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HomeMy WebLinkAbout078-280-023f_. Herman Osby > 2330 V-7 Rd., Oroville Permit #4720-76B(replace 4 wood sash w/metal & add siding/SF# FKa.P /�/3�0B'-=ear= Permit #3 60- $ ,E(convert carport to gai -age/SF) — 92-293_2B OSBY, Herman 2330 V7 Rd,'Oroville reroof/sf 99-0699 OSBY, Herman 2330 V 7 Road, Oroville Contr: Clean Rite re-roof/remodel OSBY, Herman 2330 V 7 Road, Oroville Contr: Clean Rite Convert cov. Porch to living area 9 9-5� . Southeast corner V-7 and Oro Bangor Oroville 00 � oo �� � _ � NOTES r r I j- 6.73 -Z&0 , 0`3 _ RESIDENTIAL 036-021-025 9-0699 PERMIT NO.' - OSBY, Herman 2330 V 7 Road, Oroville Contr: Clcan Rite re-roof/remodcl 5 _ 3 _ ;),U o SPECIAL CONDITIONS CHECKED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY i Address ` GAS Meter By ELECTRI r LMeter By LE SPECIAL CONDITIONS CHECKED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature OFFICE COPY i Address ` GAS Meter By ELECTRI Date- ate LMeter By LE JOB FINALED (Date) Signature V=OK 0 = Not OK - = Not Applicable = Not Ready * - MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rhrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance 8 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card 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-Rhrs.-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 FINAL (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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rttr. Ties -Purl in- Roff Brac.-Truss-Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire 'roteciion 55. Plywood on Roof Overhang -Attic Vents -Rafter Oitriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 Ex . Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting Oe-IG-F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 69--Stairs3 Rails 70. -.replace or Stove, Clearance -Hearth Iec;Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter e ue -Landing-Closure 75. c in Garage -Damper omb. Air Connectcr-P.R.V. in Garage; Above Floor-Mech. Protection . Ib., Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 8 and Rails & Deck Construction -Post Caps ants & Crawl Hole Door Drainage & Wood -Earth Yes ns . nve - alks ] Yes J No/Planters 0 Yes J No 8 m Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings trical, Plumbing t�terior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House Glass Protection 90. ns rom Previous Inspections tg, Gas Test -Meters Tagged, Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval e�nergy pliance Certificate -Other Certificates 94,-A dress Posted Date 9 6S Card B-1 _ Date Card B-1 Date Card B -1R Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel -Blackouts -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 -Fitting -Test -2 Way C/0 -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 B-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes I] No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire 'roteciion 55. Plywood on Roof Overhang -Attic Vents -Rafter Oitriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 Ex . Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting Oe-IG-F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 69--Stairs3 Rails 70. -.replace or Stove, Clearance -Hearth Iec;Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter e ue -Landing-Closure 75. c in Garage -Damper omb. Air Connectcr-P.R.V. in Garage; Above Floor-Mech. Protection . Ib., Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 8 and Rails & Deck Construction -Post Caps ants & Crawl Hole Door Drainage & Wood -Earth Yes ns . nve - alks ] Yes J No/Planters 0 Yes J No 8 m Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings trical, Plumbing t�terior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House Glass Protection 90. ns rom Previous Inspections tg, Gas Test -Meters Tagged, Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval e�nergy pliance Certificate -Other Certificates 94,-A dress Posted Date 9 6S Card B-1 _ Date Card B-1 Date Card B -1R Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: A , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541ex— NO. (Rev.12/96 APPLICATION AND PERMIT �k t ASSESSOR PARCEL NUMBER^^��^� (, `SBY, ZONING AR BUILDING PERMIT OWNER O HOW TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2330 V-7 ROAD, OROVILL.E CONTRACTOR'S NAME CLEAN—RITE TELEPHONE 891-0333 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS SAME `f E Energy Plan Checking Fee $ PRE—INSPECTO $ • PERMIT FEE $ 1603.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 13 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 11 Utilities ❑ Installation ❑ Other ❑ Describe Work: PARTIAL RE—ROOF/ ONE WINDOW/SIDING/ ELWTRICAL SERVICE, WATER HEATER/ VENT/ SHEETROCK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 SS Main Service 200A OR LE0OR SS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with'Section 7000) of Division 3 of the Business and Professions Code, and my lice.n gibs i6lull force and effect.. Class, Lic. N OW R -BUILDER DECLARATION I hereby affirm un er penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. AL I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ',-4,A-l;` : Main Service 200A TO 1000A 46.00 NEW CONST. DWEIINJG OCCUP. SO OR ADONS. ( 8 ACC. BLDS. 3.5Q�. NEW CONST. MULTI.OUTLET =R.,D. @7.50 8,PSOIWER APPARATUS NGLE OUTLET CIR. sLicense OUTLET OR FDRURE IoEx. Occup. BAS Ex. Occup. FIXED uTLTS APLD len 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 21,00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ ,_L3 Policy Number t �? �`iL/ `:., 0 he above sectiori. need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the wort ers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp wi h those provisions. f/ X � f Date ''/ ! �! Signature f Applican - ❑ Owner (3 -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 261.00 HAz. D. FEEs IMP I FLOOD I CDF PARCEL PD 71 ISSUF� LV/ 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. / t1`.1L .� i v�4 '. ;,'3 1'( l; By Date --s PERMIT EXPIRES ON .•j . Z/ 6 Date Receipt No. Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t IVO TES RESIDENTIAL 036-021-'02k 99-0901 ' PERMIT NO. _ _-OSBY, Herman ",�yT 2330 V 7rtRoad, Oroville Contr: Clean Rite Convert cov. Porch to living area ��Q(� _ ��-�. V� .y f • f I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f JOB FINALED (Date) Signature V=OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Readv Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. 4 / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card 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 -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 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 12. Permanent Foundation Only; License Decal Date Card 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- Bea ms- 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 1 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 FINAL (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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 47. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth Garage Fire Protection Framing 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 62. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies F-urn-aae Vaars-claaLan__ ae-Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 15. Access & Ventilation 16. Insulation ec. Trim & Subpanel, Breaker Sizes & Labels 69 Date ce-Hearth Card B-1 Date Card B-1 Date ec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date 75. PLUMBING (Permit) OK except #'s •7 r. H -r.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 80 19. D.W.V.; Test Fittings & Anchor -Nail Protection n. VBents & Crawl Hole oor Drainage & Wood -Earth 20. Shower Pan; Test, First Floor -Tub Access 8 21. Test Tub & Shower, Second Floor -Tub Access -Finish 22. Gas Pipe; Sixe & Anchors Date Card B-1 4, Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 ,63, -Ext. Steps -Door & Sidelight Protection -Landings moke Detector 65 F-urn-aae Vaars-claaLan__ ae-Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting & Bath Fixtures & Tub Access -Spa 6 ec. Trim & Subpanel, Breaker Sizes & Labels 69 70. ce-Hearth &i*-Efec. Outlets at Wood Panel, Int. & Ext. tt. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 74. G nding-Closure 75. er •7 r. H -r.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection L7p-.Pi6.,-Elec. & Mech. Equip. Listed for Location in fierage-(F#.I.)•Romex Protection 79:-4ffo a ion- oam•Looke in Attic 80 -Post Caps 8 n. VBents & Crawl Hole oor Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 8 s. nvey Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes p No 8& -Finish tsconne , te>rtrmai-Plumbing ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8&_JUater-"f-Bisv mnect-Elettrical, Plumbing E srior Elec. Trim, G.F.I. Receptacle -Underground Cas"ventilation Throughout House /Glass Protection orrections from Previous Inspections y Gas+Test-Meters Tagged, Gas -Electric 9 . ater & Sewer Connected -C/O to Grade -HD Approval 9P Energy Compliance Certificate -Other Certificates ddress Posted Date Ga Card B-1 fryi�� Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .a, r, .. ,r,e:- - . -,.... . s -: t•'r +/'4TrfiTn'A'R""." .. i ;r•.- _ in. �. ... ..-.T.-u .. r - 7 •- -... -R r.. -c.. r ...� .,,-,. .. COUN`l71f OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9_ G rG/ ASSESSOR PARCEL NUMBER 036-021-025 ZONING BUILDING PERMIT' - - OWNER OSBY, HERI'1LSli TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2330 V 7 ROAD, OROVILLE CONTRACTOR'S NAME CLEM RITE TELEPHONE ' 891-0333 CONTRACTOR'S MAILING ADDRY00 W. EAST AVMME, CHICO j CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 73W ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99,00 '"ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64, 5 BUILDING ADDRESS 2330 V 7 ROAD, OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 206.35 LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee - 20.00 USEOFSTRUCTURE SF W Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 7•00 -11 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT COVERED PORCH TO LIVING AREA RE: 99-0699 FOR ELPMIC AND WATER HEATER. Gas piping system 1 - 5 outlets 15.00 � Buildingsewer 15.00 Mobile Home I S I GI W I @20.00 PERMIT FEE S 57.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is IrJ ull force and effect.�Qf License Class Lic. No. 6,59 2 38 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑• 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. so 3.5o FT. NEW CONST.MULTI-OUTLET NON-RESID. ANC CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. JI Ex. Occup. OUTLET OR FDRURES 20@'.50 SAL @ .SO Ex. Occup. OUTLEEOTS RESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FES i iz WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O; I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier --,T ATC _�A , Policy Number i <_ IN -.-5 . (The above sections need not be complete if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 co. ply with those provisions. jj X _ __ Date §)--m---_ Signature of Applicant - ❑ Owner 57C ntra'cior GI -Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT _. Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 S 9N3T?T\;PE TOTAL FEE $ 309,o35 /HAZ. D. FEES IMP FLo IS ---- % CD PAR O an N ISSUE, .S ISSUE Y.y... This permit is hereby issued under and/or of the Butte County J. indicatedlabWe.ich fees have By PERMIT EXPIRES ON I .-t I. sus --r.. .,C� the a'pplica'ble provisions` Resolutions to do work been paid. ^, Date g� 2,000 Date Receipt No. U4 oU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I, A ,V—r? Oa ,,,,NERGY INSTALLATION CERTIFICATE CACI - of Building Owner aler-kgA,rj US"F'!� Building Permit #t - O �i i 63 Building Location pad _ 6as DESCRIPTION OF INSULATION ROOF Material rand Name Thickness(inches Thermal Resistance (R Value) EXTERIOR WALL Material Thickness(inches) -4Z, CEILINGA7f Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness (Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name O W ENS C0P—"i Thermal Resistance(R Value) tS Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, -is consistent with. approved building department * plans—and attachments and- con- forms with requirements of Chapter 2-53 of State f California Energy Requiremen b ov Asjm4z- _l _ KS -9 z3 j4 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and .conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. e'-- l rai / ->Iry AivtPe BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) `�7 —K ff�F�1�Lr'IOeCC� `561;56+e1 '16e,0 SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) -4-6;�7'9 z;5s4 STATE CONTRACTOR'S LICENSE NO. S/2 r/Od DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT ASSESSDaP_t!C 6y{AeE�i-025 1 ZONING BUILDING PERMIT OWNER HE AN HERMAN OSBY TELEPHONE SD. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS .NT;; -,ML -y-7 , GA 95966- TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION (ENDER EAST AVENUE, C141GO Q 95926- LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Riin Fee $ 20.00 ARCHITECT OR ENGINEERS AWUNG ADDRESS �, Lo NG2330 V-7 ROAD, OROVILLEEner Permit Fee 21 ORIGINAL $ 58.50 Plan CheckingFee $ gy Plan Checking Fee $ $ FEE S rf% LOT NO. t$IONS NAME SUBDIVISIONS PARCEL MAP10 PLUMBING PERMIT Filing Fee n .00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New 13Addition ❑ Remodel [3 Utilities ❑ Installation ❑ Other ❑}{X Describe Work: IST RENEWAL/99-0699 Each gas water heater or vent 15.00 Gas pipingstem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 60 V OR LESS zooA oR LE 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallocc not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. Main Service 200A TO 10-A 46.00 NEW CONST. pWNp OCCUP. - SO OF1y,J R ADDNS. ( a ACC. sins. 3.5¢x: Npµq�,p MULTI -OUTLET @7,50 PowFR APPARATUS a swOLF OLmEr CIR. Ex. Occup. OUTLET OR FOMRES 2O O L'0° eAL. p .so Ex. Occup. FaED APPLNS. OR OUTLETS RENS R S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST' TYPE TOTAL FEE $ 78.50 "^Z o. FEES IMP FLOOD CDF pgRCq pp HD ss UE 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 Date Ma PERMIT EXPIRES ON 5/3/01 Te Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 !1e ,/7PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT — — HERMAN TE NE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2330 V-7 ROAD, OROVIT.I.E. CA 9-9966 CONTRACTOR'S NAME CLEAN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1ORIGINAL $ 49-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other rONVF.RgTnm SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: - 9T RENS 1�A TJ 99 9901 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 800VOR LE Main Service zow OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. 3.S¢F7. OR ( . UDS. NEW cod MULTI NON•RESID. @7.50 OIJTI„ET OWER APPARATUCSI 6 Ex. Occup.oLmEroRFocruREs BAS @' 0 OWNER Ex. Occup. OilnFD(EDTSSI RES0LNS.)ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 69.50 HAZ. D. FEES IMP FLOODCOF PARCELPD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 5/18/01 fe ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 41 9� PERMIT IT NO. (Rev. 12/96) APPLICATION AND PERMIT -� ASSESSOR PARCEL NUMBER 036-021-025 AR ZONING UILDING PERMIT ' OWNER OSBY, HERMANTELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2330 V 7 ROAD, OROVILLE CONTRACTOR'S NAME CLEAN RITE TELEPHONE ' 891-0333 CONTRACTOR'S MAILING ADDRTS 00 W. EAST AVENUE, CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 7380 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64 -15 BUILDINGADDRESS 2330 V 7 ROAD, OROVILLE Energy Plan Checking Fee $ 23400 PERMIT FEE S 206.35 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ;Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel U, Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT COVERED PORCH TO LIVING AREA RE: 99-0699 FOR ELECTRIC AND WATER HEATER. Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMITFEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i ull force and effect. n ` % _ 59 2 2, License Class I Lic. No. \OV 1 L Li OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatI n insurance carrier and policy number are: Carrier A7 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOs. SO 3.50FT; NON-RESIDT ANCI CI1 CET 97.50 PowER APPARATus 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 �' 00 p ,50 Ex. Occup. ouiLEEDTAPP�oOFR-A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number I C Z3 — (The above section ns eed not be c6mpleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 o hwith co with those provisions. j X ___ __ Date / ---- Signature of Applicant - ❑Owner Contractor 9 -Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Cc c PE TOTAL F E $ 30935 HAZ. D. FEES I P FLO CD PARC H ISSUE This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do -work Indic end r w ich fees have been paid. By Date / PERMIT EXPIRES ON S �� 2eoo I Date ReceiptNo. 264880 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -�c�ap"wr: �ce� .,; , �'�t'hFy.���,,,� ,s.'c-_ �+�fF��}''"rw'E'n-,,,r''°'!�►'�'q R`yv�s' ";v"- ''r`" 'S•'v`' t�fC W �.M:: ���' i�'^�s:N ,ria"'y�-:3�..a L _ "'COv� Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'CALIFORNIA 95965 - TELEPHON 30) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: b ASSESSOR PARCEL NUMBER: C_D�3 4 -.02 - Proposed Building Use: AM Q-Fv - Building Inspector: ,r . ,� Date: s At time of permit application, I as advised the following data must be submitted prior to perl6i 6ro'cessing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .--------------------------------------=---------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 10. s of $ -------------------?--Z ---------------------------------------------- 1.Impact fees as shown on the attached schedule2. California Departmentof Forestryplan approves. ------------------------------------------ ❑ 13 -Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ,: ❑ 15. City of Chico plumbing'permit- ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------==------------ . Plarining approval for (A) Use: C)IC- (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required Request to Building Inspector on - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑:26, Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: en you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. elephone '?? 1-0333 and hold for pickup at On> ffi Deliver with inspector. r %<*plicant: D Date: 5/3)?2 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ ther: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 11ng Division counter, by Building Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone ❑ mail, ❑ Building D'vision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil*g g ivision counter, by Da Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: 0 �,"�-is��'tvRi�•v�'wYri+-(�,i'+...»owl,rv},�..n��w�r•ry�r-I�•�wiy,,...,r�,�wv"'r'v'"'+M4'YiiC�'f�."f-T'�v 1�'s'�.'^'•i�r•+i.-+ti�fl',+�v-�rA"•^'�rs-�r«'•� :, � BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �(/ D /p��Building Department No. A.P. Number ©�- Q /` - Jurisdiction: City County Property Owner I=ll- N W -C., w Property Location/Address Subdivision Lot No. ti • ................................................................................................................... p SQ Sq. footage �p a Mobile Home Addition/ *Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection); -..................................:...................................ti-o............................... Residential Development No of Living Units Commercial/Industrial New Addition Irioor rians revieweo Dy acnooi uisinci District Identfcation No. -/ 89 School District certifies that 330 V- (Street Address) (City) has complied with the requirements of Resolution No. 69 representing � 00 square feet School District Representative Paid by Check # Remarks: Sq, Footage '(Including Exterior Roofed Areas)' Dat -ersonneii (Applicant) (Phone Number) M (State) ,/ (Zip Code) /y I/ ;7 - 9(� `�7 by payment of $ N AB 2926 S FULL MITIGATION = Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with. Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit . you from challenging the imposition of the fees iri any court action. If,, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools: White (applicant), Yellow (building department), Pink Ischool district) feeform.xis 1/0>981dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) -4 APPLICATION AND PERMIT e0f0l ACsmxoRPMCCLNu 3�— 5:;,-^�. nomma q BUILDING PERMIT OWNM / , 711D►gNE SO. FT. OCC. BUILDING VALUATION OWNER'S PALING ADDAWS 0 o V 7-3 p V CONTRACTOR•s NAY! TCIrytPIgNCT i1 V ODM0.ACTOR7 YAL1NO ADDAM CONsTRucnON LIMER LEN00y MAILING ADDRESS F►e lace Total Valuation E MCwM= OR ENGINEER LICENSE NO. Filina Fee S 20.00 Permit Fee = 9. a, - AACWMCT OR ENGINEER'S WILING ADDRESS Plan Checking Fee $ C CULDHO AMPESI _ ;Z, 3.3UEnergy Plan Checking Fee S Z , 11v ( PERMIT FEE $ LOT NO. sLIaON°ID"NAJ69 PARCEL WP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF uplex ❑ Mobilehome ❑ Other afecsv Each Trap 7.00 7,66 Solar or heat pump water heater 23.00 Water piping 15.00 /s oo Each gas water heater or vent 15.00 OF WORK New ❑ Addition ❑�iRemodel /UtlGKes ❑ Instaktkm ❑ Other ❑ Describe Work: \ mvr,inp✓��" CI1� v _ /o.-c� �v Ll ulccs� qvo� /�e�.� / �` V �� 1 —[ �✓ C�� .�'! l��t.¢v- Gas piping stem 1 - 5 outlets 15.00 S, Oct, Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE rl�a�Cr_ ELECTRICAL PERMIT -Finn Feel 20.00 Main Service =o,= 23.00 ReceiptNo.z WHITE•D.O.S.•8.0.. SOR PINK -INSPECTOR GOLDENROD•APPUCANT Main Service sow To Iona► 46.00 NEW Cow T.DwEUIIo oOCUP. 3.5d OR ADONS. i ACC. CLOS. NON•RESID. MULT.110 tT @7.50 POWER APPARIITLAI i 9dGLE O d0. OUTLtT OR fOmIREB ZD : 1'00 Ex. Occup.CAL .so Ex. Occup. o MM (RESM.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: S Mobile Home Installation Fee $ Energy Inspection Fee S C Dv occ oDNST' Tyw-TOTAL FEE $ O _ 3 fTfj IPP PL000 CDf PARCELPO 10 �� 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 Date PERMIT EXPIRES ON to COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754161„ PERMIT N (Rev. 12/96) APPLICATION AND PERMIT 12&2z ASSESSOR PARCEL NUMBER 036-021-025 ZONING AR BUILDING PERMIT OWNER OSBY, HERMAN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2330 V-7 ROAD, OROVILLE - CONTRACTOR'S NAME CLEAN -RITE TELEPHONE 891-0333 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS SAME Energy Plan Checking Fee $ PRE -INSPECTION $ 23.00 PERMIT FEE $ 160.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 17 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 00 TYPE OF WORK New ❑ Addition ❑ Remodel EX Utilities ❑ Installation ❑ Other ❑ Describe Work: PARTI�F r AL RE -ROOF/ ONE WINDOW/SIDING/ ELECTRICAL SERVICE, WATER HEATER/ VENT/ SHEETROCK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMITFEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z00oon °oA mss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in VI force and effect. n�1 License Class Lic. No. 1L�T] l 3 _ OW ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' .compensation insurance carrier and policy number are: Carrier S' }84L Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 com Ph those provisions. / 7�3 X Date l Signature f Applican - ❑ Owner E3-Gontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service CoA TO tOooA 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50 FT. rNio REs DT MULTI OUTICET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. j 20 .00 EX. Occup. OUTLET OR FIXTURES BAA_ O x.50 Ex. Occup. O.MED .°.R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 261.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSU 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. kv—w 1� By Dat PERMIT EXPIRES ON ale Receipt No. 264729 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO, (Rev.IZ/96) APPLICATION AND PERMIT asapaoaPwwceLNUYeo 6 � BUILDING PERMIT CJ CJQ` 4Te O1N"ER )41/0 6 a SO. FT. OCC. BUILDING VALUATION OWNER'S YAUNo ADDREs '36Q CONrRACTORa NAYEC 3 NEW CONST. OwE11N0 OCCUP. 3.5¢ OR ADONS. a ACC. BIDS. COWRACTORa YAUNG ADORESS NON-mtw Qgm F. YULTFRANCH OVTLEr @7.50 CONSTRUCTION LEMER IENOERS YAWNG ADDRESS Fire lace Total Valuation S ARCNITBCT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCMrECT OR ENGINEERS LYIUNO ADDRESS • Permit Fee $ OO7 - Plan Checkin Fee I bye SULoaoADOREsa ergy Plan Checking Fee $ �— yV .QcT7aN $ g PERMIT FEE $160 ✓ PLUMBING PERMIT Filing Fee 20.00 RnTNo. aRRDIv6R0NaNAYE °AROEL "L^P USEOFSTRUCTURE SF Duplex O Mobilshome 0 Other SPBCFT Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 E4ch gas water heater or vent 15.00 OF WORK New O Addition 0 Remod W6ties O Installation O Other O � � a Describe Work: — (%W, (,(J�t,r,�y �i Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W Cg?20.00 Receipt No. WHITE•D.D.S.•B.D.. PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service o0 OOas 23.00 Main Service 200A TO IOWA 46.00 NEW CONST. OwE11N0 OCCUP. 3.5¢ OR ADONS. a ACC. BIDS. NON-mtw Qgm F. YULTFRANCH OVTLEr @7.50 POWER AMAMTUS a SINGLE Ounzr CR. Ex. Occup. OUn.ET ORFDCTUREB m- 0 t.50 8L SO Ex. Occup. okra ESIo• F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling I Hood B.50 PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee b OCC CONST' TYPE TOTAL FEE $ HAM 1 0. FEES IYP f1A00 COF PAiRCEL PD 10 1 ISSUE 'this permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PUCANT I Care) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 t PERMIT APPLICATION DATA SHEET OWNER: / ASSESSOR PARCEL NUMBER: 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 By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- CIA Statementtoof Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- I�I zardO R64 fe*F'orm. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- . Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- re -ins ' pection for 0 U (V C5 &(Qguired Request to Building Inspector on Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- orkers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use.----------------------------------------------------------- ----------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other:------- ��W�henn�you issu the permit, process as follows ❑ Mail to owner, ❑Mai o ntractor. W eelephone —0 33 and hold for pickup a Z� ffrce. Deliver with inspector. Applicant: 4�""" - - � Date: Cl / 0 ,FT Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. R 9 PRE -INSPECTION OWNER: DATE �'- C LOCATION: J (/ A. P. CONTRACTOR: ZONING ----------------__—____-- PRE-INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: 7 EF t� t, TYPE OF OCCUPANCY y FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED F__j "HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES [� HEATED -COOLED PERSON CONTACTED ;OTHER COMMENTS: ACTIO COMMENDED: cJ ISSUE HOLD FOR LAS gw�: Ov-� Q v -/Isi► dY' K OTHER: �i / f s .� MmA M Jb-U21-25 Herman Osby O16 �1 2330 V-7 Rd ` �, •`�.:� L'i'r ;' Permit #4720-76B(replace 4 wood sash ,h c "' ;« • ` `' ` w/metal & add siding/SFS OS 3Y, i•1r s • pari 995 .. ; ��—Z - —Oti-2 Southeast 7 and Oro Bangor r corner V- ',d-� / S % 36-021-25 Oroville Permit43/96/0-J4$S,E(convert carport to gai age/SF) _ 036-02-1-025 92-2932B OSBY Herman + ' r; ' ' •' 2330 V7 Rd Oroville l xz ? reroof /sf r " ♦� ��� ����'. '.'A� 1. r' Ib per+' y,, �. ,, • .. .�, i *•� r.'q.'" a:, � `"'^� %+.r "7'c '�•,.r i6 �,,,,��, ,.. +l i _ a G " 93 L � , e k�'�_. t�`N> "y:�`�1yu r.'.•.l"!"r.r�..'''f `y `� r a �"x . �' �rG' .: � ` - ^"�.,^"^:rT .��+r --•v ... -.. .. � + . .4• A Cv1 ,•V Wi... 1e�,i2'..•�1J }y., -alb rp,. "'�''C t ,�i.r :1. ti r-. ..ti , • ! 1 • �, Y - - ! ,Ina COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12A6) APPLICATION AND PERMIT A@sa4onPweeawWKt)C) 3( mNwa BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OwNOLs MA UNO AD CONTRACTOR'! NA1lC L-�64�v -124 ITFI-03 3 0014 RACTORI MAiJNO ADDAV" COIeTRUCTION L IMER tANDO" MAIUIO ADDRESS Fireplace Total Valuation S ARatffEaTOR EMNEER UCENSE Pa. Filina Fee S 20.00 ARCWMCT OR DIMEER S MAJILNO ADDRUS . Permit Fee = C tJ Plan Checkin Fee 1 $ suaoNaAooaEss G orgy Plan Checking Fee i - 117. ec-7&A $ Qui PERMIT FEE :IGD PLUMBING PERMIT Filing Fee 20.00 LOT No. aUSIDIVISKM NAME PARCEL W%P USEOFSTRUCTURE SF Duplex 0 Moblehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Egch as water heater or vent 15.00 OF WORK New O Addition O Remod LN11ties O Instakdon O Other O Describe Work: -- 0%p (,(J� — 5i3O/(J0 eQe-- - 2 w Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 -Mobile Home S G W 020.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service o0 o9REe 23.00 Main Service 2WA TO IOOOA 48.00 NEIN CONST.OWE311q OOCUP. 3.Sds . MW Com L OR ADONS. i ACC. 9c NOMRE810. YULTFOUTLtT Q7.50 POWER APPARATUS i $,#me Ovmu cat Ex. Occup. OUTLET OR FIXTURES 10 v I'0° DAL .SO Ex. Occup. 0%% 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee S Occ CONST' TYPE TOTAL FEE NAZ 0. fEF9 WP RA00 COF pMCEL I PO I IO I =VE 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 Date ReceiptNo. _ PERMIT EXPIRES ON WHITE•0.0.S.•8.0.. SOR PINK -INSPECTOR GOLDENROD -APPLICANT MAN) s' MAIL TO s ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 i, San Francisco, Ca. 94103 `+ DATE: �I PROJECT JOB # (Please see reverse side) A9_ ioa ALSO Notiti.od: 0 Iooal 0 C3IitOrn i: Air Aosaurcns Board 0 cal OSWL 0 Builaiaq Dofa�t INSTRUCTIONS ON REVERSE S , ASBESTOS DEMOLITION/RENOVATION NOTIFICATION Please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: CSG rJ(:ke.. 3. FACILITY NAME: . (Contractor) ADDRESS IZoy W • Et �—I r�tJ-e STREET ADDRESS 0. �� CITY i';4� STATE CITY STATE ZIP '� 56M� PHONE (530) get (-�3 COUNTY ZIP 2. OWNER H_LC lnrJ �`'� � •� -4. FACILITY DESCRIPTION ADDRESS CITY Ca'" JJ,V_L_ STATE C-� AGE SIZE ZIP PHONE( ) �3�� O3 cj PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet gel SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: _ Q(n a /( 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152:—,/1,, 9. NAME & LOCATION OF DISPOSAL SITE: �r ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS, QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 Sam/4pm M -F i INSTAUCTIONS FOR -USE OF ASBEBTOs ilEfv O TTTON /RENOVrA rTr-ATTON FO RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out. of load -supporting structural members of a facility together with any related handling'operatior. 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residence. and apartment buildings with 4 units or fewer 'are exempt from notification to EPA. PROJECT JOB #: Your OWN IN -HO SF I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9. have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full .information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4..FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day' and year. Must be revised if dates change. -(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME �J��`,/ PROJECT JOB _I ORIGINAL NOTIFICATION DATE VL �Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. PROJECT ( j CHANGES FOR THIS REVISION: CANCELLATION 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site 92-2932B 036-02-1-025 OSBY, Herman 2330 V7 Rd, Oroville reroo f /jf o p a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet California 95985 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASDESI R PAPICKI. NUM§6R 036-021-025 2 NIN AR BUILDING PERMIT OWNER