541-90E WHITTON,- Lynn , 506 Silverleaf Dr, Oroville J (elec for hot. tub/sf 069-130-031 PERMIT#95-2620 COWLING, 7 .506 Silverleaf 6r2m ., Orovill / -- Cont; Christiansen & Son Roofing Reroof/SF 111 3 1 t Cil i C"l � � .( M RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0075562 Recorded I Official Records I County of I Butte I CAME J. GRUBB5 I County Clerk-Recorderl I I 03:22PM 13 -Dec -2005 I REC FEE 10.N CONFORMED Copy 1.BQI DD Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2 INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upori the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GRANT D. BROWN REAL PROPERTY OWNER/LESSOR 5219 ROYAL OAKS DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS +' SAME�w= CITY b�j-- COUNTY STATE ZIP UNIT DESCRIPTION MOUNTAIN VALLEY HOME 1978 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP O5-3182 530 538-7541 BUILFING PERM1N TELEPHONE NUMBER 4dgQ5 GNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. MOUNTAIN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER + 2750A/B 60 x 24 115953/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED Piro ASSESSOR'S PARCEL NUMBER 06'9=.1.-3-0-0.311 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. ORDER NO. 1-66641LFC LEGAL DESCRIPTION EXHIBIT "ONE" ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 31, AS SHOWN ON THAT CERTAIN MAP ENTITLED "KELLY RIDGE ESTATES SUBDIVISION UNIT NO. 5", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON JANUARY 28, 1977, IN BOOK 58 OF MAPS, PAGES 17 AND 18. AP # 069-160-031 RESERVING THEREFROM an easement over the East 5.00 feet of said Lot 31 for the purpose of permitting an existing building located on Lot 32 and the eaves of said existing building to occupy space on said Lot 31, and to facilitate the maintenance and repair of said building and eaves. Said easement is for the benefit of and appurtenant to Lot 32 as shown on said Map. END OF LEGAL 069-130-031 PERMI,T#55-2620 COWLING, 506 Silverleaf Dr., Otoville", Cont; Christian s.en & Son Rooling Reroof/SF r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ION 7 County Center Drive - Oroville, Cali-ro&a: 965 - Telephone (916):538-75 PERMIT NO. APPLICATION AND PERMIT— ASSU%AL(VVii "3 ZONIING RT1 BUI NGPERMIT OWER COWLING , TELEPHONE SOP. FT. OCC. BUILDING VALUATION 28 P 60 1680 OWNERS MAILING ADDRESS 54 SILVEP.L W AR., OROVILLE CA 95966 CONTRACTOR'S NAME CHRIS"TIONSM & SON ROOFING TELEPHONE 532-9338 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NO",, UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 39.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BURRING ADDRESS F DR., OROVILLE PERMITFEE $-59.00 J c' n PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Q; Duplex ❑ Mobilehome ❑ Other SPECIFv Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF W/COMP Mobile Home S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a OV OR LESS ( 2ooA OR LESS 23.00 Main Service ( 200A TO I000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C—,f 9 Lic. No. %C�C'� 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR ADONs. ( a ACC. SO. 3.5Q FT. NEW CONST. MULTI-OUTLEUTLE T NOWRESID. ( BRANCH CIRCUITS 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES > 2U a I•50 a 50 Ex. Occup. ( OUTLETS RES D.FIXED APPLNS. )EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to,the workers' compensation provisions of section 3700 of the Labor Code, f shall forthwith comply with those provisions. X —�L (l ��/i�,s�— Date ��-� �tY S�..S" 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. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 59.00 HAZ. O. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under ttie of the Butte County Code and/or indicated above for which fees have % r / l ! 9 " BY I / / / PERMITEXPIRESON applicable provisions Resolutions to do work been aid. Date 10/18/95 1n/ 18/9? (Date) Receipt No. 196077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVI N 7 County Center Drive - Orovilk -Cajlfornia 95965 - Telephone (916) 538-75 PERMIT No. APPLICATION AND PERMIT S- Assf�sSQti PAjiLn(L(MB l3 U ZONING RT1 BUI NG PERMIT OWN,fE(R�y MR COWLING TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER MAILING ADDRESS 5 SILVERLEAF DR., OROVILLE CA 95966 28 @ 60 1680 CONTRACTOR'S NAME CHRISTIONSEN v, SON ROOFING TELEPHONE 532-9338 CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIOJOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 39.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: R R00F W/COMP Mobile Home S G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filino Fee 20.'00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 lull force and effect. License Class ' �— %C] C— LIC. NO. DE OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. OWELLING OCCUP. OR DNS. ( a ACC. BLOS. ) 3.5¢ FT. P. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES ( ) 20 Q ,.00 BAL Ex. Occup. ( OUTLEEOTS (REw.SID.