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Home My WebLink About072-190-044AP 72-1944 Richard Weiss M -96 AO ,a s or estown Rd., 7 10 mi. S -E -of 072.lgo-044 Oro -Quincy Hwy., Oroville NELSON, -LAWRENCE F0 Permit 2026 RBESTOWN"RD.',' OROVI LL -77B,P,E,M (NEW SF) AG EXEMPT PERMIT 3 11 4�7 //9 1'74 72-19-44 8B ( st lerlmit #4142-78, (Jpt E renewa�l) 72-19-44 > Permit #5470-79�B(2nd renewal/ 2026-77) 72-19-44 Permit#2400-81B(3rd & 4th renwal 2 026-79) 14 072-190-044 PERMITC/95-070 2 NELSON, Larry 309 Forbestown %R,'Ao4oville Cont; C.& N Heating & A/C Replace Hvac/SF 308-2040 072-190-044 dISCELLANEOUS Re -Roof �EROOF COMP 22 SQ.'S ;09 FORBESTOWN RD qELSON LAWRENCE M, CM BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FEE INFORMATION DBMSC Re -Roofing $147.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. Class / Expires DAN'S RooFING 755839 / C 39 / 10/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing withsection 7000) otDivision 3 of the Business and Professions Code, and my license is in full force at X / � 10/03/2008 Signature Date WORKERS"COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 7130018,3 "9 E,p Dal,:12/01/2008 (This section need not be com�ietecl if the permit is for one ndred dollars'($1 00 or less.) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section,?* of the Labor Code, I shall forthwith comply with those provisions. /7 — H�Wdffi 10/03/2008 oignawre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ,,,i - CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address city State Zip I otal Charged: $147.50 Fees Paid: Balance Due: $0.00 Receipt No: OWNER I BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; - Please check one of the following: F1. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE DCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ElI AM EXEMPT under Section B. & P.C. for this reason:— ix 10/03/2008 1 Owner -s Signature Date I hereby certify that I have read this application and state that the above information is correct, I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmles Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County)P enter the above mentioned property for inspection purposes. I hereby certify that I am the pro�Uw =ized tcMQ on the prop e b h If ena'�� 10/03/2008 J r Vy owT,, Owner 11 Contractor OR: DAgent for Owner FlAgent for Coniractor FILE COPY PROJECT INFORMATION Site Address: 309 FORBESTOWN RD Owner: Permit No: B08-2040 APN: 072-190-044 NELSON LAWRENCE M, Permit type: MISCELLANEOUS P 0 BOX 233 Issued Date: 10/03/2008 By TMP Subtype: Re -Roof PALERMO, CA 95968 Expiration Date: 10/03/2009 Description: REROOF COMP 22 SQ.1S (530) 589-0503 1 Occupancy: Zoning: FR10 Contractor Applicant: Square Footage: DAN'S ROOFING DAN'S ROOFING Building Garage RemdUAddn 6961 LINCOLN BLVD 6961 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 (530) 534-8118 (530) 534-8118 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $147.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. Class / Expires DAN'S RooFING 755839 / C 39 / 10/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing withsection 7000) otDivision 3 of the Business and Professions Code, and my license is in full force at X / � 10/03/2008 Signature Date WORKERS"COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 7130018,3 "9 E,p Dal,:12/01/2008 (This section need not be com�ietecl if the permit is for one ndred dollars'($1 00 or less.) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section,?* of the Labor Code, I shall forthwith comply with those provisions. /7 — H�Wdffi 10/03/2008 oignawre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ,,,i - CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address city State Zip I otal Charged: $147.50 Fees Paid: Balance Due: $0.00 Receipt No: OWNER I BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; - Please check one of the following: F1. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE DCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ElI AM EXEMPT under Section B. & P.C. for this reason:— ix 10/03/2008 1 Owner -s Signature Date I hereby certify that I have read this application and state that the above information is correct, I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmles Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County)P enter the above mentioned property for inspection purposes. I hereby certify that I am the pro�Uw =ized tcMQ on the prop e b h If ena'�� 10/03/2008 J r Vy owT,, Owner 11 Contractor OR: DAgent for Owner FlAgent for Coniractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE#: (530)538-7541 FAX#:(530)538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. r C - ,,0j, --,764 1 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application ls*subject to public inspection and will be posted on the County's website for electronic access. APPLICAIVTSIGNATURE X PROJECTLOCATJON A 9 2— Properly- Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, t,,a certificate of worker's compensation must be shown at the e of permit issuance. LENDING AGENCY Name Ad ress I I DESCRIPTION OR SCOPE OF WORK: JA C -V :[C> ua_�� A -k, Gm�- � XA Scl FT- Living R,-1 45"Garage Open Cov 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: __ __F OWNER INFORMATION Last Na e m 0A.5,_ ->A First Name Mailing Address .1 V, City StecL Stat I Zip Phone Syn _C,_GC;� lax E-mail Lic. # APPLICAIVTSIGNATURE X PROJECTLOCATJON A 9 2— Properly- Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, t,,a certificate of worker's compensation must be shown at the e of permit issuance. LENDING AGENCY Name Ad ress I I DESCRIPTION OR SCOPE OF WORK: JA C -V :[C> ua_�� A -k, Gm�- � XA Scl FT- Living R,-1 45"Garage Open Cov 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: __ __F CONTRACTOR Name 00 y\1 iA N,1 Address ct ('�q C�t, � a- e, � V d City No StecL zipc Phone 5 L Fax E-mail Lic. # Class APPLICAIVTSIGNATURE X PROJECTLOCATJON A 9 2— Properly- Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, t,,a certificate of worker's compensation must be shown at the e of permit issuance. LENDING AGENCY Name Ad ress I I DESCRIPTION OR SCOPE OF WORK: JA C -V :[C> ua_�� A -k, Gm�- � XA Scl FT- Living R,-1 45"Garage Open Cov 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: __ __F ARCHITECTIENGINEER Name I Flood Address --i�T-Yes-T T s City No State Zip Phone i Fax E-mail State License Number APPLICAIVTSIGNATURE X PROJECTLOCATJON A 9 2— Properly- Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, t,,a certificate of worker's compensation must be shown at the e of permit issuance. LENDING AGENCY Name Ad ress I I DESCRIPTION OR SCOPE OF WORK: JA C -V :[C> ua_�� A -k, Gm�- � XA Scl FT- Living R,-1 45"Garage Open Cov 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: __ __F APPLICANT INFORMATION Name I Flood Address --i�T-Yes-T T s City V %w No te ZJD_ Cn Y"- PhoneG14.:1 i Fax E-mail APPLICAIVTSIGNATURE X PROJECTLOCATJON A 9 2— Properly- Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, t,,a certificate of worker's compensation must be shown at the e of permit issuance. LENDING AGENCY Name Ad ress I I DESCRIPTION OR SCOPE OF WORK: JA C -V :[C> ua_�� A -k, Gm�- � XA Scl FT- Living R,-1 45"Garage Open Cov 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: __ __F ZoTing I Flood IType --i�T-Yes-T T s No Occ. Const. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE -OROVILLE, CALIFORNIA 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry,, livestock, or other horticultural products. This structure s�all not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO '072 - / 9;! �y - -0 L/-/' ZO . NING o OWNER L4L14) (e ap PHONE NO.ney C,;7j—o OWNER'S ADDRESS LOCATION OF BUILDING C- 17— USE OF BUILDING SIZE OF STRUCTURE SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME --,X— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING wood- ROOF COVE�ING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follow I - - FRONT _V:�p 20AUVLI SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6feetfrom a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. --r * AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence.and a -mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation LISGS Datum. I declare under penalty.of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary pe : rmits, inspections, and approvals to complAith the requirements in effect at that time and before occupancy. Date 8 —/,f - Signature of Owne Permit Fee - $60.00 Receipt No-. 