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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 i i LA Dat i r l 2-, ry.:r."..-1?,.,•.. -,.. ,� �"+'�'�WFO�RfIWfR+7iaP•,".!�—'.....:�y_s,..w--�+�;;,wL./f�1rMAs�'r.�',t��: t'�'-R_ :tea; y9 ".�"-...-... 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. t 5 e. �C, I -D 7-A- L- iv i r'a p /2 00 AF, 47R,4 &I W6 .4 0 ly? 12 E CI -0. ;fq i, z9, eco tu tvoo w s RIC, S A 8 7-,4 x'91 0 0 DooR 14 x A/ 5.A_ D E A It, x 4'x e` pi-y4vooD 0 0 14A-9 W A-& CU S E -D) t 5 e. �C, I -D 7-A- L-