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �. %j X _ Date ��f�/ 5-_ Signature of Applicant - ❑ Owner A 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 $ S9.00 HAZ. I D. FEES IMP I FLOOD I cOF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate ova for which es have By PERMITEXPIRESON applicable provisions Resolutions to do work b n aid. Date 10/ 18 /95 10/18/96 (Date) Receipt No. WHITE-D.D.S.-B.D. CA ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I f."'�1!p�.ti''"'tWy,.'r,`', .. �'•' ,.r?;' J-f;..�•.ti M1 •y `'tiji '.�"-�v,1Ir. ,-.. .!'•..rsi;'°.-'"r;:,�r„ t 1 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 9-130-031 ZOIVING BUILDING PERMIT OWNER Lynn Wh ton TELEPHONE 589-3106 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 506 Silver Leaf Dr Kelly Ridste CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 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 506 Silverleaf Dr. 'I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 i Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARTL L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other HOt T11b — eleC SPECIFY >j Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK Tk0thd*rEJ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Describe work: _ tub On patio Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' F-12.SOea I am licensed under provisions of Chapt. 9, Div. 3 of the! Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended o r 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 i LINOCCUP.&� oR ADONST ( DWELLING LOGS. I 2yztsgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS POWER APPARATUS h (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@50C eAL@30 Ex. Occup. OUED R TLETS RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rJRZ) 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 9 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 or Butte against ✓� all liagilities, judgmentsy�costs alt expenses which may in any way accrue agaig-6 said Co )n s q nee df the granting of this per t. (�` Date Sig ture of Applicant — Owner Contractor I--]C]indicated An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRER ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $2.5.00 HAZ CUA PARK SCHL FLD PAR P D HD ISSUE This' permit is nereby issued under sions of the 13utte'County Code and/or above for which fees ¢ OL�IF PUB By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt NO. 74124 — 5.00// X2 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �/7;,9T /'Pt ie,54J1ee;1"!9 y' I ft'. M-4-eCJ( Date /D�/, `j rf Inspector te�Jlr +l ,rr;-a.:S. 's'^ _Ts'.'..�. �,..-'F+Yr".s �..^P"`yy."'T: •"c�`�:•�'�i''k r.lf'.is+i.�s+e.:�«.f4•s-+fY•7,rsct.+dJu- ^� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance. exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �� �� ii Inspector / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT s PERMIT NO. ASSESSOR PARCEL NUMBER 9-130-031 ZONING 1 BUILDING PERMIT OWNER Lynn iNhi• ton VELEPHONE 589-3106 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 506 Silver Leaf Dr Kelly Ridge CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 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 Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:J Duplex❑ Mobilehome❑ Other Hot Lih — PIPr- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: instal I ing-229 V -H--;; F�1 _for hot tub on patio Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LE LESS10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Oki 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e OR AODNS. ( ACC. BLOGS. /vtsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 12.50ea POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL9SAL00 3 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ 25.00 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. ISI I shall not employ any person in any manner so as to become subject J ' 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. I also agree to save, indem nd keep harmless the County of Butte against all Iia ilities, judgmen osts a expenses which may in any way accrue I said Co in ce f the granting of this per t. Date Sig ature of Applicant — Owner Contractor ❑ Agen 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 E E TOTAL FE$25.00 HAz CUA PARK SCHL E PAR PD HD IssuE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE F PU 1 By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 74124 — $25 9911 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r ,.ter "* .r.,..,�',_. ri~^ti.�fv`*.»fir�w..� ti. '�-y� ,�r+.�t,�fhs"Y,,�•. rtiC.s.,�tr..--SLr`M•i�,i1 COUNTY OF BUTTE - DEPARTMEKT-OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVIL•LE CA:IFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPk f[PXTION DATA SHEET e Permit No. OWNER Y^' .� �C/ /�i% % O.J A. P. No. 6 ?,- / 3 rk-G �7 ia- Y -i6 Proposed Building Use %�Y% � Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. 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 manufacturer's installation instructions....................................................... 