HomeMy WebLinkAbout069-480-016Village Oaks, Inc. 69 4B-14
14 Lariat Loop; lot. 26, 0 vi�
contr: North Sierra Const:. 4rov ill.e
Permit #1538-77B,P,E,M(new iggle fam.)
-90tpThompson
114 Lariat Loop,.,Z'2ot 26, V.O.#l,Oro.
contr: Hal Foislund, Oroville4
Permit#5 4-77B(add open deck/SF)
PPZaJ 11-30-7-7
Contr: Hal Forslund Oro -
Permit ##1549-78E (addlets
in garage) /� Q 3P?
Permit#k532-81P,E,(soallter
heater ) SF �
069-480-016 - PERMIT#95-1403
THOMPSON, Owen C.
114 Lariot Loop, Oroville q
Reroof/SF , /�.�' �I� I-1>
5
col
069-480-016 'PERMIT#95-1403
THOMPSON, Owen C.
114 Lariot Loop, Oroville
Reroof/SF
_ .' � .. 1* -T ff W' a V r r f Y..yM...kTp"a"+Y.'+P-VA i'+.+kr AT1 Wr°T'1w,�p'.'✓cr
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI ON
7 County Center Drive - Oroville, Cglifornia 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 069-480-016
ZONING Rl
BUILDAG PERMIT ,
.Y
OWNER OWEN C. THOMPSON
TELEPHONE
501- Fr, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
114 LARIOT LOOP OROVILLE `95966
25 @ 60 1,500.00
CONTRACTOR'S NAME 0WM
V Al�i:il\
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER NONE
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
35.00
ARCHITECT OR ENGINEER NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
114 LARIOi LOOP
PERMITFEE S
55.00
OROVILLE 95966
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
Su_ D ION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ON Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other lj
Describe Work: _ REROOF WOW
Mobile Home I S I GI W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.'00
Main Service aoov OR LESS
( 2000A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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 rContractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.5a
OR ADDNS. ( & ACC. BLDS. )
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7:50
( POWER APPARATUS
b SINGLE OUTLET US /
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
Ex. Occup. ( OUFIXED TLETS (RESID.OEA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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.)
b. 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X %-i r°' i��C�=m�ir� Date iii' _
Signature of Applicant - ❑ Owner'' ❑ ContrA r ❑ 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 $ 55.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL I PD HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ve for which fees have b n paid.
C
BY Date 7
PERMITEXPIRESON E/z
(Date)
Receipt No. 180337
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 1 PERMIT NO.
APPLICATIONAND PERMIT
ASSESSOR PARCEL NUMBER 069-480-016
R1 ZONING
BUI G PERMIT
OWNER 0[dEN C. THOMPSON
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
25 @ 60 1500.00
OWNERS "UNG ADDRESS
114 LARIOT LOOP OROVILLE 95966
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER NONE
UNKNOWN
Total Valuation $
LENDER'S MAIUNG ADDRESS
Filing Fee $
20.00
Permit Fee $
35.00
ARCHITECT OR ENGINEER NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
114 LARIOT LOOP
PERMITFEE $
55,00
OROVILLE 95966
PLUMBING PERMIT
Fling Fee 1 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF EK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �1
Describe Work: REROOF W/('.OMP
Mobile Home I S I G W 1
920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service600V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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.
Llcerlse 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
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS. )
s0.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET US
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
BAL SO
Ex. Occup. OUTLETS PaESID.°EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE s
Contractor
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
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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.)
;R 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
forthwith comply with those provisions.
X Date _
Signature of Applicant - Own ❑ Contra or ❑ Ager(t
An OSHA permit is required for ex avations Over 5'0" deep and demoli ion or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
oer
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
1 D. FEES
IMP I FLOOD
I CDF I PARCEL I PO HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for which fees have b n paid.
/ (�
Byaiafi&Date/!v 7
PERMITEXPIRESON (/A'` 1,���j�_
I (Date)
Receipt No. 180337
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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[i(] NO[ ].
2. I HAVE[,q HAVE NOT[ ] signed an application fora building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: C I`Y:
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:
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.
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 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 tar withholding, federal social security taxes,
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
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.Iimited. 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.
Sincerelly,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOPE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
i
,PE,RMIT NO. •.
1538-77B,P,E,M
PERMIT EXPIRES��
OWNER Village Oaks, Inc.
North Sierra Const., Oroville
CONTR.
