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Home My WebLink About072-610-006i TRAVEL TRAILER WITHOUT PERMIT aw 1/22/92 1 Ut0��1"�•e� /��/dpi .1 1 • 1 _ l 92�7923B - � 7'2-29 "�"'1 }-ir r 47..IF i r ` + ' fir.-'! �yy jjr STEWARTZ. ei �#t�i. s: f)kTl - Bart.Rd Orovi- 274 B1ack,a� addition & covered area/gara 072-610-006 Z;', , 03AG240v , Ri �. MORGAN, KENNETH &BRENDA' 274 BLACK BART RD,'OROVI 'LLE ° Cont: N/A AG EXEMPT BUILDING ;'- B06'2744"} ' yGa-;1rr`072 610-006 0 MISCEL la1.'al�EIectric Panel' ,{ -NEW SFRVILI PANEU}(FUSES TO BR 1.274 'BART RDt�.4=� ` ^MORGAN` -KENNETH K,&,BRENDA . p a 0 n BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds '» .,Permit No: B06-2744 Issued: 12/01/2006 132 Address: 274 BLACK BART RD OROVILLE Pier/Column Footings APN: 072-610-006 Permit Subtype: Electric Panel 114 Owner: MORGAN, KENNETH K & BRENDA Forms/Steel/Holdowns Applicant: MORGAN, KENNETH K & BRENDA Pre -Slab Descripfiom"'NEW SERVICE PANEL (FUSES TO BREAKE I i MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setacs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 P roject Final 801 � PERMITS BECOME NULL AN ID 1 YEAR FR OM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEARRENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy ..... .... 'COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date D.f7 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 274 BLACK BART RD Owner: Permit NO: B06-2744 APN: 072-610-006 MORGAN, KENNETH K & BRE Issued Date: 12/01/2006 By TMP Permit type: MISCELLANEOUS 274 BLACK BART. RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 12/01/2007 Description: NEW SERVICE PANEL (FUSES TO (530) 589-3284 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: OWNER MORGAN, KENNETH K & BP Building Garage RemdUAddn 274 BLACK BART RD OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-3284 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1039 LICENSED CONTRACTOR'S DECLARATION i OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / 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.. 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/01/2006 penalty [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 (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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 12/01/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 12/01/2006 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 12/01/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor INSPECTOR COPY Lenders Address City State Zip ,7. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 274 BLACK BART RD Owner: permit No: B06-2744 APN: 072-610-006 MORGAN, KENNETH K & BRE Issued Date: 12/01/2006 BY TMP Permit type: MISCELLANEOUS 274 BLACK BART RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 12/01/2007 Description: NEW SERVICE PANEL (FUSES TO (530) 589-3284. Occupancy: Zoning: A5 Contractor Applicant: Square Footage: OWNER MORGAN, KENNETH K & BP Building Garage Remdl/Addn 274 BLACK BART RD OROVILLE, CA 95966 Other Porch/Patio Total (530)589-3284 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1039 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor F(Nme) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER Y ® ` / / cir 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 1 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/01/2006 penalty ($5001; Please check one of the following: Contractor's Signature Date /(I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LLE COMPENSATION, 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; 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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee ple not a comted if the permit is or one hundred dollars ($100) or less.) —/ ❑IAM EXEMPT under Section B. 8 P.C. for this reason: 1 rel CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ILYYJJ ISSUED, 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' X tsin �✓ 12/01/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pVS01s. X7 12/01/2006 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 SignatureDate WARNING: FAILURE T CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop owner or am authorized to a on)he property owner's behalf. /ff, � 12/01/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Per ' ee [SIGN]l Print Date the performance of the work for which this permit is issued. (3097 civ. code) 21011-, ner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services ;,.TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P Irl 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMP VEMENT. YES R NO) 2. I&V)HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW SERVICE PANEL (FUSES TO BREAKER UP -GRADE) Reference Number: B06-2744 Applicant