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078-210-048
G Sherry -Wheaton 5305 Walmer Rd, Oroville 7 Permit # 2806-82P(replace gas line)SF contr: A&C Plumb, Oroville SUSAN 5305 Walmer Oroville Permit#152-86B,. new roof stru tur Permit#684-86B,P remodel/SF)��� •3Fid�9$. 111111 mit#81�-86P(replace gas wtr htr/SF) 0$=1443 078-210-048 MISCELLANEOUS Plumbing WATER RE -PIPING HOT & COLD THI 5305 WALMER RD GAVRIS JIM B & MARIA, C � 0-1 rl'7 i Butte County Department of Development Services Bunm TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR ("OUNITY 7 County Center Drive SEp Q 9 2014 Oroville, CA 95965 (530) 538-7601 Telephone DEVELOPMENT (530) 538-2140 FaxER1�1( ES www.buttecounty.net/dds IMPORTANT! NT! NOTICE T®PROPERTY OWNER 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 at5305 WALMERORDVOROVILLE ;� We are providingg 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. I 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 insurance 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. -)-,;2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construc`ion and are not hiring a licensed Contractor to assume this responsibility. ,,2i L�L 3. 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. �Z_ 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. -5. 1 understand if I employ or otherwise engage any oersons, 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. 6. I 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. ,&7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential F 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;8. 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. 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 www.cslb.ca.gov for more information about licensed contractors. ,Z_ 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party ie0arly and financially responsible for proposed construction activity at the following address: 5305 WALMER RD, OROVILLE 11. 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. (. 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. !Dote: 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: REROOF IBES (22 SQ) Reference Number: B14-1891 Applicant Name: RICHARD CURRENT Owner's Name: GAVRIS JIM B & iViARIA, AP # : 078-210- 48 Signature of Property Owner/('�(/ �' / S Date: 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 responsibili ereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to ob 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 declare under penalty of perjury that I am thepro rty owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A cc of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to b resented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: (� U)�) uybl/-- Gy� �� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5305 WALMER RD Owner: Permit No: B08-1443 APN: 078-210-048 GAVRIS JIM B & MARIA, Issued Date: 07/28/2008 By TMP Permit type: MISCELLANEOUS 2460 CIMARRON Subtype: Plumbing RED BLUFF, CA 96080 Expiration Date: 07/28/2009 Description: WATER RE -PIPING HOT & COLD' (530) 534-5922 Occupancy: Zoning: R1 0( Contractor Applicant: Square Footage: FLETCHER'S PLUMBING AND CONTR FLETCHER'S PLUMBING AN Building Garage Remdl/Addn 219 BURNS DRIVE 219 BURNS DRIVE YUBA CITY, CA 95991 YUBA CITY, CA 95991 Other Porch/Patio Total (530) 673-2489 (530) 673-2489 FEE INFORMATION DBP Water Pipe Repair/Replacem $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8109 LICENSED CONTRACTOR'S DECLARATION OWNER! BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FLETCHER'S PLUMBING AND 309313 / C36 B A / 06/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect, 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 violation of Section 7031.5 by any applicant for a peril subjects X 07/28/2008 the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: CO or's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 11 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 1841676 Exp. Date:01/01/2008 Contractor's License Law.). (This section nee not a completed if the permit is oris or on�aollars ($100) or less.) MI AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 07/28/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 07/28/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building elute Date NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and properly damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this peril. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY ,J 07/28/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR; EIAgent for Owner [Agent for Contractor FILE COPY (yF� Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name 2E a First Name ) -444al Mailing Address Address Z (C City State 6-61 Zip Gr Phone _ _5-, Z Fax E-mail APPLICANT INFORMATION CONTRACTOR Name ` r Address Z (C a LL4 41-L V City C Fax State Zip �, 9 w y Fax E-mail Phone _3 _ State License Number Fax �,7 r 1 �7 E-mail Lic. # 3 C1 13 Class 3 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# 2-10 Property Address City C✓_vJ11 +G WORKER'S COMPENSATION Policy Number v ©o rp 2-1,O Carrier ��lG.