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HomeMy WebLinkAbout078-140-039Wynoka Homes 5739 Via Pacana, lot 39, Vista Del Cerro #2, Oroville Permit #6732-79,B,P,E,M(new singlooe�� family) C� —(p —go oo x- -59' 92-1304P DAVIS, Starlene 5739 Via Pacana, Oroville contr: Do -4-U (/ water heater/sf� 02-1011 RASH -PARKS, CONNIE 5739 VIA PACANA, OROVILLE RE -ROOF _!;�-, rvaL S -1 to --e>2 6a- �2y3 r�rbF res C2v�� 13 078-140-039 7 39 036-740-039 02-1011 RASH -PARKS, CONNIE 5739 VIA PACANA, OROVILLE RE -ROOF i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1% 7 County Center Drive • Oroville, California 95965 • Telephone (530),538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1011 Ma-IrCEL NUMBER ZONING BUILDING PERMIT D� E.+N�E RASH -PARKS TELEPHONE 90—� X80 990-1180_ SO. FT. OCC. BUILDING VALUATION �6 960 00 W 3qX N 5395, OROYILLE 95966 WETWOR'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 960.00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 2 5.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3739 VIA pACANA QROV E Energy Plan Checking Fee $ $ PERMIT FEE $ ,r 5JO LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee • 20.00 Each Trap 7.00 USEOFSTRUCTURE SF CIX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Q Describe Work: RER00F W/Mv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200q OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law or the following reason: K I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. BLDS. 3.50FT. �µgalpT MULTI.OUTCu @7.50 APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAIL @ 0 FIXED APPurS. . OR Ex. Occup. oIrtLETs RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury 'one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ X_f % %) .' 7 [.�� l / �``" Date 7-_ .r. _ Signature of Applicant - b Owner ❑ Contractor ❑ Agent ,An OSHA permit is required for excavations over 60" deep and demolition or construction res over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 'Energy Inspection Fee $ occ CONST. TYPE 45.00 TOTAL FEE $ HAz. o. FEES IMP I FLOOD I COF PARCEL I FO T7D F.UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo a for which fees have been paid. ),,� r'i By l Date l 4 PERMIT EXPIRE$`OD.S.-B. Defe o. t D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIXDIION7 County Center Drive • Oroville, California 95965 • Telephone (530) 5PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 11 !$�IF�ORP,4��7 R1 ZONING B LDING PERMIT VNNIE RAASH—PARKS 90 "1180 SO. FT. CC. BUILDING VALUATION ER NG ADDRESS rr hILI5395, OROVILLE 95966 16 S 960.00 R'S NAME C6910 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 960 .00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5739 VIA PACANA OROVITY Energy Plan Checking Fee $ $ PERMIT FEE $ 45.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF WCOMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20oA0RLIE SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw Lor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( & ACC. BUDS. 3.50FT. T. NON -RID. MULTI. OUTLET @7,50 R APPARATUS POWELE 0 r. CIR. 8 SIN G E(, OCCU OUTLET OR FLITTUREs BAL p 1. 0 Ex. Occup. oimE RL.16.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Signature of Applicant - )J9 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 45.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD HD E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abSye for which fees have been paid. 5 �� ByC4�� Date ikco. PERMIT EXPIRE(; Date t D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O`VNER-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 avoidunnecessary 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 NO 13 2. I HAVE V HAVE NOT 13 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: CONTRACTOR'S 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: CONTRACTOR'S 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: %�-��---- NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed vtd returned to our office before we are permitted to issue the permit OVER r OWNER BUILDER INFOR1ti1ATION � Dear Property Owndr: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 $300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit 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 their work personally or through their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4tviger y, X�1 C. Vi ira, C.B.O. , Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safely Coda OVER � • .. .. .. . �.,. t �„«. _ . • ' w...,-.. f'"�'e ` !' t.,..