HomeMy WebLinkAbout069-480-014Village Oaks, Inc, i�/Z� %%
5247 Saddle Dr., 1 2 Orovill�
contr: North Sierra Const., Oroville
} Permit ,�536-77B,p,E,M(nPw s;nglo fam.)
29fale
5247--S-addle'D' lont 24, Village Oaks4
1, Oroviller ��ar ���
contra Forslund Const'., Orovile
i Permit #6742-77B(add deck/SF)
069-48-0-014 00_4737 D'
'ASTANEDA, .Rebecca
5247 Saddle Drive, Oroville
(reroof/SF) V
-480-014 y�Z
CAS A, REEBE�
5247 SADDL OR°
REPLACE ELEC HTR
ircfli ��' air
���^
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- j I o T
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCEL2WM 48-0-014
J'
ZONINR-1
LDING PERMIT
OWNER
rCZ>
TELEPHONE
5'3oS33 2577
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAI NG ADDRESS
CONTRACTOZAJ§
TELEPHONE
CONTRACTOWS�1 MAILING. ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
39.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADV47 SADDLE DRIVE, OROVILLE
Energy Plan Checking Fee $
PERMIT FEE $
Q on
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF OXDuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pum water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other EX
Describe work: REROOF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
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.P
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.
EY -I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
so
3.50FT.
HON•A °ES, lo. ' MULTI.OUTLETTS
@7,50
OWER APPARATUs
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURESaA�
�'; 0
PPLNS
Ex. Occup. ouXTLEEDTS RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My 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.)
p/I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in an manner so as to become subject to workers'
corn en, aws Callfc and agree that if I should become subject to the
worker ' com n on o Isions of section 3700 of the Labor Code, I shall
fo rl h co tAith th s Prov' ions.
X Date LI -
S' atur pplicant - O ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee Is
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
X
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above f 'ch fees have been paid.
" Date4,12/00
PERMIT EXPIRES ON /IT12,/Cl1
Date
Receipt No. 286529
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
S
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCEL NUMBER&Q _ r ZONING BUILDING PERMIT
OL/— 01
OWNER /l�(� r/'+�G`yATELEPN�ON� go SO. FT. OCC. BUILDING VALUATION
OWNER NG ADDRESSla
�✓� .. �q+•
Main Service
LESS
20OA OR LESS
23.00
Main Service
200A TO I000A
CONTRACTOR'S NAME 0
NEW CONST.
OR ADONS.
TELEPHONE
3 5¢S0.
FT.
N CONS .
NON•RE&D.
MULTI.OUT—
@7.50
POWER APPARATUS
6 BINDLE OUTLET CI R.
CONTRACTORS MATING ADDRESS
Ex. Occup.
OUTLET OR FIXTURES
BA 1.00
Ex. Occup.
CONSTRUCTION LENDER
5.00
Temporary Service
23.00
Mobile Home Facilities
Fireplace
Misc. Wirina
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE No.
Filing Fee
$
20.00
Permit Fee
a
-
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
S
BUILDING ADDRESS ,AyI
Energy Plan Checking Fee
E
PERMIT FEE
PLUMBING PERMIT
$
—�
Fling Feel 20.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECWV
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 ❑ Re el ❑ Utilities ❑ In tion ❑
Describe Work:
Other ❑
Gas piping system 1 - 5 outlets
15.00
Building sewer 1
15.00
Mobile Home I S I G I W 1
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
LESS
20OA OR LESS
23.00
Main Service
200A TO I000A
46.00
NEW CONST.
OR ADONS.
DWELLING OCCUR
( & ACC. BLDS.
3 5¢S0.
FT.
N CONS .
NON•RE&D.
MULTI.OUT—
@7.50
POWER APPARATUS
6 BINDLE OUTLET CI R.
Ex. Occup.
OUTLET OR FIXTURES
BA 1.00
Ex. Occup.
OUTIFTS PPg�SI ).
