HomeMy WebLinkAbout069-390-011v
N
CSI �I M �I �
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �, 3 _PE� I NO.�
(Rev. 12/96) APPLICATION AND PERMIT C�
ASSESSOR PARCEL NUMBER
069-390-011
ZONING
1
BUILDING PERMIT
M - 0449
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAfL1NG ADDRESS
34 Hastie Way Oroville CA
cont es 1000.00
CONTRACTOR'S NAME
Better Builders Construction
TELEPHONE
589-257
CONTRACTORS MAILING ADDRESS
5263 Royal Oaks Drive Oroville
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total valuation $1000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee
$
RES
BUILDINGADD 34 4S Hastie Way Oroville CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 45.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 18 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
31 7.00 21.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel N Utilities ❑ Installation ❑ Other ❑
Describe Work: New bath and kitchen cabinets
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G W
@20.00
PERMIT FEE
$71-00
ELECTRICAL PERMIT
Fee 20.00
RLESSFling
Main Service YOGA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. y�
License Class G e orl[(4/ Lic. No. 3,) ,0 oZ5
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compesation insurance carrier and policy number are:
Carrier S'74h _,
Main Service YOGA TO 1000A
46.00NEW
CONST. DWELLING OCCUR
OR ADDNS. ( y ACC, sLDS.
SO
3.5QFT;
NEW CONST. MULTI.OUTLET
=-R.,..
97.50
PDWER APPARATUS
6 SINGLE OUrLET CIR.
Ex. Occup. OUTLET OR FocruREs
&,� @';so
Ex. Occu . pi FIXED g RAID °F
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 1 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that 0 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date V-9 IV.- d•3
Signatur of pplicant - ❑ Owner ® Contractor ❑ Agent
An OSH permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height
Mobile Home Installation Fee $
Energy Inspection Fee $
Dcc
CONST. TYPE TOTAL FEE $ 116.00
MAZ.
p, FEES IMP
FLOOD
COF
PARCEL
pp
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Di,)_
Receipt No. Z5tr 7 •0
WHITE-D.D.S.-B.D. CANARY•A S OR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION ANDPERMIT oryff/
ASSESSOR PARCEL NUMBER
069-1390-011
ZONING
BUILDING PERMIT
OWNER
. OWNER'S
VTIE eA 95
CONTRA O 'S� 7
-
TELEPHONE
TELEPHONE
SO, FT, OCC. - BUILDING VALUATION
--
5263 tOYAL OAKS DRIVE OROVILLE CA 95966
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$
Plan Checking Fee
$
BUILDING ADDRESS
34 HASTEE WAY OROVILLE CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: C/O SERVICE AND MISC WIRING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G1 WT-
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service q OR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fUl Orce and effect. J
License Class Lic. No. 37 �Z Z S7
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ACC. BUDS.
s°
3.5¢FT.
RESID. MULTI -OUTLET
@7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURESBAL
Q .50
Ex. Occu ounFrs ASID.°eA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compengation insur ce carrier and policy number are:
Carrier L,�t �� 'r-jilk/ 0
Policy Number Ig; / S 74n5_—_ Z
(The above sections need not be competed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the ork for which this permit is issued, I shall
not employ any person in any ma er so as to become subject to workers'
compensation laws of Calif rnia, a agree that if I should become subject to the
workers' compensation rovisi s of section 3700 of the Labor Code, I shall
forthwith comply with se p Isions.
X _ Date -7 0
Signature of Appli Owner 13 Contractor Qf Agent
An OSHA permi ' quired for excavations over 5'0" d pend demolition or construction
of structures r 3 stories inei t.
501114� -4n
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D. FEES IMP FLOOD CDP pARC0. p0 HD
ISS
This perrrA is hereby issued under the
of the a unty Cod and/or
indicat d b f r hic fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Dat
Dete
ReceiptNo.
