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Home My WebLink About078-360-006r OLGA C. GRIFFIN�r/�/I/ 2740 Oak Knoll Way, Oroville Permit #2315-79E (ele ser ch) SF --.j - • . r I Oro o t 1 1 f n 1 a f 91 CS,zI- ell D�G2 i 6 COUNTY OF BUTTE — DEPARTMEN r OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 By Date Building permit expires Date BUILDING . Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EGA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 5•00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e0ovPOR LESS 25.00 100 AM Main service EA. ADD'L 100 AMP 1.00 NEW CONST ' OR ADDNS. ACCLBLDGS.CCUF. ti) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW CONSTR /MULTI - OUT LET NON•RESI D, l BRANCH CIRCUITS 12.50eal NEW CONSTR (POWER APPARATUS e NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES gA� 0 Ex. Occup. FIXED APPLES. OR P• OUTLETS (RESI D.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 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. 0 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 Land Development Fee $ TOTAL PERMIT FEE $ , authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 ., .. ., APPLICATION;.AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. Date Sign ure of Permitee/or^Age Receipt No. Z 3 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 PUBLIC WORKS By Date Building permit expires Date -�3f� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addre Telephon o. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan O Checking Fee&/or Penalty Permit Fee PLUMBING. No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.3,6 —</b —5' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1,50 s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Ions Rec'd Parcel AEEroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 1,S Permit Fee $ $ ` ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q(y Main service 600V OR LESS 100 AMP OR LESS 5.00 SL 'aO 7 Single Family Duplex ❑ Mobil Home ❑. Others ❑ Main service EA. ADD'L 100 AMP 2.50 J b Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. 7e\ 2¢Sgft // CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st y le of: NEW CONSTR (MULTI.OUTL T NON.RESID `BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES 5 L� x. OCCU FIXED APPLNS, OR E ^ p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z p C 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. 11 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 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 Land Development Fee $ TOTAL PERMIT FEE $ / FQi authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. Date Sign ure of Permitee/or^Age Receipt No. Z 3 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 PUBLIC WORKS By Date Building permit expires Date -�3f� e p r 9 • ' I _ t r a OLGA GRIFFIN 2740 Oak Knoll Way, Oroville Contr:Chucks Ele "Permit#3001-86E(upgrade ele ser/SF) ; PERMIT #97 2426M w ,GRIFFIN,} 1:27,40c Oak ZKnoll Oda ,"b Orov,i_-lle Contr: Waib-"'A/C "(replace°HVAC/SF) C)r-7?- 3 60-OD(p Fj Ell �L!,�"�Ln$C�t2n`�% m. - > .. .i�".'�rJ` .'�'•R`�.•;`y�%•31•`•"ti��;-�•,^'.Y�:?�.'�;it�-"iyi>2�'.'�'iibl';''?fti'.�`��.;W'.w, �.+'t!S++Cisss`�vw�rr,-6rt..,t :'�;: 036-460-071 ' w ` }PERMIT; #97-2426m"' GRIFFIN Olga' " . 2740 Oak Knoll Way,-10rov 11' =" - Contr : Waibel A/C >'.. ,(replace HVAC/SF) :• • • - .. � _'fir. _ � • j - :-w-.r++�„ti,�..a.ti--.+..+ i--.-.-.n-.�-�.,.�..�.•�.✓•�•'`v-.^•r•.y.,-�^t�F+-...+'i`'wc:--"�•.s�}..:.-v..�:L,Sih�N+'rye-..T�^'..�.?',•+i.^-'�.. ,E--v,^i.-�-'�., � v,r...,�..., .-.-, �.,<�....-�,.�y�,�,-..C4'Y}r', / } COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CaLiiornia 95965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12'/96) APPLICATION AND PERMIT 9�-�� ASSESSOR PARCEL NUMBER 036-460-071 \ ZONING :1 B U I LD I NG P ER M IT OWNER OLGA GRIFFIN: TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �,, 2740 OAR KNOLL WAY, OROVILLE, CA 95 4' CONTRACTOR'S NAME, WAIBEL TELEPHONE ' - }8128 CONTRACTORS MAILING 1650 DRESSFEATHERRIVER BLVD., OROVILLE,, di 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS 1 Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. i Filen Fee $ 20.00 Permit Fee - $ ARCHITECT OR ENGINEERS MAILING ADDRESS 1 ) Plan Checkinq Fee $ BUILDING ADDRESS - . l 2740 OAR KNOLL WAY OROVILLE x' Energy Plan Checking Fee $ . $ PERMIT FEE $ LOTNO. SUBDIVISION'S NAME PARCEL MAP --- "PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SF"O Duplex ❑ Mobilehome ❑ Other *sr . SPECIFY -* Each Trap 7.00 Solar or heat.-pum water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑-..Other ❑J •' { Describe Work: REPLACE HVAC — ROOF MOUNTED t1fit Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 k Main Service zoo, oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes-sions Code, and my license is in full force and effect. .q License Class �'�..; , V . Lic. No. a. (ti 7 S t 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 t Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( FT. NEW NT NON•RESCOID.ST. MULANCI-OUTLET cI c rs 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL @ .s0 FIXED APPLNS. OR Ex. Occup. ourtFTs RESID. Ea 5.00 Temporary Service 23.00 's Mobile Home Facilities 20.00 Misc. Wiring23.00 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. 1310'1 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 �, 1=,4 N o MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling • Hood 6.50 Ventilation . PERMIT FEE S 50.00 Policy Number Va N /T f"aL'� 0L) :A S" L1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 P! Date % P I 0—�P2 `Signature of App Ic1 ant-�EI'Owner ❑ Contractor ❑ Agent r An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ • HAZ. D. FEES IMP I FLOOD I COF TPARCEL I PD I HD I ISSU 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 II lD/7 PERMIT EXPIRES ON % "Date Receipt No. G3Y141 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DRVELC PMENT SERVICES - 7 County Center Drive - Oroville, Califi irnia 95965 - Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 -PER AS No. AS SESSOR PARCEL NUMBER 036-460-071 ZONING BUILDING PERMIT OWNER OLGA GRIFFIN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2740 OAK KNOLL WAY, OROVILLE, CA 95966 CONTRACTOR'S NAME WAIBEL TELEPHONE ' 533-8128 CONTRACTORS MAILING ADDRESS 1650 FEATHER RIVER BLVD., OROVILLE, CA 95965 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 2740 OAK KNOLL WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFXX 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: REPLACE HVAC — ROOF MOUNTED UNIT Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service Toon oa .ss 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. 7 [License Class C ,).. %= 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 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( 6 ACC. BUDS. s0 3.5QFT. NEW CONST. MULTI.OUTLET NON-RESID. BRANCH CIRIT, @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR F°TruREs Ex. Occup.BAL 20 @ 1.00 @ .s° Ex. Occup. ouTELErs REESID.) 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. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insur nce carrier and policy number are: Carrier S—�—Its & (tfv /' Policy Number — L40 T nol:3 V (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 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 Code, I shall forthwith comply with those provisions. / iIg G rDate �Lo 749 pp icant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FES S 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 50. �� TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I ISSU This permit is hereby issued under of the Butte County Code and/or indica ed above for which fees ave - y ✓� PERMIT EXPIRES ON /� the applicable provisions Resolutions to do work been paid. Da `�10 p lell Date Receipt No. 231147 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 001 f 3001786E . . • �,. OLGA GRIFFIN 2740 Oak Knoll Way Oroville j! 4 1 t f r OFFICE+COPy Address r i j GAS - { Meter By Date_ } ELECTRIC Meter By ` �J0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovill6, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSQR PARCEL NUMB R ZONING BUILDING PERMIT OWNER ' 1 1 . ✓1 TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS r / CON.TRACTOR'S NAME / ' _/" TELEPHONE CONTRACTOR'S MAILING ADDRESS /1 '. (/ � �. �' !�r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ! Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G IW 10.00ea TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities!❑ Installation❑ Other,. Describe work: (, < r _ I �. jl !i/. ,• f lf,y_ J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 a ' d I [ F Main service 6001 OR LESS 100 AMP OR LESS / 10.00 f",^ _ Main service EA. ADO'L 100 AMP 2.50 e. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' R.,2.50 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.SINGLE ^ /� License No. !{! ?� Classification / E] 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.N) yzQsgft OR ADDNS. 