HomeMy WebLinkAbout078-180-033O`18 0
93Fi-}73 AAs 01-1578
KEDI 1L'L
5270 PARKDAL 11 LL" `
CONT: TOM WARNER- i
RE ROOF T a
635 i@63 0 - 54 '
KEDING, DANIEL ED
5270 PARKDALE, OROVIL rr��
UPGRADE ELEC. SERVICE d"% -
I `.
033
NOTES RESIDENTIAL
036-175-008 03-1754
E PERMIT NO. _. KEDING, DANIEL - - - - - —
: ' 15270 PARKDALE, OROVILLE
UPGRADE ELEC. SERVICE
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SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
4
I
OFFICE COPY
Address
r
ELECTRIC
Meter By Date / -
JOB FINALED (Date) v
Signature
P
J=OK
0 = Not OK
. = NotReadyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Soils; Special MH Support Sketch
Card B-1
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
Zoning Requirements -Setbacks -Easements
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
2.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
Date
6.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
License Decals
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
11.
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Card B-1 Date
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Date
3.
Card B-1 Date
Card B-1
Date
5.
Card B-1 Date _
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Electric
8.
1.
Zoning Requirements -Setbacks -Easements
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test .
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9. Exits
10.
License Decals
11.
Verify #'s with Office -'
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
.12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
'Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
n
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope -
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
LTyEtec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
_
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Lp�xterior Elec. Trim, G.F.I. Receptacle -Underground
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. 'delight Protection -Landings
Cis -Smoke Detector
6 ce-Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
ng
JXRT G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
7 ails
7 tearance-Hearth
LTyEtec. Outlets at Wood Panel, Int. & Ext.
d -Air -Gap -Cooking Clearance
L7.4'-Elec. Outlets & Receptacles at Kit. Counter
7 oor; wing -Landing -Closure
7 rage- amper
-Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. for Location
7 es in arag Romex Protection
0 - oam-Looked in Attic
81. G ec Construction -Post Caps
82 .0pr Drainage & Wood -Earth
ce ooked under Floor ❑ Yes
_
8 s. rive 0 Yes O No/Walks O Yes 0 No/Planters 0 Yes 0 No
84_ -Finish
85. -Plumbing
8 0 , Ibg-Appliance-Fireplace-Clearance to Openings
87. a er Well, Disconnect, Electrical, Plumbing
Lp�xterior Elec. Trim, G.F.I. Receptacle -Underground
8 on roughout House
90_GIas9-Pfotectiorr-
91=-torr c ions from Previous Inspections
92. ^-� a&4e--c:."..�.c.-, Tc ed, Gas -Electric
93IAlater & Sow�� r�nnacted-C/O to Grade -HD Approval
94. ificate-Other Certificates
95.-AVUlTt s F oos of ce
96. F' nn er
Date
Card B-1 t4- Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY�OF BUTTE 1
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
/ 7S�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
t above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date3 Inspector
REV 10,X2 /
' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 03-1754
ASSESSOR PARCEL NUMBER
036-175-008
ZONING
BUILDING PERMIT
OWNER
DANIEL KEDING
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
5270 PARKDATE AVE-, DROVITI.E. CA 99966
50000
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MaUNG ADDRESS
Total Valuation $ 1.500.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
5270 PARKDATE ORM111 IF CA 95966
Energy Plan Checking Fee $
$
PERMIT FEE S 55.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ 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: NEW ELECT. SERV. ( UP GRADE ) & NEW
WIRING THRUOGH OUT MOM HOUSE, SHEAT ROCK, INSULATI
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
N PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200A OR LESS 1 23.00 3.00
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
Law fcir 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 46.00NEW
CONST. DWELLING OCCUR SO
OR ADDNS. ( a ACC. BMS. 3.5038,50
=RESIOT' MULTI -11 OUTLET @7,50
11.
8PSINOWERLE APOUTLET PARATUS
GCIR.
Ex. Occup. OUTLET OR FIXTURES BAL @ I1.00
Ex. Occup. oUrLEEDTSA AM.GEA. 5.00
Tem orar Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ $1.50
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
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed 4 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
' compensation provisions of section 3700 of the Labor Code, I shall
Jorth h comply3e; �th:opro isions.
/
X Date ! Q3
Signature o Applican �wner Contractor ❑ Agent
An OSHA permit is requir 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 $ 136.5
HAz.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
been paid.
inzi;;;;i
f
B / Date (!�
PERMIT EXPIRES ON d Aio
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date
:i.. .ij.
