HomeMy WebLinkAbout078-210-015FAW
CHARLES EDWARDS
5277 Farley Ave, 06oville
Contr: Mauldin & S ns Plumbing _
P rmit#594%-79M(replace wall j
heater) SF-P/&0 O°►(,�/
93-1449 B
EDWARDS, CHUCK
5277 FARLEY ST, OROVILLE
th
CONTR: GEORGE ROOFING
REROOF/SF
Oy.eS� 915- 05-0987 _
YANG, YER NYIA
5277 FARLEY ST, OROVILLE \
Cont: OWNER.
REROOF HSE-I ISQGRG-8SQ `O
PSIS � 085
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ao e � �� 1
NOTES RESIDENTIAL
PERMIT NO.
��77�iK4cy 5�'
5-0 l%
F V
SPIECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
1 FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
e
• -� � D 5
JOB FINALED (Date) _9 (o
Signaturey
J = OK
0 = Not OK
NotApplic
o = Not Ready able
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-Clearances-Grnd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8. 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. Tie Downs-Type-Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors _
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Nat Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Comments at Final:
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83. Following Instld/Drive O Yes O No/Walks O Yes O WPlanters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BOILDING PERMIT BP050987
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE At: (530) 538-7541
B. C. Building Permit 01-i6-04 pg
LICENSED CONTRACTORS DECLARATION
,
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/18/2005 APN: 03.6-350-015-000
the Business and Professions Code, and my license is in full force and
effect
License Class : License Number:
Site Address: 5277 FARLEY ST ORO
Date: Contractor:
Map Index:
, Description: RE ROOF HOUSE COMP 11 SQ.'S &
'OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
, -
GARAGE 8 SQ.'S
Contraclors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code. Any city or county which requires a
permit to construct, alter. Improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to file a
Owner: YANG YER NYIA & PAY CHANG
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
5277 FARLEY ST
she Is exempt therefrom and the basis for the alleged exemption. Any
OROVILLE, CA
violation of Section- 7031.5 by any applicant for a permit subjects the
95966
applicant to a civil penally of not more than five hundred dollars ($500).):
�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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: VANG YER NYIA & PAY CHANG
provided that such Improvements are not Intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
5277 FARLEY ST
proving that he or she did not build or improve for the purpose of
OROVILLE, CA
sale.).
95966
Cl I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 33 ofthe Business and Prof essio , Code
Contractor:
t&ner:/
Date:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
License #:
Labor Code, for the performance of the work for which this permit
Is Issued.
❑ I have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
Architect:
insurance carrier and policy number are:
Engineer:
Carrier:
Policy fl:
U I certify that in the performance of the work for which this permit is
Total Square Ft: 0 S. F.
issued, I shall not employ any person in any manner so as to
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwl comply with those provisions.
htz e
Dale:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall'subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit Is here y Issued under thea Ic le provisions of the Butte County Code and/or
Resolutions to do ork Indicated above or yy ch fees have been paid.
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
By: Date:
Name:_
PERMIT EXPIRES ON: 41
Address:
I. are
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
it Is to alter the substance of any official form or document of Butte County. I hereby
all county and state laws relating to building construction. I acknowledge unlawful
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Signature:
Print Name:�-)
Dale:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
1
B. C. Building Permit 01-i6-04 pg
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
X
For office use only:
OWNER
Last Name
Ifk4- ill;
Flood Zone SRA I Yes I
irst Nam
Address
City
City 0e_0
State
State
Zip
PhonS 30 y3 ._y1
�
Fax
E-mail
Lic. #
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
Flood Zone SRA I Yes I
Address
City
Subdivision Name
State
Zip
Phone
(4_7I
Fax
E-mail
Lic. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone SRA I Yes I
Address
City
Subdivision Name
State
Zip
Phone
(4_7I
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
/ e,
Flood Zone SRA I Yes I
Address -71
City Q 0V 1' I
Subdivision Name
Stat
'Ll6
Phon 3 D � 3 _
(4_7I
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
a✓le
Flood Zone SRA I Yes I
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
QBP
BIN #
LOCATION
API
Property Address
a✓le
Cit
UYQov tT-c
Cross Street
elt'w( fiv v
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Description or Scope of Work:
of
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: O. or) Bldg
SRA
Receipt #: ' Yv( Sheriff
SMIP
DatOther
Date- __ C 05 G U
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ S. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement,
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
036-35-0-015 93-1449 B
EDWARDS, CHUCK
5277 FARLEY ST, OROVILLE
CONTR: GEORGE ROOFING
REROOF/SF '
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS; PERMIT NO.
