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078-230-008
EDITH R . DAKIN WILSON 5372 Crestridge, Oroville Permit#3396-84B(convert covered patio to RF & storage)SF ,-30-36 $ Permit#2975-85B(reroof/SF) WOLFSKILL, Lee ***4179B 33498 - 93-3777 B H . Vent - 3079P 2797P 3 3579E 4027B* WILSON, DAVID 07 8 5372 CRESTRIDGE DR, OROVILLE Lot !;$, h s w corner Rosita,.&.Crestridge,: Las. , COMPLETE/84-3396 Plumas Park, Oroville 02-2440 WILSON, DAVID 5372 CREST RIDGE, OROVILLE RE -ROOF CONTR: Eng. Wood Products, P.O. BQQx 1447,Oro.� (new, single family) �3 �9 a 3 FSs7 #add' 1 footage **repairs__ '**'Add bldg.fee _- -•`iKt{"'�y-^'ts'"4�"'�!r'ls'l,r�+v'i^�^`+►--�.�-��---rwr•--*^..v- .x Y-- u.�,�v.;� i i I �0 02-2440 WILSON, DAVID 5372 CREST RIDGE, OROVILLE RE -ROOF , U_ k�4 3 3q6 -S-'-/ 3 , 3 77� � (=� �c_ -Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMITy� yz41 ASSESSOR PARCEL NUMBER 036-560-008 ZONING BILDING PERMIT ,MSM9 DAVM TEJJ4—i464 UEPHO FT. OCC. BUILDING VALUATION %S(JO. 20 S01W ES 1j200.00 OWNER'S MAIUNG ADDRESS 5372 CREST RIDGE OROVIUlF., CA 95q66 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS -- r- r 1 \ Total Valuation $ 1,200.00 ARCHITECT OR ENGINEER 11jJ l " d ..i k' `3 LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MA IUN ADD Ess 1 Plan Checking Fee $ B ILDING_ADD S' �:si RI11C�C. OROVII.Z.E CA 95966 Energy Plan Checking Fee $ ` PERMIT FEE $ 49.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP , PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Ll Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C); Describe Work: RE ROOF WIN COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OVORLE Main Service 20 OA 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. 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 1 hereby affirm under penalty of perjury one of the following declarations: /p 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. ❑ I 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 Main Service PGOA To I 46.00 NEW CONST. DWELLwG GCS. SO U OR ADONS. ( & ACC. BLDS. 3.5 Fr. T. INpI}galp, MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SWGLE OUREr CIR. 00 20 EX. Occup. OUTLET OR FDmJAFS SAL @ ' .50 FucED APPLNs. OR Ex. Occup. ouTLETs RESID. EA 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 $ 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.) ,p 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 provisionof section 3700 of the Labor Code, I shall forthwith comply ;with those pr vislins. �+^� 111, Date �IIe\!*indicated Srcfnat re of Applicants © Owner Contractor ❑ Agent An OS A permit is required fx excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HA2. D. FEES IMP I FLOOD CDF PARCEL PD HD 55UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. � Ar, /f - 47 B�_ A YiIIrY! ���---MMM/ffA.lC� Date PERMIT EXPIRES ON �/-3 /3 �� Dafe Receipt No. �' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT tA�t..i✓ `T\NLS �rY �ld. c�a.u+.ti e6v /74�1 Temp. Power Pole Called PG&E �•- Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E a; JOB FINALED (Date) Signature -1.3d -2 -36' - -PERMIT PERMIT NO. �/QL.�6 PERMIT EXPIRES_ — R OWNER EDITH R. DAKIN WILSON CONTR. 014NER ASSESSOR PARCEL 36-56-8 LOCATION 5372 Crestridge, Oroville tA�t..i✓ `T\NLS �rY �ld. c�a.u+.ti e6v /74�1 Temp. Power Pole Called PG&E �•- Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E a; JOB FINALED (Date) Signature J = OK 0 = Not OK' = Not 'Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable � = Not Ready RESIDENTIAL (Single and „ Duplex) . Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers S. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation- Foam- Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instid.: Drive [I Yes ❑ No; Walks Ll Yes El No-, Planters ❑Yes 0 N 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except k's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng_.-Rn f_g_._ Fireplace Ties or Type AFlue-Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER _ `.3 ;7z- CORRECTION z 'ff�--CF-5 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. u !s� l' hl /— /a !>A y 1- A—' T1-oeer y� *7-44 "Or— cxI D vcn 7�j Ca �- t� -ort c� rzr �-niT iia S.rnih /� Date l l/j 7 REV 10192 �;3 Inspector COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN— SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO, APPLICATION AND PERMIT - � ? ASSESSOR PARCEL NUMBER ZONING - BUILDING PERMIT 036-056-088 R-1 OWNER David Wilson TELEPHONE 534-6364 SQ. FT. OCC. BUILDING VALUATION Est. 500.00 OWNER'S MAILING ADDRESS 5372 Creatrid a Dr Oroville 95966 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS 1 Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation Is 500• 00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 5179 rrogtridgP Dr, Oroville Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 15.00 SF ❑Y Duplex O Mobilehome O Other Building sewer 15.00 Mobile Home S G I W ` 20.