1 ACC. BLDGS. I NEW CONSTF ULTI.OUTLET NON-RESID BRANCH CIRC ITS ea POWER APPARATUS &) OUTLET CIR. 20950t EX. Occup(OUTLETS OR FIXTURES BALOa0 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / pir, 1 1,sl—, < e, Permit Fee $ !j Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑.. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X /.J 1-! Ir _ 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 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ JFLOOOJPARCELJ P11 ND 77 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By I PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' over Receipt No. ` ' �' WHITE-D.r.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT RMIIT) N0. Ov ASSES50431P ARCE NUM 77 {(/O/TELEPHONE ZONING BUILDING PERMIT OWN R 9r' SQ. FT. OCC. BUILDING VALUATION OW R' ILINV:RESS a , & CO RACT R'S NAME TELEPHONE 70 cO.KTRACTOR'S MAILING ADDRESS YJ �Ovi� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,I K . Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ ' Solar or hgat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel[:11 Utilitie Ins allation❑ Other Describe work: /' `ELECTRICAL Ciao d Z) Permit Fee $ Contractor PERMIT Filing Fee 10.00 Q c /�-� T RVTEC% p OS&D p�Xla Main service Boov OR LESS 100 AMP OR LESS 10.00 In ego Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): t am licensed under provisions of Chapt. 9, Div. 3 of the Business/POER and ProfessionsCode and my license is in full force and effect. �p License No. fi r 7rf.�try'...1 :�1:iA! i't.,..,,-..:tl� !#it _ r F+. .;,x..p! �:aa:, x, r ..� ., nr--..,.... `.Lii �i Y,�, •§.� �..` �. r..., w •.rte.. .-r Sdt IE ., h COUNTY OF BUTTE - DEPARTMENT Q,FoP_.I.ZE _,L ' FC WORKS -BUILDING DIV�ISI'ON 7"COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53.4, -454, PERMIT APPLICATION DATA SHEET Q/ i T / Permit OWNER A. P. Noo.. Proposed Building Use ✓ C_ 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 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. Plans with Energy Design Compliance Statemeht. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement,of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from .Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . . . . :&r7* 6' Mobilehome Installation Data 1 . . . . . . �(1 C.. I •�/ ) �_ Pre-Inspec. request to 7Pre-Inspection for C 1 Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. r. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, ____XIiver w/inspector,. Other Applicant ate ly " 7'-�_ 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: r Contractor, designer, owner, was advised of above required data by_phone---nall_counte-r by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Sets of plans on hold in Copy—DPW Date File cabinet AP folder , IF 11-1.. Hours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - DEPARTM T OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California . 965 - }} elephone 916/534-4541 APPLICATION AND ERIVI�T ASSESS0 PARCE NUM OWNER �1 ZONING TELEPHONE BUILDING PERMIT SO' FT. OCC. BUILDING VALUATION OW R' NI ILINCyAD lRESS y /t Ll CO RAC TOR'S NAM , C TELEPHONE �� •-� C TR TOR'S MAILING ADDRESS L L� �U. L,; / e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑1Remodel ❑J Utilitie Installation[ OthelrA Describe work: Z/Il9 0 ��' _ Permit Fee $ Contractor PERMIT ERMIT Filin Fee 1 9 0.00 ' Main service e00v OR LESS 100 AMP OR LESS 10.00 / CON TORS LICENSE LAW I declare•under ertalt e eck P I! Y l,(j(�]NO �I am llCell_�grd U er prOV SI ns Ch—a t i�01` th BU $S and Prof ssions Code a y IIC e I In full force d f Ct. License No._Llf Q U�f Classification ❑ I, as the owner, or my employees with wages as their sole c pen - 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'Pre for this reason Main service EA. AOD'L 100 AMP NEW CONST. DWELLING OCCUP.S OR ADONS. ACC. BLDGS. ) /20sgft NEW CONSTR MULTI.OUT LET 11.11 ESID BRANCH CIRC ITS 2.50 ea (POWER (POWER APPARATUS &) OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20®'}Ot P eALeao Ex. Occup. FIXE TS P(RESI 0.)RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc Wiring g 15.00 J - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,--, of Consent to Self -Insure. / LSI ' 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseence of the granting of this permit.' %� �/ �� /�L . "" �� L Date _/l/ -i " 2 �� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for exca--tions over 5'0" deep and demolition or construct- ion of structures over 3 stories In he ght. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE FLOOD PARCEL PD HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. e9 C WHITE-D.P.W.. YELLOW-ASSESSO , PtNR-INSPEC' GOLDENROD -APPLICANT