j 7 County Center Drive - Orovikle,, California 95965 - Telephone: 916/538-7541/ (/n
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
�-�iD" 350 �'
ZONING
BUILDING PERMIT
OWNS
TELEPHONE
SQ. FT. OCC. BUILDING VAL'_D1A ION
OSE LIN RE t
/
Ih.4r..
CQ
TOR'S E
//
T LEPHONE
3 -
CO AC OR'S MAILING AD R SS•,
�/Ale
Fireplace
CONSTRUCTION ENDER r.
UN NOWN
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 $
BUIL G ADDRESS
;z J
Permit fee $ �
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
"'Solar BY heat pu15ip water heater 20.00
LOTN O.
SU BDISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Duplex ❑ Mob ilehome❑ 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 F-1 Remodel❑ Utilities❑ Installation ❑ OtheyV
Describe work: _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15:00
Main service 200AORLESS 18.50
Main service 200A TO 1000A) 37.50
CONTRACTORS LICENSE LAW
I de lar under penalty of perjury (Check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess s Code and, my license is in full —fores and effect.
C//1
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. / DWELLING OCCUPM 3.6psq.ft.
OR ADONS. l ACC. BLDGS.
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
SINGLE OUTLET SIR. )
Ex. Occu 20 76
p�O OR FIXTURES
FIXED A
Ex. Occup. OUTLETS ((RE51D.)REA.) 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.
XI 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. j
Notice to Applicant: If after making this statement, should you becoe subject
m
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. I
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 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 Countyi consequence of the grape of this permit.
�y q
X. Ai. (..� J;N Date �/ / 3
Signature of Applicant — Owner El Contractor ❑ Age�i.�
An OSHA permit is required For excavations over 5'0" deep and demolition o• construct -
ion of structures over 3 stories in, height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $
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
.
work indicated above for which fees have been paid.
DIRECTOP-QF_PUBLIC WORKS
By �dIL°u'1tti it Dote
PERMIT EXPIRES Dated o
Receipt No. 7 / Z !
WHITE-O.r.W.. YELLOW-A55E5SOR• PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califorriia..95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
SSESSOR PARCEL NUMBER
0-36-350— 0/S
ZONINyg4�
/"'L-
BUILDING PERMIT
ow F,
TES -'?-1 '
•� c7
SQ. FT. OCC. BUILDING VALUATION
OW� MAILING RE t
C TRACTOR'S E
T LEPH NE
5334.393
CO AC OR'S M LING AD 5 f
Fireplace
CONSTRUCTION ENDER UN NOWN
Total Valuation Is IV141 40
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 2,0,06
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL G DDRESS
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
SFDuplex❑ Mobilehome❑ Other
�� SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthepV
Describe work: _
—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 200A TO 1000A1
37.50
CONTRACTORS LICENSE LAW
I de lar under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' s Code nd, my license Is In full forc and effect.
License No. Classification
ElI, 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
OCCUP.&\
NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. //
3.6Q sq.ft.
NEW CONSTR. MULTI -OUTLET
' NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20 76
FIXED
Ex. Occup. OUTLETS PIRESID IKEA.)
