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078-230-012
IN 0 WYNOKA HOMES ,� ��j i 40 Las .Plumas _Way, of .5�, C�rovi'7.1.e Permit# 2326-75B(new single family) CONTR: Gridley Plbg. Permit# 2.45_8-75_P(for 2326-75)9/ao'/vj/ CONTR: Sweem's AC Oroville`174 1 Permit# 3078-75M(Por 2326-7 ) 1/ar/>f CONTR: Huggi�t Elec., Oro vill ~Permit# 2977-75E(for 2326-75 11123-121 93-3326 B GESS, WALT 40 LAS PLUMAS WAY, OROVILLE REROOF/SF O9 SS's 30-�fZ 06-0908 GESS CWD�ROVILLE Cont: D.S. ROOFING RE ROOF „ .D( 012 D 0 Butte County Department of Development Services. 0�r>E ERE" IN O T E S 7 County Center Drive, Oroville, CA 95965 (530) 578-7601 vn,v 4gecounty neydds RES IIDENTIAL APN: �}� 2_3 0-012nit No. L 22g 06-0908 _ Owner. GESS ' Ko Site Address: VIL E Cont: D.S. ROOFING Contractor. RE ROOF _ Type of Permit 4 i. SPECIAL CONDITIONS CHECKED BY O SRA ❑ FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS Q VERIFY 0 USE PERMIT CONDITIONS. ❑ SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE 0 DATE JOB FINALED: lr/ f O _ i SIGNATURE: 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. BP060908 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/21/2006 APN: 078-230-012-000 the Business and Professions Code, and my license is In full force and effect. /• _ 38S X64 Site Address: 40 LAS PLUMAS WAY ORO License Class : �•� License Number: Date: Zl OL Contractor: ' Jl�n S� c� h ` Map Index: OWNER -BUILDER DECLARATION escr Di tion: RE ROOF 20 SQ'S COMP I hereby affirm under penally of perjury that I am exempt from the p 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: GESS WALTER A & CYNTHIA to its issuance, also requires the applicant for such permit to file a 28 MYRTLE DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 -commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-5541 she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 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 their 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, 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 sale.). ❑ I, as owner. of the property, am exclusively contracting with 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 improves thereon, and who contracts for such projects with a'contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Ul,'11-have and will maintain workers't 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 carrier and policy number are: Carrier: Policy #: Applicant: D.S. ROOFING 650 BROOKHAVEN DRIVE PARADISE CA 95969 (530) 877-7752 Contractor: D.S. ROOFING 650 BROOKHAVEN DRIVE PARADISE CA 95969 (530) 877-7752 License #: 856760 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person in any manner so as to .become subject to the workers' compensation laws of California, and agree that if I should become subject to the. workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. / t/ o CONSTRUCTION LENDING AGENCY This perm' is her by issuedunde rcable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' ns to d work indicalehich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Clv.) By. Date: Name:- �rb PERMIT EXPIRES ON: Address: ❑ 1 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 8 Safely 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 agentpf 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 ofny fficial orm or Ecu Ent of Butte Count I hereby authorize represeptatives of BI utte County to enter (upon the above mentioned property for inspection purpos Print Name: � A (1 tA�h 1 Slgnatu �I l Date: : t-1 - 2-1 200 v ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor u. v. vww „y . ........... ...... ra = OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION U SOFT -SET DATE D E C K S`C O V E R S'C A R P O R T S 'GARAGES 1 Zoning -Setbacks -Easements i Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftg§; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Sewer; Loctn-Test; FalUC/0-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPo Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test -Crossovers -Breakers -DIrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath ' 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and. Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs 0 Foundation Q 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries-Terminats-Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr a Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bdxes-EnclsrsTrilboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enctsr, Fencing -Alarms 13 Bonding, Diving board or Slide `- dip d� o'er e Pool Drawing OK Not OK _ RESIDENTIAL (Single & Duplex) DATE 1UNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth• 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-B(ockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10. UF, Gas Pipe; Sz Anchrs-Sz Test Ij Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-M ate ria" upport-Insultn 61 AC Ducts Insulin & Support 14 Girders -Sills-Anchr Bolts.)oists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnIVent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic 41r �c DATE IFIR A M I N G 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnfs-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GF] & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc. 