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Home My WebLink About078-120-03236-75-32 Wynoka Homes - ' 2365 Via Laton, lot 32, Vista.,Del- Cerrd#3, OroVille Permit - #3666-81B,P,E,M(fiei4 single family) 036.1750-032 PERMIT#96-2018 SHETTLESWORTH, Jane 2365 'Via Laton, Oroville Cont: KCT Construction Reroof & replace Tub/SF b, 0-78 06-1773 -(— SI-1 TTLESWORTH 2365 VIA LATON, OROVILLE Cont: COMMUNITY ACTION WATER HEATER.. v 078.120- y''3 �"zoo 0� 78 -fru -032 06-1773 SHETTLESWORTH F. UTTt^ NOTES2365, VIA LATON, OROVILLE i Cont: COMMUNITY ACTION 'c uMSa' WATER HEATER RESIDENTIAL APN: Permit No. Owner. Site Address* _ Contractor. _ Type of Permit CHECKED 13Y SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMfr CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: e SIGNATURE: +=OK o = Not OK MANUFACTURED HOMES 1 Zoning -setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaI1/C/0-Concrete 4 Wtr, Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Dimes-Gmd 'Amp -Concrete 6 Yard Gas; 1_octn-Test Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test•Crossovers-Breakers-Dimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers c'r d� a,A da MISCELLANEOUS" IECKS-COVERS-CARP0RTS•GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; Soils•Sz-0pthSpacing-CnnctrsSteel 3 Decks, Girdersljoists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-DnnetnsSpllce-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Tnisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Exit; Steps-Doors-Landngs 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability —� 3 Pool Structure; Steel-Cnnctru-Thickness Dead Men -Lining 4 Elec Reptcls/Lting; Distance -GR 5 Elec Fool Lting;15 volts-GFI 6 Elec.Endsrs; Conduit Entries Terminals -I -fisted , 7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxgrs-Enclsfs-pnlboardsansultn to Main Conduit 9 Health Dept Apprvl .10 'Pimb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enctsr, Fencing Alarms 13 Bonding, Diving board or Slide RESIDENTIAL (Single & Duplex) DATE iUNDERFLOOR 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple Ftg-Steel 9 DWV; Fall-Fitting-Test-2away CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders.& fir Nailing 20 Draft Stop In Walls (rat proof)' 21 Fire Stops; Furred CeilingsSta"-Chasers Tubs 22 Headers & BeamsSi &• Bearing' 23 Hangers-Posf'Caps-Anchrs-Cinncins 24 Ceiling Joist-Rfhr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties'or Type A FIue=Frplc Throat Clrne 26 Attic Ace, Sz & Rinz pitetp-L)raft Stop -Ins Baffles 27 Bdrm Wndws or Erifting Doors -Sill lit & Dimensions 28 Garage Fire .Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Gauge 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing+lre Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtctnkyLts-Plastic . 36 Shear WallsS ; Nailing -Bolts 37 Brace InUExt Wall pnis 38 lnsultn Walls -Ceilings 39 Infiltration Walls-Wndws 461 4e DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cimc-fns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndetrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appine Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz [:1 CU or [_AL AC Wire Sz ya Q CU or ❑ AL 48 Range Circ a. Q CU or DAL Oven Circ ya Q cu or ❑AL Insulated Neutral QYes ❑No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail'Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub' & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE 'MECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm If Furnace in attic c� �y} or Sys FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcis In Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspcins 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD AppM 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 1411I1. V* Kj PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/24/2006 APN: 078-120-032-000 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 Class : �� License Number: Site Address: 2365 VIA LATON ORO Map Index: Date: 71 $/—S/. -Contractor: ' cj _ Description: WATER HEATER REPLACEMENT . OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SHETTLESWORTH, JANE permit to construct, alter, improve, demolish, or repair any structure, prior 2365 VIA LATON to its issuance, also requires the applicant for such permit to file a OROVILLE CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or (530) 532-1522 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: COMMUNITY ACTION AGENCY OF BUTTE Pp intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an COUNTY INC. owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2640 SOUTH 5TH AVENUE sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of (530)538-7559 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, Contractor: COMMUNITY ACTION AGENCY OF BUTTE and who contracts for such projects with a contractor(s) licensed COUNTY INC. pursuant to the Contractors' State License Law'). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 Date: owner: (530)538-7559 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: 617201 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �%f�� •-{' V✓�S( /fig Policy #:_ Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. Date: Applicant: WARN G: Failure to sec ?e workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 14 C.CJ CONSTRUCTION LENDING AGENCY This permit ish eby issued under the a is le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to work indicated abovqflor Which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) w 7-- ` By: Date: Name: PERMIT EXPIRES ON: Address: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of.this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: \ '�':'\r%1��.$C'?�d'ti� Signature: Date: r ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP0617.73 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/24/2006 APN: 078-120-032-000 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 Class : %.� License Number: 7 ?—Am( Site Address: 2365 VIA LATON ORO Map Index: Date: 7 2 i'� E' I ontractor: v Description: WATER HEATER REPLACEMENT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SHETTLESWORTH, JANE permit to construct, alter, improve, demolish, or repair any structure, prior 2365 VIA LATON to its issuance, also requires the applicant for such permit to file a OROVILLE CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or (530) 532-1522 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: COMMUNITY ACTION AGENCY OF BUTTE intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an COUNTY INC. owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2640 SOUTH 5TH AVENUE sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530)538-7559 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: COMMUNITY ACTION AGENCY OF BUTTE and who contracts for such projects with a contractor(s) licensed COUNTY INC. pursuant to the Contractors' State License Law:). ❑ I am Exempt under Article 3 of the Business and Professions Code 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 Date: Owner: (530)538-7559 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ . I have and will maintain a certificate of consent to self -insure for License #: 617201 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: i-✓mss/�� Total Square Ft: 0 S. F. Policy #:_ ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. 2 — m Date: �-• Applicant: WARN 06Failure to sec a workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h eby issued under thea rc le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to work indicated abov or ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: 4011� Name: PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:_ _ 'Yl �'1� Signature: Date: -T'' 2571� 0 ❑ Owner ❑ Contractor ❑ Agent for Owner &&gent for Contractor B. C. Building Permit 01-16-04 pg 1 1" i BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION BIN # Website: www.buttecounty.net/dds **PT,F.ARF PRTNT CI.FART.Vrr OWNER Last Name irst Name �Gr/►r�— Name Address City Slate Zip ... Y� d -C .- Phone Lot # Phone 1Z Fax E-mail APPLICANT SIGNATURE X F r office use only: CONTRACTOR Name �Gr/►r�— Name n - City Type Const. C .c� Phone Lot # Address E-mail State License Number City State C. Zip Phone Fax Phone Fax E-mail E-mail Lic. # , Class APPLICANT SIGNATURE X F r office use only: ARCHITECT/ENGINEER Name �Gr/►r�— Address n - City Type Const. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X F r office use only: Zoning APPLICANT NAME Name /� n - Address Type Const. — Map Book Page Lot # City Date Approved: State Zip - — d'�El C. Phone Fax _ z E-mail APPLICANT SIGNATURE X F r office use only: Zoning Property Address " Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS � 95�_/�21)- ta32 LOCATION AP# Property Address " City ^ 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 Description or Scope of Work: Sq. Footage ❑ 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: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: —Other Total 0- 1 of 7 ecv')_')n_nC� a c -' SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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-siqned by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval to occupancy). ❑ 6. prior Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 7 036-750-032 PERMIT#96-2018 SHETTLESWORTH, Jane --i- I -. I - 2365'Via Lato'n, Oroville Cont: KCT Construction Reroof & re . place Tub/SF 27, L COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV 1'ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 41 PERMIT NO. APPLICATION AND PERMIT �26 -;90/y ASSESSOR PARCEL NUMBER ?36-750-032 ZONING ILDING PERMIT OWNER xvif, sIt''1'II.lv`uoiiliI TELEPHONE SO. FT. OCC. BUILDING VALUATION MAILING ADDRESS OWNER'S S 2365 Via iatan oraville CA 95966 CONTRACTOR'S NAME ;, r C(H5T BJ ON TELEPHONE 534-1671 CONTRACTORS MAIUNG ADDRESS 4 BQg&idae, Oraville,Ch 95W Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDERS MAIUNG ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESs •. 2365 Vi$ I.atEX1 Omville PERMITFEE $ 9. PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other i SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other:i I Describe Work: reroof 20 aq CGRIQ S PEplaw tub — Mobile Home I S I G W 1 @20.00 PERMITFEE $ 27.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 I Main Service000 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION /I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license • in full force and effect.q ,License Class Lic. No. 16 OWNER -BUILDER DECLARATION 1 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. ❑ 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 OCCUR SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup. ( OUFIXED TLETS(RESIo.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 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. LQ. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier (__Mt� MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Num er _% It It) S d. – �/�, (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. Q Date _7 � I � 7Fs �SXignatu 6e of Applicant - ❑Owner (6fContractor ❑ Agent An OSNkF 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 I TOTAL FEE $ 76.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY .Date PERMITEXPIRESON r `,lLf`7 r I / ibate) / Receipt No. WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - Ordville, California 95965 - Telephone (916) 538- 41 PERMIT NO. APPLICATION AND PERMIT 9� ^�� ASSESSOR PARCEL NUMBER 036-750-032 ZONING ILDING PERMIT OWNER JANE SIETTL iORTH TEEPHONE SQ. FT. OCC. BUILDING VALUATION 000. 120 OWNERS MAILING ADDRESS 2365 Via Laton Oroville CA 95966 CONTRACTOR'S NAME KCT CONSTRUCTION TELEPHONE 534-1671 MAILING ADDRESS c Pc1cTrDidge, Oroville CA 95966 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2365 Via Laton Oroville PERMITFEE $ 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 12� Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXM Describe Work: reroof 20 sq coup & replace tub — Mobile Home 7FFG W @20.00 PERMITFEE t 27,00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main ServiceEOOY OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ' in full force and effect. License Class Lic. No. ��, d OWNER -BUILDER DECLARATION I 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. ❑ 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 OCCUR OR AODN ( a ACC. BLDS. ) SO. 3.52 FT. NEW CONSTS. ST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( 8, SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL Q I:50 Ex. Occup. ( OUTLEEOTs RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain 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 insure ce carrier and policy number are: Carrier c 1ve MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Num er S S — 76 (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. n �[ / ��-- Date _7 / J�F�_—_ gn tur of Applicant - ❑ Owner Contractor ❑ Agent POS A permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 76,00 HAZ. 1 O. FEES I IMP I FLOOD CDF PARC0. I PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B Date PERMIT EXPIRES ON ate) provisions to do work paid. 46 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 3666-81B.P,E,M PERMIT EXPIRES— OWNER Hones CONTR. owner ASSESSOR PARCEL 36-75-32 LOCATION 2365- Via Laton,'lot ,32,,Vista Del Cerro#3, Oroville Temp. Power Pole Called PG&E .41 temp. Elec. Service Called PG&E Temp. Gas Service-7/"ft"--- CaIIedPG&E/' JOB FINALAD (Date) Signature J OK 0 = Not OK = Not Applicable * = Not Ready MOBIL•EHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's ' 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1• Setbacks -Easements). 