�-�o 2.ic�-� � n S �•�►c.� t.� r If hiring anyone other than licensed 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 FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. PERMIT NO. PERMIT EXPIRES 111,30 e7 OWNER SUSAN DORMAN CONTR. owner / r ASSESSOR PARCEL LOCATION_ 5305 Walmer Rd, Oroville is i f Temp. Power Pole -- `- of OFFICE COPY Called PG&E Address Temp. Elec. Service " I GAS Called PG&E + Meter By Date— j ELECTRIC Temp. Gas Service Meter By Date i Called PG&E --- JOB FINALED (Date) ��— Signature— ► J = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except M's 1. Zoning Requirements -Setbacks -Easement's ` 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Ritrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice. -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"it./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except Lt's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel-Connections-Thickness-IJead Men -Lining^ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting: Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI �t>" 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries-Terminals-Lisied 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'-Circulating..Equipmenf-Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. Pool Lghtg. Boxes -Enclosures -Panel boards -Ins., to Main in.Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI .Date •,. . Off •:- t J OK 0 Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. zoning requirement$ -Set bac ks-Easements -49T.-P`operty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth dth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Iywood on Roof Overhang -Attic Vents -Rafter Outriggers Sid�ailin eneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab -� 7. Piers -Fireplace Fig. -Steel W -Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 s; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C. I ate Card -BI Date Card -BI Date Card -BI Date Card -BI V Date Card -BI Date Card -81 Date Card -BI Date Date FINA tans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s E Ceps -Door & Sidelight Protection -Landings . eke Detector 14. Peter Ht.; Vent -Access -Combustion Air SrFurnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 4-J�fp��W�tes. ipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection� om Exiting _ 17. Shower Pan; Test, First Floor -Tub Access & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61' Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 6 63. earances-Hearth 64. e s at ood Panel; Int. & Ext. Card -BI Date % % Card -BI Date R ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date . Elec. Outlets & Receptacles at Kit. Co er Date ELEC CAL Permit OK except #'s 6 . Garage Fire Door; Swin -Landing ose A.C. Duct in Garage -Damper _&Transformer Clearance -Ins. Protection 9 R. Wtr.Htr.; Ve- ce-Comb. Air -Connector onnectorlure In G ragAov Mech. ProtectionEle eceptacles Spacing -Lights & Switches at Doors _ _ I Elec. &Mech. Equip. Listed for Location Boxes 8 No. of Conductors -Stapled lec. Receptacles in Garage; (G.F.I.)-Romex Protec. o nstalled Close to Ede of Studs & C.J. qui .Ground made up w/Mech. Fasteners -Bond Gas &Water 7?,-Wsulation-Foam-Looked in Attic ❑ Yes - - 2 ppliance Circuits in Kitchen & Conductor Size -74 26, _ re ize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 73 ^ C d 4 °'- --' Construction -Post Caps eDoor-Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / gaiCA#Jbr AllOvenCirc. / / ga. Cu or Al, Neutral -Yes J N ervice iser Conductors & Ground -Main Disconnect 75, Following instld.: D ' es- ❑ No; Walks es ❑ No; P n ers 7 Stucco; Brown-Fi sh - 2 ip. Clearances; Panels-Motors-Mech. Equip. A.C.s nit; Disconnect-CIrnces-Brkr. & Cond. Size- 1 Outlet _ 30. Clothes Closet Light -Shower Light 7 entRoof; Plbg. Above -Appliance-Firepl.-Clearanc to Opngs. - - Card B•I Card B -I T- -- --- - Date _ Card -Bl Date94---Ventilation Date Card -BI Date 79. Electrical, Plumbing Ext for Elec. Trim: G.F.I. Receptacle -Underground throughout House ss Protection Date MECHANICAL (Permit) OK except #'s 80 Corr tions from Prpious InspVnons s Test -M agged; -Electric -- _ 31__A_C. Ducts_ Insulation & Support -- 32. Vent_ Fan;_ Exhaust above Insulation 33. Condensate Dain & Overflow; Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval yr Energy Compliance Certificate -Other Certificates Card -131 Card -BI 34. Furnace-Vent;Access-Comb. Air -Return Air Vent_ -115V outlet 35. Attic Access & Platform if Furnace in Attic - Date Card -BI Date Date Card -BI Date Card -BI Dates.o-q /-n Card -BI Date Card -BI Date - Card -BI Date Card -BI ( Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _ --3T. -&iita-Rroper Material &_Anchors__ Studs -Nailing, Spacing & Bracing -_Plates -Sound 38.-Baacing Walls over Girders & F_loor Nailing_ _ .39.-Ne+t-Stop in Walls (rat proof) �_ he•tiStops: Furred Ceilings -Stairs -Chases -Tub __- ra b d9--i�eade�& Beam -Size & Bearing ltal. -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-T ss-Shq,-Rfrtt� Ties or Type A Flue -Fireplace Throat ss: Size & Romex Protection -Draft Stop -Ins. Baffles _ drm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 4 Garage Fire Protection Framing - S�tii/t'.T/10L _ (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE Y DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751- 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE �- OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, //ol!,,r need additional explanation, please' contact this office immediately. (D fe 7- r<;� i iF _ �c 7 A 0 InspectorW Gl (� /' v / fL�� ate �` ` �('77 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE _' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, orneedadditional explanation, please coni, Ct this pffice immediately. �� a (2 '� InspectorDate P 6 Owner: Permit No. ENERGY C E R T,I F ICAT ION 53oS 3� - -1- O� LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Thickness (inches) 11 z� CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. S- :2.\-� L SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. \-4r\a,VN, FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWFER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 0 V COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �� APPLICATION -AND PERMIT ASS FX5,5 R PA C L NUMZONING a _ BUILDING PERMIT O WME .�QArl Lo TELE PHO E S0. FT. OCC. BUILDINGj VALUATION OWN 'SRAILING ADDRESS I s 9 CONT ACTOR'S NAME ^ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.OQ LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER 0 f'—L6- LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS_`� `^ S V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 r(9 7Ft- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: /_ C`� �r G Permit Fee $ Contractor ELECTRICAL PERMIT Filing ' Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 (- Main Service EA. ADD'L 100 AMP 2.50 d CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification lu�I 1, as the owner, Or my employees with wages as their SOIe 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 oCCU1.& ,h¢sgft New A MULTI -OUTLET CONSTR. NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES e0 50 300 FIXED APPLES. OR EX. Occup. OUTLETS (RESI D.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 171 I shall not employ any person in any manner so as to become subject P� 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 ling Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ 1 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 County in consequence of the granting of this permit. X ��— — U- �b-Y' n Date �— �L Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ —19 TOTAL PERMIT FEE $ 14 1 t occuP. CONST.TYPe I 1; PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date� ! —F7 / p eceipt No. �V "' (O©, / NI TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. G DENROO-APPLICANT F OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET (� Permit No. J^ V koel ✓1 A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation X Other (Explain Building Inspector !!`�1%�"_�.y��� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED )/. All items have been submitted. . . . . . . . . . . . 2.,. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other T)RTUY.WAV PrRMTT (C0W9TRUnmznx AQVRnVAT- RrnT1TRPn PRTOR TO Or CTIPAAICY ) Whe�n� you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone `4 Z_; and hold for pickup at office. Deliver w/inspector. Other Applicant '_St % aDate 1-2-2- �t 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 -Mail Other By Date Plans checked by Date Plans approved by Date 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' r labor and materials for construction of the proposed property improvement QXes or no) 2. 'I (have/ ve not) signed an application for a building permit for t e 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 Ownerf�.,�,,,` Social,Security Number Date 2-2- NOTE: 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. , This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO./ ASS �a R _ P CR ZONIN I BUILDING PERMIT 0E Stu 5 el foollrM4 TELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER MAILING DDR ESS /� S 9i /lil .4 qspde CO TRACTOR'S NAME/ TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit -30S � fee $ .s PLUMBING PERMIT Filing Fee 10.00 Each Trap s 2.00 DV V F Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Additio ❑ Remodel ❑ Utilities ❑ I%stallat'n❑ Other Describe work: / q G K-tC'_� n Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR L Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of perjury I declare under penalty p I y (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification '® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING occ OR ADDNS. (ACC. BLDGS. 1�22SQft NEW CONSTR. MULTI LE NON•R ESID BRANCH CIRCUITS)__ 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 6AL SOS wL030 Ex. Occup. OUED P TLETS (RESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating F L Vet 00 N,2 P v Cooling Hood 3.00 Ventilation Permit Fee $ L 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 againstaidCounty i 1i c a uence of the granting of this permit. -. 