244'K94-_ The above descri6ed AG Buildinq is exempt from a buildina Dermit FL7 I PA F- I � L71- I �y I R�� Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. L, Goldenrod — Applicant �x 7c� 41 OFFICE COPY Address GAS Meter By_a 3ELECTRIC Meter By Da COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ;0N S 7 County Center Drive - Oroville', California 16665 . Telephone (916) 538-7 /1 PERMIT NO. APPLICATION AND PERMIT 6 -, 9S7 709 ASSESSOR PARCEL NUMBER 072-190-044 ZONING FR10 BUI �ONG PERMIT OWNER LARRY NELSON TELEPHONE SQ. FT. OCC./ BUILDING VALUATION OWNER'S MAILING ADDRESS 309 FORBESTOWN RD OROVILLE CONTRACTOR'S NAME C& N HEATING & A/C I Lu� TELEPHONE S-3 IL/ 9 CONTRACTOR'S MAILING ADDRESS 1950 KITRIELL AVE OROVILLE Fireplace CONSTRUCnON LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 309 FORBESTOWN RD PERMITFEE $ OROVILLE _J��EL PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME MAP Solar or heat pump water heater 23.00 — USEOFSTRUCTURE SF 9 Duplex 0 Mobilehome 0 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system I - 5 outlets 15.00 15.()o Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other Describe Work: REPLACE HVAC Mobile Home T§_�W 920.00 PERMITFEE 35.00 Contractor ELECTRICAL PERMIT Filina Fee 2 0.'10 0 Main Service 800v 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. —/6 0 License Class C_ – ;?- 0 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: 0 1, asowner of the property, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST- DWELLING OCCUP. 08 ADONS. & ACC. BLDS. 3.50 SOF NEW CONST BMULTI.OUTLET NON-RESID. RANCH CIRCUITS 97.50 &POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 BAL 0 .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID .) Ek 5 . 00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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�olicy number are: Carrier z; -r A MECHANICAL PERMIT Filing Fee 20.00 Heating HVAC L5.00 Cooling PAD Z0,00 Hood JE�6. Ventilation E5O PERMITFEE Contractor Policy Number. 1 -.7, 4rr- z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the'Orfo"rr�aree.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 subjecttothe workers' compensation , provisions of section 3700 of the Labor Code, I shall forthwith comply wi)h those provisions. X 6LIJ Date' Signature of Applic t - 0 Owner Contractor 0 Agent An OSHA permit is required for excavations over 50" deep and demolition or.construction of structures over 3 storie's in height. Mobile Home Installation Fee $ Energy Inspection Fee I f $ OCC I CONST. TYPE i ., TOTAL -FEE $ 90, r I H�Z! I D. FEES I IMP I FLOOD COF PARCEL This permit is hereby,issued under the of the Butte County Code and/or indicated above for which 1pes have PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date wllAr r D ate ReceiptNo. 175842 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT!QF DEVELOPMENT SERVICES - BUILDING DIVP;10�N 7 County Center Drive - broyillk. California 95965 - Telephone (916) 538>-7 1 PERMIT NO. APPLICATION AND PERMIT 6 -z ?S_-0700 ASSESSOR PARCEL NUMBER 072-190-044 ZONING F11,10 BUI NGPERMIT OWNER LARRY NELSON TELEPWONE SQ. Fr. OCC../ BUILDING VALUATION OWNEWS MAILING ADDRESS 309 FORBESTOWN RD OROVILLE CONTRACTOR'S NAME C& N HEATING & A/C QRQVILL�61�5`qqqlq_ TELEPHONE CONTRACTOR'S MAILING ADDRESS 1950 KITRIELL AVE ORCIVILLE Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty ' $ BUILDING ADDRESS 309 FORBESTOWN RD PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME IPARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF IN Duplex 0 Mobilehome 0 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system I - 5 outlets 15-00 L5.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other CX Describe Work: REPLACE HVAC Mobile Home T�_�W 920.00_ PERMITFEE J$ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 2 O.'o 0 Main Service 600V 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 provisio . ns 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 C_—.�LV Lic. NO. -76 0 -5-& g� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, ormy employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. S. sQ FT. NEW CONST. LTI-OUTLET — NON-RESIO. BRMAUNCH CIRCUITS _3..50 @7.50 &POWER APPARATUS S NGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ LDO BAL 0 .