HomeMy WebLinkAbout069-340-011El
,61?- 34- A. P. 3091@0&-1
LYNN TOLLER
55 Lodgeview Drive, Oroville
CONTR: Harmony Builders, Orovillep.,o_Z.
Permit 3700-73B,E (remodel kitchen
install 200 amp service & fireplaces
.69 34-1
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WILLIAM & JEAN TOB. e
224 Lodgeview Dr, ORo - le
Permit#3414-87B,E(*conv co
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'CONT;.KIM-PARKS CONSTRUCTION
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- -BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT. NO.
APPLICATION AND PERMIT ('�Y 6 rf
ASSESSOR PARCELNUMBER -1
l
ZVNING
BUILDING PERMIT
OWNER - V
Al �
TELEPHONE
-.23
y SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
,22V oJe.
/
CONTRACTOR'S NAME
r un ,J of$ -(' C AJ .,J
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
7 3 7 40v 4✓t
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 9 /%f
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New ❑ Addition 1:1Remodel ❑ Utilities O Installation 1:1Other 1:1Contractor
Describe Work:
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 1OV ORLESS ) 23.00
200A OR LESS
Main Service ( 200A TO t000A I 46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. OLDS. ) 3.50 FSD.7,
CONTRACTORS LICENSE LAW
I d under penalty of perjury (check one)
�9�f am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full fo a and effect.
License No. (C 3 / P44T Classification ] C-3 9 6 33
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS I @7.50
( POWER APPARATUS I
& SINGLE OUTLET CIR.
@ 100
Ex. Occup. ( OUTLET OR FIXTURES I B20AL. .
Ex. Occu FIXED APPWS. OR
p (OUTLETS IRESID.1 EA. I 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Tjais permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 agreb to s ve, indemnify and keep harmless the County of Butte against all
Iiabiliti, g` judgmeAts, costs, and expenses which may in any way accrue against said
CouRfy in consequence f the u
X ng of this permit. L,
Date 7
Signature of Applicant - Owner Wbontractor WAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
g
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 9
HAZ-
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
1RECTp'P
��.,j'MRKS
BY /Irk/ te
PERMIT EXPIRES ON j
IDatel
/�/�
Receipt No. / V % '/ �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California:.95965 - Telephone (916) 538-7541 PERMI NO.
APPLICATION AND PERMIT -
ASSESSO PARCE UMBER
ZONING
BUILDING PERMIT
OWNERTELEPHONE
W It I_L/ 1 Al
-a3 Z
SQ. FT. OCC. BUILDING VALUATION
OWNER'SMAILING ADDRESS
CONTRACTOR'S NAME
?,4AC 45 Ct �.J ,r .✓
TELEPHONE
3
CONTRACTOR'S MAILING ADDRESS
7 — ALle
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESSPERMIT
;2_4 GD� ���
FEE $
3
PLUMBING PERMIT Filing Fee 1 20.00
Each Trap 7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: G --f /710,-4 pa.
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 21001 01 LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLDS. )
S0.
3.50 FT•
CONTRACTORS LICENSE LAW,
I decI nder penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C de and my lic nse is in full fo a and effect.
License No. Classification J C-3 J 3 3
❑ I, as the owne , 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS I
@7.50
POWER APPARATUS I
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES I
B2@1.50
Ex. Occu FIXEDAPPLNS.OR
p' (OUTLETS (RESID.1 EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ his permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 a to s ve, indemnify and keep harmless the County of Butte against all
liabiliti judgm ts, costs, and and
which may in any way accrue against said
Cou yin con .quence f the ng of this permit.
X ate y
Signa ure of Applicant - Owner Contractor GrAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $
HAZ•
D. FEES
IMP
RLOOD
CDF
PARCEL PD
HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a e for which fees have been paid.
WE PUBLI RKS
By Date
PERMIT EXPIRES ON
(Oe tel
Receipt No.
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PMIT.DOC
DATE
TO WHOM IT MAY CONCERN:
I AUTHORIZE TO PICK UP A BUILDING PERMIT
FOREMAN `
' .
—
FOR THE CONTRACTED WORK AT ~�°~^^/ 3)j'('
ADDRESS
FOR AT ('91&) . THIS
CUSTOMER NAME CUSTOMER PHONE #
PERMIT IS FOR .
PRODUCT
. o�\
/l --
THE TOTAL AMOUNT OF THE JOB IS $ 7,3
\
THANK YOU FOR YOUR CONSIDERATION,
KIM PARKS CONSTRUCTION 916-533-3737 FAX # 532-6813
SINCERELY, �
WILLIAM K. PARKS .
KIM PARKS CONSTRUCTION/HOMEOWNERS RESOURCE
LIC # 631845
1737 WYANDOTTE AVE.
OROVILLE CA 95966 �
C.
PERMIT NO. 3414-87B, E
PERMIT EXPIRES
} OWNER WILLIAM & JEAN TOBIN
CONTR. owrier
ASSESSOR PARCEL 69-34=11
LOCATION 224.Lodgeview Dr, ORoville
= OK
0 = Not OK
= Not Ready MOBILE
MOBILE HOMES , i MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
•2. Soils; -Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; location -Test -Fall -C/O -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
6. Gas; Location -Test -Wrap: / PV ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures.
6. Carports; Windows -Doors
7. Utility Clearance '
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date.
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line.
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH -Test -Fall -Flex Connector
1. Setbacks -Easements •
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
Card -131 Date Card -131 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -Bt
Date Card -131 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date UMBING Permit OK except #'s
1 Water Ht. Vent -Access -Combustion Air
(1 Water Pipe; Test & Anchors -Nail Protection
1 D.W.V.; Test-Fttngs & Anchors -Nail Protection
111 Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22, fJ fure & Transformer Clearance -Ins. Protection
4-6 E1ec. Receptacles Spacing -Lights & Switches at Doors
Si oxes & No. of Conductors -Stapled
o g d lose to Edge of Studs & C.J.
Z?, ui . Ground made up w/Mec Fasteners -Bond Gas & Water
-eiLr appliance Circuits in itc en & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
4=49-ta7T-4e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
mice -Riser Conductors & Ground -Main Disconnect
TrTq_G;. Clearances Panels-Motors-Mech. Equip.
lothes Closet Light -Shower Light -Spa Light
Card -81 Dat -,5-Card-B1 Date
Card -81 Date - Card -B1 Date
Date CHANICAL (Permit) OK except #'s
34 A.C. Ducts Insulation & Support
3. Vent Fan; Exhaust above insulation
3 . Condensate Drain & Overflow; Size & Grade
3 . Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
31. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -131 Date
Card -61 Date Card -61 Date
Date FRA_MING (Plans) OK except #'s
SiWProper Material & Anchors
alis Studs -Nailing, Spacing & Bracing -Plates -Sound
Oelle'ng Walls over Girders & Floor Nailing
ft Stop in Walls (rat proof)
Fir tops; Furred Ceilings -Stairs -Chases -Tub
wader & Beam -Size & Bearing
Date FR"ING (Continued)
. Ha gers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
-4e:'Fiffeplace Ties or Type A Flue -Fireplace Throat
-47'Aific Access; Size & Romex Protection -Draft Stop -Ins. Baffles
. Windows or Exiting Doors -Sill Hgt. & Dimensions
49--6a ge Fire Protection Framing
roperty Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
'STS rrs; Width -Headroom -Rise -Run -Landing -Fire Protection
od on Roof Overhang -Attic Vents -Rafter Outriggers
&. Siding -Nailing Veneer
..66rStu co Mesh -Drip Screed -Fd. Vents-Underflr. Access
fazing Area -Glass Protection -Skylights -Plastic
0'.-Stpar Walls; Nailing -Bolts
L58116sulation-Walls-CIg. / /
59. Infiltration-Walls-Wndws
Card-13Date/,',? --3- and -B1 Date
Card -131 224Dat and -B1 Date
Date (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
1. Smoke Detector
' 62 rurwace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
T63-669r-o`6�h Exiting
F.I. & Bath Fixtures & Tub Access -Spa
C66. Elec. Trim &_Subpa eI; s
8 .Fireplaes o' ve; Clearances -Hearth
68. Else. Outlets -at -Wood Panel; Int. & Ext.
69 ce; Grnd. -Air Gap -Cooking Clearance
70. ptacles at Kit. Counter
71 r; Swing -Landing -Closer
7 ."--Garage-Damper
7 .-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Equip. Listed for Location
7 . s in Garage; (G.F.I.)-Romex Protec.