3 _� X Date / – 9-8/, Signature of A,4plicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ t OCCUP, CONST.TYPEJ I FLOOD PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE F PUB B PERMIT EXPIRES DateC the applicable provi- resolutions to do fees have been paid. ORKS a Z(:� L Q� (� eceipt No. 5�–� 1 7 F HITE-D.P.W.. YELLOW-ASef3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT e' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/5344541 OWNER Proposed Building Use Permit Fee Based Upon PERMIT APPLICATION DATA SHEET De Complete Contract Price Permit No. n /� A. P. No. 15 W/ S/` DPW Valuation Other pl i li 8� Building Inspector I Date;7,51 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . 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. . . . . . 1 Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to p q Building Inspector (Dote) 18. Record q�ofj,Pgat�+nsjucjloryapprotvaelmrequired prior to occupancy 19. Other 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 Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted pro* to permit issuance: (For required items not checked above at time'Eof 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 Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW nn� l� W �v r � � j G � 1 `7 � b � ,v �Z � 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.or labor and materials for construction of the proposed property improvement yes or no) 2. I(Jhave 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 ps Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social -Security Number -` Date ,s -ICC, 4Co NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT _PERMIT N /U ASSESS R PARC E/L ER ZONIN BUILDING PERMIT NER,^ S4, JcY T L P o Ean/ - SQ. FT. OCC. BUILDING VALUATION S^�, O ER'S . A1?J G Djl p /7 06,0 C N C TOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR CTION LENDER Al 0 L4 UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCH T CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 30 a ►� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00Q USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S�- Building sewer 5.00 Mobile Home I S I G JW 1 ea TYPE OF WORK New❑ Addition❑ Remo el❑ Utilities Installation❑ Other Describe work: ri(% _ +10-00 Permit Fee $ ao. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under p y of perjury iur y (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$f and Professions Code and my license is in full force and effect. License No. Classification vs 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.&) '/22sgft OR ACDNS. ACC. BLDGS. I NEW CONST R. MULTI -OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e� SINGLE OUTLET CIR. Ex. OCCU 20 050` p OUTLETS OR FIXTURES eALO 30 Ex. Occup. OUTLETS RESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. (15 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 Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. G_ -? �� X J�l�'=�0. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ C90 OCCUP. CONST.TYPEJ I JFLOOOJPARCELJ PD ND 590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which i IRE&OF PUB BY PERMIT EXPIR Date the applicable provi- resolutions to do fees have been paid. C ORKS Dat Receipt No. -/ WHITE-D.P.W.. YE1LOW-AS5E590R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement i yes r no) 2. I (E&/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 01� 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 GX 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 Y Address Phone Type of Work Signed: Property Owner Social,Security Number Date y - -7 A 1� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O l ASSESSOR PARCEL NUMBER 36-177-08 ZONING BUILDING PERMIT OWNER TELEPHONE ,SQ, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS F. 19th St, Chirn, CA 999?R CONTRACTOR'S NAME ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 40.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9309 Wqlmi-r Rd- Permit fee $ 50.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [J Duplex❑ Mobilehome❑ Othernew P Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st renewal of permit #152-86 Permit Fee Z Contractor ELECTRICAL PERMIT Filing Fee 10.00 LEOOV ORSS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pena t f perjury y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ti , OR AD DNS. ACC. SLOGS. h¢Sgft NEW CONSTR I-OUL T 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200500 eALO So FIXED PR Ex. Occup. OU LETS IRESIO.IEA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee s WORKMEN'S COMPENSATION INSURANCE I declare unde p nalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consequence of the granting of this permit. X Date ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 50.25 0Ccup. CONST.TYP! I I VL1DOOJ PARCEL I PD ND Issue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By �' PERMIT EXPIRES Date -1/30/88 the applicable provi- resolutions to do fees have been paid. WORKS ooDate Receipt No. WHITE-D.P.W.. YELLOW-ASeESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Complaint -Date 3�1�-�� �► ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: S, s',4 �oy,� A^j A.P. # 76--- 177-Y Address: Date of Inspection.3 Tenant: Inspector Building Location: ��� J� �A�� P-� ni, Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / / 5. Other (specify) pl,{%6`F- N T3 Present use of building: /�A-�.a�►� ,S Oe_1 � a+- �lJ e_ ,� ! J 2 - �' / A. Sanitation (Housing) o PZ�S 1. Water closet: 2. Lavatory: 3. Bathtub or shower: r 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents:." 