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Home My WebLink About072-100-0090 19 72-10-09 LANCE & BEVERLY ANDE ON 195 Wakefield Dr., Oro Me .ermit-#2093-88B;P , E(add- ocm/SF)-, k 72/-09, Permit#2297-88E,M AC 1 F6� e 0 N - O � r--- � � •� r ' I PERMIT NO. 20 — PERMIT EXPIRES 10-7 OWNER LANCE-& BEV RLY ANDERSON t CONTR. AL & JOHN CORPE a ' ASSESSOR PARCEL 72-10-09 LOCATION 195 Wakefield Dr., Oroville • a 'Y Z' f yr - K , 4 }^ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E r' Temp. Gas Service Called PG&E 6 JOB FINALED (Date) �� Q Signature c • f A COUNTY OF BUTTE r, DEPARTMENT OF PUBLIC WORKS - • .. > 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541 ,747 Elliott Road, Paradise -Phone: 872-6307 ORRECTION NOTICE OWNER T NO.. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. OKI // e/ — 'OR'' /- Inspector G%f'l/ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE -a MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Matter, or need additional explanation, pleasilcontact this office immediately. Date P7 — a 7 ^ ? i COUNTY OF BUTTE `< y y DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 'PERMIT NO. - A routine inspection indicates that -the following. violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,---O Inspector �%� Date 7 . = OK = Not AO plicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s k!Ttg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. ' " s-Fi replace Ftg.-Steel G� D�N.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 at rd -131 Date Card -131 Dae i Card -131 Date Date UMBING (Permit) OK except #'s Ht. Vent -Access -Combustion Air -Baffle oe'f'Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection -19^5F-ower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date -yCard-61 Date Card -B1 ' Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s lure & Transformer Clearance -Ins. Protection I Receptacles Spacing -Lights & Switches at Doors S' oxes & No. of Conductors -Stapled RW16x Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas '& Water pp dance Circuts in Kitchen & Conductor Size/G.F.I. meed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al .28-RRaage-•Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No .29-3�r6fce-Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light-Soa Light Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation. & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date FR NG (Plans) OK except #'s Sills- Proper Material & Anchors gIls�Studs-Nailing, Spacing & Bracing—Plates-Sound 4 ng Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 43. Mops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng, Fireplace Ties or Type A Flue -Fireplace Throat Clearance —4e-*MU-AtT'ess; Size & Romex Protection -Draft Stop -Ins. Baffles -49-BUrM-Windows or Exiting Doors -Sill Hgt. & Dimensions ire Protection Framing roperty Line Firewall & Openings _&275T -Doors -One T -Check Garage -3rd story, 2 exits Width -Headroom -Rise -Run -Landing -Fire Protection 15*-fly.wood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer t co Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection-Skylights-Plastic -d�8-3fiear Walls; Naili Bol 59. Insul t' -W -CI t 60. Infiltration-Walls-Wndws Card -131 Date � Card -81 Date Card -B1 P Date Card -B1 Date DateNAL�ns). Ok except #'s x� eps-Door & Sidelight Protection -Landings moke Detector r63 -Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection e room xiting G .. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels airs & Rails ireplace or Stove; Clearances -Hearth 69-Etec--O-L_dets•at Wood Panel; Int. & Ext. . Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 7 utlets & Receptacles at Kit. Counter 72-GI—rage Fire Door; Swing -Landing -Closer 7 . Duct in Garage -Damper 7 . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I arage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location ,_4&,-tbi - eceptacles in Garage; (G.F.I.)-Romex Protec. "-In tion -Foam -Looked in Attic ❑ Yes 7 .Guar Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes o-tdo Walks ❑ Yes -E'rVo; Planters ❑ Yes ❑ No ucco; Rrown-Finish Disconnect, Electrical, Plumbing e Above Roof; PIbg.-Appliance-Firep I. -Clearance to enings. Water Well; Disconnect, Electrical, Plumbing erior.Elec. Trim; G.F.I. Receptacle -Underground ilation throughout House GI .otection . ections from Previous Inpections as Test -Meters Tagged; Gas -Electric 9• ater & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date � and -131 Date Card -B Date 7i Card -81 Date Card -61 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0=Not OK Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Locatiori-Test-Fall-C/0-Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. / /"Nat. or/ PV'ft./ /"LPG 7. Utility Clearance Card -131 Date Card -81 Date Card -81 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade-HD,Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -61 Date Card -131 Date Card -81 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . v 2. Footings; Soils -Size -Depth -Spacing -Connectors' -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 1. 9. Siding; Nailing -Veneer -Stucco -Mesh " 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -81 Date Card -B1 Date Card -B1 Date Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ` 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval. 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date .` COUNTY OF BUTTE,-- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT U ASSESSOR PARCEL NUMBER •7 08 ZONING At0;l, BUILDING PERMIT OWNER a�vGe �vef-I Jersaav TELEPHONE 5x99-�f1 a SO. FT. OCC. BUILDING VALUATION D r� d" OWNER'S MAILING ADDRESS %a e 1' � � � ��o �; 1 e RCTO 'S NAME TELEPHONE CON ACTOR'S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing. Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ / �p ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS Permit fee $ s PLUMBING PERMIT Filing Fee 10.00 5 2 Each Trap 2.00 V1 1� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 , r—O Each qas water heater or vent 5.00 —,� USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 rj p -p Mobile Home is G W O.00ea TYPE OF WORK New ❑ Addition E!r' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ j Describe work: 12>0.} � rn o Penult Fee $ 0-0 Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 12.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER 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) ❑ 1, 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.EI OR ACDNS. ACC. BLDGS. , /zQsgft . Q NEW CONSTR. MULTI—OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea / APPARATUS b (SINGLE OUTLET CIR. i Ex. OCCUp OUTLETS OR FIXTURES 5AL930 FIXED P EX. Occup. OUTLETS (RESINSR D IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Penult Fee $ . 0'-0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, -should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen of he granting of this permit. X r� �ul"`$-3 �Q�� Date Signature of Applicant - Own Contractor ElAgent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee ID , 1-0 TOTAL PERMIT FEE $ (p ► %5 oc uP. CONST. T PE JsCZL00D PARCH PD .--_ ISPF This permit is hereby issued under sions of the Butte County Code and/or indicated above for which T OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7" v, Receipt No. P a� 5 WHIT[-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y •T .. .. .r •.- �...-.... r lam. .. "vYl^'Y'1L. ,n.. �. ••.'.I) vl'wjh'-'�f.. ., r) 'Pi. .�.•. ' , r 1-.... -.Z . . COUNTY OF BUTTE - DEPARTMENT OF4PUBL'IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR OVILLE, CAL^ +QIIFF,PRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET I�1 Permit No. OWNER �0.JU�e. �e�ec I 1 !Q NO'�eP S`aA) A. P. No. 1 D T Q e( --Proposed Building, Uses /F lF d �G o'v1 �'�i J Building Inspector ' Date a �o At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. 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. 27 1 �n School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. t 8. Fees of $ , , , , , , , rr 9�. Letter of signature author izatd'p n. , 1 Sanitation approval from OV eHealth Dept.. -%- %r 11. Planning approval for (A) Use: (B) Parking: _ _��. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name st e, classif,) �—Ar�. Owner -Builder Verification (Given to owner ✓ ,Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . , , , 16. Mobilehome Installation Data. . . . . . . 17. Pre -Ins ection for Re uired,.It Pre-Inspec. request to ' (Date) p q Building Inspector 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 :hen ou ss a the permit rocess as follows: Mail to owner, Mail to contractor. Telep (ne. < "6e2 and hold for pickup at 52'yoffice, Deliver w/inspector. er Appl icant Cr`1 i all, 6 " 32 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prio qtpermit issua ce: (Circle new ite not checked abo e) 1. Index permit for above items No. 2. Additional items required: r Contractor, designer, owner, was advised of above required data by_phone—nail counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date ` Plans checked by Date / Plans approved by a Sets of plans on old in File cabinet AP folder Copy—DPW TO Building Department FROM: , Environmental Health SUBJECT: Sanitation Clearance ZU Owner. Location AP# Plan Approved for: Sewage Disposal 2 Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other o NOTE *** _ _ U -/_� 7 Sanitarian Da e TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance -...-- - C'✓��Z �- ` D�-5�� Lam/ - Owner. V�t on AP# Plan Approved for: Sewage Disposal _ Water Supply z Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance. for b G erg ff . �/�} �� /'y� rDOMO\ an '� Dat FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Climate Zone l Permit # vi.0 9 3 " �y Floor Area�(�_ The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions', and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. .ZONE 11 ZO E 16 APPLIES TO NEW AREA O CEILING R-30 R- 8 O WALL R-11 R- • FLOOR R-11 R - o SLAB R-7 R1 V GLAZING U-.65 (Dual) U .65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 V LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT d MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING 1.3 f NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION.SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTIIATING, AIR CONDIT,IO_NING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other (describe) *l (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) _ 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form X64) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.$.E. chart'or other approved.system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILD G DESIGNER t APPLICANT 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 ma' labor and materials for construction of the proposed property improvement yes'or no) Qs .2. I (ave have not) ,JA-OxA,,,Q- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Lance- 3eUer(y Ar,�zrsm 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. ;�;�� V':c+r�l��n�'��.G` �{1'�"�^'�'�§�7�jF`.-)'��"'1"�""�'i�i�il�{'�;f§,�j��'�m,�•`�'fi�i��''�f,��"4"'��'"�'+��I %" b. �1-�i �''�"'�-.r6}`�w,'*' .i�`�cs',.t�,1NS'�4: I BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One,Form per -,Building) A. P. Number 7.1--) D - O a q -Building Department No. School. District (Dro V; Ile J�Ie A. City County i - i Jurisdiction Property Owner . CA Ny g r PT C7- Proj ect Location Address 5 Lk) Subdivision Lot Number Residential Development: Sq. Footage g LJ # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage' r New Addition (Including Exterior Roofed Areas). Building.Depart nt Representative D e 7 District Id No: School r n V ,I Applicant N (Street Address (City State District certifies that 1:�� 9 / �(_(c� C Phone Number Zip Code has ''complied with the requirements of Resolution.No. by the payment of $ /l/ A� representing ��. square feet. kf__ Date chool DigWict Representative PAID BY CHECK NO. BANK NO PAID BY CASH ' W OR white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) r COUNTY OF BUTTE - DFPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE �-- ��— ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUAT ON OW ER'S M ILI G/21 DDR S y��J r 4 C NTRAC OR'S NAME AA TELEPHONE' CO A R'S WAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 J Each Trap 2.00 e Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF K 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: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (/check one): p y p y 1 ) ! �❑ 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 CONST. / DWELLING OCCUP.W) OR ACDNS. 1 ACC. BLDGS. I , /ZOSQft NEW RESID, NCH-CIRCu NON•RESID .BRA CH�CIRC ITS 2,50 ea /POWER APPARATUS .&) (SINGLE OUTLET CIR20 / Ex. OCCUp\OUTLETS OR FIXTURES 0 50t. ewL®30 BAL@3 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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. (� �,, t X* - �S� Date Z� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.TYPE ISCHOOLIFL00111PARCELI P11 ND Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above fo w ch fees DIRE TO F UBLIC PERMIT EXPIRES D e the applicable provi- resolutions to do have been paid. WORKS at "a Receipt No. WNITE-0.10 W., YELLOW-A3e633011PINK-INSPECTOR. GOLDENROD -APPLICANT I, A5 ub-Kp-jReW kc) C)V.o u and k 7' Pljq A) xs 11 W*M\O,� 01 \-J%Cn, c es kjovis osome j?0): W,"SO 'Ir-) ckk 0 j0.s k�le \. S or k er e epokMWA 0" c,�011cle {,rovll k�% 0111 -js�joln peTM Ok By O'na WT. it Coon" OTV1 I vroc Orvs, !Cl\S 6 c oc$ker I -e C-;00�.A Wje saes Ona PA ?,e specr-% vi Go A�eoraan�e 0 el "%Ci I sr-TI�Aer- reU0.1.� 9 - 01'11rquo,,, , Or iond tie CoUgrl DF -P Ap p ROV ED wo CIO 0 .0 0 s r C I 1"Ift to 1"Ift A 43Ax �� T� Zlq 0 c ediNj JO ST C. jx12. C q Slab Moor r W /Z 3 OVJ n (5-r 0 6c 9X X q V-1 e .41 0 V elVi tj L lid S" 6,e cher D� 0 foo F� 0 JA