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
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 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 ' consequence of the gr of this permit.�y�c�
J�4 Date —/ — / ��
Signature of Applicant — Owner❑ Contractor ❑ Ager
y�
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ f
HAz
OFEES
IMP
FLOOD
CDF
PARCEL
PO
HO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRE C BLIC;WORK$
By
PERMIT EXPIRES Dat
applicable provi
resolutions to do I
have been paid.
D to 0
Q %
Receipt No. l/ ZQI /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
"I
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Ce Iger Drive — Croville, California 95965
Telephoge: 534-4541,
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
v 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.
DIRECTOR OF.'PUBLIC WORKS
By !r./, - Date 7 l /ice
Building permit expires Date
BUILDING
Owner Z5 ri
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor /M L; I'd a ✓''mor S u..� ice. lr-
Mailing Address c, /� �.1! .5 IT / Fireplace
! Telephone No. Total Valuation
Lir C�s �l✓ (. / i` 4 sL/ l Y, e Permit Fee
Building Address -� _ Plan Checking Fee&/or Penalty
g �` / ��� L� Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
/
A. P. No. �G' "� —/S
Zonis 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W:C
-Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans.Rec'd PorceI A roval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
Lawn sprinkler system 2.00
Permit Fee $
$
ELECTRICAL NO -1 @ FEE
PERMIT FILING FEE $3.00
Main service 60ov OR LESS
100 AMP OR LESS 5•00
Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
I�` ,,/ / rte � � � � � �L1�ii �`. �
(� _
Main service OVER e O 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONSTOR ADDNS. L ACCLBLDGS.WELINGCCUP. 4) 20 sq ft
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
le of: '�
style
//_�ivf~R✓irc ele.
NEW CONSTR MULTI -OUTLET
NON.RESID, ( BRANCH CIRCUITS 2.50ea
NEW CONST R. /TOWER APPARATUS 6
NON-RESID. `SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXT(IRES) g L1�
EX. QCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
/^
Mobile Home Facilities 15.00
License No. �/��`yfr rl e.34 ,#,BMisc.
Classification
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No @ 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.
QI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑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 5 [ c, -A' /,J U
Cooling
Ventilation
Hood 2.00
Permit Fee $ 7 GAO
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
v 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.
DIRECTOR OF.'PUBLIC WORKS
By !r./, - Date 7 l /ice
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 (j1
"�/Telephone: 5341541 �
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -me ned property for inspection purposes.
X,
Date
Sig ure of Permitee or Agent
Receipt o. L .S6OZ
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.
CTOR OF/IRJBLIC WORKS
By Date
1.,,kkm permiexpires Date
BUILDING
Owner ak�trS
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor 1,4dU -b v:5- �• 1 C�
Mailing Address4
Fireplace
Total Valuation
j4r ,
TelephoneIS /
`7 y
Permit Fee
Building AddressG
6-:2 —7 7
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
L&(r
Repair drainage or vent piping 1.50
/ ,— �
A. P. No. -- " f S
I
•Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fil6e< I
4,
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. PI 'd I
Parcel Approval I
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
(1
G L 2
Main service OVER eoov
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS(DWELING
OR ADDNST t ACCLBLDGS.CCUP. Y) 20sgft
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:
�i9(J�f�j
NEW CONSTR MULTIHCII-OUTLET
NON.RESID, ( BRANCH CIRC ITS) 12.50ea
NEW CONSTR. (POWER APPARATUS .&,
NON-RESID. SINGLE OUTLET CIR.
250
Ex. OCCUo(OUTLETS OR FIXTIIRES) B L@1
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
G /� jr� 1�
License No. / Classification C�_ ¢
Misc. Wiring 6.25
❑ I 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 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 e!:16
Heating 0576621 dTL)
Cooling
Ventilation
Hood 2.00
Permit Fee $ a
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above -me ned property for inspection purposes.
X,
Date
Sig ure of Permitee or Agent
Receipt o. L .S6OZ
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.
CTOR OF/IRJBLIC WORKS
By Date
1.,,kkm permiexpires Date