LOCATION (A.P. 34-79-16
114 Lariat Loop, lot 26, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB /0
/—,7
FINALED
(Date)
( gna . re)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION' RECORD
meso MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts underground
Interior Lath A i Ventilation Permanent 49 le
Door Closer Final (i - % Final
MOBILEHOMEUTILI IESt ----------------- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(-7 7
(NOTE: An entry must be made on this forC each time you visit the job site.)
BUILDING
BUILDI G (Cont'd)
PLUMBING
Setback s
D-%
Firewall -7 J 1QV
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
-' ,�(��
Siding
To out
i
Slab
Roof Sheathing
Water Piping
Piers 5--
6 ~
'Roofing
Sewer
Y, Z S -
Garage
Fdn. Vents —72
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
- -'�
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping
Tem Gas
&Test
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Z 0 --Ce -
Footings
Footing
ELECTRICAL
Masonry Walls
Throat (.
Rough
L _
Reinf. Steel
I Final
Fixtures
Bond Beam
1 _ _
FIRE SPRI
Motors
_. 7
meso MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts underground
Interior Lath A i Ventilation Permanent 49 le
Door Closer Final (i - % Final
MOBILEHOMEUTILI IESt ----------------- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(-7 7
(NOTE: An entry must be made on this forC each time you visit the job site.)
(7�7
I
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS :/�
Manufacturer Thickness/Type R Value
CEILINGS
Batts: Manufacturer Thickness R Valu,-
Blown:
alueBlown: Manufacturer l�v�%�� Thickness No. Bags Wt./Bag
• Sq. Ft. Covered 4�- R Value.—,/ C1'
FLOORS
Manufacturer Thickness/Type R Valu,-
SLAB
alue
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation iwle5
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE No.
BY.
TITLE — DATE
INSULAT59N CONTRALTO HAWKINS INSULATION CO. MCEN_SENoNo- 215-925
�I BY / TLE DATE �� 7
v COUNTY OF BUTTE'' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Tel ephgne: 534;454141
APPLICATION AND PERMIT
Owner Village OakInc.
Mailing Address
Telephone No.
Contractor North Sierra Construction Inc.
Mailing Address 2856-A Olive Hi h Oroville
Telephone No. .
Cklifornia 95965 533-9135
Building Address Lot 26 114 Lariat LOO
Village Oaks Inc. Oroville C lif.
Zoning Verification -QAI)L
A. P. No. 34-79-16 �Zo
F 'W ' n Fire Dept. Fire Zone Use Permit
Parking Parcel
EQA Plans I Declaration I P Ae Map 60' R/W I Improvements
BIdMM.tiFed Parcel Approvol,14 I Plan provol
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
Single FamilyX❑ Duplex ❑ Mobil Home ❑ Others ❑
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.
License No# 281291 Classification B-1
BUILDING —
OCC. I BUILDING VALUATION
Fireplace 1 790,00
BAL@10m
$
21.50
Total Valuation a'J
ELECTRICAL
Permit Fee
FEE
Plan Checking Fee &/or Penalty
PERMIT FILING FEE $3.00
Permit Fee $
Main service jp0 AMP ORV OR LE LESS5.00
Main service EA. ADD'L too AMP 2.50
PLUMBING No.
@
FEE
Main service EA. ADD•L too 1.00
PERMIT FILING FEE $3.00
3.00
Each Trap 8 1.50
12.00
Repair drainage or vent piping 1.50
NEW CONSTR. POWER APPARATUS &
NON.RESI D. SINGLE OUTLET CIR.
Water piping 1.50
1-50
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Building sewer 5.00
,00
Lawn sprinkler system 2.00
Permit Fee
BAL@10m
$
21.50
$ 21.151)
ELECTRICAL
No. @
FEE
`•i �� `' C
PERMIT FILING FEE $3.00
3.00
Main service jp0 AMP ORV OR LE LESS5.00
Main service EA. ADD'L too AMP 2.50
OVR Main service 1100EAMP OR LESS 25.00
Main service EA. ADD•L too 1.00
NEW CONST. DWELLING�jy
OR ADDNS. ACC.BLDG . 2�Sq ft
NEW CONSTR. MULTI.OUTLET
NON.RESID, BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESI D. SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES
BAL@10m
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.I EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
SFS
U I am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions of Section3700 of the Cal.ifornia Labor Heating RO
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.
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.
XDate -N
AS*of Par eeor Agent
Receipt No.
White-D.P.W. — Yellow- &or— ink -Inspector — Goldenrod -Applicant
0�
1 Cooling 2; 1 14.001 4.001
Ventilation
Hood 2.00
Permit Fee $ J.J.71M $ IJ i CID
Land Dev. Fee
TOTAL PERMIT FEE C961,7o
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.