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE i
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEi: S
Mobile Home Installation Fee L
Energy Inspection Fee S
D°D CONST. TYPE TOTAL FEE $
HAZ D. FEES IMP FLOOD CDF PARCEL I PO NO 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 Date
PERMIT EXPIRES ON
(Data)
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
be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of -the _.
.proposed_ property improvement :. YES" NO[ ].
2. I HAVEfVj HAVE NOT[ ; ] signed a'Tn' ' fication fora budding permit for the
proposed work.-,...,_ 4
3. 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 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:
PROPERTY OWNER: d�
SOCIAL SECURITY NUMBER: ("
DATE: %—" 12— -
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.
May 1995 2.26
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 party`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:
0 If you employ or otherwise engage any . persons other than your immediate ihmily, - and the work `(including -
materials and other costs) is $300 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 employei"and you, are
subject to sevecal.obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance; disability insurance costs, and uneinployiiient 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. ; it
0 For more specific information about your obligations under Federal Law, contract the ,Inteinal 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 "ownerbuilder"
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 contractors 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
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
COUNTY OF BUTTE "- DEPARTMENT OF PUBLIC WORKS
r- 7 Cou4Center Drive , Oroville, California 95965 �70
Telephone: 534-4541
7
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING UATI
04 It
Mailing Address
Telephone No.
Contractor ,
Fireplace
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
P Tel q "e
,r
Building Address�" �f
A
Permit Fee $
y
PLUMBING No.
@ FEE
PERMIT FILING FEE
J$3.00
(,S/
Aney c
Each Trap
1.50
Repair drainage or vent piping
1.50
!� f
Water piping
1.50
Each gas water heater or vent
1.50
A. P. �-
:Y-
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
F s
W
San ion
Fire Dept.
Fire Zone
Use Permit
Building sewer
5.00
EQA
Parking
Pla _iBldg.
Declaration
P el
60' R/W
Improvements
Lawn sprinkler system
2.00
Plans Re
Parcel Antlaval
Plans App v
Permit Fee
$ g
NEW ❑ ADDITIO UTILITIES ❑ OTHER ❑
ELECTRICAL No.
@ FEEPERMIT
FILING FEE
$3.00
-
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Single Family54 Duplex ❑ Mobil Home ❑ Others ❑
ER 60
Main service 10 0 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
IF
NEW
OR ADDNST ( ADWECCLBLDGOCCUP. &)
2¢sgfT
NEW CONSTR` MULTI.OUTLET
NON•RESID, BRANCH CIRCUITS)
2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le O
Y �
��RsL vhf �Q/yf%,
Ex. Occup(OUTLETS OR FIXTURES)@L252
BAL�1
FIXED APP LNS, OR
Ex. Occup.(ouTLETs (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
,'``
License No.2 q49 % / Classification �
Misc. Wiring
6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
❑ permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1
@ FEEPERMIT
FILING FEE
$3.00
Heating
Cooling
Ventilation
Hood
2.00
Permit Fee
$ $
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.
X Date/2— Z 'Z 7
Signature of Perm/i►tee r%Agent
Receipt No. / Ca,. -2-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE i$!3(n
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.
D,W�TO.Q Oyl PUBLIC WORKS
BY & r
Building permit expires Date ��7��
V "COUNTY OF BUTTE'' ,- DEPARTMENT OF PUBLIC WORKS
.y 7 County Center Drive — Oroville, California 95965
Telephone- 534-4541
APPLICATION AND PERMIT
`
BUILDING
Owner Village Oaks,Inc.SO.
FT. OCC. BUILDING VALUATION
1588 1 2'10 8206J.
Mailing Address
2
Telephone No.
Fireplace one 50.00
Contractor North Sierra Construction Inc.
Total Valuation
Mailing Address 2856-A Olive Highway,Oroville
Permit Fee118.00
Plan Checking Fee &/or Penalty
Cal' forn' a 6
Tele hone No.
