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k PAT FOSTER 3791 Oro Bangor Hwy,Orov.ille Contr: Waibel AC Inc- PErmit htg.. • AC) SF T ' 4ll293 -89B zF - CLANTON M ,3791 Orq'Bangor,Ky;,IBangoree' 0 %0 PERMIT#9/-,1515'-V, CLAWTON,Mrs ; J,.B-, 3791' Oro sB a-'n"gor. giAfy, Orovill ;z F, W% 't, whO io,! V `-',) I A -I& ov, RM'ANIM 'Jv Av COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 38 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 541 PERMIT 0. (Rev. 12/96) APPLICATION AND PERMIT �� ASS ESSOR PARCEL NUMBER 036-470--039 ZONING B O LDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 27 aw 0 OWNER'S MAILING ADDRESS 3791 ORIO RANMR WY, BANGOR CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NON LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS OR R RWY OROV E Energy Plan Checking Fee $ PERMIT FEE s 59.00 LOTNO. ' SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF _R 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 8'X! Describe Work: _ REROOF W%COMP Gas i in system 1- 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.PowEPPARATUs License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f the following reason: 7�" " as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS. O 3.5QSFT; ==T MAuLTI-OUTLET 97,50 a SINGLE R AE CIR. Ex. Occup. OUTLET OR FDCTURES 20 Q 1.00 6AL @ .50 Ex. Occup. DUTELETS REESID,) 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:. ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which.this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation / of one hundred dollars ($100) or less.) CY I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Ciode, I shall forthwith comply with those provisions. ' X . �_ Date Signature re of App cant - ❑ Owner ❑ Contractor El Agent An OSHA permit is required for excavations over 60" deep and demolition or construction7/17/97 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 59.00 HAZ. D. fEEs IMP FLOOD CDF PARCEL po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated.above for which fees have been paid. By,/ v/s>d A ///J/Date PERMIT EXPIRES ON 7/17/98 Date Receipt No. 24197 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ON 7 County Center Drive - Oroville, CiliforMa► 95965 - Telephone (916) 538 41 PERMIT j (Rev. 12/96) APPLICATION N AND PERMIT � Lv-- ASSESSOR PARCEL NUMBER 036-470-039 ZONING B LDING PERMIT OWNER MR 0 TELEPHONE SO. FT. OCC. BUILDING VALUATION 27 @60 1620 OWNER'S MAILING ADDRESS 3791 ORO BANGOR HWY, BANGOR CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MNUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE—Filing LICENSE NO. Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3791 ORO BANGOR HWY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 59.00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF P( 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: REROOF W/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOV OR LESS Main Service 20.AORLESS 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 Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f7 the following reason: 'lam I, as owner of the property, or my employees with wages as their sole compensation, ` will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner s0 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/vitp those provisions. _ X 1 . D e % Si ure of A (cant - ❑ Owner ❑ Contractor f Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 8 ACC. BLDS. 3.50FT, NEW NON•R S11D. =OUT97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50 Ex. Occup. oFIxuTLEt°TS RE.sooEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ TOTALFEE$ 59.00 ECONST./I IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or R solutions to do work indicate bove for w ich fees v een paid. B-// 7 17 X97 Date _ PERMIT EXPIRES ON 7/17/98 Date Receipt No. 224197 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 thy- major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE. HAVE NOT ❑ 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:- DATE: ��/>> NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit :OVER . OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted iny our name listing yourself as the builder of property improvements specified. For vour protection, you should be aware that as "owner -builder" you are the responsible pam 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 :-):-.mcre. 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 abouty our obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information abouty our 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. I rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Oivner-Builder 1nformatlon is required by Section 19830 ofthe California Health and Safety Code fd 1 d JOB FINALE Signature J=OK O = Not OK Not Applic Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete '4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete .6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANE®US Date DECK$,.COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1 Zo equire ments-Setbacks-Easements Fo ' ; Soi --ize-Depth-Spacing-Connectors-Steel 3. ; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing (i 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-Hoofing 11 Steps -Doors -Landings Date Card B-142 1 Z 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.; Bgqding; Metal w/5' -Circulating Equip. -Heater '8. Elect; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10.' Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O=Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., 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; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled . 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sits, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes 13 No; Planters 0 Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance-Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORK PERMIT NO. 916/5387541.)_ ASSESSOR PA E NUMB RNG , `' 3 ZON I BUILDING PERMIT owNEg�AS TFLrEPHONEq� cC7� (�� 7 SO. FT. OCC.` BUILDING VALUATION ` OWNER %MAIL G ADDRESS / nKZ0 CONT AC TOR'S NAME AM TELEPHONE CONTRACTO-R'S MAQIIING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.tl LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS flI. ' Golaql of -0 W Permit fee $ �' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURJZ SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e . TYPE OF WORK NewAddition❑ RerpodelEl Utilities❑ Ins Ilation❑ Other ❑ A Describe work: _ 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 0001 01 0 AMP ORLESS10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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.8d OR ACDNS. ACC. BLDGS. / , 2/z¢sgft TL ET NEW CONSTRESID. RANCH CIRCUITS) NON.R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) (SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( .20050t 20050t .1-0 FIXED APPLNS. R Ex. Occup. OUT LETS (RESID,)EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme ts, costs, and expenses which may in any way accrue against said County ' onsequence of the granting of this permit. XThis �Z d/ Date Sign r re of Applicant — Owner [ZContractor❑ Agent ❑ An HA 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 r— TOTAL FEE $ HAZ CUA PARK �— SCHL FLD PAR D D ISS permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS Date /y `1-6 '.�2 /%� �' 6 —" P� Receipt No. 57Z/ % c ;Y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . +.'..rw .x.prvr.: h^'�lll"�.:4"ti:-�. �C-^rt'1'�`"W'L�i.a'y+�.e-'�: �'a"�t'R�y;�,'.,�. '.1.a+•�i€nji� �s'tY`Yt y - t`. ,;1 ` '_A�.,� ^�. �r� ... �,�y;Y�,..,i1.�". COUNTY OF BUTTE - DEPARTMENTO'(11F`P613LIC WORKS - BUILDI� GN DIVISION 7 COUNTY CENTER DRIVE - OROMILLE, CALIFORNIA 95965 - TELEPHONE: 916/538- 1 P ERM I"APPLICATION DATA SHEET Permit No. OWNERS CILAAJ-FOA' A. P. No. Proposed Building Use --''Building Inspector 36--,1V7- 31 Date 'J % At time of p it 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 . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. ` 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13 School District fees paid .............. Sanita4. tion approval from 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 ..................i ' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone hold hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date /a'� Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil.le, 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 ma' r labor and materials for construction of the proposed property improvement es r no) V S 2. I haavv /have not) bAY1 signed an application for a building permit for tTie 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 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. 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.Securit umbo 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. -7 -7 Y VIJ VJ 0' Z; /I/C"-Z/Y V7 -? w C:y IVG7 or -L'7<9 <1 y bf A�6 I vy IT d'v I (VV AI - f lav 1=9 ;034 dooM X3N ---rs 10% tT Do- ou, -7r 0 , 3 sop %0 A VDI, "',uo OA 1p L_c COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 Cpunty Center Drive — Oroville, Califorrlia 95965 Tel hone: 534-4541 APPLICATION AND PERMIT ML - BUILDING Ownerx,6L 7,oD'1rQ?' - SQ. FT. OCC. BUILDING VALUATION Mailing Address •-791 Cro .-r,i,.. L^-.7. Oro se Cil Telephone No. Contractor ;,� -bel ;,�;• Ccus:=.=iW,9 T,n4, Mailing Address 170r ;'aaVI.- + b MVd. FireplaceTotal Valuation 0XIS.Ir,�„ CA Telephone ��� •��7No. Permit Fee Building Address W91 Gwo :: Tor $tlt..9 Oxovillo Plan Checking Fee &/or Penalty Permit Fee + PLUMBING No. @ FEE PERMIT FILING FEE $3.00.(:�i Each Trap 1.50 .01 LJ `7r., Zkcq Repair drainage or vent piping 1.50 A. P. No. • _.%:r.�s.�a, Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees -1 W.CJ Sanitation' Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 2.50 EQA Parking Plans Parcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pl ns'Re Parcel A royal Plans Approval Lawn sprinkler system 2.00ff] NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ (. F+ iziLe,,tw11 hcatizr rar1 coolinr ELECTRICAL No.1 @ FEE PERMIT FILING.FEE $3.00 Main service 600V OR LESS 10o AMP LESS 5.00 Single Family Q Duplex Mobil Home E] Others 9 Y ❑ -L Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER s 25.00 AMP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACC, -LING BLOGS.CCUP. �1+\ 20sgft II 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: .ai. bel Air.�D'�31.�:3Of� NEW CONSTR BRANCH TLETCIRCU NON.CONS � BRANCH CIRCUITS) 2.50ea .NEW CONSTR. /POWER APPARATUS d NON.RESI D. ,SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI]RES 5 L,� LN Ex. Occup.(OUTLETSIXED AP(RESID.)REA) 2.00 !.W^n ! Temporary service 10.00 Mobile Home Facilities 15.00 License No. 015774.3 Classification 0-20 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5, L 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. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No 0% FEE PERMIT,FILING FEE $3.00 ;.Quo Heating •: .LUU#UUU L1'U 4.1:11 Cooling VOn 4.VU Ventilation Hood J 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 Land Development Fee $ TOTAL PERMIT FEE $ �Q, r- -+ autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. FA Date r" Signature of Permitee or Agent Receipt No. J9_An�- — 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;-O�Fy,PUBLIC WORKS r 2,717J B Date' Bui Iding permit expires Date ' 6 A % /7 I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Tel ephone�.534-45Q1 APPLICATION AND PERMIT authorize representatives or the county or tfutte to enter upon the above-mentioned property for inspection purposes. Date CEJ -t? 2J Signature of Permmiiittee or Agent Receipt No.��--- White-D.P.W. — Yellow -Assessor !7P—ink-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. DI EC O OF P BLIC WORKS (� B Date ?/ 4 Building permit expires Date % BUILDING OwnerPat Foster SQ. FT. OCC. BUILDING VALUATION Mailing Address 3791 Oro Bangor Evvy. Oroville CA Telephone No. Contractor Waibel Air Conditioning, Inc. Mailing Address 1700 Feather River Blvd. FireplaceTotal Valuation Oroville CA Telephone No. 33-8125 Permit Fee Building Address 3791 Oro or H Oroville Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Seni-letivrf FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 1.50 EQA IParking Plans Parcel Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s ec'd Parcel A ,oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © Permit Fee $ $ 4.1 5) Install heating and cooling ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service 600V OR LESS too AMP LESS 5.00 Single Family © Duplex ❑ Mobil Home ❑ Others 9 Y ❑ -L Main service EA. ADD'L too AMP 2.50 OVER Main service OVER 25.00 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1,00 NEW OR ADDNST l ACCDWELBLDGS.LING CCUP. IY) :20 sq ft 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: Waibel Air Conditioning, Inc. TLET NEW RES-nCONSBRANCH CIRCU NON-RES(MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON -RES ID, SINGLE OUTLET CIR. 50@ EX. OCcun(OUTLETS OR FIXTIIRES BAL FIXED APPLNS, OR Ex. Occu p•(OUTLETS (RESID.) EA) 2.00 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 267743Classification C-20 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ 5 0 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. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE , PERMIT FILING FEE $3.00 3.00 Heating 100 000 BTU 4.00 Cooling 3 ton 4.00 Ventilation Hood 2.00 Permit Fee $ $ 11F 0 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 Land Development Fee $ TOTAL PERMIT FEE $ 201 5 authorize representatives or the county or tfutte to enter upon the above-mentioned property for inspection purposes. Date CEJ -t? 2J Signature of Permmiiittee or Agent Receipt No.��--- White-D.P.W. — Yellow -Assessor !7P—ink-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. DI EC O OF P BLIC WORKS (� B Date ?/ 4 Building permit expires Date % '� COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 2�--q7- PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. -Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. • Inspector Date / 2 7 ,,,-/- "0