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec OutJets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Mailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters DYes QNo o'• s s m o'er m 87 Stucco Brown -Finish - 88 AC Unit Dscnnct, Elec-Plmb 89 Wits abv Roof, Plmb Appinc-Frplc-CIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE ELECTRICAL 40 Fxtr & Tmsfrmr Clmcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or F-1 AL 98 Address Posted AC Wire Sz gaDCU or DAL 99. Fire Sprinkler 48 Range Circ ga CU or AL 'Oven Circ ga D CU or FAL Insulated Neutral D Yes Q No o'er e` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 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. BP060908 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. 119 LICENSED CONTRACTORS 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 Issued Date: 04/21/2006 APN: 078-230-012-000 the Business and Professions Code, and my license is in full force and effect. + Class - License Number: V� Site Address: 40 LAS PLUMAS WAY ORO License : • JGf1 Date: ZI - c)LContractor— Map Index: Description: RE ROOF 20 SQ'S COMP p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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: GESS WALTER A & CYNTHIA to its issuance, also requires the applicant for such permit to file a 2$ MYRTLE DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-5541 she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Cl 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: D.S. ROOFING owner of property who builds or improves thereon, and who does 650 BROOKHAVEN DRIVE such work himself or herself or through his or her own employees, PARADISE CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95969 year of completion, the owner -builder will have the burden of (530 ) 877-7752 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner•, of the property, am exclusively contracting with 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 improves thereon, Contractor: D.S. ROOFING and who contracts for such projects with a contractors) licensed 650 BROOKHAVEN DRIVE pursuant to the Contractors' State License Law.). PARADISE CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95969 (530) 877-7752 Date: owner: License #: 856760 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: have and will maintain workers'( compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder andpolicynumber are: rr STS �Lk Carrier: \V—z�) Total Square Ft: 0 S. F. 3Wtaa .0 b Policy #:_ Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. CONSTRUCTION LENDING AGENCY This perm' 's her by issued under a plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' ns to d work indicated afioveror which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date: Name: PERMIT EXPIRES ON: Address: (Da e) ❑ 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 f 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 fficial ofm or Ecu nt of Butte C/oun/tom. I hereby authorize representatives of Butte County e1tn(tteer upon the above mentioned property for inspection purpos ytto, I t�r^1' Signatu : Print Name: �I - 1 - 200 O Date: v ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor tt. G. nwioing rermn u i- io-u-+ py i 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. BP060908 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: 04/21/2006 APN: 033-332-004-000 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. 9 7 6 Q Site Address: 28 MYRTLE DR ORO �. 3 License Class : Li CE e Number: 5� Map Index: Date: y -Z /- Contractor: ' Description: RE ROOF 20 SQ'S COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GESS WALTER A & CYNT A permit to construct, alter, improve, demolish, or repair any structure, prior 28 MYRTLE DR 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 OROVILLE, the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-5 1 / she is exempt therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by any applicant for a permit subjects the 1 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 their sole compensation, will do the work, and the structure is not A&aD.& ROOFING intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 650 BROOKHAVENRIVE owner of property who builds or improves thereon, and who does PARADISE CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95969 sale. If however, the building or improvements are sold within one (530 ) 877-7752 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 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: D.S. ROOFING not apply to an owner of property who builds or improves thereon, 650 BROOKHAVEN DRIVE and who contracts for such projects with a contractor(s) licensed PARADISE CA pursuant to the Contractors' State License Law.). 