Name: MORGAN, KE NETH K & BRENDA Signature of Property Owner: Date: /Z" �' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name /L irst Name 1` Mailing Addres2 -7s ,61,164 City 0h9U'Ile Stag ZipQs_ Phone53U 329 Fax E-mail APPLICANT SIGNATURE For office use only: CONTRACTOR Name Flood Zone SRA I Yes Address QluG/L Qrf A0, City Type Const. State Zip Phone 3 Z �7 7 Fax E-mail Lic. # Class APPLICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name Flood Zone SRA I Yes Address QluG/L Qrf A0, City Type Const. State Zip Phone 3 Z �7 7 Fax E-mail State License Number APPLICANT SIGNATURE For office use only: APPLICANT INFORMATION Name Flood Zone SRA I Yes Address 1/ QluG/L Qrf A0, CityD'rD Type Const. Stab Zi Phone16_99 3 Z �7 7 Fax E-mail APPLICANT SIGNATURE For office use only: API a j 2 a '0V Zoning Flood Zone SRA I Yes I No Occ. Policy Number Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LO��CrrATION API a j 2 a '0V Property Address Z. � v e la t {� G v City " OSOc/i Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descri tion or Scope of Work: vI/(Aw r0'" Fv c 7'0 3" Sq FT- Living /q) Garage Open ov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:_TP Amount: ".515. CCS Bldg SRA Receipt #: 4B r Sheriff eA5h SMIP Date: C -C) Total c3Lb_ A-0�0-?2 290-097 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. a3'a Agricultural building is defined as follows: Agricultural building is a structure designed and constru d to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall 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. /_ / D ^, / ZONING OWNER p� [,.0 N "� ,/ / S/� ,l id" ? PHONE NO. `� Q ! �` OWNE 'S SS44 LOCAT F 8UILDINO USE OF BUILDING Stoll "'d .4-9 r ' � t ga 49, SIZE OF STRUCTURE 19 —'X 'Z 3 40 SO. FT. TYPE OF CONSTRUCTION: ,I Ll Cvn,strr.,,e,+-cel 1 eeA+tr S WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN R OF COVERIN i p- p S FLOOR TYPE".�- JNU`ri/G ESTIMATE/9��'COSTsO1F CONSTRUCTION -(�Snn e 00 S" JI\1 `ZiJ/p� INC>" 51`")5-3 I= ! X ) 0 S6 � S Jam-/ � �t� _ � I a AG Buildings shall comply with the minimum front, side, and r ar yard setback requirements of the applicable County Ordinances as follows: FRONT 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 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. 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. declare under penalty of perjury that the building will be used as stated about, 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 permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Perm Rece i Signature of Owner - The above described AG Building is exempt from a gUilding pe ' ) Manager Buildin Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date t �iGieweo� pI2..3 � al�oCd�fio» r �✓/O fi N-trr. ..GZoQ vi ytpf r H COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: ' � " 1 _ y T� '� +►`t• vs [s-°� N • rk "t � "`�'� r%{.4n a r _ � .,. Y' « � �N � 3 �' � t� � ��! R�.,. 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'vi : 7QDYN ua E • r h, ♦ « 1 �i a.j,r E F '+` „ / '�. ` H Ya,i�a"�y.iti x.,, � ,�: �N_r its.',. .+ , .:" dl t aM'Ir , •`/i«•. r, i • \ .� ,� � 4 � � �" , ,�1. • i,'j�tl�. y w/ _'>< K V2 � \y *_.A • � 1 4'•S." r.A,x t .E!'. - "* ,. • '>:` T�,rr*w..� �. r .� x;`+� t+'� a-'' -•��.�. `'-,C�- �, .t'�,r"'_,. _ `� � fVr '`. - ,• r'• � � � . I -..+`�."wa : n.:.�. ate- '.'•h+�` m ' �Sk�.•z},f�y��'yk�p�,,`�"�'..'f.t '�•., a f«ti ti.w,rt� v��f ;a�� i:. �� .� . - .. '✓�4r':itfais.•:ti41�,F'�PS-� �:..5..��:n.R.i7«[s_. � � �1 ..e moi. �*y�,��.�. .. - ew3'�. ice... •ti9�. �-.^'L�,.� ..r -..-'s'/\ � _ .�.7`'It �'Y ..•l:�c„_.-Zr`.r �. .. , '_' - - _' COUNTY OF BUTTE DEPARTMENT OF PYBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE CTc�t,✓ AST Q:2 q LA c,C� AP 7?_ OWNER" PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7" < t 2-dZ e //' e -r73 Ta !JGj✓ ST�-G c� A� � a�c/� 14L/+ i �� 1L i-, Sc.� Co4- z-& rszF-- 7Sq / • i 1. ��L, .: f Date —:L.i Inspector C J-fEC �— F a C,-rs Siu6c.e 5qEAR,. -30120, 32 )ZU X = — � IZG = 2 I� )Z lav �2 x . . ...... .. C�D , I 2_ �, I S� = I Z47 � � ��-- 6-7 � C � C -4, fez ca- (C's RESIDENTIAL i 72-29-47 92-923B STEWART, Jean 274 Black Bart Rd, Oroville addition & covered area/garage- CAP y A tJOTE- : 1 "sp 6_CTz)e M V02eF( iwpt _T_ T'. T", IS Ivor occupieno ove CONNE<T13D r , fLAA {: 6� e 'l JOB FINALE Signature J=OK O = Not OK NotApplicable`MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'•L"ft. / /"Nat. or/ /••L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, VERS, CARPORTS, GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel �1_3-159CXS"Griders and/or Joists -Decking -Bracing -Stairs -Rails 4"..Weed-Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6..6erpek,; Windows -Doors �d"'EfErCf ' rm