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HomeMy WebLinkAbout078-310-015' — , ' 2. Ra ` ath64' Const re � ' ' . . � . � . � -. � � . ° Tw -3 !r'."an,.�ir*.�'s^p�k^rrc�. yiG�`S� roira:�..,,--.un,.c.�„ r".cr.,-ter-.s..r,..�,'.*vr-:a.2•Ld.,.:.etszf.'d�aYyYr�-::�,,';w"MCiwY.`w'apt�4S.* : ;r—gy,~-.,- .. ,._ ...r..-.,.. „ .. .� 036-10-1-018 9()-0114.'B- E' WHITE, Joy 2561 V-6 Road, Oroville (reroof/elec ser) SF Mathew Const k ' iv r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICESi BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99-0114 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Jny WRTTF TELEPHONE SO. FT. OCC. BUILDING VALUATION 20 1,200 OWNERS MAILING ADDRESS CONTRACTOR'S NAME M C TELEPHONE 7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS I Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17q ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILD2nTE�s _6 ROAD, DROVI� ', �7tU)11 YY Energy Plan Checking Fee $ $ PERMIT FEE $ [,q LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each `Trap 1 1 7.00 USEOFSTRUCTURE SF IB Duplex ❑ Mobilehome ❑ Other SPECIFY Solar'or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C% Describe Work: REROOVELE SER UPGRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WF @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 • UO 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 Profeisions Code, and my license is in full force and effect. �} J 1 t') LiC. No. License Class f l y n 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 Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. Bins. SO 3.5QFT: MULTI -OUTLET NOFFREOSID.BAANcti CIRCUITS @7,50 EWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFDRURES zo ®I.00 BAL .50 Ex. Occup. O.'xED 'R=-.DeA 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 FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 13, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' ��"i X _ �-t` Date t Signature of,Applicant - ❑ Owner 0 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 $ Energy Inspection Fee $ OCC CONST. TYPE VZ•u11 TOTAL FEE $ IHA D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE tr This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B r . ! / i7�f:Zr✓�'r' G PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been aid. -- Date '" I Dale Receipt No. L70V�0 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. 12/96) .r APPLICATION ANDPERMIT 99-0114 % ASSESSOR PARCEL NUMBER 036-10-1-018 ZONING BUILDING PERMIT OWNER 'Joy WHTTF, TELEPHONE SO. FT. OCC. BUILDING VALUATION 20 1,200 . OWNER'S MAILING ADDRESS 95A] V-6 ROAD, DROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING DRES 25 1 -6 ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF q Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (1 Describe Work: RER00FIELE SER UPGRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800OR LESS Main Service .,V1 OR 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 ace and effect. t��•-� License Class Lic. NO. 7 g i t \ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Main Service zooA To ,000A 46.00 NEW CONST. DW EWNO OCCUP. SO OR ADDNS. 8 ACC. S.3.5¢FT: T. RMULT ESINEW D. 1. C.OUTLET @7.50 PowFA APPARATUS E SINGLE OUTLET CIR. 20 EX. OCCU . OUTLET OR FLXTURES BAL @ 1. 0 Ex. Occup. oUTitDTs R�,o.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed If the permit is for work of a valuation / of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued. I shall 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 fo t comply with those provisions. Date_ Signature o Applicant - ❑Owner `AContractor ❑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 $ occ CONST. TYPE TOTAL FEE $ 92.00 HAz. D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. .. g PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CA SSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BIJ✓TTE, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMrr NO. APPLICATION AND PERMIT �� D°11O BUILDING PERMIT orr►ir [ �`� rna►wwa SO. FT. OCC. BUILDING VALVA {� N ow►a7 WUM MCAUe ✓ ooarRAOrorrs rwe OONrRACTOWS wawa ADOReee ooNsmicrim umm u<roora w UNG AWROS LFi0,j,1-,aju,tion S MGIREOrORENOLNM ucema"m Filing Fee S 20.00 ARChff=OR DK Nests Permit Fee S Plan Checking Fee S suaoeaaDORos Energy Plan Checking Fee i i PERMIT FEE S rmmm sueaaeommm P""Oa PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 S pwx O Mobilshome O Other Water piping 15.00 'Pee" Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 Now O Addition O Remodel O UdlOss O installation O Other O r-. Building sewer 15.00 Describe Work: Mobile Homs I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fid f Fee 20.00 Main Service oORR t 23.00 Main Service 20" To +00" 48.00 NEW COMT. Owa1No oowa OR ADDW. a �Oc. aos 9.5CFr. HEW COM NO"ESID.' YUL7b01lItEr @7.50 PDwEiI APPAiMTUe as 20 Ex. Occup. OFr OR /ernX= SAL Ex. Occup. 