95969 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530) 877-7752 Date: Owner: License #: 856760 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: I 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 carrier and policy number are: Carrier: S�Lz3_'t L V, 01 Total Square Ft: 0 S. F. Policy #:_/ 0 6 Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. CU S��1472y) CONSTRUCTION LENDING AGENCY This permit i .hereby issued under the cable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do rk indicated! bo a for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: /� A i 2-1.612 Address: PERMIT EXPIRES ON: 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 6 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 y official form or document of Butte County. I hereby authorize representatives Butte County enteruponthe above mentioned property for inspection purposes. /of Jto �Print �/ 5 �/% �/ Name: 7 / v / Signature: ��- Date: GZ2 / 7 ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO � BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 P OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name irst Name C 1 Address Phone 530 j J O Cityof 0Df I_ E-mail State A 7 6 Phonee� 0 _ Fax E-mail State License Number CONTRACTOR Name rA 14 L^ Address V City Par StateC Zi Phone 530 j J O Fax E-mail Lic. lbs/ 60 Clast APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone I Lot # Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APP CANT SIGNATURE X For office use only: Zoning Prop rt ddress r Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page I Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PROJECT LOCAT ON AP# _ r�n GG Prop rt ddress r Cross Street WORKER'S COMPENSATION Policy Number L 2� d Carrier 5C» 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: ZeYOo 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. Cf1 Received by: lyp Amount: Bldg SRA Receipt #: i Sheriff l.i/ SMIP I 1 //-9- ) `006 170-(() U Total I I Page 1 of 2 REV 8-12-05 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 /N 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 A/C 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 • r ❑ 7. Metal bldgs: (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.) ❑ 1. 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Ir F 036-56-0-012 : " ., 9 SS, WALT LAS'PLUMAS WAY, OROVILLEROOF/SF lia 0 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SRVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - hone(916)538-7541 PERMIT NO. APPLICATON NYD PER -NO." ASSESSOR PARCEL NUMBER 036-560-012 ZONING - BUILDING PERMIT OWNER t•' n_ 1Yi31t. VIYBs TELEPHONE SO. FT. _; ,OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS1,260.0021 40 Las Plumas Way, Oroville 95966 P 60 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER one UNKNOWN Total Valuation 1$1.260.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $31,M ARCHITECT OR ENGINEER ' one LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $51.00 40 Las Plumas Way, lle PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF;O; Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition 1:1Remodel O Utilities O Installation ❑ Other Describe Work: Reroof W/Comp• PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOO' OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( & ACC. BLOS. ) - 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) El 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. I BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. OCCU P• ( OUTLET OR FIXTURES 20 @ 1.00) BAL. @ .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 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. 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 cr mply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor ' � certify that I have read this application and state that the above information is correct. Iia ree to comply to all Butte County Ordinances and California 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, indemr)I y and keep harmless the County of Butte against all liabiliti ,:Judggments„crosts pnd expenses which may in any way accr6e.against said Coun c N equsf�i of he granting of this permit. X / ” Date C% Si nature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit iso 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 $ 51.00 • HA2- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOWOF PUBLICWORKS ` f By si n` :�y" :'fIX, Date /�'1A; / ,�}' PERMITEXPIRESON �,� !f /% (Date) Receipt No. 153107 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIONS AND PERMIT 9 3 — 3 �Z�a ASSESSOR PARCEL NUMBER 036-560-012 ZONING BUILDING PERMIT OWNER Walt Gess TELEPHONE SQ. FT. OCC. BUILDING VALUATION 21 P 60 1,260.00 OWNER'S MAILING ADDRESS 40 Las Plumas Way, Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Non LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 51.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF,XX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition CI Remodel Remodel O Utilities ❑ Installation ❑ Other d Describe Work: Reroof WLComp . FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.50 $FTO.