HomeMy WebLinkAbout078-070-02511
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT r)
PERMIT NO.
ASSESSOR PARCEL NUMBER 036-30-86
ZONING AR ;
BUILDING PERMIT
OWNER JAMES LEE ,10)
TELEPHONEEP5
SQ' FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
1218 YUBA AVE SAN PABLO,CA 94806
CONTRACTOR'S NAME ER MER
VYYlY T+R
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESSY.
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2COMMST
PERMIT FEE $
PALERMO
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME ':-"
f.
PARCELMAP
Each gas water heater or vent
15.00
USE OF STRUCTURE*
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation CJOther 1:1PERMIT
•
Describe Work: MATA SERVICE
FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( OOOV OR LESS I
2OOA OR LESS
23.00 Z
Main Service ( 200A TO 1000A I
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLDS. I
S(.
3.50 FT,
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON RESID. ( BRANCH CIRCUITS I
@7.50
POWERAPPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
Bai @ I.00
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
E
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X `_' % ,-Ei �—E__ Date i 2 ��
Si tura of Applicant Owner Contractor ❑ Agent r
OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
I D. FEES
I IMP
I FLOOD
CDF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated ova for which es :ha:vebeen
PERMITEXPIRESON 3/23/95
lDa tel
provisions
to do work
paid.
bate
156679
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF. DE�ELOPWIENT SERVICES - BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT No.
APPLICATION AND PERMIT"0792,
ASSESSOR PARCEL NUMBER 036-30-86
AR ZONING
BUILDING PERMIT
OWNER
JAMES LEE 510
TELEPHONE
237-1035
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1218 YUBA AVE SAN PABLO CA 94806
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
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
6295 CARMEL ST
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome O Other GARAGE
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel O Utilities Installation O Other O
Describe Work: M -A -IR
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( '200V OR LESS ) 23.00
20OA OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 1 8 ACC. BLDS. ) 3.50 FT.SO.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
)License No. Classification
(l, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POW ER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50
Ex. Occup' ( OFIX ED APPwS. Ofl 5.00
UTI IRESID.I EA. )
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
Ihall not employ any person in any manner so asto become subject to the Worker's
Compensationlaws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
it.
County in consequence of the granT;�:_Date
X `�
Si ture of ApplicantOwner 0 Contractor Cl Agent
OSHA permit is required for excavations over 5"0" deep and de olition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TVPE
TOTAL FEE $ 43.00
HAZ-
D. FEES
IMP
I FLOOD
CDF
I PARCEL I PD
I HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for which es have been paid.
ate 3 �3
PERMITEXPIRESON 3/23/95
/Date/
Receipt No. 156679
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
CPUNTY OF BUTTE
`BUILDING DIVISION
DEPARTMENT -.OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�_
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above dress and should be corrected. Please notify this office when correction of work
is comp ed. If you have any questions pertaining to this matter, or need additional explanation,
please ontact this office immediately.
Ktv 1 UNZ
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the mlabor and materials for construction of
the proposed property improvement (yes r no)
2.
I (have have not)
fo a proposed work.
signed an application for a building permit
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name'
Address
Phone Contractors License No.
City
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
Sig[
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.
N
0
PERMIT NO. 2041-86B,E
PERMIT EXPIRES-
OWNER
XPIRES OWNER .TAMES LEF
CONTR. owner
ASSESSOR PARCEL 36-30-86
LOCATION 6295 Carmel St, Palermo
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Ne
Called PG&E ��
Temp. Gas Service
Cal led PG&E
JOB FINALE!
Signature
J OK
0 = Not OK
= Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's I
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except Vs
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
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.
Boxes -Enclosures -Panel boards -Ins.. to Main in Conduit
9. Exits; Insp.-Sketch •
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK _..
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
_ "
Date
UNDE LOOK Plans OK except #'s
Date FRAMtiJG Continued
Zoning requirements-Setbacks=Easements
48P,,Property
Line Firewall & Openings
2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth
4 .