--.{ �r�..�-`u'�"tavd.+r<"`'@„Ty,�;.�'.....”.i^�V..:d."^':7;TSi'�``ti�.s:.'�3.. � ." 4 �'� 36-74-39 92-1304P DAVIS, Starlene 5739 Via Pacana, Oroville contr: Do-4-U water heater/sf �0"f%"�+e - f�• tt�`l"'kwv "• .} a'�� r '- 4if!!rr`S� :.'A, tr! �i�l�* 'k'�.I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,1538-7541 APPLICATION AND PERMIT PERMIT NO. 9Z -/_30"Y Z -f f.? ASSESSOR PARCEL NUMB ,�� 36-740-039 ZONING R 1 �A BUILDING PERMIT � OWNER STARL= DAVIS TELEPHONE 533--9426 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5739 VIA PACANA OROVILLB CONTRACTOR'S NAME DO -44 CONST. INC TELEPHONE 1 529-3836 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1010 RED BLUFF 96080 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LI CENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5739 VIA PACANA OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 ' Each Trap 1 5.00 ( Solar or heat pump water heater 20.00 L OST NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE I SF �r� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 1 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesD, Installation❑ Other ❑ Describe work: REPUCE WATER REAM Permit Fee $ 27.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 18.50 2OR LESS _ Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Y", 1� 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code ad my license Is In full force and a fest. License .Jo. Classification tO FlI, 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 OCCUPM 3.64 Sq.ft. OR ADONS. ( ACC. SLOGS. / NEWCONSTR.MULTI-OUTLET n NON .RESI BRANCH CIRC ITS ` 5.00 POWER APPARATUS & SINGLE OUTLET CIR. 20 Ex. OCCU p OUTLETS OR FIXTURES 764 64 PED APPLNS. R Ex. Occup. UTLETS IRESID IE A 1 3.00 .� Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '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. CrI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. 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 Count /ji/n�ccobseequence of the granting of this eper it. X a i. 1•t�`u"�+' Date `T Z/ Signature of pplicant - Owner ❑ Contractor ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 27.00I HAz I DFEES I IMPJ FLOOD I CDF PARCEL I PD I HO ISSU This permit is hereby issued under the applicable pro I sions of the. utte County Code and/or resiblutions to do r �/• work indfcat d abovf? o� Mich feesfiiave been paid. i / IRECTO O PjUB IC �W�Qr'RKS By l���i��lf� Date PERMIT`EXPIRES Date i+ AtYn� 115678 2�`AX) Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR, PINK•INSP EC TOR, GOLDENROD -APPLICANT I 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 - 36-740-039 wy ZONING R 1 BUILDING PERMIT OWNER STARLENE DAVIS TELEPHONE 533-9428 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5739 VIA PACANA OROVILLE CONTRACTOR'S NAME DO -4—U CONST. INC TELEPHONE 529-3836 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1010 RED BLUFF 96080 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DADDRESS 3 VIA PACANA OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF[N Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:— _ REPLACE GIATER HEATER _ Permit Fee $ 27. Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and and effect. ' License No. Classification 7 C-3 �T�� ❑ 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 ADONS. ACC. BLDGS. / 3.6asq.ft. NEW CONSTR. ULTI.OUTLET NON-RES11>1 BRANCH CIRC ITS I @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIX 20 764 20 Ex. OCCUp. OUTLETS FIXED PlRE51D )RE A./ I 3.0� Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '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. 91,I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 SM d unt in c quence of the granting of this per it. X Date'1_3 Zs Signature of pplicant — Owner ❑ Contractor ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 27.00 HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL PD HD I 'SSU This permit is hereby issued under the Bions of t utte County&Ce and/or work i Icat d abov ch fee IRE IC By PER PIKES Date applicable pro i- i re lutionstodo a been paid. KS Da Receipt No. 115678 27.