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1 2. Soils; Compaction -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/O 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- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test r Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date . Card -BI Date q = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , I Date UNDERFLOOR ans OK except #'s Date FRAMI Continued 1 oning requirements -Setbacks -Easements 4 roperty Line Firewall & Openings ., Main; Soils -Steel- - / I X_/- Ftg. Depth 4WExt. Doors -One 3' -Check Garage -3rd story, 2 exits 3,-'Ftg., Garage; Soils -Steel- / /" Ftg. Depthth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /•' Ftg. Depth 5 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrappe S iIing-Veneer Jf_emwalls, Garage; Steel-Blockouts-Wrapp - S co Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Pier -Fireplace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C d -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C -BI at C BI Date Date FINAL (POK except #'s Cefld-BI at! Card -BI Date Date PLUMBING (P it) OK except #'s 56. E?g0teps-Door & Sidelight Protection -Landings 57. ke Detector 1 Water Ht.; Vent -Access -Combustion Air 58. rnace; Vents -Clearance -Comb. Air -Connector - InGarage; Above-Floor-Ducts-Mech. Protection Water Pipe; Test & Anchors -Nail Protection 1.W.V.;Test-Fttngs & Anchors -Nail Protection 59. P111droom Exiting Shower Pan; Test, First Floor -Tub Access 600.F.I. & Bath Fixtures & Tub Access 1 ub & Shower, 2nd Floor -Tub Access 614iElec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size &Anchors 62rRails es_ EjLgpacB ;Stove; Clearances -Hearth 61--Elec. Outlets at Wood Panel; Int. & Ext. C �T I Date and -BI Date 6 it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance C d -BI ,Date . -'i+ and -BI Date 64,—Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pe ,t OK except #'s 6Z/Garage Fire Door; Swing -Landing -Closer r e -Damper F'xture &Transformer Clearance -Ins. Protection Fj9 r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection E c. Receptacles Spacing -Lights &Switches at Doors �Plb., Elec. & Mech. Equip. Listed for Location i Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; (G.F.I.)-Romex Protec. mex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic 2 ip. Ground made up w/Mech. Fasteners -Bond Gas &Water eck Construction -Post Caps 2 2 Appliance Circuits in Kitchen &Conductor Size s awl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size *P -;V ga. Cu or AI-A.C. Wire Size / * or AI 27. Range Circ. / 41 ga. Cu o Oven Circ. / / ga. Cu or Al, 19,%ulated Neutral ❑Yes o 75. Following instld.: • rive Zjjes ❑ No; Walks es ❑ No; Planters s E) No Service -Riser Conductors & Ground -Main Disconnect b tucco; Bin -Finish 2 quip. Clearances; Panels-Motors-Mech. Equip. 77, ,C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet lothes Closet Light -Shower Light 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7$ _Wafer-WefA; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground B -I Date andBI Date 81 entilation throughout House Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 8 lass Protection _ orrectio from Previous Inspections 84. Wt- meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support $A. W er & Se onnected-C/O to r e- D Approval 32_ Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates ___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 Card-BI.,o Date, r and -BI Date C BI ate i QlLard-BI Date __---__ Card -BI _ Date _ Card -BI Date Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Pilms) OK except #'s Comments at Final: 3 ills; Proper Material & Anchors _ 34�'_alls; Studs -Nailing, Spacing & Bracing -Plates -Sound aring Walls over Girders &Floor Nailing aft Stop in Walls (rat proof) _4e.o_t4fe Stops; Furred Ceilings -Stairs -Chases -Tub 4 ysader & Beam -Size & Bearing - CP.' hers -Post Caps -Anchors -Connectors 4*/Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 4q_-F"ept&cV-T-ies or Type A Flue -Fireplace Throat _ 4 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46 Windows or Exiting Doors -Sill Hgt. & Dimensions _m. 4 Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot'3 2Plan(� OroviIIe, CA (location) _ BUILDING PERMIT NO.6'Xja DtM, A. P. NO. :3 - ?j2 - THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge k--" Single Glazed NA Fdn. Walls NA Special (Insulated) Floors NA CERT. & LABELED WDS. Walls R-11 & SLIDING DRS, v Ceiling/Roof 0 WEATHERSTRIPPED,DRS. Ducts BACK DAMPERED FANS Circulating Pipes NA- INTERMITTENT IGNITION DEVICES NA APPROVED HEATER- CERT. APPLIANCES �— APPROVED WT R.