The URL can be used to link to this page

Home My WebLink About069-500-023TViilage Oaks Inc. 5 Chames Ct., lot 6, Unit #2, Orovill contr: North Sierra Const., Ovoville PeruilL #49 2=77B�,E,NI(r�ew Singh family) • SXr/hr 6SADLER3 �, J301V ENEW OWNER: HELEN SADLER mit #1446-88B(cover over existing io/SF)-_-------. _. . - 069-500-023 PERMIT#97-1920 HARD, Chris- JZ-Ij-l"7 5 Chames Ct.,•Oroville , Cont: Keith Orman Roofing Rer6of/SF I Vu 64 LO cri iT r L 41 I—C 069-500-023. PERMIT#97-'1920 HARO, Chris, 5 Chames Ct., Oroville Cont: Keith Orman Roofing Re roof/SF 9&/2! COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-751-1,PERMIT NO. APPLICATION AND PERMIT ,� 97- / N ER, ASSESSOR PARCELNUMBER, � ,., <sy - ZONING BUI NG PERMIT OWNER ` C/ r TELEpPFsION= SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME e. TELEPHONE CONTRACTORS MAILING ADDRESS q 4 �') !• , //E C4 - rl Fireplace CONSTRUCTION ENDER -- UNMOWN Total Valuation $ V Q Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ 'LjL1, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSd f,/CS /+� / /P �� Q J_�/� C 7 (o PERMITFEE $ ! C Q PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF '0 Duplex ❑ Mobilehome ❑ Other SPECIFY 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" Describe Work: RP lo/) i �� _ � Mobile Home ISI G W (!-ED20.00 PERMITFEE t Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V OR ESS ( 200A OR ESS 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 f rce and effect. � ! License Class Lic. No LO /J ZJ 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. BIDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS (aPSWER APPARATUS INGLE OUTLET C R. ) Ex. Occup. ( OUTLET OR FIXTURES) B20 @ I.DO Ex. Occup. ( OFIXED (RES D.OR ) 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 insurancg carrier and policy number are: Carrier ,Sle 1 P F[! !' e* MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number A^ / I-� - `1 % (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 ,_ : �'-�_ .-s.' C re'- Date _9�y/ , / Signature of Applicant - ❑ Owner ❑ Contractor JTAgent 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 FEE $ �Q HAZ. I 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 n paid. indicated,eb ve for which fees)//Date9 By PERMITEXPIRESON (Date) Receipt No. d d Y, i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT WVELOPMENTSERVICES-BUILDINGDIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT. APPLICATION AND PERMIT _ �J ASSESSOR PARCEL 7B 0/0 2ON1^'G BUILONGPERMIT OWNERTELEPHONE �'� D --mr SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING DRESS .air u 9.5-46:5 CONTRACTO 'S NAME611 TELEPHONE CONTRACT R'S MAILING DRESS �r 'Ile e14 �� Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS —^ Permit Fee $ Ud ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/ /'� 951614 tilQ/'1A"es C e (� PERMITFEE $ '^ ^do PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 IAT NO.SUBONISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 011�' Duplex ❑ Mobilehome ❑ Other SPECIFY 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 } Describe Work: R w� ,C) Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV 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 f ice and effect. '/ �y License Class Lic. No. �Q N,3 3 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) 50. 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET us EX. Occup. ( OUTLET OR FIXTURES) 20 @ I•00 B"L s° Ex. Occup. (OUITELETS RE ISIsILNSD.)EA ') 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 insuranc$ carrier and policy number are: Carrier s'7iAfe —,–u- MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Qp / 3_-3 3– 91 % (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 workers' compensation provisions of section 3700 of the Labor Code, I shall fortIwith comply with those provisions. X Date11y -- Si nature of Applicant - ❑ Owner ❑ Contractor XAge 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 $ 53 - HAZ. 1 D. FEES I IMP I FLOOD I CDF 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 indicate b ve for whic fees hav In. paid. By e PERMITEXPIRESON (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4932-77BP,E,M PERMIT NO. - PERMIT EXPIRES e OWNER Village Oaks Inc. CONTR. North Sierra Const., Oroville LOCATION (A.P. 34-50-30 port. ) 5 Chames Ct., lot 6, Unit #2, Oroville Temp. Power Pole— Called ole Called PG&E Temp. Elec. Serv. Called PG&E Tempt Gas Serv. ailed PG&E /U' �7 FINA% LED (Date) (Mign&turef COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) - Brown Cooling PLUMBING Setback Zt9 —,Z/-- Firewall ,5 ' 3 Soil Piping Permanent Forms Parapets 1st Floor Elec. Pedestal Main Bldg. Restroom Finish 2nd Floor Elec. Continuity Footings Windows 3rd Floor Stemwall '7 Siding To out Slab Roof Sheathing Water Piping Piers Garage Roofing Fdn. Vents Sewer Fixtures Footin s Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping Temp. as &Test Slab Final .S Sanitation Patio FIREPLACE Final Footings Footing ELECTAICAL Reinf. Steel Final 7r Kms-- Fixtures Bond Beam FIRE SPRINKLERS Motors _2.tT_-7 Stucco I I Final I Suhnanalc /11 .% y4z» Mesh `3 ' q/- % • 0;" MECHANICAL Grd. Fault Prot. Scratch Heating Service - Brown Cooling Temp. Pole Finish Ducts G Underground Interior Lath Ventilation Permanent Door Closer Final v J�Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH DME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 3"2,y ? V CPO (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE,125, 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 Value Blown: Manufacturers �% Thicknessf� No. Bags � Wt./Bag Sq. Ft. Cover e R Value / FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer &0-12M , Thickness/Type R Value GENERA CONTRA GY ORo 2 M S/ E 2R A ['_'y..�yS J LICENSE No. Z k 3 Z �l BY TITLE�LppDATE 7 INSULATIW CONTRACTOHAWKINS INSULATION CO. LICENSE 215-925 BY TITLE a`'�' DA 3G r � >! COUNTY Of BUTJ"E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ' — Orbville, California 95965.�..7i 1 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 5' atur o Perm' a orr�Agent Receipt No. / 6 9 9 J T 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 OIAUBLIC WORKS By ate 7—yl— 77 B i it ing permit expires Date %— Z 1, 77 BUILDING Owner V11� SQ. FT. OCC. BUILDING VALUATION D Mailing Address Telephone No. Fireplace % Contractor C�V Total Valuationb Mai I i ng Address �jf'/� Permit Fee ��— Plan Checking Fee &/or Penalty I hone Permit Fee $'° O .— Building Address 4177 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 61:::> A4 Each Trap 1.50 le.O0 lJ Repair drainage or vent piping 1.50 Water piping 1.50 11 AJj 7-4-0- ZoriSng Verification Only Each gas water heater or vent 1.50 A. P. No. G Z �. Gas piping system 1 - 5 outlets 1.50 additional outlet .30 Fw.s W n Fire Dept. Fire Zone ,4&Each Use Permit Building sewer 5.00 EQA Parking Plans 11P. r ParcelParcel Declaration a P 60' R/W Im rove is P Lawn sprinkler system 2.00 Ions Parc pproval Plans pproval Permit Fee $ $ Z 4 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NE Wr _5C UP. &) 22sgft O OR ADDNST. (DAWCff NEW CONSTR ULTI.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 style of: Ex. Occup(OUTLETS OR FIXTURES) @SC BAL@1 Ex. Occup ( FIXED APPLNS. OR2.00 IRESID.I EA) Temporary serviceETS 10.00 Mobile Home Facilities 15.00 c� License Nozf-- / 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. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Z3,0e% $ 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 G .FEE TOTAL PERMIT $ L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 5' atur o Perm' a orr�Agent Receipt No. / 6 9 9 J T 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 OIAUBLIC WORKS By ate 7—yl— 77 B i it ing permit expires Date %— Z 1, 77 O- J- e - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville,,Califorraa 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT PE MIT NO. V ASS R PARC L NU B - 5' ZQ"~' BUILDING PERMIT oN R —� TEL PHONE cam/— S0. FT. OCC. BUILDING VALUATION t✓ R' ,�.A (LING ADDRESS CO TRAC NANCE I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI, ECT OR ENGINEERENSE LICNO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i 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 SFN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ., X Main service j00 AMP 10V OR LOR ESS 10.00 Main service EA. ADD'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 BUS1nesS and Professions Code and my license is in full force and effect. License No. Classification �FIXED L[J l , 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.61 , OR ADDNS. C ACC. BLDGS. / /zQsgft NEW CONSTRU I.OUTLET 2.50 ea NON-RESID .BRA C CIRC ITS /POWER APPARATUS e\\ \SINGLE OUTLET CIR. / EX. OCCU o 20e50C pUTLETS OR FIXTURES eALO 30 Ex. OCCUp. OUTLETS (RESID ) EA.) PR 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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 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. Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains s id Count in conseque a of the granting of this permit. X Date Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE , OC cup. CONST.TYP[ SCHOOL I FLOOD ARCEL PD NO I ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date �' C Receipt No. WHIT[-D.P.W.. ALLOW-ASDFeeOR, PILAR -INSPECTOR. GOLDENROD -APPLICANT �.- .,,. -. , .. .. • .r: � .,, r,'. .. , ._w -.. _,r.,,-.-. s.w-r-"" _..,,{u'�'«w-ri°+,.' , si it--. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�'E; C{�IF�RNIA 95965 -TELEPHONE: 916/536-7541 13 v, ....-..fir r ev PERMIT APF LI`CATION DATA SHEET Permit No. OWNER /(C /e �i �/ A. P. o. Proposed Building Use Z Building Inspector Date CJ At time of permit application, I was advised the following data must be submitted prior to permit processing an�1. or SSUanCe: DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . .. 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement. % 19. Driveway Permit. / 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check)./ 22. When you issue the permit, process as follows: __xai I to owner, -Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other �� Applicant '' 7�" � _ ' Copy of plans sent Health Dept., Fire Dept. Other Date / The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mail —counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date nv/ Plans checked by Date Plans approved by 9�Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916 -538 -7541 - 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. Ihav /have not) signed an application for a building permit forGeproposed 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 6 r laj& Social Security Number Date 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. Shc!I' tae Kiri" —All Materials & Wor'rmansa Accordance with Recognized Good Practices and of a quality prescribed for the' Specified use in the Uniform Building, Plumbing & Meha cnical Codes and 4r { the National Electrical Code. �• J. • 'gyp This set of plans and specifications MUST kept on the job at all times and it is unlawn:' ; make any changes or alterations on same wifli written permission from the Department of lic Works, County of Butte. The Bldg. Setback shall be 5 ft from the side ,property line an� from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. g 1' OT a N V I LL. DAK!� UNIT P10 r�o� I'�• CO fa11�' ,,. �a!;t� r �t y T� ; I 14,3:44 A *7wlwp %A g i •, t_:4 BUTTE Coy NTY BUILDING Dr_bA ENS APPROVVE-Ii o e, IbCNy PI 10 4 'c"Fat r Aw ND 2 f X3 a I�� . , �i