76.-+nsutaUoa_Eoam-Looked in Attic 0 Yes
L7?' -Guard Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
79. Following instld.; Drive 9,fes O No; Walks d�Yes o,
Planters o Yes 11-W
80.`StQcca'Br Aw Finisb
8 -Electrical, Plumbing
82�oef,- %g.-Appliance-FirepI.-Clearance to
Openings.
83. nect, Electrical, Plumbing
84 Exterior Elec Brim; G.F.I. Receptacle -Underground
85. Ventilation throughout House
V'87. �orrections from Previous Inpections
-K Gas Test -Meters Tagged; Gas -Electric
L89 -Water & Sewer Connected -C/O to Grade -HD Approval
-99. Energy-CaMpliance Certificate -Other Certificates
Card -B1 Date Card -B1 Date
Card -81 at Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
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
MA
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.
Inspector
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
'7 41,-1-0
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.
r
1
Inspector 6el-? Date / �
Ar
COUNTY OF BUTTI=
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise= Phone: 872-6307
CORRECTION NOTICE
-�
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.
'�)G)
Inspector y��/ �/ Date- / ��
+- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrOVllle, Galiforn;ea 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSEZ7PA CEL N ER
_ �L_ %lykj
ZONIN
BUILDING PERMIT
OWN R-
,� E _r i1
kil /
E O E
TELf'+'H
7
SO. FT. OCC. BUILDING VAL TION
OW R'S MAIL G AD RESS
I/;& L ,
CO CTOR'S NA
iv ne V-1
TELEPHONE
CO RACTOR'S MAILING ADDRESS
Fireplace
CON U,C�ITCON LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ ti
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS JC2 47' ^Permit
C `L
fee
$
PLUMBING PERMITfiFiee
10.00
Each Trap
00
e
Solar or heat pump watLoutlets
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
00
Each gas water heater
00
USE OF STRUCTURE
SF0 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 -
00
Building sewer
00
Mobile Home SOea
TYPE OF WORK
New ❑ Addition RemodelUtilitie nstallation❑ Other `•
Describe work: ??e h V
V`
Permit Fee
$
Contractor
•ELECTRICAL PERMIT
Filing Fee 10.00
/ co
Main service GOOV 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. Classification
I, as the owner, or my employees with. wages 8$ 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 OCc -P
OR ADDNS,/z¢sgf
( /
NEW TMULTI-OUTLET'
NON.RESID 2,50 ea
BRANCH CIRCUITS 5
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES 20060c
ISALO 3o
FIXED APPLES. OR
EX. OCCUp. OUTLETS (REST D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 1
±L
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declarp 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.
N lice to Applicant: If after making this statement,should you become subject'
o 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
Permit Fee
$
Contractor
I certify that I have read this application avid 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 cons quence of the granting of this permit.
X ��-^��� Date —`� ' a r R
Signature of Applicant — Owner W 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 $
J
TOTAL PERMIT FEE $ 5
OCCUP.
CONST.TYPEJ
SCHOOL Foo o
P
PA E
PD
ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date l®-1 )%P7
Receipt No.
WHITE-D.P.W.. YELLOW-Aee EssOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�4 ��T �l�t.�i`'l��/"'i14)`��JA+�'1*A� . Y } �' � �"*�� n •�ir ..N'S�f',�w,��r "�4i'f1P �r �• � "/�.1. y �`•r� 3 1�4...(plF`�• .y_
` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAL tRNIA 95965 - TELEPHONE: 916/538-7541
.; PERMIT APPLICATION DATA SHEET r
° Permit No
OWNER W, Al tom! A. P. No. 4� 7 A/
Proposed Building Us c2 ✓ Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or ' .suance: - DATE RECEIVED APPROVED
. 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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "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.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
f 17. Pre -inspection for Required, Pre-Insperequest to (Date)
p for---.----- - - -- - ---- q Building Inn spector
r
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. _
20, Plot plan approval from city of
21. — — —
22.