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 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 1, 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEw CONST. MULTI -OUTLET -NON-RESIO. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FI%TURES ) BA2L @ 1.000 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 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 Certificate of Consent to Self -insure. 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 $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 savyindem-fy and keep harmless the County of Butte against all against said Coun c equgranting of this permit. liabiliti d mentsd expenses which may in any way04,01 X Date Si nature of Ap can Owner ❑ Contractor ❑ Agent An OSHA permit i required for excavations over 5"0" deep and demolition or construction of stru tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 51.00 HAZ. D. FEES IMP F100D COF PARCEL PO HDISUE 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 be paid. DIRECT F PURLfORKS BY JA "JDate;,9101 PERMIT EXPIRES ON (Date) ER.ceo..S.-B.D. CAN -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT R COUNTY OF BUTTE - DepartRienf'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. l. -.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' iJiU.d 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 Sec4i 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 per- mitted to issue the permit. Ki PERMIT NO. 2326-'75B P E 1 M MH UTIL. PERMIT NO. j PERMIT EXPIRES OWNER Wynoka Homes �CONTR. "OCATION (A.P. 36-56-12 ) i 4 ( 40 Las Plumas Way, lot 52, Oroville .f r f .i i Temp. Power Pole Called PG&E Temp. Elec. Serv.� 3 7 Called PG&E Temp. Gas rv. Cal d PG&E INALED J 9 (D (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . DATE REMARKS OR CORRECTIONS BUILDING BUILDING (Cont'd) PLUMBING Setback ' 7S Firewall ^' Soil Piping Forms - 6—" Parapets 1st Floor 4 Main Bldg. Restroom Finish 2nd Floor Footings Windows _ j I 3rd Floor Stemwall Siding To out 0 'J✓7 Slab Roof Sheathing Water Pipin Piers Roofing — Sewer Garage Fdn. Vents 1 Fixtures -2- -7 Footings - Garage Vents Water Htr. StemwalI Slab '- % Prov. for physically handicapped Heaters Appliances Z Carport Footings Conformance of ex. structure >< Gas Piping & Test Z -% Temp. Gas Slab Final Sanitation Patio FIREPLACE Final ^? Footings Footing ELECTRICAL Masonry Walls Throat Rough �-- Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing _ -j - % Test -_ Water Htr. Stucco Final Subpanels �— Mesh MECHANICAL Grd. Fault Prot. -� Scratch o - 7, Heatingye J, ^'-j Service Brown Cooling Temp. Pole Finish 2-3 Ducts /J Underground Interior Lath Ventilation Permanent 3� Door Closer �� �'i �- Final 0,- z Final a "-?, -? � DATE REMARKS OR CORRECTIONS THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: 4KIm,+-3 plt)Av" z - Street Lot Number Tract No. EXTERIOR WALLS //00,�, ManufacturerS�7 ! Thickness/Type �L A'At R Value j CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer�P����+�^ �— Thickness No. Bags Z 3 Wt./Bag Sq. Ft. Covered ZG R Value t 7 FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLjV,,,' A 04 f� Manufacturer s sickness/Type R Value GENERAL TRACT • 0. Box 1600 LICENSE No. r p . .21 � BY — DATE INSUTAITiQN CONTRACTOR:' HAWKINS INSULATION CO. LICENSE No. 215-925 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —, Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateZO 7� Signature of Permitee or Agent Receipt No. � ,z !i White-D.P.W. — Yellow-Assesso — 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. IRECT R OF PUBLIC WORKS By Date t� ?,iqS r permit expires Date ._34K ` 7, BUILDING Owner eS SQ. FT. OCC. BUILDING VALUATION Mailing Address �Q 0 Telephone No. Fireplace Contractor v� Lr� `j �iH Lo Total Valuation Mailing Address f B�' py f� o,z, a y. Permit Fee Plan Checking Fee &/or Penalty O �� f, � e T3hone No. SJ _�,c� Permit Fee $ � Building Address d dothof PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. o — Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fi -Sfi LI9R Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION p UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,Oa e- Main service incl. 1 meter do Additional meters, a ch 1.00 Sub -pa el (12 or ss) (more than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ RE", Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures It y a2 M21M., sw' es & fix 2yiets ZM CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � % - lyi�/ /yi t/ /2'V9Si/� Ho6&,6x. Fan or F.A. Furn. Motor 1.00 Ev ooler,gar.disp.or D.W. 1.00 /,00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 7600 License No._i�- Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. nave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify 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 $ ;�D g,< authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateZO 7� Signature of Permitee or Agent Receipt No. � ,z !i White-D.P.W. — Yellow-Assesso — 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. IRECT R OF PUBLIC WORKS By Date t� ?,iqS r permit expires Date ._34K ` 7, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 L� �✓ Telephone: 534-4541 APPLICATION AND PERMIT 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. X Date Signature of Permit or Agent Receipt No.Z- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ /a, 60 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. � E TaRZOFBLIC WORKS By Date 9 Z, f Building permit expires Date BUILDING Owner ,SQ. 0 FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S p_ s Total Valuation Mailing Address QA AJ �/ A �� Permit Fee Plan Checking Fee &/or Penalty Tlephone No. �33— s� 6 Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 :540 ,IAS Z!/ S IVA Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� « Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sarritstivirm Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 BI ec d Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b �2 Receps., switches & fix outlets 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: / f Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 p License No. IS� / Lr Classification C `Z /% Misc. wiring ❑ 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 or Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 ex -,6 Heating Cooling � a� Ventilation Hood 2.00 p Permit Fee $ /o%69 -if 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. X Date Signature of Permit or Agent Receipt No.Z- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ /a, 60 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. � E TaRZOFBLIC WORKS By Date 9 Z, f Building permit expires Date 6 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC0 S �3c?�o J /� 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 ' / APPLICATION AND PERMIT v V« icNiwn ciauv vca i mt: uuunty ui esutte to enter upon the above-'mentio d property for inspection purposes. X Date_��� gnoture of Permitee or Agen �1 Receipt No. 7 3 y 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 .� z — 7J �expir=Dat�e� uilding perm................ 'Z'�' BUILDING Owner 14141lC SQ. FT. OCC. BUILDING VALUATION Mailing Address r 45161 1 Telephone No. Fireplace Contractor Total Valuation -2 Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 (� (; Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 T 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 s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 5aR&7*0j Parce roval P4 Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 0-2T bal d10 Receps., switches & fix outlets 20 M 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:�^��,[� /, 4 / 6,w&—n — Hood, Ex. Fan or F.A. Furn. Motor 1.00 �— Evap. cooler, gar. disp. or D. W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 �License No. l lJZ �� � Classification ��—% '� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. f3rl I have placed on file with the County of Butte a certificate of I� 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 r PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Who V« icNiwn ciauv vca i mt: uuunty ui esutte to enter upon the above-'mentio d property for inspection purposes. X Date_��� gnoture of Permitee or Agen �1 Receipt No. 7 3 y 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 .� z — 7J �expir=Dat�e� uilding perm................ 'Z'�' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aULFMIZc reNresenidtives or the County of Butte to enter upon the above-mentioned property for inspection purposes. Qcz,e,21P Dates 20-%��' ZI 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. DIRECTOR OF PUBLIC WORKS By���� Date- Building ate Building permit expires Date BUILDING OwnerS SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor y��,p,� �% U,y�g� G% Total Valuation Mailing Address Permit Fee Checking Fee &/or Penalty �tPlan r!a o d Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3(JO Each Trap 1.50 .00 Repair drainage or vent piping 1.50 Water piping 1.50 5 �rtcLO a o2 Each gas waterberaher or vent 1.50 A. P. No.,r 3(p' �`lv '-/,Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fg Sa;:ri-tetton Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 �QDeclaration Bldg: P15� R4'd Parcel Approval Plans Approval Permit Fee $ m? , SO ,$ ;2_1y1 S NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 % �oZ�p-7✓r Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 (d2 Receps., switches &fix outlets 20 P25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pr ssions Code under the name style of Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ^��� / License N � Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor men's Compensation. 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.1 @ I FEE PERMIT FILING FEE J$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 TOTAL PERMIT FEE $ �f r�"/ aULFMIZc reNresenidtives or the County of Butte to enter upon the above-mentioned property for inspection purposes. Qcz,e,21P Dates 20-%��' ZI 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. DIRECTOR OF PUBLIC WORKS By���� Date- Building ate Building permit expires Date