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HomeMy WebLinkAbout069-150-010A.P. -34-49-4�� GLENMATHEWS� �y A j, Z, - ;Z 23 Royal Oaks r .- K—R—�ro. Permit 4105-73P,E (utilities for MH) AP I GLEN - NIATBEWS --- _23 Royal Oaks;; OrIxa ill������. _ Permit## 4292-74B,P,E (cabana carport & 2 decks, MH) CONTR: Air Vent Awnings, ;cr ent Perm%t# 2062-75B(auning, MH Permit #4860-76B( st renewal for permit #�429W-74) _ ,naf i1x�1�'c� 69-15-10 Permit #3413-81B(new carport/MH) 71e. -18, Contr: Better Bl69-15Wn a drs �� Permit#k806-87B(new carport)HH 1 069-150-010 04-2403 mn r�rnr. rrrr. k-1- 1V1D1V 1 J, D1'rUNIk-rL 5178 ROYAL OAKS DR, OROVILLE CONT: GEORGE ROOFING RE -ROOF 10 SQ el Ln P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042403 LICENSED CONTRACTORS 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 Issued Date: 08/13/2004 APN• 069-150-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: liL License Number: �" Site Address: 5178 ROYAL OAKS DR ORO Datey—/ -O Contractor. Map Index: Description: RE -ROOF GARAGE (10 SQ.) OWNER -BUILDER DECLARATION V I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CLEMENTS FAMILY TRUST to its issuance, also requires the applicant for such permit to file a CLEMENTS W J 8r BERNICE J TRUSTEES signed statement that he or she is licensed pursuant to the provisions of 5178 ROYAL OAKS DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O 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 (Sec. 7044, Business and Professions Applicant: CLEMENTS FAMILY TRUST Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: GEORGE ROOFING not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6810 LINCOLN BLVD O 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 (530) 533-6393 Date: Owner: License M 452266 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numb": Cartier: aze7 � 4< Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9—)3 Date: -o Applicant: i\1���'�f� ' WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. O Z, RIO '41% CONSTRUCTION LENDING AGENCY This p t is r by is ued un r the applicable provisions of the Butte County C:odR anrVor I hereby affirm that there is a construction lending agency for the Res. ti s d 'ate e r hich fe s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / Name: By: ' Date: U D Address: PERMIT EXPIRES ON: Da ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. i Print Name: IT % L� y / /�— C Signature: Date: ��l 3 -SSL 0 Owner 0 Contractor Agent for Owner O Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVE LLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X Shirley Trew - Agent rg� Roo ng For office use onl OWNER Name William Clements Address 5178 Royal Oaks Dr. City Oroville State CA Zip 95966 Phone 530-589-5349 Fax E-mail Lic.#Class APPLICANT SIGNATURE X Shirley Trew - Agent rg� Roo ng For office use onl CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.#Class dan@abcgc.com 452266 C39 APPLICANT SIGNATURE X Shirley Trew - Agent rg� Roo ng For office use onl ARCHITECT/ENGINEER Name N/A Address 6810 Linocln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X Shirley Trew - Agent rg� Roo ng For office use onl APPLICANT NAME Name GEORGE ROOFING Address 6810 Linocln Blvd City Oroville State CA Zip 95966 Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X Shirley Trew - Agent rg� Roo ng For office use onl Zoning Flood Zone 1 1 $ Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. B BIN # LOCATION AP# 0&q_16 _ /\ Property Address 5178 Royal Oaks Dr. Oroville, Ca. 95966 Cross Street WORKER'S COMPENSATION Policy Number 272-596-02 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof - Garage - Comp Sq. Footage 10 Squares ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no (construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Receipt #: !'k 1 Z� I Amount: Bldg SRA Sheriff SMIP Other Total mrv: ueorge mooring 1 PERMIT NO. 4 9 - 4 P E M 'MH UTIL. PERMIT NO. N PERMIT EXPIRES ��— -715 OWNER Glenn Mathews 4 CONTR. `LOCATION (A.P. 34-59-10 ) , <s 23 Royal Oaks, Oroville Temp. Power Pole Ca ed PG&E Tem Elea Serv. ailed PG&E 7 Temp. Gas Serv. r Called PG&E JOB y� FINALED��� i4 (D �i. c (Signature) { COUNTY OF BUTTE„—'DEPARTMENT OF PUBLIC WORKS .:. ' BUILDING INSPECTION RECORD _ BUILDING BUILDING,(Cont'd) PLUMBING. Setback Firewall Soil Piping 6.4—Int Forms Parapets 1st Floor Main Bldg. Restroom Finish ! 