The URL can be used to link to this page

Home My WebLink About072-340-002nc�L� 72-34-2 Michael Rockwell -` W/S B1�•c�k Bart Rd , a .12 pp 00 N.of Bandit Lane, Oroville contr, Santoni onst., Oroville Permit #5166-80B,P, M(new Bingle family) �� -34 Co Santoni, C(-nst. _ ti �Yermit, #253-d 1B add ' Or"'vitle r , ( open deck/SF) i 072-340-002 PERMIT#96=2 9 (j RAMEY, Kevin .. ` 11 Shenandoah.Ln.,,Orov le Cont: Suburban Propane /I Wtr IIr {t ]]' �w, .✓ -� �F H�tr.,Ht?.A ,44 �Gais zine X�072-340-002 03- 27` 1 `SMITH'GLEN 645 BLA,CK BART ROAD,.OROVILLE #Cont: EMERALD POOL 5NEW PRI SWIMMING PL) � t{ - tp f • to . 1 5 . M-19 w e COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION { 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-340-002 - ZONING Mail BUILDING PERMIT OWNER SMITH G TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 645 BiACK BART RD, OROVITLE 991966 CONTRACTOR'S NAME EMERALD POOLS TELEPHONE 4a!i!t� CONTRACTORS MAILING ADDRESSt 95969 8%% CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS _71LICENSE Total Valuation Is 42,000.00 ARCHITECT OR ENGINEER NO. Filing Fee $ 20.00 Permit Fee $ 362.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDIr4AtlRB CK BART RD, OROVILLE L�� Energy Plan Checking Fee $ PERMIT FEE $ 405.50 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome ❑ Other POOL SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublides ❑ Installation ❑ Other ❑POOL Describe Work: MASTER #513-01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 a00VOR UES Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. .. . �T y /t� License Class Lic. No. 7oc / / 6 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, •and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of tie 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' cony nsatioq insurance carWr and policy number are: Carrier Td� /1 er ' Policy Number /(-, / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 lews of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' lth those provisions. X Date o� J v Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excav 'ons over 5'0" deep and demolition or construction of structure r' igh Receipt No. .� Main Service TO 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP.3 5QS0. OR ADDNS. ( &ACCO 3.50I FT. NEW CONST. NON-RESID. @7.50 POWER APPARATUS d SINGLE OUTLET CIR. 20 ®I 00 EX. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oUTLEEDTSA Ao °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 POOL EUMIC 30.00 PERMIT FEE $ 50 �� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 490.50. HAZ. D. FEES IMP I LOOD I CDA PARCEL I PD I HDISSUE I Ll This permit is hereby issued under the of the Butte County Code and/or indicated above for which f s h ve ByAL PERMIT EXPIRES ON JID 1?Da L applicable provisions Resolutions to do work been paid. a/ � Z 1(0"tef WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USTLY LY Plot Plan Attached Floor Plan Attache sent to 13.0.� D-' / TO: Building Department FROM.- Environmental Health SUBJECT: Sanitation Clearance YGUP Owner Location AP# Plan Approved for: Sewage Disposals1 Water Supply: Public Private Well Clearance for dwelling. Other �_ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 �y l v _ Zai --Z)'I Date K "� vtr s s yr,° r -iawiMI .rv`r "%+y�iH a'"Or-IF _ COUNTY OF BUTTE -DEPARTMENT OF D S -BUILDING DIVISION p. 7 County Center Drive, Oroville, CA .959 5 one (530)538-7541 Fax (530)538-2140 PE IT APPLICATION DATA SHEET . , OWNER: AS �' SS �ARCEL NUMBER Io d �3- roposed Building Use: Counter Technician: Date: I e s re red in order to apply for a permit. All boxes MUST be checked OR marked NA in o der to apply. ,, ite plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2.: Complete plans, 3 or 4 sets, signed by the preparer of the plans ❑ 3.,. -Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5.. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7.;: Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. returned to the plan review line-up when required items are received. Date Received ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ..... ::......................... ❑ 9. Site,plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....`.................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. FirerSprinklers............................................................................................ C114. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other The"permit will be indexed and By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16Fees as shown on the attached Schedule of Fees Due Sheet ....................................... tement of Intent for Non -heated and A/C Buildings ........................ Y8. ................... Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ Q ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. 0 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... r ❑ 27. Worker's Compensation Carrier and Policy Number ............................................: ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31: Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other. When issued Telephone and hold for pickup. 1 I have been informed o abo it ms and requirements for obtaining a building permit. Applicant: Date: '23 —0a,,1-03 1. Index permit application for the above items numbered: Plan Check Letter 2. al items required Contractor designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Dbt-71A9 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: 01VAIr 01 Date: Note transfer by: Date: Yellow: Building Division I / . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILPING DIVISION o 7 County Center Drive -O9roville,,California 95965 9 Telephone (53 538-75�� Rev.12/96f- PP) LICA IOY�9ND PERMIT //// _- ZONING BUILDING PERMIT ASSESSOR PARCEL NUMBER 6 , �I', 11 OCC. �'1�0'6, "N 1 - lO {w OWNERS LENDERS MAILING ADDRESS LICENSE NO. ARCFQrECr ORENGINEER ARCHRECr OR ENGINEER'S MALUNG ADDRESS BUILDING ADDRESS w 7 Un NO. I SUBDIMIONS NAME USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEco-t TYPE OF WORK INew 13 Addition ❑ Re fodel ❑ es ❑ Installation ❑ Other Describe Work: / �l .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ �Or DATE RECEIVED ( �✓ RECEIPT # 5 q0- Fireplace PERMIT FEE S /` ELECTRICAL PERMIT Total Valuation $ Main Service oo0.A oq 23.00 Flin Fee $ 20.00 NEW CONST. Permit Fee' $ OR ADDNS. Plan Checking Fee 1 Energy Plan Checking Fee $ $( ' PERMIT FEE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 S� Each gas water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 Building sewer I 1 15.00 Mobile Home I S J G I W I 1 1 @24.00 Ex. Occup. OURET OR LR7CTURFS RAL - .so Ex. OIxU , APP °R� 5.00 Temporary Service 23.00 Mobile Home Facilities _ 20.00 PERMIT FEE 1 $ ._ MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC cbrst TYPETOTAL FEE NAZ I D. FEES IMP I FLOOD I CDF I PARCEL This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pate PERMIT FEE S /` ELECTRICAL PERMIT Filing Fee 20.00 Main Service oo0.A oq 23.00 Main Service mA TO IOWA 46.00 NEW CONST. DWELLING OCCUP. 3.5� OR ADDNS. a ACC. BLDS. NEW 2N T- MULTI OUTLET @7.50 Ex. Occup. OURET OR LR7CTURFS RAL - .so Ex. OIxU , APP °R� 5.00 Temporary Service 23.00 Mobile Home Facilities _ 20.00 PERMIT FEE 1 $ ._ MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC cbrst TYPETOTAL FEE NAZ I D. FEES IMP I FLOOD I CDF I PARCEL This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pate COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES I rt .1 V 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 CORRECTION NOTICE 0? if OWNER PERMIT NO. u. EE A routine inspection indicates that the following violations of Butte County Ordinances exist at theliabove 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, �c) ce i Date Inspector %A REV 10/92 I 072-340-002 PERMIT#96-2449 RAMEY, Kevin % 11 Shenandoah Ln., Oroville Cont: Suburban Propane 7 Wtr Htr,Htr & Gas Line/SF L01W -1 f. A /V l -e OFFICE COPY Address - EA GAkk S Date Meter ELECTRIC Date meter By --- - ... -.