11. Connection to sewage disposal: - 12. Connection'to water supply: = 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run,.Headroom, 1HR, Tolerance$,Handrails) 15. Comments: 1 Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 2. 3. 4. Service and Receptacles: Fusing: Comments: ground: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. ' Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations � e- 1. Probl I or violation (give complete -description): - 1' O l 2. What action tike (give complete description)4 p- p ' Q b 1,jjq h r -a C1V11 3. What action r ommended: A. Information only - file. '- 'ro,6iz d'/ e,r B. Hold for ten days., then write letter. C. Write letter. / /'D. Other: t:. -tib Y E�. )Jew . a" f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. r72 �d6-YZ---- ASSESSO PARCEL NUMBER ZONING BUILDING PERMIT OWNER ' SNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , CO / TRACTOR'S ., ,N AME1W&/AJ � '��.• CP1_G/ , TELEPHONE 533- s3 77 CONTRACTOR'S MAILING ADDRESS r - 63/Ll ,fjL_VPi, Fireplace CONSTRUCTION LENDER���� r UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER L LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT ORENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets S, USE OF STRUCTURE SF ❑QDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system q5_00 TYPE OF WORK New F1 Addition❑ Remodel❑ Utilities❑ Installation❑ OtherF— Describe work: �F—��CiI-E fz,f1 S j ��l�C KAA V) Permit Fee 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORS LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 22 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions. Code and_my license is in full forc/e,-�and effect. 1%�- :`.. fr' J r_ _ 36C � 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 CONSTR I.Ou L T 2.50 ea NON.RESID BRANCH CIRCUITS) 61 NEW CONSTR. NON.RESID. ( POWER APPARATUS SINGLE OUTLET CIR. / Ex. Occup(o FIXTURES AL0 BAL@1 FIXED A POR Ex. Occup.(OUTLETS (RESID•)LINIS R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. u 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit., X r �,` l r �.%' Date " '- ' Signature of Applicant — Owner ❑ Contractor t❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ /6—, U Occup. GROUP I TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated/above for which y �&DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� ZIP -�� Receipt No. 7� / 93 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT40N AND PERMIT v ASSESSO PARCEL NUMBER ZONING BUI ING PERMIT OWN R / TELEPHONE /4EP_fv A /17 -14-7—V / OWNER'S MAILING ADDRESS �V C(y1JT Af,�7'OR'/ A✓�'L •-! �c.J� �J�H�++7 CONTRA/l/�•T-OR'S MAIL NG ADDR SS 5L_VZ> �(�� SO. FT. CC BUILDING VALUATION Fireplace CONST UCTION LEND R UNKNOWN Total Valuation Is Filing Fee LENDER'S MAI LIN ADDRESS Permit Fee $ 10.00 $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee Penalty $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI _yRESS ' ..J// UJB-+' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets , d USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Otherg--Contractor Describe work: S C Permit Fee $ 5,0 e2 ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR011 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.N\ OR ADDNS. 1 ACC. BLDGS. _ / 2� sq ft CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Prof essio s_Code and my license is in t/y�Iy_I force effect. License No. ' Classification (/ e7 W ❑ 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 CONSTR (MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTNON-RESID. %SINGLE OUTLET CIRR /POWER APPARATUS p,) . EX. Occup OUTLETS OR FIXTURES BAL@100 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. k1 shall not employ any person in any manner so as to become subject �j' 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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 Iiabilitips,jjudgments, costs, and expenses which may in any way accrue "Cty in conse uenee of the granting of this permit. ag:77 %�/ / / Date L �� —�" Signature of Applicant — Owner ❑ Contracto;?Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ f� , C7C� 'CCuP. GROUP TYPE OF CONST, PARCEL PD ND ISSUE This ermit is hereby issued under 3110 s f the Bu to County Code and/or wk is to above for which D RECTOR OF PUBLIC 3y PERMIT EXPIRES Date-- the applicable provi- resolutions to do fees have been paid. 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