WHITE-D.D.S.- .D. CANARY -ASSESSOR PI -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BU i TE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING Dl\nSION
7 County Center Drive & Oroville, Ce. domia 95965 ► Telephone (530) 536-1541
APPL[CATION AND PERMIT
ss�oaPAneae» =WmO BUILDING PERMIT
t , :�,n►re SQrT. nON CLL
oar
DE WOO= eR. = ADDFSS
testes I stteDrv�exs tram!
USEOFSi cTURE
�F 0 Dupiex 0 MzbDehome O Oster
�Pmi-V
i alai Yahtatjott S
Filing Fee 5 20.00
Permit Rm
Plan Cbezidt Fee
Gtwgy Putt ChBzidng Fee is
5 .
PnmrT Fm S
:011 WW"r-, •cPeatJttT I Ftffma Feel 20.00
w
TYP_ OF WORK Cr=s
0 dam 0 Oester 0 Bukrm seuve
f Idbbiie Homa
rilm E Kira 101,
PERI EFT FEE I S
Nbbus Hams Inst3 afta Fee =
Energy irspe_-6on Fee
o�
TimmTOTAL FEEE $
TOVal � I w_/M MAX d FM t6Sf' ( FL77D =FF PAR�9. PD I hm 6LF_
This perml is heresy issued ander the appR_-abis praysors
of the Butte County Coie endlor FimAfforts b do work
atortaled ebave fot whish fees Neve been paid.
By Date
i�e�iptNs FE?MIT E)71R=_s off
._�.� _ _ _ _ _ _ _.. �.. ������� �..... ...co�r�.10 �!�.��•.ntin. t�Dl I�ALT
7.DD
imp wider heeler
�. -a
MOD
hezlw or vest
*PSUAIT FEE PA4ID
$
Tent
15.00
$
IJbbAe
I
.SRAOTM.
PST F -R
fJ6 1
ISFM T
Fiitng Few 2D.oD
ccmm
=o
PmmLuloar
.
N
t 9 t�arusus
stntaE tntet_�r tan
$
HesSm
so
&DD
23RD
des
ZMDD
1►en6is
Apry N T W"
/
rilm E Kira 101,
PERI EFT FEE I S
Nbbus Hams Inst3 afta Fee =
Energy irspe_-6on Fee
o�
TimmTOTAL FEEE $
TOVal � I w_/M MAX d FM t6Sf' ( FL77D =FF PAR�9. PD I hm 6LF_
This perml is heresy issued ander the appR_-abis praysors
of the Butte County Coie endlor FimAfforts b do work
atortaled ebave fot whish fees Neve been paid.
By Date
i�e�iptNs FE?MIT E)71R=_s off
._�.� _ _ _ _ _ _ _.. �.. ������� �..... ...co�r�.10 �!�.��•.ntin. t�Dl I�ALT
7.DD
imp wider heeler
23.DD
MOD
hezlw or vest
I S.DD
amt 1 -5 eat9eis
I S.DD
15.00
S G W
@20.D11
I
+_l -
PST F -R
9
ISFM T
Fiitng Few 2D.oD
ccmm
=o
PmmLuloar
Cw?SD
t 9 t�arusus
stntaE tntet_�r tan
DUKE oR s
so
&DD
23RD
des
ZMDD
rilm E Kira 101,
PERI EFT FEE I S
Nbbus Hams Inst3 afta Fee =
Energy irspe_-6on Fee
o�
TimmTOTAL FEEE $
TOVal � I w_/M MAX d FM t6Sf' ( FL77D =FF PAR�9. PD I hm 6LF_
This perml is heresy issued ander the appR_-abis praysors
of the Butte County Coie endlor FimAfforts b do work
atortaled ebave fot whish fees Neve been paid.
By Date
i�e�iptNs FE?MIT E)71R=_s off
._�.� _ _ _ _ _ _ _.. �.. ������� �..... ...co�r�.10 �!�.��•.ntin. t�Dl I�ALT
,tea :., ,v:.: s ..._ �i .. , 3.,. ,_ _ _ 1.,... ... �r'+c•c�rx-_=say.,c::,., - w •-..�-; «....�v ..•�,-.,�.:at•'+x•!nrw�.e�F'eNs..v�-o-..'+'�r!.��x...;.aa::r_w..w�nvr..�:,.r-+r,L�Si;i*l.. fret} vi'va1C•w
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i
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541 ��� NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER-
J y' ` �_ .7
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
'OWNERS MAIUNG ADORES Sy G�'�r, r e e
CONTRACTOR'S NAME A/J11t-L !'7 /'C L/'J I�
TELEPHONES ?P2
3 !T/
CONTRACTORS MAILING ADDRESS
1,5764
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $ 20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS �-
%.
Energy Plan Checking Fee $
$
f
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCE MAP,
y •a
�Eak,1
-�'et- -
f*` ji: .''. APLUMBING PERMIT Filing Fee 20.00
P'. 7.00
O S
USE F TRUCTUBE
SF 0,/ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar_ _, heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities//O' Installation ❑ Other ❑
Describe Work: hJi % � t F /�� G i! < /.% r j�tC
j �1/y I/4l S T�%GL 64f!./�/� " %' r /%17'S//� .
%I&I
Gas piping system 1 - 5 outlets 15.00 lU
Building sewer 15.00
Mobile Home I S I G I WT_ @20.00
PERMIT FEE
ELECTRICAL PERMIT Filing Fee 20.00
"OOVOR LEMain Service zoOA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fu orce and effect. ��
License Class Lic. No.
OWNER -BUILDER DE DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. ( DW 10 OCCUP. SO
OR ADDNS. a ACC. BLns. 3.5¢FT;
NDN neeslD" MULTI -o RW 97,50
aPsuWG�l E OPUTL�ETTC R"
Ex. Occup. sA� 1.00
ovn Er OR FUTURES.50
Ex. Occup. OVE s As o )OeA- 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I bave and will maintain a certificate of consent to self -insure for workers'
mpensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workerno ensation insurance ner and �p%olicy number are:
Carrier (C JL-� a d A t /1
Policy Number A �"� Z -1 `'1 Li(1
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not mploy any person in any manner so as to become subject; to,,Workers'
lic 'm nsation laws of California, and agree that if I should become subject to the
orke s' compensation provisions of section 37400 of the Labor Code, I shall
orth th comply with se vision
.`
X ® �V Aindicate
nature of Applicant - ❑ Owner ontractor ❑ Agent
OSHA permit is required for excavations over 5'0" deep and dem lition or constructionf'•
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ -2 C(%
HAz.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
U
This permit is hereby issued under the applicable peons
of the Butt County Code and/or Resolutions to do 33o1''k`
ve for which L7feesvebeen paidSi
;An
By J-!' Date
EXPIRES eN
(Date)'
ReceiptNo. ZPERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
�a..st&.5 00 -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
;. above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
p�lease conta is office immediately.
40
Date Inspector
REV 10 2
J'
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM NO.
(Rev. 12/96) APPLICATION AND PERMIT ��`— ae'r?z
ASSESSOR PARCEL NUMBER 31-11
ZONING
BUILDING PERMIT
OWNER v
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
• OWNER'S MAILING ADORES
CONTRACTOR'S NAME
TELEP�ION�
CONTRACTORS MAIUNG ADDRESS
;Z61 V
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
fir
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
/
SF D Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
K
TYPE O71ntallation
❑ Addition ❑ cR�/emodel ❑ Utilities/� ❑ Other ❑
Describe Work: IjV 7W C 6 �GS (.l% G' G/IG(i
d IALS /(fGL
Gas i in stem 1 - 5 outlets
15.00New
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service 200A VGORR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fu orce acid effect. p �.
License Class �. Lic. No. . ! `S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service To
46. 00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS.
SO
so
3.5¢FT.
NOµgoSID. T. MULTI -OUTLET
97,50
POWER APPARATUS
8 SINGLE OUTLET CIA.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
eAL p .so
Ex. Occup.OFlxurLEEDTSA Aes oR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I kave andwill maintain a certificate of consent to self -insure for workers'
mpensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker ' o ensation insurance rrier and licy number are:
Carrier . .
Policy Number A _ —7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not mploy any person in any manner so as to become subject to workers'
c p nsation laws of California, and agree that if I should become subject to the
or s' compensation provisions of section 3700 of the Labor Code, I shall
orth th comply With se visio .
>
X !
Si nature of Applicant - ❑ Owner liftontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and dem lition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ CC/
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
U
This permit is hereby issued under
of the Butt County Code and/or
indicate ve for which fees ve
By
PERMIT EXPIRES N 714
the applicable provisions
Resolutions to do work
been paid.
Date (/
Date
Receipt No. 3O ~%4z
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
II
-..ins=�l--szs��...F_r.:.-wi-i��i.}:.rv%^:�=t;�w+-sr,�.y�.kerSc`K.�`+r,=�'w T'L-� �kw:'\:�"�rlz•'y..r��Y-�J"?^=2Y'F>>✓a.v+3Fs°a�.+`!".i ::,�_ :. _.�-.find_-
y
Permit#1339-83B
�. Ernest Hastie
t d2 F Ifs 11,L) �'�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-,Oroville, California 95965 - Telephone 916/534-4541
APPLICATIONYAND PERMIT
PERMIT NO.
� If Y
ASSESSOR PARCEL NUMBER
I
ZONING
BUILDING PERMIT
OWNER °
I
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORES
4 ,w
CONTRACTOR'S AM '-
TELEPHONE,
CONTRACTOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER J�
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS `--
Permit Fee
$
ARCHITECT OR ENGINEERS
`d
E NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
r
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF 2- Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home T_sT_G1 W 1
10.00 e
TYPE OF WORK
New ❑ Addi�i ❑ Rem° ael ❑ Uti Iities ❑ Installation Other [a-
Describe work: til t�`i.� 1�+f�P _
-r'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCC1P.&
OR ADDNS. 1 ACC. BLDGS.
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2.50 ea
NON-RESID. BRANCH CIRCUITS)
NEW CONSTR. / POWER APPARATUS &)
NON RES,D. (SINGLE OUTLET CIR.
Ex. Occup(OuTLETS OR FIXTURES 8AL@30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-InS'ure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in consequence of the granting of this permit.
/�
Xi%, Date c
Signature of Applicant - Owner [2eContractor ❑ Agent]
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ ^
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
By qhTO OF PUBLIC
PERMIT EXPIRES Date T_9
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�f
Date "-Y
-33
Receipt No. / T
WHITE-D.P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIWAND PERMIT
i
PERMIT NO.
u
ASSESSOR PARCEL NUMBER
— (
ZONING
BUILDING PERMIT
CIC Y_ ERa
_S G bi aa I e.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING DD . ^
.9
CONTRACTOR'S NAME - -
TE EPH NE,
CONTRACTOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
L ENDER'SMAI LING ADDRESS
Permit Fee
$_q_sr^,60
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS s _
W
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
i'
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
rUSE OF STRUCTURE
SF I�� Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10-00e
TYPE OF WORK
New ❑ Addi ❑ Remq�eI ElUti lities ❑ ^Instal lation Other [�
Describe work: P -i��` s,�l OA,cd_�►?+ S' ` -� —
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00v OR LESS
1
100 AMP OR LESS
10.00
Main service EA. ADD -L. 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&,
OR ADDNS. ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
Y
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON.RES,D BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occu P\/o zo@sOc
OR FIXTURES BAL@30 Q
FIXED AXD APP LNSOR
Ex. Occup. OUTLETS (RESI.D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department,
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains aid County in pons quence of the granting of this permit.