-. r . _ � �^nc�r�i^r' ,'�, ''�Irv°��TRw➢1!•h�� a�^ y a^•R? . .. , "" '. , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California. 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - AS$ES$DRP NuMBEP ZONING BUILDING PERMIT 1 ; VIN RAIMMY TELEPHONE 589-3 223 SO. FT. OCC. BUILDING VALUATION b BALNt�R ART !D, OROVILLE CO�lfRA OR' NAME tiUSt�R AN PROPANE TELEPHONE 342-3541 CONTRACTORS MAILING ADDRESS 461 NORFIELD AVE, CHICO Fireplace CONSTRUCTION LENDER UNKNOWN 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 1 t SHENANDOAH La� OROVILLE �yf 1 PERMITFEE $ PLUMBING PERMIT 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 Q'_ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 . Gas piping system 1 - 5 outlets 15.00 1 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other KI Describe Work'M WATER RRATER, GAS LINE, APiD WALL HEATER — Mobile Home S I G W 1 920.00 PERMITFEE $ 50.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 • Main Service Eo.V OR LESS zo.A OR LESS 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED. CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisio11hs 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 2 _ i '(: G I Lic. No. % : 1 L7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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 OCCUP. OR ( a ACC. BUDS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI- OUTLET NOWRESID. ( RCUTT ) PACU @7.50 PBORWANCHOCER (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) BAL @ I:50 Ex. Occup. FIXEDPUNSSl..j RR.a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier i , !. I.rF-, MECHANICAL PERMIT Filing Fee 20.00 9 Heating 35 000 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number I; (-- -+ I (,t" 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 shall not employ any person in any manner so as to, become subject to workers' compensation laws of California, and agree that if I'should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X v Date i .� c. �(; _—_ Signature ofApplicant- ❑ Owner- ,❑ Contractor ❑ 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 $ Energy Inspection Fee is occ CONST. TYPE TOTAL EE.P fl, C, no HA2. I D. FEES I IMP I FLOOD I CDF I PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B GG•.. Date y PERMITEXPIRESON 1 �- I (Date) Receipt No. LUOL?J/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville;7California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT ORPARC N MBER ZONING MR BUILD G PERMIT OKEVIN RAMEY 5 TELEPH9-3223 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 645 BLACK BART RD, OROVILLE CONTRACTOR'S NAME SUBURBAN PROPANE TELEPHONE 342-3541 CONTRACTORS MAILING ADDRESS 46 NORFIELD AVE CHICO 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 ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 11 SHENANDOAH LN OROVILLE PERMITFEE _ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF [f Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other KI Describe WorkNEW WATER HEATER, GAS LINE, AND WALL HEATER — Mobile Home S I G W I @20.00 PERMITFEE g 50.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service EOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO IoOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect. License Classo, L . 7 ' I Lic. No. '72,; 07 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 OCCUP. OR NS. ( 8 ACC. ) SO. 3.5¢ FT. NEW CT CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIA. OUTLET OR FIXTURES Ex. Occup. () 20 Q 1.00 BAL .SO PPLN Ex. Occup. (ouTLEEDTs RES o.