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) 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: 0 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 3700of the Labor Code, for the performance of workforwhich this permitis issued. My workers' compensation insurance carrier and,3olicy number are: ..Carrier IV -D ffiJ MECHANICAL PERMIT Filing Fee 20.00 Heating HVAC 15.00 Cooling PAD �0,00 Hood 6.50 Ventilation PERMITFEE $ Contractor .Policy Number 2=1 - �1!d (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q 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 ___ . forthwith comply wi h those provisions. I I X eom W) & L-10— Date /V Signature of Applic - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is Occ CONST. TYPE TOT AL FEE $ go Qn HAZ. 1 0. FEES I IMP I FLOOD F'FDF PARCEL I PD 1 111) ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ab ve for hi h es have 7, PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ReceiptNo. 175842 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE BLIki-DIRd DIVISION DEPARTMENf -6F DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CO RRECT[O-N- NOTICE !�7r OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contacA_this office immediately. Date — 11 / �4- 17.) inspector REV 10/92 / f I 1 �10'9 �PERMIT NO. PERMIT EXPIRES OWNER Richard Weiss CONTR. owncir LOC.ATION (A.P. 72-19-,4y44. E/S Foibestown Rd., 7/10 mi.SE of Quincy Hwy, Orc Temp. Power Pole Caljed �P&E 1/1 ec. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED- ate) (SiTnaf-ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO:IKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Grd. Fault Prot. PLUMBING Setback - 5 Firewall Soil Piping Cooling Forms Parapets 1st Floor Underground Main Bldg. Restroom Finish 2nd Flool—��-—v 0� Footings Windows T—/ 3rd Floor Stemwa I I Siding Topout 2 Slab Roof Shea thing Wa te r P I p I ng Piers Rooting Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for p� sically handicappe.1 Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Foo4ina ELECTRICAL Masonry Walls 11!6ft h —/0 �w �/— X Q� — Roug 7 Reinf. Steel Final Fixtures- Framina '%— nal FIRE SPRINKLERS Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish - Fu—cts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEURME INSTALLAZLPN -------------- Support Elec. Continuity -Water Piping Drainage Gas Piping 0 DATE REMARKS OR CORRECTIONS PC7 17 e4 -19 S a 7z�) F / /V-,4 4- 9 91" (NOTE: An entry must be made on this form each time you vis t the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 'alifornin 95965 - Telephone 916/5 - 541 7 County Center Drive - Oroville, C, 4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING C q0 :5W BUILDING PERMIT OWNIR TEL.EPHONE — I A I ss r2_aaa,2__Q. S OCC. BUILDING VALUATION FT. OWN S MAILING"ADDRESS I to . B"4� / g-,3 9 CONTRACTOR'b NAM� 1 0 ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ____rNOWN Total Valuation 1$ Filing Fee $ 10.00 LENDER's MAILING ADDRESS Permit Fee X $ j-2,,hpo ARCHITECT OR ENGINEER 77[7. SE NO. Plan Checking"Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS In 9 Permit fee $ BUILDI RIESS A C, I &A Al V% IRA PLUMBING PERMIT Fi ling Fee 10.00 all hLL&J-�4 Each Trap 1 2.00 Repair drainage or vent piping 5.00 0 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[e�Duplex[] MobilehomeF� Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New R AdditionEJ iRemodelEl Ut ties El instaiiationEl Other cl— q:64 —Tr Describe work: 012enn 9AA1 C1, Permit Fee $ —Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 '70 Main service EA- ADD'L 100 AMP 2.50 NEW CONST DWELLING OCCUP.51) OR ADDNS. ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness and Professions Code and my license is in full force and effect. icense No. Classification Rr"11! 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 L;UIItIcIUL- ors. (Sec. 7044) 0 1 am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTR. UL_rI__U LET NON . RESID. (MBRANCH CTIRCUITS) 2.50 ea NEW.CONSTSL POWER APPARATU &) NON RESID. (SINGLE OUTLET CIZ. 50 0 25,t Ex. OCCUP(OUTLETS OR FIXTURES BAL. @ 100 (.FIXED APPLN5 OR Ex. Occup. UTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ C ontractor MECHANICAL PERMIT Fi I i rig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� 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 onsent to Self -Insure. 