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances I Carport I Footings Conformance of ex. structure Gas Piping & Test j Temp. Gas Slab Final �� Sanitation Patio FIREPLACE Final ^.1i--}- Footings Footing ELECTRIeAL Masonry Walls Throat R o u q h Reinf. Steel Final ixtuies h —c;).3' Bond Beam FIRE SPRI LERS Motors Framing Test I Water Htr. • Stucco Final Subpanels . Mesh MECH NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish . Ducts ? Under round Interior LathVentilation Permanent Door Closer Final Final — C-1, DATE REMARKS OR CORRECTIONS s y 7C- e el, f COUNTY OF BUTTE — , DEOVVRTMENT OF PUBLIC WORKS 7 County Center Drive. `roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �lf< � 0 - 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / x���%`, Date Signature of Permltee or Agent Receipt No. b T1 4 7 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. DIRECTOR OF"PUBLIC WORKS uilding permit expires Date ,G) — BUILDING Owner 4.E1V MATHEWS SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ? 1— �` Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/orPenalt Telephone No. Permit Fee $ Building Address •ZkQ�IALV PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 1 LA -,E- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 . A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 e 8h Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 BlagPJ Pe-Aecyd' Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 K_c7,..► Main service 100v OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVR Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACCBDGS.CCUP, &) 20.sgft NEW CONST R. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ed NEW CONSTR. (POWER APPARATUS&J NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)ra �C BAL�1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No. Classification Misc. Wiring 6.25 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 ve placed on file with the County of Butte a certificate of orkmen'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 Cal i forni a. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / x���%`, Date Signature of Permltee or Agent Receipt No. b T1 4 7 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. DIRECTOR OF"PUBLIC WORKS uilding permit expires Date ,G) — t .- ,COUNTY OF BUTTE — DEPAR-VIENT OF PUBLIC W RKS 7 County Center Drive —' &roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x 4 Date , Signature of Perini ee 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. DIRECTOR OF EUBLIC WORKS By - Date B Iding permit expires Date ................... :.....`�....7..?s BUILDING Owner SQ. FT. OCC. BUILDING 41AIZUA ION Mailing Address 0. i Telephone No. v Fireplace Contractor Total Valuation Mailing Address Permit Fee r r Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Ci Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 _16,Q t r- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas —`S d Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Sanit 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel' Plans Declaration Parcel Ma P 60R/W Im rove nts P Lawn sprinkler system 2.00 B .-P A c "* Porctw4pproval PI pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal @10 �S C RAepps., swit es & fix Otlets 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 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. '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 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x 4 Date , Signature of Perini ee 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. DIRECTOR OF EUBLIC WORKS By - Date B Iding permit expires Date ................... :.....`�....7..?s Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPF.CTAL INSPECTION REPORT Address Building Location: Type of Inspection requested: 1. Housing 2_ Finane 4. Other (specify rM A.P. # 0 Date of In Inspecto4 3 Change of Occupane to _ Q A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating' facilities: 7. Natural light and.ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects,.vermin, or rodents: 11. Connectior'.�to sewage disposal: 12. Connection to wate=r- "supply: 13. Rubbish and garbage.faci�ities: 14. Comments: B. Structural -- 1. ""Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments - C. Electrical' 1. S ery is e c ground 2. Recepr: js: 3. Fusi.ng:_ 4. Comments tion DD Plumb 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: c 4.. Comments: fenntinued on back) E. Other 1. Maintenance and repair: 2-- F ire hazard s - 3: Safety hazards:' 4. Weatl!er, protection: 5., T.)'xj\d.e.rfloor- and attic ventilation: 6, Conurez;ts: F Camercial Buildings 1. Rcof covering: 2. Distance to property lines: 3. Plrysically handicapped: 4. lftest"ocni floors anti walls: 5.,, Exits: 6. Improvements: 7. 