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 Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 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: - —Mai l to owner. _Mail to contractor. Telephone 9'� -3�D� and hold for pickup at office. `Deliver w/inspector. Other —// ,/// 1 10 Copy of Haz-Mat form sent Health Dept. Fire Dept. -----Air Pollution Copy of plans sent ___Health Dept. Fire Dept. Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items reouired: By (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS-'`. 7 County Center Drive - Oroville, California 95965 -Telephone:. 915'538-754,1 APPLICATION -AND PERMIT -- . PERMIT NO. ASSESSOR PARCEL NUMBER 6 — 3 O ZONING BUILDING, PERMIT S0. FT. OCC. BUILDING VALUATION OWNER ,YN:v t-t� s--7"o,� pp TELEPHONE 5 o OWNER'S MAILING ADO ESS Sob �icvr-,� ,� %� ,rc �-,P/AGr- CONTRACTOR'SNAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit lee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping - 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE// pp SFEI. Duplex❑ Mobilehome❑ Other >�fY1� �b to—�.�`t_� �' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W I 110.00eJ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatiory Other ❑ Describe work: A w/ r i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 Main service EA, AOO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.h OR ADDNS. ( ACC. SLOGS. . , �2dsq tt NEW CONSTR ULTI.OUTLET NON•RESID BF1RANCH CIRC ITS 2.50 ea ( PER APPARATUS 61 (SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES p 20QSOT SAL03ot Ex. Occup. OUTLETS ED AP(RESIO )REA.) 2.00 Temporary service 10.00 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. ❑ 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 Hood 3,00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 - 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 $ occ CONST TYPE TOTAL FEES HAz I CUA PARK I SCHL FLo I PAR PD HD ISSUE This permit is nereby issued unser sions sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.7 ZS, (z, e) WHITE-O.P.W.. YELLOW-ASSE550P, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building Permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. QI personally plan to provide the ma' labor and aerials for construction of the proposed property improvement yes r no) L� I (have/have not) signed an applicat:Lon for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work S ig n ed :� � Property Owner _ Social Sec i y N ber Date UfA NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. permit#3213, 83 a Jerry Kinsman 10—. -2z) -Y3 �57zec to C� �n Pt �zs® •. e. y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT �ERMIT NO. r ASSESSOR PARCEL NUMBER • ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ,J , ,W / y f4 ( /// II Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ •- o" Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER k LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $;-_: BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each Clas 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 S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other'0 Describe work: ' • I % — Jr J 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. l ACC. BLDGS. 1 2/20sgft 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 m license is in full force and effect. y License No.-? 1 e 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 ULT' -OUTLET NON -REBID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &.1 NON-RESID, SINGLE OUTLET CIR. / Ex. Occu T3 OR FIXTURES Occup(OUTLETS 20050a BAL030 FIXED APP LNS. OR Ex. OCCUp. I OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 E] .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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An,;OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �% J �7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �.� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AS ESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER -Jeleky W/y�11W TELEPHONE SO. FT. OCC. BUILDING VALUATION _ a OWNER'S MAILING ADDRESS g t-`- S/,/, L&-- E - CONTJJR'AACnTT�OR'S NAME �/L j TELE/PHHOO/NE �IKhN���� ' S __ Aln CONTRACTOR'S MAILING AD ESS J, t, 6t� L— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ w Filing Fee $ 10.00 MMAAIILING ADDRESS LENDER'S Permit Fee $_Sr6J ARCHITEC , ENGINEER L LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 6U BUILDING ADDRESS u> /.4 �G+Q 4Cf4-7 PLUMBING PERMIT Fi l i Fee 10.00 n9 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 SFP Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition F1 Remodel ❑ Uti lities [:1Installation ❑ Other Describe work: 861WFQ —.���.�—/1Q1;kyLAT/QL0 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.h) OR AODNS. ACC. BLDGS. '�2Qsgft 'CONTRACTORS LICENSE LAW I deunder penalty of perjury (Check one): clar 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. 11/, R 8'X. 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.