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HomeMy WebLinkAbout078-310-026i DEL FLEENER - y COOPER, Jess. C. 2 96B t _4 j 2613'V6 Rd, Oroville f 1939P 17' Contr: Lagrone,.AC Permit 743-77P,E,M(duopac for n/s .al6 100 -ft. -,east -,of,, VE,, .Orovil e :AC) SF t �' , ' CONTR: Arinda- Cons truction•, -.689 Oro Dam -Blvd, ,� (new, single family) Oroville Permit 301-81B(w od bur O ���st�{ �_� � { 2 61 1c� - 3 V oa Oroville t. Permit # 312=-KB,EXgar'age r )SF F3 2 Permit �Z 66-82B,P;E addonvert , co ' family rm & b & laundr gar to laundry) SF FLEENER, DEL • 2613 V6 RD., ORO VILLE' ' KITCHEN & LIVING RM. ADDITION ' a� 03-2417 FLEENER, DEL 2613 V6 RD, OROVILLE KITCHEN REMODEL r P. a' '��R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-71)-3-,yP nryT (Rev. 12/96) APPLICATION AND PERMIT Z* / ASSESSOR PARCEL NUMBER 036-101-032 ZONING BUILDING PERMIT OWNER Fleener, Del 534-7610 TELEPHONE Sq. F7, OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 2613 V6 Road Oroville CA 95965 cont 20 000.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2613 V6 Road Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ki tr-hPn rinmnripl 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 Main Service aoov oR LEss 2o0A 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ADC. BLDS. So 3.50FT; NON-REOSIUT. MULTI -OUTLET @7.50 I POWER APPARATUS a SINGLE ovnEr qR. Ex. Occup. OUTLET OR FIXTURES 20 @'•50 eAL p .w Ex. Occup. ounFrs R� p °F. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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' co a sation laws of California, and agree that if I should become subject to the e ' c pensation provisions of section 3700 of the Labor Code, I shall h' i o ply with those provisions. Lo / X , 'V DateAelz/63indi Si re o pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excav 'ons over 5'0" deep and demolition or construction of structures over i . h fightrMA to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $284.00 H Z. p, FE D CDF CEL Po IS E permit is hereby issued under the applicable provisions of Butt u ty Code and/or Resolutions to do work a d o whi h fees have been pai By Date PERMIT EXPIRES ON { V Pak COAJNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Orovilie, California 95965 • Telephone (530) 538-754 5 E 11 i 12/96) APPLICATION AND PERMIT .- W1 WIN I ff AW , M, mm F mi DNS TAy ;now LENDER Fireplace =NDM%-s MM1R's ADDREETS Total Valuation S Rp�I1EGT OR Er�LNEER uOD SE ND. Finn Fee S 2D.00 - Permit Fee S '� ACMITEGT CR ENOwEFAS MARItIG ADDAESS Plan CheckingFee S —r, AODREss ( Energy Plan Checking Fee $ ' S PERMIT FEE S DT NO. —.—.__. SLI[iDNSR)NS NAlAE .. ._ _--..—'—'----------------------.. PARCEL MAP _...---- -._. .._ . PLUMBING PERMIT iGng Fee 20.00 Each Trap _...— -•-----•---------._ --- 7:00 USEOFSTRUCTURE 3F E3Duplex ❑ Mobilehome ❑- Other CPMFY Solar or heat pump water heater 23.00 Water p ing 15.00 �-• Each as water heater or vent 1 5.00 TYPE OF WORK tJew ❑ Addition ❑ Re odel [3 listens [3Other ❑ Describe Work: � � Gas piping system 1 - 5 outlets 15.00fj — Bundm sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service x�Dwy oa LES 23.00 Main SeNiCe tow To ma*A 46.00 NEW CONST: OwE41wO DCGIlP. OR ADDNi ( a AGC. WDS. 3.5 s Ex. O=U . OUTLET OR eql p SD ! Ex. OGcu . FTJ® pus ..)ORM 5.00 Tem or ice 23.00 Mobile Horne Facilities 2D.00 MGsc. Whin 23.00 ::E PERMIT FEE _ KAMrUA►nr Al neeutT Farina Fee I 2D.DD Hood - / I 1 6.501 "FEEMobile Home InstallEnergy Inspection Od``D�.TYPE-Z. ID. FEEGEL PD ND 1 6SJE 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 0 F] O.B.- I 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 earliestopportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide t;"NO ajor labor and materials for construction of the proposed property imp •ovement : YES 11 2 I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work p P P 3. - I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK i NOTE. This Owner -Builder Verification is required by .Section 19831 and 19832 of the California Health and Safety Code. This verification must be. completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I OWNER BUILDER INFORMATION --I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4NEcel , C. Vi ira,C.B.O, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the Calcfornia Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 D F/P VIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING ' AP BUILDING PERMIT OWNER TEL&HONE - SO. FT. OCC. BUILDING VALUATION 223 R 12,042.00 . OWNER'S MASS ILING ADDR ?613 Iffi ]RD OROVILLE, CA 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 12.042.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $144.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2612 IA4 RD GROViLLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LAT NO. SUBDN610N'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF N 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 M Remodel ❑ Ulilides ❑ Installation ❑ Other ❑ Describe Work: KITCHEN Llr T.TVTNG ROOM AnIlTTTnN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 LESFiling Main Service zoOA OR IESS 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 I herepy affirm under penalty of perjury that I am exempt from the Contractors License Law ; or the following reason: 4 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 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. ❑ 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 hof one hundred dollars ($100) or less.) ❑' 1 certify that in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to workers' ompen tion laws of California, and agree that if I should become subject to the orker ' cc pensation provisions of section 3700 of the Labor Code, I shall rt tid c ply with those provisions. X Date b Sig tune o Applicant - Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00So WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLAS. SO 3.5¢FT: NEW CONST. RANCH MULTI -O @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. 20 p 1,00 Ex. Occup. OUTLET OR FIXTURES @ .50 FU(ED APPLNS. OR Ex. Occup. oLrrLErs RFS,o. En 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEiE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 323.60 HAz. D PE6 IMP FLOOD COF PARCEL PO 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. /O �2 By D e PERMIT EXPIRES ON Det Receipt No. �Fi(15(a(1 P �2� 6Q WHITE-D.D.S.