8. coment-.: G. Field Problems or Vlolaiorxs 1. Problem or .L !olation , give rc-rTleta-Ecriptit-.O 'Ae I ': u)(Zdc 2. Wrat-action taken (give comp' ate descript11): /'P 146L 01#4 7-11 AF- A I f,0- 15 -..fl �gz/ jy/z 7 "-A, 3. Wflae an -Lion recTneended: T7 B. r 77D. -,-Enfo-nuation only - fil,,-. Oki (P -OK Hold for tcn (10.) days, then wri-.-e lrtter. Write let -ter. (PC Other: 'PERMIT NO. 17 2062-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES TOWNER Glen Mathews iiCONTR. Air Vent Awning, Sacramento ` !:LOCATION (A.P. 34-59-10 23 Royal Oaks Dr., Oroville (Lot 10, KR #1) Temp-Pow Pole Calle, PG&E Temp leServ. CE led lea PG&E Te . Gas Serv. Called PG&E � JOB Te 9!-,L6 --.71- (Da f, -j (Signa U) ) COUNTY OF BUTTE - DEPARTMENT OF PUBLICWORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING 1 Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLII 7 County Center Drive 'Or'tsville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 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. Dat Signature of .rrmmii,teeeAgent Receipt No. ,�FZ,5--- White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 75 TOTAL PERMIT FEE $ /o 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=PUBLIC ORKS Byate 5=� S - 7 1 ildjng permit expires Date..................s".�3 ... BUILDING Owner SQ. FT. OCC., BUILDING VALUATION h Mai I i ng Address Mo Ll -p on } Fireplace Contractor I Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 44f anitationIc Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking s Parcel Declaration Parcel Ma p 60' R/W Im rove nts P Lawn sprinkler system 2.00 Bldg. tpI hsh /" ctL Parcel Apoval I Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal a25 UVReceps., switches & fix outlets b. 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 f: f�/ �i �� ��/y 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 Y �7 I�4l1% i✓ Temp. Power -Pole 5.00 ! /�� License No J / Classification r Misc. wiring [:]I am exempt from the Contractors License Laws of the State of Cali omia. 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. XI�il I have placed on file with the County of Butte a certificate of 1� 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 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat Signature of .rrmmii,teeeAgent Receipt No. ,�FZ,5--- White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 75 TOTAL PERMIT FEE $ /o 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=PUBLIC ORKS Byate 5=� S - 7 1 ildjng permit expires Date..................s".�3 ... t ` jDtl f�'A-y I 2 19, r" pjq a FJ i, '-avf(1 2,s i T_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7..founty Center Drive — Oroville, California 95865 Telephone: 534-4541 APPLICATION OD PERMIT ..� ..- .-V. a..a a. vco v1 1— vvunly vl Dint. tV cnlCl LJPV[1 IIIC above-mentioned property for inspection purposes. "Date Signature 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. DIRECTOR OF PUBLIC WORKS By '� - — Date '/• - _. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 f - Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C� San ita_t_ion FireDept. FireZone Use Pennit Building sewer 5.00 " EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel 'Approval Plans Approval Permit Fee $ 1A $ ' NEW ❑ ADDITION ❑ UTILITIES Q� OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 " Main service incl. 1 meter r• G' Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesba_ 1010 L Receps., switches & fix outlets 205 bril 0 10 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 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. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ a / ..� ..- .-V. a..a a. vco v1 1— vvunly vl Dint. tV cnlCl LJPV[1 IIIC above-mentioned property for inspection purposes. "Date Signature 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. DIRECTOR OF PUBLIC WORKS By '� - — Date '/• - _. 6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' - Orioville, California 95965 Telephone: 534-4541 APPLICATION- ANUTERMIT 0 authorize representatives of the County of Butte to enter upon the above -'mentioned property for inspection purposes. X Date 6C-/33 Signature of Permiifee or Agent Receipt No. 1/`- s-7 4 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. DIRECTOR OF UBLIC WORKS BY Date f/- 7-7 -1- Building permit expires Date �� :?