O.B.- I -
OWNER -BUILDER VERIFICATION -
SS. CITY:
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and 'issuing your building permit. No building permit" will be issued until this
verification is received.
1. I personally plan to provide the major, labor and materials for construction of the proposed
property improvement: YES, , NO, ❑
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:,
NAME: '
PHONE: CONTRACTOR'S LICENSE NO.
,s
4. I plan to provide poions of this work, but I have hired the follodving person -to' coordinate,
supervise, and provide th2� ajor work:
NAME:
ADDRESS: / CITY:
PHONE: CONTRA OR'S LICENSE NO.
5. I willprovide some of the work but ave contracted hired) the following persons to provide
the work indicated:..
NAME RESS 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 and _
returned to our office before we are permitted to issue the permit.
OVER
s
.
O.B.- I -
OWNER -BUILDER VERIFICATION -
SS. CITY:
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and 'issuing your building permit. No building permit" will be issued until this
verification is received.
1. I personally plan to provide the major, labor and materials for construction of the proposed
property improvement: YES, , NO, ❑
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:,
NAME: '
PHONE: CONTRACTOR'S LICENSE NO.
,s
4. I plan to provide poions of this work, but I have hired the follodving person -to' coordinate,
supervise, and provide th2� ajor work:
NAME:
ADDRESS: / CITY:
PHONE: CONTRA OR'S LICENSE NO.
5. I willprovide some of the work but ave contracted hired) the following persons to provide
the work indicated:..
NAME RESS 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 and _
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
O. .—
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 party of record on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. _ y
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,
ifyou 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 contractor 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 1020 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.
4rely, Alxv".
l C. Vi ira, C.B.O.
r, Building Inspection
NOTE. . This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
036-175-008 01-1578
K.EDING,tDANIEL
5270 PARKDALE AVE. OROVILLE
CONT: TOM WARNER
RE ROOF
s
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION.' PERMIT NO.
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev.12/96) APPLICATION AND PERMIT =-
ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT
OWNERDAI- Myf
OWNERS MAIUNG ADDRESS
�+0
P1RK>f1Ai
CCONTTRRACTTO RR'S�NAMEE
�WM �F1LM
CONTRACTORS MS All INNG ADDRESS�l�
10%7(JRS+UAv
ilY1M67UfJ
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS
LOT NO. I SUBDIVISIONS NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑r Other -❑
Describe Work: R&F= W/
% y r ,
SO. FT. I OCC.
Total Valuation
NO. Filing Fee
Permit Fee
Plan Checking Fee
Enemy Plan Checl
BUILDING VALUATION
s
$ ww
20.00
a
$
]Fee $
$
PERMIT FEE
PLUMBING PERMIT
Each Trap
Solar or heat um water heater
I Water piping
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 ClassQ Lic. No. �
OWNER -BUILDER -DELL ATION
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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 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
(rhe 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 9 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
.. ✓�•t..--► ,..� Date- 11 i
Strnature of Applicant - ❑ Owner❑ Contractor ❑ Agent"
An OSHA permit is required for excavations over 510" deep and demolition or construction
of structures over 3 stories in height.
ReceiptN 1 i �-
WHITE-D.D.S.-B.D. CANARY-As9ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G I W
7.00
23.00
15.00
15.00
15.00
15.00
@20.00
20.00
PERMIT FEI= $
LEnergy
ile Home Installation Fee $
Inspection Fee ' $
c CONST. TYPE FEEX
HA2. I D. FEES I IMP I FLOODI CD . CEL PD HD ISSUE
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.
PERMIT EXPIRES ON
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
a OR LESS
200A OR LESS t:
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
OR ADDNS.
DWELLING OCCUP.
( 6 ACC. BIDS.
3.5a F7.
NEW CONS
NON-RESID.
MULTI -OUTLET
BRANCH CIRCUITS I
@7.50
POWER APPARATUS
8 SINGLE OUnfT CIR.
Ex. Occup.
OUTLET OR FIXTURES
20 ® 1.00
SAL @ .50
Ex. Occup..
FIXED APPLNS. OR
OUTLETS ESLD. E0.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
'Hood
6.50
PERMIT FEI= $
LEnergy
ile Home Installation Fee $
Inspection Fee ' $
c CONST. TYPE FEEX
HA2. I D. FEES I IMP I FLOODI CD . CEL PD HD ISSUE
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.
PERMIT EXPIRES ON
I
C�UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERI NO.
