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HomeMy WebLinkAbout078-200-009SPECIAL INSPECTION 92-52 9/21/92 DOLORES RUDOLPH 5640 Farley St, Oroville Permit#695-86B,P,E,M(addition/SF) PPermi�30-86B,g,E add laundry/SF) 0 KI* - Dolores Rudolph 5640 Farley Street Oroville, CA 95966 Dear Ms. Rudolph:. September 21, 1992 RE: Special Inspection #92-52 (A.P. #036-37-0-009) With reference to the above subject and your request for inspection of the woodburning stove at 5640 Farley Street, Oroville, the inspection was made August 18,1992. tb The woodburning stove was installed without permits, so we were not able to perform the required inspections. We made a -reasonable visual inspection and found the woodburning stove appears to conform to the intent of;code requirements. ' This inspection by the County of Butte does not act as a guarantee or warranty on the woodburning stove. Should you have any questions concerning this matter, please contact David Purvis of this office at (916)538-7541. DP:dms cc: Assessor Building Inspector, Oroville e Yours very truly, David Purvis Supervisor, Building Inspection File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information or ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. 4) T<, F"y"rs;,..�w^'�'rip•'wt"t�•�w'eer`s�-7•:,Ji•;�=��+ra"'+4`�'"_''31�'»+i�wa�i:�r.i.-lr4";�_'�v'�n � 0�' 1'•�w-r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 * Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION qo,,-5z- t Mailing Address T69 �� � ,. `� S Telephone No � �""7 "' Mailing Address Building Location 5 6 0 rU- L E 'f S -.-r DUD -4' I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 0 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) 4. Other (specify) WOOASToyc (( WoQCT, s-�o� �aS o� vaa,j, c1�4'�c,�d 5 6� w� req���c�X GlGu�awces'. I am requesting a special inspection foY the purpose of: --T—"-- p L--� r�e,g-es 1. Moving the building. iS c` old Po+ belly fYpc trtr S u �l a�pea�e •fry I; o'K 2., Financing (specify agency) 7 -ase No. ' 3. Change of occupancy to 4 4. Other (specify) •I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and._ housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and hereby authorize representatives of the mentioned property for inspection purposes. Signature of Owner Fee Paid $ 1st-DPW/2nd-Inspector/3rd-Applicant and state the above information is correct County of Butte to enter upon the above - Date (. Receipt No. / 3 G U\ i a ------------ i S` i ... .,. ,.. � �s` ••.'�Mr�r. c�.a�+Y.h��Si�...�.,�'.'-.+„Nr-�"',.�,+y"'ez-`v'^ i.+r..::v..�n-•�''�--.r�'i , .i."•.. � •.. ' COUNTY OF BUTTE'-.. MENT OF PUBLIC WO F - BUILDING DIVISION -, "f'' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER T,)V L_oK a S Proposed Building Use P G iZ V OO L i0 -H No.Q-tD N S Building Inspector At time of per Qxit application, I was advised the following data must be submitted prior to permit processing and/or issuance: , DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... request 20. Pre -inspection for to Bussing Ins ct required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup -at' Other r.f Parcel Creation Acreage Applicant Mail to contractor. - office. Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date 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: to By Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 17-7( IX I`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 Main service 200ATO1000A, 37.50 NEW CONST./ 3.60 sq.ft. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. I NEW CONSTR ULT LOUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS a,) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@76d FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agns .s Co my in conseque e g nti of this permit. X e (, $ignature of Applicant — Owner � Cont for ❑ Agent ❑ An OSHA ion of structures toverr 39 stories ineheight ions o S'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY DatePERMIT EXPIRES Date Receipt No. WHITED. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ��;'""-•— 7""";�'�,.�� ,Li.,;�J-T.,II�/✓..'rrr'�`{►'L+N.7�*+'a*,.ti..i+.-r°`wc.-...t.y'�'�.T'`"'�i�.7�""ir'l'^a•'}�'Sll:.l•�„�,.�('�T\5l%•-ar:--f••i"[7A"r�r^ir• �r"'^'R�y+f�r �74,k" - � �...r 0 _ C LINTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND'RERMIT ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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) ❑ 1, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&\ 3.6Q sq.ft. OR AODNS. ACC. BLDGS. I NEW CONSTR ULTI-OUTLET NON -RE BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 7614 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. rVf I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 ag ns• s Co my in conseque o e g anti of this permit. f Xot-e Y of Applicant — Owner �J Cant a for ❑ Agent [:] An OSHA -1 F is required for excavations o 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sionsSignature of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. i WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT • 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 ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME is PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I@ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 Imo-{ 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA, 37.50 NEW CONST./ DWELLING oCCUP.&\ ( 3.60 sq.ft. OR ADONS, ACC. BLDGS. / NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6l (SINGLE OUTLET R. I Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agal SC said Co my in consequen(% o(Yt/h'e granti g of this permit. )( ��) e 9 (� )•- / ❑ Signature of Applicant — Owner � Cant tor for ❑ Agent An OSHA permit is required for excovations ova S'i)" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 OFEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do � work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .: sz.s'.; x --r: •^.it��- :._._. _ _. .. :/fit 'a8e r :a. _ .�,. _. , . `..,.�.�, t,a..-'-riw'`�--•-rti�—.".✓✓ti'r-. L,��tir.,,�......t,..,,,y�.• `u --...-r+ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California.95965 - Telephone: 916/538-7541 APPLICATION ANb'.PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONY , SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each Qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel[] Utilities[] Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200A OR LESS 18.50 Main service 20GATO 1000A, 37.50 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) ElI, 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.ADONIS.( DWELLING OCCUP.&\ 3.6Q sq.ft. OR ADDS. ACC. SLOGS. /) NEW CONSTR MULTI -OUTLET @ 5 00 NON•RESID BRANCH CIRC ITS POWER APPARATUS IN (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 Ex. Occup. OUTLETS (RESID IED APPLNS. REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 againstsaid County in consequent// -le o((t'ihe granti g of this permit. X � .. !Rafe �' / r Y, ""'" w / r Signature of Applicant — Owner W Contra for ❑ Agent ❑ An OSHA t ion of structures toverr39storriesoineheigvht Ions Ove 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ I HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building per 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 or no.) �✓ 2. I (have/have'not) PI_signed an application fora building permit for the proposed work. 3. I have contracted with the foll'owing.person (firm) to -provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:'. Name Address City Phone 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' Address Phone Type'of Work .Signed: Property Owner Social S;.it' Date / I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and -19832 of the- California Health -:and-.Safety•.Code.t.--• >- - - - This verification must be completed and'returned to our office before we are per- mitted to issue the permit. PERMIT NO. 1030-86B,P E PERMIT EXPIRES OWNER DOLORES RUDOLPH CONTR. owner ASSESSOR PARCEL 36-37-9 LOCATION _ 5640 Farley St, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Ser i— Cal led PC JOB FINALE[ fi Signature SIA. a, ,i r, c PERMIT NO. 1030-86B,P E PERMIT EXPIRES OWNER DOLORES RUDOLPH CONTR. owner ASSESSOR PARCEL 36-37-9 LOCATION _ 5640 Farley St, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Ser i— Cal led PC JOB FINALE[ fi Signature SIA. V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready 41.1. , •MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ - /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7., Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI -Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 -I Date Card -BI Date Card -BI - Date Card -Bl 'Date, Card B -I Date Card -BI Date Card -BI Date Card -BI Date V -2 OK' 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE FLOOR Plans OK except#'s Date FRAMING (Continued) Zo ' g requirements -Setbacks -Easements rop Line Firewall & Openings 40 tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3'-Check'Garage-3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth idth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depthywood on Roof Overhang -Attic Vents -Rafter Outriggers . Stemwalls, Ma•in;Steel-Blockouts-Wrapped-S Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 5d__Stat.'C"esh-Drip Screed-Fdn. Vents-Underflr. Access 7. Pi Fireplace Ftg.-Steel rea-Glass Protection -Skylights -Plastic >7 - W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test a s; ailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. -Girders-Sills-Anchor Bolts -Joists -Vents -Cripples C Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI DateS-6Card-BI Date Date FINAL�Plans) OK except N's C -BI Date _ Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. W58. t.; Vent -Access -Combustion Air �Ex�ps-Door & Sidelight Protection -Landings 57. moke Detector Furnace- V omb. Air -Connector - n Garage; Above Floor -Ducts -Meth. Protection LIS Pipe; Test & Anchors -Nail Protection . D. t-Fttngs & Anchors -Nail Protection m xiting _ 7. Shower Paten; Test, First Floor -Tub AccessaFixtures & u ccess 6 ec. Trim & Subpanel; Breaker Sizes -Labels 18. Nest Tub & Shower, 2nd Floor -Tub Access _ 1 Pipe; Size & Anchors ails _ _4'9_x_ e or Stove; Clearances -Hearth 6 . Elec. Outlets at Wood Panel; Int. & Ext. -BI Date I Card -BI Date ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date c. utlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's ire Door; Swing -Landing -Closer GaraiJ-damper 20. Fixture & Transformer Clearance -Ins. Protection 6 Wtr�. Ht/r.- Vents -Clearance -Comb. Air-Connector-P.R.V.- In � Above Floor-Mech. Protection _ �_ _Receptacles Spacing -Lights &Switches at Doors ize_oxes & No. of Conductors -Stapled 7 Ib., Elec. & ui . Listed for Location eceptacles in Garage; (G.F.I.)-Romex Protec. 3. o Installed Close to Edge of Studs & C.J. -- . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water -o_o ed in Attic ❑Yes 7 ai s &Deck Construction -Post Caps — cults in Kitchen &Conductor Size 26.- SO4ieet11ri?e Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Cra ,L,yo Door -Drainage & Wood -Earth Clearance o -Med under Floor ❑ Yes irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, - Insulated Neutral !_,Yes El No 75. Fo jaglas4-1d-.�--Drive E] Yes ❑ No; Walks ❑ Yes ❑ No; gw Planters F-1 Yes [J_ No _?J_.Seser Conductors & Ground -Main Disconnect - nisfi- 29�E�nip�T earances; Panels-Motors-Mech. Equip. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30:-r:'leH"&,&leset Light -Shower Light - - - -- —9. 7C LAr66-I�/Date ard-BI Date Card B-1 Date Card -BI Date 78. nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. WNW ell; Disconnect, Electrical, Plumbing -09-Estecie 1ec. Trim; G.F.I. Receptacle -Underground _44-�iT'o� throughout House _82-ass,Protection Date _ MECHANICAL (Permit) OK except q's 31. A.C. Ducts: Insulation & Support _ 32. Vent Fan; Exhaust above Insulation _ _ 33. Condensate Drain & Overflow; Size & Grade _ _ 83 ' ctions from Previous Inspections ' qrGas Test -Meters Tagged; Gas -Electric er Connected -C/0 to Grade -HD Approval 86' --Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date Card -BI ate rd -BI Date Card -BI Pate Card -BI Date Card -BI Date Card -BI Date Date FRAMI Plans) OK except q's Comments at Final: _ Sill per Material & Anchors__ al s-N_ailing_Spacing & Bracing -Plates_ -Sound 3 ear' Walls over Girders & F_loo_r_N_ailing- 3 raft Stop in Walls (rat proof)__ ire Stops: Furred Ceilings -Stairs -Chases -Tub _ & Beam -Size & Bearing ^^ Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Ties or Type A Flue -Fireplace Throat ,; c�cess: Size &Romex Protection -Draft Stop -Ins. Baffles . endows or Exiting Doors-_Sill_Hg_t. & Dimensions___ _ 4•ir-9erage'F1re Protection Framing _ T (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE will A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector \ "2aA,— Date I _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS QPERMI�TN O 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSE S R PA EL MBER _ ZONI BUILDING PERMIT 0WNTELEPHONE r - 9S SO. FT. OC BUILDING VALUATION OWNE 'S :MAILING AD-�iESS I I NrCT O 'S N AM E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR C' ION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS — Permit fee $ x10.00 PLUMBING PERMIT Filing Fee Each Trap 1 2.00 V _ 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 !J 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 I W I h 0.00 ea TYPE OF WORK New ❑ Addition10 Remodel ❑ tilities ❑ Installation❑ Other ❑ Describe work: /llll���� ed j/+ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LI ENSE 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 lk� 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 OR ADDNST ( OWEACCLBLS.DGOCC 1/4sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eAL090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 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. 7 ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate dof 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. 1 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. 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, and expenses which may in any way accrue again said County in conse uence of the granting of this permit. X Date /11311?, Signature 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 . $ Energy Inspection Fee $ TOTAL PERMIT FEE $ l occuP. CONST.TYPEJ FL.000 AR, v PD ND Is3u r This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC a By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,—p .� / Receipt No. `7 O A62 WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT a b COUNTY OF BUTTE - DEPARTMENT,OF� PUBLIC WORKS !'BUILDING DIVISION / — t4 t ­ti, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 l_ ..f PERMIT APPLICATION DATA SHEET % Permit No.— OWNER o. OWNER 1O ✓ F Su I A. P. No. Proposed Building Use V Permit Fee Based Upon: Complete Contract Price / DPW Valuation Other-( x I ) Building Inspector Date Zj2 V r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED APPROVED i All items have been �submitted . , :by Plot plans in u lic teAriplicate. ` . >�I,y����� Complete plans in uplicate riplicate. (� 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. CertI"c to of Workmen's Compensation Insurance. Co actor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner) 5. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-Insp request to (Date) p q Building Inspector 18. Recorde o f Ari u t ral Acknowledgment Statement . , 19. Other Dk FEMAf P tN[eL� Construction approval required prior to occupancy) When you issue the pe; Telephoned Other p ges,as follows: Mail to owner. Mail to contractor. UU and hold for pickup at 0V'0 office. Deliver w/inspector. �� Date ?/ S CoOv of plans sent Health DeDt..Fire Dept:: .' GOther Date During the plan checking process, the following data must be (For required items not checked above at ,ime 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by_ Plans approved by Other Copy–DPW ubmitteo prior to permit issuance. application, circle item.) Telephone 0Mail Other By Date Date -Date -2_5' U� '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 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 or 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 Address City Phone'. Contractors License No. 4. I plan to provide portions of this work, but I have hired the'following person o coordinate, supervise, and provide the major work: Namey.c�� o _ 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 Address Phone Type of Work Signed: Prope Socia Date 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 per- mitted to 'issue the permit. ,a3 0- :3 C, -, -3 _3C,-,-3 Doloros Rudolph 5640 Farley Street Oroville, Ca. 95965 O 13' 81' O n 1 N 11 . 610 W .L � � v `q MAh ��� �;� �,Ny R000�S '40. 9" Rccm_ J -Patio "' . N CO 0 O� N W N C 2 —*+ lD C O 13' 81' O n 1 N 11 . 610 W .L � � v `q MAh ��� �;� �,Ny R000�S '40. 9" Rccm_ J -Patio "' 0 fD O -• N C 2 —*+ lD C N � ��y� 3 3 O w '"%%.� O �C_ m 3 a, cD y QN 9' L (� X °, a m fD OL Lincoln Highway PRO Vero SP 06-�..a O P,t -rrN6 24 "fe -ov�oE Socsr . H+ w*ff es s 2 -)cc! XsVra' 'oP PLfIttr -Pes m yg" pe-59tsew 9'c cvlNa l� o j deAf Z x4 WIT* C-WLI"4 FOOTING FOR LAUNDRY ROOM �`N �o�ST ZX y 5 r3 �po2tt�l6 APOQpv� V 2{(O Fv8 2y ".SPAN Provide %s" x l0" anchor bolts' @ 6' O.C. z"CV, 1 max. and withia FL009- 30(s -r of join, _ 2c'tx 611 redwood sl P-41u��pp��y\Q Grade Level w Z f • c s 04 8., 8" E v ��rRc�Q 12 " C �L 12" x 8" solid pour �C�EO 8"x 8" x 16" cement block SUITE COUNTY ll rout all cells BUILDING DEPAR'll0<01� 91 �� IMPROVED p- ,7 w w - • - - - - . 2>O XIS TiNS pis r- tc O, n Z ZO G AO °Q D D Q C•. a to Q SQA H O �• C 0 QO C P4 QO + m 0-O n CA03 S� 0 Q 0 n 0-S Q t: -0 Q - 0 CL S7 CL CL3 V. 13 i V. 13 eount* of iquae OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Hilma Keegan ADDRESS: 2999 Oro Dam Blvd., Apt #3 CITY & STATE: Oroville, CA 95966 IMPORTANT: April 24, 1986 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do -work. (Bldg Permit Appin. #6�p,E, Recei t #57703, dated 3/26/86, A.P. #36-37-9)_ Owner: Dolores , Rudolph. Building permit fees paid -------------------- $199.75 Retain ir_; meg—€ee --1009 Retain plan checking fee ----------$58.25 ftr PP ---:$15 00 — _p1nn_checkino Amount retained ---------------------------- $ 83.25 Rpflind e-----------------------------------------------$ u 6.5(1 Plumbing permit fees paid --------------------- 36.00 Retain filing fee---------------------------- 10.00 Refunddue----------------------------------------------- 26.00 Electrical permit fees paid------------------ 19.15 Retain filing fee ---------------------------- $ 10.00 Refunddue-----------------------------------------------$ 9.15 Mechanical permit fees paid------------------ 25.00 Retain filing fee ---------------------------- $ 10.00 Refunddue----------------------------------------------- 15.00 Refund energy inspection fee-----------------------------$ 30.00 TOTAL REFUND DUE_. TOTAL $196.65 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this xclaim is true and correct as stated. . / Dated this .....��day of%VJY....... 19 ..................... .....Calif. Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- 24th April 86 Oroville livered and that there is a Budget Appropriation E] or Specific Board Approval [D (Check one) forWaent<oe� Datedthis .................................... day of .....P..................... 19......, at .............................. , Coli f. ......�urized ......ep Dept. Exp. ' Code............................................ Code ................................................PAYABLE FROM ......................................................................................... FU DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APFrLICATION AND PERMIT ERMIT� 140 ASSES PAR E NU ER — ZONI BUILDING PERMIT OWN 0 o re LEP TEo - 9 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN�ADD ESS r EU rovi Or ov CONT CTORSNAM I- TEL PHONE CONT ACTO 'S MArLING ADDRESS Fireplace ' CONSTRI CTION LENDER UNKNOWN Total Valuation Is 6103 0 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee Is Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '^ ^ EL 40. Lo Permit fee $ - PLUMBING PERMIT !Filing Fee 10.00 Each Trap 2.00 11 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas -water heater or vent 5.00 p USE OF STRUCTURE