( U TI.OUTLET 2.50 ea NO BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS tri NON-RESID. \SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 13ALO 30 FIXED APPLN5. 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 Filing Fee 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-ln5ure. ❑ 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 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 Cou y in conseuence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Cont ror ❑ Agent . An OSHA permit is required for excavations over 5'0" deep and demolition or construct-W11 ion of structures over 3 stories in height.aj Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , BQ OCCUP. GROUP TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sio of the Butte County Code and/or W 1 - indicated above for which IRECTOR OF PUBLIC d�/ fi�_� PERMIT EXPIRES Date—/� the applicable provi- resolutions to do fees have been paid. WORKS Date 7 83 Receipt No.) w,3(Y, WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT n `� ;i � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT __RERMIT NO ASSESSOR PARCEL NUMBER 62 _/ ZONING BUILDING PERMIT OWNER ,��/�4 TELEPHONE SO. FT. OCC, BUILDING VAL TION OWNER'S MAILING AEDRESS is-o& S(Ss� CONT ACTOR'S NAME sox. —8,ITELEPHONE ftn OO / CONTRACTOR'S MAILING AD ESS 4, n Z &0 Fireplace CONSTRUCTION L DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a_So60 ARCHITECX OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 r 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 FSFG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work:&Ji"= _a2 , Ii12g Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 21/Y0sgff CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. � ��-� F � 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR MULTI—OUTLET 2,50 ea NON .RESID BRANCH CIRCUITS) NEW CONSTR ( POWER APPARATUS W NON.R ESID, SINGLE OUTLET CIR. 20@50m Ex. Occup(OUTLETS OR FIXTURES BAL®30 Ex. Occup. our ETS P(RESID )REA.) 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 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 Cou y in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contfor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , isra OCCUP, GROUP I TYPE OF CONST, I PARCEL PD I ND I 1550E This permit is hereby issued under the applicable provi- sio of the Butte County Code and/or resolutions to do w k indj.cate above for which fees have been paid. IRECTOR OF PUBLIC WORKS By �sVv� Date < —�q/� PERMIT EXPIRES Date �_�/ //in Receipt No.?�Jl�h WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION --'r 4a 7 COUNTY CENTER DRIVE - OROVILLE,•CAL,IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Bufl�ing Use Permit No. w,- _ A. P. No. A 3 T Permit Fee'Based Upon: " Complete Contract Price DPW Valuation Building Inspector Date q '` 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. .Planning approval for (A) Use: (B) Parking: 2 12. Certificate of Workmen's Compensation Insurance. . . . . . C(' 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date �yb 3 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW PERMIT NUMBER` - B 2908=738- p E PERMIT.EXPIRES 8-1-7--74- OWNER Oro Ridge Properties CONTR: owner LOCATION (A. P. 3A-69-31 5G& Silverleaf Dr., Lot 86, Oroville COUNTY OF BUTTE Departmentzof Public Works BUILDING INSPECTION RECORD Zoning DATE Setback Forms A�41—/� —,�:R .6 —Z Foundation Piers &Girders Fireplace • Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents_ Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent -Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert, of Occup. Final Final Final c'Z — —7— 7— DATE REMARKS OR CORRECTIONS 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive Y- Oroa(iIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - Date ignature of Permitee or Agent Receipt No. 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. DIRECT.OR OF PUBLIC WORKS By— Date vmddirig permit expires Dat&04 BUILDING Owner , iQLa SQ. FT. OCC. BUILDING VALUATION Mai I ing Address —0") G_ _ Tel hone No . G Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ f C Building Address ® �` '� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 L Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ws vec. Sa ation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements I P Lawn sprinkler system 2.00 —H Bld Plan ec'd 9. Parc pproval Plan proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTIJrITIES ❑ OTHERELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C- H i t m 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 10 t Water Heater or Space Heater 1.00 Light fixtures y_a 25 Receps., switches & fix outlets 2to)Tf�d2255 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ry 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 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - Date ignature of Permitee or Agent Receipt No. 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. DIRECT.OR OF PUBLIC WORKS By— Date vmddirig permit expires Dat&04