— l
Permit Fee
$
Building Address Lot 24 24Saddle Drive
PLUMBING
No.
@
FEE
PERMIT FILING FEE J$3.00
Village Oaks., InC Orov' lle Calif. f
Each Trap 81 1.50
12.00
Repair drainage or vent piping
1.50
Water piping 1.50
1 50
_
Zoning Verifica! n n
Each gas water heater or vent 1.50
A. P. No. — -1%
G Z
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
P;;6—sl
W
_Sq9J4ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
00
EQA
IParking
Plans
ParcelPar
Declaration
I a
P
60' R/W
Im provements
Lawn sprinkler system 2.00.
Baer ec
Parcel Approve
PI s Approval
Permit Fee
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
X00
Main service 100 AMP ORV OR LE LESS5.00
Main service EA. ADD'L 100 AMP
2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V 25.00
loo AMP OR
Main service EA. ADD'L 10��0pp��A M��Pgg 1.00
0 AM
NEW OR ADDNST ( ACCLBLDGSLING O. 050')
22sgft
41.00
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON -RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
North Sierra Construction, Inc .
Ex. Occup(OUTLETS OR FIXTURES) BAL@101
LNS. OR
FIXED APP(RESID.) EA) 2.00
Ex. Occu P•(0UTLETS
Temporary service 10.00
Mobile Home Facilities 15.00
License No.# 283291 Classification A-1
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee
$
44.00s
. 00
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
iecertify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3.00
Heating M. .
Cooling • .
.00
Ventilation
Hood 1 2.001
2.00
Permit Fee $
13.00
$ 13. 0
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
Land Dev., Fee
29 -PO
TOTAL PERMIT FEE
$221. 0
..y v vu u.. ,v -1
1acs uNun My
above-mentioned- property for inspection purposes.
X Date
Sig lure o ermite r Agent
Receipt No. ZI-2 1VQ
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions cf
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
/J DloRECTDR*OF PUBLIC WORKS
Byo/�/.�'e �J�L�.L� Date-
Building
ate Building permit expires Date `��7d
. This set of plans and specifications
r kept ®rr the job at all tunes and it is un MUST be
nw&�v changes or alterations wful fA
Permission from the De on same without
Wim, County of Butte, pa"f^1ent of Public
SI b
See asfer Plan on file for uildin
pans. g
• 4, L.-F,�
hkzp
3/ N. "he Bidg. Se back shat! be 5 ft, fro e
lire and 50 ff. from the
erline o#.the road. permitting a maxi-
mum of a 2 ff. eave overhang but entirely
Z, � out iof, ents.
Y
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVE
OT FLA
L:pki K.�
U N 11 Ia. JOT rJa` -Z4, f5urfO 6autqj
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT IJO.
(Rev. 12/96) APPLICATION AND PERMIT d)' as 30
ASSESSOR PARCEL NUMBER
069-480-014
ZONING
BUILDING PERMIT
OWNER
REBECCA CASTANEDA
TELEPHONE
589-1229
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
5247 SADDLE DR. OROVILLE CA 95966
CONTRACTOR'S NAME
OWNM
TELEPHONE
CONTRACTORS MAULING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
5247 SADDLE DR.
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACING EX. E[.ECTRIC HEATER WITH GAS
PROPANE HEATING
Gas piping stem 1 - 5 outlets 15.00 15, OC,
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $ 35.00
ELECTRICAL PERMIT I Fling Feel 20.00
OOOVOR LES
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 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
Main Service 200A TO 1000A 46.00NEW
CONST. DWEwNGOCCUP. SO
OR ADONS. ( & ACC. OCS. 3.5¢FT.
N CONS MULTI.OUTLET
NON -REBID. @7.50
POWER APPARATUS
8 SING..
E OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES a20
Ex. Occup. DURETS RM., EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE s
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' 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.)
I certify that in the performance of the work for which this permit is issued, I shall
note loy any erson In any manner so as to become subject to workers'
corn • e sation I s of California, and agree that If I should become subject to the
wo er ' m nsation provisions of section 3700 of the Labor Code, I shall
fo It om ly with those provisions.
