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IMP AP-56-56-�� WYNOKA HOMES 1 23'.x'®Las Plumas Ave., lot 66, Oroville Permit# 2494-75B(new AP COIWR: Gridley Plbg. _Permit# 3121-75P(for 249/+-75) ru Jv- TJ-. CONTR: Huggitt E1e,(;..,.-Or0ville"`r 4 Permit# 4246-75E(for 2494-75)'�����7f' CONTR: Sweeml s AC; Orovalle ;e"", �Permik# 4350i75M(for_2329=7.5)-2i/_iq%ZI 1500-91P RUCKER, Todd 2350 Las Plumas Ave, Oroville cont: Do -4-U (water heater/sf) ^ _ I 94-0280 SQUILHASEUM, BAO CONT: MONTE J. PRATT CONST. "/' S 2350 LAS PLUMAS AVE., OROVILLE /� REROOF/SF --y_05-1217-_ YANG, BAO 2550 LAS PLIJMAS AVE, 0 CONT: OWNER REROOF 12 SQ D I 1 4 I 1 NOTES 4 RESIDENTIAL PERMIT NO. 036-560-026 _- -.054217 ~ VANG,BAO 2350 LAS PLUMAS AVE, OROVILLE CONT: OWNER REROOF 12 SQ 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 0C1�Cr (�� 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. BP051217 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 licensed under . Issued Date: 05/06/2005 APN: 036-560-026-000 provisions of Chapter 9 (Commencing with Section 700000 ) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. Site Address License Class : � License Number: 2350 LAS PLUMAS AVE ORO Date: ' Contractor: 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the -Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fo.r 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 properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner. ?� WORKERS' COMPENSATION DEC LA ATION I hereby affirm under penalty of perjury one o he -f flowing declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:.,_A /z- Applicant: z-Applicant: - WARNING: Failure to sere wor ers' compensation coverage is unlawful, and shall subject ane ptoyer 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 Civ.) Name: Address: Map Index: Description: re roof 12 squares Owner: VANG BAO 2350 LAS PLUMAS AVE OROVILLE, CA 95966 Applicant: VANG BAO 2350 LAS PLUMAS AVE OROVILLE, CA 95966 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 C� This permit Is her 139 issued Uhder the applicab provisions of the Butte County Code and/or Resolutions to d?I I i "aMeZwfoich f/e ,s have been paid. !��Date: `' -. By: PERMIT EXPIRES ON: ❑ 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_ O' Notification In accordance with Section 19627.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County tto/enter upon the above mentioned property for inspection purposes. Print Name: Y/ '� i �/ //1/ IT Signature: Date: �Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor J=OK 0= Not OK _ = Not Applicable . =Not Heady MOBILE FOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Specidl MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ l" L "ftl P LPG Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Voles-GFI 6. Elec.; Enclosures; Conduit Entries-Tenninals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers-Ciearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Voles-GFI 6. Elec.; Enclosures; Conduit Entries-Tenninals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Appricable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Fig.. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe: Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga- Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Ai -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44, Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.EI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive 0 Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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. BP051217 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 1 hereby affirm under penalty of perjury that 1 licensed under . Issued Date: 05/06/2005 APN: 036-560-026-000 provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. Site Address: 2350 LAS PLUMAS AVE ORO License Class License Number: : Map Index: Date: Contractor: Description: re roof 12 squares 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: VANG BAO permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a 2350 LAS PLUMAS AVE 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 95966 7000) of Division 3 of the•Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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 Applicant: VANG BAO Code: The Contractors' State License Law does not apply to an 2350 LAS PLUMAS AVE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 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 Contractor: 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. License #: WORKERS' COMPENSATION DECLA ATION I hereby affirm under penalty of perjury one o ollowing 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: 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: le—A, A Applicant: WARNING: Failure to sere wor ers' compensation coverage is unlawful, and shall subject ane oyer 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 permit is her9K issued fider the applicab provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Clv.) Resolutions to work igdi a e for ich fe s have been paid. Name: By: Date: 6-- Address: PERMIT EXPIRES ON: l7 Date) ❑ 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 & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 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 ell county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any "official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: T Signature: Date: Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" Address City Phone E-mail State Zip Fax State License Number APPLICANT NAME Name CONTRACTOR Name ood Zone City SRA Address Phone City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class ARCHITECT/ENGINEER Name Address City Phone E-mail State Zip Fax State License Number APPLICANT NAME Name Zoning Address ood Zone City SRA State Zip Phone Occ. Fax E-mail Map Book Page APPLICANT SIGNATURE X For office use only: Zoning ood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: � r V1\ 1 %J OUMI1111 I I AL K1=UU1KEMENTS K:\FORMS\BUILDINGFORMS\E31dgAn ISOR t d p qm s. oc Page 1 of 2 LOCATION AP# 036- s--�O -oz( Property Address City z 5's -n t S �CvrMA-� Cross Street WORKER'S COMPENSATION Policy Number Carrier IIf 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: Sq. Footage u 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. ©� Received by: Amount: Bldg SRA Receipt #: �� Sheriff 7%0 SMIP Date: ��V� Other Total REV 2-24-05 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 IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 2-24-05 � '. �S'• _ :: - _ cFi: -sir :.[ �-:.�:��,�._' .'.u,. RI'CI 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. -----= r: I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [//] NO [ I. ,-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: PHONE: CONTRACTOR'S LICENSE NO: 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPE DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION `BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . � t Micyael C. Vieir4 C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Temp. Power Pole I Called P &E Temp. EI c. Serv. 7 t Ca/ed PG&E % �J //—lb?- s _ ;. Te Gas Serv. S Called PG&E I /. /� • %J JOB ! _ FINALED + (Date) (Signatur ) i 3, • iii � PERMIT NO. 2194-75R s' 1 P E M vMH UTIL. % PERMIT NO. ,Y IU _ 7(c PERMIT EXPIRES ,OWNER Wynoka homes )C1ONTR. LOCATION (A.P. 36-56-26 ) r 71 Las Plumas Ave., lot 66, Oroville t; •4 S J� Temp. Power Pole I Called P &E Temp. EI c. Serv. 7 t Ca/ed PG&E % �J //—lb?- s _ ;. Te Gas Serv. S Called PG&E I /. /� • %J JOB ! _ FINALED + (Date) (Signatur ) i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback '" Firewall / ""! of ^- '747—Soil Piping Forms t2 4ig Parapets 1st Floor % 2- "? Main Bldg. Restroom Finish 2nd Floor Footings Windows �-/ --�_� 3rd Floor StemwalI Sidinq To out 5- ^ 7S Slab Roof Sheathing �j°' 12. % Water Pipin Piers Roofing Sewer Garage Fdn. Vents Fixtures / - -7j— 7Footin s `� Footings 'Garage Vents Water Htr. StemwalI Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test - Footin s structure Temp. Gas - Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough - Z� Reinf. Steel Final Fixtures ` Bond Beam FIRE SPRINKLERS Motors '— Framinq Test Water Htr. Stucco -7 Final _ Subpanels Mesh _ MECHANICAL Grd. Fault Prot. Scratch Heating - - Service Brown Cooling -/ -7(j Temp. Pole Finish / 16!- % Ducts - j / - 'i Underground Interior Lath z "o G Ventilation Permanent Door Closer -�, f Final / 1 '- L$- 'X'� Final / /- % 1 DATE / REMARKS -O-R CORRECTIONS J / dvot7 o4< CC/' J vrnr�r L s_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /' / 7 County Center Drive -- 2ro"ville, California 95965 7-,_J50- Telephone: 534-4541 APPLICATION AND PERMIT W authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Signature of cPe itee or Agent Receipt No. White-D.P.W. — Yellow-Asse sor — 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. TOR OF PUBLIC WORKS / By Date -B>gpermit expires Date` / J BUILDING Owner UJ aJ -G SQ. FT. OCC. BUILDING VALUATION Mailing Addre Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address. A0 Permit Fee Plan Checking Fee&/or Penalty .41 TellephoneNo.v/ Permit Fee Building Addr PLUMBING No.1 @ FEE PERMIT FILING FEE J$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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F{e!r' k -t I 4aA4a+ten 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 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [� ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,��jt/yyz.