HomeMy WebLinkAbout078-220-03201-2160
SULLIVAN, GREGORY
13 ROSITA WY. OROVILLE q_S'OI
CONT: OWNER
REPLACE H2O LINE FROM MAIN
936 J56-934—
SULLIVAN, GREGORY
13 ROSITA WAY, OROVILLE
RE -ROOF
63fs'SStT-'03'Z
SULLIVAN, GREGORY
13 ROSITA WAY, OROVILLE
Cont: SHERATON SERVICES
REPAIR STORM DAMAGE
SULLY IV GREGORY
WATER
WAY
, OROVILLF
WWIRINGfiSEWER
W ATER P1P1NG,
0`l8- ago-�3�
�av
i
036-550-032 01-2160
SULLIVAN, GREGORY
13 ROSITA WY. OROVILLE
CONT: OWNER
REPLACE H2O LINE FROM MAIN
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOW
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT V , 0
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
GRB=Y SULLIYAN
TELEPHONE
538-9947
SO. FT. OCC. BUILDING VALUATION
RESS
�1�SiE�6TTA WAY9 OWMIE9 CA 95%6
CO//NTRRA�AC�TT�OtpRR'S NAME
1AR7'i1i\
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
GOUA VY' avvI=
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.0015 00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: $ECCE WAM LINE FISP# 14M TO IDWE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
(jP20.00
PERMIT FEE
S 35.00
ELECTRICAL PERMIT
Fling Fee 20.00
OOOVOR LESS
Main Service zo.A 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 full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
6 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.
111( 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
Main Service TO
46.00So
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢FT,
r=RESID MULTI.OLIT U TS
97.50
PowER APPARATus
6 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
B20 ® 1.00
Ex. Occup. OUTLETS FIXED RES D OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FES
$
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.)
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 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 "' 'G r— = � +' r� = Date ,/ r • {.� f _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent J .
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heigh
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
H D. FEES IMP FtooD COF PARCEL PD HD
ISSU
This permit is hereby issued under the
of th6\13utte County Code and/or
indicate ab e' r &feesave
I
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been
D to
ete
Receipt No. "`
WHITE-D.D.S.-B.D. A A -ASSE Qa_EM:.WSPEOT0R GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVFLOPMEN— SERVICES - BUILDING DIVISION
r 7 -County Center Drive • Oroville, California 95965 • Telephone (530) 538-75ga,/ R�MITIT No.
(Rev. 12/96) APPLICATION AND PERMIT ��JJ / (, �s
ASSESSOR PARCEL NUMBER
036-550-032
ZONING
-
BUILDING PERMIT
OWNER
GREGORY SULLIVAN
TELEPHONE
538-9947
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
13 ROSITA WAY OROVILLE CA 95966
I
CO�NNT��7R7{�AAC��TO�R�'S NAME TELEPHONE
OWL\I_.L\
CONTRACTORS MAILING ADDRESS
I
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEERS MAILING ADDRESS
Filing Fee
, Permit Fee
i Plan Checking Fee
$ 20.00
$
$
B TWMA WAY, OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.0015,00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE WATER LINE FROM MAIN TO HOUSE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
(920.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA 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 full force and effect.
License Class LIC. No.
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.
)81 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ADC. sLOs.
SO
3.52:
NOµR°�IDT MULTI.OUTLET
97,50
POWER APPARATUS
8 SINGIE 0 r. CIR.
EX. OCCU OUTLET OR FDCTUREs
BA0 p 1.00
Ex. Occup.. oUTLEEDrs a IESIEs o.oEA
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' 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.)
Dill 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'HAZ.
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
fort with comply with thos ovisions.
X _ Dete �� 0
Sign re 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 heig
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $
FT�hispermft
D. PEES IMP FLOOD CDF PARCEL PD HD
ISSUE%
j
is hereby issued under the
utte my Code and/or
indicate abWfrhic fees have
By IrDate
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been pai .
( I
`I
�! %
Defe
Receipt No. M,—��
WHITE-D.D.S.-B.D.CANARY-ASSE R GOLDENROD -APPLICANT
-1ev.12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT , PERMIT O.
w..w.ow.Ma.Br+u►®a ��
56BUILDING PERMIT
owNl�I ,
(�� -t G(�Lt.(,C�C� TeIOFaNp�l SG �• OCC. BUILDING VALUATION
WM.Mpu"VN LEMM
---i -WLMU AW1R77
MIUMITtUT OR ENOINEFA
-ICU, aw 0#01IN R9 MALINO ADORESS
I-)
LOT NO. I suawnK N'S NAME
USEOFSTRUCTURE
SF O Duplex ❑ Mobllehome O Other
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation
Despribe Work: , AlJj, , ./'/ /1/�
"PERMIT FEE PAIb
SRA
SHERIFF
OTHER
AMOUNT RECEIN b
"RECEIPT NUMBER 2 T
* TO 8E PVT INTO COMPVTER
Fireplace
Total Valuation i
Slina Fee S 20.00
Permit Fee =
Plan Checking Fee S
Energy Plan Checking Fee t
i
PERMIT FEE S
_NMI I
riling Fee 20.00
Each Tr
7.00
Sola► or heat pump water heater
23.00
Water p!in
15.00 L�
Each gas water heater or vent
15.00
Gas piping Vetern 1 - 5 outlets
00
15"02
Buildingsewer
Mbile Home W
PERMIT FEE _
I. MECHANICAL PERMIT Filing Fee 20.00
I Hood e.50
IPERMIT FEE I S
Mobile Home Installation Fee Is
Energy Inspection Fee $
I occ coNST. �`� TOTAL FEE _
INAL 10. FEES I IMP I FLOOD I COF ►MCEL PO I ►O 6SU
This permit is hereby Issued under the applicable provisions
Of the Butte County Cods and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
PERMIT FEE
S . —
ELECTRICAL PERMIT
_�5_
Filing Fee 20.00
Main Service
"OOn acur
23.00
Main Service
Jr 200A To I000A
46.00
NEW CONST.
OR ADONS.
OWELLlq OCCUP.
&ACC. MDS.
NO"ESID.
MULTI -OUTLET
(07.50
POWER APPARATUS
a SSdC1LE OLq1AT CIR
Ex. Occup.
ounrr OR Fammm i
zoo 1.00
I
aAL .!0
EX. OCCU
FOCEDAPPLNe. oR
I
,
OUTLPiS ESID. EA
S.00
1
I
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
._ _
PERMIT FEE _
I. MECHANICAL PERMIT Filing Fee 20.00
I Hood e.50
IPERMIT FEE I S
Mobile Home Installation Fee Is
Energy Inspection Fee $
I occ coNST. �`� TOTAL FEE _
INAL 10. FEES I IMP I FLOOD I COF ►MCEL PO I ►O 6SU
This permit is hereby Issued under the applicable provisions
Of the Butte County Cods and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT -
ASSESSOR PARCEL NUMB
�✓ O _'
,•J`
ZONING
BUILDING PERMIT
OWNER
o A �/ ii/
TELEPHONE
3
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING AD KESS• Wa
"011i Ile- -25W
CONTRACTOR'S PIAME
OG7NER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 13 RosTTA "Y7 WCAIIIIE
Energy Plan Checking Fee $
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFS; Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.0015,00
Each as water heater or vent
15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U81ities ❑ Installation ❑ Other
Describe Work: WATER PIPINGS SE9M LINE REPLACEMENT
MIS WIRING TO SUB PANEL
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15,00
Mobile Home I S I G I WT_
920.00
PERMIT FEE $
50.00
ELECTRICAL PERMIT I
Fling Feel 20.00
600V OR LESS
Main Service 20 AOR 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 full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for a following reason:
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BUDS.
SO
3.5¢FT.
=REBID MULTI.OUTLET
@7.50
OWER APPARATUS
a SINGLE OUTLET C1 R.
Ex. Occup. OUTLET OR FIXTURES
SAL p I.SO
Ex. Occup. .FIXrs Ao 1 EED
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE $
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
_51(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 s ction 3700 of the Labor Code, I shall
forthwith comply with those ov' ns
X - l�gty —Q
nature Appl' t Owner Contract nt
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 $ 93.00
HOZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate ab ve for which fees have been paid.
1
f�
B to u
PERMIT EXPIRES ON
Date
Receipt No. 3$5312
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
= COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-751 PERMITNO.
