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HomeMy WebLinkAbout078-210-007AP fHILIP E. McFALL 8 Farley, Oroville rmit# 2149-75B(reroof). 1 Permit#90-88E(upgrade ele panel)SF i' r" 07 02-0948 ; MCFALL, MARGARET { 5348 FARLEY ST., OROVILLE CONT: ARCTIC AI:RE HVAC C/O j r i a . I R I{ I { ---- - - t .. � a �� 1 ---- - - t .. � a Air . T` (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7��1 C948 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036-350-007 ZONING BUILDING PERMIT OWNER MARGARET MCFALL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 48FARLEY ST OROVILLE 95966 5348 CONTRACTORS NAME ARTIC AIRE TELEPHONE 893-3350 CONTRACTORS MAILING ADDRESS 2350 PARK AVE CHICO 95928 CONSTRUCTION LENDER - Fireplace LENDERS MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5348 FARLEY ST OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each nas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other YO Describe Work: CHANGE OUT HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service loon oA '.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 ' in full force and effect.�, License Class LIC. No. OWNER -BUILDER DECLARATIONDuntTGRFaruREs.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. V0 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worke(s' compeIpsation insurance carrierd policy number are: Carrier ir.�,'�1 I WW1 q" 1141 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.) ❑ 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 ^V� ` `��----• Date 44 1M 00?.-- Signature of Applicant - ❑ Owner ❑ Contractor GLA'gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. TO Main Service 200A 1000A 46.00 NEW CONST. DWELLING OCCUP. CU SO OR ADONS. ( & ACC. SLOS. 3.5¢FT. .0 ONMULTI-OUTLEITST 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EOccup. X. BAL I Ex. Occup. OFDC DTSAPP.. ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ WON Energy Inspection Fee $ Occ CONST. TYPE DU. UU TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f which fees have been paid. 11 /1 99 4Y/ By Date PERMIT EXPIRES / U (Date)' Receipt No.353279/$50.00 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 • Oroville, California 95965 • Telephone (530) 538-754 'Leel2/961 APPLICATION AND PERMIT _ � b - Z39 EMIT r;� A;SESSOAPARC �pzO"N° BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS ►�HU �``, cstn & CONT;A E COTrtE � CONSTRUCTION LENDER LEnDER S N/VUNG ADDRESS Fireplace _ Total Valuatlon Is APCHRECT OR ENGINEER UCENSE NO Filing Fee S 20.0^ ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee b B�401�G ADDRESS Energy Plan Checking Fee $ IDT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF 14 Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK .New ❑ Addition ❑ Remodei ❑Utilitiess ElInstallation ❑Ottherr Describe Work: `� nQ � W to / \ �/ " PEPAIT FEE PA10 SRA • . SHERIFF OTHER AAkb IN"T RECGMb •aec�rt �wueR 3'� "� a • TO N SVT INTO COMKJM EX. OCCU OUTLET OR FDMRES S PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.001 Solar or heat pump water heater 23.001 Water piping I 15.001 Each gas water heater or vent 15.001. Gas piping system t - 5 outlets 15 Building sewer 15.00` Mobile Home I S I S WF @20.00'; EX. OCCU OUTLET OR FDMRES PERMIT FEE $ Ex. Occup. 0FlVTlE0T RES10.0I, ELECTRICAL PERMIT Fling Fee' 20.00 Main ServiceoR ( eoov oR LESss mw I 23.00; Main Service ( � 200A TO I000A ! _ j 46.00; NEW CONST. ( DWELLING OCCURCSO I OR AODNS. A ACC. BUDS. 3 5FT.1 NEW CONST NON•AESIO. MULTI -OUTLET RAANCH cact., I 87.50; EX. OCCU OUTLET OR FDMRES i 20 W '., I BAL • so Ex. Occup. 0FlVTlE0T RES10.0I, Temporary Service 23.00 Mobile Home Facilities I j 20.00: Misc. Wirinq i 23.00: PERMIT FEE i S MECHANICAL PERMIT I Fling Fee i 20.00 Hood / 6.50 I Ventilation i J PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee $ OCD CONS` 11 TOTAL FEES d -- NAZ. 10. FEES I IMP I FLOOD I COF I PARCEL I Po 1 Ho • 65LE 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 Date Receipt No. PERMIT EXPIRES ON wMITE•O.D.S.•6.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT I Nn,. PERMIT NO. 211.9-75B P E M MH UTIL. PERMIT NO: PERMIT EXPIRES OWNER Phillip McFall CONTR. ."(LOCATION (A.P. 36-35-07 ) 5348 Farley, Oroville Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. /INALED d PG&E / (Date) (Si ature) ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall ; Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows I 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing 4.;-16 - 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 Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE _ REMARKS OR CORRECTIONS ,6- /'0 7& Brow sh c�q�a. ✓ vcr //P�/ ✓ I. COUNTY OF BUTTE — DEPARTMENT OF PUBLICRAI 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I/ authorize representatives of the County of Butte to enter upon the abovg.wertioned property for inspection purposes. Date J gnature 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. DIRECTOR OF/PUBLIC WORKS BY Date uilding permit expires Date BUILDING Owner6�� e S FT. OCC. BUILDING VALUATION Mailing Address ,© Telephone No. 3-7 Z9Z Fireplace Contractor ��,() Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ I 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. Ngzk- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F 6a4"Uon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $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 b 41 Receps., switches & fix outlets EM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 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 Lice a No. Classification Misc. wiring f` plei am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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 hao placed on file with the County of Butte a certificate of W men's Compensation Insurance. I certify that in the performance of the work for which this LM 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 representatives of the County of Butte to enter upon the abovg.wertioned property for inspection purposes. Date J gnature 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. DIRECTOR OF/PUBLIC WORKS BY Date uilding permit expires Date ' }.,d'r�{--w^r*-7'wr� ....-: R.y�I,.ti=•'�...=.�='++'a�.i �.':,,9.'-,t�;+7,',�+�r���;,,,Yy�lY'�';!"�'3'7�"�KLs t�,Y�.