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0, 7 County Center Drive - Oroville, California 95965 - Telephone' 916 538-7541 APPLICATION AND_ PERMIT ASSESSORP E �M R M ZONING BUILDING PERMIT OWNER �/�• /��j��%,/n TELEPH NE (� SO. FT. OCC. BUILDING VALUATION OWNER'S MAI IN A DR ES COr.TR CTOR'S NA =E t TELEPHONE CONTRACT3S MAILING AD, Of/ ///\G_C_�U (V ��O Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation i$ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER 7771LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty I $ BUILDING ADDRESS ? a a/n v/ Permit fee $ PLUMBING PERMIT -FilingFee 15.00 d Lo Each Trap 5.00 Soiar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each oas water heater or vent 7.00 pt7 USE OF STRUCTURE SFDuplex [ Mobilehome[ Other SPECIFY TYPE OF WORK New'— Addition.Remodel LZalities Installation[ Other Describe work: G e, Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G I W"� 615.001 Permit Fee $ 27w Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS I 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 71 1 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 J I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract-Mobile ontract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&, OR ADDNS. ( ACC. BLDGS. 3.6Csq.tt. NEW CONSTR r ULTI.OUTLET NON.RESID BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 76d R 20 a7 4609 Ex. Occup. OUTLEFIXED TS (?ESID IREA.1 1 3.00 Temporary service _ j 15.00 Ho Mobileome Facilities 15.00 Misc. H g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I dec;are 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 becomesubject 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 I Hood 6.50 I 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 [ Agent ❑ over 5'0" deep and demolition or construct- rlis rgon height. An of HA structures over3stories i Mobile Home Installation Fee S Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $� HAZES I IMP FLOOD C111 PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date I115-6 78 22 Receipt No. C7 U WHITE-O.P.W.. YELLOW- ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 6732-79B,P,E,M PERMIT NO. PERMIT EXPIRES Wynoka Homes, Inc. `1 OWNER CONTR. owner LOCATION (A.P. 36-74-19 ) f 5739 Via Pacara, lot�39 Vista Del Cerro#2, I Oroville r y 4„ � L ! Temp. Power Pole Called PG&E Temp. Elec. Serv. v Called PG&E w ? _ r Temp. Gas Serv. ?Z--/ b Ff 1 Called PG&E JOB FINALED (Da )/71 f (Sig a ) t i, " 0 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION CGMPLLINCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CO�ORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 7U -r ---3q (location) BUILDING PERMIT NO. A. P. NO. THE FOLLOW FNG HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge AIA Fdn. Walls AM Floors �fA Walls Ceiling/Roof 2 ,eq Ducts Circulating Pipes_ APPROVED HEATER APPROVED WTR.iHTR._ GLAZING: Single Glazed Special (Insulated) X CERT. & LABELED WDS. & SLIDING DRS. l(, WFATHERSTRIPPED DRS. BACK DAMPERED FANS +fC INTERMITTENT IGNITION DEVICES_X _ CERT. APPLIANCES X I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIRENIF:NTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insu ration Applicator Nw,--,e ,4W%I— �ZV6 Signature of (please print) Insulation Applicator State Contractors License No. 3724�-r--0% General Contractor/Owner Name iy&!'m le - se print) Signature of General Contractor/Clymer Date�� State Contractor License No. 7— THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING F R\AL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. a P L U M B I N G Check List ermit _ Unde floor Sta e D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. [1* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* LJ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ®* (6) Dissimilar metals. (7) Service regulator installed or not required.* Gas: (1) Sizing. (2) Materials. (3),. Support. (4) Log Lighter. (5) Wrapping. Framing Stage (Top Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. (14) Additional 2nd floor test not required.* Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. 4as: (1) Size. (2) Materials. (3) PR Valve Drain. Water Heater: (1) Vent. (2) Location. (3) PR Valve Drain. QFinal D.W.V.: (1) Connected to sewer system. (2) Special systems. Water: (14ater Source. (2) Shut-off. (3) Anti -siphon Valves. Gas: (1) Test (2) Connectors. Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. E( Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 M E C H A N I C A L nL ..�. T 4 -4 - Permit -4- Permit , Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch . receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. Combustion Air: (1) Size. Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. gaming Stage Zeatin (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. ent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. , ® Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Fina Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. /Co(1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Piping Sewer Gas Piping MO�ILEUQME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OeF BUTTE — DEPARTMENT OF PUBLIC WOR S6 7 County Center Drive - Orovi lie, California 95965 Telephone: 534-4541 /„ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentione roperty for inspection purposes. X k- Dat e,,_.O Ignature of Permitee or Agent Receipt No. 3 00 S White-D.P.W. - Yetlow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OR OF PUBLIC WORKS By Date //- Building permit expires Date /( b - �� BUILDING Lo - Owner 0 M M I C SQ. FT. OCC. BUILDING VALUATION Mai I ing Address f pSk16o d T 1940, d �T Telephone No. I.SC Contractor 1' M Mailing Address Fireplace Total Valuation7 2-54 Telephone No. Permit Fee HSI- Buiiding Address Ld� 3f4,1V 17 �j {`�C �N14 Plan Checking Fee&/or Penalty r Permit Fee .- PLUMBING No. @ FEE ORO V I uL `! PERMIT FILING FEE $3.00 Each Trap 1.50 OO Repair drainage or vent piping 1.50 A. P. No. -+r,7 Lf - _16 o 'ng Panning Water piping / 1.50f0 Each gas water heater or vent I 1.50 .�rJ F kslW . S ti "Fire Dept. Fire Zone U e Permit Gas piping system 1 - 5 outlets 1.50 .Sr3 EQA Parking Plans ParcelEach Declaration Parcel ap 60' R/W Improve nts additional outlet .30 Building sewer 5.00 � /� MASi6 �Rec'H[ ce PorA roval Plans Approval Lawn sprinkler system 2.00 NEW JZ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $gftG ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 0V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 r Main service OVER e O 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST,( DWELLING Oq 2�S OR ADONS. C ACC. BLDG S./ sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: VJI-`_,�A � AE - j • r� �l✓[!\vVV\li(`IK1 NI 1`►1� NEW CONSTR BRANCH CIRCUITS) NON•RESID lMULT BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXT11RES 50@230 100 Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID,) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p �a +/ License No. � O 2s 6 Classification ?^! Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ J2,7o$ .51 L MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 9%b Heating me '04 Cooling Mr ' Ventilation Hood2.00 Chi Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentione roperty for inspection purposes. X k- Dat e,,_.O Ignature of Permitee or Agent Receipt No. 3 00 S White-D.P.W. - Yetlow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OR OF PUBLIC WORKS By Date //- Building permit expires Date /( b - �� s, This set of p lans nd specIficr'ti)ns Mt -I iilbo ondkept on the iob at I� {} �, �, a some wi bout make any changes o a. . written permission from the Department of ub is Works, County of ijulle. NOTE.— Accordai of a quc Uniform the Nati LRj .- �� 1•i•�• I Materials & Workmanship Sha Be h With Reccgni7ed G^^d Practi es ani v n, escribe l fo, the Snec;fied us , in the ildinq, & Machanical CdJes ani nI Elbctrical ��sde• 15, 5—f A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment excei for a 2 ft. eave overhang. N.1e- �` •r\ /� / ,fir G/• P----..�. .---- —•---- _`tea - C't.,/r:'�� 4,4 ctrl tiff �V✓'�.+'a/�r{ , . 4 73t? y0•'v?'.d ��'�. G�tii20 is'�� �' _ U"/ � -OUNT i�. CITYlVtB0Y• zaar�.x•- - "a--ar »-• sanc. s^.uaz.• N •-.- •cswu.0 '^ac as��rls r:.ae+ra-:�_.n.r•.ar.-.:sr--•m: 'a. mer.-u:=•v...s•a: --csc BUI13 D ING ®E?ARTIv�I aft ny ' 9.. _�- :JlaTER / _ _ 1 f �B1Jd�tl c.0 x t:; l tL S. %VSs 4 e CAL. 81;935 - •t=LE:Ci'671i� _ t fY.i G•.. 13-1i-3 _. . . ._ -.. ._. .. ___. _ �_ ,. _- .. � - .. -_�. a _. .. - - ., ac._..x. - .•c ,. :n �. A.._ �._ .y