�en) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C Policy Number C&-00-1 —1,0-7Tq -5 (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 forthwith comply with those provisions. X -- Date WnVk—'--- Signature of Applicant - 01Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating35,000 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for whi h fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date % (Dare) r�-eceipt No. 206287 HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 `7 _County Center Drive, Orovi Ile — Phone: 534-4541 Skyway End Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the abcve 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. • �%� �� biz.. �� a.�- :. �' -•�. � I ! r . " 10 %/ ! ' Inspector I� Dat y e COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico _ Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE \ BUILDING OR PROPERTY ADDRESS `. 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. Less L Get Date �"'� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 r County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 -CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. E. Inspector .� �+'*''�< Date / �� ., 4 (D - PERMIT NO. 5166-80B,P,E,M PERMIT EXPIRES OWNER Michael Rockwell ! CONTR. Santoni Const., Oroville { ASSESSOR PARCEL 72-34-2 LOCATION W/S Black Bart Rd.,app.1200'N.of t Bandit Lane, Oroville r. d, At. a }� r fa Temp. Power Pole ;- Called PG&E Temp. Elec. Service r. /o7 i Called PG&E �. ! Temp. Gas Service .w CalledPG&E JOB FINAUED (Date) kG Signature �C% V=OK . O = Not OK — Not Applicable = Not Ready ' a MOBILEWOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH-Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1, Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth-Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7. Elec. l — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI r' 1 ,Date e , MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1, Setbacks—Easements , 2, Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector - 2. Sorts" dompaction=Structure Stability ' 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. i I Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9.. Health Department, A pprova I ' 10: Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI 'Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date I 4 /17 i A-0 rI-A J = OK 0 = Not OK - = Not Applicable ala = Not Ready t RESIDENTIAL (Single and Duplex) Date UND FLOOR Plans OK except #'s _Date FRAMING (Continued) Zoning requirements -Setbacks -Easements rty Line Firewall & Openings t , ain; Soils-Steel-Elec. Grnd.- / Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits &OOPIg., Garage; Soils -Steel- O' tg. Depth Width -Headroom -Rise -Run -Landing -Fire Protection -/- tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ' good on Roof Overhang -Attic Vents -Rafter Outriggers L, t2 walls, Main; Steel-Blockouts-Wrapped-Slab • Siding -Nailing -Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab -S&P.S Mesh -Drip Screed-Fdn. Vents-Underflr. Access iers-Gkta,�..r:��:�-Steel Glazing Area -Glass Protection -Skylights -Plastic /a- 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test ar&6r-8hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 6147K IUD. Water Pipe; Test -Anchors -Regulator -Service Test 1. Electric; Underground p- .Plenums & Ducts; Clearance -Material -Support -Ins. '- X13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI to Card -BI Date up Card -BI Date Card -BI. Date Card -BI Date Card -BI Date Card -BI Date _ Card-BIto �- Date FIN (Plans) OK except N's Card -B D tell-fjp Card -BI Date Date PLUMBING (Permit) OK except q's 5gL.Steps-Door & Sidelight Protection -Landings 671.0 -Smoke Detector -1T-f Ht.; Vent -Access -Combustion Air ^68•-F4rnace; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection 1 ater Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection Be Exiting Shower Pan; Test, First Floor -Tub Access 0 . & Bath Fixtures & Tub Access y 18: est Tub &Shower, 2nd Floor -Tub Access jAc. Trim & Subpanel; Breaker Sizes -Labels AZ-*'_Stgjrs & Rails . Gas Pipe; Size & Anchors ireplace or Stove; Clearances -Hearth fe'Iffl-ec. Outlets at Wood Panel; Int. & Ext. Card -BI I Card -BI Date Ki ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance.4,SF:Z�e Card -BI Date dlgl Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELE AL Permit OK except q's arage Fire Door; Swing -Landing -Closer `E• ct in Garage -Damper A8"_FjA1eM & Transformer Clearance -Ins. Protection tr. Htr.; ""Is -Clearance -Comb. Air-Connector-P.R.V.