Sils-Anchors-Studs-Rftrs-Trusses idin � ailing -Veneer -Stucco -Mesh l—of; Shthg-Roofing 33.Ez-3tEp� Doors -Landings Date } 3 Card B- Date Card 8-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ff's , 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- - - ------------------------ 17. Water Pipe; Test & Anchor -Nail Protection ------- ---- ------------------------- 18. O.W.V.; Test -Fittings & Anchor -Nail Protection --------------- --- - ------------------ _ 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access -------------------------------------------- -- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------- ------------------ --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection --- - -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------- ---- -------------------------- ------------- 24. Size Boxes & No. of Conductors -Stapled --------- -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------- ---------------------------------------------- 26. Equip Ground made Up w!Mech. Fastners-Bond Gas & Water ------------ - -------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------------------- 28. --------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- -- ---------------------------- ------------- ---- - - 30. Service -Riser Conductors & Ground -Main Disconnect ---------- ----------------------------------------------- 31-.-Equi-p.-Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------- 33. --------- - - -----------------------------33. Smoke Detector -------------------------------------------------------------------- ------------------------------- -------------------------------------------------- Date Card B-1 Date----------Card-B- 1 - ----------------------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------- ------------------------- -- ---------- 36. Condensate Drain & Overflow; Size & Grade ---------- -- ------- - - ---------------------------- 37. --------------- - - - 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet --------- ------------------------------------------------------------------ 38. Attic -Access-&- Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- --------------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ------------ -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------- -------------------------------- ----------------- 42. Draft Stop in Walls (rat proof) - - -------------------------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlih-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers __-------- _ 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -- - ------------------- Date _ Card B-1 _ _ Date Card B-1 Date Card _B- 1 Date Card B-1 Date FINAL (Plans) OK except k's 61. Ext. Steps -Door & Sidelight Protection -Landings --- -------------------- 62. Smoke Detector ------------------------- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------- --------------- 64. Bedroom Exiting ----------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel; Breaker Sizes & Labels --------------- ---------- 67. Stairs & Rails 68. Fireplace or Stove Clearances -Hearth ---------------- 69. ------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ---------------- - 73. A.C. Duct in Garage -Damper ---------------------------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------ ___ 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑-Yes ❑ No 81, Stucco: Brown -Finish -------------------------- --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- - - -- ------- 84. ----- 84. Water Well: Disconnect, Electrical, Plumbing ----------------------------------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- --- -------------------------- 87. -----------------87. Glass Protection _.. - - - ------------------------- -------------- 88. - - --88. Corrections from Previous Inspections - - - - - - ------ 89. - 89. Gas Test -Meters Tagged: Gas -Electric --------------------------------- -------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- 91. Energy Compliance -Certificate . -Other Certificates - ------------------------------------ - Date_ Card B-1 Date Card B-1 ----------------------------------------- - -- Date _ ___________Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT No. ASSESSOR•PARCEL NUMBER 72-29-47 ZONING . A 5 BUILDING PERMIT OWNER JEAN STEWART TELEPHONE 589-1894 .SQ. FT. OCC. BUILDING VALUA IO 172 M 3,096 OWNER'S MAILING ADDRESS 274 BLACK BART ROAD OROVILLE 35 C 455 , CONTRA CTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,551 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 274 BLACK BART D OROVILLE Permit tee $ 93.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New Addition] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: ADD 172 SQ FT AND 35 SQ FT OF COVERED AREA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR AODNS. \ ( DWELLING OCCUP.