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CIOtherJ PERMIT FEE $ Contractor Describe Work: Permit to Complete Work Started ELECTRICAL PERMIT Filing Fee 20.00 Under B.P. #3396-84 Main Service ' 200AORLESS 600V OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. / & ACC. BLDS. ) SO, 3.5C FT. NEW CONST. I MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW ( POWER APPARATUS I declare under penalty of perjury (check one) a SINGLE OUTLET CIR. ) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.O00 BAL. S Professions Code and my license is in full force and effect. Ex. Occup' ( FIXED APPS. OR WUTLETS ) 5.00 License No. Classification OIRESID.1 EA. 0s the owner, or my employees with wages as their sole compensation, will do �a Temporary Service 23.00 the work, and the structure is not intended or offered for sale. (Sec 7044) Mobile Home Facilities 20.00 ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Misc. Wiring ❑ 1 am exempt under Sec. Business and Professions Code 23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE $ 1 declare under penalty of perjury (check one): Contractor ❑ This permit is for $100.00 (valuation) or less. MECHANICAL PERMIT Filing Fee 20.00 ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Heating Certificate of Consent to Self -insure. Cooling Peshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Hood 6.50 Notice to Applicant: If after making this statement, should you become subject to the Ventilation Worker's Compensation provisions of the Labor Code, you must forthwith comply with PERMIT FEE $ such provisions or this permit will be revoked. Contractor I certify that I have read this application and state that the above information is correct. Mobile Home Installation Fee $ I agree to comply to all Butte County Ordinances and California State Laws relating to Energy Inspection Fee $ building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. occ CONST. TYPE TOTAL FEE $ 35.00 I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said HAZ. 1 D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE County in consequence of the this permit. I I I I ,,graantt�iingof X �.jl✓.RDate J' This permit is hereby issued under the applicable provisions SignatLire of Applicant -' Owner ❑ Contractor ❑ Agent r of the Butte County Code and/or Resolutions to do work An OSHA permit is required for excavations over 5"0" deep and demolition or indicated above for which fees have been paid. construction of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS/ ? Receipt 153569 BY locA& Datexl— WHITE-D.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON ��T-) 21y y (De rel it! _1 Eu co, David Wilson 5372 Crestridge Drive Oroville, CA 95966 A U BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 October 18, 1994 RE: Building Permit # 93-3777 Expiration Date: 11/22/94 A.P. # 036-56-0-008 With reference -to the above subject, our records -indicate that your building permit expires on the above date and your permit falls into the category marked below: [ Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00.filing fee) . , The renewal permit will extend the building permit for f- an additional year from the original expiration date. Should you not renew your permit within 30' days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. thisPast ear gxyX No inspections have been -made on permit work/ Inspections are required to verify - code . compliance.. We- are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the �-- OrovillP office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER, ZONING BUILDING PERMIT OWNER , ' TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION uSS OWNER'S MAILING ADDRE j CONTRACTOR'S NAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 1� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00- Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[Z' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE/OF WORK New ❑ Addition [:1Remode1 0 Utilities ❑ Installation ❑ Other ❑ Describe work: ��'�'� (��� r^n�l - knr� — Permit Fee $ Contractor ELECTRICAL PERMIT _ Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID, BRANCH CIRC ITS NEW CONST(POWER APPARATUS &� R D. SINGLE OUTLET CIR. NON-RES, Ex. OCCUp(OUTLETS OR FIXTURES BA L@300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said,County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ 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 $ r, TOTAL PERMIT FEE $ rj OCcu= TYPE OF CONST. PARCEL PD HD 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date i Receipt No. ,-'t WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f - /' ' ZONING BUILDING PERMIT OWNER OWNER/.., r /� TELEPHONE SO. FT. OCC. BUILDING VALUATION �f,.r . OWNERtj's MAILING[, ADDRESS CONTRACTOR'S NAME i + TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. f Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS // IT Permit fee $ / f' PLUMBING PERMIT Filing Fee 10.00 V Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC.L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other ( SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK e New Addition rr❑�Remt{6de/l❑, UtilitiesInstallation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C BOOV OR LESS main service 100 AMP OR LSS E 10.00 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 Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their soli 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.d , ) h¢sgft New A ULLT� our CONSTR. LET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e\ (SINGLE OUTLET CIR. 20 @ SOC Ex. Occup OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. EX. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O, I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r r X '! ��i...-�l �� ..� J Date K '� Signature of Applicant — Owner ❑r Contractor ❑ Agent ❑ .r_ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ % S OCCUP. CONST.TtPC IFLOODIPARCELI PD ND 99UE 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 paid. OF PUBLIG4WORKS /% (Date 1"JAX - _ PERMIT EXPIRES Date t • - �/ /�/ Receipt No. �()_� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Courgy Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 I�PERMIT Nq• (Rev. 12/96) APPLICATION AND PERMIT ( ASSESSOR PARCEL NUMBER 036-560-008 ZONING R 1 BUILDING PERMIT OGTLSON, DAVID TE534- 1464 SO. FT. OCC. BUILDING VALUATION 20 S U S OWNER'S MAILING ADDRESS RIDGE ORWITLE, CA 95966 CONTRACTORS OW OWNM' TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1,200.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 NEM ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5372 CREST RIDGE OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Utilities ❑ Installation ❑ Other lX Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V 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.PSINGL 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. 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. SO OR ADONS. ( 8 ACC. BLDS. 3.50FT, �pµR6IDT MULTI.OUTLET @7.50 OVIIET CIOWER APPARATUS 8 E R. ouTLFr OR FaTUREs zo p 1.00 Ex. Occu BAL o .50 Ex. Occup. OFUTEjtTS REWSIp.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: 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 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 `v 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 wo ers' compe sation provision of section 3700 of the Labor Code, I shall fo ith comply with those pr vi ns. X Date e _ nat r of Applican - wner Contractor ❑ Agent An OS A permit is required f 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 49.00 HA2. I D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y J4VVWV4& Date PERMIT EXPIR N I ate Receipt No. WHITE-D.D.S.-B. CA A Y-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT i O`VNER-BUILDER VERIFICATION A;tencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing you= simalm. Please complete and return this information at your earliest opportunity to avoid nmeoesae�►d�gr in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed (� property improvement: YES,® NO 1 I HAVE I� HAVE NOT C3 signed an application for a building permit for the peo9 used male 3. I have contracted with the following person (firm) to provide the proposed constrnetion: NaNME: DRESS: CTTY:, PHONE: CONTRACTOR'S LI 4. I plan to provide portio this work, but I ha supervise, and provide the major N:'LtiIE: '' ADDRESS: PHONE: I will provide some of the the work indicated: / NAME CTOR'S LI NO. the following person to coordinate, ck but I have contracted (hired) the ADDRESS PHONE GNED: P ROPERTYOWNER: NO. persons to provide WORK SOCLAI. SE R -y --- DATE:�4�,7_ NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 oW&W California Health and Safety Code. This verification matt be COngP19W /Rd returned to our office before we are permitted to issue the permit OVER t OWNER BUILDER INFOPUNIATION" 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 ofcaord onsuch a permit. Building permits are not required to be signed by property owners unless they are personally performiU*i&k own work. If your work is being performed by someone other than yourself, you may protect yourself from posttble 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 5300 or more for the entire project, and such persons are not licensed as eontracoors or subcontractors. then you may be an employer. ♦ [f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations includin,-state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may Ee Financial risks for you if you do not carry out these obligations, and these risks are especially serious with resoecc to worker's compensation insurance. ♦ For more sceci;:c information about your obligations under Federal Law, contract the Internal Revenue Service (and, i ( you wish, tl•e U.S. Small Business Administration). For more specific information about your obligations under Scace Law, ccr.:ac: he Department of Benefit Payments and the Division of Industrial Accidents. If the struca:re 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 tender 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 10:0 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. 