- In 9. e; Above Floor-Mech. Protection Elec. eptacles Spacing -Lights & Switches at Doors Ib c. & Mech. Equip. Listed for Location 2 oxes & No. of Conductors-StapledXr- lec. Receptacles in Garage; (G. F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. qu' round made up w/Mech. Fasteners -Bond Gas &Water 72. InsulationFoamLooked in Attic Yes ,IWp ppliance Circuits in Kitchen & C nductor Size ils & Deck Construction- ost _ a. - ire Size / / ga. Cu o 2 Range 'rc. /, / ga. In ated Neutr I es No 7 dn. Vents &Crawl Hole Do -Drai a Wood -Earth Clearance Looks nder Floor ❑ Yes 7 lowing instld.: Dive ❑Yes o; Walks ❑ Yes No; Planters ❑Yes 8 ervice-Riser Conductors & Ground -Main Disconnect .76Brown-Finish 29. E P. Clearances; Panels-Motors-Mech. Equip. A.0 it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to O ngs. at II; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground Card B I rd B - / �J� Date tion throughout House Card B -I Date 3a-�'TCard-BI Date � � ^ Glass rotection Date - MECH L (Permit) OK except N's orrections from Previous Inspections .44. -Gas T Meters Tagged; Gas -Electric A.9„Ddcts; Insulation & Support ate r &Sewer Connected -C/O to Grade -HD Approval (�(852 Energy Compliance Certificate -Other Certificates A01 -Vent Fan; Exhaust above Insulation - _ _,33_ Condensate Drain & Overflow; Size & Grade - r,na a -Vent; Access -Comb. Air -Return Air Vent -115V outlet Itic Access & Platform if Furnace in Attic — Card -BI Date 3 -/_ -Y1 Card -BI Date Card -BI ___Date Card -BI Date Card -BI t Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMIN lans OK except k's ills; Proper Material & Anchors Comments at Final: ails; Studs -Nailing, Spacing & Bracing -Plates -Sound 30- Walls over Girders &Floor Nailing _.aring Stop in Walls (rat proof) — Fire Stops; Furred Ceilings -Stairs -Chases -Tub bor'Header & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors In ist-Rftr. Ties -may Brac.-Taves-Shthnq.-Rfnq. e (es or Ty F Flue- rtaCe fihroat At cess; Size & Romex Protection -Draft Stop -Ins. Baffles __Bdrindows or Exiting Doors -Sill Hgt. & Dimensions _ _ ara_ge Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) kl•:S l DENT TA 1, i:NEI'f:Y CONSIA VATTON STANDARDS CONSTRUCTION COMPLIANCE: CERTI ICATE 'rills IS TO CEiUIFY 'r1IAT 1:NERCY CONSERVATION REQUIRF-TLF.NL'S ILAVE BEEN ll� 1_F!//Col'! U' I:A.N(:I, w i'1'll CURRL:NT I:N1•:R(;)' CONSERVATION RECIIL.A'rIUi�S ( locatio w) BUI.I.11MG PEMIT No. � � A. P. 1,10.'� � THE FOLLOWING 11AVUBEEN-INSTALIXT):AS PER APPROVED -"PLANS: ((lIcck each item or writo. N/A if not applicable) INSULATION: Slab Edge. _ NA T'111. Walls NA Floors /glo% /P // J!AllS /SOD NA Circulating Pipcs NA APPi.Mi:l) III:\'rl:l( _ NA _ AP.'T,0VI:11 UT!:.li'rR. -NA GLAZ 114C: Single. Clazed NA Specral (Insulated) NA CERT, .h L:ABI:LED WDS. h SLIDING DRS. NA WI*AT,111.:RS'r!(T['PI:D DRS. NA BACK'DA11l'1:1;1:1) FANS NA I1fChIJII'1'L'I:I+'1' i:CNI'rlON DE'V ICES NA� CERT. APill. IAP:C::S NA I DECI..ARE THAT ALI., REQIITRF.D ITEMS AS. NOTED HOVE ]LAVE BUN IAlST:ALLED LN ACC0I;I)ANC1: WITH TIMI: ENERGY CONSERVATION REQUIREMENTS AND ACKEI; TO THF. CcrlPIJ:'rL:NFSS OF 'rills CERTIFICATE AS SURi ITTED. Jw;ulati.un4Allpl irator Name Hawkins Insulation Co_Inc: Sil,nsturc .oC (p�print) I n:,u..:it 1011 :\hpl.icato � State Contractors l.icense. No. 3784 General Contractor/Owner Name T,dt#&*,#080t, . 5ij;nattirc of e tsc print) .3,4.1PAVI Geiw..il Contractor/code llate State Contractors I.i.cense No. I'EET;; CER'E'l71C.ATE. ;III:7 '11 1- ON FILM: WTTII TIIE; 11,111- DING DIiPAIT'1TII:Nr PRIOR TO Itl:(1111'•::'I'IY.