&) ACC. BLDGS. 3.6asq.ft. NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &1 SINGLE OUTLET CIR. EX. OCCU 20 76 po UTLETS OR FIXTURES FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin g '15.00 +_ I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation – Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' t said County i c sequence o the granting of this permit. X Date 9 - n tore of Applicant — Owner Contractor ❑ Agent ❑ An SHA 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 S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ HAz I DFEES I IMP FLOOD -- I GDF PARCEL PD I HD Issu This permit is hereby issued under the applicable provi- sionsi of the Butte County Code and/or resolutions to do bove for which fees have been paid. worDIFCTOZOF PUBLIC WORKS BY Date PER T EXPIRES Date `-E— '�`lj .3 Receipt No.110342 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,_ CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER `J ESIAJ Sr, r1A AW -t— A. P. No. z —Z-4— Proposed Building Use 64114('e Building Inspector Date 3 !�—= At time of permit apol9lcation, 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.Rduplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer, of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Inten01or Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) ' 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from QAIZ47 — Health Department 3 3y 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... • 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter f signature authorization ... ....... . . n 'es ?� »rnhe 11 ,» 1 ., :, ri»».T� 27. 61 1 When you issue the permit, process as follows: awil to oer. Mail to contractor. Telephone 5_�P? M"L4"'and hold for pickup at office. Deliver w/inspector. Other Q Applicant . Date ® l 3 f Copy of Haz-Mat form sent Health Dept. ire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 10 2. Additional items required: ri Contractor, designer, owner, was advised of above required data by_phone_—jnail_counter by .:date Contractor, designer, owner, was advised of above required data by_phone_mall— ounter by - date Plans checked by 816 Date_Plans- approvedtby �W y Date 0_1_% Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 72 i� ZONINGQ� BUILDING PERMIT OWNER J-Cr/ er LE/HON SO.FT. OCC. BUILDING V ALUATION�_2w� 30 / OWNER'S MAILINADORE 7aAWAo /� s ss CONTF�CTOR'.S yAME TELEPHONE CONT(/RfA�I'/`jC/T''AYOR'SIfI�MIMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3J / Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 5Z•.SO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS 61 Permit fee $ �. S PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Duplex❑ Mobilehome❑ Other 6T1411U g SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition Remodel[]Ltilities ❑ Installation❑ Other ❑ Describe work: 469 12 5Q2 Z-10 3S SCS r -t 04:� _ C,uverJ �IC�A Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING oCCUP.&) OR ADDNS. \ ACC. BLDGS. 3.64sq.ft. NEWCONST FL RANCH TLET NON . RESI D. BRANCH CIRC ITS CIRCUITS) @ 5.00 /POWER APPARATUS e -SINGLE OUTLET CIR. ) EX. Occup( OUTLETS OR FIXTURES 20 76d FIXED APPLNS. EX. Occup. OUTLETS (RESI D.)RE A.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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' b* 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 FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ar ❑ Agent ❑ An OSHA permit is required for excavations over 5't)" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 3i HAz 1 0FEES IMP I FLOOD CDF I PARCEL PD H0 ssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date 1 applicable provi- resolutions to do have been paid. WORKS Date j Receipt No. / 16J `3k WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE.- Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. (1). I personally plan to provide the major labor and materials for construction of � the proposed property improvement (yes or no) (Z ;1 I (have/have not) signed an appl'cation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I'have-hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name. Address . Phone Type of Work Signed: .Property Owner Social Security tuber Date — NOTE: This Owner -Builder Verification is sent to you as required by Sections_ 19831 and 19832 of. -the California _Health and -:Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. TO, �buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance . 4Lft -7-) V 7 Owner Location AP# Plan Approved for: Hold final for: Final clearance 0 K for: Clearance for Sanitarian Sewaqe Disposal Water Supply Water Supply Water Supply Other Date ,