_�..-7 BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION Mailing Address ;7,-,/g J��� �� -J Tel NA Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty • Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 r3�� 6'�S a�/N'-e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 i. r IDEach gas water heater or vent 1.50 A. P. No. �® /e T in' Gas piping system 1 - 5 outlets 1.50 43- v Each additional outlet .30 F W S&t5w I FireDept. Fire Zone Use Permit Building sewer 5.00 j - o EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 tA . Plans Recd Parcel Plans'7+,p val Permit Fee $ c $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bai__� 1� Receps.,switches & fix outlets 2U (a 25 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 e' Temp. Power Pole 5.00 License No. Classification Misc. wiring ffF�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. Er certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT 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 authorize representatives of the County of Butte to enter upon the above -'mentioned property for inspection purposes. X Date 6C-/33 Signature of Permiifee or Agent Receipt No. 1/`- s-7 4 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. DIRECTOR OF UBLIC WORKS BY Date f/- 7-7 -1- Building permit expires Date �� :?_�..-7 . ' J -Lor-10 i UN Z4 46 .358.la0 h set, of plans and spec fication3 MUST be 'co al j times and it is unix• hsl to ceps on �, nia!ze r-ny chan s or a!Ia ati8.is on samerwit ►oui written p�ry•-misson r .� the Department' of Public ' 1 Works, County of Butte. o ., -' .. .. � V � it � �,�� • // Lv� \� ` \ !f _ e Al • �."'.- �i3 ;fir '�.�• ; � �-•�' �f I mac. o. o' SCALE.. ,:. BUTTE COUNTY ' 8UILDING DEPWMENi APPROVED _ Y DNGY- 1 ` All utt';ty connec, ions shall be t Gam, ,orated rt ^utside 3:ic rear � Ii�ird seci,;:n~ i r , mobile home on the lefl road) -ids of the rrobile { 4. home. h BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: 2:25 Tenant: Building Location-. Type of Inspection requested: A.P. Date of Inspection Inspector �Cf-u," Housing / / 2. Financing I. Change of Occupancy to 4. Other i ;kPresent use ( specify) pe -6 .- Vas P RDQ_ 151- IPF -Q A,. t'T- PJ�,M LWA L of building: A. Sanitation (Housing) 1. Water; closet : 2. Lavatory: 3. Bathtub or shower: t 4. Kitchen sink: ; 5. Hot and cold .water to fixtures: 6. Heat ingfacilities: 7. Natural light and ventilation: - .8. Room and space requirements: - 9. Bedroom window or door for second exit:: P. Infestation of insects, vermin, or rodents: 1,1.•; .Connection to sewage disposal: i 12. Connection to water supply: ' 13. Rubbish and garbage facilities: 14. Comments: B. Structural 41. Piers and footings.: 2. `Floor construction: t Wall construction: w 4. Ceiling and roof . construction: 5. Fireplaces: Comments C. Electrical 1: Service and ground: 2. Receptacles: 3' Fusing: , 4. Comments: D. Plumbing t . L. 1. Fixtures connected and vented: r 2. Gas water heater:' 3. Gas heating vents.• ;« '' •' 4. Comments: -- (continued on back) E. Other 1. Maintenance and repair: 2. Fire Hazards: 3. Safety hazards: ' 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Conmercial Buildings 1. Roof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4.' Restroom floors and walls: 5. Exits: + 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations l . 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. 77D. AD t PERMIT NO. L� 3413-81B PERMIT EXPIRES OWNER Glenn Mathews CONTR. Owner i ASSESSOR PARCEL 69-15-10 LocarloN 23 Royal Oaks Dr . , lot• 10,KR#1, Oro. V. 69 11 1 i Temp::Powi Called Temp. Elec Called Temp. Gas s Called JOB FINAL Signatt J = OK 0 = Not OK - = Not Applicable SIE = Not Ready RESIDENTIAL JSihgle and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- /. /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples yCard-BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Nater Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors -Card-BI FRAMING (Continued) Date Card -BI Date 'Card -BI Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Date Card -BI Date Date ELECTRICAL (Permit) OK except H's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect Card -BI 29. Equip. Clearances; Panels-Motors-Mech. Equip. Card -BI 30. Clothes Closet Light -Shower Light Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card B -I Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date Card -BI Date Card B-1 Bedroom Exiting Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. 32. A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI 66. Date Card -BI Date Card -BI 67. Date Card -BI Date Date FRAMING(Plans) OK except q's A.C. Duct in Garage -Damper 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 38. Bearing Walls over Girders & Floor Nailing Insulation -Foam -Looked in Attic E) Yes 39. Draft Stop in Walls (rat proof) Guard Rails & Deck Construction -Post Caps 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Stucco; Brown -Finish 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Date FRAMING (Continued) 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time you visit job site) V = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date r' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, ,,alif.orn� 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT 44 ASSE O PARCEL NUMBER ZO I G •--/S' BUILDING PERMIT Ar 1 OWNER TELEPHONE •ems a t� 2 3 SQ. FT. OCC. BUILDING VALUATION / Z a- Z OWNER'S M LING AD RESS OL a �� 4!�. C NTRACTOR"NAME ©�,, I �Vw n C W � `C TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER lflC UNKNOWN � /�K � Fireplace Total Valuation is U Z_ Filing Fee ,$ 10,00 LENDER'S MAILING ADDRESS- �— Permit Fee $ 0,00 ARCHITECT OR ENGINEER /( LICENSE NO. Plan Checking Fee $ OI® Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,5 2. GQ^✓ BUILDING ADDRESS .v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. Q SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo— Other , SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liti s [:1Installation ❑ Other k Describe work: ��B^ �A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 1 5.00 Main service EA. ADD'L too AMP 1 2.50 NEW CONST. ( DWELLING OCCUP.I1\ OR ADDNS. ACC, BLDGS. / 20 sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provsidns of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 NEWNO N.RESID BRANCH CIRCUITS) CONSTR.1-OUTLET 2,50 ea NEw CONSTR. (POWER APPARATUS) NON-RESID, (SINGLE OUTLET CIR, / SO @ 25¢ Ex. Occup(OUTLETS OR FIXTURES gAL@t FIXED APP LHS, OR EX. OCCup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 -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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains County in coonnisequence�f the granting of this p mit. X Date Signature of Applicant — Owner FJ 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 $ �,�,00 Oe CUPEG RouP j [ TYPE OF CONST. 1 �_ ,t / 1� � V J11R11LJ PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /���� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "."S'is"Y''a��.�`:W �+c+i.•.-..•-ten... .:..ZW'- s:w. i 47"'.-'''°R'�1d"M°- +�"ir i''ti�.•'t1=:.A :.-y.s"�+v'.,�ti"..,,3.�...yA'L:.. y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 I PERMIT APPLICATION DATA SHEET ,� `/ Permit No. OWNER �P�tG! Z- ,i T PWS L A. P. No. Proposed Building Use c ae Pao^f/ Permit Fee Based Upon: Complete Contract Price DPW Valuation bpir (/plain) Building Inspector r Date —� wG 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 i dup;Epr1l tri:pf t k , . . . . . . . . . . 3. Complete plans ae tr> ,i t . 4. Complete engineerLTdplans 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: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ©%C 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ) 18. Other When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 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,,rcircle 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 Plans checked by. Plans approved by Other: Copy—DPW By Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the majof labor and materials for construction of the proposed property improvement (yes or no) r 2. I (have/have not), signed an application for a building permit for the proposed work. 3. 4. :I have contracted with the following person (firm) to provide the proposed construction: Name 'Address City Phone A Contractors License No. 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 igned : Property Owner Social Securit number �— Date G 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 permitted to issue the permit. A setback of 5t4T_T±e, property lines and a setbac of 50ft. from the road centerline shall be clear of I structures or equipment except for a 2 ft. eave ov hang. P A, In ZS, & W, 4 "hio Shall"OL nor Mot rials d PraCfi�fe�oo. 'mood bt Recognize N( , F-'— wit once�,Specified us6\�ido, per colm UOUy pr cribed for ochanical Codes and o u, - g, plumbing Um I etcfricoj Co el. Natio h6 3 O the Not, (U Q) This so 6T plans 'bQ spec, 'ca+410 Im BUTTE COUNTY kept on the job at SII times and'it is nlow ' fu withou make any changes o cAPra+;ons on s e w BUILDING DEPARTIVIEN ID from the Departm t of Public -4 written permission f Works, County of'N,++G- 0 APPROVE r 5oorN SIDLF 3-1- A w w UTTc COU BBUlt , NTY DING DEpART A4FN App t Ro-VED 'f /4a i f3 oi. r A /?"r • 5oorN SIDLF 3-1- A w w UTTc COU BBUlt , NTY DING DEpART A4FN App t Ro-VED 'f /4a i f3 oi. r A /?"r . . -�;, .. S!, � ,,r: '`� T� �y '. 'R'} ` � � ! � } � — '� ,s,i �,� * _ ... 4i � 1 M � , 1 f r �. + — � is .,� F'r, ,. �' � _ } � , F -� �. ,'J ' � _ _� .,� _ _ _ � .'' �L A � 1 ~ 1 .y ; • ../ �. _ s � � � 4 i/ � �.� ''_ .. _ i {. i. Y;� ` �r _ , .. _ �� yN�. ' sem/ /) / � /,�/ �ii�� � e ' �� ♦ �� /I��I��1 ���� I f ��� � � , �, � - / �" i J` - r' � �� �� �� ��- s �✓ ��� �IL� � � ; ��y, ' ���� % � . ,, � . . �_ t �, 1 �; +, �: :� � . Wd bL U t AIMI Sy.-,.lom onand :1.0 lana 2ifi y FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information/) Director Dep, Dir. Sec. Rd. & Br. Mtce. ! '-quip- & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mopping Drng./Permits Sub. Checking Right of Wav 3413-81(Mathew) PERMIT NO. 806-87B PERMIT EXPIRES --7 -7 OWNER BILL T C LZMENTS CONTR.— Better"Builders ASSESSOR PARCEL 69-15-10 LOCATION 23 Royal. Oaks Dr, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service C Temp. C JOB F S J = OK. 0. = Not OK — = Not Applicable MOBILEHOMES * = Not Ready ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DEC ,COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements ning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3 _ Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. D ks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) �j�% Wood Awn.; P —Bea a--�Rf Co .—Shtb,--"Rf ra gjor 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ P'L"ft./ `/"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Carports; Wi�—Q9or� 7. Elec. — -347 (` / Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-BIto 5 -Card-61 kj Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK exce H's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip. -Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date, Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL. (Single and Duplex) Date UNDERFLOOR (Plans) OK except H's Date _ Card -BI Date 1. Zoning requirements -Setbacks -Easements _ 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. _ 3. Ftg., Garage; Soils -Steel- / /" Fig. Depth 4. Ftg., Porches & Decks: Soils -Steel- / /" Ftg. [ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Fig. -Steel - 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test _ 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test Card=B1 11. Electric; Underground Card -BI 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI 30. DateCard-BI Date Card -BI Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Date Card -BI Date Date PLUMBING (Permit) OK except q's _ Date Card -BI Date 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI FRAMING (Continued) Date _ Card -BI Date Card -BI Property Line Firewall & Openings _ Date Card -BI Date Date ELECTRICAL (Permit) OK except p's 20. Fixture & Transformer Clearance - Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Card=B1 Insulated Neutral Yes '7No Card -BI 28. Service -Riser Conductors & Ground -Main Disconnect Card -BI 29. Equip. Clearances: Panels-Motors-Mech. Equip. Date 30. Clothes Closet Light -Shower Light Card B -I Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Date Card -Bi Date Card B -I Bedroom Exiting _ Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31: A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size Grade 34. _& _ Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. _ Attic Access & Platform if Furnace in Attic Card -BI 66. Date Card -BI Date Ca,d-BI Date Card -BI Date Date FRAMING(Plans) OK except p's 36. Sills: Prover Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. _ Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42, Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing Date FRAMING (Continued) 48. Property Line Firewall & Openings 49, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card=B1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72.