(Rev.12/96) APPLICATION AND PERMIT t5 -
PX
ASSESSOR PARCEL NUMBER C ZONING BUILDING PERMIT
OWNEP-1 _ 0 / 1 ii z1--)ILI A47Z p /I SQ. FT. I OCC. I BUILDING VALUATION
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING
SUIL.DINGADDRESS I --:P-
LOT
J
LOT NO. I SUBDNISIONSNAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remode ❑ Util'Ities ❑ in tign ❑ Other 0
91
7D scribe Work:
.PERMIT FEE PAID
SRA
SHERIFF
OTHER
s 93-
H
AMOUNT RECEIVED $
DATE RECEIVED. dt.-�1lJ�_ _
RECEIPT
Total Valuation Is
Filing Fee
$
20.010
Permit Fee '
$
Main Service
Plan Checking Fee
$
Main Service
Energy Plan Checking Fee
$
NEW CONST.
DWELLING OCCUP.
(
$
OR ADONS.
PERMIT FEE
S
NEW CONST.
NON.RESID.
PLUMBING PERMIT
(LD7.50
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
@20.00
EX. OCCU . OUTLET OR FI)=RES
PERMIT FEE
$ —
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
loon oa L�Ess
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
DWELLING OCCUP.
(
3 5¢SO.
OR ADONS.
& ACC. BLDS.
FT.
NEW CONST.
NON.RESID.
MULTI -OUTLET
(LD7.50
EX. OCCU . OUTLET OR FI)=RES
FDIED APPLNS. OR
Ex. Occup. OunETs ESLD. E0.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirinq
23.00 ^'
PERMIT FEE 1 i
MECHANICAL PERMIT I Fling Fee 1 20.00
6.50
Ventilation
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TR'PIE TOTAL FEE $
HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD I 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.
By Date
PERMIT EXPIRES ON
O.B.- I
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.
QI personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES 5( NO ❑
2I HAVE 11HAVE NOT4igned 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:
CITY:
CONTRACTOR'S 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:
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
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.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.-1
An application for a building permit has been submitted in your name listing yourself as the builder of 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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments 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.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
4Nficy,
C. ViA�T,!
O.r, Build�gdiection
NOTE.This Owner -Builder information is required by Section 19830 of the California Health and Safety Code.
OVER
j'
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754b:3 ,P RMI
(Rev. 12/96) APPLICATION AND PERMIT �-
ASSESSOR PARCEL NUMBER
r w O
ZONING
BUILDING PERMIT
OWNER
O
T 75
SO. FT. OCC. BUILDING VALUATION
OWNERS MAULING ADDRESS
D' T D a v� ��� c /� 9,� (� 6
O
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
0 6 .S- to z
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ . d 0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILD DRESS
oS(r
Energy Plan Checking Fee
$
$
PERMIT FEE
$ W,00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ 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
15.00
TYPE OF WORK / /
New ❑ Addition [3 Remodel ❑ Utilities ❑ Installation ❑ Other [/' yj/fiC�
Describe Work:Oar 'L��/�
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Home I S I G W
@20.00
—Mobile
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ioD'. 0o v ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
affirm under penalty of perjury that I am exempt from the Contractors License
Lathe following reason:
I h7r1,as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
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
Policy Number
he above sections need not be completed 'rf the permit is for work of a valuation
one hundred dollars ($100) or less.)
/10cfertifythat in the performance of the work for which this permit is issued, I shall
a 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 thos rov' i S.1 �,
X, ate —'����
Signatu of A is t - caner ❑ Contractor//O Agent An OSHA per it i required for excavations over, 60" deep and demolition orconstructionof structures over 3 stories in height.
Main Service 200A To IOOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLAS.
SO
3.50".
Nppl pE.,DT MULTI -OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FD(TURES
2U @''DD
BAL @ .50
PP
FIXED ALNS. OR
Ex. Occup. ounETs RESID. EA 5.00
Tem orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ Q
HAZ.
D. FEES IMP
I FLOOD
CDF
PARCEL pp
HD
IS E
This permit is hereby issued under
of the Butte County Code and/or
indKwhich fees av
ON u
the applicable provisions
Resolutions to do work
been paid.
DateReceiptNo. (J
Dee
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ev.12/96 )
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive ° Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO
APPLICATION AND PERMIT
ASSESSOR PARCe.1Al1®ER �O-2 " L zopa m BUILDING PERMIT
o"EROCC. BUILDING VALUATION
CONsTau=m LENDER - -
LENDERS WAM ADOMMS Fireplace
Total Valuation S
ARCHITECT OR ENWNEER LICENSE NO.