X Date ��\��
Sin ure of A licant - ❑ Owner ❑ Contractor ❑ A ent
An O HA permits required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height
MECHANICAL PERMIT Fling Fee 1 20.03
Heating gas prg=e
Cooling
Hood 6.50
Ventilation
PERMIT FEt 515.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 70.00
HAz D PEES IMP FLOOD CDF pARC0. ro HD
ISS
This permit is hereby Issued under the applicable provision;
of a Butte County Code and/or Resolutions to do wort:
Indic ted Mokeen paid.
ey ate
PERMIT EXPIRES ON AM
Receipt No.
WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK-INSPRCTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.w 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No.
(Rev. 12/96)
APPLICATION AND PERMIT
AS SESSOR PARCEL NUMOM _ / ZONNO
BUILDING PERMIT
OWNER '
T E
r
OWNER'S SO. FT. OCC. BUILDING VALUATION
CONI'MOTOR'S NTP
CONTRACTOR'S MAAJNG ADDRESS
PERMIT FEE b
*P FEE Pulp
CONSTRUCTJON LENDER
MECHANICAL
MECHANICAL PE MIT Fling Fee 20.00
S" -
LENDER'S MAILING ADDRESS
Fire lace
Hood 8.50
ventilation
ARCNRECT OR 6"0"EFA
Total VeIUetlOn S
LICENSE NO.
Filing Fee
$
ARCHITECT OR ENOwEEH9 MAAING ADDRESS
Permit Fee
��—
20.00
$
CONST. TYPE TOTAL FEE $
—CUWo ADDRESS
Plan Checking Fee
b
D. FEEB 'IMP FLOOD CD PARCEL PO NO
Energy Plan Checking Fee
b
_
b
LOT NO SUSDNISION'S NAME PARCEL MAP
PERMIT FEE
$
Indicated above for which fees have been paid.
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
Each Trial,
7.00
SF p Duplex ❑ Mobllehome ❑ Other
Solar or heat um water heater
23.00
e�wy
Water piping
15.00—
5.00TYPE
TYPE OF WORK
Each nas water heater or vent
1 5.00
New ❑ Addition 01emodel Utilities ❑ Installation ❑ or ❑
J Gas piping stem 1 - 5 outlets
15.00
Buildingsewer
15.00
Describe Work:
Mobile Home ISIG W
920.00
PERMIT FEE
S
--
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 800V OR
200AORLES S
23.00
Main Service lou TO IOWA
48.00
NEW CONST. ( DWELLING OCCUR
OR ADONS, A ACC. SLDS.
3.5¢�
N M
NON•RESID. ULTI.OUTt.ET
97.50
POWER APPARATUS
A SINGLE OUTLET CIR
Ex. Occup. ounET OR Farrmm
20 ® 1.00
LE
Ex. Occup.
OEA
aAL .50
OV ETSIRESlp'
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE b
*P FEE Pulp
$—Heatinge
MECHANICAL
MECHANICAL PE MIT Fling Fee 20.00
S" -
Cooling
�♦
SHERIFF
Hood 8.50
ventilation
OTHER
PERMIT FEP- it --
Mobile Home Installation Fee S
��—
Energy Inspection Fee $
Oce
CONST. TYPE TOTAL FEE $
-
� MOVNT RECEIVEp
:
=
D. FEEB 'IMP FLOOD CD PARCEL PO NO
SSUE
_
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.
"RECIM" NVAAM
TO ile Pir m0 COMM
By Date
PERMIT EXPIRES ON
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, S ATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street
Lot Number Tract No.
EXTERIOR WALLS
'-'"Manufacture w Thickness/Type I 1 � R Value
T/
+ 4
CEILINGS
_Lhtts: Manufacturer _ Thickness R Value
Blown: Manufacturer 9 Thickness `y No. Bag Wt./Bag
Sq. Ft. Covere R Value l 9
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation inches
FOUNDATION WALLS
Manufacturer Thickness/Type RV e
GENERAL CONTRACTOR LICENSE No.