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
_
g., Gar e' s -Steel- / /" Ftg. Depth
irs; Width -Headroom -Rise -Run -Landing -Fire Protection
_
4. Fig., Porches & Decks: Soils -Steel- / /" Ftg. Depth
5
_
wood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
�ing-Nailing-Veneer
6_ walls, Gar , teel-Blockouts-Wrapped
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Gas Pipe: Size -Anchors
_
10. Water Pipe: Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
_
Card -B
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
-
, Date�7,,( and -BI Date
Card -BI
Date - Card -BI Date
Card -BI
Date -, i Card -BI Date
Card -BI
Date Card -BI Date
Date FINA ans) OK except q's
Card -BI Dale -r- Card -BI Date
Date
Gard -BI
Card -BI
PLUMBING (Permit) OK except p's
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
- -
Date Card -BI Date
Date Card -BI Date
. Ext. Steps -Door & Sidelight Protection -Landings
5 . etector
58. ce; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59..-•B drtsif�iting
=h Fixtures & Tub Access
-Elec. Trim & Subpane l; Breaker Sizes -Labels
62 . & ai ff
63:-F4rey4eee-or3tove; Clearances -Hearth
64:-Elec--DDT eTs at Wood Panel; Int. & Ext.
65 Kir i . r o Appliance; Grnd.-Air Gap -Cooking Clearance
Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except ii's
f
e oor, Swing -Landing -Closer
bi
oGarage-Damper
Card B-1
Card B -I
20. Fixture & Transformer Clearance - Ins_. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conductors-StapledElec...Receptacles
23• Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w//Mech. Fasteners -Bond Gas & Water
25. 2 Appliance Circuits in Kitchen &Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
_ .__
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ,Yes ]No -_ _
j 28. Service -Riser Conductors & Ground -Main Disconnect -
29. Equip. Clearances: Panels-Motors-Mech. Equip. -_
30. Clothes Closet Light -Shower -Light
_-- __--
Date Card -BI Date - -_
Date Card -BI Date
-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
L.,
P Elec. & Mech. Equip. Listed for Location
in Garage; (G.F.I.)-Romex Protec.
72
73
- - ooked in Attic E) Yes
Construction-Post Caps
74.
s Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ED Yes
75..-Fe4ewnit,TItTSTity.:
Drive ❑ Yes ❑ No; Walks E3Yes ❑ No;
Planters Dyes ❑No
7
--Finish
i connect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
Plbg.-Appliance-Firepl.-Clearance to Opngs.
7g.-1YaterYrel?^[T3fsconnect,
Electrical, Plumbing
80,,_EsWc4eFE+ec.
Trim; G.F.I. Receptacle -Underground
g
ughout House
on
Date
MECHANICAL (Perrr•it) OK except p's
tZT.
_
Corrections from Previous Inspections
84,--.Gzs-�-eat
_
ivleters Tagged; Gas -Electric
Card -BI
Card -BI
Date
31. A.C. Ducts. Insulation & Support _ _ __
32. Vent Fan: Exhaust above Insulation86
33. Condensate Drain & Overflow: Size_& Grade
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
_
Date Card -BI Date - _
Date Card -81 Date
FRAMING(Plans) OK except q's
er ewer Connected -C/O to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
--
- --
Card -BI Dat Card -BI Date
Card -BI
_
date Card -BI Date
Card -BI Date Card -BI Date
Com: tents at Final:
3 ls; Proper Material &Anchors
3 s: Studs -Nailing, Spacing & Bracing -Plates -Sound
38 Fing Walls over Girders & Floor Nailing
3 rat Stop in Walls (rat proof)
40. re Stops: Furred Ceilings -Stairs -Chases -Tub
41 Header &Beam -Size &Bearing �_---- _-- ---_-- -
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac. r - hthrip -Ring.
hr
4VC-.rTies or Type A Flue -Fireplace T4
Size & Romex Protection -Draft Stop -Ins. Batt -les
4@ -'5'OTlf7V1-hdows or Exiting Doors -Sill Hgt. & Dimensions
4T.' -137r .-Eire Protection Framing
-
_
(NOTE Anenlrymust be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT 0'F PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERZONI
G
BUILDING PERMIT
OWNER/
TE EPH E
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS U 8 ���
GONTRACTORIS NAfWE TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ Ra 15-'D
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Q..
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSk�9s c-
Permit fee
$ ®.
PLUMBING PERMIT
Filing Fee 10.00
_
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO
SUBDIVISION NAME
PARCEL MAP
93 ""7
Water piping
5.00
Each qas water heater or vent
5.00
USE OF ST UCTURE/
SF ❑ Duplex❑ Mobilehome Other Amr, �7i�e�6i�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
0.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
Main service OOOV OR LESS
100 AMP OR LESS
10.00 Q
Main service EA. ADD'L 100 AMP
1 2.50
CONTRACTORS LICENSE LAW
I declare under penaltyer ur )
of p I y (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
1, 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 oc '/JJ�z0SCI ft
OR ADONIS. ACC. BLDGS.