Filing Fee S 20.00
ARcKn= OR ENDINEM9 MAAM ADDRESS Permit Fee S
O Plan Checkina Fee S'
BULDWO ADDRESS/ - Energy Plan Checking Fee S .
S
PERMIT FEE S
LOT NO. SUBDIVISIONS kWE PLUMBING PERMIT Filing Fee 20.00
-- — w._.—.._- - - — -- ------ —1--7.-00
Eaeh Tra --
7:00
USEOFSTRUCTURE Solar or heat pump water heater 23.00
SF ❑ Duplex ❑ Moblehome ❑- Other LIP r Water piping 15.00
Each gas water heater or vent
TYPE OF WORK Gas piping system 1 - 5 15.00
New ❑ AddBon D Xe.Viodel ❑11tiL6es Instaratiioon D er ❑ Buldin sewer 15.00
Describe Work: 7 wble Home I S 1 (31 W r 1 @20.00
PERMIT FEE S
ELECTRICAL PERMIT Firing Fee 20.00
Main Service ma OORR L 23.00
Main Service 2." TO L°ODA 46.00
NEW CONS-[; OWE1LM OCcuP. 3.5¢x_
OR ADONS. i AMC. eLDS.
►rmw oR Rsm I. U"T"OuTLET @7.50
. POWER APPAfi4TV5 .
s BINDLE ovn� eLR
a Occup. DunFr OR RMIRM 20
®.so .
/ Ex.Occup. AP
,.rn���' 5.00
. �
Temporary Service 23.00
Moble Home Faclities 20.00
Mie. Whin g F23.00
SIR A > PERMIT FEE r
S �; MECHANICAL PERMIT Firing Fee 20.00
Heating
44-,® �•. 4 Contin
Vf Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee S
Energy Inspection " �FrTOTALFEE$
S
mNSt. TYPE
KIZ• I D. FEES IMP FLOOD CDP PARCEL PO ND i ESJE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Nindicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
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.
`rp re sonally plan to provide the or labor and materials for construction of thero osed
P P
1,property impr ement : YES W NO ❑
CQ�' VE HAVE NOT 13 signed an application for a building permit for the proposed work.
. 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 this 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
DATE: -_�".. — 8 — /1— 03
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification mustbe completed and
returned to our office before we are permitted to issue the permit
OVER
't.
OWNER BUILDER INFORMATION
Dear Property Owner.
az-1
An application for a building permit has been submitted in your name listing yourself as the builder of 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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is *$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments 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.
♦ . There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
hfic 1 C. Vi iia, C.B.O.
er, Building Inspection
NOTE: This Owner Builder Information is required by Section 19830 of the California Health and Safety Code.
� i '
11
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 03-2462 Ram
ASSESSOR PARCEL NUMBER
_ C _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
CONTRACTOR'S NAME
5;HFRATnN SERVICES
TELEPHONE
694-8385
CONTRACTORS MAILING ADDRESS
1170 E TASSEN, CHIC -0 95973
CONSTRUCTION LENDER ,
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is
10 000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 117.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1 M
Energy Plan Checking Fee
$
PERMIT FEE
$ 137,0
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other - 1C❑
Describe Work:
( -
Gas piping system 1 - 5 outlets
15.00
—Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZDDA 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 f force and effect.POWER
7 6,
Lic. No.
License Class - J .!
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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
y affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers'
I '
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 <Si¢�c' �u N�
Policy Number Kzjto
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
e-7, tc '0
X � kte �
Sign of Applicant - ❑ Owner ❑ Contractorent
An OS permit is required for excavations over 5'0" dd demolition or construction
of structures over 3 stories in height.
Main Service zooA To ,000A
46.00
NEW CONST. DWEWNG DOCUP.
OR ADDNS. ( 8 ACC. BLD..
SO
3.5¢x.
T.
NEW ID. MULTI.OUTLET @7,50
APPARATUS
8,SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FD(TURES @ 1'00
SAL @ .50
Ex. Occup. DurLEEDTs RR=.DEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 137.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
XX
This permit is hereby issued under
of the Butte County Code and/or
indicated ab a for which fees have
By
PERMIT EX IRES ON
the applicable provisions
Resolutions to do work
been paid.
• ��
Date
'
Date
Receipt No.
WHITE-D.D.S.-B.D. NARY- PI K -I P CTO GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 53B-7541 Ups PERMT
NO
"or,, APPLICATION AND PERMIT J
ASSESSOR PARCEL?WUSEn 1�-.
r�
2O"N°
BUILDING PERMIT
owNER �
TEU7"ONE
.
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAUNn AQ P
p Ri W.NE%J'
TEMPONE�
Do RS MWND FD � l
p/STRUCnON LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation S
ARCMR£L:T OR ENSlNEM
UCE?ISE NO.
Firing Fee S
20.00
Permit Fee
ARCKmE= OR ENOWSERS MALM ADOREss
-
Plan Checking Fee 5
SULDLNO ADDREss 6
Y6
�J 3 �/
Energy Plan Checking Fee S
'
S
i
PERMIT FEE S
LOT NO.
sURDivecu:NAME
PARCEL MAP
PLUMBING PERMIT Feng Fee 20.00
Each Trap
-- 7:00 --- _
USEOFSTRUCTURE
SF Duplex O Nbbiishome ❑ Other
cFECFY
Solar or h9atpump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ufifilies ❑ Installation ❑
Describe Work
Other
Gas piping system 1 -5 outlets
15-00
Building sewer I
15.00
Moble Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT I
Firing Feel 20.00
Main Service zoDA OR LEss
23.OD
'
")
'
m'1
Sps ffff�
Si4b
r
O 40he.-y- 4
a 1 _
Aww4A �w�
�
y4a
Main Service 20" TO IoOOA
46.00
KEW eo►at: DwBt+x+ Dcxlm. 3.5¢90.
OR ADDNS. ( A AMC. 8=.
IAN-RESI4 NEW W.97451. MUM -OT @7.50
POWEA AP'PAAATIJS
i SINGLE OVILET CTit.'
00
OVfLEr OR FICTIAtES 20 ep L.50
Ex. Occup. LiAI ® .so .
Ex. Occup. o� Mro i0,R,,. 5.00
Temporary Service 23.00
Mobile Horne Facilities 20.DO
Wsc. Wiring 23.00
PERMIT FEE s
MECHANICAL PERMIT Firing Fee 20.DO
Heating
Cooling
Hood I I 6.50 I
Ventilation
PERMIT FEt S
Mobile Home Installation Fee S
Energy Inspection Fee S
�"
" T TYPE TOTAL FEE $
-
D. FE6 LMP
I FLDOD
I EDF
PARCEL
PD
HD 'SS'A
This permit But is hereby issued under the applicable provisions
01 the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Insulation Certificate
BUILDING OWNER: (
BUILDING LOCATION: ill -7
Description of Installation
ROOF
Material
Thickness (inches)
BUILDING PMOUT
Brand Name
Thermal Resistance (R -Value)
CEILING - .
Batt or Blanket Type y�7 % Brand Name
Thickness (inches) :% Thermal Resistance. (R -Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/h
lb Minimum thickness _inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR -WALL
: Ir;� _ 13 Brand NameMawial
-
Thickness (inches) Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
FOUNDATION WALL
Material Brand Name
Thickness (inches) - -- -- —--ermalResistance-(R-Value)--
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
�/ l-X73�q�
G ral Contractor (Builder) License Number
S ignantre and Title Date
Sub -Contractor (Insulation Installer)
Signature and Title
License Number
Date
THIS CERTIFICATE MUST -BBE RROVIDSID � THEWITHIN BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A CO JANUARY 1993
,
NOTES. jr
x
RESIDENTIAL.
03-2462
036-550-032 ,,t*;
'PERMIT NO. SULLIVAN, GREGORY
13 ROSITA W?y,.OROVILLE
`1 Cont: SHERATON SERVICES
REPAIR STORMDAGE
v
e
SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
I
JOB FINALED (Date)
Signature
CHECKED
BY
J=OK
0 = Not OK
Not
. NotReadyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply. Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
s = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Date
11. Water Pipe; Test -Anchors -Regulator -Service Test
Date
12. Electric Underground
Date
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
67. Bedroom Exiting
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
78. Plb.; Elec. & Mech. Equip. Listed for Location
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
_
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
93. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
36. A.C. Ducts Insulation & Support
Date
37. Vent Fan, Exhaust above insulation
Date
38. Condensate Drain & Overflow, Size & Grade
Comments at Final:
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exitino Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83. Following Instld./Drive O Yes O No/Walks 0 Yes 0 No/Planters O Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - UILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephon (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 03"2462 If:
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER SULLIVANTELEPHONE
GREMRY
SO. FT. OCC. - BUILDING VALUATION
OWNERS MAILING ADDRESS -
13 R(ISTTA WAY, OROVTTJF 9 C)hA,
CONTRACTORS NAME
'4 SURVICESh71,-R3R5
TELEPHONE
CONTRACTORS MAILING ADDRESS
1170 F VASSEIN,54
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
U,, .
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 117.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
13 ROSITA WAY OROVELE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 137.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Q 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
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other h❑
Describe Work: „
.a.... v v-... ....�r�... Ble.l-.
su.✓
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '..A 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 full,force and effect.�, /
e73
License Class Lic. No. 6
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00
CCU000A
W:L200A
NEW CONST. DWELLING OCCUP.
(
OR ADDNS.NEW
3.5QF°;
CONST. MUAiCTICOu�rL..
ET
NGN-RESID.
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ I'50
aAL @ .so
Ex. Occup.OFlxurLPDTSA REFS ) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 here. y affirm under penalty of perjury one of the following declarations:
c+❑ I 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 ..Z''/5/�L U N Q
Policy Number T.»C fr
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions. '
�G
D' to 4 7
Signet re of Applicant - ❑Owner ❑Contractor Agent
An OSHA permit is required for excavations over 5'0" deep nd demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. T4FEE.S
TOTAL FEE $ 13/.IJU
HAZ.
D.
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EX IRES ON
the applicable provisions
Resolutions to do work
been paid.
j'
• (��
Date % r
f V
.14
Date
ReceiptNo. "') (-N -. t' I".) /
WHITE-D.D.S.-B.D. CANARY-ASSESSORf I PINK -INSPECTOR GOLDENROD -APPLICANT
036-550-032 + 03-2528
SULLIVAN, GREGORY
I3 ROSITA WAY, OROVILLE
W ATER PIPING,W IRING&SEWER
t
9/7,44- 4
v
., R
,j
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL NSG DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (5 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ! "__:�Sz? �'
ASSESSOR PARCEL NUMB
ZONING
BUILDING PERMIT
OWNER- 6y /� /
t. /1 1/ /
TELEPHONE
y . 17
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS.
11 n S Loa l . G
CONTRACTOR'S NAME -
lJ:.
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
dA
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF)b Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
1 5.00 15.(0
Each gas water heater or vent
15.00
TYPE OF WORK _
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b%'I
Describe Work: ITER MEG, SEM LINE RETIACII YT
iUS WIRIEG TO SUB PANEL
Gas piping stem 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE Sn-nn
I
ELECTRICAL PERMIT
Fling Fee 20.00
aOOV OR LESS
Main Service 2O0A 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 full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION #
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
,,-6s 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. j
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 2O0A TO 1OOOA
46.00
NEW CONST. DWELLNJG OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.50x.
N CO MULTI.OUTLET
�e R�,D, I
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FO(TUR"
20 @ 1.
BAL Q .50
FIXED APPLNS. OR
Ex. Occup. O.REBID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 ')'A
PERMIT FEE $
/vl
WORKERS' COMPENSATION DECLARATION I
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 Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
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 that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wit;those provisions.
X`�/°.j�%/�'1//�/.,Date Q— _i+t
Signature gf'Applicant,, '❑ Owner `❑'Contractor„,❑.Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionr
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 93.00
HAZ.
D. FEES IMP
I FLOOD
I COF
PARCEL
I PD
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.
By .%F /1 l f/� Date ! .
t
PERMIT EXPIRES ON l� U It
( Date
Receipt No. 511
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I%
a
COUNTY OF BUTTE
BUILDING- DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES z
411 Main Street • Chico, CA • (530)•891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNS PERMIT NO.Al
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. 4'
�(—
Date Inspector
REV 10/92
COUNTY OF BUTTE f
--BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES'
411 Main Street • Chico, CA • (530) 891-2751 1
7 County Center Drive • Oroville, CA • (530) 538-7541
• r
CORRECTION NOTICE
vo
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
P A D VJ t
.�JAre-,\-4,jC �-o S �
�b
Date �-'� � 2 ` d� Inspector �
REV 10/92 Y
7