BY
TITLE — DATE
INSULATION CONTRACTOR: WKINS INSULATION CO. LICENSE 215-925
BY � TITLE DATE
f '
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS l
BUILDING INSPECTION -RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback 'o? --2942 +
Firewall ®a
Soil Piping
Forms
Parapets
1st Floor
�7
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall -
Siding
To out
Slab
Roof Sheathing - %
Water Piping_
Piers '.2 - Qc t,
Roofing
Sewer
Garage
Fdn. Ve, e 0'Fixtures
Footings - .2 3 -7
StemwaIII l - - 77 z�
Garage Vents �-
Insulation . _ _
Water Htr.
Heaters
Slab -di
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat %
Rough
2
Reinf. Steel
Final
Fixtures
6
Bond Beam
FIRE SPRINKLERS
Motors
G° — 1 '2
Framin 2
Test
Water Htr.
O Ipk .-%
Stucco
Final
Subpanels
% %
Mesh Z 3- T B�'��
MECHAWCALf,
Grd. Fault Prot.
0 -
Scratch
Heatin
Service
Al
Brown
Cooling
Temp. Pole
Finish
Ducts 2 ;01717.
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. ServiaC
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MORILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec Continuity
Water Piping Drainage Gas Piping
DAT 5 1�1,3`7 REMARKS OR CORRECTIONS
%f f'% 7 ro Of- 6(�
70�-� y
C2-
46
'77 (N& / entry m e made on this form each time you visit the job site.)
1
w PERMIT NO. 1536-77B,P,E,M
PERMIT EXPIRES
DOWNER Village Oaks, Inc.
CONTR. North Sierra Const., Oroville
1, LOCATION (A.P. 34-79-14
y 5247 Saddle Dr., lot 24, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. /i -i
RX -
d Called PG&E
Temp. Gas Serv.
Called PG&E
/INAL
ED
(Da
(Si natu e)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION ECORD
BUILDING BUILDING (Cont') PLUMBING
Setback/'
Firewall
Soil Piping
Forms
Parapets
list Floor
Main Bldg. „
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out ti
-Slab
Roof Sheathing
Water Piping1
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s A
Stemwall
Garage Vents
Insulation
Water Mr.
Heaters
Slab
Prov. for physically
handicaDDecf
Appliances
Carport Conformance of ex Gas Piping & Test
Footings structure z Temp. Gas
Slab % Final Sanitation
Patio FIREPL E Final
Footings M Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel
Final N,
Fixtures
Bond Beamh
FIRE AeRINKL
Motors
Framing
Test
Water Htr.
Stucco I
Final
Subpanels
Mesh
ECHANICAL
Grd. Fault Prot.
Scratch
Heatino
Service
Brown
Cooling /
Temp. Pole
Finish VDucts
Underground
Interior Lath
Ventilation
,Permanent
Door Closer
Final
Final
MOBILEHOME TILITI - - - - - - - • - - - - - - - - • -
Elec. Service
Elec. Pedestal
Water Piping _
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - • - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
t
674-2--747
PERMIT NO
PERMIT EXPIRES / 0
OWNER A. Tapley
,CONTR. Forslund Const., Oroville
LOCATION (A.P. 34-79-14
5247 Saddle Dr., lot 24, Village Oaks #1, Orovill,
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
�, Called PG&E
d 0B
FINALED �`�
(Date e
(Signature)
d
069-48-0_014 00=0737 B
CASTANEDA, Rebecc.3
[5247 Saddle Drive. Oroville
(reroof/SF)
y -l3 a/
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 1101
1 f/ �EAt�vITrNo.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMa" 4 -'O—OI4
on,OWNERTELEPHONE
ZONING -I
LDING PERMIT
_ 1l
SO. FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
-
CONTRACTOR '$ i
L
TELEPHONE
CONTRACTORS MAKING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 39 . (Y)
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING AD,RS$4S7 t\tWLE DI? P, OROVILLE
L[ l 13JL
Energy Plan Checking Fee
$
$
PERMIT FEE
S r
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑V Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Iff
Describe Work: 111W)OF
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
OY OR LE
Main Service EOzooAORLESSSS
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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 Zoog TO
4s.00
NEW CONST. DWELLING OCCUCCUP.
