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HomeMy WebLinkAbout078-210-020L AP - - ROLAND SOCKERSON 5430 Farley, Oroville �ermit#k 3261-74B I0 U (reroof) (�'� 6 •a(o • Va6 INT TO INS -ETOR ;=e���9 96-2561 SL REICHENBACH, THOMAS CONTR: CUSTOM BLDG/GEORGE 5430 FARLEY ST, OROVILLE aUED RERnnF/SF - 00-2921 NEHER,SHELLEY 5430 FARLEY, OROVII S\J(Cka CONTR: CLEANRITE FIRE REPAIRS C�? _la _ a _ -.150+26 04-3316 ANDERSON, T E:RRY 5430 FARLEY ST, OROVILLE Coil*: OWNER. �NALEI LI..l P.\NE'- UF'��RADE in I2J PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT REMARKS HM- HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 17 x al�"/D/li/i/i/i/D ,%-IV /I ffs"Ifflo u Is U: AlAZINIAS 1VNId S1N3A I) S33NVIndedV 3NI7 H3M3S ONldld H31VM 1531 3MnSS311d SVD NI-HJnOL! 31V43 'IDIS 31VO 'DIS 31VO -0I8 31VO flIS 31V0 'DIS tt13awnN 11WU3d 1111P,, r■ i. ur,'ttr, A BETS #!N/, FEN MP.' 1WNId SH313 W S3ONVI"IddV V 33Mn1Xld NI-HDnOM 31VO flIS 31VO flIS 31VO :113 31VO '913 31VO 'DIS i sH39WnN llWH3d ,%-IV /I ffs"Ifflo u Is U: AlAZINIAS 1VNId S1N3A I) S33NVIndedV 3NI7 H3M3S ONldld H31VM 1531 3MnSS311d SVD NI-HJnOL! 31V43 'IDIS 31VO 'DIS 31VO -0I8 31VO flIS 31V0 'DIS tt13awnN 11WU3d 1111P,, r■ i. ur,'ttr, A BETS #!N/, FEN MP.' ErIVAOUddV &VlarI1QS GH033H NOU33dSNI 31VO DIS 31VO 'flIS 31VO 'DIS 31VO 'DIS 31VO 'flIS 31VO 'DIS 31VO -DIS 31VO 'Dig 31VO 'DIS 31VO 'DIS 31VO -DIS 31VO � 'flIS r m Ir-- D m mD a01 rr'�" MZ np xm -1 I AA �� 1� �� �C _� z z 5 _� °� � D 3 m Z n mz r 0 o r `" n ZOn D3� -1(pz Z z m Cm m3 p ErIVAOUddV &VlarI1QS GH033H NOU33dSNI BUTTE C NTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO./ BP043316 LICENSED CONTRACTORS 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 Issued Date: 11/18/2004 APN: 036-350-020-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 5430 FARLEY ST ORO Map Index: Date: Contractor: Description: electrical panel upgrade OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ANDERSON TERRY D & SUSAN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 5430 FARLEY ST the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95966-7502 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ANDERSON TERRY D &SUSAN L PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 5430 FARLEY ST sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966-7502 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit — — — — — — — is issued. ❑ 1 have and will maintain workers' compensation insurance, as OFFICE COPY Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: Address insurance carrier and policy number are: Carrier: GAS Policy #: Meter By Date Total Square Ft: ELECTRIC, I certifythat in the performance of the work for which this permit is P P �/alUatlon: Meter By Da�`�d issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. 1 Date: ant: ^ Applic� .•}•� ,��� S � `� WARNING: ailure 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 ( /R G L / code, interest, and atlomey's fees. / CONSTRUCTION LENDING AGENCY This per ' is hereby issued under the applicable provisions of the Butte County CodR ?nrVor I hereby affirm that there is a construction lending agency for the Resolutis o doxvork Indic ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) drnkl Name: By: Date: K 07 Address: PERMIT EXPIRES ON: at ❑ 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 & Safety 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 all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives o(f/Butte County enter upon the above mentioned property for inspection pu es. /to Print Name:��--` X,Y_ � v / �Y��[/�5 Signature: Date: Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043316 LICENSED CONTRACTORS 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 Issued Date: 11/18/2004 APN: 036-350-020-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 5430 FARLEY ST ORO Date: Contractor: Map Index: Description: electrical panel upgrade OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ANDERSON TERRY D 8r SUSAN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 5430 FARLEY ST the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE 7000) of Division 3 of the Business and Professions Code) or that he or CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-7502 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ANDERSON TERRY D 8r SUSAN L pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 5430 PARLEY ST sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966-7502 sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for License #• workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: 10 I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. Date: O Applicant: WARNING: ailuro 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 r 111,916 /� / L/ / U code, interest, and attorney's fees. / CONSTRUCTION. LENDING AGENCY This perrro is hereby issued under the applicable provisions of the Bntte Cnunty Code and/or I hereby affirm that there is a construction lending agency for the Resolutis o do#aork indic ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / Name: By: Date: / 6 /* PERMIT EXPIRES ON: ! V at Address: ❑ 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 & Safety 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 all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu es. Print Name: rexmv All� Su� Signature: Date: 1 " 20© LLAOwner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor �V 'T rF BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 =• 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o='` ' �' o OFFICE #: (530) 538-7541 cQU N'�y A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Lasj Name First.Ma�¢'� Address 3Q S city 6) LL State Zip Ph ©30 5' �2_ rF%Z(� Fax E-mail o fo f co APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip —Phon Lot # fa E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X G-4 For off a use only- AP# 6 �, 3 ;'a -- 02 O Zonin6 I I Flood Zone I SRA Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP0t4 BIN # LOCATION AP# 6 �, 3 ;'a -- 02 O Property Address o Lie Bldg Cross Street Lis Zri� 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 Description or Scope of Work: 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. K:IFORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received by: Amount: Bldg SRA Receipt M Sheriff SMIP Other Date: Total K:IFORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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. ❑ 8. 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). n 13_ Sanitation and s pJaa"ap)mLvaLfrom_the-EavjronmentaLHealtb-Depattment_ 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7.27-04 1 ,rte' �a��..�adus�zara t-.a��.�...ax'�;-gra..�ss�'`3r'-'-.'�xrKKs.�r�;v,...u.:�. �^r�.�s.=�,ra�, e5:•c �:�tr 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 theajor labor and material for construction of this proposed property improvement: YES [A] NO[ ]. / 2. I HAVE L>Q 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S 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: DATE: p NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters: The bii i.lding permit will not be issued until the verification is returned. /W Mic el C. Vieir C.B.O. Ma ager, Building Inspection j NOTE: This Owner -Builder In ormation is required by Section 19830 of the California Health and Safety Code. NOTES i' 9 , i u :? RESIDENTIAL 036-3502020 00=2921 NEHER,SHELLY 5430 FARLEY, OROVILLE CONTR: CLEANRITE FIRE REPAIRS II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) -( Signature CHECKED BY V= OK 0 = Not OK - = Not Applicable = Not Ready t MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location-Test-Fall-C/O-Concrete 5. 4. Water; Location-Test-Easement Needed (Sketch) Water; MH Test -Regulator -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 8. 6. Gas; Location-Test-Wrap; / /" L'ft. / /'Nat. or / /"L"h./ PLPG 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t Y 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s /. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blackouts -Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Battle 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral U Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Dingle .&,Dyplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: ,+ . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive •._ OroviHe, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT l'fr ASSESSOR PARCEL NUMBER 036-350-020 ZONING R1 BUILDING PERMIT OWNER SHELLEY NEHER 534-6157 TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 1,000.00 . OWNERS MAILING ADDRESS 5430 FARLEY OROVILLE 95966 CONTRACTOR'S NAME TELEPHONE CLEANRITE 89 -0333 CONTRACTORS W ADDRESS 200EASTAVE CHICO 95973 CONSTRUCTION LENDER Fireplace 1500.00 LENDER'S MAILING ADDRESS Total Valuation $ 2.500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 5430 FARLEY OROVILLE$ Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Y1 Describe Work: FIRE REPAIR Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fuU force ao effect. s� License Class tJ� Lic. No. (Cfi 9Ri-•3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADONIS.( & ACC. BLAS. 3.50FT. LpµRESlp BRANCH MULTI -OUTLET @7,50 POWER APPARATUS & SINOLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES SAL @x.50 R. Ex. Occup. oFlxuTE�DSARZ ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen ation insucance 4parrier and policy number are: Carrier Policy Number (The above sections need not be co plated 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. 1 ii /� /fin X _` V� Date I q"O ` -66 Signature 10 Applicant - Owner 19 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 �.AZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD SU This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for h fees have been paid. 1 ,a► Da,92' PERMIT EXPIRES ON / /�— � Date ReceiptNo. 309247/$74.00 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 a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 92/96) APPLICATION AND PERMIT���-�-- o� mMNo BUILDING PERMIT e.soarRNCEt.IaJ�I � 3 � �/ � ae�Sp. OCC. BUILDING VALUATION Gas ,wwNa �ooRess .� s NUNS y#VWffT—•/ . ) /-kll A -D 9,:�-97 3 *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ `� *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Ex. Occup. ouTLO OR Mc"cs EML - :se iou:o APPVO oR 5.00 Ex. Occu ounF*s esio. iA Temporary Service 23.00 Mobile Home Facilities 2000. I- PERMIT FEE I _ MECHANICAL PERMIT Filing Fee 20.00 - 6.50 PERMIT FEP- Fireplace Moble Home Installation Fee = Energy Inspection Fee 09""A1t10 ADO° Total Valuation : TOTAL FEE $ L MAi West No' Filing Fee E 20.00 eNrrfcT oR EM )t 65ulE = Permit Fee CKMCT °R LNO"Rs 1LLJN0 ADO�ss Plan Checkin Fee >6 Energy Plan Checking Fee = ;%DOG eDRase i PERMIT FEE _ susorreKMsXua PARCEL MAP PLUMBING PERMIT Filing Fes 20.00 �T NO. Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 1 23.00 Water i in 15.00 .F ❑ Duplex O Mobilehoms O Other E�,i J Each ns water heater or vent 15.0.0. TYPE OF WORK Gas I in stem 1 - 5 outlets /t 5.00 New O Addition O Remodel O dlbRWs O In ration O Qther O Building sewer W 15.00 @20.00 Moble Home S G Describe Work: PERMIT FEE _ ELECTRICAL PERMIT Filing Feel 20.00 oR uess Main Service oR u<ss 23.00 Main Service 200A70 1000A 46.00 KIEW caaT. owEUJM oeouP.s 3. Get. on �ooNs. a �cc. sins. -- f wuuwunFr 1 607.50 *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ `� *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Ex. Occup. ouTLO OR Mc"cs EML - :se iou:o APPVO oR 5.00 Ex. Occu ounF*s esio. iA Temporary Service 23.00 Mobile Home Facilities 2000. I- PERMIT FEE I _ MECHANICAL PERMIT Filing Fee 20.00 - 6.50 PERMIT FEP- t Moble Home Installation Fee = Energy Inspection Fee fi coNsT. TYPE TOTAL FEE $ L MAi 1 o. if ES I WP F5;FF7 PARCEL I A I 10 65ulE This permit Is hereby lamed 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 PERMIT EXPIRES ON Mor&) All Y I 036-35-0-020 96-2561; REICHENBACH, THOMAS CONTR: CUSTOM BLDG/GEORGE •4 5430 FARLEY ST, OROVILLE',' REROOF/SF ' Y i r y r- 45 4. �_ COUNTY OF BUTTE- DEPARTMENT,OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 / PERMIT t4O. APPLICATION AND PERMIT . ASSESSOR PARCEL NUMBER 036-350-020 ZONING, BUILDING PERMIT Q OWNER nN TH(?I`IAS REIQiF.►dBAQI TELEPHONE SO. FT. OCC. BUILDING VALUATION 1,260.00 OWNERS MAILING ADDRESS 5430 FARLEY ST OROVII.I.,E 59 CONTRACTOR'S NAME C[JSTO 4 BLDG BY GEORGE TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 31.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5430 FARIFT ST PERMITFEE $ 51.Q0 PLUMBINGPERMIT Filing Fee 20.00 OROVIILE Each Trap 7.00 LOT No. SUBDNISIOWS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑K Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑n REROOF W/GO T Describe Work: — Mobile Home I S I GI IN 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main ServiceEOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 19 Lic. No. I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ACDNS. ( d ACC. BLDS. ) 3.5Q FT. NEW CONST.ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 aAL a .50 EX. Occup. FIXED A (PWS. OR P• (oUTLETs RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 8" I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree ha if I should become subject to the wor ers' c pensation visions of section 700 of the Labor Code, I shall fortwith co ply with th a rovisions. �/4 X _ Date _I "_ Signatuce3o% Ap Gc n - Qw"rl+zr CD Contractor ❑ Agent An OSHA permit is require of x:" Ions over 5'0" deep and demolition or construction of structures over 3 stories n height. 