(: 41 I'I'I I IN, 1--l-NA1. INSI'EC'r7UN 'I' l l l: AND SIIAI.I. ail? 110;;')'1::11 IN A CONSPTCIIOU;; LOCATION k1: S I1)I;:NTTA1, i'Nf:I'f:Y COt S, FI;V TTON STA*IDARDS CONSTRUCTION COMPLIANCE CERTII'ICATP. THIS :5 TO CERTIFY THAT ENERGY CONSERVATION 1UQUIR"-XFN'L'S ILAVE BEEN l;l:'i11.: 'D-114 UNFO'�I:�.ldl:l.; I'UR1,ENT ENERGY CONS FRVAT1UN RL•'CIIL.ATTOi1S Ml (location IU MINI: PEMIT NO. � � A. P.- NO. -7& 0- St. THE FOI.LOWTNG HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A it not applicable) I NS MAT ION Slah Edi;' NA F,ln. Walls NA Floors /97 z 2 / ►d a 11 s /.%- 04 9� Duct- NA Circulating Pipes__ NA AI'L'iWVi:I) IIL_\'CI•:I( _ NA NA GLAZIM : Si.ni;le Glazed NA Special (Insulated) NA CERT. & L.ABI.JAM WDS. & SLIDING DRS. NA ►JLATIIhRST kT.IT ED DRS. NA BACK DAI•ll'likED FANS NA 11r1'IiIUII'1.'1'I:i"i'1' I:CNT'1'IC)N DE\110ES NA CERT. APPI.IANCF.S NA I DECLARE THAT AL1.. REQIIT.RED ITI.:AiS AS. NOTED AiPOVE HAVE L1F.rN, Ii"IST.ALI,EI) 1.1,11 A.C(101111.)A 1;1•: W1.1,11 1'IIE ENI:ItCY CONSLAWA'L'ION 10:(lUTltl•:1•IFNTS AND A(:IxI:I: TO Tf.: CON Ill..i:'L'ENESS OF THIS CERTIFICATE AS SUR11ITTED. IW-11Iation App ica tor Name Hawkins Insulation Co_Inc. Si:;n:ltu c�o(-"._ _ (plea.,A print) -----r------ �� State Contractors License No. 378407 Ceneral Contractor/(timer Name pAb 6A04,�.S241 ( ieiise print) Signature of Cenoral Contractor/(timer Date State'Contractors i.i.ccnsc No. 4 �f TH T:; CI NT IT 1%ATE 1II1:.T '11F. ON F T1.1? 14 TTII THE. 1111 T1,J) MG DI?P:1 R'IMUC PICIOR TO 1'11;:11. Ihitil'I:( I'TON AND SHALL BE 1'0:;'1'1::1) IN A CONSPICUOII;: LOCATION COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive.-.OroviIle', California 95965 - Telephone 916/534-45 - - _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONI r C - � r BUILDING PERMI O E T LE HONE .y SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR S V e_ r� g CONT AC O NAE r TELEPHONE snV V CONTRACTOR'S MAILING ADOREt CONSTRUCTION LENDER LINK NO Fireplace ,-o_ Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ b� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee 1 BUILDI G A RES _nr PLUMBING PERMIT Filing Fee �.00 f A i Each Trap Pr 2.00 Lp® Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer bt Lawn sprinkler system 2.00 TYPE OF WORK New �/AdditionEl Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee .00 Main service 8000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLG ` OR ADDNS. ( ACC• BLINDG - I 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and license is in full force and effect. License No. 3 25' 7Z Classification B ❑ 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) El 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 NON•RESID R BRANCH CTRCTITS 2.50 ea NEw COSTPOWER APPARATUS a IVRESI R D. (SINGLE OUTLET CIR. NON.) Ex. Occu 50@25¢ OR FIXTURES BAL@LOS P(ou XED FIXED A A PP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 i Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g.25 Permit Fee $ t 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 shall be deemed revoked. MECHANICAL PERMIT Filing Fee ().00 Heating.6;'no — Cooling Hood 2.00 Ventilation Permit Fee $ 4. 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 against said County in consequence of the granting of this permit. X Ante Date /� d1 � Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavat' ns over 5'0" deep and demolition or construct= ion of structures over 3 stories in heigh Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE4/ .6V e na Cu_P, GROUP 33 S,y PJE OF�NST, VV PARC 1- PD, .V/ M ISSUE This permit is hereby issued under the applicable do sions of the Butte County Code and/or resolutions to to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS �. g zq_e o Y Date��' ! PEROT EXPIRES Date /O 7 , � >' Receipt No. -4-177q � WHITE-D.P.W., YELLOW- &q INS T f�L0LDENROO-APPL I CANT v v OWNER f� RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) IC�QQ+� t 1 Bldg. Permit # J �J� A.P. # TZ -11 -N -7- A.