1IN111 rely. r el C. VI Ira, C.B.O. ger, Building Inspection r� NOTE: Thar Owner -Builder Information is required by Section 19830 of the California Health and Sofe y Cods A �� 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 O - rkYom) WSnSORPAPCf & _S( 0-" D°MNe BUILDINGiPERMIT SO. FT. OCC. BUILDING VALUATION OWNIM'S MARINO ADDRESS 5-322 CONTRACTOR'S NAME /l•/y,' TEU9NONE CONTRACTOR'S MARINO ADDRESS CONSTRUCTION LENDER LENOER•S MNUNO ADDRESS Fireplace Total Valuation = ARCNITECT OR ENWNEER LICENSE NO. —Filing Fee b 20.00 ARCMTECT OR ENGINEERS MARINO ADDRESS Permit Fee $ --- Plan Checking Fee $ SURDWOADDRESS Energy Plan Checking Fee $ 3 �- 9.5 9 S PERMIT FEE _ LOT NO. SUBONBION9I0ME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or hent pump water heater 23.00 SF' Duplex O Mobilehome O Other Water piping 15.00 tidsPEccsr Each gas water heater or vent 15.00 TYPE OF WORK Gas piping sy!tem 1 - 5 outlets 15.00 New O Addition ❑ Remodel ❑ Utilities O Instaktion O Other Building sewer 15.00 AAMobile Home I S I G W Q20.00 Describe Work: � /l 7� C� PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 Main Service xoAOORLEss 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. DWELL.-No OCCUP. 3.StC OR ADONS. a AGC. albs. New CONS 1. MULTI-OUTLET7.50 NON.RESID. POWER APPARATUS A MOLE OUTLET CIA. OUTLET OR FDnUREB EX. OCCU ML w FIxEo A IRES. OR 5.00 Ex. Occup. olmFn ESRD. EA T emporary Service 23.00 Mobile Home Facilities 20.00 dMisc. Wiring 23.00 SAX� PERMIT FEE _ S�MECHANICAL PERMIT Filing Fee 20.00 vtr Heating �� 14 —Hood lingO Hoodd 8.50 MEMOS Ventilation PERMIT FEIE S Mobile Home Installation Fee $ L��j -� Energy Inspection Fee S L 1 OCC CONST. TYPE TOTAL FEE _ // "Z, I D. FEED YP PIAOD CO, PAR= I PD No ISSUE • This permit Is hereby issued under the apptkable provisions the Butte County Code and/or Rtlo id m do work in indicated above for which fees have beenbeen paid. By Data PERMIT EXPIRES ON David Wilson 5372 Crestridge Drive Oroville, CA 95966 ate 01 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 October 18, 1994 RE: Building Permit # 93-3777 Expiration Date: 11/22/94 A.P. # 036-56-0-008 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. thisast ear x6xyX No inspections have been made on permit work/ Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the-W-Orovilip office. Thank you for your prompt attention concerning this matter. Yours very truly, Michbel C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Atta^hments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING i' BUILDING PERMIT 036-056-088 R-1 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION David Wilson 534-6364 Est. 500.00 OWNER'S MAILING ADDRESS 72 Crestridge Dr. Oroville 95966 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S 500.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS L Permit Fee S 15.00 ARCHITECT OR ENGINEER 777[LICENSE NO. i Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 SF ❑X Duplex O Mobilehome ❑ Other ` Mobile Home S FGTW 20'00 SPECIFY TYPE OF WORK PERMIT FEE $ New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)] Contractor Describe Work: Permit to Complete Work Started ELECTRICAL PERMITFiling Fee 20.00 ' Main Service ( 800V OR LESS ) 200A OR LESS 23.00 11nrler R_P_ #.3396-84 Main Service ( 200A TO 1000A ) 46.00 (CONST.NEW DWELLING(SP ) OR ADONS 3.5Cso NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( POWER APPARATUS ) I declare under penalty of perjury (check one) & SINGLE OUTLET CIR. O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Ex. Occup. ( OUTLET OR FIXTURES ) @ 1:0500 Professions Code and my license is in full force and effect. Ex. Occup.FIXED APPWS. OR ( ) BAL. 5.00 � License No. Classification OUTLETS HRESID.1 EA. U-I"as the owner, or my employees with wages as their sole compensation, will do Temporary Service 23.00 the work, and the structure is not intended or offered for sale. (Sec 7044) Mobile Home Facilities 20.00 O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Misc. Wiring ❑ I am exempt under Sec. Business and Professions Code 23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE $ 1 declare under penalty of perjury (check one): Contractor O This permit is for $ 100.00 (valuation) or less. MECHANICAL PERMIT Filing Fee 20.00 ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Heating Certificate of Consent to Self -insure. Cooling P-Irshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Hood 6.50 Notice to Applicant: If after making this statement, should you become subject to the Ventilation Worker's Compensation provisions of the Labor Code, you must forthwith comply with PERMIT FEE $ such provisions or this permit will be revoked. Contractor I certify that I have read this application and state that the above information is correct. Mobile Home Installation Fee $ I agree to comply to all Butte County Ordinances and California State Laws relating to Energy Inspection Fee $ building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. occ CONST. TYPE TOTAL FEES 35.00 I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said HAZ. O. FEES IMP FLOOD CDF PARCEL PO HD ISSUE nce of the of this permit. Co un in consZYI�� 1 I I I I �gr���nting X �`l�-��` Date ` C� This permit is hereby issued under the applicable provisions Signat re of Ap Iicant Owner ❑ Contractor ❑ Agent of the Butte County Code and/or Resolutions to do work An OSHA permit is required for excavations over 5"0" deep and demolition or indicated above for which fees have been paid. construction of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS By Dote Receipt No. 153569 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON (Date) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND -PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER`�� - 5�0 - (�gpog> ZONING - J BUILDING PERMIT' . OWNER Ui -s TELEPHIIJNE — Z/ SQ_ FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 3 v' , % O CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 20.00 Permit Fee $ LC ARCHITECT OR ENGINEER uCENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5-3-79 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF� Duplex ❑ Mobilehome ❑ Other V SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK �J New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other � Describe Work:_ AlyA COQ 91e:iLe, (461 n g4-- Sr L ® lnd(` �yTr ���j �nr (9 � COI f' PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A10V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) Sp, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, .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 contractors. (Sec 7044) ❑ I am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS t 6 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .SO Ex. Occup.FIXED APPwS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 have read this application and state that the above information is correct. " I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the -County o_ f Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless -the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE-$. 3 HAz. D. FEES I IMP I FLOOD I COF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON IDerel 5 2 5/ 1 Receipt No. �7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has'been applied for in your name and bearing. your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this.verification is received. 1. I personally plan to provide the m 'o labor and materials for construction of the proposed property improvement (yes)or no) 2.I hav~/have not) signed an application for a building permit for he proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. NOTE: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property 0r� Social SeCL Date // /__ c-57- 3 This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted -to issue the permit. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS J7 County Center Drive - Oroville, CS-lifornia 95965 - Telephone 916/534-4541 . t APPLICATION AND PERMIT PERMIT/ NO. (/ ASSESSOR PAR=EL MBEF� JL ((SJ ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUA IO ;� OWNER'S MAILI G AD RE S 2 - CONTRACTOR'S CONTRACTOR'S NAME AA••^^ �W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER (/ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $'� ARCHITECT OR ENGINEER / LICENSE NO. Plan Checking Fee $ A Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILDING ADDRESS � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home FST G FW 10-00e TYPE O� WORK New ❑ Addition ❑ Remodel Utilities ❑ Install ion❑ Other ❑ Describe work: _� 10. P 1G — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60000 V OR AMP LESSOR 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS LING O OR ADONST ACCLBLDGS.CCUP.&) 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@50C P(ourLETs OR FIXTURES BAL@300 FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID,) EA,1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again saidrCounty in consequence//°°f the granting of this permit. �(_D��� a� Ga Y1 Date Signature of Applicant — Owner® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. PARCEL PD HD ISsu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC B y l PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ��—ZL 2V Date _ /Q— Z L � \ Receipt No. � � � �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT —_ f i, COUNTY OF BUTTE - DEPARTMENT"OF PUBLIC WORKS - BUILDING DIVISION C ?IOUI Y CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 v � PERMIT APPLICATION DATA SHEET Permit No. J OWNER Ql9�) n A. P. No. 5 6Z "-P Proposed Building Use 7./ ��✓L�� Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector (W Date At time of permit application�j was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . ./ . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. . J ,1 ..) 7 Statement of Intent for Non -Heated and AC BuildCts . ��. 8. Fees of $ . 9. Letter of signature authorization. r (.? ?` . . . . . . 10. Sanitation approval from �- �' Health Dept. 11. Planning approval for (A) Use: (B) Parking: 0 Tj 12. Certificate of Workmen's Compensation)lnsurance: 13. Contractor's License Information (no.r,>na-me style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. -Improvements may be required. . . . . . . . . . . 5. j-7_2 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request -tot) (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: �Mail.to'owner. Mail to contractor. Telephone and hold for picku&t'r office. Deliver w/inspector. Other Applicant %+��t'//1-i a¢ Date/d z /c rl t Copy of plans sent Health Dept., '• Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. I nde6x, a"rmi t for abov-etl temsZN . 2/1 2. Additional items required: 4 (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date _LOLt oZC�– Other: Copy–DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION . Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build-, ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_ 2. I (have/have not) ;� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address ICity Phone' Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address- Phone Type of Work Signed: r �p//( - Property Owner fd,� X, "4' Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. m C m l / v of C.,z Z C + =^ a J (�3A"o x.Qj .� o a> a 41 1Cq 46- CD v iD 00 m C m l / v of C.,z Z C + =^ a J (�3A"o .� o a> a 41 _ Oro. Q 46- CD m m -� iD 00 -0 t2 n o, 0 a V!' 0, N C .D U -N-1 Ia E. F. Plumbing ' I k 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 5YV-P 2. Wha ctio a n(give complete descript'n): 3. What action recommended: A. In only - file. Hold for ten days, then write letter. C. Write letter. / / D. Other: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: olnt"- fi l A. �k�3 L- S r(J Address: vv -CL Date of Inspectio ,,I . 7 Tenant: Building Location: Type of Inspection requested: A. 1. Housing ".2. 2. Financing / / 3. Change of Occ1upancy to 7K 4. Other (specify) vin I i 00ig V Present use of building: (O Vk a �< Dyl 0 Lc S e Sanitation (Housing) 1. Water closet: _ 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation:' 8. Room and space requirements: 9. Bedroom window or door for second exit: _ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERN ,t _ t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 MITJ/ APPLICATION AND PERMIT ASSESSO PA E NU BER ,y —o ZONING BUILDING PERMIT f O WNir T�MELEPHONE � 02 SQ. FT. OCC. BUILDING VALUATION Z; OWNER'S MAILING DDR S C, V o - M& r " CONT R AC OR'S NAME TELEPHONE tj CON RA OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is nr Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee ; r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 U Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR L MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFFVr Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition Reel Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.N , h¢sgft I declare under penalty of perjury (check one): NEW CONSTR.� DDNS.A ULTBI-OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS (POWER APPARATUS e� and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. Ex. OCCu 20®50s License No. Classification p OUTLETS OR FIXTURES SAL030 �- I, as the owner, or my employees with wages as their sole compen- Ex. Occup. out OUTLETS PR (RESID IEA.) 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- ors. (Sec. 7044) Misc. 6yirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 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 �l 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 Permit Fee ; provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ r ` I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYP! FLOOD PARCEL PO NO ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue agaisaid Co my in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- � �'� u ���� B X�. Date -�- sions of the Butte County Code and -or resolutions to do Signature of Applicant — Owner V�—Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRE T OF PU I WORKS ion of structures over 3 stories in height. YDS/ate Receipt No. WNIT!-D.P.W.. YELLOW-ASS[SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date ./ g COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. •1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone. Type of Work Signed: Property Owner Social •Sec rity u'_Q _ Date Z0�a4— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR PARCEL NUMBER x%=10 36-56-08 ZONING BUILDING PERMIT OWNER Edith R. Dakin Wilson TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5372 Crestrid a Dr. Oroville C nO1SRAL TO R'S NAME VW1lCL� ELEP THONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER uN OWN j(j� Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee @ � FEE $ 12.50 bF�JECT OR ENGINEER AgIII LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT CHIITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult fee $ 22.50 5372 1Crestridge Dr..Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEE Duplex❑ Mobilehome❑ Other conv patl speclFr Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 5.00 O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st renewal r it #3396-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 Professions Code and my license 'Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for tV reason NEW -CONST. DWELLING Occup.& OR ADDNS. ( ACC. BLOGS. /20sgft NEW CONSTR. UL I.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &` SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES6A 0530 FIXED APLNS.Ex. Occup. OUTLETS IPRESID 1REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare unde 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue said County in consequence of the granting of this permit. X st Date �ignotvre of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 22.50 occu P. CONST.TYPE I IFI-00111PARCILI PD I HD I ISSUE 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 paid. DIRECTOR OF PUBLIC WORKS Date By 10/26/86 PERMIT EXPIRES Date Receipt No. n TE-D.P.W.. YELLOW-A36C330R, PINK-IN30CCTOR, GOLDENROD -APPLICANT