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069-430-093
DECK ATHOUT PERMITS 10/2/86 z 69-43-93 ' 'JOHN D'; - PEACE ` -209 Skyline, Oroville 9- 3'0'92 Permit#131-87B(add covered & open deck/ SF) 69-43-93 3,190-91B PEACE, John 209 Skyline Blvd, Oroville n cont: Don George reroof sf 069-430-093 PERMIT#94-1489 PEACE, FRAN / 209 SKYLINE BLVD., OROVILLE CONT: CLARK PEST CONTR. REPAIRS PER TERMITE REPORT/SF 069-430-093 PERMIT#97-0357 PEACE, John 209 Skyline Blvd., Oroville Add Cov Over Ex,Deck & Open Deck/SF trv►� ► e- 069-430-093 069-430-093 PERMIT#98-0339 PEACE, John 209 Skyline Blvd., Oroville 1st Renewal BP#97-0357 069-430-093 04-3239 PEACE, JOHN 209 SKYLINE BLVD, OROV SLE Cont: WEBSTER ELECTRIC SERVICE CHANGE I IOV mms t • � 1 3 �RESIDENTIAL - - -- -1$-03 069-430-0931. PERMIT#i=6 PEACE, John 209 Skyline Blvd., Oroville Add Cov Over .Ex Deck & Oen De k/,SFS 1� e a F, 1 P t i m JOB FINALED (Date) Signature '4 V=OK O = Not OK =rNottReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location•Clearances-Gmd-/ /Amp-Concrets 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect S. 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-DemandVatve-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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Pians) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing•Connectors,Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures . 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 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 -Lining 4. Elec.; Receptacles and Lighting, Distance-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/3 Circulating Equip. -Pool Lghtgq. 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 = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date 46. UNDERFLOOR (Plans) OK•except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. 30. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Ran3e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Pullin -Toff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev.12/96) �. 1 APPLICATION AND PERMIT ASSES§p_R;PARgE1.�"a3 ZOAL I BUIW G PERMIT OWNjo,j, pEACF(DAY) J 6D !' TELEPH-NE SO. FT. OCC. BUILDING VALUATION OWNER:Ebw, x, 1`ME BLVD OROVILLE CA 95966 CONTRACTIOR'rYIJ;KS.NAME Ut TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 63.00/2 $ 31.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ {��qq BUILDLt�yDR51iYIINE BLVD Energy Plan Checking Fee $ OROVII LEI$ PERMIT FEE S '51.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE V SF Q Duplex ❑ Mobilehome ❑ Other SPEC,FY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FIRST RixBNAL OF BP# 97-0357 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2..AORLEss 23.00 LICENSED CONTRACTOR'S DECLARATION L 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. License Class /�''', Lic. No. ' OWNER -BUILDER DECLARATION I hereby affirm nder penalty of perjury that I am exempt from the Contractors License Law for the folling reason: ❑ I, as owne;of the property, or my employees with wages as their sole compensation, will do thi 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 .; e . Mein Service ( 200A TO IOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. NON -R SNEW LID. R ULTI-OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIA. JI EX. Occup. OUTLET OR FIXTURES Za p Loo BAL @ .50 nXED APPLNS. OR Ex. Occup. ouTLErs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 , - PERMIT FEE S r WORKERS! COMPENSATION DECLARATION 'I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have end will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performa`ir ce of the work for which this permit is issued. ❑ 1 have anctwill 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' compensation insurance carrier and policy number are: Carrier 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 if I should become subject to the worke s' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X��A! ____ Date Signature of Applicant❑ Own r-"❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionnn of structures over 3 stories in height. 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 $ FES IMP I FLOOD I CDF PARCEL pp HD LSsuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By .rAL � F i V r.. I Date �w� 5-9h PERMIT PERMIT EXPIRES ON Date Receipt No. WHITE-D.O.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 069-430-093 PERMIT#98-0339 PEACE, John 209 Skyline Blvd., Oroville 1st Renewal BP#97-0351 JANUARY 29, 1999 JOHN PEACE 209 SKYLINE BLVD. OROVILLE, CA 95966 c Sutte o. L A N D O F NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Re: Building Permit # 98-0339 Expiration Date: 03/05/98 A.P.# 069-430-093 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ ] Permit work started, but not completed. ;Permit may be renewed for 'h the original building permit fee (plus a $20.00 filing fee). The. renewal permit will extend the building permit for an additional year from the original expiration date. 11,Should you not renew your permit within 30 days of the expiration date, all work must cease until a r,iew building permit has been issued. For your convenience, we are enclosing a renewal application foim and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and find approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have!any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning -:his matter. Yrs very truly, C. Vieira, C.B.O. Building Inspection MCV-lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541Q17 _�E. Q- (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER : 069-430-093 ZONING ar I BUILDING PERMIT OWNER JOHN PEACE (DAY) yTELEP���-43HON79 SO. FT. OCC. BUILDING VALUATION 248 0 1,736.00 OWNERS MAILING ADDRESS 209 SKYLINE BLVD OROVILLE, 95966 1447 C 1,911.00 CONTRACTOR'S NAME S 0 TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 3, 647.