HomeMy WebLinkAbout078-180-032HOWARD FAUNCE
5240 Parkdale Ave, Oroville
Permit#2654-81B(remodel/SF)
- PERMIT#97-1844
KNOWLTON, Kathleen
5240 Parkdale,'Oroville
Cont: Mauldin & Sons Plbg�a$ %
Replace Wtr Line/SF 1S
i
;R
1 05-1269
KNOWLTON, KATHLEEN
5240 PARKDALE AVE, OROVILLE
CONT:RADECO CONST
MISC WIRING, 1 PLMB FXTR
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.
BP051269
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
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 05/13/2005 APN: 036-175-011-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : � License Number: Z�
Site Address: 5240 PARKDALE AVE.ORO
Date:!S—Glu; Contractor:
Map Index:
Description: misc wiring, 1 plumbing fixture
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: KNOWLTON KATHLEEN
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
DBA PARKDALE HOME
signed statement that he or she is licensed pursuant to the provisions of
5731 REED LN
the Contractor's State License Law (Chapter 9 commencing with Section
PARADISE, CA 95969
7000) of Division 3 of the,Business and Professions Code) or that he or
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
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: RADECO CONSTRUCTION
Code: The Contractors' State License Law does not apply to an
PO BOX 3369
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
PARADISE, CA.
provided that such improvements are not intended or offered for
95967
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-872-7727
proving that he or she did not build or improve for the purpose of
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
Contractor: RADECO CONSTRUCTION
not apply to an owner of property who builds or improves thereon,
PO BOX 3369
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
PARADISE, CA.
O I am Exempt under Article 3 of the Business and Professions Code
95967
530-872-7727
Date: Owner:
License #: 787297
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
'compensation
Engineer:
❑ 1 have and will maintain workers' insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier
Total Square Ft: 0 S.F.
Policy #:
Valuation: $0.00
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
Census Code: 2f�
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.
Dater
Applicant:
WARNING: Failure to secure .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 permiyi ereby issua and the 8 ;cable provisions of the Butte County Code and/or
2
'
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
ResoI ti s to do wor dic d abo for ic h fees have been paid.
�J1'-�6
Name:
Bv: t Date: 1
�� 22 '
Address:
PERMIT EXPIRES ON:
(Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials_
❑ • 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 substan official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pure es.
Print Name:Signature:
1
Date:
t❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER
Last NaC�1�1.. �
Fit,N
Address62 - d ��� ��
City L -4—G_
Stat?"
Zip
Phon > 1:;'2Ll ,�4a�
e7 "'T�4
Fax
E-mail"J
CONTRACTOR
Name�_��� lr
Address m—alsA, zM—L oe�
City
Stat ,
Zi
emat
Pho l
Fa®Z� I
E mail_Q�
Li ^
Clas
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City t„t
Address
Zip
City
Page
State
Zip
Phone
Name
Fax
E mail
State License Number
APPLICANT NAME
Name
Address
City t„t
Stag
Zip
Phon
Page
E-mail
A SIGNATURE
X
For office use only:
Zoning
Flood Zone SRA I Yes I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
/2Z
BIN #
LOCATION
2
AP#o36`^ /7-5--0//
PQmA;ddddress,�.
Cit C
Cross Street tai
WORKER'S COMPENSAT
Policy Number
Carrier
If hiring a one other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Descri tion or Scope of Work:
C"
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
required.
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.
ReZ��
Amount:
Receipt It:
�30
Date:,_( 6
Total
REV 2-24-05
r
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 -signed 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 prior to occupancy).
❑
6.
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
.I
PERMIT NO. 2654-81B
PERMIT EXPIRES 714/82
OWNER HOWARD FAUNCE
CONTR. owner
ASSESSOR PARCEL 36-175-11
LOCATION 5240'.Pakrdale Ave, Oroville
Temp. Power Pole
4
Called PG&E
a
y ' _Temp. Elec. Service
Called PG&E
Temp. Gas Service
'Called PG&E
�>J'OB FINALED (Date)
V
tSignature
r
V = OK
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H'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
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ . /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card=B1
Card -BI
Date ,
Date Card -BI Date _
Date Card -BI Date
POOLS (Plans) OK except #'s
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
R
{
1
4 .
bw
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
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
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -'BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except N's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Foam -Looked
Insulationin Attic ❑ Yes
733..
74.
)
Guard Rails &Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 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 At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except M's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
-----.Date
Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
Jf
ASSESSOR PARCEL NUMBER
71 /, / 75 -- t/
ZONING
r IBUILDING
PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�7—
? !4
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
�%� J� i
/I "I �/ C_ II/L
TELEPHONE
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
.x%//.10.. -9n
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS J
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
�� ((
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater Or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Q --Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ®�Uti lities ❑ Instal lation ❑ Other ❑
Describe work: /*{/S/,1/. L S/ -`L 1" I?�ii i- /V
4 I [.• a.-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR 100 AMP ORLESS5.00
�?r/-,,)M//4 SN LTS"�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. y
( DWELLING OCCUP.)
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
CONSTR. POWER APPARATUS 6
NEW - (
NON RESID. SINGLE OUTLET CIR.
ExOCCup OUTLETS OR FIXTURES 50 @ 250
. ,5
FIXED APPLNS. OR
Ex. Occup.(DUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.50
Permit Fee $
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.
❑ 1 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.
Q 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 shat l 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 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.