9 Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 51.00 HAZ. I D. FEES I IMP I FLOOD cDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �� i % '� BYE%! I Date PERMITEXPIRESON (Date) tuvb� Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT re COUNTY OF BUTTE- DEPARTMENT OF DEVELORMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�� _�PERMMIT1 O. APPLICATION AND PERMIT �' ASSESSOR PARCEL NUMBER 036-350-020 ZONING BUILDING PERMIT - OWNER INi$R Tri0N1AS RLICHENBACI-i TELEPHONE SO. FT. OCC. BUILDING VALUATION 21 60 1,260.00 G OWNERS MAILING ADDRESS 5430 FARLEY ST OROVILLE, 95966 CONTRACTOR'S NAME TELEPHONE CUST014 BLDG BY GEORGE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 31.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 5430 FARLEY PERMITFEE $ 51.00 OROVIL T' PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF aY Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: REROOF WCOMP — Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 13 Lic. No. 0 OWNER -BUILDER DEC RATIO I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDING.( & ACC. BUDS. ) 3.50 FSO.T. NEW CONST.ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER ( NGL APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 6AL 0 .SO FIXED APPWS. OR EX. OCCUp. (OUTLETS (REBID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) Er I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, enagree tha if I should become subject to the wor ers' c pensation Lisivoni,' of section 700 of the Laborfortwith c ply with th eons. v,U X l� Date _�� G nt- r Contractor ❑Agent An OSHA permit is require or ex ions over 60" deep and demolition or construction of structures over 3 stories In height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 51.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ve for whic fees ha By PERMITEXPIRESON applicable provisions Resolutions to do work a een paid. d. Date (Dale) FWReceipt No. 0 851 HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPAENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Caliiiornia t)5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT /SSESSORE(W E UMBEg,S� D O Jb ZONING BUILDING PERMIT OWNER A ac TELEPHONE SO. FT. OCC. BUILDING VALUATION Mv OWNERS MAlIJNO ADDRESS �� ��/� •1c - Or© �•, `t CONT DR'S NAME V1 I TELEPHONE CONTRAC?!S MAI AOOREss 6 id /li v✓� Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ z ao ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ � C o V % PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel -0U61iti ❑ Installation ❑ OtherA l Describe Work: �t°T0O W / ��"1 Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service EOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. ) s0. 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER PRATUS ( & SINGLE OAPUTALET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 0 1.00 BAL FIXED Ex. Occup. ( OUTLETS (RE ISO.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 ,stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ S1,60 HA2. 0. FEES I IMP I FLOOD I COF PARCEL I PD I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. 0 O a,�- I WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . i r PERMIT NO. 3261-74B ja. P E . M - iMH UTIL. ;PERMIT NO. PERMIT EXPIRES 757 OWNER Roland .sockerson CON TR. 'f OCATION (A.P. 36-35-20 ) t 5430 Farley, Oroville r jL i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E I Temp. Gas Serv. Called PG&E JOB r FINALED (Date) (Signature) y COUNTY OF BUTTE — DEPARTMENT 01F 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 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers RoofingQ [� .— Sewer Garage Fdn. Vents Fixtures Footings Garacie 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 1� 7 County Center Drive — Oroville, California 95965 h/ Tel ephone:.534-4541 APPLICATION AND PERMIT auu1O11 ca FEPFeSe11Lat1VCS UI nle Guunry of Buiie io enter upon ine above mentioned property for inspection purposes. xPic,ttt�� Date Signature of Permitee or Age t Receipt No. � �3 _ 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 BLIC WORKS ,/ By ate —., % T BZing' permit expires Date ............... F.—.f1) ....... 7J BUILDING Owner6�Q SQ. FT. OCC. BUILDING VALUATION Z71 d Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 9<4diSanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel' Declaration Parcel Ma P 60R/W Im P Improvements Lawn sprinkler system 2.00 g. Plans Recd 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 2U_Pf�ll��o� Receps., switches & fix outlets 20f23 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ auu1O11 ca FEPFeSe11Lat1VCS UI nle Guunry of Buiie io enter upon ine above mentioned property for inspection purposes. xPic,ttt�� Date Signature of Permitee or Age t Receipt No. � �3 _ 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 BLIC WORKS ,/ By ate —., % T BZing' permit expires Date ............... F.—.f1) ....... 7J