DIRECTOR 0 UBLIC WORKS
2iuil
ng permit expires Date ?�
This set of plans 6'nd spnc;fi---tuns MUST 6
kept'on the job at all tines and it is unlawful t3
make any changes or alterations on same without
writte permission from the Department of Public
/ ounty of Butte.
� 9 1�
Se -back sh l-
N e pr perty '
;:enterli of the road, perm i,. a
mum of 2 ft. eave overhang brut ZM1
out of al a ements.
See seer Plan on file for , o
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
PLOT -FLA
y
t -A K
U�IT No, 1 Lal Na. 2m f5uTTO
to
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ PERMIT NO.
7 County Center Drive - Oroville, California 95,965 - Telephone 916/534-4541
W, APPLICATION AND PERMIT
ASSESSO[rR�'PARCEL NUMBER
ZONING
BUILDING PERMIT
0 E
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER 5 AILING'ADDRESS
11 r n I
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
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
,$
Penalty
$ _
ARCHITECT OR ENGINEER'S MAILING .ADDRESS
Permit fee
$
BUILDING ADDRESS
11 U
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Tl N
Water piping
LOT NO. SUBDIVISION NAME "PARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF !_J Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
L\ W , H
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: hgn� ( % H'
'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ! DWELLING OCCUP.y)
OR ADDNS. 1 ACC. BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
0 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. U LET 2.SOea
NON.RES'D BRANCH CIRC ITS
NEW CONSTF;L I POWER APPARATUS IN
NON-RESID. %SINGLE OUTLET CIR. /
50 ac
Ex. OCCUp OUTLETS OR FIXTURES BALeI
EX. OCcup.(OUTLETS (RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
l W 7
Permit Fee /
$ J
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to beccme 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 said County in consequence of the granting of this permit.
Xl Date
Signature of Applicant — vOWnerf/ —Contr ctor ❑ Agent ❑'�
An OSHA permit is required for excavations over 5'0" deep and demolition Or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
I PD
I ND
IS;5UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B � �-� Date
y v v y
PERMIT EXPIRES Date ���
Receipt No. 4 ��
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541X5 _
T APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
3 -- —/ -6
ZONING
C-1
BUILDING PERMIT
O WNE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWIE AILINADDRESS
'
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
•
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING (ADORE s
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME ARCEL MAP
1 T
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,_/ USE OF STRUCTURE
SF [E Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
UJ I Lt
-7r
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti ities ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main SerVICB 600V OR LESS
100 AMP OR LESS
5.00
Main service EA- ADD'L 100 AMP
2.50
NEW CONSDWELING OR ADDNST (ACCLBLDGS.CCUP.y�
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
• License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO NST BMU LT'_OUTRANCH dIRCLEITS 2.50 ea
O
NEw CONSTR. (POWER APPARATUS & %
NON-RESID. (SINGLE OUTLET CIR, 1
500251
Ex. OCCUp OUTLETS OR FIXTURES BAL@t
Ex. OCCUp.(OUT ETS P(RESID,IIKEA. 2.00
Temporary service 10.00 1
Mobile Home Facilities
15.00
Misc. Wiring 7.50
11_ r
Permit Fee $ Iry
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to beccme 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 said County in consequence of the granting of this permit.
�i Date o
Signature of Applicant —n Owner r'ontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuresover3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
I
PARCEL
PD I ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work iddicated above for which
R CT R OF PUBLIC
By
PERMIT EXPIRES Dibie
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
{
Receipt No.
WHITE-D.P.W., YELLOW-ASSl990R, PINK•IN9PECTOR, GOLDENROD -APPLICANT
PERMIT N 5564-77B
PERMIT EXPIRES
OWNER Owen Thompson
CONTR. Hal Forslund Const., Oroville
LOCATION (A.P. 34-79-16 ),
114 Lariat Loop, lot 26, Village Oaks#l, Oroville,
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB /
FINALED J
(Date)
(Si natu )
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
-BUILDING INSPECTION RECORD `
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
'Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
r physically
handicap e
Conformance of X.
structure
Appliances
Gas Piping &Test
Tem . Gas
Slab
Final � `Z%
Sanitation
Patio / ®
, A / REPLACE
Final
LECTRICAL
Relnf. Steel Final Fixtures
Bond Beam FIRE PRINKLERS Motors
Framing % Test Water Htr.
Stucco Final Subpanels
Mesh MECH NICAL Gird. Fault Prot.
Scratch Heatlna Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES -------•---------- Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOSILEWOME INSTA ATI N - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vislt the job site.)
r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W RK` _
7 County -e"
Center Drive — OroviIle, California 95965 _
7
Telephone: 534;4541
APPLICATION AND PERMIT L�
�+uu or-ze representatives UI LHe Bounty OI Butte to enter upon the
above-mentioned pprroop%erty for inspection purposes.
X { Date/a "- 7 /
Signature
-7of Permittee or Agent
Receipt No. )*70.39.6
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By � i Date f "—Z6 -%i
ilding permit expires Date /=- Z
BUILDIN
Owner GV G -'0 0 A4 0 a!
SQ. FT. OCC. BUILDING VALUATION
Zlq D safe; , o p
Mailing Address
Telephone No.
Fireplace
Contractor �qL oys-4 ol u
Total Valuation o O
Mailing Address y / S 2 q P-
Fee ^,
Permit Fee 60
Planit
ng Fee&/or Penalty
40 ✓o UdILI�
Telephone No.
r S 7
Permit Fee $ , 0
o
Building Address/—a^PLUMING
No. @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
t/ ro v) L Lz ,La%/a (/� O� 3 %
Water piping 1.50
Each gas water heater or vent 1.50
1 (o
A. P. --�.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
J,`f
j6> eedo
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parce
Decla ion
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd 4"1Parcel
Approval
Plan pro Val
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEEPERMIT
FILING FEE $3.00
Pe r✓ 't800V
IC.
OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service. 100EAMP OR LESS 125.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST [DWELLING DACCOCUP. &
BLDGS,) 20sq ft
NEW CONST R. 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:
,-
Ex. Occup(OUTLETS OR FIXTURES)@2#
BAL�t
Ex. Occup. FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
O lyN/5f�
Mobile Home Facilities 15.00
License It
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.
'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
El permit is issued I shall not employ any person in any mangler
so as to become subject to the Workmen's Compensation Laws. of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL
L PERMIT FEE
$ a
�+uu or-ze representatives UI LHe Bounty OI Butte to enter upon the
above-mentioned pprroop%erty for inspection purposes.
X { Date/a "- 7 /
Signature
-7of Permittee or Agent
Receipt No. )*70.39.6
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By � i Date f "—Z6 -%i
ilding permit expires Date /=- Z
% Y,9 -7f
c
oq
(.il,.. xe / z.o��G J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541'
APPLICATION AND PERMIT •j.
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address i
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. !i i'
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
I Declaration
I Parcel Map
1 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Reed I
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OROR LE SLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWEOR ADDNS. ACCLBLDGS.CCUP. S+) 2¢Sgft
r
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:
NEW NON CONSTRESID. R MULTI -OUTLET
- � BRANCH CIRCUITS) 12.50ea
NEW CONSTR (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. Occun(OUTLETS OR FIXTEIRES g L�j
IX0 'TLETS (RESID.) EA) 2.00
Ex. QCCUp.(FED APPLNS. OR
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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.
E] 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
Owner �//1� lh
Mailing Address &.e;;4
Contractor
Mai I i ng Address
vov/
Building Address //!�e
/10 �/j
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive —. Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ephone No.
Telephone
e—? V
Zoning & Planni
&ts IWIC . FireDept.1 Fire Zone I Use Permit
EQA I Parking
Plans
Parcel Parcel Ma 60' R/W I Improvements
Plans Declaration P p ovements
Parcel Approval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Single Family Duplex ❑ Mobil Home ❑ Others ❑
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: [�
% ('LR S'Lwi✓� C-12i1
License No. Classification
❑ I am exempt from the Contractors License Laws of the State of California.
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 Wo men's Compensation.
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.
I certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
aumighlt'ureof
of the County of Butte to enter upon the
abor ins ction purposes.
Xate
or genntt�
Receipt No. 1/ 416 7vi/
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
_ BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
600V OR LE
Main service SS
S
100 AMP OR LES
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
N
BRANCH CIRCUIT
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
?2 sq ft
?.50ea
Ex. OCCUD(OUTLETS OR FIXTIIRES1 15'BAL @ 1BALI 0
Ex. Occup. (OpUT LETS P(RESID )REA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
MECHANICAL
No. @
PERMIT FILING FEE
$3.00
Heating
Cooling
FEE
FEE
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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.
I E OF PU LIC WORKS
B / Date
.,
Building permit expires Date