HomeMy WebLinkAbout079-060-028�„ r. ---._ v..._ i .... ._ ,.., _ _ _. M -, ,--ter. � �iw rrs. ... L • .. '•1
AP
r. s. JACK EDWARDS -�dill•� ..: i.• Ar -.
G enb
i 9 re ank Ave.. Orovi.11e '-' �` ,= r -,
Permit# 553 7 BP new SF)
Permit# 2216-75P (s),��-�—%�
_. A29 93=63_3 BE) 3
KRENZENSKI,.RAYMOND•
9•GREENBANK; OROVILLE
RE
ROOF/SF
.PERMIT#95-0223
T DREZENSKI,,Raymon:M > '
'9 Greenbank,'Oroville
Cont.'Lawson & Sparks
Replace''ex Carport/
6
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cr)i
1 s. RESIDENTIAL
036-420-028 PERMIT#95-0223'
j /<,REZENSKI, Raymon
9 I� Greenbank, Oroville Cont: Lawson & Sparks,
Replace ex Carport/SF
02 Ll
t
K
JOB FINALED (Date) v —
Signature
t
J=OK
OP Not OK
-=Not Applicable
=Not Ready t 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/ /' L" ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 6-1
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
MISCELLANEOUS
Date DEC , COVERS, RPORTS, hARAGES, Plans OK except #'s
L,*,"zqjiing Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Desks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
140 -Wood Awn.; Posts-Beams-Rftrs.-Coonectors
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
DatV 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
Date
Card B-1
Date
Card B-1
Date
Card B-1
Date
Card B-1
MISCELLANEOUS
Date DEC , COVERS, RPORTS, hARAGES, Plans OK except #'s
L,*,"zqjiing Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Desks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
140 -Wood Awn.; Posts-Beams-Rftrs.-Coonectors
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
DatV 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
J=OK ,
O = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single
& Duplex) '
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test -
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic.
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas Water
73. A.C. Duct in Garage -Damper
-&
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Cajifornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT oaf
ASSESSOR PARCEL NUMBER 036-420-028
ZONING ARBUILDING
PERMIT
OWNER
RAYMON EZENSKI
ONE7428
53S
OCC. BUILDING VALUATIO19
F3--CDV—
OWNERMAILING ADDRESS
9 GREENBANK OROVILLE
f
CONTRACTOR'S NAME
L'AWSON & SPARKS
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
46.80
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 9 GREENBANK -
PERMIT FEE $
138.80
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF CY Duplex D Mobilehome D Other
sKCIFr
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
TYPE OF WORK
New ElAddition CIX Remodel O Utilities ❑ Installation ❑ Other ❑
Describework: REPLACE EX CARPORT
E[!20.00
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceBOO' OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
On ADDNS. ( 8 ACC. BLOS. )
S .
3.50 FT-
CONTRACTORS LICENSE LAW
I deplare under penalty of perjury (check one)
/IAC I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m li ense is in full force and effect.
License No. �j�j Classification
D I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
D I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI.OUTLET
NON.RESIO ( 8RANCII CIRCUITS )
@7.50
( POWEn APPARATUS )
3 SINGLE OUL
TLET IR.
Ex. Occup. ( OUTLET OR FIXTURES )
RAIL p 1.0
.500
Ex. Occup.FIXED APPLNS. OR
( OUTLETS InESl0.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1 I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00.
Heating
—Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.orbrylE
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 grming of this permit. Q�
X — Date �/ �-5
Slgnatu , of Applicant - ] caner D Contractor D Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structure.: over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL FE $ 138.80
RIAz. D...WSF_--PTI:_LV1
I CDP I PARCEL I PD
I HD
I 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.
>L
BY Dae / 7
PERMIT EXPIRES ON _
Mare)
Receipt No. 171280
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a COUNTYOF BUTTE - DEPARTMENTOFD,EVEL' VPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER el�S A. No. D
a -
Proposed Building Use aCe- Building Inspector Date a
At time o permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4- sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................ .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . .................. .
14. Sanitation and plot plan approval. Health Department. .............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ... .
Pre -Inspection request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the per it proce s as follows: Mai to own r. Mail to contractor.
Telephone - and hold for pickup at � i I Lc office. Deliver with inspector.
