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HomeMy WebLinkAbout078-240-007�z AP 36-66-07 STR!"ROBERT .L.._BARNES ��y /Y� 5429 Debby St., 6• oville �� A contr: W&ir Roofing, Oroville Permit$ 4239-74B (reroof ) iFi-AA _ 7 078 - 2yO- X07 -uiaays G Wen �� p� / F1 Lor BLOCK SUBDIV. 5429 Debbie Wa /f Permit �� 2898-82BrPVE1M(add�4�y� TYPE OF PERMIT NO. PLAN NO. DATE IS REMARKS PERMIT -fami rm add int hallway & smmke det)SF PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING T -TRAILER BUILDING AND SAFETY E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S -SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 G;p PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING T -TRAILER BUILDING AND SAFETY E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S -SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 G;p us - INSPECTION RECORD BUILDING APPROVALS 1 rc im aZ Z Z O O QIr0 Oj 0It O IL O z ' O W Z (� Z Z O f = z O C W ? 0�I WQILI 1&1 FY U� um J W' 7Qd u J _m� LLJ a ZQi SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAVE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE Ocher -Date Owner:� Address • c�jJ Tenant: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT M ZONING ,y A. P. # 36,-0 Date of Inspection Inspector 2J24 - Building Location. P IJb6 'e Type of Inspection requested: li / / 1. Housing / /. 2. Financing / / 3., Change of Occupancy to A. B. C. 4. Work W/O Permit / / 5. Other (speciiy) Present use of building:�r ~r1 -r Sanitation (Housin 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12.' Connection to water supply: 13. Rubbish and garbage facilities: 14.E Stairs:(Rise, Run, Headroom, 1HR, Tolerance�,Handrails 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: I is D. Plu6bing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:: 7. Comments: N F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations rr) 1. Problem or violation (give complete description): G1 O I C) 'D Qf �D 2. What action taken (give complete description): ti'Y1 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. T% C. Write letter. / / D. Other: �� '� �-i' o � � • 9 _!ice �J v J, e- .T� d � C'� � �- / /'Y�� off✓ !. tia r-'� , ,-= -- f- 0 --. MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Robert L. Barnes CONTR. 'V-&ir. Roofing, Oroville ' LOCATION (A.P. 36-66-07 ) 5429 Debby St., Oroville r i i, N I 1 1 Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E 1 JOB lam/ I FINALED (Date) (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ' PLUMBING Setback Firewall Soil Piping Forms Parapets I 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing_ Water Piping Piers Roofing 0 —,IX — Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final ,q Sanitation Patio FIREPLACE Final Footinos Footinq ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final _ 1! DATE f r, dl E, f� l' S i� 1 REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Orovi Ile, California 95965 %/ Telephone: 533-1230, Ext. 259 <�74 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Dat $ignoture of Per i ree or Agent Receipt No. _/-Z C., G i / — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 O,F PUBLIC WORKS By Date 7— -7 Building Permit Expires Date BUILD NG Owner " t 1 Mai I i ng Address SQ. FT. OCC. JdJLqING VALUATION M ff I Contractor12 'A AA Fireplace Total Valuation Mai I i ng Address , I Permit Fee U &/or Penal ty6,60 Permit Fee $ ('O Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 A L) 17A47 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — D Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. 48nirarinn Planning Building sewer 5.00 Plans Fees C-*--W.(�,/ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ AAA°� 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) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 20 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 stylefI 1 J 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 Misc. wiring License No. Classification ❑ i am exempt from the Contractors License Laws of the State of Cal omia. 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 s as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 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 intsf�me�tato�r`� groMotion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ Zr2. 00 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Dat $ignoture of Per i ree or Agent Receipt No. _/-Z C., G i / — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 O,F PUBLIC WORKS By Date 7— -7 Building Permit Expires Date 2898-82B P E PERMIT NO. M PERMIT EXPIRES OWNER Gladys Golden CONTR. Owner ' ASSESSOR PARCEL 36-66-7 , LOCATION 5429 Debbie Way,Oroville ) C Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature c OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready 9+AP,SCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s ' 1 Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Fos ts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windokvs-Doors 7. Utility Clearance 7. Elec. % j Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector } 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GF1 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH'Tesl-Regulator-Connector. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD. Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - - 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -81 Date Card -BI Date Card -BI Date Card B -I Date Card -61 _Date _ Card -BI Date Card -BI Date 0 E, V = OK O = Not OK - = Not Applicable * = Not Ready W RESIDENTIAL (Single and Duplex) • Date UNDE LOOR (PIKs) OK exce t#'s Date FRA NG Continued oning requirements -Setbacks -Easements Property Line Firewall & Openings tg., Main; Soils -S -Elec. Grnd.- / " Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50--6tair5?Width-Headroom-Rise-Run- Land ing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53r-6tacee-44e6h-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54 5& --Shear azing Area -Glass Protection -Skylights -Plastic Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; We-Anahees 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. #.-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI ate and BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI Dat Card -BI Date Date FINAL (Plans) OK except q's Card -BI Dat-V,-J'7_,,,Card-BI Date Date PLUMBING (Permit) OK except p's 3t. Steps -Door & Sidelight Protection -Landings Sypke•Detector _ 1. er H .; Vent -Access -Combustion Air 5$/Purnace; Vents-Cle a -Com" it -Co ctor- 1 . ipe, Test & Anchors -Nail Protection Bhst-Fttngs & Anchors -Nail Protection 59. 8edreem-Exiling- +Z chnu2er Pan; Test, First Floor -Tub Access 60..Gf=h•8 t ix ures & Tub Access 1 . est Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size &Anchors 62••.Steire'&iiai=` 63. ces-Hearth 64. Int. & Ext. Card -BI , Dated and -BI Date 65. Kit. FTRt"&AjSPTralU , GTfIII =Air Gap -Cooking Clearance Card-BIDa et " Card -BI Date 66. t Kit. Counter Date ELECTRICAL Pit OK except N's 67. g -Closer 68. EQ_. Fixture & Transformer Clearance -Ins. Protection 69. 4xfr Hrr 1Loatc P1 ­ n,= -comb. Air-Connector-P.R.V.- G In ara e; Above Floor-Mech. Protection1r A2,4- Elec. Receptacles Spacing -Lights &Switches at Doors ize Boxes & No. of Conductors -Stapled ., EI Mech. Equip. Listed for Location c es in 2 mex Installed Close to Edge of Studs J. quip. Ground made up w/ c ner Bond Gas &Water �2, nsulation-Foam-Looked in Attic F-) Yes lance Circuits in Kitchen & Conductor Size 73. k Construction -Post Caps 2e--5II6fec Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27+-Qa,aga_Cjrc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [:1 No j&rFMrVents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor as 75�Followina instld.: Drive M Yes [:]No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No sa-Saprit-6---Aiser Conductors & Ground -Main Disconnect 76. S quip. Clearances; Panels-Motors-Mech. Equip. 77•Brkr. & Cond. Size -115V Outlet 3tl.�lothes Closet Light -Shower Light ents Above Roof; Plbg.-Appliance-firepF.-Clearance to Opngs. 79.' al, Plumbing 80. I. Receptacle -Underground Card B -I Da Card -BI Date entilation throughout House Card B -I AE#Date �►,. BI Date ass ection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation &Support 8 8 _ orrections from Previous Inspections -Meters Tagged; Gas -Electric r & Sewer Connected -C/O to Grade -HD Approval --- 32. Vent Fan; Exhaust above Insulation 33. Co sate Drain & Overflow; Size & Grade F ergy Compliance Certificate -Other Certificates , urnace ent Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ar - I Z to / Card -BI Date Card -BI 60, Date / -BI Date C Date 4 =31- rd BI Date Card -BI Card -BI Date Card -BI Da let Card -BI Date Comments at Final: Date FRAMING(P s) OK except q's _ Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing-Plates-Sound_VZ + 0,2 nut Bearing Walls over Girders & Floor Nailing 3T,,-6raft Stop in Walls (rat proof) _ire Stops; Furred Ceilings -Stairs -Chases -Tub eo,w 4 Header & Beam -Size & Bearing 42' Pers -Post Caps -Anchors -Connectors 4A_,CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4A, -R lace Ties or Type A Flue -Fireplace Throat _ 4 . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions -L:4�Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 677-3435 CORRECTION NOTICE Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. . �,r-.. •_ �. i7A ....... ................................. ....................... ............... ..... ........................................................................................................... ......................................................................................:.............R...:.v........... ,ems.--'c�•�t �, �, ��C ,��/-r...:u.,ti ......................................................................................................:.:............... / DateZ�I -mil /,•�r............................................... Do Not Remove This Tag /AM -A\ COUNTY OF BUTTE ^—^— DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE /L' Z -e -A BUILDING OR PROPERTY AD A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. CLASS.. InspectorVJOY// Date_ /_ tY ri RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) " BUILDING PERMIT NO.� !??- ff ;2, A:P. NO, THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if -not applicable) INSULATION: Slab Edge Fdn. Walls Floors Il Walls Ceiling/Roof Ducts f L Circulating Pipes APPROVED HEATER__-� APPROVED WTR.HTR. GLAZING: \/ Single Glazed �v , Special (Insulated)y" CERT. & LABELED WDS. & SLIDING DRS. e/ WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEV VCES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation.Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name v Signature of ( lease p int) General Contractor/Owner. ate — ta a Contractors License No. THIS CERTIFICATE MUST BE ON. FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. G i h COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 *Telephone 916/534 r'I� yv/ APPLICATION ANIOERMIT ASSESSOR PAY NU QER {/�_ ZONING B ING PERMIT 0WZ) /S � oLT �- / TELgPHONE S FT. OCC. BUILDING VALUATION OWNERMAILING DDR L All, CONTRACT R'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN K,Jw- Total Valuation $ L 45 ,OQ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5457, 0 j> ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ ,10 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 152, o BUILpl ADDRESS j� V Z PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Q(�IC.W Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 15, Go USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 ��/ TYPE OF WORK New ❑ Addition l� emodel [— Utilities Inst lation/Otjr� Describe work: —10136ICW", "-'-`' APP 1,V ,� 1.14 U_ Pg�-/ Permit Fee $15.0c> , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS, 5.00 Main service EA. ADD'L 100 A0_ 3.50 NEW CONST. DWELLING O OR ADDNS. ( ACC. BLOGS. d 2%sgft CONTRACTORS LICENSE LAW declare under penalty of perjury (Check one): ❑ 1.4m licensed under provisions of'-Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen• sation',.will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR OUTL T 2.50 ea NON.RESID BRANCH CIRC S NEW CONSTR POWER APPARAT 6 NON.RESID. SINGLE OUTLET IR. EX. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup. OUT LETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 20, Contractor i MECHANICAL.PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE 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. �p I shall not employ any person in any manner so as to become subject y" 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. Heating SCJ Gtr .d>p e/}S A/4LL Cooling Hood 3.00 Ventilation permit Fee $ OU. Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against §aid County in consequence of the granting of this permit. �a X Date) % Signature of Ap licant — Owner [� Conrroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2O ' OCCUP. CROUP '�_� TYPE OF CONST. V _ N PARCEL- _ PD -- HD ✓ ssuE This permit ' hereby issued under sions of B tte Coun Code and/or work in cate above r which � OF PUBLIC By PER EXPI ES the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Z-3 l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,-Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Asigned an appli ation for a building permit for the proposed work. 3. I have contracted with the following person (firm) construction: Name Address Phone Contractors License NO.. to provide the proposed C ity. 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 S igned : Property Owner Social Security number Date jU j� — 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. A COUNTY OF BUTTE - DEPARTMENT OF PUBLIIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOI�,N+A 95965 - TELEPHONE: 916/53411541 PERMIT APPLICATION DATA SHEET Permit No. OWNER.( /its n n / A. P. No. Proposed Building Use I L-14 / LAA Permit Fee Based Upon: Complete Contract Price DPW Valuation �. th r FE plain) Building Inspector , Date 9 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. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13., -Contractor's License Information (no., name style, classif.) �4. Owner -Builder Verification (Given to owner0, Mail to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -inspection for Required- BuildingPre-InspIn request to (Date) (� q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -33— 7 and hold for pickup at � Oro; office. Deliver w/inspector. Other. ( AT- �a n Copy of plans sent . Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above Mof application, circle item.) 1. Index permit for above Items No. low 2. Additional items required: (Contractor, DesigrKr,,Owner Plans checked by Plane gnnrnvpri In, Other: Copy—DPW advised of above required data by By Telephone f_L_�_Mail Other Date •„TF►iS .set 0 4.N'i , aasi and s�ecificafions WUST be on the 'to at all. times anti it is unlawful to t 6,.any c -6 -nes or'blterations on same without tri permission from the Departmeni of Public C44 Cotmfy of- Bufte. , ,WOTE• ertats & Warkmanship Shall Be in ith. Recoomed Good Practices and e ai *Wit,cescribW...ior the, S ec'fiod us© in the, OP�Ltasaa Bu) ng� K' "6'e Me= Coda a --J i 14 IQ •i Ott „ i , I, t i -- -we-- 10 E UUTI t COM 1 ' BUILDING DEPARTMW APPROVED ,'}�.) P fir,' :, - 5/,,f; r • . , A661 TION -7-7- A setback of 5 ft. ,Yom the C3' properly lines and a $e Imeh vVLO I of 50ft, from the read centerline shalt be else 6� dt"uC111 v, or eaU%t apt for a 2 ft. eava overhang. , n �f 5 �4.C,l�C-ice -' �ND 7' �•��.� -___ ., -jP' , L� J A661 TION -7-7- A setback of 5 ft. ,Yom the C3' properly lines and a $e Imeh vVLO I of 50ft, from the read centerline shalt be else 6� dt"uC111 v, or eaU%t apt for a 2 ft. eava overhang. , n �f 5 �4.C,l�C-ice -' �ND 7' �•��.� -___ ., -jP' , L� c ,41 ' • �� r I i I I O p� •�' ` I ° I/ i x zJ BUTTE COUNTY �.� BUILDING DEPARTM94T APPROVED 0-z o -G ,41 ' • �� r I i I I O p� •�' ` I ° I/ i x BUTTE COUNTY �.� BUILDING DEPARTM94T APPROVED t 770 G 62 I , I I - Ir � 9.A e •poo Ad SOPOPP'llou p v1sul 77 iZZ,, 77F(17 rl 15 _i —got f - Z O w m Sa�13'� w3 vim. -mYv itadp . .® 'w 0 ad CLQ P—IN f_A I PL 4? u xM p 4) to top oll kN, us LC Or 40) 0 (D COL 41 4) Lu z LAI 0 40 Lu cle ui cc BUTTE C 9UfLrJING DEP ia MENY 0 APPRO\ 71gv 44 s x -7- /9'p-j- > A Eli 1 , {_`�*•fix � �,1/ lay 9F P—IN f_A I PL 4? u xM p 4) to top oll kN, us LC Or 40) 0 (D COL 41 4) Lu z LAI 0 40 Lu cle ui cc BUTTE C 9UfLrJING DEP ia MENY 0 APPRO\ 71gv 44 s x -7- /9'p-j- 110 > 110