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PAUL 0' NEAL ( A ..� ` (J 5528 Farley S . ,_ Ol oviu�e�'al� • oG �-��-- 1397-91B'" e17 ONEAL, Dan I 5528 Farley St, Oroville Cont: Burtenshaw Cosnt (rebuild roof/sf) -4 Permit#1724-91E q%/ -= (exte service r' er/sf) 11 t 36-37-02 -�' 1397-91B - --- OAL 's oP 't. Dan 5528 Farley.St, Oroville Cont: Burtenshaw (rebuild roof /s'f )C°snt OFFICE COPY 1 Address r � y Date ELECTR Meter By JOB FINALI ' Signature v=OK , O = Not OK NotNo Applicable'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete' 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ , /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /' L" ft./ /"LPG - 7. Utility Clearance Date 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Soilg-Size- Depth -Spacing-Con nectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-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 -Pane Iboards- Ins: to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ 4 1 1 ' i V OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL•(E Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg.,Vain; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., rage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., P ches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwa , Main; St I-Blockouts-Wrapped 6. Sternwallk Garag , S eel-Blockouts-Wrapped 6a. Hold Dow s a96 Special Anchors 7. Slab; Steel- apped 8. Piers-Fir!/a Ftg.-Steel 9. D.W.V.; all -Fit ing-Test-2 Way C/O -Sewer Test 10. Gas ipe; Size- chors 11. W er Pipe; Test- chor-Regulator-Service Test 12. ectric; Undergrou d 13. Pienums & Ducts; ClNrance-Material-Support-Ins. 14. Girders -Sills -Anchor B Its -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s _ 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. W er 'pe; Test ,Anchor -Nail Protection 18. D.W.V.; st-Fi Ings & Anchor -Nail Protection 19. Shower P , Test, First Floor -Tub Access 20. Test T & hower, Second Floor -Tub Access �;`• 21. G Pipe: Siz ,& Anchors Date Card B-1 Date Card B-1 ill'_ Date Card B-1 Date Card B-1 :,Date ELECTRICAL (Permit) OK except #'s &_ 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Rom" Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulat eutral ❑ Yes 0 No rvice-Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Da t - Date'- Card 8-1 Date Card B-1 Card 8-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Skucts Insu ion & Support 35. Vent Fa \; Exh ust above insulation 36. Condens a rain & Overflow; Size & Grade 37. Furnance- t; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Ac ss & latform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN (Plans) OK except #'s 49.i i -Proper Material & Anchors Wal Studs -Nailing, Spacing & Bracing -Plates -Sound -41"bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) ed Ceilings -Stairs -Chases -Tub Viers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45: Hangers -Post Caps -Anchors -Connectors g. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. rrep ace les Type A Flue -Fireplace Throat clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles iting Doors -Sill Hgt. & Dimensions tion Framing me Firewall & Openings 62. Eft Bee's GRe-OL eck Garage -3rd Story, 2 Exits 59. Slam room -Rise -Run -Landing -Fire Protection 4. plyweSoon-Rvol Ove. hang -Attic Vents -Rafter Outriggers np creed -Fd. Vents-Underflr. Access mg Area -Glass Protection -Skylights -Plastic ailing -Bolts sulation-W alts -Ceilings 60. Infiltration -Walls -Windows Dat � I Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s .-61- F -t Sraoc-Door & Sidelight Protection -Landings r Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection fixtures & Tub Access -Spa Lgi,ere-c. Trim & Subpanel; Breaker Sizes & Labels 6S.-Z'.aolace or StovPfJearances-Hearth d Panel; Int. & Ext. Grnd.-Air Gap -Cooking Clearance 11 c. ut Mats Receptacles at Kit. Counter wing -Landing -Closer arage-Damper 7 nce-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection quip. Listed for Location n Garage; (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic O Yes 70--ft3M -Rai nstruction-Post Caps 70 Ed, Vents 9 Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Yes 0 No; Walks 0 Yes O No; Planters ❑ Yes 0 No - mis t, Electrical, Plumbing 83 -Appliance -Fireplace. -Clearance to Openings nnect, Electrical, Plumbing c. rim; G.F.I. Receptacle -Underground ion Throughout House mon rectio ss from Previous Inspections e rs Tagged; Gas -Electric r & Sewer Connected -C/O to Grade -HD Approval 910�Energy Compliance Certificate -Other Certificates Da 1 Card B-1 lZr Date Card B-1 Date Card B-1Da et Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 0 Building Owner IL Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # r DESCRIPTION OF INSULATION ROOF Material I CT72-C Leeec Thickness(inches) !� EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material_ Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name w Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name . Thermal .Resistance (R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)_ I hereby certify that the above insulation was installed in the above building, • 'is consistent with approved -building--department -plans- and -attachments- and con=- - - --- forms with requirements of Chapter 2-53 of State of California Energy Requirement . FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a6 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. _-, . -- (9- � ', f y I- � ,j n UIL ING CONTRAC OR/OWNER (Please Print) IRM NAME) NATURE OF BUILDINPCONTRACTO /OWNER HVAC FIRM NAME/OWNER (Please Print) iSIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. ,71 STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS j7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. —7 ASSESSOR PARCEL NUMBER 36-37-02 ZONING R1 BUILDING PERMIT OWNER DAN O'NEAL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5528 FARLEY OROVILLE 95966 CONTRACTOR'S NAME BUTTE ELECTRIC TELEPHONE 589-2634 CONTRACTOR'S MAILING ADDRESS 630 ZINK RD BERRY CREEK 95916 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5528 FARLEY OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �USE OF STRUCTURE SF L`_I"5Xy Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesM Installation[] Other ❑ Describe work: EXTEND SERVICE RISER TO ACCOMODATE NEW ROOF RE#1347-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6110V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p erjy (Check One): 2-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force and effect. License No. -Classification.' G / El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP..\/ZQsq OR ADDNS. ACC. BLDGS. // ft NEWCONSTR.ULTI.OUT LET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES SA030 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15,00 Permit Fee $ 25.00 Contractor 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 onsent 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. MECHANICAL PERMIT Filing Fee 10.00 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accrue against sai County in n uence of the granting of this permit. X Date 5 - 3 — Signature of Applica owner ElContractor[a Agent El 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 FEE $25, 00 HAz. CUA PARK SCHL FLD CDF PAR 1 HD. ISSUE, This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which f have been paid. DIR OF PU I WORKS By Date 7 �� PER IT EXPIRES Date Receipt No. 93852 WHITE-D.P.W.. YELLOW-ASSC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP4TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER •ZONING - 37- -� BUILDING PERMIT OWNER /1) ten/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' MAI LING ADDF7 ESS F�A rl{cl, 00 r,4— CON r ^,4— CONrvri� M CONTRACTOR'S MAILING ADDRESS t030 ZIWtC �3e CONSTRUCTION LENDER /VN2 LENDER'S MAILING ADDRESS OR ENGIN ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 55 ^ 1? ^ LOT NO. I SUBDIVISION NAME CR USE OF STRUCTURE SFLa""Duplex❑ Mobilehome❑ Other TYPE OF WORK New❑ Addition[] Remodgl❑ Utilities,❑ ' I Describe work: L mac) A Ct!O 9 sorb UNKNOWN PARCEL MAP SPECIFY Fireplace NEW CONST. DWELLING C)CCUP.•i\ OR ADONS. ACC. BLDGS. l NEW CONSTR. ULTI.OUTLET N. RES D, BRANCH CIRC ITS Total Valuation $ / Ex. Occup( OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) Filing Fee $ Misc. Wiring Permit Fee $ Contractor Plan Checking Fee $ Heating Energy Plan Checking Fee $ . Penalty $ Contractor Permit fee $ Energy Inspection Fee PLUMBING PERMIT Filing Fee Each Trap HAL. 2.00 Solar or heat pump water heater I FLD 20.00 Water piping , 5.00 Each qas water heater or vent 3.00 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobi le Home S FG JW I I 0-00e Install tion❑ Other ❑ Permit Fee $ Contractor Z- N6Al )foo -q! Pe(l::� (3jg7-tel( ELECTRICAL PERMIT Main service 6111 OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING C)CCUP.•i\ OR ADONS. ACC. BLDGS. l NEW CONSTR. ULTI.OUTLET N. RES D, BRANCH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisibns of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Heating Cooling Hood Ventilation Penult Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE TOTAL FEE , HAL. I CUA I PARK I SCHL I FLD I COF 3.00 • r• 10.00 Filing Fee 10.00 10.00 2.50 'h¢sq ft 2.50 ea z0 a 30• e ALO 30 2.00 10.00 15.00 15.00 5. b O $ O Filing Fee 10.00 3.00 S 5 PAR I PD 11 HD. I ISSUE This permit is hereby issued unaer the applicable provi- X Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i work indicated above for which fees have been paid. An OSHA permit is required for ex votions over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in fight. Receipt No. c_ s2_1?S ® By Date WHITE-D.P.W.. TEL LOW-ASSE33OR PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date 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 36-37-02 ZONING R-1 BUILDING PERMIT OWNER DAN O'NEAL TELEPHONE S0. FT. OCC. BUILDING VALUATION 3-000 OWNER'S MAILING ADDRESS 5528 Farle Oroville 30 @6 1,800 CONTRACTOR' S NAME 'Rurtenshaw Construction TELEPHONE 532-1479 CONTRACTOR'S MAILING ADDRESS Box 536, Palermo CA 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4,800 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 25.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5528 Farley, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ©X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: RPhr1i 1 d roof—raise to 4/12 pitch Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in f II force and effect. License No. Fl 9 Classification. Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason GOCCUP.Ik) S. oR ADDNST DWEACCLLING yz2sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES z0®30P 5AL030 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 Permit Fee $ Contractor 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. ❑ 1 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indem ify a d keep harmless the County of Butte against all bilities, ents, osts and expenses which may in any way accrue agar st aid Co n y I con eque ce of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor (A Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E- TOTAL FEE $ - 85.75 HAz. can PARK SCHL FLD PAR PD I HD, IS E This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. E TOR OF PUBLIC WORKS - BY Date /0 PERMIT EXPIRES ate ���"�� Receipt No. oiv�nii� WHITE-D.P.W., YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL,E,, CALWORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER_ ��'�y�%_ A. P o. �l0 1 3 — Proposed Building UseyEwJ )e0dF S%-ieL T(8 fuf/"d RQ (Inspector Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �// 1. All items have been submitted . .................................... DATE RECEIVED APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ............... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...... ......................... . 26. ;� 27. When you i sGe the permit, process as follows: Mai t. ~ ner. ail to contractor. Telephone 52!!2!?and hold for pickup at o f ce. Deliver w/inspector. Other Applicant, ` ," � �- l�� .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. - Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phone---inail_cou ter by _.date Contractor, designer, owner, was advised of above required data by_phone_mall co nter by date Plans checked byDate Plans approved by Date Sets of plans on hold in File cabinet 1,L_AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O ZONIN BUILDING PERMIT OWNERTELEPHONE A� SQ, FT. OCC, BUILDING VALUATION v OWNE 5 MAILING ADESS i. n � t .�� Q� � �C L U U LL �) �l� � � 0 C RAC TOR'S N E 1 _ L TELEPHONE -' CONTRACTOR'S MA ING ADDRESS _rQ,s��P C 4G — ---- - - Fireplace CONSTRUCTION LENDER NKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ^a , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSS SZ?_ � ��4�L�t Permit fee $ 7 PERMIT Filing Fee 10.00 0PLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodei g Utilities a --Installation❑ Other ❑ Describe work: le6fd iDOf- ArSP 0 Z ( e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V DR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 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. OR ADDNS, l ( DWELLING OCCUP..) ACC. BLDGS. ,�Z¢sgn NEW CONSTR.ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES SA50 Ex. Occup. OUTLETS FIXED P(RESID ILNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. ❑ 1 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. MECHANICAL PERMIT FiIingFee 10.00 Heating �- Cooling i Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, a d expenses which may in any way accrue a i t said Cou uenc of the granting of this permit. X - � Date 5 -7 _C I Signature of Applicant — Owner ❑ Contractorff Agent F-1work An OSHA permit is required for excavations over 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE —7 TOTAL FEE $ l �- HAL. I CUA I PARK I SCHL I FLD CDF I PAR I PD I HD. IssUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. WNI TE-O.P. W.. YELLOW-ASSE330R, K-1 N SPECTOR. GOLDENROD -APPLICANT 4 N ' . PERMIT NO. 3631 75B , P E M MH UTIL. „PERMIT NO. }^ PERMIT EXPIRES c�? / 6 .,OWNER Paul O'Neal .y •,,CONTR. S • LOCATION (A.P. 36-37-02 ) 5528 Farley St., Oroville t]f4 } c #. Temp. Power Pole z Called PG&E [� Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E %JOB FINALED l (per i' s k (Signature) t sl DATE -REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENTc-OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall I Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing I Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped ' Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE -REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC R 7 County Center Drive — Orovi Ile, California 95965 el ephone: 5344541 APPLICATION AND PERMIT 11 I/ authorize resentatives of the County of Butte to enter upon the ab -mention property for inspection purposes. Date Signature of Permitee or Agent Receipt No.- White-D.P.W. - Yellow -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. CODIRECTOR OF BLIC WORKS By. 7 Date 7-7,-3- 7i Building permit expires Date 2 -7- - i 6 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. p —37— 6J.— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ftftattmr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans I ParcelLawn I Declaration I Parcel Map 60' R/W I Improvements sprinkler system 2.00 8189. Pians Recd Parcel Approval Plans Approval Permit Fee $ $ N W ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ;?u 150 Receps., switches & fix outlets CONTRACTORS LICENSE LAW rovisions of Chapter 9, Div. 3 of the I am licensed under the, P P State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL N0.1 @ I 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. r);T' 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 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ authorize resentatives of the County of Butte to enter upon the ab -mention property for inspection purposes. Date Signature of Permitee or Agent Receipt No.- White-D.P.W. - Yellow -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. CODIRECTOR OF BLIC WORKS By. 7 Date 7-7,-3- 7i Building permit expires Date 2 -7- - i 6 I I I I s► i I ^ j I ` ^ 40 J. a1 (ll1 1,C Irk I 4c - ql� ! i - i ( ;;IIS Iliilll i +fil►!