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS. -NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Hawkins InSUIStion Co Ina Signature of (please print _ Insulation Applicator State Contractors License No. 378407 General Contrac for/Owner Name WYiVOKA I-yoM 5 _=_/yc . Signature of (plea print) • General Contractor/Owner917-/ ate 5/13/82 State Contractors License No.$-/ /8256_ THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. ,7 County Center Drive - Oroville, Calilornia 95965 - Telephone S16/$3n-4541 APPLICATION AND PERMIT ASSESSOR PA//R CEL-]NUMBE -3 — / 5-- ZO ' G . BUILDING PERMIT OIyN l�,�qe_"q kIVES TELEPHONE SQ. FT. OCC. BUILDIN VA UATIIO�N OWNER'S MAILINGIADDRESS 1y�� f//�lo7lRAY1I CTI /V' V!_�-s AME✓Pei/O (��1j, �'j/�../�I CjCTOMAILING z .0. 8OX/oo D �� ace Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ -Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15 -1-00 -00 ARCHITECT OR ENGINE` LICENSE NO. Plan Checking Fee $ X0,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 1'71, 00 BUILDING ADDRESS / (oaf VM- t A7--0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 , 0 Repair drainage or vent piping 5.00 COW /11IJ-6 Water piping LOT NO. SUEYbIVISION NAMEn � ,,,yam IVIS -M DL-t,Ci d tK P5,5ARCEL MAP - J Each qas water heater or vent 55.00 15-1 O0 Gas piping system 1 - 5 outlets S CO USE OF STRUCTURE SFDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer �,, q�® Lawn sprinkler system +f_5.00 TYPE OF WORK New Q--A—ddition ❑ RemodeU i lities Installation ❑ Other ❑ Describe work: /�i5TE1- �� Permit Fee $ D0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLINGC OR ADDNS. l ACCBLDG . 2�sgft 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. �EA.) License No. Classification 161% ❑ 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 CON5TR I_ou L T 2.50 ea NON.RESIBRANCH CIRCUITS NEW CONSTR (POWER APPARATUS &I NON-RESID. (SINGLE OUTLET CIR. 50 25¢ Ex. OCCUp OUTLETS OR FIXTURES ggL�t Ex. Occup. �OU TL ETS IXED PLNS R (RESID.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating 00 -5-, 00 Cooling CVAyo 15-.00 Hood 3.00 �, 00 Ventilation Permit Fee S ��Op 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, ju ments, costs, an expenses which may in any way accrue against sai C ty in co f the granting of this permi X Dateq Signature Applicant — Owner�Cont Gtor 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 $ oc P. GROUP �"7� F CONST. TYPE PARCE PD %HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D1REC OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date!F—��73 (� Receipt No. 1.7orie6 ;/ o WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Telephone 53&2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 108-81 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance,of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant:.. WYNOKA HOMES, INC. Applicant Address: P. 0 BOX 1600, OROVILLt, CA 95965 Applicant Phone No.: 533-2738 Property Location(s): 2365 VIA LATON VISTA DEL CERRO - UNIT LOT 37 A. P. No. (s): 036-75-0-032-0 Fees Paid: $250.00 N.B.P.U.D. CONNECTION FEE AND $900.00 SC -OR FACILITY HARGE D E - Application for service approved: 2e, SEPTEMBER 28, 1981 North Burbank Public Utility District Inspection(s) made and successf u I :test (s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: s tans and specifications MUST �ie -(his sef of p - kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the -Department of Public Works, County of Butte. .9I ZU' 3 s L aterials & Workmanship Shall Be in NOTE—All Mwith ppconn'zed Good Practices and Accordance prescribed for the Specified use. in the Of a quality p plumbing & Machanica! Codes and Uniform Buildln9, the National Electrical Code. b AV 6ct•-7) A setback of 5 ft. from the property lines and a setback of 50ft. from the road , See Kfasfer plan on :ile for Willing centerline shall be clear of, plans, structures or equipment except for a 2 ft. eave overhang. ? :6' T o O 6`i RA o PAQ 601,E ; .r to , CAI PuF b S i O EWA N ;r. BUTTE. COUNTY �IIll111.91Q 11CDACIT V pc 1+3 op-oulu-C SUBDIVISION CITY N9PuQ SEWER WATER 1)*7 *ICU OAS YN( L Cr t - ELECTRIC 916.533 - R uT 6 _ NTY JOB NO. �� r P.O. BOX ALE OR{wILL�i� CAL. 96965 AGRICULTURAL STATT.7MENfkOF ACKNOWLEDGEMENT �,cf';