W en you issue the permilt p ocess as follows: _MaiIL9 owner; Mail to contractor -
Telephone 19e and hold for pickup a�_)Z2_office', Deliver w/inspector_.
Other
Applicant dec, 6�4. Date_Ld-97
7
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 --- mail—counter by date
Contractor, designer, owner, was advised c? above required data by—phone —ma iI—counter byd , date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date - Plans approved by
File cabinet AP folder
e_,
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.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application 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 V\ Gz_ _
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 o_f Work
Signed:
Property Owners
Social Security Number
Date ID 1�;?-�S-7
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.
s
3414-87
PERMIT NO.
PA 9PERMIT
EXPIRES
OWNER
BILL IRAN TOBIN
CONTR.
owner-
69-34-11
ASSESSOR PARCEL
'
224 Lodgeview Dr, Oroville
LOCATION
Temp. Power Pole
J
Called PG&E
Temp. Elec. Service
Called PG&E
i
Temp. Gas Service
Called PG&E
G
JOB FINALED (Date)
. `
.}J.•• Signature
= OK
0 = Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -B1 Date Card -61 Date
Card -131 Date Card -B1 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage. Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -B1 Date Card -B1 Date
Card -61 Date Card -131 Date
r
Date DEC
MISCELLANEOUS
O_ VERS,CARPORTS,GARAGES, (Plans)OK except #'s
Re.qui rements-Setbacks-Easements
,2,,T2'o' gs; Soils -Size -Depth -Spacing -Connectors -Steel
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding;, Nailing -Veneer -Stucco -Mesh
10. R , Shthg-Roofing
Ext.; Steps -Doors -Landings
Card -B Date and -131 Date
Card -131 " Date Card -B1 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boi es-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81 Date Card -81 Date
Card -81 Date Card -B1 Date
=OK
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Single. and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material-Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -81 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / 9e. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -131 Date Card -B1 Date
Card -B1 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -B1 Date Card -81 Date
Card -131 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -81 Date
Card -131 Date Card -81 Date
Card -131 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PEREAIT NO.
ASSE PA C,gL U BER
�
ZONI G
BUILDING PERMIT
owNETELE
rn
= o
SO. FT. OCC. BUILDING. VALUATION
OSS ii
v ' r V'p I i
CO ' RACTOR'5 NAVE
TELEPHONE
C TRACT R S MAILING ADDRESS
Fireplace
CO RUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARC I ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ "
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
4 DPv r
Permit' -fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
11/1) Vie V
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
SFro Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is
10.00 ea
TYPE OF WORK
New ❑ Addition .Remo el ❑ Util' 'es ❑ Installation❑ Other ❑
Describe work: ��h S f}C r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR L
Main service 100 AMP ORSLESS
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 p
provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
14 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)
El 1. as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8d)
OR ADDNS. ACC, SLOGS. / /=0sgft
NEW CONST R. U TI.OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCcU OUTLETS OR FIXTURES 20050t
P eALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.� 1 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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, 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 c nsequence of the granting of this permit.
X Q–��— ���M Date 9 " ��' g0
Signature of Applicant — Owner® Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
CONST.TYPEJ
JSCNOOLJ
LOOD
ARC! PD
ND
Is ue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /�
Ir
Receipt No. S_
WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
V,
1 COUNTY OF BUTTE - DEPARTMEWT
OWNER
7 COUNTY CENTER DRIVE - OROVILLE,'CA
PERMIT APPLICA
UBLIC WORKS - BUILDING DIVISION
�OR-NIA 95965 -TELEPHONE: 916/538-7541
ON DATA SHEET
Permit No. u J
A. N.— /
Proposed Building Use vuen &4-Gr� rte: 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
71. 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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "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. Mobi lehome Installation Data. . . . . . . . . . .
17. Pre -Inspection for RequiredPre-Inspec. request to
. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the pr It, p ocess as follows: Mail t wner, Mail to contractor.
I�LTelephone � 7- and hold for pickup at�office, Deliver w/inspector.
Other
Applicant Date
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---inall—counter
by
--date
Contractor, designer, owner,
was advised of above required
data by—phone
—mal l—counter by
date
Plans checked by
Date
Plans
approved by
Date _
Sets of plans on hold in File cabinet AP folder
Copy—DPW
r�
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.
1. I personally plan to provide the major labor and materials for construction of
the proposed propertyp improvement (yes or no) -i:f:::A .
2. I (have/have not). signed an application 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 coordinasyperyise, and provide the major work:
Name tte, �Z
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 4 y_ Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date (I- ;RR- RK
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.
'This set of plans and specifications MUST"be
kept on the job at all times sand it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public NOTA --w Materials do Workmanship Shag Be ' %
,�
Works County_ of Butte. /
Armee with. Recognized .Good Practices and
0 ava Prendbed. for the Specified use -in the
UsUtaiatdirtg, Pfurit�iinc� Mec apical Codes and
VW HiftoW Electrkcd Code. .
t&:r. Li
30 r 9
.. /
C_O,PGrEv
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A rsefbacl of!fr.._f om theP e,``
. 1 JI E -� .. s~� �� A; ..�
property-lines=and a setback.
o.f 50f ro 2�1�.a9�;ho:l; Ect-l:�E,i. 1
m fire -road '� I jf NT
centerline shall be clear of
structures or equipment except a ?�`,
fpr ft. �avP n;<arhanm
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A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eav•� cverhang.
This set of plans and specifications MUST be
kept on the job at all tunes and it is unlawful to
make any changes or alterations on same without
written permission, from the Department of Public
Works, County of Butte.
BUILDING DEPARTMENT
3414-g7 � �
PERMIT NUMBER' - B
3700-73B,E
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2
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.t
PERMIT EXPIRES
OWNER Lynn Toller
coNTR: Harmony Builders, Oro.
r,
LOCATION (A.P. 34-10-11
55 Lodgeview Dr., Oroville
4
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COUNTY OF BUTTE
Department -of Public Works
BUILDING INSPECTION RECORD
°
Zoning -
' Setback r <}
Forms �D
Foundation
Piers & Girders
Fireplac w
`
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 j
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
,DATE,
REMARKS OR CORRECTIONS
Qd e_ e_1fa�
52,,:rAw
G `<
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S AN///'''---���
7 County Center Drive — Orovi Ile, California 95965 /
Telephone: 534-4541 //
APPLICATION D PERMIT
authorize representatives of the County of Butte to enter upon the
above -me tioned prop e spection purposes. 1 ?
X DateQC
Signature f Pe itee or Agent
Receipt No. //37. ?y
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 /n— -3 -.7
Building per
a
BUILDING
Owner L ,,7
SQ. FT. OCC. BUILDING VALUATION
0
Mai I i ng Address
Telephone No.
Fireplace
10
Contractor 1 ,w,
Total Valuation
Mailing Address k
Permit Fee
Plan Checking Fee &/or Penalty
Tehone No._
s _
Permit Fee
$
_
Building Address L.6d t
PLUMBING
No.1
@
FEE
PERMIT FILING FEE J$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
F
s I "I ion Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
s Declaration
Parcel Ma p
60' R/W
ImprovementsLawn
sprinkler system 2.00
�y e�Plan
I2g. PI s '0 1
Parcel Approval
Plans Approval
Permit Fee
$
I$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE 1 $3.00
--�
t•r- ly
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more an 12)
S6)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures / bal@I
• i h
RWps., swit es & fixjoutlets 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:
SC WL OV% 54
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air cofer or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No._12/7®/ Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
Jt S
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.
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
$
authorize representatives of the County of Butte to enter upon the
above -me tioned prop e spection purposes. 1 ?
X DateQC
Signature f Pe itee or Agent
Receipt No. //37. ?y
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 /n— -3 -.7
Building per
a