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HomeMy WebLinkAbout069-340-016flow�y,.,t� r x,34 165 \ ; `s"'.92 .1275B 4 1` , , MITZEL, George H. *4700B 4j441 MANSN.arian ,t c ; .e . ; 4551'.'_ 225'Lodgevlew Dr, � Orov,ille' L '37 5J orks ,:, r 14, '' 10-1 ool decking k �f- KV,.�'- , 52 Lodgeview Drive; � Orovil�ler 21 52 806'2867 ? �.i`yr,069 340 016 F` x (addition) -2- (:�,, cl. LANEOUS LPG' Tank:(Ab`vGrnd)N, *addition MISCEL .1r.�iyam. L ' � • Ga' all furnace and LP tankNi'? 5;[ ODGEVIEW DRQ' k t�`SIEIVIENS;MARIAN J 06 °" `''�`\.:'.�^��.SywT.�v.:v'�ft�•'��''F�r�' r :,Yi='::�'-�'Sr(t'.� a � _ _ _ �•e .. • i i i , } f \ t t IF II BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2867 Issued: 12/19/2006 Address: 225 LODGEVIEW DR OROVILLE APN: 069-340-016 Permit Subtype: LPG Tank (Abv Owner: SIEMENS, MARIAN J Applicant: Dan Sabin Description: Gas wall furnace and LP tank MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 U.Odar_U -1 111_...t=_.„_ ( - - •--•-OFFICE�COPY Address-�� `~ GAS Da —Met er:•By-- (...e;i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 225 LODGEVIEW DR Owner: Permit No: B06-2867 APN: 069-340-016. SIEMENS, MARIAN J Issued Date: 12/19/2006 By GLB Permit type: MISCELLANEOUS 225 LODGEVIEW DR Subtype: LPG Tank (AbvGrnd) OROVILLE, CA 95966 Expiration Date: 12/19/2007 Description: Gas wall furnace and LP tank (530)589- 4342 Occupancy: Zoning: AR1' Contractor Applicant: Square Footage: DAN D ELECTRIC Dan Sabin Building Garage Remdl/Addn 2179 TEHAMA AVE 2179 Tehama Avenue OROVILLE, CA 95966 Oroville, CA 95965 Other Porch/Patio Total (530) 534-3844 (530) 534-3844 FEE INFORMATION Furnaces (F.A.U., Floor) $55.00 Gas System (enter outlets) $55.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1253 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DAN -D ELECTRIC 784128 / C10 / 09/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 o e Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fp! ce and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the t\ basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X - 12/19/2006 1. the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). n AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED JTiAVE as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 229-0027268 05/01/2007 Carrier: Policy Number. Exp. Date: Contractors License Law.). (This section need not a completed if the permit is forfor on undred dodollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 1_3 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 I should become subject to the workers' X 12/19/2006 compensation provisions of Section 3700 of t abor Code, I shall forthwith comply with those Owner's Signature Date provisions. ` X ) 1 12/19/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signat re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owrT7m authorize o a the pr a owner's behalf. CONSTRUCTION LENDING AGENCY 12/19/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name Of ermittee [SIGN) n Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ontractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT' SERVICES BUILDING PERMIT APPLICATION -NO. AND SUBMITTAL REQUIREMENTS tJ OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 w Oto A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds BIN N "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name - 51 if irst Name Mailing Address s0 City ©`- L/ State 6" Zip cS G . Phone _,-g q _ y 3 y) Fax E-mail --....... .. APPLICANT INFORMATION CONTRACTOR Name r1 g/-ect Address -2 C7 —y /{� / ] g City Oro V(//c Fax State C Zip 6S Phone �� ty 3�� y Fax E-mail E-mail uc. # ,� (a $ . Class,-,-/, --....... .. APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Address Fax E-mail State License Number --....... .. APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only- nl :Zoning ZoningFlood Zone SRA I Yes No Occ. —Nam;"— Type Const. Subdivision Map Book Page Lot # Planner Date Approved: PROJECT LOCATION AP# C�o� , J 40 - Property desv City 6GZ�Y, l Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: -- Sq FT- Living Garage Open Cov ❑ 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. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total Yr RESIDENTIAL 69-34-16 92-1275B SIEMANS, Marian 225 Lodgeview'Dr, Oroville contr:Waterworks Pool decking a �pp 600�V`�d�/ 7 I JOB FINALED (Date) J _ Signature J=OK O=Not OK Not Applicable Not Ready 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 MISCELLANEOUS Date D S, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s °9 1. Z Aing Requirements -Setbacks -Easements F gs; Soils -Size -Depth -Spacing -Connectors -Steel 14'Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Do< Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 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. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7.Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date D S, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s °9 1. Z Aing Requirements -Setbacks -Easements F gs; Soils -Size -Depth -Spacing -Connectors -Steel 14'Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Do< Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 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. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK exceptg's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------------- ------------------------ ---- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------- --- - ----------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test -Tub & Shower, ---- Second Floor -Tub Access ------- ------------ ----------------- -- -- 21. Gas Pipe: Size & Anchors Date Card B-1 -- - Date - Card B_t -------------------- - ------------ Date Card B-1 Date Card B-1 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. Fastners-Bond Gas & Water ---- ----------------------------- ---------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes Cl No ----------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - ---------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------- ----------------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34.- A. -C.- Ducts Insulation & S --------------------------------------upport------------------------------------ - 35. Vent Fan: Exhaust above insulation ------------ ------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade -------------------- --- -- ---- ------------- 37.-Furnance-Vent:--Access-Comb -Air-Return -Air Vent ---1-1-5 o--utlet--------------------------------------------- ------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------- -------------------------------------- Date Card B-1 DateCard B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. 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. Headers & Beam -Size & Bearing ;Ingle & Duplex) Date - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rflr. 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 -Ceilings 60. Infiltration -Walls -Windows -------------------- D ate Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date FINAL (Plans) OK except N'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 - ----- ------ - Duct in Garage -Damper 73. A.C.-- --------------------- - -- 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 Protection ----------------------------------------- 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-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------- -------- ___ ----- 86. Ventilation Throughout House --- -- ------------------ ---------------------- -- ... ------------------------ 87. 87. Glass Protection - --------- -------- ----- 88. 88. Corrections from Previous Inspections --------------------------------------------- - ----- - 89. Gas Test -Meters Tagged; Gas -Electric ------------------------------ - ----- - ---------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------- -- ------- 91. Energy Compliance Certificate -Other Certificates ----------------------------------- ----- -- -- Date Card B-1 Date Card B-1 -------------------------------------------- --- --- Date Card -6- 1 Date Card B-1 -------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: (F"�..:t�wi`'1`'!�.fc'"'��'yr`>r<yi"�'-�`"►:�jxfl4-s`�V:�ti:.:y�.�-"-li..'��.'-.'.�++.nr+..r.„rr�r-. �.-- `4��•�fi.. -... '-.-�t�� u 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 9 fa OWNER PERMIT NO. xAl A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office hen correction of work is completed: If you have any questions pertaining to this matter, or ed additional explanation; please contact this office immediately. .00- !-.✓ � 6 C.I J t� 04 C . li L Date 7 3 L InspectorJ,l—. REV 11/81 J 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CPlifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT / j n� N ASSESSOR PARCEL NUMBER 69-340-016 ZONING . AR 1 BUILDING PERMIT OWNER MARIAN S. SIEMANS TELEPHONE ,SQ. FT. OCC. BUILDING YWiT10 31 O OWNER'S MAILING ADDRESS 225 LODGEVIEW DR OROVILLE CONTRACTOR'S NAME WATERWORKS UNLIMITED TELEPHONE 893-4563 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ n cJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ PZ6-Z5- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS225 V I W R OROVILLE Permit Permit tee $ 3, PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP WaterP�P� 9 I in 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 17� Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: POOL DECKING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 18.50 Main service 200A TO 1000A1 37.50 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 o e and my license is in full force a d effect. License No. Classification —�� FlEA.7 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ 3.60 sq.ft. OR ADDNS. 1 ACC. BLDGS. I NEW CONSTF OLTI-OUTLET @ 5.00 NON.RESID BRANCH CIRCUITS) (POWER APPARATUS h\ SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76 A \ Ex. Occup. OUTLETS P(RESID IR I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n e permit is for $100.00 (valuation) or less. JIM'`/. Thhave 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 FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the abo mentioned property for inspection purposes. I also agree to save, indemn fy and keep harmless the County of Butte against all liabilities ju ents, Costs, and expenses which may in any way accrue against I o ty in consequence of the granting of this permit. X Date Sig u o{ Applicant — Owner Contractor ❑ Agen� l Ani permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE , TOTAL FEE $ HAz I DFEES I IMP I FLOOD — CDF PARCEL PD• HD V/ IS' / V This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do i work Indic abov for which fees have been paid. D E OR UBLIC WORKS BY �— Date p f PERM XPIRES Date Receipt No. 11=5450 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONINj-ry� BUILDING PERMIT OWNER TELEPHONE SC FT. OCC. BUILDING VALUATION OWNER'S MAILI CON ACTIO Lz T LEPHONE CONTRACTOR'S MAILING ADDRESS F i rep l ace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS .. Filing Fee • $. . « 15.00 Permit Fee ANRCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Z.O,Q s Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI A RES , / P_ o (�(O Permit fee _ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME• PARCEL MAP - 7 Water piping �• 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other -'' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK . New Additio Remodel ❑ �ItI lities nstYall tion+❑ Other ❑ Describe work:' 0 ��'I �� /� ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ,. _ '•':: . j �.�.- t_; \ Main service 800V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 ❑ 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 ' ❑ 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) r El I, as the owner,. am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ r am exempt under Sec. a ";, Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. l ACC. BLDGS. I 3.64 sq.h. NEW CONSTROUTLET NON-RESID ERANC CIRC TS @ 5.00 POWER APPARATUS e1 SINGLE OUTLET CIR. EX. OUTLETS OR FIXTURES 20 76 EX. OCCUp. OUTFIXELETS P(RESIO )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g •-15.00 Permit Fee - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less..+ ❑ I have placed on, file with the. -County of Butte Building Department a Certificate of Workmen's Compensation. Insurance or a. Certificate of Consent to Self -Insure.. ;' ;" -"" ❑ I shall not employ any person in any manner so as'to become subject to the W. C. laws of California. _ , 1y. 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 b0i'Aeemed revoked. Contractor MECHANICAL PERMIT FilirgFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that 1 have read thls application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may In any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES �S HA2 OFEES I IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �I'�f 2_1L _ WNITE-O.P.W.. YALb W-ASe(3IOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ". f' • r" n.Cr er r t� tc. _ # a�'; err a• .r t V"fit. �r,1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.�I2~ %27S OWNER M da lit m SIv mClih f A. P. No. 69— 390-0/6 Proposed Building Use de& -b /gni-gym 426TBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ECEIVED 1. All items have been submitted . .................................... D(w 9,17-n Sf1EE�PPPOMRv 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ eaT L7-7761= Or 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. ADf?IICAL76A) 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. r Fees of $ , ?_S .................................................. 7— 7 Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... �G13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of ! Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be 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---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date _443-0,19Z—Plans approved by r�w Date /�Z Sets of plans on hold in File cabinet AP folder Copy—DPW t� LOr)C,<-,-v1Cw c)elve r M OJ 5e P T1c -0 DC-777CWE ff A p 14 JV7 S BUTTE COUNTY BUILDING DEPARTMENT APPY D L/ ,OL 0 T AXJ ru-c C61pv 0 Location of structures equipment .shall be as shown ctear.--of all easements. 'Q QC -A2 r_61AO 58 �j p 14 JV7 S BUTTE COUNTY BUILDING DEPARTMENT APPY D L/ ,OL 0 T AXJ ru-c C61pv 0 an-hip o ' !1 • r; `. 1.11:1 QVII iil� "t+:.l.:f�:?'.3-J.L..2:' .ta,i: •�,�—,.e.�! s,t.� ri3�n �'"• #�''A . O V/.i'`'rt�^Z�1 sp3tlllr�i;'t, �i:l:Tl�i�i� 77 .,s`..ilis set of plans 'and...spActfi —tions IVIl.'-T _ j,}._..._ .._S� • �'E-5 �—> � '�.Q��,it nn the ja%-c�t�Cil a•bE t' es cml it, is fir-lawful to ;r r:?n4e nn., changes or al#er.^t:on! on sarnQ without written permission from the vela rtrnent of pubic wr orirs, County of Butte. �T POO I t rail to be•36 Fn.-high ws'i* ' �.—inti. rmediate rails to be riot wisr6 in. apart. k1fill Run . •� � ha,cndlra,tl 39.-38`abouc ;v '. . � . ' BUTTE COUNTY r BUILDING DEPARTMENT DOCK PLgA1 APPrIUVEU /La' (0, fyp -rtn DIVIAAM% 'nr% C*Vl- 4"xV GIRDERS Ps"TiG PLYWOOD CE EXT. Qc .GUARDRAIL zo 12" STAIR S, T R I NN 6 E R B X. -TDF VIEW HANDRAIL MDT SHOWN Fbl?\ CIK1Z(T\(. Z- 13 o IT LU 0 Uj 1-- z CC %%to DECYWG 14'xWAN. F-.00-rINC, 4% (Y 4"X4' POST x 3/g` --J 'gel DOLTS GIRDER 4 4 11 4"X 4'' POST --ADEQUATE DIAGONAL - BRACING. ITYPICAL' RESIDENrl, Jzoz 2'x4" PRESSURE' -'rRFATCD oR -)?FD WOOD PLATE STEPS ,e�ry/oQOECX -- '--- - - - --'- . -, -:—k tblU-NYY OF BUTTE - DEPARTMENT OF PUBLIC WbAKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 MOBILE E- U LU LIJ Z.. MAX N-IKFL. FUN MAX,M CLIP (ER. PE M : , :p '9,M14 DECYWG 14'xWAN. F-.00-rINC, 4% (Y 4"X4' POST x 3/g` --J 'gel DOLTS GIRDER 4 4 11 4"X 4'' POST --ADEQUATE DIAGONAL - BRACING. ITYPICAL' RESIDENrl, Jzoz 2'x4" PRESSURE' -'rRFATCD oR -)?FD WOOD PLATE STEPS ,e�ry/oQOECX -- '--- - - - --'- . -, -:—k tblU-NYY OF BUTTE - DEPARTMENT OF PUBLIC WbAKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 VARIES m N bj X7 cp v m CID ea" i D - rr, Ci tn C34 Da 0 M < M a M .3.4- —3� 0 N 3 m (ill :.J,/HANDRAIL RE16HT M z 0 MAX. o C) 6' d�N-n '! cn C -� 03 cn 37 :,. 7q rt MAX. r771 r 171Q —4 C�p 1. (30 m V'> --i-/ I �p j-4 G N 36"'MIN. STAIR. rn W I DT44 7q —i k . y COUNT -;;f""– BUTTE - DEPARTMENT OF PUBLIC WORKS E 7 Count Cent Virive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 069-3407016 ZONING AR I BUILDING PERMIT OWNER MARIAN J. SIEMANS TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 11000 OWNER'S MAILING ADDRESS 225 LODGEVIEW OROVILLE :369– —25-29 CONTRACTOR'S NAME i - WATERWORKS UNLIMITED TELEPHONE 893-4563 CONTRACTOR'S MAILING ADDRESS 135 A W. 8TH AVE Fir lace ] I oo CONSTRUCTION LENDER UNKNOWN Yy otal VaIuatlOn LENDER'S MAILING ADDRESS Filing Fee $ 15.00 rmit 1790, $ 22.50 ARCHITECT OR ENGINEER LICENSan Ch c ing Fee $ 20:00 . Energy ,an Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS, Refy $ -BUILDING225 LODGEVIEW DR OROVILLE I "it fee $ 57.50 - PLUMBING PERMIT Filing Fee 15.00 a 'Each Trap 5.00 fSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC LOY P' - Water piping' 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURExv v SF ❑ Duplex❑ Mobilehome❑ Other V J SPECIFY T Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI GJWJ 1@ 15.00 TYPE OF WORK New ❑ Addition' ❑ Remodel ❑ Utilities ❑,-,.,Installation ❑Other ❑_ Describe work: 2001, TO RE MASTERED I - .Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A,, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury. (check one): ' I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license is in full force and effect. License No. '5_3t8 Ilk Classification C_ — S_� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ' ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&� 3.6Q sq.ft. OR ADDNS. ACC• BLDGS. NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRCUITS @ 5.00 / POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APLNS Ex. Occup. OUTLETS P(RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 POOL ELECT Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. t 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.shalI be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ , Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned, property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liaM'dents, costs, and expenses which may in any way accrue consequence of the granting of this permit. � X Date �{-�-Z Z Si nature of Applicant - Owner ❑ 9 PP ❑ Contractor Agent on oCfsst uHA c ermiu estoveris r 39storiesfor in height io s over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee. $ occ CONST TYPE TOTAL FEE $ 87.50, HAz DFEES IMP FLOOD COF PARCEL PD HDagainsn 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 beenaid. DIRECTOR OF PUBLIC WORKS p By Date PERMIT EXPIRES Date Receipt No. WNITE-D.P.W., YELLOW—ASSESSOR. PINK -(NBP C OR, GOLDENROD -APPLICANT - "VOW, !,V 69-34-16 92-1276B,E SIEMANS, Marian 225 Lodgeview Dr, Oroville 0 contr: Waterworks swimming pool a '1�•�'+�G'itvfr'.4'��.