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Home My WebLink About079-060-076A P 7�est 6 s Fore e s Z) s 0 Pl' dale 0 220 F nn �ek Oro/ville of Permith-.3'-47.1B (ext bedrooms) r 7 4 -220 Pinedale' �ve. contr: Sharp Ele6., Oroville 'Permit #4385�81E(elec-'zerv-.chage-/S UL MOE. 220 Pinedale At;l7obrolvx2le Permit#4471-81E(ele.ser ch)SF O. -A m PERMIT NUMBER B 53-71 P E PERMIT EXPIRES OWNER F.R. Felkins owner '�XONTR:' J.,LOCATION (A.P. 36-42-38 22'0 Pinedale Ave., Oroville 4�;73 -COUNTY OF BUTTE Departmeneof V�blic*Works BUILDING INSPECTION RECOR D Zoning Setback 4-� Foundation Piers & Girders Rgh. Plumbing Bond Beam - Rein. Steel Gas Piping & Test Framing P -7 PImg. Topout Wtr. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Final DATE Forms Z- 71 Fireplace Loth & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final w_ REMARKS OR CORRECTIONS N EW ADDITION REPAIRS OTHER F OIU N D A T 1 0 N'. MATER!AL EXTERIOR PIERS Others Single Multi WIdth at Top i --L USE OF STRUCTURE Fam ly Duplex E] Dwelling D Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders 4-1 joists - Ist F oor joists- 2nd Floor Fireplace joists - Ceiling Total Valuation Exterior Studs 2 Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls J CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Cha pter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof ................................................................................................................................................................................................................................................ License No . .......................... . Classification .............................................. . and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): F -j . 1. am the owner of the above property and I will contract to have all of the above work performed by I icensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). EDBasis,. if any, for other statutory exemption .................................................................................................................................................................. ........................ I ........................................................................ q ............................................. . ................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am - aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a ceriificate of compliance or proof of exemption pursuant to Section 3800. 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 con-struction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ........ ................................................................ ............................. SIGNATURE OF PERMITTEE OR AGENT ReceiptNo . ............. . le- . .,/ .............................................................................. . ... .... .... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS Date Permit Ekpires Date ...................... COUNTY Pf BUTTE DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APP LICATION AND BUILDING PERMIT Permittie Owner A. P. No. _? Mailing Address C.; 6�� A.,s-w Fire Zone Zoning Contractor Sanitation I Planning Mailing Address P 1 an s Fees W. C_ R/W Encroachinent BLDG. Address N EW ADDITION REPAIRS OTHER F OIU N D A T 1 0 N'. MATER!AL EXTERIOR PIERS Others Single Multi WIdth at Top i --L USE OF STRUCTURE Fam ly Duplex E] Dwelling D Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders 4-1 joists - Ist F oor joists- 2nd Floor Fireplace joists - Ceiling Total Valuation Exterior Studs 2 Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls J CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Cha pter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof ................................................................................................................................................................................................................................................ License No . .......................... . Classification .............................................. . and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): F -j . 1. am the owner of the above property and I will contract to have all of the above work performed by I icensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). EDBasis,. if any, for other statutory exemption .................................................................................................................................................................. ........................ I ........................................................................ q ............................................. . ................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am - aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a ceriificate of compliance or proof of exemption pursuant to Section 3800. 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 con-struction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ........ ................................................................ ............................. SIGNATURE OF PERMITTEE OR AGENT ReceiptNo . ............. . le- . .,/ .............................................................................. . ... .... .... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS Date Permit Ekpires Date ...................... COUNTY OF BUTTE - DEPARTMENT F PUBLIC WORKS PERMIT NO. 4 7 Cout4y Centgr Drive - Oroville, California b5k� - Telephone 916/534-4541 <_ APPLICATION AND PERMIT SESSOR PA _�CL L N U.?y_ _74, ZONING BUILDING PERMIT IWNII� L; TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING AD ;Floe DRESS ) P1t11E1Y1J 6 CONTRACTOR'S NAME TEKEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER KNOWN Total Valuation Is Filing Fee $ 110.00 LENCER'S MAILING ADVRESS Permit Fee $ ARCHITECT OR ENGINE;rk,__,,_,_ 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 Repair drainage or vent piping 5.00 Water piping LOT NO. UBDIVISION NAME is PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF N-' I DuplexF� Mobilehome[--] Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewEJ Addition [:1 Remode I E] UtilitiesE] InstallationD Other W, Describework: C-4-45c—T SCry C'111J6 Permit Fee $ -Contractor ELECTRICAL PERMIT Fi I i ng"Fee 1.0.00 Main service 600V OR LESS 100 AMP OR LESS 5.06- /0.0() Main service F -A. ADD -L 100 AMP 2.50 NEW CONST DWELLING OCCUP.01 OR ADDNS.' ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness and Professions Code and my license is in full force and effect. License No. Classification U/1, as the owner, or my employees with wages as their sole compen- sation, will do the work,land the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F-1 I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTIRL MULTI -OUTLET .0.."ES,., BRANCH CIRCUITS) 2.50 ea NEW CONSTFL POWER APPARATUS &) NON -R ESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 50 0259 BAL@1W (FIXED APPLN5 R Ex. Occup. OUTLETS ( RESI'Do) EA.) 2.00 service 10.00 —Temporary Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. E] 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee [Contractor S 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 ot 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 i consequence of the gran ing o this permit. X Date Zo?_ Signature of Applicant Own F erE] Icontractor -1 Agent ED 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 $ co OCCUP. GROUP I TYPE OF CONST, I IPARCELI PD I HD I ISSUE This permit is hereby issued under sions.-o.9 the Butte County Code and/or wo bove for which PUBLIC B I PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /7 Q - Receipt NO. 1�8 ilz__ — WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPIECTOR, GOLDENROD-APPL I CANT County of Butte NP9(b DEPARTMENT OF PUBLIC"WORKS 891-.27:T/ orl� / 2 ea We A ve., Chico — 848 404 4, Ext. ?0 kilay --- 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — @??: 8Qr9 I 8V-,.1'9(6/-4Fx7-S7 CORRECTION'NOTICE '42 . .............................. 7 Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Nl............................ i ......... . ............ .... .......... '.!:n� ..... 20, ... ........................................................... ................ ............... ........ . ...... ... ............. ......... .. .... . . ..... .. . ... ... 5 4 .......... .......................................... .......................................... ................. 30K ............. 0 ............ ................. ....... Date J.19-7 "... Inspector ... . . ................ .... Do Not Remove This Tog (400-4) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, (�alifornia 95965 - Telephone 916/534-4541 -21 APPLICATION AND PERMIT _ASS�SSOR PA Yr L N W -7e., ZONING BUILDING PERMIT OWN El� Z TELEPHONE 5?;15- 0609 SQ.FT. OCC. BUILDING VALUATION OWNER'S MAIL[ G PRESS zoo AVEMte '4VE, loxovl&bE�. CA CONTRACTOR'S NAME 0 E -C TEXEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER��. OWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDIRESS Permit Fee $ ARCHITECT OR ENGINE2P7 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ATESS PIA)le DA&E AVE PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 1 PARCEL MAP i 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF (9-�DuplexF� MobilehomeF] Other SPECI FY Building sewer Lawn sprinkler system 1 5.00 TYPE OF WORK New F-1 Addition [:1 Remodel EJ Utilities E] Installation Other [a, Describe work: Permit Fee $ -`Contractor ELECTRICAL PERMIT Filing Fee 10.00 6111 OR LESS main service 100 AMP OR LESS >,66, /0 ao Main service EA. ADD -L 100 AMP 2.50 �,�-o NEW CONST ( DWELLING OCCUP.0J OR ADDNS.' ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness ar�d Professions Code and my license is in full force and effect. icense No� Classification as the owner, or my employees with wages as their sole compen- sation, -will. do the work, and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason NEW CONSTR. ( MULTI-CIUTLET N.N.RESD. BRANCH CIRCUITS) 12.50 ea NEW.CONSTFL (POWER APPARATUS &I NON RESID. SINGLE OUTLET CIR. / I Ex. Occup(OUTLETS OR FIXTURES 50 @ 230 BAL 0 10� (OlUXED APPLNS OR Ex. Occup. TL ETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 00,0 0 Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 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 f 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 shal I be deemed revoked. Heating Cooling — Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot 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 id oWnt onsequence o, the gran ing of this permit. X Date ;?/ Signature of Applicant — Owner 0 ContractorEl AgentEl 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. IPARCELI PD I NO I ISSUE This permit is hereby issued under si on th: Butte County Code and/or rJyJ wo, I abdve for which c --e'r011 OF PUBLIC By_ PERMIT EXPI[RES Date- the applicable provi7 resolutions to do fees have been paid. WORKS Date JZ_- /-z — Lt—m— Receipt NO. 6T� L7"f-1P-4_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROB-APPL I CANT OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Sharp Electtic ADDRESS: P.O. Box 1390 CITY &.STATE: oroville, CA 95965 IMPORTANT-' DATE'dF CLAIM:. T)t-rembt-r 14, 1981 SEE INSTRUCTIONS q - O.N REVERSE SIDE SUBMIT CLAIM 'TO DEPARTMENT RECEIVING GOODS- OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 12/14/81 -7- Contractor decided.hot to do work (0�iher-Bill Moe --Electrical, permit #438.5 -81E -Receipt # 58444�AP 36-42-76) Electrical permit fee paid --------------------------- $37.50 Retain filing fee -------------- $10.00 Retain pre -inspection fee ------ 7.50 - Amount retained ---------- ------ $17.50 .