%,T'7►"""'1i�dS"Mr""'"""^ "`'';-' ""'� 90-88 i Philip E. McFalli 5348 Farley .0roville i t OFFICE COPY Address GAS Meter By . Date ELECTRIC Meter By DateL- - f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT C PERMIT(N • ;. ASSESSOR PARCEL NUMBER �, • ? �" j r 1 ' ZONING frt' , BUILDING PERMIT. OWNER (J ! �•- 7 ill t + 1I L �. c ( �l TELEPHONE _t -2 -I+ I(.SO. FT. OCC. BULLDING VALUATION OWNER'S MAILING fAODRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS J • � r/ J '7 �f 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 SFLf Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W0.00ea TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other ©- Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 / J Iii) Main service EA. AOD'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 thea Business and Professions Code and my license is in full force and effect. License No. ClassificationzAL030 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 NEW CONST. DWELLING OCCUP.61) '/zQsgft OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRANCH CIRC ITS POWER APPARATUS 1%) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .20@030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /' l -4, 7,) ermit 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. 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 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 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. `l` ,��, ���/ J� /����� X Date_ _K $ignaturerof 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 $ Occup. CONST.TYPC ISCHOOLIFLOODIPARC111.1 PD ND 119/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Y . �-/l: �-- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -,By Receipt No. i t - WNIT!-D.P.W., YlLLOW-A389330R, PINK-IN.2P ECTO R, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ':• 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. I y 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 matter, or need additional explanation, please contact this office immediately. Inspector tel/ /�/�C�//� Date_ ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMI T N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P gqCEL NUMBER (2' U ZONI BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING ALUATION OWNER'S MAILING ODRESS O ll r CONT ACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 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 o Permit fee $ PLUMBING PERMIT Filing Fee 10.00 61 (Oro Each Trap 2.00 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 --/ USE OF STRUCTURE SF l/K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: C i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 /(?..Q Main service EA. ADD'L 100 AMP 2.50 a <5O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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.d�/22sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. M0UTLET NON.RESID .BRA CH CIRC ITS '2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 14.0() Ffermit 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. 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 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 Countyot 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 ' st said County in cons uence of the granting of this permit. X u Date �j Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OS A permit is required for excavations over 5'0" deep and demolition or construct -I ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ so occu P. CONST.TYPC SCHOOL FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sio the Butte County Code and/or rk f ate_ ab ve for which fees TbR OF PUBLIC L BY 4�V/ PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date / 3J�gar/ Receipt No. �3 WHITE-O.P.W.. YELLOW-A38ES30R. PINK -INSPECTOR, GOLDENROD -APPLICANT i r'JtY � ., ri t r _ fi - J`" � . . `ii• � .i;1 `r'a, D� ' Y,,' ,. .'" ` r.F^ y - COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVItE,,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - Permit No. OWNER , A. P. No. '-3 U(7 Proposed Building Use( P_Zlir Building Inspector — Dates/-,// At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "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. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) -14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) -..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Dote) 17. Pre -Inspection for __ _. __ _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit- _ 20, Plot plan approval from city of f .� -, _ - 22.When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone -533'90(0 and hold for pickup qD<) office, Deliver w/inspector. Other Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. — 2. Additional items required: (Circle new item not checked above). Plans checked by Copy -DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date Contractor, designer, owner, was advised c? above required data by —phone —ma iI—counter by date Plans checked by Copy -DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916,:'@588-7541 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 im rovement (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 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 Security, mber Date /4 -//'(" 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P CEL N MB ER e ' �- e U ZONL BUILDING PERMIT OWNER —t 11;9 TELEPHONEfAi SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING DDRESS l/// r CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 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 e - Permit fee $ PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. =ISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 �/ USE OF STRUCTURE SF E? Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 • 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other Describe work: Jr Pennit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 /(J• V Main service EA. ADD'L 100 AMP 2.50 5" CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Cihapt. 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.N A U • B OU SLET ) h¢sgft NEW CCONSTR� NON.R ESID BRA C CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I 000t Ex. Occup OUTLETS OR FIXTURES eAL090 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / Q piermit Fee $ o;? 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. 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 g 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag st said County in consequence of the granting of this permit. X Bj. r,( 1J%vl "— % �� e , Date Signatur' of Applicant — Owner ❑ Contractor El Agent ❑ An OS A 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 $ occUP. CORST.TYPE SCHOOL rLDoo PARCEL I PD RD 39UE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -1��