�.Xi.rel:i,?5F—r.•.���`'^",�.i:�!tr,►"`y.^�w,:i r-.,��X�:,•"-r�,F,rtr r �„ .,a y _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAtION-DATA SHEET Permit No. OWNER C% y A. P. 06 — d Proposed Building Use v Building Inspector Date At time of permit application, I wa6 advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... n Plot plans in duplicate/triplicate, signed by preparer of plans........ �I Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of$%�C�,.................................�� 1. Chico Urban Area fees paid ..... ................................... 12. Park fees paid .................................................... 13. Scho District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico pfumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required: Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required .. Pre-Inspec. request to Building Inspector (Da 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other !111114 A Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 3 2. Additional items required: Contractor, designer, ow ve required data by_phone---nail—counter by Contractor, designer, wne as --a vise of above quired data by—phone —ma ll—counter by Plans checked by Plans approved by Copy—DPW Sets of plans on hold in File cabinet AP folder -date date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR N R OL/9 ZON BUILDING PERMIT OWNER ,� ,� 1 r- l'C 9 ( A� � - S ( E An Ar TELEPHONE SO. FT, OCC. BUILDING LUATION ' OWNER' S. MAIL I NG ADDRESS ,,�. en . I 2 �J b6- � P -J ®'wV IL��j CONTRACTOR'S NAME W A `t' ,woo-" TELEPHONE S 13 dt - CONTRACTOR'S MAILING ADDRESS 3s A (Z� g`T� � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee - $. ':•,15.00 LENDER'S MAILING ADDRESS Permit Fee $Z2+<0 . ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$;-0 a o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ � eu1LOINc ADggesZ r/"1 l�i l� 1 Permit fee iiE= $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping -• 7.00 .• Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑• Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New /Addyit�ion Remodel ❑ Utilities ❑ Installation❑ Other ❑ Desc"rib'e(j�lfbflf'"� 71- ' } , Permit Fee • � ' � $ Contractor •. ELECTRICAL PERMIT FilingFee 15.00 J 1 \ Main service 6OOV OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, .37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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 ElI, �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) •, •- -• • - . , - ... • E] 1, I, as the owner,. am exclusively contracting with. licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. 4" ,.Business. and Professions Code for this reason ''"'` .'r OCCUPM NEW CONST. DWELLING OR ADDNS. ACC. BLOGS. / 3.6asq.h. NEZyV CONSTR -OUTL T RANCH CIRCUIT S @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76ArA F FIXED Ex. OCCup. OUTLETS PIRESID )REA.Y 3.00 Temporary service 15.00 Home Facilities 15.00 . MiscWiring- g -15.00 Ma K, 7 ZT,�J Permit Fee $. a, WORKMEN'S COMPENSATION' INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less.... ❑ I- have placed on, file -with the County! of Butte Building; Department a Certificate of Workmen's Compensation_ Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as«to become subject to the W. C. laws of California. ;• "`". . ' . Notice to Applicant: If after making this statement -..'should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be -deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation ' Permit Fee $ Contractor I certify that I have read thls'application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities,. judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" dee an m ition or construet- ion of structures over 3 stories in height. �j Mobile Home Installation Fee Energy Inspection Fee OCC CONST TYPE TOTAL FEE 4PARCEL HAz OFEEs IMP FLOOD COF ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRE,FQR OF PUBLIC By J, . PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date — Receipt No. WHITC•O.P.W., YELLOW-AseC»OR, PINK -INSPECTOR. COLOCNROD- P LI CANT . x '0 TO Buildina Department w FROM: Environmental Health SUBJECT: Sanitation Clearance M AA Et t�:�Qjs OW -3y( ) Owner Locat' n AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for:Water Supply Clea or ----bedroom sa Other / �D 05 F'i_ AJ C (U, Poo/ !3 F) - (-) / -.- %"-PAS" j�- . , �O f , �;�' 0 9 9 F /11 k -F APPROVED Butte County EnvironmX10 Ito, Coe C. D Signature