---1 nsu let ion- Foam- Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas -est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com tents at Final: (NOTE Anentrymust be made each time youvisit jobsite) J. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califomia•95965 - Telephone 916/534-4541 APPLICATION AND- PERMIT 0 .PER AWIT N ASSESSOR PARCEL NUMBER ZONs 1 BUILDING PERMIT OWNER 6 rige PTS TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 95- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ (Z/ © Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -710,0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37?,5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �_ Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOTNO. SUBDI VISION p1 AI PARCEL MAP t Water piping 55,00 Each qas water heater or ven 5.00 USE OF STRUCTURE SF ❑ Duplex[]MobilehomeFW Other COR 1POP-T-- SPECIFY Gas piping system 1 - 5 outlet 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New] Addition [:1Remodel ❑ Utilities [IInstallation❑ Other ❑ Desc11ribe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ®I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full %force and effect. License No. i Classification I, .as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& , OR ADDNS. ( ACC. BLDGS. /21tsgft NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e %SINGLE OUTLET CIR. ) EX. OCcup(OUTL` S OR FIXTURES 120 0 50C eAL030 IXED APNS.❑ EX. OCCUp. OUTLETS LESID IKEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 1 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st sai ence of the granting of this permit. Count��hh X y 'n onsequDate 3'�—�l� Signatu of A licant — Owner ElContractor© Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ /Zf, Occup. CONST.TYPE f7 L'VJ PA a I PD ND SV This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date - �—? ���Z�d Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, PIN -INSPECTOR, GOLDENROD -APPLICANT .11 N COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE`•.CALI-FO NIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -I �� Permit No. OWNER v T� �� A. P. No. _m Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issua eo: DATE RECEIVED APPROVED n Zv. 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 talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor"Plan . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , , `9: Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When When ou issue the permit, process as follows: Mail to owner, Mail to contractor. and hold for pickup at office, Deliver w/ i ns pector.. Other -,C Applicant Date' e w Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone ---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder e — Flours: 10:00 a.m. - 3:00 p.m. { COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI-ON AND PERMIT ERM1T 0. ASSESSOR PARCEL NUMBER 69-15-10 ZONING ' BUILDING PERMIT OWNER BILL CLEMENTS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 23 Royal Oaks Dr., Oroville CONTRACTOR'S NAME BETTER BUILDERS CONSTRUCTION TELEPHONE 1589-2547 1st renewal permit CONTRACTOR'S MAILING ADDRESS 6186 Beckwourth Way, Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee 1 $ 7.25 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2 YOAKS DR. Permit tee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 OROVILLE Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities El Installation❑ Other ❑ Describe work: ; 1st renewal of permit #806-87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 00 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thi eason Main service EA. AOO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP. a` , OR ADDNS. ( ACC. BLDGS. / /2Osgft NEW CONSTR 1.OUTLET NON.RESID BRANCH CIRCU ITS 2.50 ea POWER APPARATUS S (SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES 2ALO 30 eAL030 \ Ex. Occup. OUTLETS FIXED P(RESID )LNS 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. 1 also agree to save, indemnify and keep harmless the County.of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aainst said County in consequence of the granting of this permit. X Date ignatura of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 47.25 OCCUP, CONST.TYP[ ISCHOOLIFL.ODIPAPCELI PD I ND J IseuE This permit is hereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date 3-12-89 Receipt No. WHITE-D.P.W.. YELLOW-ASeE330R, PINx•INSPECTOP. GOLDENROD -APPLICANT T 5' Ulf;a —_ 0 3. 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