NEW CON5TR MULTI -OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 920050t
AL03o
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notce to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County. Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in �eJ�is�jquence the granting of this permit.
t(J// /
X Date b
Sign ure of Applicant — Owner LAS. Contractor ❑ A nt
OSHA permit is required for excavations over 5'0" deep and emolition or construct.
n of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OccUP,
CONST.TYPC
I
IFLOODIPARCEYIPo
ND
SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF P LIC
a
BYZ
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. /
WHITE -D. P. W., YELLOW-A38[350R, PINx•INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION f
i
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916534A541
PERMIT APPLICATION DATA SHEET
j� Permit No.
OWNER A. P. No. 36 -3a -fib
Proposed Bui ing Use
Permit Fee Based Upon: Complete Contract -,Price DPW Valuation
r
Building Inspector --p
Date ? 21—�7c'
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: __ DATE RECEIVED APPROVED
1. All items have been submitted. . ... . . . . . . . .
2.. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
etter of sign rizat
n approval from- Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp17. Pre -Inspection for Required- Building In request to (Date)
p q Building Inspector
18. Record%mAAarrtliC r Acknowledgment Statement . . f I-
19. Other "1i 11 onstruction approval required prior to occupancy)
When you issue the permit, process as follows: Mail owner. Mail to contractor.
Telephone and hold for pickup at -,,office. Deliver w/inspector.
Other /�
Applicant _ Date. /,'/ .�' Z o b
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone /Z Mail Other
By �✓ Date
Plans checked by Dater
Plans approved by Date
Other: i
Copy—DPW
TO: Buildim.
From:
Subjec+ - Sanitation
C"mor LocM..ion
Pl-,'2n Appro-ved fo.-,:
Hold, final. for:
Final clearance O.;�,. I'or:
ply
eaaLer supply
Clearance forI-e-d-Poom 0th -,;,r q Li
.........................
71 652116(�6
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
.2. I (have 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
Phone Contractors License No.
City
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 umber
Date Z
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.
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKSPERI�T O��
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL&(a
0UILDING
J/� (/O
ZON NG
B0 PERMIT
OWNER
TELEP ONE
SQ. FT. OCC. BUILDING VALUATION
OW ER'S MAILIN ADDRESS
EL, Q /'r– nal
CO RACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
COI.I6 LENDER
)I —
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
DD/ER'S MAILING ADDRESS
LENDER'S
Per Fee `
$
ARC 1?ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ^
l/J�
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
orwo
Solar or heat pump water heater
20.00
LOT NO.
SUBDI VISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF[] Duplex❑ Mobilehome❑ Other-l
PEG FY VMobile
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Home S I G I W
10.00 ea
TYPE OF WORK
New El Add ition❑ Remodel U,tJjlities Installation❑ Oth?
Describe work: /4� n CLE F'� E Yi%A // O i
P, 1^ )VA i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.61) y2¢sgf<
OR ACDNS. ACC. BLDGS.
NEW RES U I.OUTLET 2,50 ea
NON.R
RES _BRA CH CIRC ITS
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
No ce to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
;
Contractor
I certify that I have read this application and state that the above information
1s 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.
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
againstid County in cons once of the granting of this permit.
�'`This
X Date
Si ure of Applicant — Owner ❑ Contractor ❑ Agent
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP,
CONST.TYP
ISC11001.1FL000
aPARCEL P
oE
129VE
permit is hereby issued under
sions of the Butte County Code and/or
work ind above for whi#fshave
IRECT PURKS
PkAMIT EXPIRES Date
the applicable provi-
resolutions to do
been paid.
Receipt No.B
WHITE-O.P.W.. TFLLOW-A32C33CR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) /5 S
2. I (have/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 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 Securik
Date i
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.'
OT:%
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICRIT-10W. ND PERMIT
J PERMIT
NO.
r�
ASSES50 PARCEL NUMBER •
(5 — 0-- S-6
ZONING
�%Z
'
BUILDING PERMIT
OWNER
J�1 �+•l�"S GCC �i�
TELEPHONE
"Z37- fv3 S
SQ. FT. OCC. BUILDING VALUATION
OWNER'S SMAILING ANvt. 1/,4 VY26
CONTRACT OR'S NAME /
n(%V
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINNE4`E'/�R�'4�Q�''"��
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
S�G �� % P1AI6CA?n -4%), �
PLUMBING PERMIT
Filing Fee 10.00
4,01, Q, �, !
G (/
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
63" 72-
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
r
SF ❑ Duplex❑ Mobilehome❑ Other n6c' �!//l
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑�_Iy Remodel [-]Uti Iities Q Installation F-1Other N-
Describe work: I/C;q_AE AJCLL- ' )56/77J/4Z_=_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 100..00
Main service 100 AMOR P ORSLESS
5-.00 1(!/ I
(J�
'2,50
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP.11)
OR ADDNS. \ ACC. BLOGS. I
20 sq it
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-
r 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. I-ou LET
NON.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR (POWER APPARATUS Q
NON-RESID, (SINGLE OUTLET CIR.
Ex. OCCUR(OUTLETS OR FIXTURES
a � 251
1 00
(.FIXED APPLNS. OR
EX. QCCup.UTLETS (REST D,) EA.)
Iy //��
2 2.00 V, 90
Temporary service
10.00
Mobile Home Facilities
15.00
Misc.-Wiring j�lL� • /�/5/�, � ,
-7:50 /U Uv
��� fiu�rf~ f
'1 U(�
Permit Fee
$(�,pV
Contractor
MECHANICAL PERMIT
FiIingFee 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.
F4 I shall not employ any person in any manner so as to become subject
r to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence;of the granting of this permit.
X /�syJ7 A...- tLJ ,t% Date J Z / z^
_ ,—� .�,
Sig o ure of Applicant — Owner Contractor ❑ Agent ❑
A�n`OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stooges in,height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ 3 4 ;5) C)
OCCUR. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD I
ISSUE,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By. �I
PERMIT EXPIRES Date
the applicable provi-
.
resolutions to do
have been paid.
WORKS
/
Date
Receipt No. L% 2-S
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIO( ANO,PERMIT
PERMIT NO.
.A
'ASSESS PbARCEL NUMBER ZONING
BUILDING PERMIT
OwTELEPHONE
N -/a3
Amrs LCC 5�/� 3
SQ. FT. OCC. BUILDING VALUATION
AIL ADq,R_F�S 5 �v ^ I _ 1 99
U (///T/
CONTRACTOR'S NAM//E�`II))�-�AVV//
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGIN
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING ADD ESS
S C )WCf�
PLUMBING PERMIT
Filing Fee 10.00
/�,LON/G„�v AVE.ach
�IF�VRepair
Trap
2.00
drainage or vent piping
5.00
O)e�9111U_AE�
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
83-%2-
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE �,—�-,'//�/rr��
SF ❑ Duplex❑ Mobilehome❑ Other 56_JP(/�1'
SPEC FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Fl Addition❑ Remodel❑ Utilities Installation[] Other
Describe work: &U_ 0
Le / Z)A/a/77
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
/}n
Main service EA. ADD'L 100 AMP
2,50
NEW CONST'( DWELLING OCCUP.m)
OR AODNS. l ACC. BLDGS. _
22 sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
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 CONSTR. I.ou LET 2,50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR. POWER APPARATUS &I
NON- 1RESID. SINGLE OUTLET CIR,
50 @ 250and
Ex. Occup OUTLETS DR FIXTURES BAL@1
IXED APPLNS. OR
EX. OCCup.(OUTLETS (RESID,) EA. 2.00 t9]
Temporary service 10.00
Mobile Home Facilities 15.00
MLW_wk-�"g--/ 0. 0e)
Z c v
Permit Fee $ .5
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 WApplicant: if after making this statement, should you become subject
to the . 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
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again aid County in cc quence the granting of this permit.
Date Z j Z
ure of Applicant — Owner Contractor ❑ Ag®nt
SHA permit is required for excavations over 5'0" deep and demolition or construct-
f structures over 3 stories in eight.
:n�.
Mobile Home Installation Fee $
1
TOTAL PERMIT FEE . 2 J IO U
OCCUP. GROUP
I TYPE OF CONST,
PARCE
PD
ND
S
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR - OR OF UBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
I/Jf
Receipt NO.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
- -- --- --� -- • ....._... ........ _,.......-......r..,•...., r 6CNf"bL.hotlt LN.{ ar+a.+. wc".h
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