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HomeMy WebLinkAbout078-210-047R. DIRK 5321 Walmer Rd, Oroville Contr: Four Counties Roofing Permit #2 77-79B(built uperoof) SF �G �(� SUSAN DORMAN 5321 Walmer Rd, Oroville /'2Z Permit��22 17-86B, P, E,M(new roof st )SF 6-1$ 7 ods -aro- 047 oo Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR BUTTE 7 County Center Drive COUNTY Oroville, CA 95965 SEP o 9 2014 (530) 538-7601 Telephone (530) 538-2140 Fax »E\%'ELOP.MlliNT www.buttecounty.net/dds SERVtlr( ES IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a buildingdpermit has been submitted in your name listing yourself as the builder of the property improvements specified at 5321�WA1LM" RD. OROVILLE. y We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS. Read and initial each statement below to signify you understand or verify this information. 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurarce may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. �)62. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. Lam. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. CZ6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. . I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. �> 4;. I understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or wvAnN.cslb.ca.gov for more information about licensed contractors. 390 10. 1 a'm aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 5321 WALMER RD, OROVILLE 1. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. L_�;2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Description: R>EROOF RES (22 SQ) Reference Number: B14-1890 Applicant Name: RICHARD CURRENT Owner's Name: GAVRIS JIM V & MARIA, AP # : 078-210- 47 Signature of Property Owner: � �tJ j^G� Date: ,S Q Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY" OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibi i ereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to in an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I a e property owner for the address listed above and I personally filled out the above information and certify its accuracy. ' e. A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is re ed to be presented when the permit is issued to verify the property owner's signature. Property Owner's Sig re: Date: E { PERMIT NO. 2217-86B P E M 1 PERMIT EXPIRES i OWNER SUSAN DORMAN CONTR. owner ASSESSOR PARCEL 36-35-47 LOCATION 5321 Walmer Rd, Oroville } I Temp. Power Pole Called P( v Temp. Elec. S i Called P( Temp. Gas Sei � Cal led PG JOB FINALEI Signature J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocationrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i J = OK 0 = Not OK - = Not Ready Not Applicable *- RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except N's requirements -Setbacks -Easements - _1. 2. _Zoning Ftg., Main• Soils -Steel -Elea Grnd. ,r/ /" Ftg. Dept Ftg., Gara ; Soils -Steel- / Ftg. Depth Porch s & Decks; Soil teel- / /" Ftg. Depth 5. Stemwalls, in; Steel -B ckouts-Wrapped-Slab 6. Ste_mwalls, G ra,,St e; S 1-Blockouts-Wrapped-Slab 7. Piers_-Fvepla a g. -Steel - 8. D.W.V. Fall ttings-Test-2 way C/0 -Sewer Test _ 9. Gas Pipe '1z e nchors 10. Water pe: Test Anchors -Regulator -Service Test 11. El tric: Undergro nd 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI DateCard-BI Date Card -61 Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent- Access-Combus 'oft Air 15. Water Pipe; Test & Anchors- 11 Protection 16. D.W.V.: Test-Fttngs & chors-Nail Protection 17. Shower n: Test, rst Floor -Tub Access 18. Test Tub S er, 2nd Floor -Tub Access 19. Gas Pipe: &Anchors Card -BI Date Card -BI Date Card -BI _ _ Date Card -BI Date Date Card B -I Card B-1 Date Card -BI Card -B1 Date ELECTRICAL (Permit) OK except N's / 20. Fixture & Transformer Clearance-�Ins. Protection 21. Elec. Receptacles Spacing -Lig is & Switches at Doors 22. Size BoxeArances. of Conduct Stapled 23. Romex Inlose to E e of Studs & C.J. 24. Equip. Gra up wyMech. Fasteners -Bond Gas & Water 25. 2 Appliani i kkitchen & Conductor Size 26. Subfeed W / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range CiCu or AI -Oven Circ. / / ga. Cu or Al, Insulatedes _== No 28. Service-nduc rs & Ground -Main Disconnect_ _ 29. Equip. Cl,,. Pan Is-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light Date Card -BI _ Date Date Card -BI Date MECHANICAL (Permit) OK d-kcept q's 31. A.C. Ducts. Insulat n & Support 32. Vent Fan: E ha above Insulation 33. Condensate atn & Overflow: Size_& Grade 34. Furnace- nt: ccess-Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills, Proper Material & Anchors 37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire -Stops, Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. 44�. fireplace Ties or Type A Flue -Fireplace Throat 4, Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing 11 (NOTE Anentrymust be made each time youvisit jobsile) Card -BI Card -BI FRAMING (Continued) 48. Property Line Firewall & t 49. Ext. Doors -One 3' -Check 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolls Card -BI nate Gard -BI Date Date Date Date FINAL (Plans) OK except q's 5ti'-Euh.sleps-Door & Sidelight Protection -Landings Smoke Detector Eurn&Ga-, Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59.--8eelfeom. Exiting 11 60__G.E_4.-&-8ath Fixtures & Tub Access II •64-.Elec.._14m & Subpanel; Breaker Sizes -Labels 62. Staics-&-Rai Is 53-E.ireplace or Stove; Clearances -Hearth .44_-E4eG_Outlets at Wood Panel; Int. & Ext. 66:-Ket--NXn & Appliance; Grnd.-Air Gap -Cooking Clearance 66._EI_gc_Outlets & Receptacles at Kit. Counter 67. Gariage-F4,re Door; Swing -Landing -Closer 68._AX _ LucUn Garage -Damper 69.-Wtr-Htr.--Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Z0-P4b-EIEC & Mech. Equip. Listed for Location 7.te�a&Rkceptacles in Garage; (G.F.I.)-Romex Protec. CZ;ln-Tnsulation- Foam- Looked in Attic E] Yes 73-aaard-Ra?fs-& Deck Construction -Post Caps 74� Fdrl-Vents& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes win instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters E) Yes IJ No 76e-&tuc"_8fewn-Finis h 7T'-R-e-UnTr-Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 enls Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79_ Water-Waft^Disconnect, Electrical, Plumbing 80r-Exte for Elec. Trim; G.F.I. Receptacle -Underground 8;1.yeUUaUen•throughout House 82.-G4aes-Protec t i on _ 83-Ger-reetio'fl from Previous Inspections 84._Gaz-:;"l=Meters Tagged; Gas -Electric 85_•Wa+er'&Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Card-BDate'Z _-2,"`LCard-BI Date Card -BI late Card -BI Date _ Card -BI Date Card -BI Date Com tents at Final: J - COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroellle, California 95965 - Telephone 916/534-4541 _ APPLICATION. AND PERMIT _1419 J ASSESSOR PARCE NUMBER ZONING BUILDING PERMIT O WNE ��.. TELEPHONE SO. FT. OCC. B ILDING VALUATVON O WNE MAILING ADDRESS CONTRACTOR'S NAME p LvvEl� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ ' do —_ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 6K 10 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ � Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAI ING ADDRESS Penalty $ BUILDING ADDRESS S JL? Permit fee $ I/,21l 7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 3Z," USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 6utlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 110-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other 0 Describe wor : _ .0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ l am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or,Fny 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.a CC. BLDGS. , �z¢sgft New CONSTR.(A MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occu 20050c Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 po Permit 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. 2 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating da Cooling c98 Hood 61 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �`\�� Date Signature of Applicant — Owner VEAhtractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ (���% occu P.CONST.TYP! JFLOOTARCELJ C/ PO No Is90 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date stories Receipt No. lO�J� WHITE-D.P.W.. YELLOW-ASS[990R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTPAENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROfftt€; LIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A' y A. P. No. Proposed Building Use 4:5r ­r• ' Permit Fee Based Upon: Complete Contract Price DPW Valuation Other ( pl in)(Q Building Inspector Date At time of pe�pfIt application, I was advised the following data must be submitted prior to permit processing and/ I S a(nce: DATE RECEIVED APPROVED AII items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 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❑❑) Mai I to owner 15. Improvements may be required. . . . . . . . . . . . } 16. Mobilehome Installation Data. . . . . . . . . . . E 17. Pre -Inspection for Required- Pre-Inspec. request to..— (Dote)• p q Building Inspector 18. Recorded n ur�1 Acknowled ment State ent . ` 19. Other MiftydAY �� ("onstructibn approval required prior to, occupancy r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. ��� Deliver w/inspector. Other Applicant-t-�� —�'�� �� Date -� "� L Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Mail Other Date Plans checked by Date Plans approved by /w-.Datei�- Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville; CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ma' labor and materials for construction of the proposed property improvement (yes or no) 2. I ave 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 �os,cv�ow� Social Security Number _ Date � - � -t L- 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. PERMIT NO. 2977-79B PERMIT EXPIRES 522/80 OWNER R.DIRK CONTR. Four Counties Roafi nq LOCATION (A.P. 36-1-77-14 ) 5321 Walmer Rd, Oroville 9 Temp. Power Pole C &d PG&E Tem Elec. Serv. Called PG&E T mp. Gas Serv. Called PG&E JOB c% FINALED /-�- (Date) (Signature) 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 3rd Floor StemwalI Siding To out Slab Roof Sheathinp Water Piping Piers Roofing Ffd Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phslcally handicaped Conformance of ex. st ure Appliances Gas Piping & Test Temp. Gas Slab [nal o Sanitation Patio FI EPLACE Final Footings Footing ELECTRICAL Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final ! Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you \.isit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me ione roperty for inspection purposes. X Date 5/211/79 Signature of Permitee or Agent Receipt No. %_73T S 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. BY I�DIRECR OF PUBLIC WORKS Q AA Date ti T % I Building per it e . s Date - Z7Z BUILDING Owner Mr. R. D i rk SO. FT. OCC. BUILDING VALUATION Mailing Address 2670 Castleton Drive San Jose, CA 4,6&127Vo8057 Built-up Re -reef Contractor Four Counties Roofing Company Mailing Address P. 0. Box 3215 Fireplace Total Valuation 1 235.00 Chico, California �hg504�i' Permit Fee 3.00 Bu i I ding Address 5321 Walmer Road Plan Checking Fee&/or Penalty Permit Fee Orovi l le, California PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 036 17 7 014 0 A. P. NO. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Ftpe NV.G. S ' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel on Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd =cel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERFL] Permit Fee $ $ Built-up Re -roof ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORSLESS 5.00 Single Family © Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLOGS LING CCUP. 4\ •Z0Sq 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 of: Roofing NEW CONSTR BRANC-OUTLET NON.RESID. ( MULTI BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS&j NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES g @251'Oa FIXED APLNS.style Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 898 252071 Classification C 39 Misc. 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 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ 13 00 authorize representatives of the County of Butte to enter upon the above -me ione roperty for inspection purposes. X Date 5/211/79 Signature of Permitee or Agent Receipt No. %_73T S 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. BY I�DIRECR OF PUBLIC WORKS Q AA Date ti T % I Building per it e . s Date - Z7Z tj S "S T:r j !"At. A 't, IT 41 Ak,i It Qw� V� -vt. "'j, i 14 1 1 .'T -Al V I?� " T , 0 It A 14 IN IN Io" ;t An . 4. 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