OR ADONS. ( & ACC. BLDS.
SO
3.50FT.
CONS
NORD ' MULTI.OLm.ET
97.50
POWER APPARATUS
6 SI NGLE 0 r. CIR.
Ex. Occup. OUTLET OR FIXTURES
20
BAL @ ': o
Ex. Occup. ouTLEFTs ASID ) E,a
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
1 23.00
PERMIT FEE
$
MECHANICAL PERMIT
Filing 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.)
EL/l 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' compensation Provisions of section 3700 of the Labor Code, I shall
forthwith comply'with those prow' ions.
X -- . / _. '• Date L c ' C L,
Sigh atur cif Al plicant - !7'0ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0"deep end demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE ,uL.
TOTAL FEE $ r
HAZ.
I D FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above fQr'Which fees have
Ry
By -
PERMIT EXPIRES ON /•
the applicable provisions
Resolutions to do work
been paid.
Datei/12/Or1
/1 ��1
pgle
Receipt No. Zow) —r
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT. SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
April 19, 2000
Rebecca Castaneda RE: Request for refund
5247 Saddle Drive (A.P. #069-480-014)
Oroville, CA 95966
Dear Ms. Castaneda:
Your request for a refund was received by our office. Please find attached a general claim form
ready for signature.
Please sign only where indicated and return to this office so that we may process your refund.
Should you have any questions concerning this matter, please contact Alice Mefford of this office
at (530)538-7541.
Yours very truly,
Mger,BVeira
Building Inspection
MCV:aam
attachment
Butte
County
LAND.
OF 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
April 19, 2000
Rebecca Castaneda RE: Request for refund
5247 Saddle Drive (A.P. #069-480-014)
Oroville, CA 95966
Dear Ms. Castaneda:
Your request for a refund was received by our office. Please find attached a general claim form
ready for signature.
Please sign only where indicated and return to this office so that we may process your refund.
Should you have any questions concerning this matter, please contact Alice Mefford of this office
at (530)538-7541.
Yours very truly,
Mger,BVeira
Building Inspection
MCV:aam
attachment
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: REBECCA CASTANEDA
ADDRESS: 5247 SADDLE DRIVE
CITY & STATEN OROVILLE, CA 95966
DATE OF CLAIM: 04/19/2000 IMPORTANT. -
SEE INSTRUCTIONS
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES 0N R F V F R S F S I n F
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
CLERICAL ERROR, OVERCHARGED(AP#069-480-014, BP#00-0737, RECEIPT #286529, DATED 04/12/00,
ONWER: REBECCA CASTANEDA.)
Total amount paid $69.00
TOTAL AMOUNT TO BE RETAINED $59.00
TOTAL AMOUNT TO BE REFUNED $10.00
TOTAL
$ 10
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true
and correct as stated.
Dated this day of , 2000 , at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and
that there is a Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) for the same.
Dated this day of , 2000 , at Calif.
Department Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM FUND Dept
Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
CLAIMANT:
ADDRESS:
CITY & STATE:
DATE OF CLAIM:
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
REBECCA CASTANEDA
5247 SADDLE DRIVE
OROVILLE, CA 95966
04/19/2000
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
OF IMPORTANT.•
SEE INSTRUCTIONS
ON REVERSE SIDF
REBECCA
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
CLERICAL ERROR, OVERCHARGED(APN069-480-014, BP1100-0737, RECEIPT /1286529, DATED 04/12/00,
ONWER: REBECCA CASTANEDA.)
Total amount paid $69.00
TOTAL AMOUNT TO BE RETAINED $59.00
TOTAL AMOUNT TO BE REFUNED $10.00
TOTAL
$ 10
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have en r med or . ered nd that this claim is true
and correct as stated.
Dated this 2 I day of , 2000 , at Calif.
Si nature o imant
f
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articl p cified above been/performed or delivered and
that there is a Budget Appropriation [ I or Specific Board Approval [ I (Check one) for t s
Dated this 5 day of 2000 , at ®/CtJ✓t! Calif.
Depa ment Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONST14CTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM FUND Dept
Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE
MT:
ENCUMB. GROSS AMT.,—
n -tee; •stS�-i•'q: �".f7^f:+� .'e"--^-Y'.r-u:.:re•.r�grv7+2'av�,-r.� a+ -,.v; izlbrst41_;I+�`t��;i✓1�n'y �.r.�,.sC+"ci,5
. L
069-480-014 01-2630
CASTANEDA,REBECCA
5247 SADDLE DR, GROVILLE
REPLACE ELEC HTF_ W/GAS
OFFICE COPY
Address
GAS
Meter By
ELECTRI
Meter By Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) 'APPLICATION AND PERMIT CI
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OuWN�ER Cj�SM�Aa�M�w
;TEoLEnPH�O�NE
SO. FT. OCC. BUILDING VALUATION
C//ONTRA���C,�TOpR'S NAME
Vlflli'al1
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
. 247 &4D= 13& 0P0MJY,
Energy Plan Checking Fee $
1
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each aas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPUCM M ELECMC :FATS GAS
PLANE HEATING
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W @20.00
PERMIT FEE $ •
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 2o.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 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
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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any/person in any manner so as to become subject to 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
forth Wit om ly with those provisions.
Iy�
X\ Date ,` 11- J\ __
Sign ure of rApplicant - ❑ Owner ❑ Contractor ❑ Agent
An O HA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in hei ht.��
Main Service WELL TO 1000A 46.00so
NEW coNST. DWE11M10 occuP. 3.5¢F°.
OR ADDNS. ( a ACC. BIDS.
p"O--N- 1p, ' MULTI.OUTLET La 7.50
POWER APPA '
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES '0 ®1•00
BAL .60
Ex. Occup. ounEis RE�slD°EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating ]fig
Cooling
Hood 6.50
Ventilation
PERMIT FEt $-
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 70.00
HAz.
D. FEES IMP FLOOD CDF PARCEL PO HD
ISSUE
Y/
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated abo e f which fees have been paid.
f I
�6at
By 1 / t [!. e
PERMIT EXPIRES ON V / I /r .J
to /
Receipt No. ;5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
9A-
W
J
Q
Q
- - -------------------
................
Top rail fo be 42 in. high with in-
termediate rails to be not over 9 in.
i.XB V &CIA apart,Uix (I., D. 3W' ac.)
[ 1�
2x6 leda��^
IDS.; c +
.3j
Z,Afb L-00
The fig. Setback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
NOTE—All Materials & Workmanship Shall Bi
In . Accordance with Recognized Good Practices and
of a quality prescribed'for the Specified use in t�e
4 Uniform Building, Plumbing & Mechanical Codes a!d
the r'•- "-,-al Electrical Code. 1
_ I
«S #"
P4 er s
l
F•
J si s x p.C..
<eofa e v -
Zx (o �Pclwnoc�
be Cx.
r
0
This set of plans and specifications MUST be
(, f or, kept on the job at all times and it is unlawful to
make any changes or alterrtions on same without
written permission from the nepartment of Public
of Butte.
D11eA : TAPz. E y
0k -&'V I 1-4-E I C 641 F
z Z �( ��cd �•u oca� �te��
w/ "S Iey s b ►.,aa�
"BUTTE COUNTY
BUILDING DF?:ARTMFNT
APPROVED
m
�
Or90r
�C
r
Z