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078-310-042
WARREN MOELLER .�j nom' y.�/ (�� 71 2666 V-6 Rd, Oroville J Permit #1339-78B,E(ele ser'ch-re wire_ house sheetrock).. SF - LAWTON , .a Gary+ :,' • `+4 .' ,t�l�� ,-19• 2666 *1 Oroville, gas, line/sf' •' ' `_ n .92-2964B,E R 'LAWTON�," -• x2666 V6::Rd;''Oroville ,,. t garage & new truss' system sf 1 11 1 t ' 11 1 M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE (Rev.12/96) APPLICATION AND PERMIT ASS SSORPARCELNUMBER �36-104-005 ZONING BUILDING PERMIT OWNER Gary Lawton 534-7641 TELEPHONE SO. FT. OCC. BUILDING VALUATION 156 8,424.00 OWNERS MAILING ADDRESS 2666 V-6 Road Oroville ca CONTRACTOR'S NAME TELEPHONE CO ESS P0 Box 5969 Orcm-4-11-te r 95966 -A CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $8.424. QQ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee x108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $72.20 BUILDING ADDRESS 2666 V-6 Road Orovi Energy Plan Checking Fee $2.3.00 $ PERMIT FEE $ 221,20 LOT NO. SUBDMSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap rj 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: Bathroom Addition Gas piping systeT 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LES Main Service A 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 i!§ in ful force and effect.v���� License Class v Lic. NO. �l 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. NON.ROE ID. ANCHOUTLETgcU, 97,50 POWER APPARATUS a SINGLE ounET CIR. EX. OCCU OUTLET OR FIXTURES SAL @':50 Ex. Occup. oFIXUTitDs PM.JEo, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2_3 00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp ensati insur nce carrier and policy number are: Carrier t' 2'/ 14s+ MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation 4-50 PERMIT FEE $ Policy Number n gal i— (The above sections need not a completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort wit comply withthose provisions. X Date -� 2& Sig ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ove '0" deep and demoli •on or construction of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ]TOTAL FEE $ 388.70 HAz. D. FE IMP D D PARC H ISSU This permit is hereb issued rider the applicable o e utte Coun Code and/or Resolutions dicat ve fo which fees have been at PERMIT EXPIRES ON 3 �1 I 4w provisions to do work paid. 93 s' Receipt No. WHITE-D.D.S.-B.D. A AR - SSESSOR E: -INSPECTOR G DENR PLICANT a �rrry�sa�•,pry,,,,..xmtw+�aq�-sY• .,. � -.- ;.,p.,. K,..y.��A"'"-","....Y-----.,�.�,,,p„v_--r,.,.,�.y;w.._,,,,,.n. 7f�^�ea'7,�. +'^",�7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville,.CA 959��5 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ('S><1 J t l L AGO T D!�. ASSESSOR PARCELWUMBE V` Proposed Building Use: fl -t �GY��'Y7 ArOt4fG{� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. l 1... Plot plans, 3 or 4 sets, signedty the preparer of the plans. 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. ❑ T. 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 t 0:r-8. Flood Elevation Certificate, wet-siamped 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 '... R maining items needed to issue the permit. (May require additional plan review upon receipt of t e f lowing item ` �fM �� I �03 IV4. Fees as shown on the attached Schedule of Fees Due Sheet.....!"...Gi�a,,....Y:S ... .. L O� r�5 ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................ --8- 16. Sanitation and plot plan approval from the Environmental Health D*artrent �❑ 17. City of Chico Plumbing permit ..................❑ 18. California Department of Forestry plan approval f8paid. Sent_by................. ❑ 19. Planning approval for (A) Use: eK (B)Parking: (eck: ❑ 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 ................ 0 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 Telephone 3 / - .� _ �C� ( and hold for pickup. I have been informed off the above items and requirements for obtaining a building permit. 7 Applicant: ��:/'`6!/,�./ Date: 1. Index permit application for the above items numbered: Plan Check Letter al items required Contractor, signer, owner, was advised cf the above data by, phone, O _ail, ❑counter, by Date: 4 . Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: ,Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building, Division COUNTY OF BUTTE - DEPARTMEPfT OF DEVELOPMENT SERVICES - BUILDIN [VISION 7 County Center Drive 1, Oroville, California 95965 • Telephone (530) 53 -1541 PMATwo.