$17.50 Amount of refund aue --------------------------------- $20.00 $2() -a" TOTAL $20 . 00. 1, the undersigned, declare under penalty of perjury that the services or articles claimed gve ee p, 'ej5o r livered, and that this claim is true and co t a st ted. ,,J� Dated this ....... J day, of P -at . .... Calif. ... ................... ......... . . ..... . ..... ... . .. . ................................. S S. ignatCure of Claim 1. th e undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above h"e een performed or.de- livered and that th a Budget Appropiiation or Specific Board* Approval (Checkone) for th e Dat d e this ...... ....................... day of .... 19 B1, at Calif. .... . . . ............................. ...................... .,Dpa ment ?Head or Auth.,i.ed u�y Dept. Exp. Code ....................................... .... Code ................................................. PAYABLE FROM .................... z ................................................................ F UND DO NOT WRITE BELOW THIS LINE - AUDITO*R'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ. SUB. 0 BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT* ENC . UMB. SUB -DIST. 17 1 3 7 7. ;2- 4L Rr-q TnT-NI'TAT. ENERGY CONSERVATION STANDARDS Minimum Requirements - Butte County Standard Design* (2119/79) Slab edge - unheated heated Foundation walls - heated basemen't - plenum Floors - over unheated space Frame Walls - pierced insulation non -pierced insul. 11asonry Walls - pierced insulation - non. -pierced insul. Ceilings/Roofs - pierced insulation - non -pierced insul. Glazing— single glass - special ,-IazinR (insul.) Chico, Oroville Bangi & Valley Floor 2601-3000 Degree Days Law Required Values Insulatic .0 R R (21BTU/I ft:I(Sde Note i (-25BTU/1 ft 6" of 4.! 15 6.67 3.50 .15 6.067 3.25 not required not requJ .08 12.50 usually 11 .095 10.53 8:76 N/A NIA N/A 6.25 3.07 .G5 20.00 usually M .06 16.671 11 69 1.10 207, fioor I not reauired noot requi�� Notes L. Vapor Barrier -- Not required in Butta County due to winter Z. Manufactured WindGWs and Sliding Glass Doors -- Shall be cei T44n,ln—o __ Al I --A .nA f-^ ."hc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. County Center Drive - droville, Ibdlifornia 95965 - Telephone 9116/534-45p� APPLICATION AND PiRbJIT' ASSESsO AR4E2 NUMV -7 ZONING BUILDING PERMIT OwTELEPHONE ,57L -I- Ivoe SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO ZRACTOR'S NAME TELEPHONE CONTR C OR'S MAILING ADDR 06)x 13Yb, e946V Z4CC C4- Fireplace CONSTRUCTION LENDER Z JUNKNOWN - Total Valuation i$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR E G EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS -2do PLUMBING PERMIT Fi I ing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0aV/b Water piping LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system I - 5 outlets USE OF STRUCTURE SF �;J� �DuplexFj Mobilehomen Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewEl Addition [:1 Remode) [:J Uti I ities [:1 InstaIJetionEl Other Describe work: vle- rt:!, elmg Permit Fee $ Contractor ELECTRICAL PERMIT F! I ing Fee 10.QO Main service 6011 OR LESS 100 AMR OR LESS Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.al OR ADONS. ACC.BLDGS. 120 sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 2r I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Ciod nd my license is in f I force and effect. License No� pf tll) — Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTF;L(MUCTI.OUTLET No N.RES". B, ANCH CIRCUITS) 12.50 ea NEW.CONSTR. (POWER APPARATUS.&) NON RESID. SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES @ 250 BAL@1 OCCUp.(01IX1. A LNS OR Ex. UTLETSPP(RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 I �� C___ / IAJ 9 P. Permit Fee $ _37. SO Contractor 7 MECHANICAL PERMIT Fi I i rig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 5;_111- 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. F] 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 Vent i I at i on Permit Fee Contractor — 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby, authorize representatives of the County ot 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 Iiabilit.ies, judgments, costs, and expenses which may in any way accrue QgLLat*_w:�_consequence of the granting of this permit. // X7=- Date I_Z Signature of Applicant — Olner L_J Contractor4� Agent Fj 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. IPARCELI PD I HD I 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 provi7 resolutions to do fees have been paid. WORKS Date I Receipt NO. 5g L�q_q_- WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMEUT� OF PUBLIC.WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,�'CAUfFGRNI;N.95965L- - TELEPHONE: 916/5344541 PERMIT APPUCATION DATA SHEET Permit No. OWNER LC IVO C' A. P. No. e7 Proposed Building Use Ze 4g SIC - Permit Fee Based p Complete Contract Price Valuation Other (Explain) 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 . . . . . . .. . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and, calcs . . . . . . . . . . 5. Plans with Energy Design Compliance Statement . . . ... . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization . . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 1 1—Planning approval for (A) Use: — (B) Parking:— . '12. Certificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownerFl, Mail to owner El 15. Improvements may be required . . . . . . . . . . 16.,-Mobilehome Installation Data. 10 ve - -Iri�nApec re0que S, quired- Building In' S pector t4 1 '7. Pre -Inspection for- .5 rn�ev ("1-1106 FA P;44,?8. Other When you issue the permit, process as follows: Mai I to owner. to contractor. Telephone and hold for pickup at _office. —Deliver w/inspector. Other Applicant Date Copy of plans sent —Health Dept., —Fire Dept., —Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW