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HomeMy WebLinkAbout078-310-057FAILURE TO FINAL WOODBURNING STOVE 5/27%93 1L t wo Perm BUILDING CODE VIOLATION 30 DAY LETTER 4 ' F . - � S (I, LSS .„ 36-+G4-2.5. . Norman' Williams SE Corner V-6 & V Rd., Oroville (2610 V-6 Rd;) M Permit 4806-75B (reroof) ` Permit#19-81B(install fireplace) SF ' ell N OWNER -RODNEY JENNINGS 2610 V-6 Rd, Oroville Contr: A & C Plumbing, Oroville Permi 2520-81P (gas stove)�S,F �� 92-812 BPE JENNINGS, ' Ameliad r Z 2610 V6 Rd,' Oroville-- � addition/sf, . • '�' .. Jnr-: i•�+ W�1.. � - - - 92-1710 JENNINGS, Amelia 2610 V-6 Rd, Oroville-: move; woodstove '= 01 1915 JEN GS, AIvIELI 2610 V 6 OROVIL CONT: ENDE EIR HOM GARAGE/BREE AYH 1404. JEN34 NGS, AMELIA' ' 2610 V-6 RD; OROVILLE GARAGE/SHOP ,,.,, U 0 off t •!. A • w t i i r a I.-- _,y,C„ Butte County Department of Development Services. o�uTrFo TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 0 0 7 County Center Drive o c Oroville, CA 95965 _ (530) 538-7601 Telephone c (530) 538-7785 Facsimile www.buttecountv.nettdds CQU N'�y ADMINISTRATION * BUILDING * PLANNING January 31, 2006 Amelia Jennings 2610 V-6 Road Oroville, CA 95966 RE: Formal Warning Notice Building Code Violation Location: 2610 V-6 Road, Oroville AP #: 078-310-051 Dear Amelia Jennings: ' This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2,. we sent you a courtesy notice dated June 9, 2004, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of a garage and breezeway. 1. Section 106.1 Permits Required 2. Section 108.1 Inspections Required 3. Section 108.4 Inspection Approval Required Before Use or Occupancy 4. Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. . This is your final warning.,Unless you contact this office and make the proper arrangements to correct or abate the. violation(s) voluntarily, within ten U days from the date of this letter, enforcement shall be pursued, through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Amelia Jennings January 31, 2006 AP#: 078-310-051 Page 2 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, Bill Barro�G��� Supervising Building Inspector BB: mjs 2 1 2 3 4 5 6 7 8 9 10 11 12 .13 14 15 16 -17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the. time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive; Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same'day. On January 31, 2006, I served the foregoing 10 Day Notice on'the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Amelia Jennings . .2610 V-6 Road Oroville, CA 95966 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on January 31, 2006, at Oroville, California. lise J. oots Office Assistant June 9, 2004 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Amelia Jennings 261.0 V6 Rd. - Oroville,- Ca. 95966 RE: Building Code Violation Location: 2610 V6 Rd., Orovil.le AP#: 036-104-025 Dear: Amelia Jennings This is a courtesy notice to notify you that you are in violation 'of the Butte County Code, at the above -referenced location, as follows: Failuretoobtain the required permits, inspections and approvals from this office for the construction of a garage and breezeway. Since permits and inspections are required for the above work, please 'submit three (3) complete sets of plans, apply for the required permits, and pay the -appropriate fees. All work must'stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (LO) days to voluntarily comply' with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. - Sincerely, X111 t53rron Supervisor Building Inspector BB: ms cc: Assessor n January 14, 2003 Amelia Jennings 2610 V6 Rd. Oroville, CA. 95966-7116 RE: Building Code Violation Location: 2610 V6 Rd., Oroville, CA. AP # 036-104-025 Dear Amelia Jennings: 'Outte co, L A N D O F N AT U RA L W EA L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541. FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above - referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the addition of a garage and breezeway. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (LO) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, are— Scott Rutherford Chief, Building Inspector SR: kj cc: Assessor BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number. Other Comments: Inspector must draw a plot plan with all building locations: 11 1 Additional Comments from Inspector: 2 FA z� �... y COUNTY OF BUTTE BUILDING DIVISION 7% e DEPARTMENT OF DEVELOPMENT SERVICES 411 -Main Street • Chico, CA • (530) 891-2751 7 County `Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PI✓RU'f'NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter; or need additional explanation, REV 10/92 �� COUNTY OF BUTTE - DEPARTMEN'r OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541. PENT NO. -(Rev. 12/96) APPLICATION AND PERMIT { 10 ASSESSOR PARCEL NUMBER J f `� /Cw/ 7 /l�J� ZONINO BUILDINGPERMIT OWNER e .�. i� TELEPHONE S3 3 b 1 SO. FT. OCC. BUILDING VALUATION , ownEr a MAI'UNG ADDRESS a G /0 v'- & 2al © �J ; t • C, CONTRACTOR'S NAME' / TELEPHONE , COM OR'S' "UNG ADDRESS 11%,GLN I�ivri,�, r✓ CONSTRUCTION DFA Fireplace LENDER'S MaUNO ADD R S _ Total Valuation $ -7 3 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Feez9ff $ ARCHITECT OR ENGINEERS MAILING ADD Plan Checking Fee s r % 64 BUILDING ADDRESS Energy Plan Checking Fee $ $ --- -- PERMIT FEE $ �- IS IONS NE PARCEL -.::'. NO. S USDNAM PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUC //�� SP ❑ Duplex ❑ Mobilehome ❑ Other C�G3TLt Ire SPECIFY TYPE OF WORK New CD�cidition ❑ Remodel ❑ Utilities ❑ Installation 13\13, Describe Work:bile Each Trap 7.00 Solar or heat um water heater 23.001 Water piping 15.00' Each as wat heater or vent 15.00 s piping tem 1 - 5 outlets 15.001 din er 15.00 o S G W :T:@20.00 11 PERMIT FEE S L TRI PERMIT Fling Fee. 20.00 — --- MLIE S ain ice 20oA OR LESS 23.001 i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pro ions of C p P (commencing with Section 700 of Division 3 of the Business an rofq�sion ode, I and my license is in full force effect. License Mass Lic. No. O UILDER DECLARA r i herebv affirm under pen of rjury that I am e)e it the Contr t tens Law for tie following reas [iI, :,as owner of the property, r m mployees with wage n errs eco on, 7n1t, V11c.:% Z-1 sale e �: �.... _ ;•: ;,� :y. ��: ii w.,.r I contract -= I to construct the project. O 1 am exempt under Sec. B nd Professi a for this reason WORKERS' COMP TION DECLARATION I her;:b l affirm under penalty of perjury on f the following declarations: I have and will maintain a certificate consen elf -insure for worker cz)mpensation, as provided for by sectio 37 f e Labor Code, for performance of the work for which this perm' have and will maintain workers' compensa ' Insurnnc s required by Seco 3700 of the Labor Code, for the performance work for I ermit is issue . FJy workers' compensation insurance carrier and poli are: Carrier Policy Number Nie above sections need not be completed if the permit is for wo of tion of or:e hundred dollars ($100) or less.) L! I certify that in the performance of the work for which this permit is i e shall not employ any person in any manner so as to become subject t erg' 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 sha for0with comply with those.provisions. g t a eture of Applicant - ❑Owner ❑Contract g t� F 'HA permit is iequired for excavations over a lit n r construction -tures over 3 stories in height. lo. S.- "CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Se ice a To 1.1JF 46.001 NEW CONST. ELUNG UP. sD OR ADDNS. ACC. S. 3.5¢x: y NEW CONS . LTI TLET I NON RESIo. @7.501 k1l a aiN 1°PA`aTET C1a. . Occu . OUTLET OR ForTuREs �� ® ' Ex. Occu . DFim s q LNSD-oEI 5.00 Tem car Service 23.00 Mobile me Facilities _ I �n.00 o,%nnl 1 PERMIT FEE S EC NIC PERMIT Fling Fee 20.00 H1NJZnhJf oolin Jood 6.50 Ve ' tion P MIT FEI: S MobAW111FIbIlilloallon Fee 1 $ Energy In e ' ee $ occ c T - TOTAL FEE a 4110, IiAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This pe s hereby issued under the applicable provisions of a unty Code and/or Resolutions to do work for which fees have been paid. In d ab -Y By Date PERMIT EXPIRES ON re — 1' August 27; 2002 LAND OF -NATURAL" WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Pamelia Jennings 2610 V-6 Road Oroville, CA 95966 Our records indicate that your building permit application has expired and was never issued. If you would like to retain the plans you submitted, you must pick them up at our office prior to -September 11,-2002 or -they will be destroyed (plans will not be mailed). Our office is located at 1 County Center Drive, Oroville. Our office hours are 8 a.m. to 4 p.m. Monday through Friday. ,r'Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 i' PERMIT APPLICA TION DA TA SHEET OWNER: /2l e�j �, .�'�"°i ' S ASSESSOR PARCEL NUMBER: 3 (o — / o is' , Proposed Building User �i�ar. G Building Inspector: 02 At time of permit applicatio , I was advised the following data must be submitted prior permit processing and/or issuance: 1. All items have been submitted .----------------------------------- Date Received By ----------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------------- --------------------------- P �3. Complete -------------------- plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering mu -- st be shown on plans. -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! __________________ 6. Energy Design Compliance and supporting documentation. ---------------------------------------- 07. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------------- -------------- ❑ 8. Hazardous Material Form. ------------------- 9. Manufactured Home data and installation instructions including Tie Down Specifications.----------------- — 10 Fees of $ I ---- ------ i 1. Impact fees as shown ------- -------------------------------------------------------------------- on the attached schedule. ----------__ + ------------------- --- a . California D -------------------------- ---- , Department ofForestry plan approval/fees. --�� 13. Flood elevation certificate. -- -' ----------- 4. Sanitation and plot plan approval Health DepartmentOf .--------------- 0 15. City Chico plumbing permit.-------------- --------------------------------------------------------------------- _ 16. Plot plan and business license approval from the City of Biggs. ______________________________________________ El 17. Planning approval for (A) Use: (B) Parking: --------------w I � 18. Contact Land Development about El Improvements, O Drainage, ❑ Legal Parcel. -------------------------- 0 19. Encroachment Permit for driveway (construction approval prior to occupancy). 020. Pre -inspection for P y)' ------ ------ _ I I 1121. Contractor's license information. required.Request to Building Inspector on (Date) !' (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- li E123.Owner-Builder Verification (Given to owner O, Mailed to owner O). ______________________________________ f 1124. Letter of signature authorization. ------------------------------------ --- 025. I ❑25. Recorded co of ------------------------------------- _ PY Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------- + 7. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired Permits.-------------------------------------------------------------------- -029 0433 AO Deed, pI i M.H. Title, O Check to H.C.D $ 0. Other: V 1+)e1(/�i'Rf Ce %«------------ - Wh�en you issue thecess ��V� _ Telephone S3�p �� r� follows Mail to owner, OM �o ontractor. + and hold for pickup at r1) Vr I office. O Deliver with inspector. Copy of Haz-Mat form sent ❑ Health D Applicant: ate: �M-0 / eurr►,,►, Copy of plans sent ❑ Health D epartrnent, ❑Fire Department, ❑ Air PollutionI epartment, ❑Fire Department 13 Other: �'' 1. Index permit application for the above items numbered: D�te: v �' 2. Additional items required: El Plan Check List i i Contractor, designer, owner, was advised of the above Contractor, designer, owner, was rimed data by ❑ Phone, ❑ mail, 17 Building Division counter, b I I' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter by Date: 111 Contractor, designer, owner, was advised of the above required data by ❑phone, ❑ mail, ❑ Building Division counter, by Date: advised of the above required data by ❑phone, ❑ mail, ❑ Building Division counter, by Date: reviewed by: Date: Plans approved by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: I /'Yellow Copy - Department of T)PVP1�..,.,o._. o___:. .... Assessor Name J AMELIA, Asmt # Fee # 036-1,04-'025-000 _N�IINGS Status ACTIVE `� ,`j ( Statu:bte. F Addrl 231 C V 6 RDi " ' �--•—+ rr——••-+-- --•- i Tax OOD K]RMAL OWINERSHIP' Addr2 GRCVILLE CA 9596E,7116 � Situs 2610 V-6 RD ORCVILLE 3 Base Dt rOEMfu - Addr3> Land 17,3341 Addr4 + j z. - Q Timber'Presel'ye[a tl „` +r V Structure 59,951 } l� AgPres rEtal = Cornment 361.0402F0000rJVERTEClT.j09/08188 Creating Doc #- 1981 8 2601 433 'Date t ,, r Y ,, Growing EJ Noted ' 3+ t • ' ' Current Goc�tr001R00368 'Date 08116!2001 J Bonds .s Total 11 77,285 - "` 1 Fix R! - 0 a ` tp _ F; tt Doc>T `[Rate _ ' s r Multi Situs 4` * )--f- Oil 1 MH PP 0 ; ti tl�r s ` J Flag1 tj_ .__ Asmt De.c 2610V-61`11)1' SuplCnt 0 ,= I t. r r = Zcnir,g AR [well 0 r r G. fi PP �J Flag2 ❑ 910 MH T' a ' Exempt _ - 7,000 + :_ ,<. } , # a Acres/Sq � 0 �N/C 036 a �""'�" r Asmt PP Pers Ne: 70,28 • r r R/C#r Tax PP en Appeal Penang ,T1R D` «, i= t Ins F?erding RIC Stat PHY , .OWN EXP: TAX:LHON r7WT SIT 'PR. _ PCL (f N ;} , Find�� i 2002 AUon, aOj23 f 20C. k, 5:42:58 AM3!J; S • n • F N COUNTY OF BUTTS- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIPdG (VISION f2-12- 7 County Center Drivs - Oroviller GeFtfornia 45985 a- Telephone (530) 53 lr4 ,cj �T Wo evlu�by , APPLICATIONAHDPERMIT CJ = raxcQ.►a_"°°' _ BUILDINGPERMIT 3,6 /a as r' QRUM B;LgWWG VALuknoN `iYPJ�: A�DR� Cal 0 11 =JEW== a=� � 61Vd�' AOmRSs acs oa cmw=m= m"m aster stems et4t� tlSEGFSZir UCNRE M pl= G MobDmboane O Misr TYPE OFWD;K H --w ri M:r= o ia=cdef o Uir= o Wds Dwmibs Waft 0 O bs, )d' cn0 7 D5 16 Alb SkA $ ' 0 d cmW Stec .�« $ • AAk*VNT RcGMV'c0 6 7 TO N Km Iwo coomm pe ie,mm. 6 A;&� 3i9 / Valuation Fee s 24.00 Fea a s �,=w; Fee_a A I a s I Pun chw--4*wa Fee s P2miT mi Fsel- 20.DD Emzh Trap 7.DD S WdPJ hester 23.0D V►fg� pig 15.0D r�.h Yet y� 15.DD G= mmimwm 1 -s=A 15.DD HMO 00% 70 smk ) I I 4LOD Zo.DD Fee I 2 D. DD 6.50 F�13AfT r� I s Whe Henna I ndolasoe Fee s �,argy hisPe_-iioe Fee s " TOTAL icE S w d r— Ddb I p-=\7 1 -OF PAR= ( PD This ?=I is hereby b:msd u Ser 1 -be sppB=Ns Prn sins cd 1ho Me- County Caie andior Fie=luftrm b d:, wirk ind=si--d eSove fir which %es have besn paid. B�y F=�D A�PJJS OA &D Tmn=rwf sarv=a MOD Wobb Hayne Fae6'fes ZMDD . tA— Vr z— . . . I >a rm Fee I 2 D. DD 6.50 F�13AfT r� I s Whe Henna I ndolasoe Fee s �,argy hisPe_-iioe Fee s " TOTAL icE S w d r— Ddb I p-=\7 1 -OF PAR= ( PD This ?=I is hereby b:msd u Ser 1 -be sppB=Ns Prn sins cd 1ho Me- County Caie andior Fie=luftrm b d:, wirk ind=si--d eSove fir which %es have besn paid. B�y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: azi ASSESSOR PARCEL NUMBER -3 V - / v 7l �� s- Proposed Building Use. /` C 11 S Coun er echnician: Date: Items required in order to apply for a perrAit. All boxes ST be checked OR marked NA in order to apply. ,1•.. Plot plans, 3 or 4 sets, signed,4y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 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. Manufacturedahomes:-(A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the ten ig neer. . Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will 'be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form ................................. $ ............................................. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. ❑ 15. P 16. ❑ 17. 'Z 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. 5. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet .................................. Statement of Intent for Non -heated and A/C Buildings .......................................... Sanitation and plot plan approval from the Environmental Health Departmerit in City of Chico Plumbing permit ......................................... y"arc ; ............ California Department of Forestry plan approval k9paid. Sent. by.. .............. Planning approval for (A) Use: (B)Parking: (eck: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for 4. rrequired................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature autho'rization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5-3ol r.5 CO e -j and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: MA) 1. Index permit application for/theAbove items numbered: 2. Additional items required / / Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone;,,.0 mail, ❑ counter, by ❑ phone, 'O mail, ❑ counter, by _ Plans approved by: _Structural approved by: Yellow: Buildine Division Plan Check Letter _Date: _Date: Date:_ Date: 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT. SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 A SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES // C� Balance Due ....................... $ 6 `� _ 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 A.P. # 3 6 —/d 3I1PT # DATE REC. 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) T. 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 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 the plan checking process. APPLICANTDATE Pursuant to Government Code Seco 66020, you are h y notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You hav 9 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 NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on the job site. A.P. No. },t3':'�•I"4,. ;tiff — t03-1104 036-104y025a}1 Owner _- jENNINGS, AMELIA i' 2610 V-6 RD; OROVILLE V Contracto i i ',GARAGEISHO_PT5 5,,,1 Permit Nast "PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan ................................. ><Oo Insulation Fireplace Footings Fireplace Throat ................................. 00'� .flt Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final _ Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY :.: ;Addresses;::::::::::: Information... 24_Hr Insp Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES RESIDENTIAL 036-104-025 03-1104 # . PERMIT NO. ? _JENNWGS, AMELIA - 2610 V-6 RD, OROVILLE i GARAGE/SHOP t SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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 7. 6. Gas; Location -Test -Wrap;-/ P' L'ft. . / P Nat. or/ P' L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. Siding; Nailing -Veneer -Stucco -Mesh 8. Utility Clearance Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements POOLS (Plans) OK except #'s. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH -Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas.and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- 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- Panel boards -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 J=OK 0 = Not =NotAApplicable - p . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Water Pipe; Test & Anchor -Nail Protection 1. Zoning -Setbacks -Easements -Flood -Slope D.W.V.; Test Fittings & Anchor -Nail Protection 2. Ftg., Main; Soils-Elec. Grnd.-/. /" Ftg. Depth Shower Pan; Test, First Floor -Tub Access 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 22. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 23. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 29. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 30. 6a. Hold Downs and Special Anchors 31. 7. Slab, Steel -Wrapped Card B-1 Date Card B-1 8. Piers -Fireplace Ftg.-Steel MECHANICAL (Permit) OK except #'s 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 36. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Vent Fan, Exhaust above insulation 12. Electric Underground 38. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 15. Access & Ventilation 40. 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (Single & Duplez) Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect 47. Hangers -Post Caps -Anchors -Connectors 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 35. Smoke Detector 52. Garage Fire Protection Framing -RC Channel Date Card B-1 Date Card B-1 Date 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 57. Siding -Nailing Veneer 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 60. Shear Walls; Nailing -Bolts 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 63. Infiltration -Walls -Windows 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 67. Bedroom Exiting 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 70. Stairs & Rails 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 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 3 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 Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes Cl 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE IT 0. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a acc. BLOS. SO 3.5¢FT: NOON-RESID MULTLOUTLET 97,50 POWEPPARATUS s sINGLER AovnEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL @ .SO FIX Ex. Occup. oimFis REES,D.OEA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: — ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 with comply with those provisions. Do (� iVnAatu;r4oApplicant wner ❑ Co actor�Agent An OSHA permit is re ire for excavations o er '0"deep and demolition or construction of structures over 3 s ori in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD COF PARCEL 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. By Date PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION * 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (' (Re .;2/96) APPLICATION AND PERMIT r � 3 T "'�- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking -Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 0, 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service OO.A OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. r- ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: — ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _.. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall withcomply with those provisions. D e bA: natur o Applicant caner ❑ Co actorAgent An OSHA permit is re ire for excavations o er '0" deep and demolition or construction of structures over 3 s ori in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACD. BLDS. 3.5¢xSO. NEW T. pESID. RANCHO CIRCUITS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. EX, OCCLI OUTLET OR FIXTURES BAS Q' o Ex. Occup. oFlimFis RM.GEA 5.00 Temporary Service • 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE It HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT -//f ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION • OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY 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 stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 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. y ❑ 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 ADDNS. ( 8 ACC. BLD S. O 3.5QFST: NONpEO510T MULTI -OUTLET 97.50 OWER APPARATUS 8 SINGLE 0. .Er CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1'00 ani p .s0 Ex. Occup. OUTLEETS RE51UNS°EA 5.00 Temporary Service . 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: — ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 crthwith comply with those provisions. /'"� , j lllex�o A c Lw ?4 Ott A A A1_ Date Q `2, ,,Signaturd'of�Applicant - Ovrner ' ❑ Contractor ❑ Agent An OSHA permit is requireWfor excavations over 5'0" deep and demolition or construction of structures over 3 stories" in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Zo • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �' " - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER i TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 1'5,00 Each gas water heater or vent 15. 15i), 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 G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.A 9R 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 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 TO IOooA 46.00so NEW CONST. DWELLING OCCUP. W OR ADONS. ( 8 ACC. S. SO 3.5¢FY. NEW T. R OSID. MU LTI-OUTLET @7.50 APPARATUS b SINGLE OUTLET R. EX. Occup. OUTLET OR FORURES .00 BAL @ I.so FlXED 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 Policy Number (The above sections need not be completed 0 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. ' I r t 4 ? t+ f �t� 4 Date y �%S�j (') 3. I. Signature of Applicant Owner ❑ Convector ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE 15 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 -to 3j- -IC) S -] C- 5e -I L,4 C -;k I ........... ................. ................... ........... ............ ................. ........... ................. .............................. ............. ............. .............................. .. . . ....... ............... ................... . . ........................... ...................... -OUWiiY OF BUTTE - DEPARTMEidT OF DEVELOPMENT SERVICES . BUILDING MSIOH 7 County Center Dave m. Oroville. CaCcfornia 95965 ► Telaphone (530) 53 1541 Pmvfr Igo AM �e wAPPLICATIONANDPERMIT =7 BUILDING P E.RMIT O SQ. FT. DCC. 5UELDWG VALumoN ice., n i /z ��� �� MOM"ol0 I� �1 �eaacr.+�s LVARS mmimm USEop ucTu B 3P Duplet D {=bBebc' ma D 001W IR I-OFWORK New 0 Adder 0 A==dd 0 U rm D 0 Ohms ' . Dia w -ft a5 *PstmiT FEE ?Alb $ sig $ a d AMOVW kc-CM—ab 71 TO U "n INTO Co#mvt ?tee-si3:�� e--a yabason s Fee 5 20.00 t Fina 21=1d, Fea y Flan Ch=ld,g Foo S PBW Fis ?Lda6Q3i1JG F�idiT s 3�I i. r- ng Fml- a S— 20.D0 Trak 7.DD yaiar hpv}pf 23.DD p 15.00 >= y, y� 15.00 ! • 5 ou8 15.DD www 15.DD H,mg S G Mt e20.OD rMnAL R7-77RMrr ZO.Do $g}WI= f TD teoo4 u6L" o . CLMNcaMum Fscau6es _ P�F�s (c�•S EscRAmtAL ?'cetmrr FSui9 Fea I20.00 8.50 i nmrr F I S Wbna Hama 0 Fee L Snes3y kmpe_-bn Fee Qom^` "PE TOTAL FEES U ajo I N:.z d FM 1 W I p�Z0 W: 1 e I Po I This permh is herebsy imued ul dar ffie appkable prodsors Of See Bum County Code ®ndior b d:p wwnrk mold bun for urhrh lies have been peii 9y . Dmin a,,)Js c ooD 2410 o -0 -low V as m` I- 7c�MT m CL j:n! I(D rr ig M �-j — -z- - a m - 9k D! CA> H 5. i I` .................. ------------ ........ . . . . . . . .25-1 i— rD "o d n) 1p pyz a 0 0 rNr, 5!21 !2 z c5p 43 7 ALP AU STRUCTURES AND EQUIPMENT INCLUDING ciOVERHANGS 8K4LL BE CLEAR OF ALL EASEMEPM. A SET BAC!( 30 FT. FT- FROM THE SIDE AND v FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEri-4 COR A 2 FT. EAVE OVERHANG. uj a,,)Js c ooD 2410 o -0 -low V as m` I- 7c�MT m CL j:n! I(D rr ig M �-j — -z- - a m - 9k D! CA> H 5. i I` .................. ------------ ........ . . . . . . . .25-1 i— rD "o d n) 1p pyz a 0 0 rNr, 5!21 !2 z c5p 43 7 ALP AU STRUCTURES AND EQUIPMENT INCLUDING ciOVERHANGS 8K4LL BE CLEAR OF ALL EASEMEPM. A SET BAC!( 30 FT. FT- FROM THE SIDE AND v FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEri-4 COR A 2 FT. EAVE OVERHANG. CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County, local "regulations which equal or exceed these standards. Field inspections will, be made by the Butte County Building Department for compliance. [LY1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures, which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire "apparatus weighing'up to 40,000 pounds. [L]�1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur` face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet, to those from 100-200 feet. [Lj� 2. The length of vertical""curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [tel 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot'"taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 oaf - 3 D 3,/, - /b4( -- oa CO3 AP # PERMIT # NAME [ter 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout. near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [L],-'1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates (V}� 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop. without obstructing traffic on that roadway. [v/ 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure.Defensible Space. [ ] 1. All panels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from i,l] property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect: See Other Requirements below. [1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_tal inspection of - a building permit. Page 2 of 3 D /oU—D'25— D,3—//De7l L,A P��c� AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [�f Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic eprinkler system per NFPA 13D - Glass area not to exceed 0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank . Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 19 Date Signat Page 3 of. 3 Y CDF FIRE SAFE REQUIREMENTS AP# PERMIT #' NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [LY 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the .roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [y-�'_1273.03 Grade. Not to exceed 16 percent unless paved.. 1273.04 .Driveway Radius [L� 1. No roadway shall have'a horizontal inside radius of curvature of less than 50 feet -and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ �3� 2. The length of vertical -curves in roadways -'.exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 73.05 Turnarounds. If required, will have.a minimum turning radius of 40 feet from the center of the road. [4--'1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic 'lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--. 36 - /b4( - v ;2- —//Del AP # PERMIT # NAME [L'j 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [j�7�1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [L� 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ) 1. All parcels 1 acre atid larger shall provide a mini- mum 30 foot setback for buildings and accessory. buildings from 41] property lines and/or the center of the road. / [l�J" 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [:1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 /06/-0025; - D,3--//oy AP # PERMIT # Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves N [ If Building Setback is Less Than 15 Feet NAME Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per'NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signat Page 3 of 3 v COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: AMELIA JENNINGS ADDRESS: 2610 V-6 ROAD CITY & STATE: OROVILLE, CA 95966 DATE OF CLAIM: 2, JAN. 2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE ,ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 0 8-3-01 NER CANCELLED PROJECT: AP# 036-104-025.; BP# 01-1915, RECEIPT 331 OWNER: AMELIA JENNINGS TOTAL AMOUNT PAID:. 499.36 RETAIN REFUND PROCESSING FEE: 25.00 RETAIN BUILDING PERMIT FILING FEE- 20.00 RETAIN ELECTRICAL PERMIT FILING FEE: 20.00 RETAIN SRA PROCESSING FEE: 43.00 TOTAL AMOUNT TO BE RETAINED: 108.00 TOTAL AMOUNT TO BE REFUNDED: TOTAL 391.36- he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true I correct as stated. Znvl— ited this 2 . A\ day of f I JI 1/ _, at Vl')11 1E• .Calif. the undersigned, hereby certify that, to the best of my knowledge, the services or at there is a Budget Appropriation I I or Specific Board Approval I I (Check one) ! ited this 2ND day of JAN XN03. at OROVILLE , Calif: of specified aboV~ beAn performed & dellvwed and Head or Authorized Deputy !pt. Code 440-001 Exp. Code 4210500 FOR BLE i(ROM BUTT DT NG PFRMTTS - 9 3 CLFUND !pt. Code 280 Exp. Code 4617240 9ABLE FROM SRA FEES `I3. 00 FUN !pt Code Exp. Code AYABLE FROM —FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. REFUND CLAIM APPLICATION (CLAIMANT'S NAME` WAILING .ADDRESS. 4 e 'ASSESSOR D Z S —V'# RECEIPT`NUMBER(S). Request a refund of fees paid on the above receipt number(s) for the following reasons: . Please refund any applicable fees in the following categories: (Check those categories. which you wish to" have refunded.) ' '(/Building Permit Fees ' ( Sheriff Fees SRA Fees (CDF Fire Planning) 'oeban Area Fees' Disposition-of'Plans ` (✓� Plans returned to me at counter - Please mail"plans to me at above address. ( )" Please,dispose of plans.". n ,�SIGNATURE� f .. - PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. v y FOR BUILDING DIVISION USE: Receipt Information: Number. r� 1 ;� � 73 / Date: Issued To: ta' o [e 4 -Q 1'(,Q C4 Amount: /_, "r g g Fees Retained: Processing Fee: I $ Q J v Bldg Filing Fee: $ Plbg Filing Fee: $ v Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: Plan Check Fee: Inspection Fee: /SRA Fee: F*— Total Amount Retained TOTAL REFUND DUE $ $ q $ log-- Da $ 3 ,1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541R T NO. (Rev. 12/96) APPLICATION AND PERMIT D/ _/T ASSESSOR PARCEL NUMBER 036-104-025 ZONING AR - BUILDING PERMIT OWNER JENNINGS AMELIA TELEPHONE 534-3617 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2610.Y 6 RD. OROVILLE CA 95966 CONTRACTOR'S NAME ENDEAVER HONERCONTRACTOR'S TELEPHONE MAJUNG SS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2610 V6 RD OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 3P Duplex ❑ Mobilehome ❑ Other BREEZE WAY SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: NEW GARAGE / BREEZE WAY Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home s G w - @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 O*OVOR LESS Main Service zo.