1 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. Heating Cooling — Hood 3.00 Ventilation Permit Fee 5 Contractor — 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 0 I al t save, indemnify and keep harmless the County of Butte against al e- judgments, costs, and expenses which may in any way accrue T'��id C�unty in consequence of the granting of this permit. (Inl — Date 1(, 1(- 11 — Signature 6f Appli 21_Q__ Owner Eii Contractor El AgentF� An OSHA permit is requi . red for excavations ov 5'0" deep and demolition or constru ion of structurne;-ovier 3 stories in height. 7) Mobile Home Installation Fee $ 001 TOTAL PERMIT FEE $ A/ //_1 OCCUP. ROUP I TYPE OF CONST. PARCEL P 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. PH:MCTOR OF PUBLIC WORKS ( ) �a2 By- Date Y PERMIT EXPIRES Date Receipt No, — 3?) (5ZSZ24 WHITE-D.P.W %,'.LL.W-ASSESSOR. PINK-msprCTOR� —GOLD FNROD-APPL I CANT COUNTY OF BUTTE - Department of Public' Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please ' complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. 1 personally plan,to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not) signed an appliclon for a building permit for the propose'A work. r 3. 1 have contracted with the following person (firm) to provide the proposed construction: N L2&: Address Cit Phone Contractors License No. 4. �I plan to provide portions of,this work, but I have hired the following person to coordinate, supervi,se,and provide the major work: Name Address City. Phone Contractors License No'. 5. 1 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 S igned: Property Owner, a C11-:11 Social Security number — Date 6,- 2-6 -� I - 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 permitted to issue the permit. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — 01roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SO. FT. OCC. BUILDING VALUA1IQW_,/' Owner Mai I i ng Address [4,kjon N Jeff—, Contractor (9 r— e- Mailina Address No. Building Address E r-oe6E,57Z7a)A) F -D. :NLOMI, / S6 OF 'A� le C') e &D U, A. P. No. -7z-- / c/-44 I Zoning & Planning Fte� *-Cri-S—anitation I FireDept. I Fi e Zone Use Permit Parking Parcel EQA Plans I Declaration I Parcel MapT60' R/W I Improvements BldgT FI..s Recd Parcel Approval T Plans Approval NEW ADDITION [] UTILITIES OTHER Eq -- C_7 8P"Z1Q7Z Single F . amily [3-- Duplex Mobil Home OthersEl 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: License No. Classification 1 am exempt f rom the Contractors L i cense Laws of the State of Cal i forn i a. 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. [J I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1PI 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 Cal i forni a. 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 ab ned property for inspection purposes. 2C X ��RdM Date(�___—S Slv�_.Ne of Permitee or Agent ReceiptNo. \ zg!;9110 White-D.P.W. — Yellow-ASSe55or — Pink -Inspector — Goldenrod-Appli cant Fireplace I 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 Main service 600V OR LE 100 AMP ORSLESS Main service EA. ADD'L 100 AMP main service OVER 600V 100 AMP OR LESS Main service EA. AOD'L 100 AMP NEW CONST. OR ADDNS. ( DWELLING OCCUP. 51 ACC.BLDGS. NEW CONSTR. I MULTI.OUTLET $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 M 00 FEE FEE Ex. OCCUDIOUTLETS OR FIXTIIPES (FIXED APPLNS OR Ex. Occup. OUTLETS (RES(D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities E 10 00 1E5.00 Misc. Wirino 6.25 Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling $3.00 Ventilation I I I Hood 1 1 2.001 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is T�v - Ptetr, Cit is hereby issued under the applicable provisions of u� �B ounty Code and/or resolutions to do work indicated y Jvef wh ' ees e b enppaid�LIC D IIE �R �F U WORKS Date, ?-5-77 Building permit expires Date. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. - Oeoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SO. FT. . OCC. BUILDING VALUATION L YSPe�!Zca&-77 Mailing Address Pee 0 e Cr Tel ephon e No. Contractor Mailing Address Telephone No. Building Address A. P. No. 79-/'� -41zl I Zoning & Planning FAe!-:, I -W-C— I Sa,� , I F 1 re De re Zone Use Permit EOA I Parking I Parcel Pians I Declaration I Parcel Map 1 60' R/W I Improvements Bldg_P4env-R-ec'd I Parcel Approval I' Plans Approval NEW' R ADDITION [:1 UTILITIES OTHER [:1 Single F amily U Duplex 0 Mobi I Home [:] OthersEl 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: License No Classification )�- DT am exempt from the Contractors License Laws of the State of California._ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. [Tfl.. 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 auth of the County of Butte to enter upon the abov -menti ned property for inspection purposes. X 7 Date Sig 'ture of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant Fireplace I I $ ELECTRICAL Total Valuation PERMIT FILING FEE $3.00 Permit Fee 5.00 oc:> PlanChecki6g Fee&/orPenalty OVER Main service 100 AMOPOUR LESS 25.00 Permit Fee $ 6VW9 OC PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 Water piping 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 Lawn sDrinkler systern 2.00 Permit Fee $ ELECTRICAL No.1 @ PERMIT FILING FEE $3.00 800V OR L Main service 100 AMP ORSLSESS 5.00 Main service EA. ADD -L 100 AMP 2.50 OVER Main service 100 AMOPOUR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 BRANCH CIRCU Ex. OCCUO(OUTLETS OR FIXTIPRES, [' "� BAL@1 FIXED APPLNS OR Ex. Occup. (OUTLETS (RESI'D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirino 6.25 Permit Fee, $ MECHANICAL N04 1@ 1 FEE PERMIT FILING FEE $3.00 Heating I I Cooling =a - Vent I I ati on I Hood 2.001 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE Is 6alm This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above foLv.0INich fees have been paid. E��F PU IC WORKS Date Building permit expires Date Zz 0 COUNTY OF IJUTTE DEPARTMENT OF PUBLIC WORKS i:� r Dri'v6 - oro,ille, California 95965 7 County nte Telep6one: 534-4541 APPLICATION AND PERMIT — y a n . pe. ohnancc, . . -VI or w c" t" s Ventilation permit is issued I shall not employ any person in any manner -—D � I 0 so as to become subject to the Workmen's Compensation Laws of Hood 0 0 Cal iforni a. . — $ I Permit Fee . - s 7T I certify thit 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. r 1. X Date Signature of Perrmitee or Agent Receipt No. W�ite-D.P.W. Yeilow-,-Asf.^.f.fli6pir,/-inspector Goldenrod-Appli cant TOTAL PERMIT FEE This Permit is hereby issued under the applicable provisions of the Butte County C9de and/or resolutions to do worR indicated above for which fees have been paid. DIRECTO-R OF PUBLIC WORKS By— Date Building permit expires Date BUILDING L.." Owner SQ. FT. OCC. BUILDING VALUATION MailingAddress 0 T-, L Telephone No. 5 ' '-�, ") - -1 (, '7 Fireplace Contractor Total Valuation qi Mailing Address Permit Fee Y. Plan Checking Fee VorPenalty Telephone No. Permit Fee $ i � L? Building. Address / 4-1 t- /I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ZA f" W r- ."'AV >/' Each Trap 9 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 U Zj )ning Verificaftan Each gas water heater or vent 1.50 A. P.- No,- 7 . Z , okr�9,9. P1**r'm'ing ' Gas piping system 1 - 5 outlets .1.50 EAch additional outlet .30 Feeerw. FireDept. Fire Zone / Use Permit ' Building sewer 5.00 Parking EQA lans P Parce! Declaration Parcel Ma 1 60' R/W Improvements_ Lawn sprinkler system 2.00 Bldg. W..'. Rec'd VaL Plans, pep roval Perm it Fee $ IL NEW ADDITION f'fTIES OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J 610V OR LESS Main service .100 AMP OR L ESS 5.00 Main service EA. ADD -L 100 AMI 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Famil Duplex Mobi I Home Others Main service EA. ADD -L 100 AMP 1.00 NEW CONST. I DWELLING OC '�o OR ADDNS.- % ACC. BLDGS.� , 20sq It NEW CONSTFL (MULTI-OUT;Lff-T- NON . RESID.----- BRANCH CI CUITS) 2.50ea NEW.CON,STF;L POWER APPARATUS.&J NON RES 0. -- (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: 50 0250 Ex. OCCUP(OUTLETS OR FIXTURES) BALL8101 f FIXED APPLN ON Ex. OCCUP- ( OUTLETS (RE 5 1 D.) E A) 2.00 Temporary service 10.00 Mobile Home Faci-lities 15.00 License No. Classificatio Mi sc.. W! ri ng 6.25 El amexempt from the Contractors License Lawsof the State of Cali fornia. Permit Fee $ Y/ Y MECHANICAL No. @ FEE 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 "Vorkmen's Compensation Insurance. I +;f +k +k f f +1, 11 f 6; PERMIT FILING FEE $3.00 Heating Cooling L- — y a n . pe. ohnancc, . . -VI or w c" t" s Ventilation permit is issued I shall not employ any person in any manner -—D � I 0 so as to become subject to the Workmen's Compensation Laws of Hood 0 0 Cal iforni a. . — $ I Permit Fee . - s 7T I certify thit 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. r 1. X Date Signature of Perrmitee or Agent Receipt No. W�ite-D.P.W. Yeilow-,-Asf.^.f.fli6pir,/-inspector Goldenrod-Appli cant TOTAL PERMIT FEE This Permit is hereby issued under the applicable provisions of the Butte County C9de and/or resolutions to do worR indicated above for which fees have been paid. DIRECTO-R OF PUBLIC WORKS By— Date Building permit expires Date WARR *SHAFFER a ASSOCIATES C ON S U LT ING 5 T R LI C T U R A L -E N G I N E E R S 2160 ROYALE ROAD, SUITE 30 - SACRAMENTO, CALIFORNIA 95aI5 TFLr.FHONE 916/927-3141 rA KENNETH V. MARR JOHN M. SHAFFER March 7, 1978. Mr. Evan R.'Weiss P. 0. Box 1839 Oroville, CA 95965 Subject: C Shel-let Revisions for-Parciel #72-19-44., Butte County Dear Mr. Weiss:' Ir� reference to your visit.and phone call regarding subject project,'the following revision can be made. l.. Siding revision-eliminate.5/W' plywood paneling,. subsitute 3/8" CDX plywood with- 15# felt over and 1 x 6 T & G cedar over felt. Nail 3/8" plywood with same.nailing as nb.ted on plans. 2. Lower exterior walls -eliminate 8" concrete block, substitute 2 x 6 wood stud walls with studs at 16" maximum o.c., 6 x.12 header - over door opening and 6 x 6 post.under floo'r beam. These walls to receive same finish treatment as noted -in Item 1. 3. 'Footing spread -change 2'-0" wide spread -to. l'-6" reinforcing.to �remain the same. Please coordinate these changes with the Butte County Building Inspection Department.' Very truly your u-/ - 7%,.!eQfi Z 4— *7 7 ---U?,4!7y �)John M4. Shaffer' df L� UP I` IxNii 7D A Fo A "F" A I N C O.R P R A T E D OWNER Zoning _U ed Permit fee based upon: 1. 2. 3. PERMIT APPLICATION WORK SHEET Complete contract price. Permift; It -e A. P. N � -:- �2� 4-A - ��/! E Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: By Date received 1. All items have been submitted - -------------------------- 2. Plot plans in duplicate/triplicate - --------------------- 3. Complete plans in duplicate/triplicate - ----------------------- 4. Complete engineered plans and.calcs - ----------------- 7-- 5. Fees of $ - -------------------- 6. Letter of signature authorization - ---------- ! ------------ 7. Sanitation approval - ------------------------------------ 8. Planning approval for 9. Work�nen's Compensation Insurance Certificate - ----------- 10. Contractors license information. ------------------ 11. Parcel declaration, recorded copy. -7 -------------------- 12. Access declaration - ------------------------------------- 13. Aunt Minnie information - -------------------------------- 14. Deed of access, recorded copy - -------------------------- 15. Deed of parcel creation, recorded copy - ----------------- 16. Parcel map, recording data - ----------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval - ----------- 19. Other ------ Bldg. Inspector During plan c ' hecking process, the follo ' wing data or information must be submitted prior to permit issuance: Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked /7 Date Date,� 4. Plans approved by( Z(4d-' %-/-- _V en permit is issued, proceAs as tollow 4--l. Mail to owner./'��o 2. Mail to contractor. 3. Deliver with inspec.tion. 4. Telephone and hold for pickup @ office. 5. Other Date Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Not ic:e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLS, r-;ALIFOORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Q'i Permit No. A. P No 7 Proposed Building Use Permit Fee Based Upon: —Complete Contract Price -DPW Valuation X--) Other (Explain) 6 Building Inspector Date — �7 —/C) 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 . . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calts . . . . . . . . . . 5. Plans with Energy Design Compliance Statement . . . . . . 6. State Energy Forms No. 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 ownerE]) 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -inspection for 4 Pre-Inspec. request to Required- Building Inspector (Date) 18. Other When you issue the permit, process as follows: — Mail to owner. Mail to contractor. Telephone and hold for pickup at —office. Deliver w/inspector. Other Dat Applicant e —/0— Rf Copy of plans sent —Health Dept., —Fire Dept., —Ot er Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other By Date Plans checked by Date Plans approved by Date Other: Copy—DI it'll F, tITtt�11 04 89 t�� . . . . . . . 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