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HomeMy WebLinkAbout078-310-063.r - 3--103--�2 1972-91B: ` 3 yi 7 WRIGHT >•Louis 50-69BGILBERT-, tEleanom, 4 '2516'V'6 Rd, • Oroville cont: Sam Smiley (open' deck/sf) 2516 V-6 Rd., O.roville CONTR:' Pryor & George, Rt. Box 2179,Oro. Permit#3295-91E G (reroof &;repair facia) /0_7_6 y s(elec sere &wiring/sf) � V a ' 92-2192• - - - --L - - - UGILBERT, Eleanore. ' 2516 V6 Rd,-',0roville • `replace water line/sf .93 3614 M ' _ 3 _:GILBERT, ELEANOR' � `�- ! 2516 V- 6' RD,` OROVILLE + I 'FREESTANDING. GAS STOVE/SFR::-11 /;?-q I-) r PERMIT#97 -.+,-. , 09f6'@@z . 1223. j GILBERT; Eleanore f`t F -2516 xV7`6 Rd. , 'Oroville ' • Reroof%Garage - - X01-1347 GILBER ANOR 2516 V6 RD. `OR LEG. CONT: K DESIGHNER J �• p VINYL SIDING t , t r L 'O ter..-,>__ 7 - „ayq,,:,�.s ��rq —.... ...... __ ry;-...s , .,, ��.....,.� r •-.-y.r. R . +,,_ _�„,.; 4 01-1347 036-103-002 GILBERT, ELEANOR 2516 V6 RD. OROVILLE CONT: K DESIGHN ERS VINYL SIDING Ft e , s i r ' t t ` t. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�/ � ERM}T�O. (Rev. 12/96) APPLICATION AND PERMIT l5�'/ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 534-7824 SO. FT. OCC. BUILDING VALUATION CON7 9870.60 OWNERS MAILING ADDRESS 2516 VG LF, CA 95906 CONTRACTOR'S NAME K—DESIGNERS N16111631-9-100 TELEPHONE CONTRACTORS MAILING ADDRESS r 5MRISE. PARK DR. RANCHO MRIMA, CA q9677 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3570.60 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2516 A RD. 0807GUE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 1.7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel EX Utilities ❑ Installation ❑ Other ❑ Describe work: INSTALL VINYL SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI 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,INpN and my license is in full f rce and effect.i/] Q y License Class �. Lic. NO. / (�7 7_4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have' and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' om ensa on insurance wrier I poli�X nu�Tber are: Carrier .�/ G V4,1j"I� ... -�. CD. Policy NumbereWJ0Z t (The above sections need not be completed 11 di_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 issuedp 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 __.-fiatthwith complyAvlth those Arovisions. _ Date (Gr (� / 2ture of Applicant - ❑ Owner ❑ Contractor )k Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service POUR TO 46.00 NEW CONST. pWELLNJG OCCUP. SO CCU OR ADDNS. ( 6 ACC. BMS. 3.5¢FT. Ralp, MULTI -OUTLET 97,50 POWER APPARATUS a sINGLE OLmET CIR. 20 Ex. Occup. OUTLET OR FIXTURES SAL ® I.SO Ex. Occup. OFtmtTs RE .) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 137.00 HAZ. .. D. FEES IMP FLOOD CDF PARCEL Po HD 5SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 11f =,.✓ Lf f PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ala Receipt No. r% WHITE-D.D.S.- .D. LANA -A S SSOR PINK -INSPECTOR GOLDENROD -APPLICANT CJ)UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r'. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541f?€R�►JT O. (Rev.,?/96) APPLICATION AND PERMIT ASRPARCELNUMBER MO -103-002 ZONING - BUILDING PERMIT OWNERTELEPHONE SO. FT. OCC. BUILDING VALUATION CONT 9870.60 OW�7NER'SD UNG ADDRESS 516 TT T.F, CA q9q CONTRACTOR'S NAME TELEPHONE K -D - 3 CONTRACTORS MAILING ADDRESS 1.1 q SF PA_Rd n� _ RC0RDDI7ACA_9 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9870.60 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS�r 2516 Vo RD. OROVILLE CA 95900 Energy Plan Checking Fee $ $ PERMIT FEE $ 137.00 LAT NO. SUSDNISaNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other sPEc"' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel IX Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL VINTYT— SIDING 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 Fling Fee 20.00 800VOR LESS Main Service 20.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 f r e and effect. yO� License Class �.— Lic. No.� f7 OWNER -BUILDER DLCCARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' o ansa on insurance 7}pol ber are: 4et5y ^�� ri Policy Number r� /n , . . (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comp ith those ovisions. Date �� ture of Applicant - ❑ Owner ❑ Contractor AAgent n OSHA ofis required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT, Lpµgalp MULTI.OUTLET 97,50 POWER AP=US a sINGLE OUTLET cIR. OUTLET OR FORURES Ex. Occup. �� @ L;� Ex. Occup. DFMUTIEEOTS A� DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 MECHANICAL PERMIT Fling Fee • 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FESCarrier S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 137.00 HAZ. D. FEES IMP FLAOD / COF PARCEL HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 6— (�2 the applicable provisions Resolutions to do work been paid. Date "-0 2-- ate ReceiptNo. % 00 WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.D. ..vun 1 Y QF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT PERMIT NO RABSESSOL NUMaFR;~N' =III 11 BUILDINGPOW"M�•OCC.BUILDING VALUATIoN I0IgN!