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 40. 95 BUILDINGADDRESS 209 SKYRUNE BLVDgy Ener Plan Checking Fee g $ $ OROVILLE PERMIT FEE $ 5* 95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFR Duplex ❑ Mobilehome ❑ Other SPECIFY 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 4 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �, ' i V,:,✓ 1�'. ' %C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo,oRss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under.p6nalty 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. License Class Lic. No. 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 offerea 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 CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( d ACC. BLOB. sD `3.5¢Fr. OUTLET NON-RESID. ACIRCUITS NIL.. 97.50 8 POWER APPARATUS SINGLE OUTLET CIA. I Ex. Occup. OUTLET OR FIXTURES sI p ,.,l aAL 50 Ex. Occup. OXF,ITXE S R p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 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 if I should become subject to the workers' compensati—oh provisions of section 3700 of the Labor Code,' I shall forthwith! comply with those provisions. -'" X t\1/�/,XI��-�—^-"' _ Date Signature of -Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demclition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 123.95 HAZ. D. FEES IMP FLOOD A4L CDF PARCEL PD HD V ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolution-s'to do work indicated above for which fees have been paid. - f�(% B r_/� f�� A% ate ?/ 1 Y t��1 IV u ." ' ✓ 7 / PERMIT EXPIRES ON ate ReceiptNo. etw�i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4. NOTES } RESIDENTIAL i2 PERMIT NO. UAIM /SID Or�E Ong i-iE - !fib �e� S r �- C�PCQ. o��n O AZ Qcq 5L�uncBw oft I Tc2+vl I til E W *)C T eel G—c e S f4tf t.Ef�T t �� S PEr o til I S. -rfot& i t 11 SPECIAL CONDITIONS 11 CHECKED BY n n SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER "r e— Oma r T / 'n M I a A- 10 Ab \ -( r:) i ---- •• ..) 1 –1i JOB FINALED (Date) Signature \ C ' J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 I Date MOBILE HOME INSTALLATION (Plans) OK except #'s F• 1. Zoning Requirements -Setbacks -Easements i 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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 -Lining 4. Elec.; Receptacles and Lighting, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation I nfi Itration-Wal Is -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date 64. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes U No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) M 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes U No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING tPERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE tt: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043239 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/08/2004 APN: 069-430-093-000 the Business and Professions Code, and my license is in full force and effect. License Class: C License Number Site'Address: 209 SKYLINE BLVD ORO C�yy'�' Date Contractor. �i1G�1G�G�GG Map Index: Description: SERVICE CHANGE 110V OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I arri exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PEACE JOHN D 8r FRANCES F permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 209 SKYLINE BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WEBSTER ELECTRIC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 363 CANYON HIGHLANDS provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-533-8522 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: WEBSTER ELECTRIC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 363 CANYON HIGHLANDS ❑ I am Exempt under Article 3 of the Business and Professions Code ' 95966 , 530-533-8522 Date: Owner: License #: 366446 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of peoury 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 Architect: is issued' Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: I certify that in the performance of the work for which this permit is Census Code: OFFICE C Py issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Address and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. I/I�/ O 5 5 Date: / A%.-, pet,— ELECTRIC Meter By Date 3 Applicant: / J WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor j r^jz code, interest, and attorney's fees. / CONSTRUCTION LENDING AGENCY This permit i hereby issued u r e applicable provisions of the Butte County Coda ?nrvor I hereby affirm that there is a construction lending agency for the Pasolutionk to do work indi ed a ve for which fees have been paid. // performance of the work for which this perniii is issuod (Sec 3097 Civ.) - - !- _ / _ g /l Date: '(i Y Name: PERMIT EXPIRES ON: / / Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 4o te4.-C�t6N J+ /tG 70�✓; G Signature q� Date: ��� 7o, ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043239 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/08/2004 APN: 069-430-093-000 the Business and Professions Code, and my license is in full force and effect. /� License Class: C� f �4 License Numbeer(314�<O y6 Site Address: 209 SKYLINE BLVD ORO Date O� Contractor.�jiC�l/Gi^� /CG Map Index: Description: SERVICE CHANGE 110V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PEACE JOHN D & FRANCES F permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 209 SKYLINE BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WEBSTER ELECTRIC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 363 CANYON HIGHLANDS provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-533-8522 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: WEBSTER ELECTRIC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 363 CANYON HIGHLANDS ❑ 1 am Exempt under Article 3 of the Business and Professions Code95966 530-533-8522 Date: Owner: License #: 366446 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: W 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: q/3/7Z Applicant: �141— o��,��G'��.i!l� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor / code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit id hereby issued urjdt a applicable provisions of the Butte County Code ?nrvor I hereby affirm that there is a construction lending agency for the olutioq to do work indi ted a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /h" Name: Date:, D PERMIT EXPIRES ON: Z/- Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon thee above mentioned property for inspection purposes. �1�N /�G G Print Name: �y ti�ui F 7 ✓� Signature: Date: 0 Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name r c City Fust -Name o4* ��*s AddressZdy fA-V �hG City City St to Z G Phone „yZ r Fax E-mail State License Number APPLICANT NAME CONTRACTOR Name- City Addres 41, City Fax City Zip Statao Z r E-mail Planner State License Number Phone ZZ Fax E-mail Lic. N66'1(161 Clas APPLICANT NAME ARCHITECTIENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Z0 Flood Zone Cross Street SRA I Yes No Occ. Type Const SUbdlvision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPay BIN # LOCATION AP#o�5 3a �s3 Property Address Z0 City 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: G %iAti G r v i ��c Ja v f� Sq. Footage ❑ 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 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 Gw�u AIL Receipt * �/3 ` 721 Other Tntal SUBMITTAL & PERMIT REQUIREMENTS `N The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxes! 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 7 5. Statement of intent for Non -heated and A/C for Non -Residential Buildings. 7 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. - 7 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ] 9. Site plan and business license approval from the City of Biggs. ] 10. Letter of intent for non-residential buildings. ] 11. Detached Accessory Building Form filled out by the owner (if required). ] 12. Hazardous Material Form (for Commercial Buildings only). ] 13. Sanitation and site plan approval from the Environmental Health Department. 'emaining items needed to issue the permit. Additional items may be required after Plan Check and Planning :view (May require additional plan review upon receipt of the following items.) 1 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). I 2. Impact Fees. i 3. California Department of Forestry plan approval (if required). 1 4. NPDES Form. I 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 6. Contractor's license information. (Number, Name Style, Classification). 7. Worker's Compensation Carrier and Policy Number. 8. Owner -Builder Verification (if required). 9. Letter of Signature authorization (if required). 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). you have questions or would like additional information regarding this process, contact a Permit )plication Assistant at (530)538-7541. EXPIRATION OF APPLICATION plications for which a permit has not been issued will expire one year after date of application. In order to renew action an application after expiration, a new application, plans and fees Will be required. REQUEST FOR FEE REFUNDS Funds can only be made" upon written request by the person who paid the fee. The request must be made within two rrs from the date of fee payment on permits not issued,'and two years from the date of permit issuance for permits jed; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan ,ck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION DRMSSUILDING F0RMS1R1dmAnn1cvoNP —#..4,... - ... utt Count LAND OF- NATURAL WEALTH AND BEAUTY -Z� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 FEBRUARY 12, 1999 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 JOHN PEACE Re: Building Permit #98-0339 209 SKYLINE BLVD. Expiration Date: 3/5/99 OROVILLE, CA 95966 A.P.# 069-430-093 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Vieira, C.B.O. Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �` A ASSE$$(ARf�EL,VM 3 2O"�1 BUI GPERMIT °WNIOHf�N4P�EACE (DAY) SQ. FT. OCC. BUILDING VALUATION OWNM7LIWlfQRE, 1 E BLVD OROVILLE CA 95966 - CONTZj( TAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 63.00/2 $ 31.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDITfflRgkYLINE BLVD LL Energy Plan Checking Fee $ $ 01P OV_iLLE PERMIT FEE $ 51.50 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ff 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 Iff Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FIRST RENE14AL OF BP# 97-0357 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioonoaLss 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. License Class LIC. No. 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' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( s0 : NON -R SNEW LID. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FOTTURES 20 Q 1.00 BAL p .so NS Ex. Occup. D ELtrs PSIU.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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' compe sation laws of Ca'fornia, and agree that if I should become subject to the worke c pensatio ovisions of section 3700 of the Labor Code, I shall forth Ith mply wit t I provisions. X Date Signature of Applicant - ❑ Owe Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ FEES IMP I FLOOD I COF PARCEL PO HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. p By + Date 0 PERMIT EXPIRES ON 5-99 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 ajor labor and materials for construction of the proposed property imp ovement : YES NO ❑ 2. I HAVE M HAVE NOT ❑ signed an application for a building permit for the proposed wo&. 3. I have contracted with the following person (firm) to provide. the proposed. -construction:. NAMEe v^ ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S 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: PROPERTYO SOCIAL SECURITY NUMBER: %� - ` DATE: � - ?-- c/ Verification is required by S ction 1993 an-dZMt. California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +trely, Vi iia, C.B.O. ,uilding Inspection NOTE. This Owner-Builder.Injormation is required by Section 19830 of the California Nealdi and Safety Code OVER ywcc�v-26 � G�l�C-0W✓er�� i�' � _ /vEy.JJ�� �%i✓ fAM..GVN�e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/) ! EEIMIT - 7 (Rev. 12/96) APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 069-430-093 ar ZONING BUILDING PERMIT OWNER JOHN PEACE (DAY) 924 -4379SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 209 SKYLINE BLVD OROVILLE, 95966 1,911.00 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3,647.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 63. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 209 SKYNLINE BLVD Energy Plan Checking Fee $ OROVILLE PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF �( Duplex ❑ Mobilehome ❑ Other ` SPECIFY 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 X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: h4 � 1 A 0 ✓P i- `Q Q�' ng%GZJ O J9 elL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".AOR"ss' 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.POWELER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 11-11, 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 I 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) 2- 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 if I should become subject to the wor rs' compens o provisions of section 3700 of the Labor Code, I shall fort wi comply ith ose provisions. X _ Date Signa ire f pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO W:0 OR ADDNS. ( 6 ACC. B.S. 3.5¢Fr. RENEW SND. MULTI.OUTLETR.US 97.50 APPARATUS 8 SINGOUTLET CR. 20 Ex. OCCU OUTLET OR FIXTURES BAL ® L. 0 Ex. Occup. oFIxUTE�°rs R o oR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 $ 123.95 HAZ. _ D. FEES IMP _--_ FL��q XX CDF PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ? 5 a By L Dateq�J / PERMIT EXPIRES ON _ `� ate Receipt No. 210057 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUNTY OF BUTTE DEPART. NT OFZE`VVLOPNENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIN OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 k4 y Vi v PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: D C/ Proposed Building Use: e = Building Inspector: Date: j At time of permit' application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4,sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 08. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13 Flood elevation certificate. -------------------- -- - ----------------------------------------------------------- w, P PP Department P 4. Sanitation and lot lana approval ; Health D artment- ------------------------------------------- t: ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 4 � ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- a. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- A ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- 0 27. Manufactured Home utility clearance. ------------------------------------- 028. Existing violations and/or expired permits. ------------------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) Wh you issue the permit, process as follows Mail to owner, []Mail to contractor., �J Telephone �� �3-7 I and hold for pickup at o Deli er w' inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: _ T Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: -- 1. Index pen -nit application for the above items numbered: ❑ Plan Check List ` 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: +Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di on unter, by Date: Plans reviewed by: Date: Plans approved by: Date: J .n — 9 % Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building.Division. A -MALL W1 -M A V, V.11. LV1. ' NOTE: _ _ Environmental Health Specialist Rio,) -X7-/2-�. q7 Date ONLY n. Plot PI= Attechad Moor Plea AttwW Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance J-6 -A.) S,7, Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well • Clearance for bedroom mobile home O�ther A -MALL W1 -M A V, V.11. LV1. ' NOTE: _ _ Environmental Health Specialist Rio,) -X7-/2-�. q7 Date 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 laW and materials for construction of the proposed property improvement :YES[ Jef NO[ ]. .2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: / NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and rovide the major work: NAME: N - ADDRESS: CITY: PHONE: . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAIJE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified - For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit Building permits arc not required to be signed by property owners unless they are personally PC their own work If your work is being performed by someone other than yourself, You may Protect ible liability if that person applies for the proper permit in his or her name. yourself from poss d bonded by the State of California and to have a Contractors are. requir business license from the city or county. They are also required by law to put their license num ed by law to be licensed anber on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: _ 0 If you employ or otherwise engage any persons' other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed. as contractors or subcontractors, then you may be an employer. _ 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security tares, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your ma obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employe -.s, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" t the property owner is providing his or her own labor and material building permit, erroneously implying tha personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are ay. -are of these matters. The building permit will not be issued until the verification is returned. S%incceerel Jl u� '! Ivticha4l C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPIIAENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califotnia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O ZONING BUILDING PERMIT " OWNER -TO hn �-a e c- KI TELEPHONE 9 hy/��-(�/� SO. FT. OCC. BUILDING VALUATION d S IA OWNERMA�NGep7S3 /� /` / /) yyy� CONTRACTOR' NAME ki 64 - TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 3.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ C/ BUILDINGADDRESS line 61 -V -d Energy Plan Checking Fee $ $ • 6 V e ll PERMIT FEE Q LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition K Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:`( \]�'m L• / C -C- C® over G lc ,,s ilLn 2 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ¢ In �C ELECTRICAL PERMIT Fling Fee 20.00 eoov OR LES s Main Service zo.A 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. License Class Llc. No. 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. SMS. s0 3.5¢FT. CUTLET NON•RESIDT CONSANCIH CIRCUITS @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. OUTLET OR FDMAES Ex. Occup.BAL_ 20 Q 1.00 9 .x . O Ex. Occup.ouTLETsFIXED APPLNSREs1D. ER A 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 oy any person any manner so as to become subject to workers' not em�nation compelaws of if rnia, and agree that if I should become subject to the workerc pensatio pr visions of section 3700 of the Labor Code, I shall forthwic ply wit thos provisions. X ' _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA 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 $ occ CONST. TYPE TOTAL FE 1C)"')"S- HA2. D. FEES IMP FLOO COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Oe/a Receipt No. Q 3" 9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT tWj gtf of. plum tinj speeFicaVorfs MW Kept on AS lob at ON times and it is unlow;ul tw mals any changes or alterations on some withowt. wriftn mission from the Deparlmrh of PIO*- warb, Id IV" NOTE:—AD Materials & WaArnansVip ShrA 5d 6.' Accordance wDh Recognaad GCQj Practices Una of a qua4y prescribed for f "iflod ma in tho Unif*rrtl RuiWing, plum.6ing A PC anical CadmAIM ,ho Na.; 'ion=! Fiactr4al code. APPROVED - Butte County Environmental Healib -7- �7 C7 3c, -15 . - A�'– AJ r::: \VA &L r )CUTURES ANIO ECUlit"MENT INICLUDING C ONE S &HALL BE 0. LE10 F Nk..!- kSE.11�. -t' 1! Ts. S A 4 Iii KGFI0__, FT. FROW. T :.D (0 != r. FROtd, THE REAR PROPERIP-i' LINES AND 13L_. r. Friam 7HE ROAD CENMERUNE SHALL UE `CLEAR OF STRUCTI ORES AND EQUIPMENT EXCEPT FQR A 2 FT. ERNE OVERHANG. 14040� BUTTE CoLem, IX - --- ------ 50% t Kc. VARIES 36" MIN. o /1MP4 _ r� ;ail U6-noo . ' MAX. 6• o x= ODM �oy � A � May 1995 34" //HAMURAIL 4EI6HT 3(o"MIN. STAIR W I DT4 6.5 o b C z V p O IS C o --� � v I O D ' L7 7D ; Fm O � Zt ri cl m X CA ' MAX. 6• o x= ODM �oy � A � May 1995 34" //HAMURAIL 4EI6HT 3(o"MIN. STAIR W I DT4 6.5 ��.��y�� COUNTY OF BUTTE - DEPARTMENT OF DEVJ%OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT Q � 4%P ASSESSOR PARCELNUMBER 069-4 3 ZONING BUILDING PERMIT OWNERRRR1C MAN PEACE - TELEPHONE SQ. FT. OCC. BUILDING VALUATION (�(� CONT 3,+" OWNER'S MAILING ADDRESS 2O. K ? BLVD, OV F CONTRACTOR'S NAME CLARK PEST CONTR.' TELEPHONE 674-2900 CONTRACTOR'S MAILING ADDRESS ('UBACITY, CA 95991 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee s• _ $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15. W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ,. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4 V PERMIT FEE $ �j �►+� -.: PLUMBING PERMIT FilingIFee 20.00 , Each Trap 1`t 7:00 - �r• Solar or heat pump water heater . 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL'MAP c Each gas water heater or vent _ 15.00 1 USE OF STRUCTURE SFJ Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 (Mobile Home S I G W A @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities O Installation ElOtheff0 Describework: REPAIRS PER TERMITE REPORT/BARGE FIAFTER .PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 �) END & BATH SUBFLOOR III I" LESS Main Service ( 200AORLESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 LLl NEW CONST. ( DWELLING OCCU. P. ) 35C so' OR ADDNS. & ACC. BLDS. FT. }� CONTRACTORS LICENSE LAW' I declare under penalty of perjury (check one) �? I am a licensed under provisions of Chapter 9, Division 3 of the Business,and Professions <Co , e and my license is in full force and effect. License No. jU ,��(�. Classification T�?I IrTf/.2A1 O I, as the owner,,or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ' ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason. NEw CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS' \ ( ) & SINGLE OUTLET CIR. 20 @ ,.00 Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS(RESID.)EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE .� 1de lare under penalty of perjury (check one): "' W -This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. is PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 'Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct' I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of tjhe gran tIng pf� his permit. X�� ( /, (A.� � Date ��'� Signature of Applicant - Cl Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 'BY t�Gtr1 �t JDate 5/26/94 5/26/95 PERMIT EXPIRESON (Date) ReceiptNo. 1661160 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DWELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING B LDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONT 300 OWNER'S MAILING ADDRESS BLVD, OROVIT.I.E. CONTRACTOR'S NAME CLAPY PEST CONTR. TELEPHONE 6 —2 00 CON TRACTOR'SMAILING ADDRESS 515 GT Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 209 SKYLINE BLVD OROVITIE PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1Othe% Describework: REPAIRS PER TERMITE REPORT/BARGE RAFTER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 END & BATH SUBFLOOR Main Service (1OV 11 LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( &ACC. BLDS. ) S0. 3.50 FT. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions o e and my license is in full force and effect. License No. Classification STt2�J[TrlJ2A�. ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWERAPPARATUS ) & SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup' ( FIXED APPLNS. OR OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I StIplare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting his permit. n` X Date '��"- 77 Signature of Applicant - ❑ Owner 'Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ• 1 D. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo a for which fees have been paid. A��Date 5/26/94 PERMITEXPIR SON 5/26/95 IDatel Receipt No. WHITE-D.D.S.- ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .j o30 - 0?i3 i � 'fit OF 9UTSE � 193 f ahn 4442 -4Z- Cz s s a v� C�4 1.r9 a-.(- i Win •, 41 • ,='iStf,'s4a� si i •a r� ; S r ti .1 r • r ti �t i •a r� ; ti i •a 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 OWNER PE MIT NO. 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 when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 11.0 P it AS i' do d_J .*IOAIMLQ �.LiL '4 11 ;Ad[ J ciy�P:0 o4-90 y /_ ,.- 742c?S&'L4 /C_ e b r T � P aA'X Date gld / . Inspector REV 11/91 COButL Y OPp TM PT . �N 2 6 1993 1 I V ✓ uCounty BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: (916) 538-2140 FRAN PEACE RE: Building Permit # 94-1489 209 SKYLINE BLVD Expiration Date: 5/26/95 OROVILLE, CA 95966 A.P. # 069-430-093 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not.renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the nunyTtt-F office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 PERMIT NO. 131—$7B •` PERMIT EXPIRES OWNER JOHN D. -EACE CONTR. XMX $XKM;XEi U$$]§XX owner ASSESSOR PARCEL 69-43-93 LOCATION 2.091 Skyline, Oroville i; t w /V, N 4,c Y' ii Temp. Power Pole Called PG&E i k Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 3d JOB FINALED (Date) Signature c __ %1 OK O = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC.'(Plans) OK except is 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date-. t Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date . POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Datete LINA RFL00R Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line:Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- •/ /" Ftg. Depth 49. Ext. Doors -One 3' -Check -Garage -3rd story, 2 exits - 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _- Plywood on Roof -Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped=Slab 52. - Siding -Nailing -Veneer 6. Stemwalls, Garage: Steel -Blackouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-F.dn. Vents-Underflr. Access 7. Piers_ -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. - _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI - Date _ Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector -- Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent- Access -Combust ion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors DateCard-BI Date Date - Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. &Bath Fixtures &Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrr,it OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20. 21. 22. 23. 24. 25, 26. 27. 28. 29. 30. - Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size /- / ga. -Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes _INo _ -__- - Service -Riser Conductors & Ground -Main Disconnect_ - Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ ---. -- ----- ----- --- Date Card -BI Date Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-fdech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes - 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following inslld.: Drive E] Yes (D No; Walks ❑Yes C] No: Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. _ Gas Test -Meters Tagged; Gas -Electric Card -BI Gard -BI 31. 32. 33. 34. 35. A.C. Ducts: Insulation & Support _ Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic _ Date Card -BI Date _- Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -- -'-`- - - -- --- - Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors_ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops_Furred Ceilings-Stairs_-Chas_e_s-Tub _ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing ,Jam: tos at Final: _ _ a,��C/`G �Ga�- - _ (NOTEAnentrymust be made each time you visit jobsite) 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 MIT NO. 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 when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f rovl?` -tor atOPK GOJ2�rC��c r /2ex:rx 5,Lle- eo,.d ac Pyv+ Date O /D Inspector �f - REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER IT NO. ASSFTSS0R P R EL N R ZONIN BUILDING PERMIT o TELEPHONESO. 9- / FT. OCC. BUILDING VALUATION ,0 OW ER'S MAI y ADD ESS ;D9 r SO -16Al, - CO TRACTOR'S NA E V— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER © LICENSE NO. Plan Checking Fee ,$' Js Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 95-, PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 y�oMLSolar 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition V] Re odel ❑ Utilities ❑ Insta tion Other ❑ Describe work: F _ 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 I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. ACC. BLOGS. 20sq ft NEW CONSTR.MULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200800 eAL03o FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 Filing Fee 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 c nstruction, and a eby authorize representatives of the Countyot Butte to ente up the abo m ntioned property for inspection purposes. I also agree a e, Inde nify n keep harmless the County of Butte against all liabiliti ju ments cos and expenses which may in any way accrue against sal u yin c s ence of the granting of this per 't. 1 X Date Signature of Applicant — Ownergi 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.TYPC FLo PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — 9� Receipt No. I7 WNITE-D.P.W., YELLOW-ASSE35'OR, PINK -INSPECTOR, GOLDENROD -APPLICANT r / 7 Z�. A %S COUNTY OF BUTTE - DEPARTMENT OF `PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFfPRN,IA.05965 - TELEPHONE: 916A5jQL�55j1'i1X 538-7541 t z PERMIT APPLICATION DATA SHEET �- n .' A. P. NoPermit No. OWNER LTO � E'Gt C_ p Proposed Building Use v h S%' Building Inspector. Date o 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. 2. 3. 4. 5. 6. 7 8. �0. 11. 12. 13. 14. -15. 16. 17. 18. 19. 20. 21. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate. /triplicate, signed by preparer of plans. . Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . Letter of signature authoriza ' n. . . . . . . . Sanitation approval from 10 . v'/&- Health Dept. . . Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner ❑•), Improvements may be required. . . . . . . . . . . . Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of 22. When you issue the permit, process as follows: Mai I to owner, Telephone and hold for pickup at f iffice, _ Other Applicant r to contractor. liver w/inspector. 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: xxxxxxx 538-7541 xxxxxxx 538-7281 Contractor, designer, owner, was. advised of above required data by_phone-mall—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked Copy—DPW Date Plans approved by Date Sets of plans on hold in File cabinet AP folder , I xxxxxxx 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. To: ;juiiding Department Frorr:?,nvironmental }fe;:lth Subject: Sanitation Clearance -` • e O �r L cation �— AP!/ Plan Approved for: Hold final for: Final clearance O.K. for: Sewage dispor,al � crater supply Clearance for `'�— bedroom mobile home. Other 72.5_ �, rater supply tater supply 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) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 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 Social Securit Nu ber Date 1.d /f-% 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. "O%—All Materials & Workmanship Shall Be in 8 Cance with Recognized Good Practices and *Of'o quality prescribed for the Specified use in the Uilfarm Buil"ding, Plumbing & Mechanical Codes and tY( So National Electrical Code. Co This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. 10 ro A setback ofZ ft. from the � property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. .:_�5-4YL 1 Z5/ S7 BUTTE COUNTY BUILDING DEPARTMENT APPROVED i Top rail to be 36 in. high with in. F3rmediate rails to be not over, 6 in. apart. SPS P AIL, ,4x,4 Cf ec,,16W . eO NA -11-04> :- 8 09-75V 4x6 �iu:Zrccaui��o� BUTTE COU1.1 TY '. BUILDING DEPARTMENT APPROVED . Tf � -4 x � 5-cc8srr�cr S�440 GDAJ57jeUCr10AJ _� 2, X � Coy/ Co�•t ,r2� D,�� A�= Qom Cave P;sa ��w,4-y C-01vs-�i5POA-) /3 Afv" CC's` p►� `lid q .-! +k y L?f �LoN -lot t;r L,477"7 c.—= GoL e--/ / L,-, Cc 577&/fC77a,) BUTTE COUNTY BUILDING DEPARTMENT APPpnvFn .;5 > i �V Pro i e adequate bracing. i cam.{ s All Le SJe�.,ccF L,477"7 c.—= GoL e--/ / L,-, Cc 577&/fC77a,) BUTTE COUNTY BUILDING DEPARTMENT APPpnvFn .;5 January 13, 1987 John D. Peace RE: Building Permit 209 Skyline A.P. x#69--43-93 Oroville, CA 95965 Dear Mr. Peace: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Constructed a deck,.a portion of which is covered, at your resi- dence at the above address. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and -are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:ahb - cc: Building Inspector - Oroville Assessor Yours very truly, William Cheff - Director of Public Works Original 'signed_ by J. F. Glande► J.F. Glander Chief Building Inspector File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information j/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub, & Pcl. Maps Permits Addr. '"-'�y,..tti„f,.ty.�i;r+-Ffir.yr.. .�'e f'"' t -r'3r ''—�_.�___. �,;..y�►'r �`..��i�d»tir''i.'Ga�.:i' f,F �7i'�w,. .�-��y ��Y v., n ;.+e.. ,. 69-43-93 3190-91B PEACE, John: , 209 SkylineB_'d, Oroville cont: Don Gee ' (reroof/sf)° (31=87 t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1 C 1 ,... e: APPLIC ION AND PERMIT ASSESSO, PAR FL NUMBER < � /.'5 2 N1 t BUILDING PERMIT OWNER TELEPHONE ` SO. FT. DCC. BUILDING VALUATION 17 O V{jJ EER'S MAILING ADDRESS N/j 1 C NTR CTOR'S AMEC, TELEPHONE CONTRACTOR'S MAILING ADDR SS W �� Fireplace CONSTR CtT I�N,`ENDER ADDRESS UNKNOWN Total Valuation Is D Filing Fee $ 10.0 LENDER'S MAILING Permit -Fee $ ARCHITECT OR ENGINEER LICENSE No. I' Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS :n Q I t Permit fee $ PLUMBING PERMIT Filing Fee 10.00 4 t (f . Each'Trap"f 2.00 % Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 'd NAME 11 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00' USE OF STRUCTURE SF Duplex❑ Mobilehome❑ 40ther t SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 1 110.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: '. e"' ie C s��- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury y p I y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code ang 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR AODNS. ( ACC. SLOGS. 2/2Qsgft NEW CON5TRMULTI-OUTLET NON.RESID BRANCH CRC ITS 2.50 ea AIRATUS e POWER APF (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 2AL@30 .20@501 Ex. OCCUp. OUTLETS FIXED (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequence Qf +1e granting of this permit. r p L} � Xv C.'r.� Date / 'J /� Signature of Applicant - Owner 9 PP ❑ Cont�actorX 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 $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PD HD ISSUE Th's permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS By `_ �� j Date PERMIT EXP`IRES Date Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT / l'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE O PAR NUtvJ9E . ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION iTO OV(jJ EOR'S MAILING ADDRESS C NTR CTOF AME TELEPHONE ,ADD,�'�S,S,n C TRACTOR'S,MAILING 8 W , O 1--1t� , v� a9066 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I O.00e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other x Describe work: l� '� f'`fJ� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force d 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 CONST.DWELLING OCCUP,& OR ACDNS, C ACC. BLDGS. , /z¢sgft NEW CONSTRESID, BRANCH NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BL@ ZAL@30 Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s4county in consequence "e granting of this permit. X 7 —V �� Date Signature of Applicant — Owner ❑ Contractors 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 $ occ CONST TYPE TOTAL FEE $ ALSCHL HAZ cuA PARK FLD PAR PD Ho ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DI R OF PUBLIC By Z2 PERMIT EXPIRES Date �U the applicable provi- resolutions to do have been paid. WORKS Daatte 9-0-1/ 7 Receipt No. � WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �,C6mplaint -Date ]�tStl�er-Date Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING A. P. # G9 -A3 i Address: Date. of Inspection Tenant: f�_J.,.9 v� �1r Inspector Building Location: Cj Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 77 4. Work W/0 Permit / / 5. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9.' Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: .13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1'HR, Tolerances,Handrails) 15. Comments : B. C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing . 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or v' 1 do (give complete desc pt ion): w 2. What actoon taken (FiveJcomplete description) : , e- 3. What action recommended A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /.D. Other: 4 —1