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