/- .tea Mm u:Nolny Iwo ADOMS Fireplace ARI OREMM NEEA UCENSF NO. Total Valuation i Filin Fell S AIoR eNoneens wAUNo Aooaess 20.00 Permit Fee = suaoaoking Fee L Energy Plen Checking Fee = i LOT No. susDIVIDMs NAG! PARclL MAP PERMIT FEE _ �- PLUMBING PERMIT (ling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pumpwater heater 23.00 SF ❑ Duplex O Mobilehome ❑ Other Wateri in ePEcsv .00 PE OF WORK Each as water heater or vent 15.00 New O Addition ❑ Remodel Gas piping stem 1 -5 _ 15.00 Utl91 ❑ Installation ❑ Other O Building sewer , Describe Work: "� LG— �h�y� 1-5 /��y� Mobile Home S G W 15.00 X20.00 PERMIT FEE $ ELECTRICAL PERMIT Flin Fee 20.00 Main Service 600VV200A OR LESLESS 23.00 Main Service 20" TO 1000A 46.00 NEW CONST. own to OCCVP. OR ADONs. a AOC. BIDS. 3.5QFo. NON RESIo. ' AUUFOUntT 7:50 POWER APPAMTVs a SNOLE OURET q0. Ex. Occup. oVrLET OR 200 1.00 I FIXED OR SAL a .30 I Ex. Occup. 6410. EA 5.00 1 Tem ornr Se a 23.00 I Mobile Home Facilities 20.00 ,. Misc. Wiring 23.00 PERMIT FEE S *PERMIT FEE PAID � � � MECHANICAL PERMIT Filing Fee 20.00 Heating `SRA - Coolin SHERIFF Hood 1 8.50 OTHER Ventilation PERMIT FEI: S Mobile Home Installation Fee ti Energy Inspection Fee E occ CONST. TYPE 1' TOTAL FEE $ J J . 00 AMOUNT RECEIVEb I NAL o.PEES WP FLOOD COF PARCEL I PO No I Esq This permit is hereby Issued under the applicable provisions cP 0'0-� of the Butte County Code and/or Resolutions to do work *RECEIPT NVMSER J ( / indicated above for which fees have been paid. * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON TO: SUBJECT: JOB SITE ADDRESS: S �� v PLEASE ACCEPT THIS AS YOUR AUTHORIZATION TO ACCEPT THIS APPLICATION AND ISSUE A BUILDING PERMIT FOR THE ABOVE DESCRIBED JOB SITE SUBMITTED BY A REPRESENTATIVE OF K -DESIGNERS. PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB SITE ONLY AND NO OTHER PERMITS ARE AUTHORIZED HEREIN. 07RES E UL Y, ,10,411" SENIOR SENIOR PRODUCTION MANAGER - Sunris:r. Drive � Rancho Cordova. California 957=:2 e (9 i 6) 631-9300 0 Fax (9 6) 53"l -- .2r _ , .,,,,p,..t,,,��_.,.R..,.,•-, �_:, .......vw.,.-r .•may"r;�o•;� �.♦sra,pv�+.f.-m�•Dps-•T•�.-.--v--`-,...y.p,�,,�,c:�*-•wr.-.:.o-_--=-+�y3•.-.p_,,y�.,�,,,�� �,.,.fi.,,�,•,. 036-103-002 PERMIT#97-1223,` f GILBERT, Eleanore,, 2516 V-6 Rd. ,i Oroville . Reroof/Garage i t f P TMENTOF T SERVICES DING DIVJS16N COUNTY OF BUTTE -DE AR ERVICES-BUIL 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7�,1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT i %- ASSESSOR PARCEL NUMBER 03L- 103 --�oZ ZONING BU LDING PERMIT OWNERTELEPIIONE e e SO. FT. OCC. BUILDING VALUATION OWNER'S MAILNGAD KESS _ C CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ L%O ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADkRJ!SqA Plan Checking Fee $ BUILDING ADDRESS Ar/6 / / Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other G er /C? PECIFV Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 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 Filing Fee 20.00 Main Service iuon RR '.S.' 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.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ],as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 46.00So CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NEW CONS . MULTI -OUTLET 7 NON-RESID. , g7.50 APPARATUS 8 SINGLE OUTLET CIR. 20 EX. OCCu OUTLET OR FIXTURES BAL �' a FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA)_5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) d 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thosye�pro_visions. X ��� �) Lfi't _ _ Date _ 1U�9 �— Signature of Applicant -,NrOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE c r TOTAL FEE $ 7 �-- HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD SSUE 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. Date PERMIT EXPIRES ON Date Receipt No. - t00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive - Oroville, 0aliforriia 95965 - Telephone (916) 538- 4RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER ( ZONING ByfLDINGPERMIT OWNER Q ail 0 ` TELEPHONE SO. FT. OCC. VALUATION rBUILDING v OWNERS MAILING ADDRESS Q ✓ r CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS 77 cl CONSTRUCTION LENDER 41 A Fireplace LENDER'S MAILING ADDRESS Total Valuation $ b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ss Plan Checking Fee $ BUILDING ADDRESS ^ .001 vi l Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other r ECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _AZ koo 7 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 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.P License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. OLDS. SO 3.5¢FT, EW NO R SLOT MUCI CUTLU 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES x@'.50 BAL @ .SO Ex. Occup. DurEjFfS gESIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 9 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE e— TOTAL FEE $ 3S HAZ. 1 D. FES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / �� / Date C0 (, !� PERMIT EXPIRES ON I Date Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ar., � Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to. avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :YES ] NO ]. 2. I HAVE[ HAVE NOT[ . ] Signe an application for r a building permit for the proposed work. 3. I have. contracted with the following person (firm) to provide, the proposed construction: . NAME:. , ADDRESS: CITY: PHONE:. 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 SIGNED: PROPERTY OW? SOCIAL SECURITY NUMBER: ; DATE • 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.' May 1995 2.26 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: 0 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. 0 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. 0 For more specific information about your obligations under Federal Law, contract the Internal 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 "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 03 0--10 3 -coz- - J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 15965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036- ZONING BUILDING PERMIT OWNER Eleanore .1. GiAbcbrt TELEPHONE 534-7824 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2516 V-6 Rd.. Oroville Q5466 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee S 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE S 2516 V-6 Rd., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME Ellie -Brook Farms PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ff Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IM I Describe Work: Gas Freestanding Stove (Replacement) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) S0. 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 41, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B200 @1.50 Ex. Occu FIXED APPLNS. OR p ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County ,of Butte Dept. of Development Services, Building Division a Certificate of Workmen's `Compensation Insurance or a Certificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or,this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 1 15.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 355.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 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 gnting of this permit. y /]� J XE2�at_t�+ l �L Date Signafure of Applicant - fg Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ- I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of'the Butte County Code and/or indicated a ovejfor yvhich fees have DIRECTOR O/FFPPUBLIC By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �- WORKS Date l� t j��� (Do to) ReceiptNo. 153316 ✓ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.DEVEEOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Falifornia 95965 -Telephone (916) 538-7541 '��ERS IT No. APPLICATION AND PERMIT ��' ASSESSOR PARCEL NUMBER 036-103-002 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION I OWNER'S MAILING ADDRESS 2916 V-6 Rd, Ornmillp QSQAA CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 2516 V-6 Rd., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE �. SF (N Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ElRemodel 1:1Utilities ❑ Installation EIOther IN Describe Work: Gas Freestanding $tnvp (RPnlarPmPnt-) _r PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 NEW CONST. DWELLING OCCUP. 0. OR ADDNS. ( & ACC. BLDS. ) 3.5C FST, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �cense No. Classification ; '' as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ r.50 Ex. Occu FIXED .OR p- ( OUTLETS (RESTRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a I(Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 1115.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certifythat I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gr nting of this permit. X Date [ .� - ��� Signa ure of Applicant Owner Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ coNsr. TYPE TOTAL FEE $ 35.00 HAZ. 1 0. FEES I .IMP I FJ_OOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work ina v for hich fees have an paid. E ORO P LI ORKS By DateAV / - 6 PERMIT EXPIRES ON l ` (De rel Receipt No. 153316 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 't'-Y.��y�" �•.r�,.. •'tit•.,,:.,,..�,,,,�u�:i..,y4,-...;Vltmhi` 0",v `_, �""`L. r,�,''h"1.�e.r►`^.-"NYS-s-.�"• ,,,,�.;i-:•,.-""Ts ^"t" . }'`� �fejC' i UNTYOF BUTTE - DEPARTMENTOF EVELOPMENT SERVICES - BUILq�; G DIVIISIPN! 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538- ....541 PERMIT APPLICATION DAT A SHEET OWNER .� G r' 4ea f Y A. P. No. 3 b • /03 - 602 Proposed Building Use 51L S/ds 5;rO-J ��2 Building Inspector i Date 11S� 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 submitt4d. ........................ . 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 $......................................... 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-In .. . . ' •spection n:qu_eT__- 20. Pre -inspection for 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 A .34. tl! r When you issue the permit, process as follows: Mail to owner. Mail to contragtor. Telephone and hold for pickup at office. ✓ Deliver with inspector. Other Parcel Creation _ Acreage I Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health bept. 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, 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 personally plan to. provide the major labor and materials for construction of t the proposed property improvement (yes or no) 2 5 2. I (have/have not) A/; V6 signed an -'application for a building permit . for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:- Name onstruction:Name Address. City Phone _ Contractors License No. 4. I plan to provide" portions of this work,.but'I have hired'the following person to coordinate, supervise, and provide the major work: Name Address City Phone t Contractors'License No:' 5. I will provide some of the work -but I have contracted (hired) the following persons to provide .the work indicated: Name. Address . Phone Type of Work Signed: Property Owner Social Security umber Date NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF'PUBWC WORKS PE MIT NO. 7 County Center Drive - Orovlllat Collforrllo 05005 - T@lephonfl, 010/000-7041 APPLICATION AND PERMIT 1 36-103-02 C 2 BUILDING PERMIT ELEANORE GILBERT TILEWHONK 534-7824 SO. FT. OCC. BUILDING VALUATION OWNER Ill MAIL.ING ACC5111191118_ 2516 V-6 RD OROVILLE CONTRACTOWrr-N-An MIKE HURST TELEPHONE CONTRACTOR'S MAILING ADDRE33 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee- $ ARCHITECT OR ENGINEER _ _ _ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty - $ BUILDING ADDRESS 516 RD . - OROVILLE - - Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 5 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: NEW SERVICE 200 AMP & MISC WIRIX90 WIREING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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) Lir 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.&) OR AODNS. l ACC. BLDGS. 2.58 /20sgft NEWCONSTR ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 20se0e eAL030 Ex. Occup. Ou LETS ED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 5.60 15.00 Permit Fee $ 37.50 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. (V I shall not employ any person in any manner so as to become subject +'V 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 Filing Fee 10.00 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. 1 also agree to save, indemnifyand keephlthe Count of Butte against g armess y g all liabilities, judgments, costs, and expenses which may in any way accrue again s 'd County in consequence of the granting of this permit. = -^ f � X/ �� Date Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE - 37,50 TOTAL FEE $ HAL I CUA I PARK I SCHL I FLD I COF I PAR I PD i HO. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abod8 for which fees have been paid. j DIRE TOR LIC WORKS / /` _ 1 � f 7 By : i �� �� C4c, N Date 1 nn -700 17 cn 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 36--103--02 ZONING C 2 BUILDING PERMIT OWNER EIMNORE GILMT TELEPHONE 534--7824 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2516 V-6 RD OROVILLE CONTRACTOR'S NAME K[KE HMRST TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIOON LENDER NE 77T UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2516 V-6 RD OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF A Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: NL -1 SERVICE 200 AMP 8, MISC VIX Qr VIREING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP OR LESS 00 10.lO.00 Main service EA. ADD'L 100 AMP 2.50 " CONTRACTORS LICENSE LAW + penalty I declare under p y of perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. El 1, 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 -15.00 ors. (Sec. 7044) ❑ I am exempt under,Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. yzQsgft NEW CONST R. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(ouTLETs OR FIXTURES eLe 2ALO 30 FIXED APLNS. Ex. Occup. OUTLETS IPRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin 9 15.00 Permit Fee $ 37.50 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 FiIirig Fee 10.00 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. 1 also agree to save, indemnify and keep harmless the Count of Butte against g y p y g all liabilities, judgments, costs, and expenses which may in any way accrue againstiosNd County in con seq nce of the granting of this permit. .-az 9-1 - �C- -� f+ Date / Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee $ OCC CONST TYPE - 37.50 TOTAL FEE $ HAZ I CUA I PARK SCHL I FLD I CDF I PAR I PD ) HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab fne for which fees have been paid. —2 DIRECTOR QF-PU43LIC WORKS By.// - Date ' PERMIT EXPIRE Date_" pt No. 100789 37,50 .W.. YELLOW-ASSE330I1, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Driv® - Orovlllo, California Qum - T@laphonn: 010/630.7641 APPLICATION AND PERMIT PE T NO. t 36-103-02 "' C 2 ` BUILDING PERMIT ELEANORE GILBERT TM6914HON9 534-7824 S0. FT. ACC. BUILDING VALUATION N DD 2516 V-6 RD OROVILLE CON MIKE HURST TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING "2516 SV -6 RD OROVILLE Permit tee $ PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 rye USE OF STRUCTURE SF[N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00P TYPE OF WORK New Fl Addition El Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: NEW SERVICE 200 AMP & MISC WIRU00 WIREING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 10V OR L Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Busines$ 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.DNS.� DWELLING OCCUP.N ) NEW CONSTR.p' h¢sgft ULTBI ODUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES Zo®yoe .ALO 30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 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. 1 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 Filing Fee 10.00 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.TOTAL 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again County in conseq`#nce of the granting of this permit. sl`•��� LI / �Z/�� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct.E ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - FEE $ 37.50 HAL CUA- PARK scHL FLO coF PAR PD I Ho. IssuE. This permit is hereby issued unaer the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated ab rfor which fees have been paid. If T61p LIC WORKS 17 By Date tLD PERMIT EXPIRES Date _'J Receipt No. 100789 37.50 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County CenterArlve - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ` //1 —"7— /j C— Z`� BUILDING PERMIT OwER EOI.NGA)_3/10 PHONSO. FT. OCC. BUILDING VALUATION OWNER'S MAIL/(,/ pDjrF� Cll1 7C/i CONTRACTOR'S NA f' /� TELEPHONE CONTRACTOR'S MAI G—ADOAESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILIhrG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Jr -/b %Zo QQU �SS�� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF M Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: t4.fvz� A4_� SC� G_�iCPU Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD•L 100 AMP 2.50 (� 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.& OR ADDNS. ACC. BLDGS. ) , /iQSQft NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20160t 9ALo 30t FIXED APLNS Ex. Occup. OUTLETS P(RESIO )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ,3 Contractor 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 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. I MECHANICAL PERMIT Filing Fee 10.00 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. lalso agree to save, indemnifyand keephlthe County of Butte against g armess ouny g 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 Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ HAZ CUA I PARK SCHL I FLD 1 CDF PAR PD i HD• ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date. PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASeESSOK. PINK -INSPECTOR. GOLDENROD -APPLICANT �c�-'*''"r`"`�x,�--��.:c-..,,•�.`�'�''y7�'t`;�"�:�'�'" �" ti..��Y$'�Jr.'��-�., '�P�i���•�;z�;ay s�w� `�' "g^`z;-;tom .. _ . Y' •.= ' `. • � ,_- �� , yu 1 � �. �.. �i�� ��j z ,- S e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-103-02 ZONIN42 )0 2 BUILDING PERMIT OWNER EL&MIRE GIIA M TELEPHONE 534-7824 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7.516 V-6 ROAD OROVILLE CONTRACTORS (Alm \{6`l tidl TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 2516 V-6 ROAD OROVILLE 95966 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 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [A Duplex❑ Mobilehome❑ Other SPECI FY ' Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: REPU(M WATER 1JM, Permit Fee $ 22, Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. 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.& OR ADDNS. ACC. BLDGS. _37.50 3.64 sq.ft. NEW CONST FL ULTI.OUT LET NON-REST BRANCH CIRC ITS @ 5-00 POWER APPARATUS s (SINGLE OUTLET CIS. / Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 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. 50 1 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. F Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against -said County in consequence of the granting of this permit. X z Date Signature of Applicant — Owner Contractor ElAgent ❑ An OSHA ion of structures toverr3gstoriesoin height ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 22• OO HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work. indicated above for which fees IRE TOR PUBLIC By i / L PERMIT EXPIRES Date applicable provi- ` resolutions to do have been paid. WORKS Date4-7,7–f Z Receipt No. 117210 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. qZ Z 1otz__, ASSESSOR PARCEL NUMBER 36-103-02 ZONING ' C 2 BUILDING PERMIT OWNER ELEANORE GILBERT TELEPHONE 1 534-7824 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 2516 V-6 ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNTotal Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2516 V-6 ROAD OROVILLE 95966 Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7-001 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: REPLACE WATER LINE _ Permit Fee $ 22.0 Contractor ELECTRICAL PERMIT FilingFee 15.00 ' Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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 CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON -REST BRANCH CIRC ITS @ S.00 POER APPARATUS & (WSINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 7511 A FIXED APP LHS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling LHood 6.50 I 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 agains aLq County in conse ue a of the ranting of this permit. X �Date Signature of Applicant — Owner° 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 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 22.00 HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Wo ndicated above for which fees E OR PUBLIC By P IT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date �v-z �—cd Receipt No._117200 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT - _ I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36— lo3-- O Z ZONING C-2 BUILDING PERMIT OWNER /1�/ 15-le4✓1 m� Com(! /,x TELEPHONE s.3y-78zy SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -5/6 -6 PC,( GONTR AC TORS NAME ,- ,��✓ _5 "v TEL EPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS "� 2-"—/6— L l0 Of 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 0= Each pas water heater or vent 7.00 J�//,����'�'�� USE OF STRUCTURE SK,tS_ Duplex❑ Mobilehome❑ Other fff(//// SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition El Remodel❑ Utilities[] Installation❑ Other( Describe work: 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penal[ of perjury y p I y (check one), ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. - License No. Classification ❑ I, as the owner,'or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ACDNS. 1 ACC. BLDGS. 3.6dsq.ft. NEW CONSTR.MULTI-OUTLET NON -REST BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS &) SINGLE OUTLET CIR. ) \OUTLETS Ex. Occup(OR FIXTURES 20 760 IXED Ex. Occup. OUTLETS IPRESID IREA.) I 3.00 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 1 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue, against 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 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 2 HAZ I DFEE6 I IMP I FLOOD COF I PARCEL PD I HD I 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. J % ZQ(2 WHITE-D.P.W.. YELLOW-A3SE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965. Phone: 916-538-7541 OWNER -BUILDER,. -VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) -P 2. I (have/have not) 14 Qy -e, signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed / construction: Name Address City Phone Contractors License No. I.'plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major. work: Name Address City -/ Phone Contractors License No. �l. I will provide some of the work but I have.contracted (hired) the following persons to provide the work indicated: Name. Address . Phone Type of Work Signed Property Owner Date '2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1983.2 -of -the Cal-ifo-rn-ia Health, and- Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit., D (Date) — J=OK - O = Not'OK NNotot Applic 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 -Clea rences-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 1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s -+-Zoning Requirements -Setbacks -Easements 2.P(r6tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric &--rr-mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date J q/ 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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ft'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., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection I ------- ----------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access -- 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------- ------ -------------- ------ -- ---------- -------------- Date Card B-1 Date Card B-1 ----------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors --- ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled - --------- ----------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------------------------------- - ---------------------- ---------- ------------- 27. ------------ --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------- -------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size i 1 ga. Cu or At -------------- --------------------------------- ---- ------------------------- - --- 29. Range Ciro. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation -------------- -------- ------ -------------------------------------------- ------------- 36.Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ----- ---------------------------------------------------------------- 38. Attic -Access-&. Platform if Furnance in Attic ---------------------------- -- - -- - --- - -- ------------------------ -- ---------- - Date Card B-1 Date Card B-1 -------------------------------------------------------------- --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sits. Proper Material & Anchors ------- --------------- - ------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------- ------------------------- 42. Draft Slop in Walls (rat proof) -------------------- -- ------------------- ----------------------- --- -- ----- --- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub -- - --- ---- -------- --------------------------------------- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr: ties-Purlin-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 _ _ _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- ---------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------------------------------- 64. Bedroom Exiting -- ------ ------ ----------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - -------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - --------- -------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71.-Elec. Outlets & Receptacles at Kit. Counter ----------- -------------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer -------------------------- ---- --- - - 73.--A.C.-Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - - 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------ ----------- 80. Followinginstld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------- ---------------------- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ ---------------------------------- p -- -- 83. Vents Above Roof: Plb A fiance-Firep lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - - ----------------------------------------- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. ... .. _ ....... ------------------------------------------- 87. Glass Protection ...... ---------------------- ------------ ------------ 88. Corrections from Previous Inspections - - - - - - ----- -------------- ------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----- ------ -------------------------- ------------ 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------------------------------- ---- 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: •- _ „ 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 mis_ _ _ ZONING C2 BUILDING PERMIT OWNER ELEANOR GILBERT TELEPHONE SQ. FT. OCC. BUILDING VALUATION 843 Open 5901 OWNER'S MAILING ADDRESS 2516 V-6 Rd., Oroville CA 95966 CONTRACTOR'S NAME Sam Smile TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NOne UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 28.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2516 V-6 Rd., Oroville Permit fee $ 94.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New [-I Addition R] Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: Open Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de lave nder penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professi d a y icense is in full ce d 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) the owner, am exclusively contracting with licensed contract- -(Sec7044) xempt under Sec. , Business and Professions Code Ieason NEW ACONST. ( DWELLING OCCUP.ea) OR DDNS. ACC, BLDGS. '/z¢sgft NEW CONSTNON.RESID R. MUCTBRANCH ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES S20050Q AL@ 309 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 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. l shall not employ any person in any manner so as to become subject o the W. C. laws of California. No ce to pplicant: 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information I agree to comply to all County Ordinances and State Laws relating is ;tenter to ruction, and hereby authorize representatives of the Countyot Butupo e a ove mentioned property for inspection purposes. I alee t ve, I emnify and keep harmless the County of Butte against osts, and expenses which may in any way equence of the granting of this permit. X Date gnature A plic - Owner ❑ Contractor ❑ Agent ❑ mit is req irefor excavations over 5'0" deep and demolition or construct- ion a structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 94.75 ' HA Z. CUA PARK SCHL .NNagaI FLD CDF' PAR PD I HD• ISSall' 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. DIRECTOR OF PUBLIC WORKS r1 / By. _ Date /7�j y^L PEOT EXPIRES Date ©� 7- / Receipt No. 94021 WHITE-D.P.W., YELLOW-ASBESBOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O,, 1yIL-LCMALIFORNIA_95965'_ TELEPHONE: 916/538-7541 PERMIT APPL ICATION.DATA SHEET When you 'ssue the permit, process as follow Telephone and hoW Other Appl ica Mail to owner. Mail to.contractor. *44 �11171 office. Deliver w/inspector. Date 6-17— Y Copy of Haz-Mat form sent Health De Ie Dept. Air Pollution Date Copy of plans sent Health Dept. Firebept. 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---jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by PX% Date ( Plans approved by fit&) Date 2 Sets of plans on hold in Copy—DPW File cabinet AP folder No IeZW6(Z OWNER A. P. Proposed Building Use Nem Building Inspector Date _�1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: \ a DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. Ion appro - r ment fo�?-��91 wv & 15. City of Chico plumbing permit ..................................... & 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to -occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you 'ssue the permit, process as follow Telephone and hoW Other Appl ica Mail to owner. Mail to.contractor. *44 �11171 office. Deliver w/inspector. Date 6-17— Y Copy of Haz-Mat form sent Health De Ie Dept. Air Pollution Date Copy of plans sent Health Dept. Firebept. 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---jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by PX% Date ( Plans approved by fit&) Date 2 Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM R 196 " /d - �a� ON1" nt E ZONI TELEPHONE BUILDING PERMIT ` SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING G AOco SS ^Cj t ��`� CONTRACTOR'S NAA�.n TELEPHONE D 1 CONTRACTOR'S MAILING ADORE? _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 10.00 Permit Fee Plan Checking Fee $ 5� Q- U t ARCHITECT OR ENGINEER'S MAILING ADDRESS Bu1Lj?ING%2�REss _ Energy Plan Checking Fee $ Penalty Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I WaterIn P P � 9 ' 5:00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,O Duplex❑ Mobilehome❑ Other SPECT FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W F 10.00 ea TYPE OF WORK New❑ AdditionX Remodel❑ Utilit4j�,s❑ Installation[] Other ❑ Describe work: Air► Permit Fee g Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 01 000 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El.K0W-RHE'SID 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 Aiork,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 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OccuP.al OR ADDNS. ( ACC. SLOGS. ) , /z¢sgft NEW CONSTRULTI-OUTLET BRANCH CIRC ITS 2.50 ea ,POWER APPARATUS el (SINGLE OUTLET CIR. , Ex. OCCUp(OUTLETS OR FIXTURES 20030! e AL9 30e FIXED ASPENS. OR EX. Occup. pUTEETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 PERMITFiling Fee 10.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X DateTh's Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee 5 occ CONST TYPE pu h TOTAL FEES HAZ. I CUA I PARK SCHL I FLD I CDF PAR I PO I HO •'ISSUE permit is hereby issued unaer sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT FYPIRFS nitC the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / WHITE-O.P.W.. YELLOW -ASSESSOR, PIN -INSPECTOR. GOLDEHPOO-♦POI-ICAIT L V A �IWTE VAcANIr Lor 3% MU5T u� -iopf on ti, a ink t:N a itnf � "Ind *'Y is c,:� Teem Der-artm-sayt vPVAV�111 -S, F. -Z EW A" WALiva nqta, Z. V Workrnenshire Shall Be in D- ^-Hr q n p A of a qualily d .", - .I -" -.—C. ied ma in fl .r. m UnIfor Bu'A^iimf�' , Plumbing Mechanical Cod.., /V DT T D �&C R L a. , U! JS7 N J, Of 5 ft- fir T, 7,0 iii-jeas and a '.&bad .;f 501t. from tile roa J v ranterline sha.H. be cl .,ar of structures or equipm ent exce t7 ft. save overt ona. 1�- all e" D EC -K ' T MAX �' /nAX _ Max'. Fri 9" Min. Plan Plum rfruisured toe to toe. F k/ s T NG �., toarr.tw. /� tai P®II to be 36 in. high with wow &mal" . E jgOpmed late rails to be not q�P'�o (Pf,, apart. harldrai►s �-- 38"alxuc i�� � ML IAEA 5, jun v6c 33y, • I i I I I i t I l { �S4 I I E I i i ��� O_C. 4x V 2 s tet • " x`� �.Ed c�� � � - a5�' �u 6 WXOUAM CLma o �eau�oc z) VZRO r ouv- ©V2 ok I / 913 TD t 7C// 5 2 a� U A'FGSTS C� L _ . i sezI 7 rJ 2 �f !. L�� ! 7 f ;, �D tl• J. Gia �• �/,�,'LS `• � � � 7'oC. mR-X �---ld� Ib�cGNc:��lE usc-. cc v - g� pair v(A,rn6T&ZS IV-T"WE:EN 'f Mau M 14 ol