0= ®ro.ORfw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 j Heating- Cooling1 Hood 8.50 Ventilation PERMIT FEIE S Mobile Home Installation Fee S _ Energy Inspection Fee S °C0 " -" TOTAL FEE $ NAZ 1 0. mm I WP fiA00 COf PnRCEl 10 65LE This permit is hereby issued under the apptkable pro"i'icns 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 nri1�M+iiti v.•' L :' `��'`'M 3;`L"`'ii'n�a�`.k`l:Llti+ '.'c 4y 1,' i�..r'+..=.,r 3' 'iEv.%i`it.•s'�0^. ;.�,A. .•:7F•,� �tit� -moi' �..A+ .,—�+q v r.�- i. i',i..v {J "i4�Vki'4 .�,+t;h� •.Ii �,. 4. 5., w•.� •T t r' 036-10-1-018 93-702 B` PYLE, LISA H.,j.2561 V-6, OROVILLE ('CONTR: M & N CONTR b REROOF SF r ,; � n • f F �rzP.::iy�$:•.6�!�MF."jt"�i!.',`,�fi•is�+r'+tr�•"'� ',h�t {iy� •.�►'TA°'�'� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541�j APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-101-018 ZONIN IR BUILDING PERMIT USA E. F= T��`�gib�._ SO. FT. OCC. BUILDING VALUATION 12 A 60 " OWNER _S7_MVL G TRESS O�VILLE 95966 CONT &cN°WIV'ilZ. Tess="9 COI./6 OAKS? G17�YRESS OROVILLE 95966 17A Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ !j ,00 Permit Fee $ 19.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUI}�,%J AV_qy Ft Ef6 OROVILI.E l (V. Permit fee $ 34.50 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 RT Duplex❑ Mobilehome❑ Other SPECI FY 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 [J Remodel❑ Utilities❑ Installation❑ Other Describe work: REROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) L7 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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.tr) 3.64sq.ft. OR ACDNS. l ACC. BLDGS. NEW REs, . -OUTLET^ 5.00 _NON ESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES20 76 Ex. OCCup. OUTLETS PRESID )RE A.) 3.00 Temporary service 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 a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult 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. X -� "� �-_ Date 3-18-93 Signature of Applicant - Owner [p/(.oniractor ❑ Agent ❑ 1� An OSHA permit is required For excavations over 5'0" deep and demolition or construct- i height. on of structures over 3 stories in ei ht. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 34.50 HAz 1 DFEES IMP FLooD cDF PARCEL I PD I HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do /r work indicated above'forlwhich fees have been paid. � � DIRECTOR -OF PUBLIC WORKS PERMIT EXPIRES/ Date —., /40 /Date3 Receipt No. 135874 WHITE-O.P.W.. YELLOW-ASSr3SOR• PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT' PERMIT_Mg., i ASSESSOR PARCEL NUMBER 036-101-018 ZONIN , IR BUILDING PERMIT OWNERTt' LISA E. PYLE 4P '��►t 6 SO. FT. OCC. BUILDING VALUATION OWNER'S 1 MAILINGADDRESS OROVILLE 95966 72 CONTRACTOR'S NT\LRE TJJJP� CONTRACTOR'S MAILING ADDRESS 2700 OAKKNOLL WAY OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 19.50 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2561 V-6 RD OROVILLE Permit fee $ 34.50 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 SFR Duplex❑ Mobilehome❑ Other SPECIFY 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 WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare underenalt of p y perjury y (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 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 or 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 Main service 200A TO 1000A) 37.50 NEW CONST. DWELLING OCCUP.yd\ OR AODNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. U TI.OUT LET@ NON- ESID BRANCH CIRC ITS 5.00 POWER APPARATUS o- (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate If 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 Filirig Fee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X , Date 3~ g'93 of Applicant — Owner contractor ❑ Agent ❑ An OSHA is r quired for excavations ions over 5'0" deep and demolition or construct- ion Of structures permit s Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 34.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sionssignature oun ode and/or of2DECT work inv o which fees FPUBLIC By�� Date applicable provi- resolutions to do have been paid. WORKS Date.I /PE Receipt No.135874 WNITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 11, 14 COUNTYOF BUT,T_E - DEPARTMENTOF-DE)&LOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAS IFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLrCATION DATA SHEET OWNERyA; 4 )F�- 1 �li-� A. P. No. 3 6 - _ 41)l Proposed Building Use VZ6 Building Inspector Date/e .3 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 . ........................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . .................. . .. . A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ......... .... . 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ........... .................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ....................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . �• Preanspedion requ-e 20. Pre -inspection for required. ... to Bu;;d;ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ... . 27. Letter of intent on building use . ...........................\............. . 28. Mobilehome utility clearance . .......................... ............ 29. Documentation of legal access . ..................... :..... ............. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. 1 When you issue the permit, process as follows: 'Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant -1 C ate 3 -t `8 s-3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date -Plans checked by Date Plans approved by Date ! Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Ot1'AR't'MENT OF PUBLIC WORKS 7 County Canter Orive - Oroville. California 95965 - Telephone: 916:538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARS U=B R0 bC--NI7 BUILDING PERMIT OWNER ! �/[ C__ �P_716f) toOWNER' S LEPMONE SO. FT. OCC. BUILDING VALUATION M!U..1 G A ORE3S / V V CONMT OR' N Ak4E_ _ TELEPHONE. CONTRA OR -3 MAILING ADDRESS OD (qt4�G /U DLL 2O 6 % Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee 3 15.00 LENOER'3 MAILING AO0RE33 Permit Fee S f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S aU1LOING AOOR S/ y ` Permit fee S- _ PLUMBING PERMIT` Filing Fee 15.00 Each Trap Solar or heat pump water heater I 5.001 20.00 LOT NO.SUHOIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE -OF -STRUCTURE'- SFADuplex❑ Mobilehome❑ Other ///—��``` SPECIFY Gas piping system 1 - 5 outlets 5.001 Buildina sewer 15.001 Mobile Home S 1 G I W @ 15.001 TYPE.OF' WORK' New ❑ Addition ❑ Remo el Utilities ❑ . Installation❑ Other ❑ Describe work: aao r �Ny Permit Fee - S • _ Contractor ELECTRICAL. PERMIT- Filing Fee 15.00 Main service 600V OR LESSj 200A OR LESS $,50 Main service 200ATO1000A9 37.501 CONTRACTORS LICENSE'LAW= I declare under penalty of perjury (check onel: I am licensed under provisions of Chaot. 9. Olv. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR AODNS. ACC, 3L.0GS. I 3.64 sah.1 NEW CONSTR. MULTI—OUTLET❑ NON-RESID BRANCH CIRC TS I @ 5.001 POWER APPARATU5 a SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES _1420 9@1 .7.6,d 209@176d FIXED P Ex. OCCUR. OUTLETS IRESIR O )EA.) 1 3.001 Temoorary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. '.Miring 15.00 Permit Fee S Contractor WORKMEN'S COMPENSATION INSURANCE. I declare under penalty of perjury (check one): Q The permit is for 3100.00 (valuation) or less. r I have placed on file with the County of Butte Building Department �t a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with sucn Provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFes 15.00 Heating Cooling Hood 6.501 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction. and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned progeny 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 wa accrue against said County in consequence of the granting of this perm X ��–, l�J Date Signature of Applicant — Owner L, Contractor I_ Agent t_ I An OSHA oermtr is required for escavortons over 5'0" Seeo one demottt.on or construct - .on or structures over J srortes .n -first. . Mobile Home Installation Fee 5 Energy Inspection Fee $ UCC I CONST TYPE 1 TOTAL. FEE $ I nAt O FEES IMP FLOOD COF I PARCEL j PO I HO I -SSU This permit is hereby Issued under the appllcaole provi- sions of the Butte County Code and/or resolutions to ac •.vom Inolcateo above for which fees have been para. DIRECTOR OF PUBLIC WORKS a�r,...T .,..,. Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . Orovllle, California 95965 - Telephone: 918/538-7541 APPLICATION AND PERMIT PERMIT 0 r A2111932ORRA Iqj--/ - Z BUILDING PERMIT OWNER Joy White & Lisa Pyle TELE ONE 53486 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2561 V-6 Rd. Oroville, CA. 95%6` CONTRACTOR'S NAME JOSiUA BROONER CONSTRUCTION TELEPHONE 257-8303 - CONTRACTOR'S MAILING ADDRESS P.O. tiox 2124 Susanville CA. 96130 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 11,W4.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 112.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu'2DING 561 V-6ESS Rd. Oroville CA. 95966 Permit fee $ 127.50 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[9 Duplex❑ Mobilehome❑ Other SPECIFY 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❑ Describe work: Install vinyl siding. Other ® _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 t i Main service 600VORLESS 200A OR LESS 18,50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty'of perjury (check one): } ❑x 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 ,4o. 428795 Classification B1 ❑ I, as the owner, or my employees with wages as their soli compen- sation, will do the work,and the structure is not intended dr 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.9 OR ADDNS. ACC• BLDGS. // 3.60 sq. NEW CONSTR ULTI.OUT LET NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES Ao 76 Ex. Occup. OUTLETS P(RESID )FIXED APLNS. REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin9 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. Ei I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult 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 agai t sa' County i consequence of the granting of this permit. X Date �. 9a Si ature of Applicant — Owner R ® 9 ❑� / lJr Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 127• 50 HAz I DFEES I IMP I FLOOD COF I PARCEL I PD I HD ISS This permit is hereby issued under the sions of t e Butte County Code and/or work i di ated abov f which fe a I DIRECrT+ r UB By PE"11 I EXPIRES Date applicable provi- esolutions to do ave been paid. ORKS Date ' ��3��stories Receipt No. J&3 /,z0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1; APPLICATION AND PERMIT��crrr�rJJJ AS ESSOR P CEL NUMBER U/—/ N G XGk BUILDING PERMIT OWNER Joy White & Lisa Pyle TELEPHONE 534-9486 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2561 V-6 Rd. Oroville, CA. 95966 CONTRACTOR'S NAME JOSHUA BROONER CONSTRUCTION TELEPHONE 257-8303 CONTRACTOR'S MAILING ADDRESS P.O. Box 2124 Susanville CA. 96130 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 11, 904.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 112.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGSS V-6ERd. Oroville CA. 95966 Permit fee $ 127.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FGTW T @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other © Describe work: _ Install vinyl siding. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CAT01000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): x❑ 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 .do. 428795 Classification B1 ❑ . 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 OCCUPM OR ACDNS. \ ACC. BLDG S. // 3.64 sq.ft. NEW CONSTR. MULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.6 Ex. Occup(OUTLETS OR FIXTURES 20 2D 76 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.7 I 3.00 Temporary service 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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be -deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling 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 agai t sa County i consequence of the granting of this permit. X ' Date Si nature of Applicant — Owner �j,� g L� Contractor ❑X A ent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 127.50 HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISS E This permit is hereby issued under the sions of a Butte County Code and/or work ' di ated ab v f which a DIR UB By PE XPIFRES Date applicable provi- resolutions to do have been paid. ORKS D to Receipt No. 1637..20 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT