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HomeMy WebLinkAbout078-220-036-air-'St-736 Larry Williams g 23 Rosita Way, Oroville Permit #405-77B(conv.garage to game room/SF) %7 . -36 Contr: LaGrone AC, Oroville Permit #5073-78P,E,M(duopac) SFg,/a, Contr: Weir Roofing ra ermit ##5297-78B(reroof) SF 6 5�; -46- ontr: R.D. Prater � �7 PErmit#3252-87B,P(repair dry t) 078-220-036 06-0657 JOHNSON, BRETT 23 ROSITA WAY, OROVILLE Cont: T DOWNING CONST RE ROOF, SIDING, WINDOW 61 C="-% L'. Butte County Department of Development Services. ou >e arty 7"County Center Drive, Oroville, CA 95965 (530) 518-7601 vnwv.buttecounty neyoos �uwY I RESIDENTIAL -` APN: Permit No. Ocaner. `078-220-036 06-0657 — JOHNSON, BRETT - Site Address: _ 23 ROSITA WAY; OROVILLE Cont: T DOWNING CONST Contractor _ RE ROOF, SIDING, WINDOW I' Type of Permit: 1 rz: j. 1 . 1 f 1 i. r SPECIAL CONDITIONS CHECKED BY Q SRA ❑ FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS F-1 U USE PERMrT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID 0 ENV HLTH CLEARANCE xy x 4 'DATE JOB FINALED: / 1 ,SIGNATURE: "t. = OK U = Not un MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE DEC K S'C O V E R S'C A R P O R T S `G A RAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cn nctrs -S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel -C nnctns-Thickn es s Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Hbr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bo7xes-Enclsrs=pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wfr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o'er e` °; °•` 1�15 0 °o`s I Pool Drawing = OK = Not OK RESIDENTIAL (Single. & Duplexj DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth_ 4 Ftg Porches/Decks; Soils -Steel Ftg Opth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel -Bloc kouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall-Fitting-Test-2-wayCIO-Sewer Test 10 UF, Gas Pipe; Sz AnchrsSz Test 1-1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders Sills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE FR A M I N G 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 H�rs g -Post Caps-Anchrs-Dnnctns `3,-2,1z%_ - 6w 2A'Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill. Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landin g -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 G1azi rea-Glass Prtctn-SkyLts-Plastic 36 S. ar Walls; Nailing -Bolts Brace Int/Ext Wall pnis 38 Ins ultn-Walls-Ceilings 39 Infiltration-Walls-Wndws s o'• m o'• m DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑ CU or [:I AL AC Wire Sz 9 ❑ CU or El AL 48 Range Circ ea ❑CU or❑AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAIt IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nair Prtctn 55 DWV; Test Fittings & Anchr Nail. Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping o` DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o'`• 0 0' m DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-DImcCom Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3- drain 81 Plmb; Elec & Mech Eqp Listed for Loan 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060657 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date' • 03/23/2006 APN:U��• 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. `1n� '363 Z- Site Address: 23 ROSITA WAY ORO License Class License Number: : ✓ 7-7 L Contractor: Map Index: Date:3' Description: REROOF'(24) SIDING,(216) 1 WINDOW OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ATTIC INSUL, GABLE AND SOFFET Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JOHNSON BRETT EDAN &MELISSA MARIE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 23 ROSITA WAY 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95966-6936 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as (heir sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: T DOWNING CONSTRUCTION provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 1351 E 9TH ST sale.). CHICO, CA 95928 ❑ I, as owner of the property, am exclusively contracting with (530) 894-3473 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or imprgves thereon, and who contracts for such projects with a contractor(s) licensed, pursuant to the Contractors' State License Law.). Contractor: T DOWNING CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 1351 E 9TH ST WORKERS' COMPENSATION DECLARATION I he eby affirm under penalty of perjury one of the following declarations: CHICO, CA 95928 I have and will maintain a certificate of consent to self -insure for (530) 894-3473 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License. #: 803263 ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carriierr andel policy nu ber are: Architect: Carrier: �/ t7 I '� Engineer: Policy ❑ 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 Total Square Ft: 0 S. F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. 7 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. l CONSTRUCTION LENDING AGENCY This permit is is d under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions indicated ove for which fees have beenpaid. D� '�(p 3' performance permit BY� Name: _ //D,,ale, • V 77- PERMIT EXPIRES44 Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu of -Butte County.' I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:"h .0owl.Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY"* OWNER INFORMATION Last Name.. o\ � O� Firsl t�ag�� Address 2 3J'\ _ , Vvq 7`� City 0 (-CPU i b Slate G �' Zip %6)2(�p Phone Fax E-mail CONTRACTOR Name Name Address ! '2 7.j Address City C Ga tate Zip p-�Z,9 Phone jet, 01V -3y-?3 Fax -ma �Vo / ®.7©D v �� Lic. # M Z 1,7 Class g - 60 'v\ APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail TURE For office use only: Zoning Property Address 3405,k Dose Flood Zone Cross Street Gas P SRA Yes No Occ. Type Const. Subdivision Name Map Book Page, Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN 9 PROJECT LOCATION AP# Property Address 3405,k Dose City olOvAl e_ Cross Street Gas P WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: �I-e—V6�7rev-. s�a,t� I w`✓►d�� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receipt #: W76 Date: *-3jo� Amount: Sheriff SMIP Total 44 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets.of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ J. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION ^ - .-�".�, orn n rermz�fjZD^-"'�,^ Larry Williams 23 Booita Way, OKoville COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calit`# is 95965 - Telephone: 916/538-7541 APPLICATitIN-Ald) PERMIT PERMIT NO. d ASSESSOR PARCEL NUMBER .r�6 -_7 `—`-,� ZONING l BUILDING PERMIT OWNER / /1 44 r - I %/ %!i J TELEPH NE ,SQA FT. OCC, BUILDING VALUATION i IJ N ER'S M MING ADORE SS1 4 t Oro O3 /I r r t n ry 96 CONTRAC T OyIR'S N ME �� � � 1) T,ELJ. EPHON�� f/1 TRACTOR'S MAILING ADORES CO,T /'� 1�; P 95 Fireplace CONSTRUCTION LENDER / UNKNOWN— Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 j 1 ,, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ('l% 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 1 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Oth r [V Describe work: �a i� •r Or 1/ % 4 ! h _ i+ t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �J ; UJ Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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 Profession Cid a d my license is in ful force and effect. L� 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.111) yZ¢sgft OR ADDNS. \ ACC. BLDGS. NEW CONSTFL M U TI.OU LET2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES .20@ 0 30 Ex. OCCUp. FIXED P OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Penult 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. ' ',- i MECHANICAL PERMIT FiIIng Fee 10.00 Heating oon g Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have rgad 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 tKe above-mentioned property for inspection purposes. , i eemnify and,keep harmless I also agree to S d the County of Butte against all liabilities,jjudgm §, cbsts, and expenses which may in any way accrue against pit ed' n consequence of the granting of this perm' . / ' Signotur f 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 $ f TOTAL PERMIT FEE $ 5 occUP. t CONsT.TYPJ JSCH00LJFL00.JPA.CIE:LJ PD No 1 39UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. n p bIRECT OF PUBLIC WORKS /�Receipt By '/�' . 1 �r�"' 9 �� �/ F."ate PERMIT EXPIRES Date r No. Ol) WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle. Q'iforni 9590 - Telephone: 916/538-7541 APPLICK - %ND PERMIT 9ERMIT NO. ASS OR PARCEL N ER ,5�' r ZONIN BUILDING PERMIT 0 7 ER TELEPHONE + S FT. OCC. BUILDING VALUAf ION OW ER'SPr ING ADDRESS D k CONT AC R'S N M EPH N a 5�- (O CO T T R'ILING ADDRES _ l )^ ,5 Fireplace CONSTRUCTION LENDER UNKNOW Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS c2�5 On Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 11 2.00 C� L191*2 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 Gas piping system 1 - 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 5.00 t] SPECIFY Mobile Home TSTZW 0.00ea TYPE OF WORK New ❑ Addition Remodel ❑ tilities Installation Ot r [V Permit Fee $ Describe work: + r n iv 1<opl Contractor r 9r !"© t ELECTRICAL PERMIT Filing Fee 10.00 � Main service 600V OR LESS 100 AMP OR LESS 1C.00 nj Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW ( DWELLING S.l yz¢sgft I declare under penalty of perjury (check one): GOCCUP.8d) R ADDNST NEW CONSTR.U TI.OUTLET 2.50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR.I and Profess' dg d my license is in force and effect. [{ Ex. OCcup(OUTLETS 20050t License No. Classification OR FIXTURES 5AL030 eALe 90 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) g ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT F'IingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. :Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 I Permit Fee $ provisions or this permit shal I be deemed revoked. I Contractor I certify that I h ad this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I a e t mply to all County Ordinances and State Laws relating to building c str and hereby authorize representatives of the Countyot TOTAL PERMIT FEE $ .S Butte to ente up a bove-mentioned property for inspection purposes. I also agr to e, and keep harmless the County of Butte against OCCUP, CONST.TYPZJ SCHOOL FLOODPARCEL PD ND ISSUE all liabi ies dgts, and expenses which may in any way accrue &dnify against o n uence of the granting of this permit. This permit is hereby issued under