Other
Parcel Creation
Acreage Applica Date
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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date /
Sets of plans on hold in File cabinet AP folder
Copv - Department of Public Works
r'
S:PERMIT NO. 553-7.5B,P,KE
P
E
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Jack Edwards
.CONTR.
LOCATION (A.P.
g Greenbank,Ave., OrOville
l�
3 .
o
r,
s
k Temp. Power Pole
Called PG&E
Temp.. Elec. Serv.�f/
�Called PG&E _
Temp. Gas Serv.
i Called PG&E
JOB
FINALED
(Da
j ( "gna ure)
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC :WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback • Firewall "` Soil Piping
Forms Parapets - 1st Floor D- 7�
Main Bldg. Restroom Finish �— 2nd Floor
Footings - --4- - Windows 5 _ Z % '7--5 3rd Floor
Stemwall - Siding Z 'J To out
Slab Roof Sheathing a- / - %J Water Piping
Piers - J - -7 Roofing - Z 7-7 — Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents`- -- Water Htr.
Stemwall Prov. for physically Heaters 2-%
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Tes
Footings �_� structure Temp. Gas _ `�-
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat - -2-7 -7 Rough
Reinf. Steel Final Fixtures 7^-'��
Bond Beam FIRE SPRINKLERS Motors
Framing -A^ - Test Water Htr.—
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating 27- Service
Brown Cooling Temp.-Riift
Finish Ducts Ducts 2 / "Z Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
C� --2 ¢ - -7 5"61 c, W �r� -7 aGi
7— 1
r 0 u cl'-P cVrh
.O ", <:- GA G 1
v
Owner/Me, ,o�
Mailing Address / ts
COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Centar Drive — Oroville, California 95965
Tel ephone: 594-4541
APPLICATION AND PERMIT
BUILDING
ti SQ. FT. I OCC. I BUILDING VALUATION
_
f%/C cc.
Tel hone N
5-� �-
Fireplace
Contractor �
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING Nc
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas wateOileater or vent
,�
A. P. No. 3 �-� � "��
Zoning & Planning
Gas piping system 1 - 5 outlets
Each additional outlet
Fke s
ire Dept.
Fire Zone
Use Permit
Building sewer
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system
Bldg. Plans Recd I
Parcel Approval
Plans App�ovol
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL'. N(
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
-
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps.,, switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed uAer the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code -under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor '
Evap. cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
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
ermit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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- tioned property inspection purposes. / y
Date
Signature of Permitee or Agent t '
Receipt No. 2—
White-D.P.W.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coo I i
Ventilation
Hood
Permit Fee
@ FEE
$3.003,0
1.50
1.50
1.50
1:5'0 / 5'
1.50
.30
5.00
2.00
0.$ 40, 100
$
TOTAL PERMIT -FEE
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for whic fe ave been paid.•
ECTO F. PUBLIC WORKS
By Date
Bu44d4ffg perm" e_Wl Date
.SS33 � c..r 4
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Driye — Qrovillp, 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 XDateAZ" 7 L
Signature of Permitee or Agent
e ipt No. `51
W ite-D.P.W. — Y ow;Zeyor��pk-I pector /pr®A�pl cant
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 0I7'*�UBLIC WORKS
BY Date
eunding permit expires Date ................., .........
BUILDIN
OwnerG �� IC��
2i�: 51h0.
SQ. FT. OCC. BUILDING VALUATION
Od
Mailing Address/917— 611&-U)
ZJ Z
Telephone No.
533-x/
Fireplace JrQ� a O
Contractor 42
Total Valuation Q
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$ Q, ()
$
Building Address �E� H
PLUMBING
No. @
FEE
PERMIT FILING FEE 6
Q 6114 1,"'
Each Trap 1.50 /Q-od
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Fa FireDept. Fire Zone
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
-
Each additional outlet .30
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Decl ation
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
B c d�
/
Porre p of
ns Approval
Permit Fee
$
5-0
$ S�
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1 @
FEE
PERMIT FILING FEE 1 $3.00 1 (.9O
Main service incl. 1 meter 'j. e) C
Additional meters, each
1.00
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or ess) (more t 12) ,
Range, Cod ®r 0 1.00
Water er or Space Heater
1.00
Q
Light fixtures0 20 ago
sw' fix outl ,
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ho x.,11106 -or F. A. Furn. Motor
1.00
Evap. cooler, gar sp. or /Z 1.00 2. ®'O
Air conditioner or
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
. I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ 3 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.
KI 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 t $3.00 �j, O
Heating �Q
Cooling
Ventilation
Hood 2.00
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x XDateAZ" 7 L
Signature of Permitee or Agent
e ipt No. `51
W ite-D.P.W. — Y ow;Zeyor��pk-I pector /pr®A�pl cant
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 0I7'*�UBLIC WORKS
BY Date
eunding permit expires Date ................., .........
t...� � ;ossw-n,.:,s,�;-�.: �e m!t_?4M'M!4+st3f+,�,7'AKfaw �ry'!�'!q+n.�fi�t!.. .fi,-; a: -n .:w4ryf' ±':!M+�i��S' .r Sr'�* :+�xr y.`�^Sil^i�
._ �..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
Q
l 3— & >
ASSESSOR PARCEL NUMBER
036-420-028
ZONING
4
BUILDING PERMIT %
OWNER
Ravmond Krazonsld
TELE H NE
533-7428
SO. FT. OCC. BUILDING VALUATION
OWNER-9—MAI LING ADDRESS
9 Greenbank Oroville 95965
19 Carp 1,
CONTRACT
rOR'S NAME
Omer
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 1,.14( • 00
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee ,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee V
q Greenbank, 1113
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEQMAP
3
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home =s I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other A
Describe work: Reroof l9/Comp.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
penalty I declare under perjury
p y of p I y (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and 'effect.
License No. Classification
I, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting .with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A) 37.50
NEW CONST. / DWELLING OCCUP.&\
OR ADDNS. \ ACC. BLDGS. II
3.64sq.ft.NEW
CONSTR. ULT I -OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES20 Q 76
Ex. Occup. FIXED APPLNS. OROUTLETS IRESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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 consegqu/uence of the granting of this permit.
X 14 < n 1 %c 1, : Cr ' Date / 1'� - �4 - 573
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 40.50
HAz
OFEES
IMP
FLOOD
cOF
PARCEL
PD
HO
Issu
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
t
work indicated above for which fee's have been paid.
I f DIREGTOR OF PUBLIC /WORKS
PERMIT EXPIRES "Da`te
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
9- ZZC3/
ASSESSOR PARCEL NUMBER
036-420-028
ZONING
BUILDING PERMIT
OWNER
Ra mond Krezenski
TELEPHIONE
533-7428
SO. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDRESS
Greenbank Oroville 95965
19 S Com 1,140.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNWN
O
Total Valuation $ 14U. UU
f
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$25.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$40.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [:J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Reroof w/Comp _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p jy (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
Main service 200A TO 1000A1
37.50
NEW CONST. / DWELLING OCCUPM
OR ADDNS. 1 ACC. BLDGS.
3.64 sq. ft.
NEW CONSTR U TI.OUT LET
NON -RE SID. BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS hl
1 SINGLE OUTLET CIR, /
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76
FIXED APPLNS. OR
Occup. OUTLETS (REST D.1
EX. EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
o the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said County in c nseq nce of the granting of this permit.
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 40.50
HAz
1 11FEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
Issu
This permit is hereby issued under the
sions of a Butte County Code and/or
wor ndycated v or whic fe
DIR OF PU I
BY
PE I XPIRES ate
L .J/
applicable provi-
resolutions to do
have been paid.
ORKS
Dat
r Lo _.P
s 1576"s
Receipt No. /
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE 1 `Department of Public Works
7 County Center. Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please .complete and return this information at your earliest opportunity to avoid
unnecessary delay in.processing and issuing your building,permit. No building permit -
will be issued until this verification is received.
1. I personally.plan to provide the labor and materials for construction of
the proposed property improveme t.(yes or no)
2.(haRe
ave not) signed an application for a building permit
o roposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
_ . !+. I plan. to prbvide portions. of this work, but I have "hired'th'e' 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 Number _ - -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of thee -California Health and Safety --Code..
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.