Date�
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $^,
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
�TOOFBLIC
BY2
PERMIT EXPIRES Date 1'
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 3925-87.B
PERMIT EXPIRES
I ,
OWNER ERNEST HASTIE
CONTR. owner
ASSESSOR. PARCEL 69-39-11
LOCATION 34 Hastie Way, ORoville
t+ k?
1 i•
f
t
i
Temp. Power Pole
Called PG&E
� Temp. Elec. Service
Called PG&E
Temp. file Service
Called PG&E /
JOB FINALED (Date)
Signature — _
= OK
0 =`Not OK
NotNot Applicable MOBILE HOMES 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: / P'l-It.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frm ;'Sills-Anchors-Studs-Rftrs-Trusses
41- 1
ig.Srdiggi-Nailing-Veneer-Stucco-Mesh
Card -131
Date Card -B1 Date
oof; Shthg-Roofing
Card -81
Date Card -61 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -13
Date]/,/, KCard-131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -B1 Date.
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Ceossovers-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-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -81 Date
Card -81
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -B1 Date
Card -B1
Date Card -B1 Date
= OK
=NotOK
Applicable
= Not Applicable RESIDENTIAL (Single and Duplex)
,
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued) :,
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material-Supprt-I ns.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -81
Date Card -B1 Date
Card -131
Date Card -81 Date
Card -B1
Date Card Date
Date
PLUMBING (Permit) OK except #'s
-81
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
66. Stairs & Rails
Card -B1
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked In Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No,
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
82. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -61 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -B1 Date
38. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 711 L
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541.
APPLICATION;AN0 PERMIT
ASSESSOR PARCEL NUMBER
42 3C/ `—
ZONING
BUILDING PERMIT
21
OWNER ,
TE HONE
-
SQ. FT. OCC. BUILDING VALUATION
O W N E ryLING A D R SS
Oro
CONTRACTOR'S NA E/�
W Ir r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ,06
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 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF EJ -'Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home ISI G I W I
I k0-00e'q
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities p Installation❑ Other
Describe work: d#
/
Permit Fee
$
contractor
ELECTRICAL PERMIT
Filing Fee 10.00•
Main service 600V OR LESS
100 AMP OR LESS
10.00
_Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
penalty I declare under of perjury (check .
Per I Y (econe):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a
OR ADDNS. ACC. BLDGS.
, /20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occu
Occup(OUTLETS OR FIXTURES
zose0e
2AL030
Ex. Occup. OUTLETS FIXED P(RESID IRE A.)
2.00 -
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
Contractor
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
Consent to Self -Insure.
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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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
again �*dCoun in co�squen�e of the granting of this permit.
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST.TTPC
IS,CNOOI P O PARCEL PD
[_.ND'Jf
IS UE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DI CTO F PUBLIC
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
W0je
S�
Da
Receipt No. Q �3 a 117By
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
V'�:
COUNTY OF BUTTE - DEPARTMENT OF.•PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLt! 6Al2IF6RNIA 95965 - TELEPHONE: 916/538-7541 j y'
4' a'
PERMIT APPLIEA-` A DATA SHEET
Permit No.—
OWNER-
o.OWNER- Z A. P. No.
Proposed Building Use ;/ii�ZLl�ic1. Building Inspector Ila— Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. 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 j
11. Planning approval for (A) Use: (B) Parking: a/
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_._._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
• Pre-Inspec.request to (Date)
17. Pre -Inspection for__..____ _._ _ _..._..__ _ Required- Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement. c)
19. Driveway Permit. _
20. Plot plan approval from city of
21. _
22. — — — When you issue the per lit, process as follows: Mail to owner; Lail to contractor.
Telephone Q"/Oz 12?11 and hold for pickup an�,i 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 ----jnail—counter by date
Contractor, designer, owner, was advised ci above required data by—phone —ma iI—counter by date
Plans checked by Date Plans approved by -Date '
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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)�o_.
/7 2. I (have/have not) _ signed an application for a building permit
for the proposed w k.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner r. -—
Social Secu ity Number
Date ` L
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.
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