-B.D. CANA Y -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 PEEMT NO (Rev. 12/96) APPLICATION AND PERMIT -- ASSESSOR PARIZEL NUMBER`, _ BUILDING PERMIT OWNER CJ Te NE SO. FT. OCC. BUILDING VALUATION OWNERS MAUUNO ADDRESS CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MASDNG ADDRESS BUILDING ADDRESS _ _ LOT NO. I S UBDNIS IONS NAME USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: KI 4 f° k P n A Ij, I-V l h of ;)(-/j r SRA Y9 saftar; O 44-ive- ta�td w U - Total Valuation Is PERMIT FEE 1$ EX. Occup. ,n, A (RES1 D. OR UTLETS OESIEA Filing Fee $ 20.00 Permit Fee b Main Service Plan Checking Fee $ O Energy Plan Checking Fee S od MULTI -OUTLET BnANCH CIRCUITS I S PERMIT FEE $ _ PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping iystem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 EX. OCCU OUTLET OR FIXTURES PERMIT FEE 1$ EX. Occup. ,n, A (RES1 D. OR UTLETS OESIEA ELECTRICAL PERMIT ( Fling Fee 1 20.00 Main Service eR zowoov ooR LELEss ss 23.00 Main Service ZOOA TO 1000A 46.00 NEW CONST: OR ADONIS. ( DWELLNG OCCUP. 6 ACC. EYDS. 3.5¢SO. FT. NEW O NON•RESID. _( MULTI -OUTLET BnANCH CIRCUITS I @7.50 EX. OCCU OUTLET OR FIXTURES . 20 W IW BAL @ .SO EX. Occup. ,n, A (RES1 D. OR UTLETS OESIEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 1 PERMIT FEE I S MECHANICAL PERMIT Fling Fee 20.00 Heatina Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. 11 TO AL FEE $ �� a,��Q This permit is hereby issued under the iprovisions �Pjztkvm"Ab � of the Butte County Code and/or Resolutsolutionsons to do work indicated above for which fees have been paid. ��GY 9 �, 3 OL 6 w .vim i �o a k 2 Sctf / By Date IIfP- �` o 9f Q�cwS PERMIT EXPIRES ON I rrr ` ` ` )^'� �. . .. . . �� . '' -_--_�-_-- ^ � ' . .._' _. - � � '� ' '. 'v ; ``, . � '` - - ^ ^ . � . �. V x COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER PROPOSED BUILDING USE SCHEDULE OF FEES DUE .L UL n 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................. x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _T017. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 2 A.P.# II—cSt��LUI`"�c� DATE ! —�, a'—(0Z RECEIPT # DATE REC. 10. OTHER At time of permit plication, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed rin t'le checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) vor �i "We Help From Finance to Finish" DEL FLEENER General Manager P.O. Box 1947 Oroville, CA 95965 TELEPHONE Bus. (530) 534-0300 Fax: (530) 534-5269 Pgr. (530) 871-3346. . �_ W'o'•'f�+ a;.'e!��'°'.,�'.'d'C`4n.�11P�;.{�r,{��,:,7w,r`tP•..+[.'..�1..`��>�Ftc*�sc7r,.-�e'T:-"a"��S'exowa"�,dq,:k;s.,..7..�;Zet�c�,7��y.v.•R:_. COUNTY OF BUTTE -DEPARTMENT. OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: e f n e l , De L ASSESSOR PARCEL NUMBER_ Proposed Building Use: LI VI kI T 011 V n MA 7 /Ural Counter Technician: I• i Date: �Z- Items required in order'to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. �v 1.. Plot plans, 3 or 4 sets, signed ,�y the preparer of the plans. V�2. Complete plans, 3 or -4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ] 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.....................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) !�5>statement ees as shown on the attached Schedule of Fees Due Sheet ... G !!Y.. o.... ,.d ..!?.... 1� -g CjZ _ of Intent for Non -heated and A/C Buildings ................................. ...... " g �� 16. Sanitation and plot plan approval from the Environmental Health Department in f 17. City of Chico Plumbing permit ........................./. . Reltheck: 18. California Department of Forestry plan approval l�paidy '�Z ❑ 19. Planning approval for (A) Use: 1�(B)Parking: (C) P --1 25-d2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for '"- required ................ ❑ 23. Contractor's license information. (Number,'Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29: --Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts-, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Teftphone 3 Z t°C and hold for pickup. I have been i o eg"I�,above items and requirements for obtaining a b7ding 7,mL Applicant: Date: ZZ Index permit application for thea bered:.�,Q,, Plan Check Letter 2. Additional items required-� Contractr,desi ner , was advi above data by phone, ❑ mail, ❑ counter, by ,2r) Date: d: Contractor, design r, wner w s advised of the above data by ❑ phone, MKail, ❑ counter, by Date: .0 Plans reviewed by: 2-7- D%, Date: gv,, Plans approved by: a Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division nC•w-*..,.t..y„�._..r�';r-.��--�--r•r....•..w-•-�••-•----.-.,.-.r_..,_._.ti.--,-_...,-.. .. _.. .- .. r _: -.--r��.y.�.•-. -. ��..�y- � ...... ._ -mss ^ -... �t,.. .. a BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) v lJ School Distract Orta U ; ) le A, ; 1 j I Building Department No. A. P: Number �(p p) p '3 Z Jurisdiction: 0 city ©County Property Owner P_ �' ( C -N e Property Location/Address .2 LA / V j. j2- �1 r p V Subdivision Lot No. :.................................................................................................................. Residential Development 0 Sq. Footage .2.2-3 No of Living Mobile Home AdditioN •Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection); Commercial/Industrial - = r New Addition Building Department 19, moor rians reweweo oy acnooi uisinci rersonnei) District Identification No.Pj R '� Sq. Footage (Including Exterior Roofed Areas) $-;-I -oz- Date OZDate CA e_tly�- f School District certifies that _ j�® �n e, r - (Applicant) (Applicant) O (Street Address) (Phone Number) 0Y-0,rb6Cl�.. L14 `[Sg lc G. (City) (State) (Zip Code) - has complied with the requirements.of Resolution No. a p 2 k 0 by, payment of $ representing 223 square feet. AB 2926 S FULL MITIGATION $ r • School District Date Paid by Check # �A- Remarks: -- -cot ._n31 1p 2 . 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 66020(a), 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 in 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 reviewedunder the California Environmental Quality Act (CEQA), 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 (school district) feeform.x)s (10/98)dmm s 1 FAX TO : Endeavor Homes FROM Edward Moran PE ATTN. Darren Diver DATE September 17, 2002, FAX No.: - (530) 534 5269 'No. of Pages 1 e FI R 'd EDWARD MORAN P.E. JOB . eener esl ence STATUS. Normal O urgent O Confd. ( ) To whom it may concern: r ; This letter is to confirm that I have reviewed & approved the load criteria &geometry used for the truss calculations for the above project. Sincerely, QROFESSIpy ; Cl* EDWARp J. co MORAN s No. C 058125 r 6cp/- dward Moran PE '�rEpfCAL1Fp��` r P.O.Box 796, Oregon House, CA 95962. Tel.: (530) 692 2319, Fax: (530) 687 9094, email: ejmpe@aol.com 09/11/2002 23:17 5305340902 MGAGADJ6DW PAGE 01 PLAN REVIEW RESPONSE FORM In order to expedite the miew of your plans, please Complete the following information and return this form with your rc-subnxita', this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. 'Ile'must be a valid response to every item requested in our plan c6naction letter. "By others'' is not eonsidcred a valid response. Please dedicate your response to each item and the location where the Information can be found on the pLw s/calcs. ATTACH THk FORM TO A mov AC V(1aw DI am nnnii ! i rs-reo Aun nen Toru Un Tu ntr necn Asn nn..-..... _ OWNERS MME DATE: Dir, I 9. -2o aZ ASSESSORS PARCEL NUMBER PERMIT NUMBER 03C- 632_ 62-- ►�� RESPONSE FOR PIAN CHECK LETTER DATED: PLAN CHECK ITEM RESPONSE BY: LOCATION ONPLANS/CALLCS: COM."IENTS: CO.W.iENTS: C0.11MENTS: PLAN CH.CK ITEM k RESPONSE BY. 14 CO!.W..ENTS: PLAN CHECK ITEM C RESPONSE BY. � LOCATION ON PLANS:CALCS; CO.W.iENTS: C0.11MENTS: PLAN CH.CK ITEM k RESPONSE BY. 14 PLAN CHECK ITEM p RESPONSE B� � LOCATION ON PLANS/CALLS: C0.11MENTS: PLAN CH.CK ITEM k RESPONSE BY. 14 CO!.W..ENTS: PLAN CHECK ITEAI R RESPONSE BY: LOCATION ON PPLANS/CALCS: COM.1!ENTS: v PLAN CH.CK ITEM k RESPONSE BY. LOCATION ON PLANS/CALCS: CO!.W..ENTS: 141 9/23/02 Del Fleener 2613 V-6 Oroville,Ca.95965 I Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 36-101-032 Building Permit Number:02-1965 6 �7- 70 7,1 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. STRUCTURAL COMMENTS: ase correlate the truss engineer's G1 reactio C of 8422 bs with your design load of 7,800 lb he 20' shear wall continuous or does it have openings; e.g. doors. Design accordinglq- D Assuming bolts will beepoxied, Pleasespecify a strai�ght boltspecify epoxy, and call for special inspection of the epoxy installation. Please note that the special inspector, who can be the, engineer of record, must be approved prior to the issuance of a permit. lease verify by calculation that the 3'x3' plain concrete pad is sufficient for the post load and PB without reforcing.... Refer to the attached calculation. SUGGESTION ONLY; you may make a different assumption regarding allowable soil bearing pressure. (see attached footing calculation) If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for . Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining rion-plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner JS. 1 of 1 a PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valid response to every item requested in our plan correction letter. 'By others" is not considered a valid response. Please indicate your response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF vnuQ or AN RmnFw r FrrFQ Amn nen inu u..,z. ��...��.........__.,_.. _ . _. _ _. OWNERS NAME PLANS. DATE: Del Fie-ev-te-r-- --C)2 ASSESSORS PARCEL NUMBER PERMIT NUMBER N RESPONSE FOR PLAN CHECK LETTER DATED: 1 -113 -02 - PLAN -113-0Z PLAN CHECK ITEM # RESPONSE BY: I, LOCATION ON PLANS/CALCS: 4z5 e 2.4 C COMMENTS: - r COMMENTS: C~ 04ein Ivy GC PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: C~ 04ein Ivy GC L{ U (z PLAN CHECK ITEM # RESPONSE BY: �- LOCATION ON PLANS/CALCS: COMMENTS: t 14 Gt6 (z PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: Ne 2-A COMMENTS: lsedl ng Cc- ,- Z c, Ad (ki C1 Jam e-,- X71d PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: 09/19/02 THU 12:30 FAX 415 840 0670Edward Moran Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX r June 4, 2002 Del Fleener 2613 V-6 Rd. Oroville,Ca Assessor Parcel Number: 036-101-032 Building Permit Number: 02-1965 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. The exterior wall section 2/2 shows stucco closer than 4" to earth, and doesn't specify a screed. 2. Are the kitchen and 2668 door new ? STRUCTURAL COMMENTS: A. Please correlate the truss engineer's GI reaction of 8422 lbs with your design load of 7,800 lbs. /l: The Engineer shall certify that he has reviewed the [specific] truss calculations, and his loading and span criteria have been met. Ti% --3. Please provide a building section in the NE -SW direction, through the kitchen and new addition. '4. The existing roof diaphragm apparently ends at the new girder truss. How are lateral forces of the existing roof and the addition transferred into the 20' shear wall? Please specify/detail. — 5. Is the 20' shear wall continuous or does it have openings; e.g. doors.Design accordingly. . -6. The calculations p.6 utilizes a 24' shear wall, the plan shows 20'. Please correlate. ✓7. How are holdowns going to be installed in the existing footing, especially considering the use of SSTB bolts? Assuming bolts will be epoxied, please specify a straight bolt, specify epoxy, and' ' call for special inspection of the epoxy installation. Provide the Building Dept. with the name of special inspector. 8. Please verify by calculation that the 3'x3' plain concrete pad is sufficient for the post load and ' PB without reinforcing. Clarify the requirement that the footing be 12" into undisturbed earth. 1 of 2 t 1A001 9/23/02 Del Fleener 261`3 V-6 Oroville,Ca.95965 Department of Development Assessor Parcel Number: 36-101-032 Building Permit Number:02-1965 Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Services Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. STRUCTURAL COMMENTS: 1.Please correlate the truss engineer's G1 reaction of 8422 lbs with your design load of 7,800 lbs. 2.Is the 20' shear wall continuous or does it have openings; e.g. doors. Design accordingly. 3.Assuming bolts will be epoxied, please specify a straight bolt, specify epoxy, and call for special inspection of the epoxy installation. Please note that the special inspector, who can be the engineer of record, must be approved prior to the issuance of a permit. 4.Please verify by calculation that the 3'x3' plain concrete pad is sufficient for the post load and PB without reforcing.... Refer to the attached calculation: SUGGESTION ONLY; you may make a different assumption regarding allowable soil bearing pressure. (see attached footing calculation) If you wish to discuss 'any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00`p.m., Monday through Friday. To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner 1 of 1 Osquare Footing Design [ 97 UBC (91 NDS).] .3-2029 V4051987 BY Keith Long Development Services on:, 2 Project: Fleener - Location: Girder truss; engineer's assumptions PSF Summary: PSI . Size: 3.0 FT x 3.0 FT x 18.00 IN FT * Footing Size Inadequate FT " Footing has been designed without reinforcement. SF * Footing Design Inadequate PSF Footing Loads: IN Live Load: PL= Dead Load: PD= Total Load: PT= Ultimate factored load: Pu= Footing Properties: IN :Allowable soil bearing pressure: Qs= Effective soil bearing pressure: Qe= Concrete compressive strength: F'c= Selected Size: LB Length: L= Width: W= Area: A= Ultimate bearing pressure: Qu= Column Base Dimensions: Length: 1= Width: w= Footing Size Selection: Required footing area: Areq= Minimum footing size required: Lreq= Footing depth based on shear stresses: Selected footing depth:_ D= Punching Stress Calculations: Critical perimeter: Bo= Punching shear: Vu1= Punching shear stress: -vu1= Allowable punching shear stress: vc1= Beam shear stress calculations: Beam shear: Vu2=. Beam shear stress: vu2= Allowable beam shear stress: vc2= Bending Requirements: Factored moment: Mu= Nominal moment strength: Mn= 5226 LB 2574 LB 7800 LB 12488 LB 1000 PSF . 775 PSF 2500 PSI 3.0 FT 3.0 FT 9.0 SF 1388 PSF 5.50 IN 5.50 IN 10.06 SF 3.17 FT 18.00 IN 86.00 IN 8034 LB 9 PSI 200 PSI 0 LB 0 PSI 100 PSI 40336 IN -LB 315900 1N -LB STRUCTURAL COMMENTS 9/23/02. FLEENER 02-1965 1. Please correlate the truss engineer's GI reaction of 84221bs with your design load of 7,800 lbs. No response. 5. Is the 20' shear wall continuous or does it have openings; e.g. doors. Design accordingly. No response. 7. ... Assuming bolts will be epoxied, please sped a straight bolt, specify epoxy, and call for special inspection of the epoxy installation. Please note that the special inspector, who can be the engineer of record, must be approved prior to the issuance of a permit. 8. Please verify by calculation that the 3 z3' plain concrete pad is sufficientfor the post load and PB without reinforcing.... Refer to the attached calculation. SUGGESTION -ONLY: you may make a different assumption regarding allowable soil bearing pressure. ,TT A- HEWFOOTING-CAL-CUL-ATION Keith Long ,� �v 2002 Del Fleener 2613 V-6 Rd. Oroville,Ca 0 • Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 036-101-032 Building Permit Number: 02-1965 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. The exterior wall section 2/2 shows stucco closer than 4" to earth, and doesn't specify a screed. 2. Are the kitchen and 2668 door new ? STRUCTURAL COMMENTS: 1. Please correlate the truss engineer's Gl reaction of 8422 lbs with your design load of 7,800 lbs. 2. The Engineer shall certify that he has reviewed the [specific] truss calculations, and his loading and span criteria have been met. 3. Please provide a building section in the NE -SW direction, through the kitchen and new addition. 4. The existing roof diaphragm apparently ends at the new girder truss. How are lateral forces of the existing roof and the addition transferred into the 20' shear wall? Please specify/detail. 5. Is the 20' shear wall continuous or does it have openings; e.g. doors.Design accordingly. 6. The calculations p.6 utilizes a 24' shear wall, the plan shows 20'. Please correlate. 7. How are holdowns going to be installed in the existing footing, especially considering the use of SSTB bolts? Assuming bolts will be epoxied, please specify a straight bolt, specify epoxy, and call for special inspection of the epoxy installation. Provide the Building Dept. with the name of special inspector. 8. Please verify by calculation that the 3'x3' plain concrete pad is sufficient for the post load and PB without reinforcing. Clarify the requirement that the footing be 12" into undisturbed earth. 1 of 2 i 0 a STRUCTURAL COMMENTS 8/27/02 FLEENER 02-1965 (Plan Checker: you may already have some of these...) 1. Please.correlate the truss engineer's G1 reaction of 8422 lbs with your design load of 7,800 lbs. 2. The Engineer shall certify that he has reviewed the [specific] truss calculations, and his loading and span criteria have been met. 3. Please provide a building section in the NE -SW direction, through the Kitchen and new addition. 4. The existing roof diaphragm apparently ends at the new girder truss. How are lateral forces of the existing roof and the addition transferred into the>20' shear wall? Please specify/detail. 5. Is the 20' shear wall continuous or does it have openings; e.g. doors. Design accordingly. 6. The calculations p. 6 utilizes a 24' shear wall, the plan shows 20'. Please correlate. 7. How are holdowns going to be installed in the existing footing, especially considering the use of SSTB bolts? Assuming bolts will be epoxied, please specify a straight bolt, specify epoxy, and call for special inspection of the epoxy installation. 8. Please verify by calculation that the 3'x3' plain concrete pad is sufficient for the post load and PB without reinforcing. Clarify the requirement that the footing be 12" into undisturbed earth. NON-STRUCTURAL CONIlvIENT: the exterior wall section 2/2 shows stucco closer than 4" to earth, and doesn't specify a screed. QUESTION: are the Kitchen and 2668 door new? In my mind, there are a number of unknowns on this plan. Keith Long If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner Philo Hunt, P.E. Plan Check Engineer 2 of 2 310_ Y vl PERMIT NO. 20.6.6—$2B PE,M PERMIT EXPIRES— OWNER XPIRES OWNER Del Fleener. CONTR. Owner ASSESSOR PARCEL 36-101-32 LOCATION 2613 V6 Rd, Oroville n tk ty l j Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ( Temp. Gas Service ' CalledPG&E Ii JOB FINALE[ Signature a ` t x i� J = OKE -r " 0 =Not OK Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDER 'OOR Plans OK exce tit's Date FRAMING (Continued) oning requirements -Setbacks -Easements 4 o erty Line Firewall & Openings 2&�_Fltr., Main; Soils-Steel-Elec. Grnd.- /!Y/" Ftg. Depth 49. - ec Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. - oom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. P1y­n�yRoof Overhang -Attic Vents -Rafter Outriggers iar'S'it;mwalls, Main; St -Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Pi rs-Fireplace Ftg.-Steel - W.V.: Fall -Fitt s -T -2 way C/O -Sew est 52. �'�o`:y .�Q;,;:,g-Veneer 53. Stucco MPsh_Drip Screed-Fdn. Vents-Underflr. Access 54. Gtazing-Area--Glass Protection -Skylights -Plastic 55. Shear-Watts-Naiting-Bolts 9.Qas-Ptp€?Size-Anchors f� 1�7_ eg ?j 10,_ jgLPPiUe; Test -Anchors -Regulator -Service Test 11. Underground ]2rWerwrns."ucts; Clearance -Material -Support -Ins. 13. nchor Bolts -Joists -Vents -Cripples Card -BI 4zelDate - I Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date' Date F 5 L Plans) OK except q's xt. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBI ermit) OK except q's 7. Smoke Detector ater Ht.; Vent -Access -Combustion Air 58. Furnac ' -C earance-Comb. Air -Connector - arage; ove Floor-Ducts-Mech. Protection 1 er Pipe; Test & Anchors -Nail Protection 1 .V.; Test-Fttngs & Anchors -Nail Protection 5 17. 3 ewer-�st, First Floor -Tub Access 3 -Bath'F4x-tufes& Tub�Access Trim & Subpanel; Breaker Sizes -Labels lairs'& Rafl� 18­41est-T�b-li- wer, 2nd Floor -Tub Access 19. -Ga&44pe-&iLe-& Anchors ---- 63 _ 4 u lets at Wood Panel; Int. & Ext. C I e rd -BI Date 66-�i�-Fnrt:-Sr ppf•ianse; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 67. les at Kit. Counter Landing -Closer Date ELEC CAL Perrnit OK except q's 68. ° r' n rt • ria;ag Damper Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -C ce+Comb. Air-Connector-P.R.V.- Jp-Ge ove Floor-Mech. Protection ec. Receptacles Spacing -Lights &Switches at Doors lec. & Mech. Equip. Listed for Location E2�8tZrsBoxes & No. of Conductors -Stapled 71, • (G.F.I.)-Romex Protec. 2 stalled Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 u aeon- Foam -Looked in Attic 73 -Post Caps 05 2 tchen &Conductor Size74. 26. Subftaod Wire Sias 1�-ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Fdn. Vents ole Door -Drainage & Wood -Earth Clearance under Floor ❑ Y 27. R or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following in ive ❑Yes ❑ No; Walks ❑Yes ❑ No; pl Y No 28._% Conductors & Ground -Main Disconnect ucco; Br finish 29. uip. es; Panels-Motors-Mech. Equip. 30. oset Ltg t -Shower Light 77, 78, 79. -AC-JJPit-gissonnect-Clrnces-Brkr. & Cond. Size -115V Outlet V-e�f; Plbg.-Appliance-Firepl.-Clearance to Opngs. •Itlkater-We+, isconnect, Electrical, Plumbing 80. c. Trim; G.F.I. Receptacle -Underground �a I e!a- rd BI Date 81. �"t'lat,_--r^" t�roughout House Card B -I Date Card -BI Date 82. G.Lase-Protection Date MECHANICAL (Permit) OK except q's 83. _ Gareetiens-kam,Previous Inspections i 84 r''sT &-ts Tagged; Gas -Electric 31. A.C.. Ducts; Insulation & Support5: . Water & Sewer Connected -C/O tgGrade-HD Approval Energy Compliance Certificate -Other Certificates 32_ Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace =Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic rd- I -to Card -BI Date Card -BI_ _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date da FRAMIN ns) OK except #'s Proper Material & Anchors _ills; _ ails; Studs -Nailing, Spacing & Bracing -Plates -Sound _ad,-15-earing Walls over Girders & Floor Nailing 39. ^moo^^ tom. "=",drat proof) ._- 40r et in s -Stairs -Chases -Tub i ead _ ea_m-Size & Bearing `_ _ _ - cS,p ct 4 . angers -Post Caps-A�Purll_ 4 g. Joist-Rftr. Ties of Brac.-Truss-Shthng.-Rfng. ire a Ties r Typ- ' Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - - drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47 - -- -__-- n Framing-- - (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = Not OK - = Not Applicable * = Not Ready r MOBILEHOMES MISCELLANEOUS Date MOBILEHOIVIE UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, LTC. (Plans) (;.. xcept k r' 1. Zoning Requirements -Setbacks -Easements _ 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. •Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.i:.�res 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements - 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approva.l•- 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test _ Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI. .--.Date-- Card -BI Date Card -BI Date b r' LOCATIOiv 11 Permit_No. ENERGY- CLRT IF ICAT ION A. P. No. DESCRIPTION OF INSULATION ROOF ��,j J �y ' 11ateri.al,/1CL, S�Fi�� � � Brand Name,J5-& ri _ Thickness(inches) Thermal Resistance (R Valueo�d EXTERIOR WALL // Material. --3�� Thickness(inches)_� CEILING )*Blanket TVD? Thickness inches sT Loose Fill Type ti�t Minimum Thickness (Inches) . ;' Area covered(ft.2) FLOOR, ELEVATED Material Thickness (inc es) FLOOR, SUU Material Thic'r_ness inEhes) 'Width(inches) FGU,\iDAT1ON WAIL Material f,�-P Thickness(inches) S Brand Name l - 9 eA(� f NINA Thermal Resistance(R Value -Y-/ J Brand Name CV e� (�Vp [et I _ Thermal Resistance R alue)� Brand. Name Number of Bags Jt, per bag lb. .Thermal Resistta .) Name: /U/nce(R Value Brand Namk— ThFrmal Resist`nce(R Value) _ Brand Name A1114 _ Therm.al Resist rnce(R Value) Brand Narie T erma.l Resistance Value)_ by certify that the above insula tion was installed in -the ab fo. an :with the State of California ElnerSy: lleclu:irE�me s. IRc`�, /04R STATE CONTRAQ,&RX LICEN 31TALLATION A21 ?L- TOR building I hereby certify the above insulation.and all required items as shown on the Building Department approved plans and attacnnents have-been'installed. as- required by the State.of California Energy Requirements. All equipment, devices and materials are of.the quality prescribed escribed or are - specifically approved by the State of California, . ee—we& (Plea_se paint) M-TATTU�RQ =T:iv� r L C Oji"i CTOQ/UTiT rR S THIS CERTIFICATE FUST Br ON FILE WITH TIHE. B(JIT,DI.TG D`:C'Ai:T iYNC PRIOR TO FINAL INSPECTION APP^UVAT, AND A COPY SHALL BE POSTED JdlTHi^T TU, fi TLDING January 198 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone' 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE FM 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. 6) sl&lv - 1=�/ ix, lzmjw— A A r ",Date Inspector {N � � t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -6r ` OWNER 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 co�rren of work is completed. If you have any question pertaining to this ma ter, additional explanation,, please contact this office immediately. vi` y Inspector - Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO / ASSESSOR P RCEL NUMBER ZONING BUILDING PERMIT OWNER ITELEPHONE SO. FT. OCC. BUILDING VALUATION MAILING ADDR S OWNER'S MAIL{E LJI CONTRACTOR'S NAME U Lo hie V- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation• Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ _CW ARCHITECT OR ENGINEER LICENSE NO. _,0001T f) $ /. Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ \ BUILDING ADDRESS t ,\ji r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 -, � USE OF STRUCTURE SF KJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New ❑ Addition -I emodel ❑ Utilities ❑ Installation[] Other Describe work: 1' 10ti1 Q..\7 '7 1 ` �. t E1 li"P ��y CCS ap6 b'k a— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &' NON -RESID. (SINGLE OUTLET CIR. 20e50c Ex. Occup(o TS OR FIXTURES BAL®30 FIXED Ex. OCCUp. OUTLETS P(RESID )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 li ilities,Judgment"osts, and expenses which may in an w agai said County o equence of the granting of this permit a i judgments, accrue X Date Signature of Applicant — Owner EpContractor ❑ Agent An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ P— OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR CTOR OF PUBLIC By. PERMIT EXPIRES D to'-' the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 13 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT t +� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P�RMIT N0.7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541APPLICATIONASID PERMIT ASSESSO PARCEL NUMBE, ZON NG _ I'—� 'gL BUILDING PERMIT OWN TELEPHO E F SQ. FT. OCC. BUILDING VALUATION OW MAILING A DRESS 'S il� Z) _4 i CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace pjiac CONSTRUCTION LENDER UNKNOWN Tot nation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r IR J PLUMBING PERMIT Filing Fee 10.00 Each Trap ."J 2.00 , Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets �,USE OF STRUCTURE SF IJ'� Duplex❑ Mobilehome❑ Other ' SPECIFY Building sewer ^ Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Ut' ities ❑. I stallatio Other Describe work: t�. __ d R:, A N 1�—T Permit Fee $ � Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0ov OR 1 100 AMP OR OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DV EL CUP," OR ADDNS. ACC. D 20 sq ft CONTRACTORS LICENSE LAW I deunder penalty of perjury (check One): RAJ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus iness d Professions Code and my license is in full force and effect. cense No. Classification ZIL.iasthe owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS !1\ NON-RESID. SINGLE OUTLET CIR. / DO®zge OR FIXTURES gqL@1 Ex. Occup_ oUXED A EX. OCCU FIXED APPLNS, OR p•�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7:50 Permit Fee $ !9- r Contractor MECHANICAL PERMIT Filing Fee 10.00 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 zCertificate of Workmen's Compensation Insurance or a Certificate f 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ies, judgments, c ts, and expenses which may in any way accrue against id County ' n quence of the granting of thi er 't. X Date Signature of Applicant — Owner � Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep an emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL D 1;J7 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date7- / ter` !� i Receipt NO. -2 ,5 (9 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 301-81B PFRM.IT NO. - PERMIT EXPIRES 1/27/8-2 OWNER DEL &-CONNIE FLEENER CONTR. owner ASSESSOR PARCEL 36-101-32 LOCATION 2613 V-6 Road, Oroville i Y 1 7 I Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E— G&E_Temp. Temp.Gas Service _ -t Called PG&E JOB FINALE (Date) Signature J = OK O = Not OK - = Not Applicable RESIDENTIAL (Singfji and Duplex) = Not Ready Date UNDERFLOOR Plgns OK except #'s Date FRAMING (Continued) 1. Zoning req uire men trs-Setl9acks-Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples *Card-BIDate Date ✓ and BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except Ws 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails replace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71, 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes73. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. 27. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes E) No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Date Card -BI Date MECHANICAL (Pertrit) OK except H's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform -if -Furnace in Attic C d-BI,6W Date 40 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Han Post Caps -Anchors -Con ectors g, Joist-Rftr. Ties-Purlin oof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or.Type ue-Fireplace Throat 0.o lel 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Ba les Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Fire Protection Fram v o/ I (NOTE:Anentrymust be made each time youvisit jobsite V = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready `- MISCELLANEOUS. Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI -+ % DateCard-BI , Date Card -BI Date Card -BI Date Date Card -BI 'Date ti MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged -9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �D/ d APPLICATION AWD PERMIT ASSESSOR PARCEL NUMBER ZONING 3 • ..r ^Z - BUILDING PERMIT OWN j TELEPHON A 'h1 e—Vih e4r— SQ. FT. OCC. BUILDING VALUATION OWNWR'S-FAAILING ADDRESS 9_Q CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ' ` '' CONSTRUCTION LENDER ^ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESSQ Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 10.00 Each.Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets --/ USE OF STRUCTURE SF L" Duplex❑ 'Mobilehome❑ Other SPECIFY Building sewer r Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remode Utilities ❑ Installation ❑ Other Describe work: h Permit Fee $ Contractor ,ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 J 4 Main service EA_ ADD'L 100 AMP 2:50 NEW CONST. /DWELLING OCCUP.&J OR ADDNS. % ACC. BLDGS. / 22 sq ft 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 No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR T .OUTLET 2,5Oee NON.RESID BRANCH CIRC ITS NEW CONSTF;L /POWER APPARATUS IN1 NON.RESID. ISINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES_ 50@ 25 FIXED APPLNS. OR EX.,OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 Certificate of Workmen's Compensation Insurance or a Certificate /of Consent to Self -Insure. rL�l( I shall not employ any person in any manner so as to beceme 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 shal l be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts, and expenses which may in any way accrue against id County ' on quence of the granting of this rmit. X Date / Signature of Applicant - Owner Controctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ^ y� OCCUP. GROUP I TYPE 01 CONST. PARCEL PD ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to"do work indicated above for which fees have been paid. . CTO OF PUBLIC WORKS By Date PERMIT EXPIRES D to Receipt No. `-I'-74 Q3 WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT V -G ,k f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WGRKS 7 County Center Drive — Uroville, California 95965 Tel dphone--S34-4541 APPLICATION AND PERMIT autnorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X -` t ' `\ Date 11 i 7 Signature of Permitee or Agent , Receipt No. (� (% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBttIC WORKS By— z- �G� `. Date ,Building permit expires Date f �• f BUILDING Owner ? SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractorf �. f//, i • Total Valuation - Mailing Address f •_�r I f • '' , Permit Fee PI anCheckingFee &/orPenal ty f1 ,�, Telephone No. �- � � _ � � Permit Fee $ Building Address ' .: .� r.. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ;rJ — Zoning & Planninj Gas piping system 1 - 5 outlets 1.50 t Each additional outlet .30 Few• W . SaaiEat*en• Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg.-P•Iwn-s-Rer'd- I Parcel Approval Plans Approval Permit Fee $ G% $ /L NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 -1 f k. �frk Main service 100 AMP OR600V OR LELESS5.00 j Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Lgf3.,. Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 ' NEW CONST. ( DWELLING OCCUP. &\ 22sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI.OUTL T NON•RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTP- POWER APPARATUS 6 NON.RESI D. (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 of:L I / 6 h c=- l ✓ �,� r1 G1 • Ex. Occup(OUTLETS OR FIXTURES)@LZSQ BAL�1 �-11 Ex. Occup ( FIXED APP LNS. OR ) 2.00 OUTLETS (REBID.) EA6 V Temporary service 10.00 ,4�t(. 1 o �, .i l' 1 r Mobile Home Facilities 15.00 // License No.�3 -% Classification - r✓N' Misc. Wiring 6.25 g ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $rj , /Z' $ G'2 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ill I have placed on file with the County of Butte a certificate of �J Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 d0 Heating M JET,4 i40 Cooling Ventilation Hood 2.00 Permit Fee $ b 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ e autnorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X -` t ' `\ Date 11 i 7 Signature of Permitee or Agent , Receipt No. (� (% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBttIC WORKS By— z- �G� `. Date ,Building permit expires Date f �• f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �fr� 7 County Center Drive - Orov,ille, California 95965 -7 7 Tel ephone:x534-„4, 4,1 APPLICATION AND PERMIT 9 V BUILDING Ownere SQ. FT. OCC. BUILDING VALUATION Mailing Address ! V60 Re O r0I/r V Telephone No. Fireplace Contractor Q (� r 9 r C n k 4- Total Valuation Mailing` Address �OS �> e P 0. lee, Permit Fee Plan Checking Fee&/or Penalty , Telephone No. Permit Fee $ Building Address L&PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 J 7' A. P. No. �p I Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 Fe W . .%.w� Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ Isi NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E2f, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ® Main service 100 AMP ORS00V OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING 0 OR ADDNS. ( ACCLBLDGSCCUP. &) 22sgft ' NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS &) NON -REST D, (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 Of: y / a rO h e /f',r e � A �f-- (� Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APP LNS. OR ry Ex. Occup. ( OUTLETS (RESID.1 EA) 2.00 Temporary service 10.00 Pe et I -I` v.\ !21 Mobile Home Facilities 15.00 �3-7 93Z p /� / License No. G Classification f.�. �'o �G(O Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , ry $ QZ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation.1,00 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Dr7 Heating !i Cooling Ventilation Hood 2.00 Permit Fee $ oov$ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE$ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X (> �c(— �- Date (>e 7171-7 Z Signature of Permitee or Agent, Receipt No. 0 ,(.; f () y White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees haverbeen paid. DIREC�-OF PUBVIC WORKS By 6 r�A7,7AA� Date permit expires Date v M r S31110M ol76nd d0 -m3a Bune 30 A1Nn00 L PERMIT NO. 912-82B,E ' PERMIT EXPIRES��� OWNER Del . Fleener CONTR. owner ASSESSOR PARCEL 36-101-32 LOCATIONX2613 V-6 Rd., Rd . , Oroville Temp. Power Pole Called PG&E Temp. Elec. Service u. Called'PG&E� Temp. Gas Service I Called PG&E JOB FINALED (Date) Signature •J-= Ck O - Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) W� = Date UNDERF ORPI OK exce t#'s Date FRA Continued oning requirements -Setbacks -Easements 48WIFr9perty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4J, -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- //0'/" Ftg. Depth SB SS` idtFi-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth ^&52Z Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Siding at Veneer walls, Garage; Steel-Blockouts-Wrappe 5 h -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate rd -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date C Date ward -BI.. Date Date FINAL (P_Lans'J-OK except #'s 4d -BI ate I Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent- Access-paff6ustion Air xt. Steps -Door & Sidelight Protection -Landings 57_5meke4Detector _ 58. Furna nts-Clearance-Comb. Air -Connector - hrGarage; Above Floor-Ducts-Mech. Protection 59. -Bed m xtting 15. Water Pipe; Test & An ors -Nail Protection 16. D.W.V.; Test-Fttn & Anchors -Nail Protection 17. Shower Pan; Test First Floor -Tub Access 6 b Access 18. Test Tub & Show r, 2nd Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. cr^irc p R^it - 63. earth 64.Ext. . Card -BI Date Card -BI Date 65. Gap -Cooking Clearance Card -BI Date and -BI Date 66. E it. Counter Date ELE TRICAL P it OK except q's t¢7. - -Closer 68. ft.u. Iftut Ill Gata - m e 2 . Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr - earance-Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection 2 c. Receptacles Spacing -Lights &Switches at Doors 70. tste or Location 2 S' Boxes & No. of Conductors -Stapled 7i: . lec. Receptacles in Garage; (G.F.I.)-Romex rotec. '• 2R9ex Installed Close to Edge of Studs & C.J. Cwe quip. Ground made up ech. Fa ener Bond Gas &Water 72'suiattIIrT=Foal ooked in Attic ❑Yes 25:. 2 Appliance Circuits in Kitchen & Conductor Size 73. Gu nstru ion -Po aps - _ 26. Subfeed Wire Sizev0---7-§2.-6u-or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ.W - YL-ga-CU ec AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 74. Fdn. Crawl -Drainage & Wood -Earth Clearance tro6ked under.Yes 75. 1- Ilowi Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; P er ' Yes 0 N e -Riser Conductors & Ground -Main Disconnect 76. Stuc Brown -Finish Equip. Clearances; Panels-Motors-Mech. Equip. 77. -Clrnces-Brkr. & Cond. Size -1.15V Outlet t Light -Shower Light 78. f; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. _..et9r'WU-1!Itseonnect, Electrical, Plumbing 80. ; G.F.I. Receptacle -Underground Card B I Date and BI Date 'y 81. `ntilat.i^ �h.^ ua�hos��se Card B -I Date Card -BI Date 82.ro ec io Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts: Ins ion & Support 83. _ c tons from Previous Inspections 84. es -Meters gged; Gas -Electric 85. WWer-&-Sewer-�finected-C/O to Grade -HD Approval 32. Vent Fan; Exh ust above Insulation 86 Energq-OompYiafice Certificate -Other Certificates _ 33. Condensate D in & Overflow; Size & Grade 34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & atform if Furnace in Attic Qvd-B Date - -' Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date / FRAMING(PI64s) OK except q's Comments at Final: Is; Proper Material & nchors Studs -Nailing, Spacing & Bracing -Plates -Sound aring Walls over Girders & Floor Nailing _ _ 3 Draft Stop in Walls (rat proof) eA Furred Ceilings -Stairs -Chases -Tub Hpader & Beam -Size & Bearing f S _ 4 Hangers -Post Caps -Anchors -Connectors Z- 43�6+rtt�Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.- ng. _ lace _Ties or Type A Flue -Fireplace Throat Fjx sn-" Attic Ac _;-Size & Romex Protection -Draft Stop -Ins. Baffles 46�W dows or Exiting Doors -Sill Hgt. & Dimensions -/�efage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) J = OK O = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's n. 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood_Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI ' Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date' MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability - 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected-C/O.to.Grade-HD.Ap.proval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B-1 Date .-Card-BI _ Date ------ Date -Card-B1 Date. Card -BI Card -BI Date Card -BI Date Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT X,,P,IERMIT NO. %2 - ASSESSOR PARCEL NUMBER j — I —3-1— ZONING I ING PERMIT OWNFr(,i V TELERHONE JJ SQ. FT. . OCC. BUILDING VALUATION OWNER'S MAILING A ��S RA, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L ER r' UNKNOWN Total Valuation $ Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ " ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 7- , -a -BUILDING ADDIR SS � I'D cmIR PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,- � USE OF STRU RE SF K Duplex❑ Mobilehome❑ Other _ SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New WAddition [�r<odel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: eI, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW OR ADDN. DWELINGPfIeTt ST (ACCLBLD qft 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business a Professions Code and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR. I.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS IN) NON.RESID. (SINGLE OUTLET CIR. / so @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES gqL psi i FIXED APP LHS. OR Ex. Occup.(ouTLETs (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. , ❑ 1 have placed on file with the County of Butte Building Department OP/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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also ee to save, indemnify and keep harmless the County of Butte against alliti j dgm n costs, and expenses which may in any way accrue again a' o nsequence of the granting of this perryit., pp X Date ��©� Signature of Applicant — Owner Contractor ❑ Agent E6 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st ries ip height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP TYPE OF CONST. PARCEL HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE9.T,0R OF PUBLIC BY P I EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/F` d i-� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT S � (i.. i ��i. ,: .., y �, �,, ,,� j ., i i �. i P,.. ����� i