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. 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: ❑ 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 Main Service TO 1000A 46.00 NEW CONST. DWEWNO OCCUP. EL OR ADONS. ( a ACC. BWS. SO 3.5QFT: N.NEW galp MULTI-, r UITs 97.50 POWERLE APPARATUS OLJREr IR. 6 SING Ex. Occup. OUTLET OR FIXTURES LAS ° I:50 Ex. Occup. OUTLETS (RREESID.FIXED APPLNS. OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work ;f—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 8 — 3 — 0 1 Signature of Applic - Owner 0 Antractor ❑ Agent An OSHA permit is r uire for excavation o er 60" deep and demolition or construction of structures over 3 s in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL FO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON eta Receipt No. 3317 410.16 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 C IEJ MIT NO. (Rev. 12/96) a APPLICATION AND PERMIT j ASSESSOR PARCEL NUMBER J ^� 10 , / ..� `� /� ZONINO BUILDING PERMIT OWNER 7 U 7 TEL SO. FT. OCC. BUILDING VALUATION 1\ MAee .iv i Al S3 3417 OWNER'S MAI'JNG ADORESS IS aG! U- 2a( 4 t �J �l(o eov CONTRACTOR'S NAME TELEPHONE 62 M93W=_iI­ COM OR'S MAILING ADDRESS LENDER'S MAILING ADORE ARCHITECT OR ENGINEER AFCHITECT OR ENGINEERS MAILING 9LIILDING ADDRESS LCT NO. I SUBDNSION'SNAME USEOFSTRUCTURS SP ❑ Duplex ❑ Mobilehome ❑ther s TYPE OF WORK New M,-A'adition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: Total Valuation 5 / / / LICENSE NO. Filing Fee $ Permit Fee j $ Plan Checkin Fee $ Energy Plan Checking Fee $ $ tJ PERMIT FEE $ PARCEL PLUMBING PERMIT Each Trap Solar or heat pump water heater N/Y,e t r. Water oioino L LICENSED CONTRACTOR'S DECLARATION Main NEW COP i hereby affirm under penalty of perjury that I am licensed under pro ions of C p OR ADON 9 (comrneocing with Section 700 of Division 3 of the Business an rof�Sion ode, Ra, and My license is in full force effect. -Dense Class Lic. No. ODof UILDER DECLARA Oc i hereby affirm under Nenjury that I am axe fr the Contr t 'cans Ex. Oc Law fcr the following reas Tem O !,as owner of the property, r m mployees with wage a errs eco on, to Mobile I contract_. to construct the project. - ❑ 1 am exempt under Sec. B nd Professi a for this reason. WORKERS' COMP TION DECLARATION I her.=b-1 affirm under penalty of perjury on f the following declarations: G I have and will maintain a certificate consen elf -insure for worker coml:ensation, as provided for by section 37 f e Labor Code, for performance of the work for which this perm' ' J i have and will maintain workers' compensa' Insuranc s required by Sect 3700 of the Labor Code, for the performance work for i ermit is issue fvly workers' compensation insurance carrier and poli are: Carrier F'clicy Number _ ;1'he above sections need not be completed if the permit is for wo of tion of one hundred dollars ($100) or less.) D I cs-tify that in the performance of the work for which this permit is i e shall not employ any person in any manner so as to become subject t ers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shat forthwith comply with those provisions. X a _ Signature of Applicant - ❑ Owner ❑ Contrac g ' t An OSHA permit is required for excavations over a At or construction of structures over 3 stories in height. ReceiptNo. WHITE -D.D.S.-CANARY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT heater or vent m 1 - 5 outlets _ PERMIT FEE ! PERMIT TO OUTLET OR FIXTURES Service e Facilities _ 20.00 0.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Fling Feel 20.00 23.00 — 46.00 3.5t' -"!ICA /-/- 1 5.00 /- 5.00 23.00 I Pn 00 nnl 1 I—. I _7 PERMIT FEE I S -/ PERMIT I Fling Fee I20.00 6.50 Mobl I In Fee $ Energy In e $ occC T °E TOTAL FEE $ /0, 11 HAZ. D. FEES IMP FLOOD COF PARCEL I PO I HD ISSUE ois'pe s hereby issued under the applicable provisions UEgUmaVounty Code and/or Resolutions to do work In d ebo for which fees have been paid. By Date _ IV PERMIT EXPIRES ON Defa CQUNr Y OF BUTTE -DEPARTMENT QE DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-75411. y PERMIT APPLICATION DATA SHEET � tt OWNER: G i 0. ASSESSOR PARCEL NUMBER: log 8 2 - Proposed Proposed Building Use: *K0 C Ala_4.Q yrj Building Inspector: jZ & Date: At time of permit applicatio , I was adpised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 1100 Fees of $ ------------------------------------------------------------------------------------- eri . Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ©42. California Department of Forestry plan approval/fees. -- --------- 1113. ------r� ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------/------- W`l4. Sanitation and plot plan approval a"pK Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑ 26. Letter of intent on building use. ----------------------------------------------- 0 27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. (Date) ❑29. 0433 A, ❑Grant Deed, ❑ M.,H�..T/itle, ❑ Check to H.C.D $ .------------ W - 0. Other: L V ��N Ce %9�%�t• �i- �0, S. $. 70 V _ ,W�hen you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone53 I 3( -7 and hold for pickup at &(; V r Y office. ❑ Deliver with inspector. Applicant: Date: (a0 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution By: Copy of plans sent ❑Health Department, o Fire Department ❑ Other: D By: 4_� 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building.Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. C6UNW OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 2JZ_0!•e/; A - -A e.AfAleA/S A.P. # 6 — / 0 Y r0�zs PROPOSED BUILDING USE A/xn6:2/',C5�ts��<<</ 4— alt -r DATE c � RECEIPT It DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial' (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Build* g Division) 5-0 tLe33/93 i 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 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 the plan checking process. APPLICANT ILIA DATE Pursuant to Government Code Sectio 66 20, you are here y n tif*ed that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 9 s from the date o roval of the project or from the imposition of the above mentioned items during which you may protest. a requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant . 3rd Copy - Owner (Rev. 6/00) sl-Jv' V -R -,-b C, S S- -\ s �- -k> COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, 0311fornl&95965 - Telephone: 916,`538-7541 ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-104-25 ZONING A R BUILDING PERMIT OWNER AMELIA JMINGS TELEPHONE 534-3517 S O. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2620 V-6 RD OROVIUX CONTRACTOR'S NAME %9IF.2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I 2610 V-6 RD OROVILLE , Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 S Each Trap 5.00 i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ` PARC L MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other f +� SPECIFY r 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 D Remodel ❑ Utilities ❑ Installation El, ther ❑ Describe work: Iff M _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions .of Chapt. 9, Div. 3 of theuslness and Professions Code and 'my license is In full force anid effect. License ;Jo. Classification 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 Iicensed'Pcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason s NEW CONST. DWELLING oCCUP.& OR ACDNS. (ACC. BLDGS. _37.50 3.64 sq.ft. NEW CONSTRULTI.OUT LET NON•RESID. BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A20 764 0464 FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.1 Fr,, I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 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 Ir *% 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 Iia Ilities, judgments,. costs, and expenses which may in any way accrue against said County in.~con'§equence of the granting of this permit. I X 1" _ n_.� Date l_�7s Contra ori Agent Signora a of Applicant — owner t) ❑ ❑ 1 An OSHA permit is require for exCagvations over 5-I'0" deep and demolition or construct- ion of structures over 3 stari sin hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 45.00 HAz OFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above.:fot which fees �(jIR,ECTOR OF PUBLIC By r ,. �; f` ". PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date E •-" r Receipt No. 1164 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I �. a 3T`nVir�/r •�• �64�!F'r1Y{.�.�5;'T:� ._'•dO'b'}.7'� `'moi"i�'`���f.Ci-i�� �.'�:-.ril '�f"'-c�:��e. �.:'N�tf a�' i`"~�II3 „3 rv..'�I���if i:K.i,:�'.i ii"t•. s.�Y .,� � �a:;• .,, 0R5 Amel ico-, zCo t o VCo I2d '70 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 1469 Humboldt Road, Chico, CA - (916) 891-2751., 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this i ' e�' 'mediately. 1 (Y' C 1...L6-fz A, REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 14-'-',9 Hurfiboldt Road, Chico, CA - (916) 891-2751 7 &unty Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER - i%ec PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conta^q this office immediately. ac� jr if,eq-Z4-7 /z7� %'71-.rd0- L o,^ 7?- c 7 pu /L g FiC<<cl-11 Date — !� �� Inspector REV 10/92 / COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKSPERMIT o. v 7 County Center Drive - Orovtlle; CalPfornia95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-104-25 ZONING A R BUILDING PERMIT OWNER AMELIA JENNINGS TELEPHONE 534-3617 SO. FT. OCC. BUILDING VAL&#PerON OWNER'S MAILING ADDRESS 2610 V-6 RD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "All 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2610 V-6 RD OROVILLE Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 11 Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: MOVE WOODSTOVE _ RE: #92-812 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SOOv OR LESS 200A OR LESS 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penaltyof check one): perjury Y( )� F]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 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OccUP.&\ OR ACDNS. 1 ACC. BLDGS. / 3.6Q sq.ft. NEWC ONSTFL ULTI-OUTLE NO N•RESID• BRANCH CIRCT ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET cIeR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 46d EX. Occup. OUTLETS IRESI DPqAL_ FIXED APLNS. OR .) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ix(Q' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia Ilities, judgment costs, and expenses which may in any way accrue again t said C my i con equence of the granting of this permit. X Date Signature of Applicant — wner Contra -KE -1 Agent ❑ An OSHA permit is require far excavations ave 0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz DFEES IMP FLOOD C01 PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicat above which fees I C OF PUBLIC By Am-- PEOVIff E PI • ES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 116094 WHITE-D.P.W., YELLOW -ASSESSOR, PINK•IN9PECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE PARTMEbtT OF RUBLIC W011114-- BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER/JVt'IF_L/.q �e P"t/ / /v 6S A P. No. 3�_/0�Z� Proposed Building Use i � 77) V e Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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$ .......................................... 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. ........................................ . 161 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. ...req . e� u 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. 34. When you issue the permit; process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. eliver with inspector. Other Parcel CreationZ Z Acreage Applicant Date 51- 4 =9-- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutio( 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 - Oroville,.California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORARC L NUMBER — Z ZONIy,�s //T BUILDING PERMIT OWN E m 15 L/ - ` �� �� J(�I// TELEPHONE 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD R SS CO R C R'S E TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER — UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 15.00 " Permit Fee $ � Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ — BUILDING A DR ESS - �� Permit fee $ � PLUMBING PERMIT -Filing Fee - -15.00_ = Each Trap 5.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�& Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: NvpII (G laiOSyV r-, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.9 3.66 sq.ft. OR ADDNS. ACC. SLOGS. .IEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d PAL- Lm 4bil FIXED APPLNS. EX. Occup. OUTLETS IRES ID )RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventil ation Pencil Fee $ L 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 a way accrue against said County in consequence of the granting of this ermirA XDate Signature of Applicant — Owner El Contractor ❑ Agent 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 $ Qf7 HAZ OFEES IMP FLOOD CDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No, WHITE-D.P.W.. YELLOW -ASSESSOR. 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 r no) S 2. I (hav /have. not)-X--l/� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name.. Address City Phone Contractors -License No. 4. I plan to provide -port -ions of this work, but I have hired the following;person.� to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type. of Work Signed: Property Owner. Social Security Nu ber 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. r May 27,1993 Amelia J. -Jennings " 2610 V -6 -Road'- -'-'" Oroville, CA 95966 RE: Building'Code-Violation- A.P. #: 036-10-4-025 2610 V-6 Road, Oro.ville Dear Ms. Jennings: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure 'to obtain-Ti'na1-'inspection for relocation of wood burning stove prior to permit expiration.' Since permits and inspections are required for' the above worlc, apply for the required permits to maize corrections and complete project and pay the appropriate fees. All work must stop until these permits ars issued and you .are authorized by our field inspector to proceed. This "field" authorization cannot be made until the existing work is inspected and approved. it is the County's goal. to obtain voluntary compliance with the Butte County Lode. However, you should be advised.' that Butte. County. has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is' not obtained. Enforcement. may be pursued through the issuance of citations, -fines and the recording of -a Notice of Violation including a description of the action necessary to abate the violation. You 'have thirty JIgI days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact David Purvis or Rill Barron in this office at the address or telephone number listed above. Yours very truly, •_ 1� JTJ:dms David Purvis Manager, Building Inspection. cc: Assessor August 27, 2002 =�a5 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Pamelia Jennings 2610 V-6 Road Oroville, CA 95966 Our records indicate that your building permit application has expired and was never issued. If you would like to retain the plans you submitted, you must pick them up at our office prior to September 11, 2002 or they will be destroyed (plans will not be mailed). Our office is located at 7 County Center Drive, Oroville. Our office hours are 8 a.m. to 4 p.m. Monday through Friday. c O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. F2. -personally plan to providypt.ha major labor and materials for construction of the proposed ropertXntrac rovement : YENO ❑ HAVHAVE NOTned an application for a building permit for the proposed work. have cted withthe following person (firm) to provide the proposed construction: c NAME: CONTRACTOR'S 4. I plan to provide p 'ons of this work, but I supervise, and provide the 11 r work:/ NAME: ADDRESS: a rINVI_ I will provide some the work indicate NAME NO. hired the following person to coordinate, .CITY: [LICENSE NO. work but I have contracted ADDRESS PHONE persons to provide �1• NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.A- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the 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 "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. Mier, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. C9"t 30 'RESIDENTIAL 367104-25 JENNINGS, Amelia 2610 V6 Rd, Oroville addition/sf 44 tVi o OFFICE COPY Address GAS Date� Meter By ELECTRIC Dat Meter By ------------------------- Date D te- 4 "C7 "2 a JOB FINALED Signature 92-812 BPE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. a: A routine inspection indicates that the following violations of Butte County Ordinances exist at f the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, t: please contact this office immediately. Date 6 Inspector p..5 REV 11/81 J=OK O=Not OK = Not Applicable RESIDENTIAL (; = Not Ready Date UNDE FLOOR (Plans) OK except ff's Zoning -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth _.3-Ftg-Ciage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Ste I -Wrapped 6. P' -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. OF as Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 142. Electric; Underground . 13. Pienums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples _],'Recess & Ventilation 16. Insulation Date �ard B -OT Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMB G (Permit),OK except 4's air -water Htr.: Vent -Access -Combustion Air -Baffle --- -- 17 toj Pipe; Test & Anchor -Nail Protection ------------------- --- 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: & Anchors ------------------- - - -------------------------------------- Date Card B- _ --- Date - Card B-1 -- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture Transformer Clearance -Ins. Protection _ ----------------------------- .. Receptacles Spacing -Lights & Switches at Doors ---------------------------- ------------------------------------------ ize Boxes & No. of Conductors -Stapled ------ ------------------ -------------- 2`J�Omex Installed Close to Edge of Studs & C.J. �G-EtiQfp Ground made up w!Mech. Fastners-Bond Gas & Water ------- --- -- ----------------------------------------------- uts in Kitchen & Conductor Size!GFI --------------- --------------------------------- ----------------------------- Size ! r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI e i rt, ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes- - -❑-No 3 _ iser Conductors & Ground -Main Disconnect ------ ------- --- =------------------------------------------------------- 3 ET quip. Clearances Panels-Motors-Mech. Equip. 3&-Crothes Closet Light -Shower Light -Spa Light ----------------------------------------------------------------- -------------- - 1311 o e Detector Date " � Card 8-1 - Date Card B-1 ----------- ------------------- -------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except 4's 34. A.C. Ducts Insulation & Support ------ --------------------------------- ---- - - - -----iiia-------vett- --tion--------------------------- Vent Fan: -Exhaust above insulation - - ----------------------- 36. ---------------- 36. Condensate Drain & Overflow; Size & Grade ----------------------------------------------------------------------- 37. ------------ - -----...- -- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - ------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ---- r - -- --- - - - - - -- -- -- - ---- Date,S�-�Card B-1 Date Card B-1 -- -------------------- - --- ----------------------------- --- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's its. Proper Material & Anchors - - - - -- - --- --- �---------------------------- 40. --------------- - - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ -------------------------------- ---------------- - �a!Bearing Walls over Girders & Floor Nailing --------------------------------------- - �praft Stop in Walls (rat proof) ------------------------------------------------------ ----------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ ------------------------- 44. Headers & Beam -Size & Bearing tingle & Duplex) , 1 Date MAMING (Continued) _ Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47- Fireplace Ties or Type A Flue -Fireplace Throat clearance i3 Access; Size & Romex Protection -Draft Stop -Ins. Baffles _4&-B9mf.-71rndows or Exiting Doors -Sill Hgt. & Dimensions _ _ _ _ lection Framing --- -- erty C"ne_Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 5Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- 55_Sidt5g'Nailing Veneer 5L_&kretahRe Drip Screed -Fd. Vents-Underflr. Access - -- -in Area -Glass Protection -Skylights -Plastic ear Walls: Nailing -Bolts ----------------------- J _,U a Iation-Walls-Ceilings ------------ ----------- 60. Infiltration -Walls -Windows Dates Card B-1 Date Card B-1 -Dat - ---- - — Date Card B-1 Date Card B-1 Date FI (Plans) OK except 4's eps-Door & Sidelight Protection -Landings ----------- ---- - moke Detector -------------------------- -6e.