- Z."3 - A.' GE RAL Zoning. requirementsOd�itekt and parking). Valuation.. fr44DSignature by R.C.E.cif required). B. P-1,CLT PLAN _ .<R�Complete parcel size and dimensions. 'Setbacka, sideyards;,easements, etc. Other buildings or structures. Grading, -fills, drainage. C. FL00 PLAN' C mplete to scale plan with dimensions. quired windows for light and ventilation (Sec. 1405). ///P�'Illowable equired windows for second exit (Sec. 1404). glazing for energy requirements.(20% max. per.State law). __ , Human impact glass (Sec. X406). V 'Required room sizes, ceiling heights (Sec. 1407). "?", G.F.C.I.°s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. JoU Garage -firewall, door size,.and closer (Sec. 503(d)(4)). 1� 3°0" exterior exit door (Sec. 3303d). l�_'F fireplace location. 13! Smol,e detectors (Seca 1413). D. ST CTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. /Elevations and wall construction details complete enough to construct building. .-Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MIS ELL_ANEOUS ITEMS TO LOOK OUT FOR / CCX plywood on exposed locations and overhangs. 2! Stair�7ay details (Sec. 3305). 3/2,ua?'d�rail details (Sec. 1716) . 4 /Brick or'stone veneer (Chapter 30). 5e Exterior plaster - weep screeds (Sec. 4706 & 4708). 6Proper roof pitch -for roof covering (Chapter 32). Rafter ties or bearing ridge beam. 8,,, -'Garage door or porch header sizes. 9� Adequate bracing. 1 Living area over garage - complete 1 -hour separation required including supporting . walls and posts, etc. 11. Two (2) exits on three-story dwellings (Sec. 3302). DEPARTMENT OF PUBLIC WORKS PER/T�7� 7 Coun Wv-ville, California,95965 - Telephone 916/534-454 . APPLICATION AND PERMITVV X AS SSOR PARCEL NUMBER Z ING a -3w_ BUILDING PE MIT O WNE n TELEP �i SO. FT. OCC. BUILDING VALUATION •�� OWNER'S MAILING T ADDRE tt T rl`^' ky V COy7.R AC RS NAME C ELEP^H�ON7 /E/ CONTR ACTOR:MAI LING ADDRESS Fireplace CONSTRUCTION LENDER_ UNKyovol, !/ Total Valuation. $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee .$Q� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /0-90 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ rw Bul DING S, R 14 PLUMBING PERMIT Filing Fee 10.00 ( Each Trap 2.00 Repair drainage or vent piping 5.00 `roWater piping LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 5.00 i Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition Remodel[] Utilities Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR101 OR LESS' 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC, BLDGS. 2P sq ft . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): • I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for(�jQ and effect. License No. :379 Z Z57 -.Classification (J ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. .OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS e NON-RESID. %SINGLE OUTLET CIR. so @ 25¢ Ex. Occup OUTLETS OR FIXTURES BALPI Ex.. Occup.(OUFIXTLETS P(RSLNSID 1REA. 2.00 E Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee S Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100:00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to 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. Heating Cooling Hood 3.00 Ventilation t permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said Countyin consequenceof the granting of this permit. Date Z� X J� v' f -f Signature of Applicant — Owner ElContractor El - Agent � An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. V' N PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /— 26 -,P1 /—�� -V Receipt No. _Q779-7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 1 . a�. is, PLOT MAP scale. ! 6. San o+e, Pool is Lac 4ed 10of'$' Well, 2,110—ft ---V ' -e+ of ufur�� I • 7� i� 'To. P.L. -,Au+o s l 70 - -- - P. L ' To P. L. Pool Area,c � outA I"'.r.1,0C 'IthA r"PC,IAOp intoIA� POO Cj (A m 4