�( �,r - ,' W �- 17 l �� —
Date
Signature of Applicant — OwnerR] Contractor El Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ go . p
OCCUP. CROUP
I TYPE OF CONST,
I
PARCEL
PO I
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Jndicated above for which
!DIRECTOR OF PUBLIC
B /,/liff_�'
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
_
/ u
-S-5-7o-7
Receipt No.-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�"it� �t;�7c� 4ae*.� �-.i. '.,ye �1��i�3`'S"yy"`•i'"vt�. .y�"". =F�" a�+��a�1�'��� "s.,'�:nC�i-��%i �`4Gs.%,%"�1a�N'S'id�°�F7FLa:t :"°°.� ,+; rwm•
036-175-011 PERMIT #97-1844
KNOWLTON, KATHLEEN
5240 PARKDALE, OROVILLE
CONT: MAUL:DIN & SONS PLBG
REPLACE WTR LINE/SF
0
-. ._.
Y'�
J..
fyy
' � 4
I
i
0
-. ._.
Y'�
(Rev.12/96)
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
—
ZONING
RI
BUILDING PERMIT
OWNER
KATHLEEN KNOWLTON
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5731 REED LN., PARADISE CA 95969
CONTRACTOR'S NAME
MAULDIN & SONS PLBG
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
ONE
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NO
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
� O OV �
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
S UBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 01( Duplex ❑ Mobilehome ❑ Other
' SPECIFY
Each Trap-
7.00
Solar or heat pumpwater heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 2 Installation ❑ Other ❑
Describe Work: REPLACE WATER LINE TO MAIN
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home, S I G I W
020.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
600V 0R LESS
Main Service 200AORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
i .
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.n
License Cl Lic. No. 'An riq f
`"OWNER-BUILDER DECLARATION—
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. I
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO Io00A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BUDS.
SO
3.SQFT;
NEW CONST. MULTI -OUTLET
NON RESID. ANCH CI urs
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIS.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
SAL @ .50
FIXED APPWs. OR
Ex. Occup. ouTLETs RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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 STn-'rQ V%$ )D
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number i 4L !;; n Q `7
(The above sections ne Kot*Fe ' rTpleted If t e 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 sofas-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.
1`
X /� Date - �._
Signature of Applicant - ❑ wner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in-height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES
IMP
I FLOOD
COF
PARCEL PD
I HD
ISSUE
„
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated.$bove for which fees have been paid.
/ 8�27�g7
By L .%Af A Date
PERMIT EXPIRES ON 8/27/98
Date
Receipt No. 224333
WHITE-D.D.S.-B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ZDIVIS7 Count
y Center Drive - Oroville, Califorpia 95965 - Telephone (916) 538-R IT NO.
(Rev.12/96) APPLIGATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-175-011
ZONING
R1
BUIL G PERMIT
OWNER
KATHLEEN KNOWLTON
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
5731 REED LN., PARADISE CA 95969
CONTRACTOR'S NAME
MAnDIN & SONS PLBG
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2 RKDA E OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
•
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF PX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap.7.00
Solar or heapump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities)R Installation ❑ Other ❑
Describe Work: REPLACE WATER LINE TO MAIN
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE S
35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoos oR'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 licCle se is ' ful o ce and effect. ' ,, �,ry
License Lic. NO. o _
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.
❑ 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,
OR AODNS. ( g ACC. BLDS.
so
3.52FT.
NON -RES DT MgUjICTI OCR 'TITS
@7.50
POWER APPARATUS
8 SINGLE OUTLET CSR.
EX. OCCU OUTLET OR FIXTURES
@ '
B'0 Q .SO
P
Ex. Occup. p�EL RESID,OEEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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 worker, go ppensation ' surance carrier and policy number are:
Carrier �
Policy Number —
(The above sections ne d of a completed If t e 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
0rthwith comply ith those rovisions.
X Date /—_
❑ er ° Contractor ❑ Agent
Signatur of Applicant - can
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL PD
HD ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Re lutions to do work
indicate bove for h' fees h e en paid.
BY% Date 8/27/97
PERMIT EXPIRES ON 8/27/98
Date
ReceiptNo. 994338
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP WrW/
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PA CEL NUMBER
— �-7S
ZONIN
BUILDING PERMIT
OWNS
Gt/y3eb CAU 4166
T LE PH ONE
-}Zo /
SO. FT. OCC. BUILDING VALUATION
QST
s��
OW OS MAIL O�`jjADDRE�1012 U�16[/✓/T.
CONTRACTOR'S NA//�,M��./`
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
44
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDERS MAILINGD ESS
Permit Fee
$ /0.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ . p (/
BUILDING A
PLUMBING PERMIT
]Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
O(�lL
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel �Uti lities ❑ Installation ❑ Other Q
Describework: /�S7 GL /5'l�)Q2CjIL /V
✓ {, a►s �-/.v
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
/O^/�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.01)
OR ADDNS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business50
and Professions Code and my license is in full force and effect.
License No. Classification
] I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2,50 ea
NON.RE" BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS
/ b
NON.D. (SINGLE OUTLET CIR.
@ 25¢
Ex. Occup OU oR FIXTURES BAL@1
FIXED A PLNS R
EX. DCCUp.(OUTLET S (RESID )EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Mi sc. 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.
Jk1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
against said County; in consequence of the granting of this permit.l
X l/ �i•i%�t `� Date
Signarure of Applicant — 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
FARC EL
PD
HD
IssuE
This ermit is hereby issued under
sio f the Butte County Code and/or
w k dic d ove for which
I C10R OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /�—F
�—/ k�
Receipt No. S57�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
R_J
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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 applic tion for a building
permit for the propose work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name -YT
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 I Address Phone Type of Work
Signed: Q
Property Owner A�6; =
Social Security number
Date/�_ J�1.
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
permitted to issue the permit.