�I yr Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family R1 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b Id2 Receps., switches & fix outlets —bl 010 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: <�— 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. Classification 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 for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. /Ir ❑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 3•Q!J Heating .©� Cooling • coo C M Ventilation Hood 2.00 a •00 Permit Fee $ /a.0v $ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Signature of cPe itee or Agent Receipt No. White-D.P.W. — Yellow-Asse sor — 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. TOR OF PUBLIC WORKS / By Date -B>gpermit expires Date` / J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive lWO'Ville, California 95965 Telephone: 534=4541 APPLICATION AND PERMIT NEW 4�9 4/6 —1 25� l/I BUILDING SQ. FT. I OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee' PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Parcel Approval Plans Approval Permit Fee ELECTRICAL ADDITION ❑ UTILITIES ❑ OTHER ❑� PERMIT FILING FEE y/ _ Main service incl. 1 meter $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 Additional meters, pach 1 1.00 i Sub -panel 02 o ss) (more than 12) S(ngle Family ff Duplex ❑ Mobil Home ❑ Others ❑ 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: /. / j% j� License No. 7 7tid/421 Classification I<' _4!f, FEE FEE Ram, Cook -top or Oven j 1.00 i O 0 Water Heater or Space Heater Owner %j e- Mailing Address e5129 00 L4 i e� Cc Telephone No. 3 a73 Contractor � f�- L /-;Zz '11G Mai I i ng Address Water pump � Mobil Home Facilities Telephone No. Building Address Temp. Power Pole 5.00 Misc. wirino A. P. No. 3�p �– �v Zoning &Planning s ire Dep t. Fire Zone Use Permit EQAI Plans Parking Parcel I Declaration Parcel Ma p 60' R/W I Improvements p NEW 4�9 4/6 —1 25� l/I BUILDING SQ. FT. I OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee' PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Parcel Approval Plans Approval Permit Fee ELECTRICAL ADDITION ❑ UTILITIES ❑ OTHER ❑� PERMIT FILING FEE y/ _ Main service incl. 1 meter $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 Additional meters, pach 1 1.00 i Sub -panel 02 o ss) (more than 12) S(ngle Family ff Duplex ❑ Mobil Home ❑ Others ❑ 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: /. / j% j� License No. 7 7tid/421 Classification I<' _4!f, FEE FEE Ram, Cook -top or Oven j 1.00 i O 0 Water Heater or Space Heater 1.00 Light fixtures R s„ swi s & fix o ets L4 Hogd, . Fan or F.A. Furn. Motor 1.00,/,00 Ev cooler, gar. disp. or D.W. 1.00 poc, Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wirino ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X QLr �i eze Date yn lure of Permitee or Agent Receipt I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 2.00 $ TOTAL PERMIT FEE J$ of This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date- N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -. 4roviIle, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT mm Signature of Permitee or Agent B Date S Receipt No. f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Buildingffrr�1.XPE9"t@ BUILDING Owner Ql��s SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor I LE Ilk,� Total Valuation Mailing Address Z-9 Permit Fee Plan Checking Fee &/or Penalty �� �t�r'i0 Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 o -a Each Trap 1.50 p Repair drainage or vent piping 1.50 Water piping 7 1.50 Each gas water heater or vent / 1.50 j Q A. P. No. — 2 6 Zoning & PlanningGas piping system 1 - 5 outlets / 1.50 SQ Each additional outlet .30 P Zs W. Fire Dept. FireZone Use Permit Building sewer 5.00 j D� EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 B ans ec'd Parcel Approval Plans Approval Permit Fee $� NEW ❑ ADDITION ❑ UTILITIES OTHER n ELECTRICAL No. @ FEE FILING FEE $3.00 --PERMIT /,0_ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family J!] Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bOl O Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions hapter 9, Div. 3, of the State of California Bus' es s &Pro ons 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 No.,�'i1:;7 '3 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ❑_t '>ave 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 El permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for ecronoses. TOTAL PERMIT FEE $ c -T This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fee�ave been aid. %TOR been WORKS Signature of Permitee or Agent B Date S Receipt No. f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Buildingffrr�1.XPE9"t@ Owner O,4ti°% 70_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS���� 7 County Center Dritte ��, ,Qrobille, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT t/ BUILDING SQ. FT. I OCC. BUILDING VALUATION Mailing Address r „_.. soC (� Telephone No. r Fireplace Contractor Total Valuation / Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty ® Telephone No. Permit Fee Building Address PLUMBING No.1 @ I 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. �-��, Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees`too A ti n FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im ro ements P Lawn sprinkler system 2.00 Par pprovalans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$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 b20 2 al 10 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: G� 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 ,moi r�+vv� License No. /� % �7S 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe0on purposes. X-6/ Cr� n l Sigure of Permitee or Agent/ Date — Receipt No. Z 3 ✓ OF White-D.P.W. — Yellow -Assessor —/Pink -inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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 ELIC WORKS BY _ Date euilding permit expires Date 0! - +"--.+r-.y*.,Ns� "WW1 .s'/FysT>� t fa Y akM�4-+•..,+v-.rr�?v+yw..' 4Y:�iIi., -. .. i. rF «,.y,,,tY - :4Y%'+c X3,3" �A r Y'i Y1'w?f:'_'•'�. —, 036-560-026. 94-0280B } SQUILHASEUM, BAO CONT : -MONTE `J . PRATT CON ST. 2350 LAS PLUMAS AVE., OROVILLE REROOF/SF i M f ..-..._.�+rr..�=.�'*'+I�res�P'm'"ns:sslY%ri""i :'Y"'�'i":'�T�"�^_ ... � _ �=��r-•rar �c+nm r" -+T... ....r. - q4. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. APPLICATION=AND PERMIT 0471' � ASSESSOfl PARCEL NUM BER 036--560-026 ZONING R-1 BUILDING PERMIT OWNER BAO SOUMUSEUM TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2350 LAS PLUMAS AVE. OROVILLE CONTRACTOR'S NAME MONTE J. PRATT CONST. TELEPHONE 533-0487 CONTRACTOR'S MAILING ADDRESS 5780 LOWER 4JYANDUITE OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2350 IAS PLUMS AVE. OROVILLE PERMIT FEE $ 49.00 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,10 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 Others New C1Addition O Remodel ElUtilities E)Installation El Other Describe Work: RE—ROOF 20 SQ. COMP FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOGA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( a ACC. BLDS. ) 3.50 FT, SO. CONTRACTORS LICENSE LAW I d dare 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. 'j-ra(� � Classification 8.p' O I, as the owner, or my employees with wages as their sole compensation, will To 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. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAD @ 1.00 Ex. Occup. FIXED APPLNS. OR ( OUTLETS (RESID.) 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): 19 ❑ 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. O 1 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 Ed 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. 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 consequen a ofr he gra ting of h's permit. 4 .`r X Date Signaturerof Applicant Owner Q 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 $ GCC CONST.rTYPE TOTAL FEES 49.00 L HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE 0.11 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By 1' f�+�-�� Date ` ,(J PERMIT EXPIRES ON (De tel Receipt No. 155899 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENt OF DEVELOPUPENT;ERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT �✓' _W ASSESSOR PARCEL NUMBER 036-560-026 ZONING R-1 BUILDING PERMIT T OWNER BAO SOUILHASEUM TELEPHONE SQ. FT. OCC. BUILDING VALUAT 20 SQ CCIMP 1200 OWNER'S MAILING ADDRESS 2350 LAS PLUMAS AVE. OROVILLE CONTRACTOR'S NAME MONTE J. PRATT CONST. TELEPHONE 533-0487 CONTRACTOR'S MAILING ADDRESS 5780 LOWER WYANDOTTE OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2-350 LAS PLUMAS AVE., OROVILLE PERMIT FEE $ 49.00 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 SFjPC Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W ` 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describework: RE—ROOF 20 SQ. COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) S 3.50 FTO,. NEW CONST. MULTI -OUTLET -NON-RESIO. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I d Clare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and m license is in full force a d License No. Classification effect. O 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 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occu p' ( FIXEDAPPLNS.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. 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 $ 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 save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, �andde penses which may in any way accrue against said County in consequen a ha ting of h_s 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 $ 49.00 HAZ- D. FEESIMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON r0 e/ provisions to do work paid. Date 6 /f,� $, Receipt No. 155899 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT&'DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET Building Inspector A. P. No. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mai Pto ntra or. Telephone and hold for pickup at o ice. Deliver with inspector. Other - Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant 36-56-26 1500-91P ' RUCKER, Todd 2350 Las Plumas Ave, Oroville cont: Do -4-U ;� (water heater/sf) "FP1,:. r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orliville, California 95965 -Telephone: 916/538-7541 - /� APPLICATION•AND TERMIT ASSESSOR PARCEL NUMBER 36-56-026 ZONING IRI BUILDING PERMIT OWNER (message) R T� 1 So. FT. OCC.1 BUILDING VALUATION O Wi5Sd tis Npt"g55Ave. , Oroville - j ` TR ntracting, Inc. (916) T�36 ` :b.`W�-fOtb,GedR tuff 96080 !� Fireplace `°done CTION LENDER UNKNOW Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ A HITF-CT OR LN ;INEER done LICENS NO. E Plan Checking Fee $ Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ,,Ar� �s ' B U�I�C}J fl G 1x3f3 R f lumas Avenue, Oroville r ���j Permit fee $ PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 200 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IPARCEMAP Water piping 5 Each qas water heater or vent 5,00 USE OF STRUCTURE SFff Duplex❑ Mobilehome❑ Other SPECIFY ; Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea' TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation❑ her ❑ Describe work' replace waftr Heater i exst gas n perm 5.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service jp0 AMP V OR ORSLESS 10.00 Main service EA. ADD'L too 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 theisiness and Professions Code and my license is in full force if effect. 0 d �ZQ License No.� %Zw Classification. ❑ 1, as the owner, Or my employees with wages as their SOIOmpen- sation, will do the work,and the structure Is not intended offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licenseontract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professs Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. BLDG-. / '/z�sgft NEW CONST R. ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu p�OUT LETS OR FIXTURES• zo a sot eAL990 FIXED OR Ex. Occup. OUTLETS TS (RIRESESI.D.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 6rtment a Certificate of Workmen's Compensation Insurance or a lificate ❑of Consent to Self -Insure. I shall not employ any person in any manner so as to becoiubject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becoiubject to the W. C. provisions of the Labor Code, you must forthwith compl�h such provisions or this permit shall be deemed revoked.. - Contractor 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 oration Z is correct. I agree to comply to all County Ordinances and State Laplating to building construction, and hereby authorize representatives of thentyot Butte to enter upon the above-mentioned property for inspection purpt 1 also agree to save indemnify and'keep harmless the County'of Bugainst nses which may in any accr e agains ai u y ' consequ granting of this permit. al 1,1iabiIit�' ud' ents, costs �_Id�e t^ X Date +� Signature of Applicant — OWrrer ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep a demolitionistruct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I HAZ TOTAL FEE F 25.00 GUA PARK SCHL FLp CD PAR PD I Hp. Issu This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do Work indicated above for which fees have been paid. I ,CTOR OF, P BLIC WORKS y . Date 5 �S/9% PERMIT EXPIRES Date 5��7 93631 Receipt No. WHITE-D.P.W.. YELLOW-ASSE»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAffON AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT _36-96-026 OWNER (message) y ACJ T5,PH.7/�1 SQ. FT. OCC. BUILDING VALUATION OW 'S MAILIN ADDRESS 1��0 Las l�lumas Ave., Oroville CO TRACTOR'S NAME �o-4—U Contracting, Inc. (916) IW PHO 5�2E9-336 CONTRACTOR'S MAILING ADDRESS P.O. Box 1010, Red Bluff 96080 FireDlace C STRUCTION LENDER one UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fae $ RCHITF-CT OR c•� ,INEER ANone LIE CNSE No. T Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2350 Las Plumas Avenue, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 1 5.00 USE OF STRUCTURE SFO 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: replace water heater _ exst gas Min peim 1 1 5.00 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 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 Code II and my license is in f force ?nd effect. and Professions �/ / License No. (�� `<`�� Classification.*" r 1^,' ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLCGS. , /x¢sgft NEW CONSTRES'D, RANCHUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .ALO 330 Ex. Occup. OUTLETS IFIXED PLNS REA.� RESID I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ 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 i to the W. C. laws of California. i 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 1 Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation 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 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 liabilit' u ents, costs, a d e pPnses which may in any way accr e agains id y yyfconse o granting of this permit. -1C,' X Date Signature of Applicant — Ow er❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep a demolition or construct-CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E 2 25.00 HAz. _ CUA PARK scHL FLD PAR PD I00 ) 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. O P LIC WORKS y Date S 1s Q PERMIT EXPIRES Date EL/152 I Receipt No. 93631 WHITE-O.P.W.. FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7.County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATIaN A9b PERMIT ASSESSPARCEL NUMBE _ —Q Z ZONI14 BUILDING PERMIT OWNER -ro D ���� M� -_ TELEPHONE SO. FT.OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 7,O C / ELEPHONE ,SLS ,P63 CONTRACTOR'S MAILING ADDRESS P O P-67-> IBLviCIP7CA& 3?6 FireDlace CONSTRUCTION LENDER UNKNOWN C Total VdIUatlOn $ Filih9 Fee $ 10.00 LENDER'S MAILING ADDRESS Perm;: Fee $ ARCHITECT OR LN.;INEEP. LICE`:SE NO. Plan Che, -king Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 !O� Each vas water heater or vent 5.00 Q USE OF STRUCTURE S FX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilities�_stallation❑ Other[] Describe work:7t/-Ly ~%+%i2, - 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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 ❑ ors. (Sec. owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. f ,/Z¢sgft NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex, OCCUp�OUTLETS OR FIXTURES 20 BSOt eAL@ 30 Ex. Occup. OUTLETS PRESID LNS IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. . Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Olin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ 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 32storiess in heights. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE E E TOTAL FE $ t a ,,,z CUA PARK scH� I FLD PAR PD I HD. ISSUE This permit is hereby issued unser 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 By Date PERMIT EXPIRES Date Receipt No._ - "� r4 _23 / WHITE-D.P.W., YELLOW-ASOE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT ; •5:..'.'•'� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROViLLE, CALIFORNIA 95965 - TELEPHONE: 9-16/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 0UCA6-cP - 1 TO !]D A. No. :5 4a — Z� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate; signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as, follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ----7 A � _ " --;7 Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ,; 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone._rnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on'hold in Copy—DPW Date Plans approved by File cabinet AP folder Date