� v.121b, APPLICATION AND PERMIT BUlLD4NG PE.RMiT Sa. FT. 0= BUILDING VAUxnoN Aa e � �,mDee la16Q7G.ADD oat M=H= OR emits OTIM R� MUM AXM= UBEOFS TRUCTURE .1 b A L 3F 13 Duplex D NbbRehorne O Other ricep,n�e i Total Valuation S rgrmo Fee S 20.00 Permit Fea $ oe Poen Chemkino Fee S Energy Pian Che:.l;ng Fee S Z • PmR Fm S 2 O DL[JM�lf1G '�FanRrT I Rrig reel 20.00 Water TYPE OF WORKNew 0 Addirbri O Remodel 0 Uffies 0 btshilb9ft 0 Other 0 sewer Desertibe Www- 1R441, k�- h bbbb Home S t P m"Pr $ -` ELECTRIWUL MWIT Ffmg Fes 20.00 Me6 p, 1 swce aam► Cm � 2300 © J B� i�1 Service asm►to Fwd► 45.00 awarais oma 3SCPt. A A� e1 �" �.., ( �01� 1 iz7SD 7.OD e 2s.0D 15.00 .A 15.00 15.00 15.001 /, ' *?Etii' FEE PAlD SRI OTM.SKERSe:F . . movw P D *�"=" Nu#m. Q / `-z, 4--- a TO PJT Zmo CO#Mi '. . ix .O Duma oa mLmmBE ;; -:in APALIS ow S.OD Er-• rnm�s � a Tonporary Serum 230D hbblle Home Fables 2A.OD W= wrbg MDD 2 PEROHIT F� S ` Fee I 20.D0 6.50 PERBArT Fm s A #r• Nbbtie Home hsstdia5on Fee snar" edon Fee a~ =="mfTOYAL FEE $ O llr,L d FM rf-1 FlaaD W: I Pak :9: F� This perm@ b hereby issued under the appli=ble proviskmm of the Butte County Cade and/or Resohinns to do work Indicated above for whidh fees have been paid. By . Data Re ptNo. PER= EXPIRES ON RfNTTE•n II�.fid GLH6R7-ASSeSSOA P1NR•IRSPeGiOR G� d�1R00.APPLICANT lJem� oc:)/ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. 3 " A.P. Number l — Jurisdiction: city ]county Property Owner Property Location/Address Subdivision Lot No. Residential Development .......................i....................................................................................... , Sq. Footage No'of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... Commercial/Industrial Sq. Footage New' Addition (Including Exterior RR/o/9fed Areas) Building runs reviewed ov scnooi uistnct rersonnen Date District Identification No. rJ S ') 3 School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. n 1-0 1 _ t by payment of $fy C— representing j $ 6 square feet. AB 2926 $ FULL MITIGATION S . School District Reor entative Date Paid by Check # N1 1 C— Remarks: T Notice: You may protest the imposition of the fees identified above bysubmitting 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 reviewed under the California Environmental Quality Act (CEQAI, 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.xls (10/98)dmm ssasoRP� DPima nes ay �ERii4aOR h cm O=HM=m COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN fV1SION MAR 3 2003 7 County Center Drive • Orovills, Caidomia 959665 • Telephone (530) 53 -? IV � P�hRT Igo. A.PPLIGATIONAHD PERMIT 9' Q — S' a tq. �� BUILDING PERII�IIT ll I S0. FT. OCC. 5tJILDRJG VAWannN -i �[�! l i A. -�i� ill _ USEOFMOCTURE 3F O Duplex D LbbBehome 0 Other sv�w TYPE OF WORIC Ike 0 E7 FWmcdd 13 UE=- 0 kmbdsf= 13 Mar 0 Describe Wotic �.���m ✓`F{1�l [ r/�N *Psmrr FEE pwb SRS . OTM. - �rYn ! �—vci 7 Gd $ 3 73:70 74 a TO to m swo compim R�eiptNo. ' �•d�•S-•B-d CLRt6RT.l�SS�SSOR Pit�•Q:SP2CiDR GOLD�wwoe.[Pan �eeur 60 5 20.0 Fee It, 7 A a o FE'c �,—�FOUfT FtTing Fee 20.00 7.00 ie6t pump water beater 23.OD ing s••+`s_ 1 s.00 wetsr haske or treat 15.00 - s mmeb 15.00 ower 5.00 I S.DDI rrre ISIGI wl 020.00 PERMIT FEE S ` �,—�FOUfT FtTing Fee 20.00 = aumR i =0 ma 7o "=A 4LOD o� germ s••+`s_ AcarpounQ 0790 FORM APPANUM E swaE oserL.�r art WJ=GRFCnMO Q �O FI3-y APPYIS OA aun�s 1R�. pl• 5.00 Am 29.OD ua'ii6es MOD PERMIT FEE S ` ;AL PERMIT FMng Fee 20.DD 6.50 PERMIT Fe's S Al. Jd "Eon mt&on Fee $ Fee" TOTAL FEE $ 0 d� W I Fro I =F I pM= I Po This Pwmk is hereby Ensued under the apprcable provisions of the Bufle County Code and/or Re=hlf = b do work indi=Wad above for wwch fees have been pens BY DatB PERMIT E72-IRES off COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER ROP i �i �- ► •iii �. Ii 1. BUILDING PERMIT FEES / Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... - x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) - 7. 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) 10. OTHER A.P. # 6L go y ac s DATE � 61 -O RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during theplan checking process. APPLICANT DATE -5-2— f� 0 ? 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner " (Rev. 6/00) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE�"�f I (Rev.12/96� APPLICATION AND PERMIT ASSESSORPARCELNUMBER 036-104-005 ZONING BUILDING PERMIT OWNER Gary Lawton 534-764114 TELEPHONE SO. FT. OCC. BUILDING VALUATION 4 OWNERS MAIUNG ADDRESS 2666 V-6 Road Oraville ca CONTRACTOR'S NAME -ESS TELEPHONE ft=19MT. CO OR OJNG Ai) cp6 PO Pox 5262 O=M_ln !9;r, -96C - CONSTRUCTION CONSTRUCTION LENDER - Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $8.424.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $10$.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $72.20 BUILDING ADDRESS 2666 V-6 Road Oraville CA Energy Plan Checking Fee $23.00 $ PERMIT FEE $ 221.20 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 51 7.00.35.00 Solar or heat pump water heater 23.00 Water piping 15.00` 5.001 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Bathroom Addition Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 ixl Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A 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. r� License Class ., *r r Lic. No.�.1 f 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 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. B I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insur nce carrier and policy number are: Carrier 5 -.0 T / � rA n Policy Number n II - eti-- (The above sections need not a completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those provisions. X Date � t Signature Applicant - Owner ❑Contractor ❑Agent An OSHA pea for is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. ` Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. eLDS. 3.50FT. ONST, MULTI - NON.RESIDBRANCHONTLETRCUITS@7.50 PowER APPARATus 8 SINGLE OUfLEr CIR. j 20 .00 EX. Occup. OUTLET OR FD=RES BAL @ I. 0 Ex. Occup. oFuc�eED�A A oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4.50 PERMIT FEE $24.50 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 90Q TOTAL FEE $ 388•7O HAZ. Mal IMP FLOOD CD PARC HD ISSUE r/ 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. N- ` f � �+' p, 1 By Date PERMIT EXPIRES ON (Date) Receipt No. q PA4 .7 ) 5%73-S 4,1 j WHITE-D.D.S.-B.D. CANARY -ASSESSOR ` PiMR-INSPECTOR G DENROD-APPLICANT NOTES RESIDENTIAL 036-104-005 03-050 {- PERMIT NO.-LAWTON, GARY 2666 V-6 RIS, OROVILLE + CONT: WHEELER, JOHN BATHROOM ADDITION r 1 { 1 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) U Signature CHECKED BY J=OK 0 = Not OK % "e _ = Not Applicable - - - -�' ` '_"RESIDENTIAL.(,' + = Not Ready Date UNDERIFLOOR (Plans) OK except #'s oni g -Setbacks- Easements- Flood -Slope g.; Main; Soils-Elec. Grnd.V /" Ftg. Depth Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth �re�ies & Decks; Soils -Steel=!• /" Ftg. Depth walls, Main; Steel-Blockouts-Wrapped S -walls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors r 7. Slab, Steel -Wrapped : + _ 8. Piers -Fireplace Ftg.-Steel " 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas. Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation. s �- 16. Insulation n,.. 1 Date Card B-1 Date Card B-1 Date 62. Car -1 Date ' - - Card B-1 Date PC BING (Permit) OK except #'s 87. Water Well, Disconnect, Electrical, Plumbing 17. plater Htr; Vent -Access -Combustion -Air Baffle 89. 41r Water Pipe; Test & Anchor -Nail Protection FINAL (Plans) OK except #'s ' 04 1 20.. .W.V; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First: Floor -Tub Access, Ext. Steps -Door & Sidelight Protection -Landings 21. Test Tub & Shower, Second Floor -Tub Access 65. 23. as Pipe; Sixe & Anchors Fire Sprinkler; -Test Date Furnace Vents-clearance-Comb,•Air-Connector- _ In Garage; Above Floor -Ducts -Meth. Protection . Card B-1 ' Date t Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 69. 24.,,Gyxture & Transformer Clearance -Ins. Protection 70. 5. 'mac. Receptacles Spacing -Lights & Switches at Doors 71. Fireplace or Stove, Clearance -Hearth I Size Boxes & No. of Conductors Stapled 72. 27 omex Installed Close to Edge of Studs & C.J. 73. 28. Equi . Ground made up w/Mech Fasteners -Bond Gas & Water 74. •.,2 ppliance Circuits in Kitchen & Conductor Size GFI 75. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 76. 31. Z ge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ' ❑ No 77. 32. Service -Riser Conductors & Ground Main Disconnect 78. Plb.; Elec. & Mech.: Equip. Listed for Location ui . Clearances Panels-Motors-Mech. Equip. 79. 34. -515-. thes Closet Light -Shower Light -Spa Light Smoke Detector 80. Insulation -Foam -Looked in Attic Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade ' 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s ills Proper Materials & Anchors 42 alls Studs -Nailing Spacing & Braces -Plates -Sound 43 earing Walls over Girders & Floor Nailing 4. raft S p in Walls (rat proof) 5mettops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Tingle & Duplez)�` Date FRAMIN (Continued) ' 4 an s -Post Caps -Anchors -Connectors 4&oeSng. Joist-Rftr. Ties-Purlin-Roll• Brac.-Truss-Shting.-Rtng. 4 eplace Ties or Type A Flue -Fireplace Throat Clearance 50. 8Uic.Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,&r._ Bdrm. Windows or Exiting Doors -Sill Ht.'& Dimensions fa-darage Fire Protection Framing-RO Channel 53. Prey Line Firewall & Openings = 54-Sxt. Doors -One 3' -Check Garage 3rd Story, 2 Exits.. W!�.?lyyv pod on Roof Overhang -Attic Vents -Rafter Outriggers 57 -'Siding- Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic l0 \,fyh 60. -Shear Walls; Nailing -Bolts . 61. Brace Interior/Exterior Wall Panels ' 84. 62. Insulation -Walls -Ceilings A.C. Unit Disconnect, Electrical -Plumbing 6.3. Infiltration -Walls -Windows . Date 87. Water Well, Disconnect, Electrical, Plumbing Card B-1-• Date Card B-1 Date 89. Card B-1 Date . Card B-1 Date ' FINAL (Plans) OK except #'s ' 91. 64. Ext. Steps -Door & Sidelight Protection -Landings Gas Test -Meters Tagged, Gas -Electric 65. Smoke Detector r 66. Furnace Vents-clearance-Comb,•Air-Connector- _ In Garage; Above Floor -Ducts -Meth. Protection . Address Posted 67. Bedroom Exiting Fire Sprinkler 68. G.F.I. & Bath Fixtures & Tub Access -Spa Date 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 70. Stairs & Rails + 71. Fireplace or Stove, Clearance -Hearth I 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper • 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech.: Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth r. „ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = OK = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Locatiori-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG . 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval , 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancv. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Date Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 5. 1. Zoning Requirements -Setbacks -Easements 6. Carports; Windows -Doors 2. , Footings; Size -Spacing -Marriage Line 7. Electric 3.. Blocking 9. 4. Gas; MH Test -Demand -Valve 10. Roof; Shthg-Roofing 5. Electricity; MH Test Ext.; Steps -Doors -Landings 6. Water; MH Test 7. Water and Sewer Connected Card B-1 Date Card B-1 8. Gas and Electricity Tagged Card B-1 Date Card B-1 Date 9. Exits 1. Setbacks -Easements 10. License Decals Soils; Compaction -Structure Stability 11. Verify #'s with Office 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Date Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'RESIDENTIAL 2-2964B,E 036-10-4-005 9 LAWTON, Gary 2666 V6 Rd, Oroville m over-sf truss system garage '& new ii 4Y& 9 - z '� 215-- rm JOB FINALED (DXate-' Signature J=OK O = Not OK = Not Applicable RESIDENTIAL ' = Not Ready (: Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -flood -Slope - 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ' 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porc es & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Do+s and S cial Anchors 7. Slab; Steel Wra ed 8. Piers-Firepl a Ftg.-Steel 9. D.W.V.; all- itting-Test-2 Way C/O -Sewer Test 10. UF. Gas Pipe; ize-Anchors - yard gas piping: size -test 1 11. Water Pipe; Te -Anchor-Regulator-Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples r 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card 13=1 _ Date Card B-1 Date PLUMBING (Permiq,OK except #'s. 16. Water Htr.: Ven -Access-Combustion Air -Baffle --------- 17. Water Pipe; Test AncqqxNail Protection _ --- --- --------------------- 18. D.W.V.: Test -Fit ' & Anchor -Nail Protection --- --19. Shower Pa est, irst Floor -Tub Access -_--- --- ----- 20. Test Tub & h wer, Second Floor -Tub Access 21.. Gas Pipe: Size & An hors --------- Date- ------------------------------------------------------- - -Card B71 ----- Date - - Card B_t - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except P's _ - -- - 22_ Fixture & Transformer Clearance -Ins. Protection - ----------------- --- Elec_Receptacles-Spacing=Lights & Switches at Doors ---------------------- - 24. Size Boxes & No. of Conductors -Stapled -----------------------: -------------------------- ----------------------------- .25. Rome, Inst• lled Close'to Edge.o( Studs & C.J. ------------i-------------------------------- -------- 26. EquiXn�tu d made'up w! ech. Fastners-Bond Gas &Water - ---- --------- --27. P--- 2 Ae rcuts in Itchen &Conductor Size!GFI --- ----- ----- -----------'------------------------ 28. Subfire 'ze ga. Cu or AI-A.C. Wire Size ! / ga. ---------------- Cu ------ - -------------- ------------------------------29. Rang. Cu or At -Oven Circ. / / ga. Cu or Al. Insueutral ❑ Yes ❑ No 30.Servser Condu rs &Ground -Main Disconnect------------- 0-ser_tE n- u__ ------- d--Disect------------- arances Pane _ Motors_Mech_ Equip_ j 32. Clothes Closet Light Shower Light Spa Light 33. Smoke Detector----------------------------------------------------------------------- - 4" ---------------------------------------------------------------------------------- Date ------ Card B-1 Date Card B-1 ---------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except P's 34. A.C. Ducts Insulation & Support xhau above insulation ----- -- ------ --- 36. Conden�at air & Overflow: Size & Grade 37. Furnance- a Access -Comb Air -Return Air Vent -1 ---- - - - ----------------------- -- 38. Attic Ac ess & Platform if Furnance in Attic --------------------------- -------------------------------------- --- --- -------------------------------------- Date Card _B- t Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sit Proper Material & Anchors - --- -- - - - - -------- -4 Walls Studs -Nailing Spacing & Bracing -Plates -Sound -------------------------------- 41. ----------- ------47 Bearing Walls over Girders & Floor Nailing ----------- Walls (rat,proof)--------------------- -- Fire Stops Furred Ceilings -Stairs -Chases -Tub t ;Ingle & Duplex), _; Date FRAMING (Continued)' 45. Han Post Caps -Anchors -Connectors ' - ng. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, -2 Exits --_--- - 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------- - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- 57. Glazing Area -Glass Protection -Skylights -Plastic -- - 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------------------- \ -----------------\ . 60. Infiltration -Walls -Windows Date-- 7rJ and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN! (Plans) OK except #'s -- t. Steps -Door & Sidelight Protection -Landings 6Smoke Detector -- . urnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ----------------- ,64. --------- ,6'4. Bedroom Exiting _________ _ g5!C;.F.I & Bath Fixtures & Tub Access -Spa 66-I ec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 62_-G+erir-&'RaiIs - - -- f3d. F/replace or Stove: Clearances -Hearth. 6YElec. Outlets at Wood Panel; Int. & Ext. -------------------------- - -- 7 ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------------------- - - 7R--Elee�tFets & Receptacles at Kit. Counter image Fire Door; Swing -Landing -Closer ---------------- --- --------------- - 73 Garage -Damper 14-'6tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75�PIb�.. Elec. & Mech. Equip. Listed for Location 7.rElec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 '. sulation-Foam-Looked in Attic . ❑ Yes • 7 . r ai DeckIConstruction-Post Caps -------e ----------- ----------- --------- ----- Prrn- TVents &'Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - ❑ Yes oll-ow ing instld. Drive E3 Yes ❑ No: Walks ❑Yes ❑ No; f%anters ❑ Yes`❑ No E - - Stucco: Brown -Finish �, ' - -- 82.,,�`C. Unit: Disconnect. Electrical, Plumbing a&'_Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - $W. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground --` - V tilahon Throughout House -- -.... - - - --------- - ---- ----------- - --------- /G1ass Protection - - - 8ef' orrections from Previous Inspections_ - - - 9 G s Test -Meters Tagged Gas -Electric ----------------- -- -------------------- ---------- 9 ater &Sewer Connected -C/O to Grade -HD Approval -----_------- -ater ------------ - �. Ener Compliance Certificate -Other Certificates Card --1 Date -Card 8_1- -_ - 13- ----=_ Z- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' Comments at Final: ------------------- 44. Headers & Beam -Size & Bearing i• J=OK O=Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /-Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK . COVERS, CARPORTS, GARAGES, Plans OK except #'s F_6- Zoning Requirements -Setbacks -Easements &.-footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors _ectric g; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Gary Lawton 2666 V-6 Rd. Oroville, CA 95966 77 �t Count u to BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES / C01INTY CENTER DRIVE . OROVILLF. CALIFORNIA 95965.3397 TELEPHONE: (916) 536.7541 FAX: (9161 53-1-2140 September 16, 1993 RE: Building Permit #92-2964 Expiration Date 9/3/93 A.P. # 036-104-005 Dear Mr. Lawton: Add New Garage & Roof Truss System Over Existing House With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form. and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued.. If our records are in error or should you. have any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Attachments: [JRenewal Application [JOwner-Builder.Information ❑ Owner -Builder Verification i ke:n u.....1.-1 A, DA /Q01 _0751 Pn Yours very'truly, 1 I � j' J.F. Glander Manager, Building Inspection v COUNTY OF BUTTE - DEPARTMENT PUBLIC WORKS 7 County Center Drive - Oroville, Ca-!lfosnie QSV� 5 - Telephone: 918.'538-7541 APPLICATION AND PERMIT PERMIT NO. 96 V- ASOHS! a PARCKL NU 036-104-005 NI R BUILDING PERMIT / OWN aR- GARY LAWTON T Lfrllygi+1 SO. FT. OCC. BUILDING VALUATION 816 M 14,688 OWNER'S MAILING AOORESS - 2666 V-6 ROAD OROVILLE 95966 EST 7,700 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuatibn $ Z2,Jb8.UU Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee • $19500 ARCHITECT OR ENGINEER LNO. ICENSE Plan Checking Fee $ . 0 Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING Ao2666 V-6 ROAD OROVILLE 9.5966 Permit tee $ 307.50 PLUMBING PERMIT Filing Fee 715.00 Each Trap 5.00 Solar or heat. pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping .7.00 Each clas water heater or vent 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition [] Remodel t_ : Utilities ❑ Installation[] Other ❑ Describe work: ADD NEW GARAGE & ROOF TRUSS SYSTEM OVER EXISTING HOUSE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37,5011 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. Business and Professions Code for this reason OCCUPM NEW CONST. ( DWELLING OR ADONS. ACC. SLOGS. I 3.64sq.ft. 20.55 O NEW CONSTFL ' ULTI.OUTLET NON.RESIO. EIRANCH CIRCUITS) @ 5 00 POWER APPARATUS e %SINGLE OUTLET C!R. ) EO Ex. Ccup�OUTLETS OR FIXTURES RAO 76d FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.I EA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 43.55 Contractor — 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. LrY�J( 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. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against i County in nse nce of the granting of this permit. X Date 2,6/ 11Y Z -.,/This Signature of A icant – Owner Contractor [I 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 $ Ener Inspection Fee $ Energy p OCC CONST T%`PE ' (/ /v TOTAL FEE $ 351.05 11 /COF HAL DFEES I I IMP I FL O PARCEL PD HD SSUE - I permit is hereby issued under the sions of the Butte County Code and/or work indicted ajdbve for which fees TO OF BLIC BY ZReceipt PERMIT EXP–AE Gate applicable provi- resolutions to do have been paid. WORKS Date No. 122590 PC FEES 127.50 0/ I—V&S h) 2Z� WNIYC-O.P.W,. YELLOW-ASSE»OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OAF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER &'f i+T0/ U A. P. No. 3 (S " t c)(-(, Proposed Building Use tgRA&C 4- &Qr Building Inspector it/- Date ie 1Z (- 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 . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehom a ancLman ufacturer.3's installation instructions, 2 sets. . j 10. Fees of$.........................................� 3� � 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood_) bar California Engineer . ............:::: . 14. Sanitation and plot plan approval CW Health Department. ..Ld�4'I�GIl� 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Building Ins request p required. . to Building 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. Whe you issue theermit rocess as follows: Mail to owner. Mail to contractor. TelephoneS3 - and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 6Y�'" Date Z� Y 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 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 �`�0. Date!ZA Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY 'OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner An 'owner -builder" building permit has been applied for in your -name and -bearing - your signature. Please compl.ete.and return.this information at your earliest opportunity to avoid unnecessary delay in -processing and issuing your building permit. No -build ng'perm it., will be issued -until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the -.proposed property improvement (yes or'no) 2. I (have/havenotsigned an application for a building permit for the proposed work. 3. I have contracted.with the following person (firm) to ,provide the proposed constructio-n : Name Address City Phone - Contractors License No. 4. I plan to provide por.tions of this work, but I have hired the following person to'coordinate, supervise, and provide the major work: Name Address City . - one:: c _ _._ ... Contrators License No. Ph 5. I will provide -some of the work but I have contracted (hired) the following persons to. provide- the_ work indicated -Name Address--. Phone Type of Work - Signed: a14 Property Owner✓� Social Securi y Nu ber -- Date L NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. -= 036-104-005 ;.rLA.WTON.,'. Gary 2666 .V6.Rd;;Oroville �.• ., -gas, � '� ~dam • � . "i+ . )� } ., 4 ... *.' t 4 � GY ' OFFICE COPY Address GAS 1 , qg + Ci ' l Meter By Date ' ELECTRIC Meter By Date ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541, APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036-104-005 ZONING BUILDING PERMIT OWNER Gary Lawton TELEPHONE , SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2666 V--6 Rd., Oroville 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS None Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS None Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2666 V-6 Rd. Oroville Each Trap 1 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 1 7.00 7.00 USE OF STRUCTURE SF 9K Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.001 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other I Describe work: Gats Piping for Water Heater Permit Fee $ 27.'00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO I000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License 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 CONST. / DWELLING OCCUP.�\ 3.6asq.tt. OR ADDNS. 1 ACC. BLDG S. // NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20276 lIAL 464 IXED Ex. Occup. OUTLETS P(RESID.)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. 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 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 against 'said County inconsequence of the granting of Phis permit. X "�)Date b.. �- 2-- g pp ❑ Contractor Agent $i nature;of Applicant - owner El 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 $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 27.00 HAz I DFEES I IMP I FL000 CDF PARCEL PD HD Issu This permit is hereby issued under the applicable provi- of t�9,86tte County Code and/or resolutions to do Work indlcat aboyg o�trvhich fees have been paid. IRECTO F PUB C WORKS - By 4':a ' �//r ate PER tTAt P ES Date %: /T ' • ,.�� Receipt NO. 122378 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. j7 J ASSESSOR PARCEL NUMBER 036-104-005 ZONING 1 , BUILDING PERMIT OWNER Gary Lawton TELEPHONE _ SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2666 V-6 Rd., Oroville 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS None Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS None Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2666 V-6 Rd. Oroville 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 1 7.00 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5-001 5.00 Building sewer 15.00 SF 9K Duplex❑ Mobilehome❑ Other Mobile Home S I G I W I @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Permit Fee $27.00 Describe work: Gas Piping for `later Heater _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification NEW CONST. / DWELLING OCCUP.9 OR ACDNS. 1 ACG. BLDGS. I NEW CONST R. MULTI.OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 3.60sq.ft. @ 5.00 20 @ 76 �- I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. Ex. OCCUp. OUTLETS RESID )REA.) I 3.00 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) Temporary service Mobile Home Facilities Misc. byirin 9 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. r4V�1 I shall not employ any person in any manner so as to become subject Cooling g Hood 6.50 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. Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 I also agree to save, indemnify and keep harmless the County of Butte against all I' Illties, judgments, costs, d expenses which y in any way accrue a Inst aid C ty in onsequ of the i g of permit. X 2 L%- 7— Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 27.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provi- Si notur of Applicant-- - Owner ❑ t 9 PP ❑ C it ctor Agent d An OSHA permit is required for excDYDtiDns ver 5'O" deep and demolition or construct- ion of structures over 3 stories in height. sions of th u to County ode and/or eSOlutions to do Work in cat abo o which a ave been p id. RE F P B ORKS Receipt No. 122378 BY PER PI - ES Date ate WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT .F°nwsr..aA�cR+Rr;i„y�r"',�'..'�,�"'+r"r'"'�':�"N.F„y*�.rt....�v^.M►�17.'...VfA'sw'n'yw+'�A�",+v"� /COUNTY OF BUTTE - DEPARTMENT -OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;.CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT Proposed Building Use APPLICATION"DATA SHEET �Q l tJ f0 P1 ; ;-A. AN4 _I��`�( Building Inspector e r - At time of permit application, I was advised the ollowing 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 . .................. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ........ 5. Hazardous Material Form . ..................................:........ . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome,data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ l . .......................................... 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). ...Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector' . (Date) 21. Contractor's license.information. (No., Name Style, -Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ...`�.... k 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. W ep you issue the permit, r ces as follows: Mail to caner. Mail to contractor. Telephone and hold for pickup at rn ij 117 office. Deliver with inspector. Other Parcel Creation Acreage Applicant ✓l ���/ Date 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 - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AWPERMIT PERMIT NO. ASgFF PARCEL D MB qO(9� ZONING BUILDING PERMIT OWN -11 W f0 I6 TELEPHONE f -SO. FT. OCC. BUILDING VALUATION OWN SS _ 'S M/11 ING AD R — +� [/e- J o ro v t ] ' q /C ON ACl/TTOR'S NAME TELEPHONE CoOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Flling Fee $ 15.00 LENDR'S MAILING ADDRESS Permit Fee $ ARC TECT OR ENGINEER LICENSE NO. Plan Checking Fee ; Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AO RESS _ Rj Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFK Duplex❑ Mobilehome❑ Other - SPF,CIFY 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 ❑ 4emodel ❑ti lities ❑ Insta tion❑ Other [ Describe work: Q �7� WaftELECTRICAL Permit Fee $ Q Contractor PERMIT Filing Fee 15.00 Main service 2000A OR ORLESSR LESS 20 18,50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER 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 CONST. ( DWELLING OCCUPM OR AODNS. ACC. BLOGS. 3.64sq.ft. NEW CONSTFt ULTI.OUT LET@ NON.RESID BRANCH CIRC ITS 5.00 APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 20 @ 76d FIXED Ex. OCCUp. OUTLETS_ PRESID ILNS.REA.) I 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; Contractor — 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. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner g pp ❑ Contractor ❑ 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 S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEES �� D ! HAz 1 11 FEES I IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW-ASeE370R, PINK-INSPECTOR.'GOLDENROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,.CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is received. 1. I pers.onally plan to provide the ma' labor and materials for construction of the proposed. property improvement yes or no) 2. I haavv /have not) signed an application for a building permit for Qhe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to providd portions of this work, but I have hired the -following -person, to'coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. k " 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: r Property Owner Social Security NumSer Date 7—,2- �Z NOTE: This Owner-Builder`Verification is sent to you as required by Sections 19831 and 19$32 of. -the California Health and Safety-Code.- This afety-Code.This verification must be completed and returned to our office before we are per- mitted to issue the permit. PERMIT NO. 133.9-78-p,,E PERMIT EXPIRES OWNER WARREN MOELLER , i,CONTk- owner 'LOCATIQN (A.P 36-104-5 :.'2666 V-6 Rd., Oroville I Temp. P wer Pole Ca ed PG&E Tem . Elec. Serv. alled PG&E Temp. Gas Serv. Called PG&E OB FINALED— (Date) (S' g atwe COUNTY OF BUTTE — DEPARTMENT OE,PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms ^" Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage. Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Pi in &Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough 2 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing ��� `%� Test Water Htr_ Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service(/Z/^`7 S— Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OM BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS O CORRECTIONS r� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS j 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT )Joonature at Nermitee or Agent � L Q Z? /� 7 By Date 7— e— % Receipt No. / White-D.P.W. — Yelll% or — i Inspector — G d rod -Applicant uilding permit expires Date 3' 3 D BUILDING Owner Y SO. FT. OCC. BUILDING VALUATION Mai I i ng Address c Dn V 1 Telephone NoR, Qa0 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @. I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 V �.. "-'� A. P. No. 3 / � Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F •6eit4a4Fon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 RId� PI . o__'d . Parcel A royal Plans p Vel Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2 permit Fee $ $ ELECTRICAL No. @ FEE S 141a " PERMIT FILING FEE $3.00 ADO V OR L ES Main service 100 AMP ORS LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 OR ADDNSNEW T ACG S.CC UP. Y\ 20Sq}t / 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 st le of: y TL T NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW RESIC, M BRANCH NEWCONSTR. POWER APPARATUS 6 NON .RESID. SINGLE OUTLET CIR, EX. OCcui)(OUTLETS OR FIXTIIPES 5025 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's -Compensation Insurance. fy that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date L,13DIRECTO � -it Land Development Fee $ TOTAL PERMIT FEE ' This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated paid. above for which fees havnOPUBLIC WORKS )Joonature at Nermitee or Agent � L Q Z? /� 7 By Date 7— e— % Receipt No. / White-D.P.W. — Yelll% or — i Inspector — G d rod -Applicant uilding permit expires Date 3' 3 D ,r ova,/; Ile 53.3 ouec� Wal � � v� i� Y� � /�e� ���'S'' ,SP�� �c��%� �� Rem P BUTTE COUNTY ��a on ®Er�ARTN4E6�%T A 414-1 (1 /- '-2-% APPROVED