HERMAN OSBY T LEPHONE 534-3532 SO. FT. OCC. BUILDING VALUATION 25 SQ 1 500 OWNER'S MAILING 7 ROAD OROVILLE 95966 CONTRACTOR•ONAME WNE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ giin V-7 ROAD QRnyTT.T.F. - Permit fee - PLUMBING PERMIT Filing Fee 15.00 -Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other - SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: REROOF W I'Fk c'cMP_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18,50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification IV,t, 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ADONS. ( ACC. SLOGS. ) 3.66 sq.ft. NEw CONSTR. ULTI.0UTLET NON.R ESID. BRANCH CIRC 'ITS @ S.00 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp\/ OUTLETS OR FIXTURES l 20 76d R FIXED APP LNS. OR EX. OCCUp. OUTLETS IRESID.I EA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin 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 hof Consent to Self -Insure. (�Y I shall not employ any person in any manner so as to become subject `f 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 FiIirig Fee 15.00 Heating Coolin g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep. harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Xy'rf-c-� s=�!��- % Date %may Signature of Applicant — Owner � ► actor G Agent ❑ An OSHA ion of structures over r 3gsroraesorn height Ions over 5'0" deep and demolition or construct. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 45.00 HAL 10FEES I IMP I FLOOD I COF PARCEL I PD I HO ISSUE This permit is hereby issued u der the sions of the But ounty d and/or work indica tl o r w ch fees PUBLIC By Gam- PERPArT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS i Date - Receipt No. 122576 W TE-O.P.W., YELLOW- ASS E730A. PINK -INSPECTOR. �GOLOENROO•APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL 14UMBER 036-021-025 ZONIN AR . BUILDING PERMIT OWNER HERMAN OSBY TE UPH NE So. FT. OCC. BUILDING VALUATIO 1,500 OWNER'S MAILING ADDRESS 2330 V-7 ROAD OROVILLE 95966 CONTRACTOR'0T-ITER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICE -NSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ nin V-7 ROAD QRnyTT.T.F Permit fee - s 45.09-1 PLUMBING PERMIT Filing Fee 15.00 -Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: REROOF W ITN Com P. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. .Jo. Classification License -No. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S OR ADDNS. ( ACC. BLDGS. 3.6Q sq.ft. NE w CONSTR r ULT' -OUTLET NON.RESID BRANCH CIRC ITS /� 5'00 POWER APPARATUS e (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 20 76d A Ex. Occup. OUTLETS (RE SIDIREA.� 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 f Consent to Self -Insure. VtoCertificate of Workmen's Compensation Insurance or a Certificate shall not employ any person in any manner so as to become subject the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date �i — �' r An OSHA per is required for ex c. ions over 5'0" deep and demolition or Con:rrllGr- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 45.00 HAz 1 0FEES I IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued u er the sions of the But aunty d and/or Work indica d o r w ch fees PUBLIC By tet--- PER T EXPIRES Date FJ Q— applicable provi- resolutions to do have been paid. WORKS Date$ �8-sem c13 Receipt No. 122576 WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for -in your name -and beardng your signature. Please complete.and_return this information -at -your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property.improvement.(ye.s or no) es 2. I (have/have not)j�c�J/ e signed an application for a building permit for the proposed work. 3.. I have Contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. .4 'I plan to provide portions of•this work, but I have hired the following person to coordinate, supervise, and provide the major work: , Name . Address City Phone - ' _.._ Contractors License No: - 5. I will provide some of the work but I have contracted (hired) the following persons to -provide-the.work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date I(Z_�1<1^ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. f- PliRM I T NO. 4720-76B 1 �/�PERMIT EXPIRES OWNER Herman Osby CONTR. owner 36-021-25 LOCATION (A . P. 2330 V-7 Rd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp.'Gas Serv. Called PG&E JOB F,NALED (Date) (Si (fnafure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTi"ON RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing ._ Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l , Insulation Heaters Slab Carport Footings Prov, for physically handica ped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 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 DATE REMARKS OR CORRECTIONS 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 �� �/ Telephone: 534;4541 (� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date F,7 -U'7-. uilding permit expires Date 77 BUILDING Owner �-� e ip— A4 i}AJ ®S V SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address S' Telepho ® . 9 Fireplace Contractor UJ �J Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address/` d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ ✓i 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.G^ 2.� ^ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. -6enTteti�n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 131,4.-F Parcel Approval I Plans Approval Permit Fee $ $ NEW- ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p^� ^ t�' Cif L (,+ 1_ ',u• C ePL^Ct^.� ` occi JA-S� ^`'rO%4QIAL Wk Main service 600V OR LESS 100 AMP OR LESS 5.00 1� �� �;alS�� Ol Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST (ACCLBLDGOCCUP. &) 22sgft NEW COTMULTI-OUTLET NON- NSR. RFS] D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@104 Ex. Occup. FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 IR 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. @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date F,7 -U'7-. uilding permit expires Date 77 PERMIT NO.a-.QQ� PERMIT EXPIRES OWNER HERMAN OSBY CONTR. owner i ASSESSOR PARCEL 36-021-25 LOCATION 2330 V-7 Rd, Oroville t r i t . r t , 4 i i Temp: Power Pole 4 Called r i Temp. Elec Called Temp: Gas Called JOB FINAL SignatL = OK 0 =, Not OK Not Not Read�yable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ P'LPG 7. Utility Clearance Card -B1 bate Card -61 Date Card -B1 Date Card -B1 Date Date MOBILEHOME 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 -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -61 Date Card -81 Date Card -81 Date Card -B1 Date Date MISCELLANEOUS 1 `i. ning Requirements -Setbacks -Easements #'s C'2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec:- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Elec. 8. g; Sills-Anchors-Studs-Rftrs-Trusses Ti -9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card-131ADaV_1#4 Card -61 Date Card -B1 ate -/ and -131 Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -B1 Date I Card -B1 Date Card -B1 Date 0 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = N6t Ready , UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Del 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dep 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -61 Date Card -Bi Date Card -61 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access . 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Lioht-Shower Light-SDa Light Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -131 Date Card -B1 Date Card -61 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3 %60 fA PERMIT NO. 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. Inspector ��// Date j'z COUNTY OF BUTTE I MENT OF PUBLIC WORKSERM NO � • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541M_ APPLIPA11ON AND PERMIT ASSESSOR PARCEL NUMBERZONING BUILDING PERMIT OWNER B5gmw 0!5.g TELE PHON s� a SO. FT. OCC. BUILDING VAL ATION - 6 � OWNER'S MAILING ADDRESS oz -33D V ? 'p CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $Q F iling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking 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 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New❑ Addition Remod 10 Utilities I-n-stallation❑ Other] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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. Kens@ N0. Classification 1, as the owner, or my employees with wages as their sole compen- cation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Oc OR ADDNS. ACC. SLOGS. , �Z�SQft S_ C NEW ONSTR ETI -OUTLET T .BRA C CIRC ITS [2.50@a POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES e20®50e AL(930 FIXED APPLNS. OR Ex. Occup. OUTLETS ESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ / SZ 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue/ again. said County in consequence of the granting of this permit. fz 46$ Date / Signature of Applicant - Owner Dr Canact . ❑ Agent ❑ An OSHA permit is required for excavations r 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P, CONSTP ,TY JSCI1OOLJ1AVJ1.RCFLJ PD NO SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY G PE EXPIRES Date— the applicable provi- resolutions to do have been paid. WORKS Date �Z'f 3'd'� �Z �/ `n Receipt No.—'3/-7 !) WHITE-D.P.W.. YELLOW-ASe ESSOM. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT O' PUBLIC WORKS - BUILDING DIV FISION 7 COUNTY CENTER DRIVE - OROVILLE^CAtlFO91NIA 95965 - TELEPHONE: 916/538-7541 I PERMIT APPLICATION DATA SHEET Permit No. OWNER � A. P. No. 36-oz1- z� Proposed Building Use Building Inspectorlenz_ Date��%-Sim At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Hea t epartment ... 14. City of Chico plumbing permit ....................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. .� 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred . • • • Pre-Insperequest to p q � Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p ckup at office. Deliver w/inspector. Other Applican &ix,, �.�._J��� Date Copy of plans sent Health Dept., Fire Dept., Other Date 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_-naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved bv�•rDate Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _. 2. I (have/have not) eS signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. x -10 -anchor bd is " r and T1 w .. ........ 2.**l eb6 e U. t�eM to rad .....n, 4A 4-,70ST*" .......... '... 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