-Pornace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection - ----- -- eG-�eMr om Exiting . F.I. & Bath Fixtures & Tub Access -Spa ---------- - ec. Trim & Subp_anel: Breaker Sizes & Labels Stairs &Rails _ --------------------------------nce _ — let. Outlets at Wood Panel: Int. & Ext. -WB-KiT.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------- ------------=------ --- - 1--E1ec. Outlets & Receptacles at Kit. Counter gage Fire Door: Swing -Landing -Closer Duct in Garage -Damper ---- -- moi= -- Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. , -` In Ga age: Above Floor -Meth. Protection ------------ -- - Ib., Elec. &Mech. Equip. Listed for Location ---76-Ete Receptacles in Garage: (G.F.I.)-Romex Protection ------------------- -- -------- 7, nsulation-Foam-Looked in Attic ❑ Yes ---------------------------------------- *7. ---- *7. guard Rails & Deck Construction -Post Caps nom. Ven s &Crawl Hole Door -Drainage &Wood -Earth - ----- - Cle nce Looked under Floor ❑Yes ---- ti=nt - - 3 ollowing instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No - -31-3tv>•Co: Brown -Finish ----------------------------------- -_ -ifi-A.C. t Disconnect. Electrical, Plumbing bove Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - I: Disconnect, Electrical, Plumbing -- xterior Elec. Trim: G.F.I. Receptacle -Underground ntilation Throughout House ---- -- --- -- l/assp. rotection ---- - -- �- a 60"ecti ris from Previous Inspections --- ---- stnMeters Ta -----Gas-Electric-------------- W�91 er & Sewe onnected-C/O rade-HD Approval rgy Compliance Certificate: Other Certificates — Date �� ��Lard B_1 Vate `�'�Card B-1/� Dat 2 1� ti Card B-1 -[ Card B-1 --- ... - ---- ------------------------- Date Card B-1 Date Card B-1 Comments at Final: J=OK O = Not OK =Not Applicable, MOBILE HOMES .' = Not Ready 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 � � l 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; 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 8. Frmg; 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 boa rds-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 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 13-1 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 � � l 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; 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 8. Frmg; 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 boa rds-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 • • Building Owner _ Building Location ENERGY INSTALLATION CERTIFICATE Building Permit ;• DESCRIPTION OF INSULATION ROOF , Material Brand Name Thickness(inche Thermal Resistance (R Value) EXTERIORJM Material .Thickness (inchos 5112--T '--- CEILING Batt or Blanket Type Thickness(inches) Loose Fikl Type '> . Minimum Thickness(Inche Area covered(ft.2) FLOOR, ELEVATED - Material .Q d Thickness (inches') FLOOR, SLAB Material Thickness(inches) Width(inches), FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand NameLIIA4C Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) ,- I hereby certify that the above insulation was installed in the above building, Zs consistent with approved building -department -plans and attachments -and con= forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAME/OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required: features, devices, and equipment, as shown .on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of Californija Energy ,.equirements. HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OUTINER' STATE CONTRACTOR'S LICENSE NO. 7- z-9� DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON-FilE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 M f COUNTY OF BUTTS --DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 92-812 APPLICATMN AND PERMIT ASSESSOR PARCEL NUMB R 36-104-25 '" ZONING Ar BUILDING PERMI OWNER Amelia Jennings TELEPHONE 534-3617 SQ. FT. OCC. BUILDING VALUATION 184 - - 38---_ 6,992 OWNER'S MAILING ADDRESS 2610 V6 Rd, Oroville 95966 /-----88 20 ) 1,760 CONTRACTOR'S NAME i1k1exx owner TELEPHONE I i \ - \ -'� 11 CONTRACTOR'S MAILING ADDRESS Fireplace ' Za CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 90.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 45.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2610 V6 Rd, Oroville Permit fee $ 170.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 20.0 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 ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW= @ 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: nddi ti on _ Permit Fee $ 57.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW 1 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 X 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) f ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N\ 3.6asq.ft. 9.50 OR ACDNS. ACC. BLDGS. / NEWCONSTR OUTLET @ 5.00 RESID BRANCH CIRC ITS NON - RANCH POWER APPARATUS a (SINGLE OUTLET CIR. 20 @ 750 Ex. Occup(OUTLETS OR FIXTURES AL 9D 464 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 g 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 PERMIT FiIingFee 15.00 Heating Cooling g Hood \ 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia lities, judgment osts, and expenses which may in any way accrue again aid Co . ty i cons uence of the granting of this per it. X Date ontrAgentAn OSHAwork Signature of Applicant — J::rCEticCn permit is required fs o deep and demolition or construct- ion of structures over 3 storieheight. Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE $ 291.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated abov for which fees have been paid. I DI 6 OF UBL WORKS By t Date PERMrT EXPIRES ate.-• .— I Receipt No. 0 Z3 .UNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT "1µ �.'at .w!`,%..1 'N ~' t t.. ;-,.r •, .ion rs�.r,,'�rs.�\.,. •,,,�;.� +'�`,�y,.. . COUNTY -OF BUTTE - DEPtA �j ✓N O,F PUBLIC WORKS -BUILDING DIVISION 4 7 COUNTY CENTER DRIVE - Q'O.. WORN 1A, 95965 - TELEPHONE: 916/538-7541 PERMIT PPLICAMON DATA SHEET +' ) Permit No. OWNER J 'en h Ln' Q S �; A. -P. No. Proposed Building Use S Building Inspector',jT1101 Date 3-20 At time of, permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 'DATE RECEIVED APPROVED 1. All items have been submitted . ............ .:�............... j...... ! 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ A. 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 ....................................... 5 jPark fees paid �.. ........ School District fees paid .............. §14. Sanitation approva from 1 QAPGC 1�_ Health Department 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 ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization.... .. . /nnlX .SIO ni 1 a�sQ O. .1 rR•/N q• it . 27. When you issue the permit process as follows: Mail to owner. Mail to contractor. Telephone -7 2 O and hold for pickup at office: Deliver w/ inspector. Other z Applicant e O ZD Copy of Haz-Mat form sent Health Dept. Fire Dept. it Pollution %Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted Drior. to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: �l A A V Contractor, designer, owner, was advised of above required data by_phone_mail—counter by4k&Ldate 3/Z7 Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by 81W Date '_Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATfON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER , 6- d 5' - 2S' ZONING BUILDING PERMIT OWNER - 49�1 ell ,I 0 TELEPHONE S3 - 6i SO. FT. OCC. BUILDING VALUATION 8 - OWNER'S MAILING ADDRESS lv - Gl /'O I/, /4- 9s -f G zo 6 0 AC C O N T RTOR' 5 N AME ,_0_ r TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ¢ 2 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 90 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g Ste' Energy Plan Checking Fee $ 2 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /90— %0— PLUMBING PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Zv C2 — 6 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 -7 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 15.001/S— Mobile Home S G W 615.001 TYPE OF WORK New❑ Addition Remodel❑ Utilities[] Installation❑ Other❑ Describe work' I I 1-'7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 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) ❑ 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.& 1 OR A00N5. ACC. BLDGS.'Z'7-L.NEW 3.6*sq.ft. 9 SO CONSTR ULT I -OUTLET NON-RESID. BRANCH CIRCUITS) 5 00 POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 75d RA FIXED Ex. Occup. OUTLETS PRESID 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. F1 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 F- Ing Fee 15.00 Heating + Cooling EHood 6.50 Ventilation Penult Fee $ Contract 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 of Applicant Si nature A g pp - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" dee and demolition or construct- ion of structures over 3q stories ;n height. p Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ �� HAZ rFEES 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 DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do i have been paid. WORKS i Date f i Receipt No. 1®�/�W NNITE-D.P.W.. YELLOW- ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Degartment 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) G 2. I (have/have not) �A rLQ- signed an application for a building permit for the proposed work. I 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. 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 Ownerdlt j n LAZJVG Y I AA 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 PUBLIC WORKS f• 7 County Center Drive,-Oroville, CA 95965 PHONE: 916-538-7541 • DATE 3-27-92 MARK MAYBEE RE: JENNINGS ADDITION 1258 FILBERT AVE CHICO CA 95926 A.P. # 36-104-25 With reference to the above subject: Ll Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced Y -.k L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in • Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 777 l V1 Sj2ec.CUti f� Should you have any questions concerning the above, please contact B. WILDING of this office. Yours very truly, cc: AMELIA JENNINGS William Cheff 2610 V-6 ROAD Director of Public Works OROVILLE CA 95966 .F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,-Oroville, CA 95965 PHONE. 916-538-7541 MACK- MAY16C_6 DATE 3/2792 I25 8 rt L- &--2T AvE , at(co , CA 959 2(,, RE : 3F_tjm Kia s goo m00 A.P. # 3(o 1o4- 25 With reference to the above subject: _1 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in - Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. P2ovl oG L1 OTHERO X-GVILC� UNION ti S. sChtG1'�� �ECEIpT 102-\ n r u CAT 1 1/_4 Q ios<<u- It 1/f/ 1� } C -_A R -'YL 7 (2,c.ass Should you have any questions concerning the above, please contact g, W 1L0fQ6 of this office. ' Yours very truly, e . c • met �a. Jenn'� n�9 //�t.� - William Cheff OrOville 9591i� Director of Public Works A.F. Glander JFG/aj Chief Building Inspector WCL X'.�'"r'..^.I+r.-c'+'T++.�:.r•-rr...tnw....�y�✓'s,n..-�,..r .,,rte �^'.n'^•+r,..��Mnf'^r`'�"'�tna.`rs•.+»^slM+7rC'.r+r�.. `'��wv-^• si3f" yr .�-r _ � sem"'+"'Y �.r•' TS W. K`'�Sr-.r'vt' . �rty�« sP't'•�tw,.wa.rrw.��,•n •r.Oa BUTTE COUNTY SCHOOLS.DEVELOPMENT FEE CERTIFICATION FORM Qa�_/6q_ Oo25 (One Form per Building) 'f'� Q`7 3 A.P. Number �'- �d�/ 2� Building Department No. School District City D County Jurisdiction Property Owner aATU2,0 phr ► S v Project Location/Address 2 6 10 y— 6 P 0( Subdivision Lot Number Residential Development: a N N Sq.. Footage :17 V, # of Living MHI Addition (Group R) Units Commercial/Industrial: COUNTY OF BUTTE BUILDING DEPT APR a t 1992 partment Represen Building Sq. Footage New Addition (Including Exterior Roofed Areas), ative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id N6. 92 o 4 2'5 School District certifies .that (Appl ' cant Name ( Phone Numbe"r`):. G10 V-6 (Street_Address) i r f f ( City) ( State) ( Zip Code) has complied with the requirements of Resolution No. S' 9 v r •� by t payment of $ representing 6�_701_ square feet. SgMPgP District Repre ntative Date PAID BY CHECK NO.REMARKS: BANK NO PAID BY CASH white -applicant, i . yellow -building departmen`t,• pi4--school district SCHOOL.FEE (8/88) FO K, M ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY,SHEET `PACKAGE "A" (Additions) N - Owner �\ M L. ,,N JAN N I K-7 Q'S Climate Zone Permit # 172- X11-Z Floor Area The following data showing mandatory.and required features of Package '•'A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and.patios to living areas., house moves that add-. footage and attic-conversions,,and any space•that-is`existing,non-conditioned spacethat is converted to conditioned space.-- Remodeling of existing conditioned space.-is not- included. R . ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING ,R=30R-38 1 WALL R=11� R-19 FLOOR R=11 R-19 .SLAB R-7 '� • t R-7 GLAZING U--:6T5—(Dual) w U-.65 (Dual) SHADING - SOUTH -*-OPTIMUM OVERHANG, or .36 Shading"Coefficient. WEST. - .36 Shading.Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL' (Weatherstri-p .doors", certified windows, caulking) VAPOR-BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL-CODE - Cl. 10 LIGHTING_KITCHEN_&=BATH NOTLESS_THAN 25 LUMENS/WATT -. _ = MAX MUM-GLAZ-ING-16%=O-F. AREA PLUS REMOVED GLAZING NEW HEATING', VENTILATING,`AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION.SHALL BE INSTALLED AS-SHOWN ON BACK OF THIS.SHEET. OTHER " .^ _ 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace T (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following; Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of - solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements'of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit #. c(2- 8/2 OWNER_ J&Y�nfln'w A.P. # 36—/04— ZS Plan Checker 060 GENERAL Zoning requirements: (sideyards and number of permitted living units). Valuation. �3. Plans signed by designer. �+. Proper description of work on application. --5. Existing violations on property. --6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7. Recorded notice of violation. PLOT PLAN vI. Complete parcel size.and dimensions. ✓2: Setbacks,-sideyards, easements, etc. —3: Other buildings or structures. -4: Grading, fills, drainage. �- Flood hazard: -6 Special conditions on creation map H; ustible, and foundations).' FAU & FAS road setback. (noise; CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). w FLOOR PLAN Complete to scale plan with dimensions. 6 Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec.'1204). —� Skylights (Chapter 34 & Sec. 5207). LX Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in bath's., garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. r-9: Locations of water heater, heating and cooling equipment, other electrical or gas equipment. „ -14. Garage firewall, door -size; -and-closer=(Sec. 503(d).(3)). -1-1. 1 - 3'0" exterior exit door (sec. 3304 (f). . Fireplace and wood stove location, alcoves, and clearance. 1D 13 Smoke detectors (Sec. 1210). "S Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS '1. Standard bracing or engineered -design (Table 25V) Unusual shape, size, or split level house requiring lateral design. 3• Foundation plan complete enough to construct building. G-4` Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. L6.,- Roof construction details complete enough to construct building. 7. Fireplace construction details and calcs if necessary. 8. Rafter ties or bearing ridge beam. �et Vj` qM c. u ck rlaQ6 9. Garage door or porch header sizes. � 10. Stud heights. 11. Adobe soils - special foundation design. 12. Retaining -walls requiring design. 13. Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR �Y Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). _-2-: Guardrail details (Sec. 1711 & 3306(j). ,3:- Brick or stone veneer (Chapter 30). r-4.- Exterior plaster - weep screeds (Sec. 4706). �§- Proper roof pitch for roof convering (Chapter 32). Roof.covering type - (fire hazard). ,fi' Foam insulation - protection. S` 36" halls and stairways. —9:- Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). t'3: Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 15_ Energy design. t 6. Flashing at all exterior openings. �7--CDF responsible area requirements. G ����.:�. use_ c� ram �► a.�dt�mn lUh�i' e w awda.v l Qin to owiXw,,, - haw mcc chq i� &J,rr� ✓cPiyycaJrc� G�G�a - VYt a o' l� = l(o % G � �reCc = 43 40 s9'/ -f. S° 4° rvvndou7 = 20 baM 2 3° . 6 "Z�p C*) 4)c 54aim - sufy,201 fi dlelf�_ CG u' ° miry cif % ��� U�3C C8� 2 9 - �x "du ® U5 ata Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E/ JOB FIN 'LED (Date) Signature = OK = Not OK = Not Applicable Not Ready RESIDENTIAL (Single •and,,Duplex) . Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Se thacks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11.Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 415 oe 0 fCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels §0airs & Rails 19. Gas Pipe; Size & Anchors Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes [-]No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Ot Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ _ 42. Hangers -Post Caps -Anchors -Connectors 43. Png. Joist-Rftr. Ties-Purlin-Roof Brac -Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UT+LITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM o. 7 County Center Drive - OrovSlle, Cahifornia 95965 - Telephone 916/534-4541 r APPLICATION AND PERMIT , ASSESSOR PARCEL UMBER 3c, _ apt, - 2 ZONING - - BUILDING PERMIT OWN •R 2A4 4AI /3vNN/G /LLIA*M S TELEPHONE SQ. FT. OCC. BUILDING VALUATION O 'MAILING-ADDR&/O/OE$lOAL) OeOV/LLQ eq 9S9GS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 41 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /0,0,0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ :Z0, 6' BUILDING ADDR S 2 4 �d6 �D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 OeVVILL,E Water piping LOT NO. SUBDIVISION NAME- PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,/ USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other R SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ _ Remodel ❑ jt) i iii i/ies ❑ In tallation❑ Other Describe work: �NS%C/ �-�/'- • �%� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.0j) OR ADDNS. ACC. BLDGS. I 22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F -1I 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 LZY/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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID CIRCUITS) IRC ITS NEW CONSTR. (POWER APPARATUS S) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. OCCup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on. file with the County of Butte Building Department CIa ertificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con/of the granting of this permit. wvL. it i'Date %� Z — g X �v � 64. Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5 0" deep and demolition or construct-I'RE4CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2Q, OCCUP. GROUP I TYPE OF CONST. I IPARFFr[7D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or aindicated/above for which OF PUBLIC PERMIT EXPIRES Date the applicable i- resolutions to do to fees have been paid. WORKS Date ` Z / Receipt No. Ob WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i r PERMIT •NO. 4806-75B P E M 'MH UTIL. PERMIT NO. PERMIT EXPIRES -OWNER Norman Williams CONTR. owner LOCATION (A.P. 36-104-25 ) 2610 V-6 Rd., Oroville Y� . .t f y ' r e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E TempfGas Serv. Called PG&E JOB ble FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor -Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. Gas Piping & Test FIREPLACE Footina FIRE SPRINKLERS Tes.t Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final ELECTRICAL r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^ • ` 7 County Center Drive — Oroville, CPlifornia 95965 i%O / P�- —Tel ephone: 534-.4541 ` Q Ip J APPLICATION AND PERMIT L/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. . QnC.� ` X446v�Date b / %J Signature of Permitee or Agent Receipt No. 7 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF B'OBLIC WORKS By Date_? /Y '7 ilding permit expires Date BUILDING Owner. SQ. FT. OCC. BUILDING VALUATION o ov Mailing Address,-f.6/D—(o l20U/C,L&-• Telephone No. 1 �. Fireplace Contractor 0 tyt✓ e Total Valuation Mailing Address Permit Fee " Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address Q U_� " PLUMBING No. @ FEE . PERMIT FILING FEE $3.00 g -C' Q U — d fe 0 (/ 1 L t Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fqe84W -sa Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p. Lawn sprinkler system 2.00 BI ans ec'd I Parcel Approval Plans Approval Permit Fee $ s NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 —A&d. Main service incl. 1 meter Additional meters, each 1.00 - Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 (d2 Light fixtures boINO Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am 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. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. . QnC.� ` X446v�Date b / %J Signature of Permitee or Agent Receipt No. 7 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF B'OBLIC WORKS By Date_? /Y '7 ilding permit expires Date S .� .... ..._ � -�y . +� - � � _. .� j ///) � _ n ,�-(�/ �, A, �_� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION �'I► VD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING ' BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J1/ CONTRA_CTOR•S NAME - < <1. .,. TELEPHONE 33-7i? CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN •4'`f � Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Jr Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets .'S. USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ OtherE] Describe work: Permit Fee $ / t;_ `_''- Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS RSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.EI) OR ADDNS. \ ACC. BLOGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus iness and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I.Ou L T NON-RESID BRANCH CIRC TS 2.50 ea NEW CONSTR. (POWER APPARATUS D1 NON-RESID. SINGLE OUTLET CIR. i Ex. OCCUp OUTLETS OR FIXTURES a L� 09 (.FIXED APPLNS. OR Ex. Occup.uTLETS (RESID.) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. jThis 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD I No I ISSUE ` permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC .)� By ! ' .. rte PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 7 ; - / K �- '� .,�� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT w COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 a?��� AP,PLICATIA'Ah� PERMIT ASSESSOR, PARCEL NUMBER ZONING 6 , /V-4 — zs- BUILDING PERMIT OWNSpt/ L TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD//DRESS J r CON, TR ' TOS NAME t TELEPHONE C v 33 - 7377 CONTRACTOR'S MAILING ADDRESS if Fireplace CONSTRUCTION LENDER ©`elr UNKNOWN Total Valuation Is Filing Fee $ 10.00, LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �. ' — " '1 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDFJESS �— Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 g Each Trap 2.00 Repair drainage or vent piping 5.00 /Yl Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets J,00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti ('ties ❑ Installation ❑ Other X❑ Describe work: Permit Fee $ A;_1 i Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. \ DWELLING OCCUP.y` OR ADDNS. ACC. BLDGS. / 20 sgft 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) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST( R I -Du LET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR JPOWFR APPARATUS e\ NON.RESID. %SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a � Iase Ot FIXED APPLNS. OR Ex. Occup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again t said County in consequence of the granting of this permit. ^7„� �� / X Date // / Signature of Applicant — Owner( tractor ❑ Agent ❑ J VW 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 $ o= TOTAL PERMIT FEE $ /S OCCUP. GROUP I TYPE OF CONST, I PARCEL PD HD I ISSUE [, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which (RECTOR OF PUBLIC By PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS Date% �/ ;;;I �� Receipt No. �5- 392 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A. P � J.R'. LeMaster ; _- - _- 4630 VE Ave Oroville _- -_ Permit^32-74� (new single family) �V- 3-4147 ".'�A 13 e J.R. LEMASTER, /9 4630 VE Ave., Orovi le �a Q .�' Win_ �: Permit# 35-75B(lst ENEWAL-3?.-74 =;�er��W-2574 -75B(addition) • Q. F � 1 F 1 L t f - I 1 r c 91 I 0 rA I ^L y k �♦ �1..� Y "b.3^. ` ..� Y. r��. _ +.�_�; Y9 � �i P � k:. ��. t � � t� Y•' ,� 1 I�`i � •. f .. 3� �`' ,1 a L � .� ,. 5 4� I 0 rA T COUNTY OF BUTTE — J)EFARTMENT OF PUBLIC WORKS 7 County Center Drive -- Croville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwnce representatives or the uounty or buite to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.,PUBLIC WORKS BYDate Building permit expires Date �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. ' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 - A. P. No. _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees N.C. :`Saj�i- tiori_ Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. al-uns Recd Parcel Approval Plaas"Approval Permit Fee $ $ W ADDITION UTILITIES ❑ OT IJER_❑ -- - * ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 M n service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Receps., switches & fix outlets 20 R 25 i CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT 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 TOTAL PERMIT FEE auuwnce representatives or the uounty or buite to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. ' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.,PUBLIC WORKS BYDate Building permit expires Date �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W0 5 2 ` J �i 7 County Center Drive. » -, OrAiIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Date (��r— a) White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �ild=nqpermit expires Date f� BUILDING ' Owner f SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Addres Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ,--. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F4.91t a ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. ns Recd Parce pproval PI joe Approval Permit Fee $ $ NEW ❑ [:]ADDITION [V UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 9C f Jt- X) -7 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 0 Wl Light fixtures ba 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the'provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. coo I er, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am 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. NI certify that in the performance of the work for which this ermit .is issued I shall not employ any person in any manner so as to .become subject to the Workmen's Compensation Laws of California.$ PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2,00 Hood Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above- a ed prop or inspectio purposes. X Date �f ra f Parmi}er �. Anen} TOTAL PERMIT FEE $ oc This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFjfUBLIC WORKS �) T /t r Z i/ .- Date (��r— a) White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �ild=nqpermit expires Date f� • � to ,i• 1) �( , ` 1 ,jJ 1 1 i I If . kff`, PERMIT NUMBER _ B 32-74 B,P,E # P • _ 21sMx PERMIT EXPIRES ' 1'' WNER J; R. LeMaster owner • '�CONTR• "LOCATION (A. P. 36-103-27 4630 VE Ave., Oroville _ 1 1•iy {rte 1 \r � Al I5 4 COUNTY OF BUTTE. Department of Public Works BUILDING INSPECTION. RECORD Zoning Setback Form's _�� Foundation i'11 S//,, Piers &GirdersC�, // f�A l Fireplace Rgh. Plumbing Bond Beam Lath & Plaster lleoolllial�r _ Rein. Steel Gas Piping &Test — — Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr Furnace / C— Kitchen Vent—/ ` Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING " Temporary s '— p y ..� Tem orar p y q— 2 r �'�� Cert. of Occup. Final >� ' %�� Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Driv4 — Oioville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT woa 3 S- `7 authorize representatives of the County of Butte to enter upon the above a tioned prop r- )y for inspect',on purposes. X Date 7 signature of Permmitee or Agent , I / ipt No. _97ll D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR OF U LIC WORKS By Date / wilding permit expires Date........��................. BUILDING Owner /Y! 'f /` SQ. FT.OCC. BUILDING VALUATION P' Mailing Address b z Vie � C_W Telephone No�D fireplace Contractor D u-) 61 EIJVI Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee AJ F""^ $ $ Building Address(�& V PLUMBING No. @ FEE PERMIT FILING FEE $2.00 _ tf +� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —®3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F "u@RIt3fJO1L Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im Improvements P Lawn sprinkler system 2.00 nu_ ___- o_ —_.eye- o�v,..— 'd Parcel Approval Plans Approval Permit Fee $ $ NEW is,ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e_!�%JeEWEU1,Q L ©I= Main service incl. 1 meter P 7 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 20 Light fixtures balPalio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. PqI certify that in the performance of the work for which this lpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State .Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above a tioned prop r- )y for inspect',on purposes. X Date 7 signature of Permmitee or Agent , I / ipt No. _97ll D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR OF U LIC WORKS By Date / wilding permit expires Date........��................. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 1 7 County Center Drive — Oroville, California 9.5965 Telephone: 334-4541 / APPLICATION AND PERMIT License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j I certify that in the performance of the work for which this " 0 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 representatiof the County of Butte to enter upon the abov en i ed pro rt for inspecti n purposes. X "� Dater -7 / Signature of Permitee or Agent Receipt No. % � 4 994 W It /D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ IV - BUILDING SQ. FT. OCC. I BUILDING VALUATION s' $ Owner g( -- is % oo Mailing Address I //C T_ ,el, �3 Contractor " J PERMIT FILING FEE $3.00 Mailing Address Main service incl. 1 meter Total Valuation �' Telephone No. Building Address Sub -panel 02 or less)(more than 12 L l Range, Cook -top or Oven 1.00 ot Water Heater or Space Heater 1.00 Plan Checking Fee &/or Penalty Light fixtures 2u al Bio �11(. A. P.INo Zoning & Planning Fere sW.C. $ Sanitation Fire Dept. Fire Zone No. -Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements_ Bldg. Plans Recd Parcelproval If7 31C) Plan proval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ater piping 1.50 Single Family 9L Duplex ❑ Mobil Home ❑ Others ❑ 1.50 Gas piping system 1 - 5,outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j I certify that in the performance of the work for which this " 0 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 representatiof the County of Butte to enter upon the abov en i ed pro rt for inspecti n purposes. X "� Dater -7 / Signature of Permitee or Agent Receipt No. % � 4 994 W It /D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ IV - BUILDING SQ. FT. OCC. I BUILDING VALUATION s' $ is % oo ELECTRICAL No. @ FEE Fireplace PERMIT FILING FEE $3.00 Main service incl. 1 meter Total Valuation �' 2 Sub -panel 02 or less)(more than 12 Permit Fee Range, Cook -top or Oven 1.00 2r Water Heater or Space Heater 1.00 Plan Checking Fee &/or Penalty Light fixtures 2u al Bio �11(. �� ;v R x o ps., sw t es & fiets Permit Fee $ Evap. cooler, gar. disp. or D.W. 1.00 PLUMBING No. @ FEE PERMIT FILING FEE Mobil Home Facilities 5.00 $2.00 %. Each Trap Misc. wiring 1.50 If7 31C) Repair drainage or vent piping 1.50 ater piping 1.50 , jO Each gas water heater or vent 1.50 Gas piping system 1 - 5,outlets 1.50 'b Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ is % oo ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter : oa Additional meters, each 1.00 Sub -panel 02 or less)(more than 12 7 Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2u al Bio �11(. �� ;v R x o ps., sw t es & fiets Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heatina Cooling Ventilation Hood Permit Fee $3.00 2.00 FEE TOTAL PERMIT FEE is q& This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU LIC WORKS ` BY Building permit expires Date ....... Z:—'22._20