(Rev.12/96) � APPLICATION AND PERMIT 12/ /527
ASSESSOR PARCEL NUMBER
036-175-008
ZONING
BUILDING PERMIT
OWNER
DANIEL DING
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
22 1
320
OWNER'S MAILING ADDRESS
5270 PARKDALE AVE., OROVELF, CA 95966
CONTRACTOR'S NAME
MM WARNER
TELEPHONE
ii
CONTRACTORS MAIUNG ADDRESS
105 SHEL.TERUMD WAY OROVI= CA 95966 I
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is 1,
3zo
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
5270 PARD
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 53,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE -ROOD WOW.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
920.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service '.*. oa o^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 ' full force and affect.r
License Class Lic. No.
A A ON
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.
❑ 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
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 permitis 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
of one hundred dollars ($100) or less.)
Q 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.
X Com---✓ Date 4 — G,
Sig a ure of Applicant - ❑ Owner LitiContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. s0
OR ADONS. ( e ACC. BLDS. 3.5QFT:
=RESlp T. MULTI -OUTLET 97.50
. BRANCH CIRCUITS
6 OWER APPARATUS
SMI.
OURET FIXTURES
20 Q I'0OEx. Occup. �L .50OWNER-BUILDERDE
Ex. Occup.. O �°s R� D.o� 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 FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 53.00
HAZ
D FEES IMP
FLOOD
COP
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
ind ated v f r whi fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date W;7 DI
e16)
Receipt No.12500 k
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-754 P IT NO.
(Rev. 12,196) - . APPLICATION AND PERMIT
ASSESSORPMPP&NUMaEA
mNNO BUILDING PERMIT
OWNER - ^ � re�aNe S
C OCC. B I DING VALUATION
OWNER'S MAUM ADDFES2 _
"4- /�
LENDER'S MAIUNO ADDRESS
ARCHITECT OR ENGINEER
ARCWTECT OR ENOINEERS MAUNO
SULMOADDRESs /-A ""7L
LOT NO. I SUNWISIONSNAME
i14-15
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobllehome ❑ Other
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑hes ❑ installation ❑ Other ❑
Describe Work: 6LI)?f��02 f -
*PERMIT FEE PAID.
SRA -.
SHERIFF
OTHER
AMOVNT RECEIVED
f5�3-
*RECEIPT NUMBER-
* TO BE PUT INTO COMPUTER
Total Valuation E
Filing Fee
Permit Fee
Plan Checkin Fee
S
S
S
20.00
,
Energy Plan Checking Fee
E
Main Service 200A TO IOWA 46.00
a
PERMIT FEE
$
POWER APPAMTUS
PLUMBING PERMIT
8 SINGLE OUTLET CIF.
Filing Fee 20.00
Each Trap
Solar or heat um water heater
7.00
23.00
Water pipinil
Ex. Occup. o
15.00
Each as water heater or vent
I
i
15.00
Gas i in stem 1 - 5 outlets
Mobile Home Facilities 20.00
15.00
Building sewer
15.00
Mobile Home I S I G W
020.00
PERMIT FEE I $
PERMIT FEE I _
MECHANICAL PERMIT Fling Fee 20.00
6.50
PERMIT FEi: !
Mobile Home Installation Fee S
Energy Inspection Fee S
xo coNST. TMOF TOTAL FEE $
i
• 0. FEES IMP f1A00 CDF PARCEL PO NO 6SUE
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.
By
PERMIT EXPIRES ON
Date
ELECTRICAL PERMIT Flin Fee 20.00
Main Service wORLEssp23.00
Main Service 200A TO IOWA 46.00
NEW-
CONST
a �BLDSOCCUP..
ADDNS. %,A=. 3.5¢F°.
NON•RESIO. MULTI -OUTLET
@7.50
POWER APPAMTUS
8 SINGLE OUTLET CIF.
Ex. Occup. OUTLET OR FWTURES 20 1FIXED•�
aAL .S0
Ex. Occup. o
I
OUTLETS [R.) 5.00
I
i
Temporary Service 23.00
Mobile Home Facilities 20.00
PERMIT FEE I _
MECHANICAL PERMIT Fling Fee 20.00
6.50
PERMIT FEi: !
Mobile Home Installation Fee S
Energy Inspection Fee S
xo coNST. TMOF TOTAL FEE $
i
• 0. FEES IMP f1A00 CDF PARCEL PO NO 6SUE
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.
By
PERMIT EXPIRES ON
Date