SF ® DuplexMobilehome❑ Other ❑ SPECIFY Gas piping system 1 - 5 outlets 5.00 j' 0 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition] ode ❑ Utilities ❑ Installation❑ Other ❑ Describe work: pOlr✓L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 L O Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service/EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p i y (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 oR ADDNST (ACCLBLDGS.0 '/20sgft ' NEW CONST R. ULTI.OUTL NON•RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 2ALO 30 .200500 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMITFi ling 10.00 Heating e• 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 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, and expenses which may in an way accrue against said County in cone uence of the granting of this permit. XZid Date Signature of Applicant — Owner Contractor ❑ Agent ❑ rV7An OSHA permit is required ove for excavations r 5'0" deep and demolition or construct- Ian of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ IV 0 TOTAL PERMIT FEE ,$ 9 OCCUP. CONST.TYPEJ I FLOOD A7 (/ PD ND ssu This permit is hereby issued under sions of the Butte County Code anc/or work indicated above for which DIRECTOR PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do faes have been paid. WORKS Date �� � 7, LReceipt No. L" HITE-D.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT +f 1 i COUNTY OF BUTTE - DEPARTMENT'bFyPULIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE r OF�OVILL' CALIFORNIA 95965 - TELEPHONE: 916/534 541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use es fi L4 JO /)0 ti Permit Fee Based Upon: Complete Contract Price Permit No. A. P. No. C56 DPW Valuation Building InspectoUate LTa('9 l c_3 r�z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: .DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . 2. Plot plans in plicate riplicate. . . . . . . . . . . - _ �.- 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ I J J� % Letter of signature authorization. qo.✓ .%`1�:1�+?ri. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . 1 Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner XA _=8� Wta 5. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. RecOther 0 %j kJ ut Ac�Cnow�eid meap roval required prior o occupancy 19. Other `moons ruc pp When you issue the per i , process as follows: Mail owner. Mail to contractor. Telephone -M gs- and hold for pickup at 0 ofi ice. Deliver w/inspector. Other Il - S Appl ican Date J/2 (/PC Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1: Index permit for above Items No. --� 2: Additional items required: Jg_ .0) 72 r� (Contractor, Designer, Owner) was advised of above required data byyTelephone Mail Other By Date Plans checked by 4 Date Plans approved by SdZ Date - [ANo Other: Copy—DPW ii. �/�Aa.KE+-c.✓ OPV-.."_.. dQm+✓'�/ VL 1 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-buildei" 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 impr vement (yes or 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 '%L✓e^'y�-� Address City Phone Contractors -License No. 4. I plan to provide portions.of this work, but I have hired the -following person o coor mate, supervise, an pr a 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 e worindicated: Name Address Phone Type of Work Signed: Prope Socia Date 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 returnedlto our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone:'916: 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER w, JVI✓iA ZONI J/ • • BUILDING PERMIT OWNER 0 ` d TELEPHONE SQ. FT. - OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS S'6 0Cfe ST 2p CONTRACTOR'S NAME w vaJNC/L TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ` - Filing Fee $ 15,00 Permit Fee $ ®, X10 ARCHITECT OR ENGINEER r LICENSE NO. f Plan Checking .Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / S� - Permit fee . $ 00. PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL•MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF(E Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: (duet Sstc 1D)-0CC'IvM�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE_ LAW ' 1 declare under penalty of check : P Y perjury Y( 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 ❑ 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.& OR ADDNS. 1 ACC. BLDGS. 3.64 sq.f[. NEW CONSTR ULT'_ OUTLET NO N.RESID BRANCH CIRC ITS 5•00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES20 @ 76d FIXED ALNS EX. Occup. OUTLETS PP (RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 Californias Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. --Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating " Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date signature of Applicant - OwnerE]Contractor 1:1Agent ❑ An OSHA ion of structures tover 3q stories in height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST TYPE TOTAL FEE HAz 1 0FEES I 'MP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date " Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT