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HomeMy WebLinkAbout078-380-057L T` -. i. ,7^ r r � r r'--, ..ti.,. ,:�,'1 _..ui.Wur�..a.W.�d.lf.u�.- -.r _...... - •'�.... s Leon R. Steelman 5230 VE Ave., Oroville JAMES W..JACKSON �-,- (CONVERTING CARPORT TO LIVING AREA W/0 Sanitation Clearance for repairs/4 BR. • •PERMITS) - see' report) r home - 10/14/81 1 �S'� ��� ` _ - Os'% JAMES JACKSON Ao�* /%r/eS +I 5250 V -E Avenue, Oroville +� Contr: Community Action Agency N q Permit#182-84B(reroof/SF).',* + r I x,,,2360' OB,p.,E w;r � SII �5230�;V=E�°"Ave,- 4 �(rehabr/sf) R 3= 507 0 __ r> t Q SANCHEZ JOSE • ` �; ���, ' 5230,V E RD, 0ROVILU I - RE -ROOF aYr� . <: •:r h'� t' s. . 1 i 9 1 , i •� J D i tt. tc-y^"'i.•ix+-� .., + ,z. y � r ..iY ,R~` ..• _ ,`r�.:«r{ _�.. iA*'ti.s9`•;w:c L"A/.n.*C+ 'r..- c' 03 111 yrt,'�{! A � � s �.y • t�i.r�a 3i -j.. ♦6' 041E 3'8`ANCHEZKJ0SEri }. 30) —E �! IRE-ROOF�'i'r r 1V+?� Ti r i at - i Ar ij F Q .,:, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ( 0) 538-7541F P SWT NO (Rev. 12/96) APPLICATION AND PERMIT I / ASSESSOR PARCEL NUMBER 036-111-041 ZONING BUILDING PERMIT OWNER SANCHEZ. JOSE TELEPHONE 534-6119 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5230 V -E ROAD OROVILLE. CA 95966 .0 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3 . CSU ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILIVG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5230 V—E ROAD OROVILLE CA 96966 Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LAT NO. SUBDNIS IONS NAME PARCEL MAP { PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFO Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar heat um water heater 23.00 Water p 15.00 ip : Each gas water eater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b Describe work: RE ROOF WITH COMP Gas piping system 1 - o bets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200AORLESS23.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O� I, as owner of the property, or my employees with wages astheir 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. r- ❑ 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 Main Se 20" TO lOooA 46.00 NEW CONST. DWEWNG OCCUP. 0. 3 5aS OR ADDNS. ACC, BLDS. FT. REOSID. M uTLET MoQyrrs @7.50 PowER APPA TA a sINGLE OUTLETc CUTLET OR FIXTURES 20 @ 1.00 Ex. OCCU Ii20 @ .00 Ex. Occup. OUUTTLETS RESLINSID)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions.This � .✓ / •••' - O ate .,,/ Signe ure of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh . � Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 0. FEES IMP I FLOOD COF PARCEL PD I HD I ISSUE permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. i [By +'l L�vl f�2�� K+1' Date '✓� PER EXPIRES ON �•� 3/y V Dete ReceiptNo. ✓ / •i�� WHITE-D.D.S.-g.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 N (Rev.12/96)APPLICATION AND PERMITS ��� 0 I / ASSESSOR PARCELNUMBER 036-111-041 ZONING BUILDING PERMIT OWNER SANCHEZ JOSE TELEPHONE 534-6119 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 5230 V -E ROAD OROVILLE CA 95966 300. 5 S CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER / LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 300.00 ARCHRECT OR ENGINEER UCENSENO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS -•. Plan Checking Fee $ BUILDING ADDRESS 5230 V -E ROAD OROVILLE OA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 35.09 LOT NO. SUBDNISDMS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar qL heat pump water heater 23.00 Water pip 15.00 Each gas water ter or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others] Describe Work: RE ROOF WITH COMP Gas piping system 1- tiets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Man Service 200A OR IESS 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: _1P 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 Men 2ooA To 46.00 NS CCU000A NEW CONST. DWELLING OCCUP. oR ADDNS. ACC. BLDS SO 3.5QFY: NON-REOS DT @7.50 POWER APPAPJtfAa S SINGLE OUTLET Csop Ex. Occu . OUTLET OR FIXTURES 1.00 BAL o .so Ex. Occup. DFlxUTi�ors R DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. IQ,'g ture of Applicant - Owner [3 ac ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigy Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HA2 D FEES TMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date 15/1-173/? PERMIT EXPIRES ON A ete ReceiptNo. ' bc-ed WHITE-D.D.S.-S.D. CAN -A S OR PINK -INSPECTOR GOLDENROD -APPLICANT 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES W NO ❑ 2. I HAVE )M HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to rovide the proposed construction: P 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: 'O 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: O.B.- 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. tr 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. ,a 4rely,4Vidira, .B:O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. MWIN JOB FINALE Signature 1 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (, ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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 AI. 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. Sils, 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 & Bearinq 'Ingllb & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Waler 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. Wafer & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Caid 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) J=OK O = Not OK Not Applic ' = Not.Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 4. Water; Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test-Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Electric 7. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements-Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-Demand-Valve-Connector 1. Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator-Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected-C/O to Grade-HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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-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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION. -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-111-41 ZONING 1 BUILDING PERMIT OWNER Gary Pritchett 533XZ 2N TELEPHONE 533-3020 SQ. FT. OCC. BUILDING VALUATION rehab OWNER'S MAILING ADDRESS 930 Sunn sloe Ste. 133 Hollister 95203 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 7 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1Q,Q0 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22,25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 50130 V -E Ave. Permit fee $ 7 .7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile -Home I S I G1 W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In tallation ther [X, Describe work: GPn _ _ Pi^ 7 ��it- °�© �%` Permit Fee $ go no Contractor ELECTRICAL PERMIT Filing Fee 10.00 C G i Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTO S LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONST. DWEACCLLING GOCCUP.&) S. 2'/z0sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 20e50c aALO 30 Ex. Occup. out OUTLETS P(RESID )D APLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 25.00 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. A(�j I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig 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 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 ag i t aid o tnciq VJ)of the an .ng of this permit. /� X Date v Signature of Applicant — wner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 121 5 HAz CUA PARK SCHL ELD PAR,4011D L-01 I IHD (ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated ab99e for which fees D E O OF PUBLIC By PERMIT EXPIREV Date the applicable provi- resolutions to do have been paid. WOR�17flq ate 0 eiptNo. 70038 L.::.I.-O.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT N,4(,+Ea4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE�'916/538-7541 PERMIT AP L CATION DATA SHEET URS Permit No. 0 W N E R aIAIA �t%/I P.` f. A. P. No. Proposed Building Use SM, - 1PeAJ2 Building Inspector &A) Date 7-11-96 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 . .................................... -,gC 1 2. Plot plans in duplicate/triplicate, signed by preparer of plans .......� X1`3. Complete plans in duplicate/triplicate, signed by ��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 .............. 14. Sanitation 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 .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner • • • . . 24. Recorded copy of Agricultural Acknowledgment Statement 25. Letter of signature authorization . .R.�cl'iwii3�Yic� �4%: L1 Yh�vl}7m S! !� r--,��-- 26. 27. When you issue the permit, process as follows: Mai to owner. to ce�r `•QTc Telephone �3- 3006— and hold for pickup at office. Deliver w./inspec Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The -following data must be submitted ptop it is uanc (Circle new item not checked above). rlo 1. Index permit for above items No. — R� 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---inarl_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal I—counter rbby date Plans checked by Date Plans approved by Tom' _ Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY .OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Teephone: 916/538-7541 APPLICAY101t AND PERMIT \SSESSOR PARC- NUT h -H D W N E R DWNER("/IS MAIL NG ADDRESS CONTRA TOR'S NAME CONTRACTOR'S MAILING AD RESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILIN BUILDING ADDRESS _ LOT NO. I SUBDIVISION NAME ern facr Suhnyslape SSC% '� ffof i is1Cr-, Ica • 95 2a3 NOWN PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instt�E]I.eLallation❑ Other Describe work: G/,PACO SL/flhab - MZS7 / fS SAAM-) � tN! fiA P16Mbu 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 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure 6s 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 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. 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 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. Receipt No. -kf 700 3 8 PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace $20.(9 Contractor Total Valuation $ Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Filing Fee $ NEW CONST. ( DWELLING OCCUP.&) OR AODNS. ACC. BLOGS. II 10.00 Permit Fee $ (POWER APPARATUS .&) SINGLE OUTLET CIR. 44, Plan Checking Fee $ FIXED APLNS.Ex. OCCup. OUTLETS P(RESID.)REA.1 2.00 Energy Plan Checking Fee $ Mobile Home Facilities 15.00 Penalty $ TOTAL FEE $ 17.Ir75 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 9`15i Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 - Building sewer 5.00 .� Mobile Home S I G I W 1 110.00 e Permit Fee $20.(9 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Main service EA. AOD-L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR AODNS. ACC. BLOGS. II 'h2Sgft NEW CONSTR. ULTI.OUTLET NON-P.ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 ® 50C SALO 30 FIXED APLNS.Ex. OCCup. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 (61 Permit Fee $ ZS_ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONSTTYPE TOTAL FEE $ 17.Ir75 HAZ I CUA I PARK I SCHL I FLD I PAR I PD I HD I 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 . I eco d -a. av Lu LAO 3. Kqb- Y-4 q6z r, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Pn �'K,h Ptt A. P. No. - 360-11- 41 Proposed Building Use SFf2- ahak Building Inspector / % Date 7-11-96 At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. �L 2. Plot plans in_duplicate/triplicate, signed by preparer of plans. 3. Complete plans in_du_ lip tate/triplicate, signed by prenarer ofIp ans 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. 14. Sanitation 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 of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. - 2 3. Owner -Builder Verification (Given to owner ❑, Mail to owner 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. a,&*or73vny Pohf'-AA(WPr1 26. 459AOeo 09M 8W0- 27. 'la'a l p lUl%-Sn When you issue the permit, process as follows: Mail to owner. _Mail to Telephone and hold for pickup at office. Deliver w./inspector.— Other h,� (f VWSP l " _ ate �h GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFAR i MENT OFFICES Chico. 196 Memorial Way Chico . . . . 196 Memorial Way. Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. _ 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m.. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant J. u i . to :3u 10: Oq I'IH 1 LbUX LI- 1 . NU. --)41 F HX 40bb Ib1225 P. 2 Gary Pritchett 030 sunnywlopo Rd. Sto R-3. Hollister, Ca. 95023 Butte County Building Department: I hereby authorize Bub MarLiu Lu sign for my remodeling peroniL for 5230 V -E etreet house. Thank you 408•-637-8558 Hmmn 408-637-4627 Gary Pritchett 930 Gunnyslope Rd. niil L., Ca. 55623 3 is ......� a... .........� .....�..... to 1O b h N COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541. An 'owner -builder" building pc.rmi.t 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. � I personally plan to provide the maj labor and materials for construction of the proposed property improvement yes r no) — I (have/ ave 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 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 Security Numbe y - 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. IL w► �.,,(C l ° Y1 rine_Stools _Temp.o_10_a.emo Formula 2 p.m.e_ .� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT �j f Owner: ��'.�9� A.P. #� Address:_li o'Z.�O Y4:!�7_ eZe -2. �jf�(J. Date of Inspection Tenant: Inspector Building Location: i!5'__ZZ 362 - / _t - Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to / / 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: ' 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6,,.Heating facilities: 7. Natural light and venfilation: . 8. Room and space requirements: 9. Bedroom window or door for second exit: - 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: -12. Connection to water supply: 13. Rubbish and garbage facilities: -14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5.' Fireplaces: 6, Comments: - - C. Electrical 1. Service and ground: ` 2. Receptacles:. 3. • Fusing: ' 4. Comments:______ D. -Plumbing ` 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: .4. Comments: (continued on back) E. Other 1. Maintenance and repair_: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem o�. violation (give complete description): z� 2. Wh t action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. 7 D. Other: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL NUM3ER - i -_ 1 f _. .7 l/ ] ZONING BUILDING PERMIT OWNER_ ��'ryZtM 0_f ��'1l^f' Al TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C ONTRACTORS NAME ` TELEPHONE CONTRACTOR'S MAILING ADDRESS ^, + ��} ` ! �' y Fireplace CONSTRUCTIO LENDER f UNKNOWN Total Valuation Is 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 FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 j� Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF []--Duplex F-1Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EA- Describe work: ? '� '-�1 - �. 1 1 n 1 "r i 7 _600V f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS I and Professions Code and my license is in full force and effect. License No. + + ' Classification I L-1 ❑ 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 ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &1 NON•RESID. I SINGLE OUTLET CIR. / ALO Ex. OCCUp(OUTLETS OR FIXTURES .0@5 0Q FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑K 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 M3.00 Hood 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 consequence of the granting of this permit. X 'L,' t +. 1 t i Date �i `t + ' Signature of Applicant — Owner ❑ Contractor ❑ Agent,Z 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. F PARCEL PD FD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC (11% y ,+ By ! -- '` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ) r Date Receipt No. lI�(! 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, i�alifornda 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSS 0 P RCEL NUMBER ZONING BUILDING PERMIT OWNER �h TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C TRACTOR S NAMLio 4 W LEPlVA H N 60 lo� C9jV TRACTOR'S AILI AD S t��� :50-50 Fireplace CONSTRUCTIO LSFNDER UNKNOWN Total Valuation Is 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 Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Ul Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10.00e TYPE OF WORK New ❑ AdditionZl RemodelUtilities [IInstallation ❑ Other Describe work: r � Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20Sgft 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 Professio Co a an license is in full for 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. ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. (POWER APPARATUS & NON-RESID. \SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 9AL®so B2L@30 Ex. OCCUp- OUTLETSFIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 rpt 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also a ree to save, indemnify and keep harmless the County of Butte against all Iia ties, dgme ts, co ts, and expenses which may in any way accrue agains id County i co a ,enc the granting of this mit. %�If 4 Date Signa% a of Applicant — Owner❑ Contractor ❑ Agent An OS permit is required for excavations over 5'0" deep and demolition or construct-(71Z47OF ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PO ND 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. PUBLIC WORKS By Date /� � PERMIT EXPIRES to L -_ D-3 � — 61-- l f / p� Receipt No.Ta7,�i WHITE-D.P.W., YELLOW-ASSeSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT L6A,0. U� s'rr_�7 I ./ y-l� P�7crI a 360- 90 BUTTE couNrY BUIL-DING DEPARTMENT A PPFiOVED — vJ� 0 Aow S `y'