the applicable provi• 1 X Date 9qA1 sions of the Butte County Code and/or resolutions to do Signature A licant— Owner❑ Contractor Agent work 'nd' ed above for which fees have been paid. An OSHA permit is required for excavations over 5'0 deep and demolition or construct- ' DIR F PU I ORKS ion of structures over 3 stories in height. J ezl> Receipt No. B Date - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date 4050-77B REI:sMiT NO. PERMIT EXPIRES OWNER Larry Williams CONTR. owner LOCATION (A.P. 36-55-36 23 Rosita Way, 0roville Temp. Power Pole Called PG&E y` Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E /JOB FINALED (Date) (Signa re) Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Brown Firewall Soil Piping Forms Ducts Parapets 1st Floor Main Bldg. Permanents ° Restroom Flni h 2nd Floor Footings MOBILEHOME UTILITIES ------------------ Windows 3rd Floor Stemwall oZ ' SidingTo out Slab Elec. Continuity Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings ! % Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab / Final Sanitation Patio ! 19it FIREPLACE Final Footings Footing ELECTIRIG41- Masonry Walls ` Throat Rough Reinf. Steel ' Final Fixtures Bond Beam IRE SPRI LERS Motors Framing,� 7 ;JA1f Test Water Htr. Mesh M CHANICAL Gird. Fault Prot. /02 Scratch Heating Service Brown Cooling Temp. Pole Finish 4V Ducts Underground Interior Lath Ventilation Permanents ° Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service' Elec. Pedestal Water Piping Sewer Gas Piping MOSILEH STA LATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS . (NOTE: An entry must be made on this form each time you visit the job site.) f� COUNTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epho.�e:.534*1541 APPLICATION AND PERMIT QULIMIZU ICFIICSUIITGTIves of The bounty OT Butte to enter upon the abZatu/.f tioned property for in sp ction purposes. • X ILI�_ 4 P Date $i gnPermi or Agent Receipt No. 16294 96- 168 Q77n .- White-D.P.W. — Yell 9VA9 Pr — Pink -Inspector — Goldenrod- plicant 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. DIR=lie LIC WORKS BYE^ DateIF Building permit expires Date;! _. R___ /I r_7 > BUILDING OwnerZA rr SO. FT. OCC. BUILDING VALUATION ._ 0 Mai I i ng Address 3 26-s,774 WA 49 YO LL Telephone No. S3 �'��oGO Fireplace Contractor Total Valuation Mailing Address / a Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ O �` D C Building AddressPLUMBING o7W No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 41 Repair drainage or vent piping 1.50 Water piping 1.50 O 4// LL— e-- Each gas water heater or vent 1.50 A. P. No. ' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. . ``''^mss /Aal 64i ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. P ans Recd ral Parcel A ov PI s Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , i2p 'i- s7Y 6e- Ta- (S1'H e dp Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ®. Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC v OR ADDNS. ACC. BLDGS. 2¢sgft 6,1 NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le Of: Ex. Occup(OUTLETS OR FIXTURES) BA@L iia JSt(FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 M I am exempt from the Contractors License Laws of the State of California. Permit Fee $ i $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ QULIMIZU ICFIICSUIITGTIves of The bounty OT Butte to enter upon the abZatu/.f tioned property for in sp ction purposes. • X ILI�_ 4 P Date $i gnPermi or Agent Receipt No. 16294 96- 168 Q77n .- White-D.P.W. — Yell 9VA9 Pr — Pink -Inspector — Goldenrod- plicant 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. DIR=lie LIC WORKS BYE^ DateIF Building permit expires Date;! _. R___ /I r_7 > �ARRy %vi l.l. y p-MSWAY .eoK- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephoner534-45A1 APPLICATION AND PERMIT autnorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent i Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address I ,- Plan Checking Fee&/or Penalty Permit Fee .'. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets - 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map, I 60't R/W Improvements additional outlet .30 , Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ` Permit Fee $ $ ELECTRICAL No.1 @ I FEE ) PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex• Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 �\ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OC cup. OR ADDNS. %ACC. BLDGS. 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business_& Professions Code under the name style of: ; r � �' NEW CONSTR. MULTI-OUTL T NON-RESID, BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 8 NON .RESID, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIREs B L@; FIXED ALNS EX. Occup. � OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification - Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 1. Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent i Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date I S Z 9 � - Sr COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephor-,: 534-4541 APPLICATION AND PERMIT /% _ BUILDING Owner r f �,> SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor �b fj age A Mailing Address �(�� I Fireplace Total Valuation U7_0-1,y:;k Tele hone a. Permit Fee Building Address , Plan Checking Fee&/orPenilty— Permit Fee ,YJ cf4 -- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. � 6 - S S _ Zonin &Planning Water piping 1.50 Each gas water heater or vent 1.50 Foes W. C. 3anrtation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldgr-Pivns-Reed Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q, permit Fee $ $ ELECTRICAL No. @ FEE / PERMIT FILING FEE $3.00 Main service 100V DR LESS 100 AMP OR LESS 5•00 Single Family ©Y Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 ' V 7� Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP.� 20 sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name ~ style of.;' / �' /, T NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS &, NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI1RES % EX. Occup. OUTLETS P(RESID.)REA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 � License No1� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE t am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. f fi/I certify that in the performance of the work for which this ,permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE$ q,-)--� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1' _ .k Date // V72( Signature of Permitee or Agent _� Receipt No. —� �•' (//'/(/ White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for -which fees have been paid. G DIRECTOR OF PUBLIC WORKS r B Date Building permit expires Date 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ��� Telephone.: 534-4541 APPLICATION AND PERMIT autnonze representatives or the c;ounty OT butte to enter upon the above-mentioned property for inspection purposes. 4 X 8Date 8 Signature of Permit�� gent Receipt No. jyj White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for hich fees have been paid. I C F PUB IC WORKS B Date Building permit expires Date BUILDING Owner AI W SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Tele hone !v Permit Fee Building Address Plan Checking Fee &/orPen Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.,-? S>�—(a Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 W. C. I 81111i tath0111 Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bhdg'PtrnT RBt'-6 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ Fs ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS.CCUP. !i) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl O 1AA .21 NEW RESID. BRANCH CIR T NON-RESID, ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES1Ig L FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 � � License N Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnonze representatives or the c;ounty OT butte to enter upon the above-mentioned property for inspection purposes. 4 X 8Date 8 Signature of Permit�� gent Receipt No. jyj White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for hich fees have been paid. I C F PUB IC WORKS B Date Building permit expires Date s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6-�52,,7s-Zl' nA i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �` p ate 4 Signature offfPermitee r gent Receipt No. 1916 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ,.-I( DIRECTOR OF PUBLIC WORKS � ZIA Building permit expires Date BUILDING firt V/ Owner LArr �jr!(� Q in SQ. FT. OCC. BUILDING VALUATION Mailing Address` roelephone v. No. Contractor Mailing Address S` ' Fireplace Total Valuation ° f Ile L3 Telephone No. --A,76 Permit Fee Building AddressPlan Q Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Q� Each Trap 1.50 Repair drainage or vent piping 1.50 310 ` 5 15 _ / A. P. No. to Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. S3,ilra n FFireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Parcel A royal I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ I& S $ od DN 6 A c, r © , ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR Main service 100 AMP ORSLess 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: %% (%,.� �� e `�- n1 / 9. NEW RESID.CONSTBRANCHMULTI-OCIRCUITS) NON.RESI D, BRANCH CIRCUITS) 2.50ea NEWCONSTR./POWER APPARATUS d NON . RES I D. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES g L @ 1 Ex. OCCU FIXED APPLNS. OR P•�OUTLETS (RESID.) EA) 2.00 Q �r�h Temporary service 10.00 Mobile Home Facilities 15.00 I� .2o 5L / A,37 License No. 41� / 9,2 / Classification 10 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. }I I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ n Land Development Fee $ $ TOTAL PERMIT FEE $ QC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �` p ate 4 Signature offfPermitee r gent Receipt No. 1916 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ,.-I( DIRECTOR OF PUBLIC WORKS � ZIA Building permit expires Date IF Howard J. Snyder Division of Environmental Health Jim Glander Building Inspection Division 7 County Center Drive Oroville, CA 95965 Gentlemen: I/We request an inspection of the property identified below for the purpose of obtaining financial assistance for home repairs under the County's Community Development Block Grant Rehabilitation Program. I/We understand that if this inspection uncovers health and safety violations, we may be required to remedy these problems whether or not we receive financial assistance under this program. SIGNED: Owner wner Property Address 1--- y/G - ,s� 3 Phone Ir Date 9f -?66-6 ?3G • � J F ' h { 4 1 � �