HomeMy WebLinkAbout079-070-016-T-
K KenLAnede P
I r e
132 Greentb4nk Avenue, Orovi
en Anderson 42 Mra.
fit
P P i I
ermit # 1589,--82B6dd patio dover)9f
Contr: NorthstateRoofing
Permit#2009-85B(reroof/SF)
;'�A!�-'94-0779ffl
7
ANDERSON, KEM:
ljf-GREENBANK7AV-
E�.,,.OROVILLE
CONT: STAN-NEILSON.
- ;-- -.-
%l.'ADWDECK/SF
1011B
ANDERSON, KEN'
132'.GRLNB A NK, AVE.
REPAIR TERMITE,DAMAGE/SF-,--,^
3 W6 -4 3, 9- - -9 1. 6- #98-2808'
cABRERA,'EUGENE.-, 7j,
132 dRjF-ENBAN1K,,'0R0ViLLE
MIKE HURST ELECT:fi44q-
.200 AWELEC SERVCE_���
I
lro
cn
036j430-016 #98-2808
CABRERA, EUGENE.
132 GREENIBANK,'OROVIILUE'
MIKE HURST ELECT...
200 AW ELEC SERVCE
OF*FICE COPY
Address
LECTRIC
'eter By -
Date
- 7-1-7111 , .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center'Drive * Oroville, California 95965 - Telephone (530) 538-7541 RERMIT;
QIIC�L 1XIC NO.
(Rev. 12/96) APPLI CATION AND PERMIT <3 C-71 � j�
ASSESSOR PARCEL NUMBER 036-430-016
ZONING
BUILDINGPERMIT
OWNER CABREM EUGM
Tr522*308
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILINIA32ES"'GRIMBANK
CONTRACTOR'Mt mn F
umic
T902:S330
CONTRACTORSIPSIU VOMT DR., OTWV
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADIR12 GRmNBAn
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDFVISIONSNAME
1
PARCEL MAP
—
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF M Duplex $0 4- Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK411111%.
New 0 Additi6p' 0 Re . model Utilities 0 Other 13
SF
Describe Work: 200 AMP R.,xilation, N I�T
PAM-Akk.4h6k
Gas, piping system I - 5 outlets 15.00
BuiWhb ..w.r 15.00
Mobile -Home ISI GI WF 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
a00V OR LE:: -2:5
Main Service .A 0. LE 23.00 -UU
LICEI . �ONTRACTOR'S DECLARATION
YSED =C
I hereby affirm under penalty oflo6rjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000)iof Division 3 of the Business and Professions Code,
and my license is in full force and"effect.
License Class 4 - /0 Lic. No. 23s-� 4 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: I
I
0 1, 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 "Ie.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions. Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. so
DW NQ OCCUp.
OR ADONS. S!zc. BILDS. 3.50FT.
NEW CONST.
NON-RESID. 97.50
( PO.W.E.RAP=US
0 CIR
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL @ .50
Ex. Occup. ( ..ED A '(,=-.)0ER. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMIT FEE $ 06.00
WORKERS' COMPENSATION DECLARATION 11
1 hereby affirm under penalty of perjury one of the following declarations:
0 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 tl�is permit is issued. I
0 1 have and will maintain workers' compensation Insurance, as requiped by Section
3700 of the Labor Code, for the performance of work for which this p6rmit is issued.
My workers' compensation insurance carrier and policy number 6e:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) I
III I certify that in the performance of the work for which this permit is J4 issued, I shall
r 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' comp nsation provisions of section 3700 of the Labor Code, I shall
forthwith c6mply with those provisions.-,
�c - - 4
X ate 7- 9 43
Signiatu're of Applicant - 0 Owner 0 Contractor El A
An OSHA permit is required for excavations over 60" deep and dekolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
—
Hood 6.50
Ventilation
—
PERMIT FEt $
Mobile Home Installation Fee s
Energy Inspection Fee s
Occ
CONWS TYPE TOTAL FEE$ 66.00
D. FEES IMP
FLOOD
CDF
PARCEL I PO
H.
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w ic,h fees have been paid.
010
B — � 4", -0
T
PERMIT EXPIRES ON
(Da6)
No4;,- 7 V
LReceipt
WHITE -D.
�L D.S.-B.D. - CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-75 0.
___0 q2-A!M
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-430-016
ZONING
BUIL
,XNGPERMIT
OWNER CABRERA, EUGENE
Tn!"6308
SO. Fr. OCC. BUILDING
VALUATION
OWNER'S hwunlTEssGREENBANK
0ONTFIACTOR'WrE HURST ELECTRIC
CONTRAcTOR*sffuVffNtST DR. orm-Al'uG
CONSTRUCTION LENDER
LENDER'S MAJUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER _75�ENO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERs MAILING ADDRESS
Plan Checking Fee $
BUILDINGADJPJ� GREENBANK
Energy Plan Checking Fee $
26 U I LJ_G1_
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee. 20.00
USEOFSTRUCTURE
SF (A Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel b Utilibes 0 Installation 0 Other 0
Describe Work: 200 AMP SERVICE CHANGE- TIJE-IN EXT.
PANEL & MISC.
piping system I - 5 outlets
15.00
-Gas
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service '..*A RR '�'rs.
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class e- - /0 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:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 cgrnplY with Jpose provisions.
X z— 61
��Ir Datel,2-743
SigAature of Ap�plicant - 0 Owner 13 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST DWELLING OCCUP. 3.50'0
OR ADDNS. & AM. ISMS. FT..
CONST. MULT'_OU LET'
=RESID ,,�,,rrs @7.50
OWELR AP=US
PSING E 0 CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FIKTURES SAL @ .50
Ex. Occup. -(R.16.1 E 5.00
O. -ED A — OR..
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 911-00
PERMIT FEE 66.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
-
Ventilation
-
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ A6 01)
FEES IMP
I FLOOD
CDF
PAR
E
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w)i�h fees have been paid.
at Ap
Bk At
\/ - -1 F L
PERMIT EXPIRES ON z "_
I 1. 11 Pat,)
ReceiptNo. 775117=
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
PRE -INSPECTION
OWNER: e-�- E- '-L Wru� DATE
LOCATION: 6- A.P. # CUC
CONTRACTOR: IA111<5-�e- ZONING //I-.
PRE -INSPECTION FOR: 52-0-6
PERMIT HISTORY: El NONE 0 - AS FOLLOWS:
TYPE OF OCCUPANCY
BUILDING USAGE:
TENNANT:
0 OCCUPIED F-1
HEATED -COOLED
OTHER COMMENTS:
DATE TO INSPECTOR
FIELD - INFORMATION
HAS ELECTRIC F-) HAS GAS 0 HAS SANITATION FACILITIES,
ED PERSON CONTACTED.
ACTION RECOMMENDED:
0 ISSUE E] HOLD FOR.
OTHER: -
BY DATE
STATE OF CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
6-34 - Al 3-0-4/6
COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR
14 INSTRUCTIONS FOR COMPLE77ON
ft �IMIC riMC MAN rIt%L
-STD -850 (REV. 3-93) 2 -FIRE AUTHORITY
1. REQUEST DAi:"RAM
4 -5 -LICENSING AGENCY
1'12/13/94
3. AGENCY CONTACT
TELEPHONE NO.
UATOR
CDSS/COMMUNITY CARELICENSING
14.
(916) 895-5033 T-7
05/SEXTON
6. SFM REGION
7. SFM I.D. NO.
B. REQUESTING AGENCY FACILITY NO.
9. REQUEST CODE
CODES
1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL B. LIFE SAFETY
F
3. CAPACITY CHANGE
10.AGENCY
DEPARTMENT OF SOCIAL SERVICES
4. OWNERSHIP CHANGE
NAME
S. ADDRESS CHANGE
COMMUNITY CARE LICENSING
6. NAME CHANGE
AND
. 520 COHASSET RD. #6
PREVIOUS NAME
ADDRESS
L CHICO, CA 95926
7. OTHER
DATE OF ORIGINAL REQ.
1 1. AMBULATORY
NONAMBULATORY
TOTAL CAP.
DATE OF LAST FIRE CLEARANCE
CAPACITY.
MEDICAL CARE
PREVIOUS
CAPACITY
MEDICAL CARE
PREVIOUS
CAPACITY
CAPACITY
19. FACILITY
YES XX NO
El YES El N
12.
6
12
CODE 81O/FDC
12. FACILITY NAME
13. NO. BLDGS.
CODES
CABRERA, TONI FAMILY DAY CARE
1. GACH 9. ADHC
2. GACH/R 10. CLINIC
14. STREET ADDRESS (ACTUAL LOCATION)
_80-x
15. RESTRAINT
132'GREENBANK AVE
ro
N 0
3. SH 1 1. JAIL
4. APH 12. ICF/DDN
CITY
ZIP CODE
16. HOURS
OROVILLE, CA
95 66
DAYS
S. PHF 13. RCF
6. SNF 14. CCF
17. FACILITY CONTACT PERSON
L PHC
TELEPHONE. NO.
16A. SPECIAL
7. ICF/OT 15. DAF
TONI CARRERA
(a 1_,
S. ICF/DD 16. OTHER
TO BE COMPLETED BY
INSPECTING AUTHORITY
26. CLEARANCE
18. FIRE F
CODE
AUTHOR BUTTE COUNTY BUILDING DEPARTMENT
CODES
NAME 7 COUNTY CENTER DRIVE
AND OROVILLE, CA 95965
1. FIRE CLEAR. GRANTED
ADDRE ss L
2- FIRE CLEAR, DENIED
3: FIRE CLEAR WITHHELD
Z7. DENIAL
CODE
TO BE COMPLETED BY INSPECTING AUTHORITY
CODES
21. INSPECTOR'S NAME
TELEPHONE NO.
22. CFIRS
23 T- 19 OCC.
1. EXITS
15C,6 tt 16-fke tA
ID NO./
CLASS
2- CONSTRUCTION
3. FIRE'ALARM
4. SPRINKLERS
S. HOUSEKEEPING
_I
24�5S�DATJ,,
I
25. INSPECTOR'S SIGNATURE
14
I
6. SPECIAL HAZARD
28. EXI LAIN b NIAL OR LIST SPECIAL CONDITIONS
7. OTHER
STATE FIRE MARSHAL USE ONLY
RETURN TO:
20. REGION, DEPARTMENT OF SOCIAL SERVICES
OFFICE COMMUNITY CARE LICENSING
AND 520 COHASSET RD. #6
ADDRESS CHICO, CA 95926
L
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7- County Center Drive,.Oro.ville, California 95965
Telephone: 538-7541
APPLICATION FOR SPECIAL INSPECTION
Owner �_:PQM - L' -689j_ ----AA A. P. No. 036-43-0-016
Mailing Addr
ARalican
) 3 -Z C-1
C,A- qs-9�0(,o
Mailing Address 132 G)r-r_el-16a,4�
Building Location
Te
M, !�-3 2- 0 3 0 F
Telephone No. -5-3 Z- 63 Oe
I hereby request a special inspection of the following building:
1-7
1. Dwelling (if only a portion, specify) a��a�
2. Apartment House (if only a portion, specify)
3. Commercial (specify present occupancy)
4. Other (specify)
I am requesting a special inspection for the purpose of:
1. Moving the building.
2. Financing (specify agency)
3. Change of occupancy to
4. Other (specify)
Case No..
. 4 1 I
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required by the County of Butte, as a result of this inspec-
tion, to.comply with building and housing code requirements. I also certify that prior
to the use or occupancy of this building, I will complete the above required corrections,
alterations, or repaIrs, or, if the building is presently occupied, I will complete the
above required corrections, alterations, or repairs within 30 days.
I certify that I have read this application and state the above information is. correct
and hereby authorize representatives 'of' the 'Cbuhty bf B�tte to enter upon the above-
mentioned property for inspection purposes.
Signature of Owner
F��
Fee Paid $ L)
lst-DPW/2nd-Inspector/3rd-Applicant
&te
Receipt No.
ti 9 Q K14 R F, V
I DU P,
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MA*IER
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November 14, 1994
Toni L. Cabrera
132 Greenbank Avenue
Oroville, CA 95966 ,
Re: Administrative Permit, APjW6-430 - 01P
#95-64
Dear Ms. Cabrera'
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
. FAX: (916) 538-7785
Enclosed is your validated Administrative Permit No. 95-64 to allow a large family day care
facility for up to 12 person on property zoned AR, located at 132 Greenbank Avenue,
Oroville.
Every Administrative Permit expires and is automatically null and void without further
action by the County if the Activity or use for which the Administrative Permit was granted
has not been actively and substantially commenced within one year of the date of its final
approval.
Should you have any questions regarding this matter, please contact Craig Sanders of
this office Monday through Thursday, between the hours of 8:00 a.m. and 4:00 p.m.
Very truly yours,
7
Barry K. 4ga
Planning Manager
BKH:bd
Enclosure
cc: Building Division
Land Development Division
Environmental Health
Department of Forestry
t�
1-1
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DIVISION November 7. 1994
DATE
95-64
PERMIT NO.
036-430-016
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Toni L. Cabrera is hereby granted an Administrative Permit in
accordance with application filed: September 19, 1994 to allow a large family day care facility for
up to 12 persons on property zoned AR (Agricultural Residential) located appro)dmately 1500'
north of Foothill Blvd., at 132 Greenbank Avenue, Oroville, CA.
Failure to comply with the conditions specified herein as the basis for approval of
application and issuance of Permit, constitutes cause for the revocation of said
permit in accordance with the procedures set forth in the Butte County Zoning
Ordinance, including Butte County Code Section 24-62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the petmittee within 12 months of the delivery of
the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not established
within one year of the date of receipt of the countersigned permit by the permittee,
the permit shall become. null and void and reapplication shall be required to
establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding upon
and be to the benefit of the heirs, legal. representatives, successors,, and assigns of the
Permittee.
SPECIAL CONDITIONS:
1. The facility must be a single family residence that is the principal residence of the
provider and the day care facility is clearly incidental and secondary to the use of the
property for residential purposes.
2. Properties proposed for Large Family Day Care shall be located at least 500 feet driving
distance from any other Large Family Day Care property and the granting of the permit
shall not result in.any residence being bounded on more than one side by a Large Family
Day Care.
rAl
I
3. The Large Family Day Care home shall meet the following traffic control measure:
a. In addition to providing the required number of parking spaces for the residential
use, one off-street parking space for each employee of the facility and one off-
street parking space/loading area shall be provided. The driveway area may be
used to meet this requirement.
b. Large Family Day Care homes located on principal or minor arterial roads as
designated by the General Plan Circulation Element shall provide droo-off and pick-
up areas which prevent vehicles from backing onto such roads.
4. One sign, not to exceed 3 square feet, shall be allowed.
5. The applicant shall be licensed by the California Department of Social Services,
Community Care licensing for a Large Family Day Care facility.
6. The applicant shall meet all State Fire Marshall regulations pertaining to Large Family Day
Care facilities.
7. The applicant must meet all other applicable County and State ordinances, statutes, and
. regulations.
NOTE: Minor changes may be approved administratively by the.Director of Development
Services upon receipt of a substantiated written request by the applicant. Prior to
such approval, verification must be mad by each Department or Division that the
modification is consistent with the application, fees paid and environmental
determination as conditionally approved. Changes deemed to. be major or
significant in nature shall require a formal application for amendment.
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building
and Health Department permits before starting construction and their approvals prior to use or
occupancy, nor does it waive any other requirements.
cc: Land Development Division
Building Division
Health Department
Department of Forestry
(E * ^
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APPROVED
DEVELOPMENT PLAN
DATE A16 v, c 7 M4
'P'E�MiT-.,-/ VARIANCE
By 'o Ma
I
i
RESIDENTIAL
94-0779B
ANDERSON, KEN
132 GREENBANK AVE.,
OROVILLE
CONT: STAN'NEILSON-
ADD DECK/SF
V OK
= Not OK
Not Applicable
Not Ready MOBILE HOMES
Date/InItials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4.- Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearence!-Grnd-/ /Amp -Concrete
6- Gas; Location -Test -Wrap: / P'Llt.
/ P'Nat. or/ I"Uft.1 /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/initials MOBILE HOME INSTALLATION'(Plans) OK except #'a
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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
.MISCELLANEOUS
Date/initial DECKS -COVERS. CARPORTS, GARAGES, (Plans)OK except #'a
L,-�Zonifrg Requlre_mentsfsetbacks-Easoments
(X. Foot!age7-96ils-Size-Depth-Spacing-Connectors-SteeI
.1_3e1licks; Griders and/or Joists -Docking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftra.-Connectors
Shthg.-Rf6.-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 -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
A
G6L-- I
Date/Initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead Men -Lining
4. Elec.; Receptacles and Ughting, 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'Circulatlng Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boa rds-Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
0 = Not OK
Not Applicable
Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNDERFLOOR (Plans) OK except #'a
1. Zoning-Setbacks-Easoments-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ f' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Solla-Steel-/ /Ftg. Depth
S. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6s. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Materlal-Su pport- Ins.
14. Girders -Sills -Anchor Bolts-Jolsts-Vents-Cripples
15. Access & Ventilation
16. Insulation
Date/initials PLUMBING (Permit OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nall Protection
18. D.W.V.; Test -Fittings & Anchor -Nall Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
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/GF1
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral E3 yes 13 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Pane Is-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/initials MECHANICAL (Permit) OK except #'a
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/initials FRAMING (Plans) OK except #'a
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 & Bearing
Date/Initlals FRAMING (Continued) .
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rttr. tles-Purllnm-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 3' -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-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Cellings
60. Infiltration -Walls -Windows
Date/initials FINAL (Plans) OK except #*a
61. Ext. Steps -Door & Sidelight Protection -Land Inge
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. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insu lation- Foam- Looked In Attic 0 yes
78. Guard Rails & Dock Constructlon-Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth
Clearance Looked under Floor Yes
80. Following Instid.; Drive 13 Yes 13 No; Walks 13 Yes 13 No;
Planters 13 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comrnents at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County CenterDrive - Oroville, California 95965 - Telephone (916) 538-754�,/ PERMIT NO.
APPLICATION "ANDPERMIT pyl _ 07,7
ASSESSOR PARCEL NUMBER 036-430-016
ZONING ' AR
BUILDING PERMIT
OWNER
KEN ANDERSON
TELEPHONE
534-0913
SQ. FT. OCC. 13UILDING VALUATION
OWNER'S MAILING ADDRESS
132 GREENBANK AVE OROVILLE, 99966
374 -2,618.no
CONTRACTOR'S NAME
STAN NIELSON
I TELEPHONE
534-1319
CONTRACTOR'S MAILING ADDRESS
2788 OAK KNOLL WAX OROVILLE, _q 9 9 6 6
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
5400
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
3510
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
132 GREENRANK AVE
PERMIT FEE $
ing 1
OROVITLEXA 99966
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
1
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF MX Duplex 0 Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New NX Addition 19k Remodel 0 Utilities Q Installation Other
DescribeWork: de—C
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600V OR LESS I
200A OR LESS 1
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
3.51' SO.
FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
El I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON RESID. BRANCH CIRCU ITS
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL. @ So
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA. 1
0
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.0
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $ 100.00 (valuation) or less.
0 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.
[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 certifythat I have read this application and state thatthe above information is correct.
I 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
entei upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabillitier, judgments, costs, and expenses which may in any way accrue against said
Count . n q e CIS of the granting of this permit.
X Date
llgtNZZ�
Signature of Applicant - �IOwner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 109.10
HAZ.
P,_LErS
1 =4
Fl -!!q CD1
1�=L I -
This permit is hereby issued under the applicabiq provisions
0 f the Butte County Code and/or Resolutions to do work
ic
ind;, above for w '. fees I ave been paid.
B, t, —Date$3-104
PERMIT EXPIRES ON *31L,?6
rej I
Receipt No. 156575
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI CANT
4D
�COUNTYOF BUTTE -,,R,"EPARiTMENTOFDEVELl�PMENTiSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIf�RN19,65965- TELEP06,NE (916) 538-7541
PERMIT APPLICATION DATA SHEET
DATE RECEIVED BY
1 All items have been submitted . ........................................
I sig6dd by preparer of plans. . . . . . .
2. Plot lans, 3/4 sets ....................
3. Co nplete plans, 3/4 setO signed by preparer of plans . ........ * * * * * ' "* * .1 *
4. Engineered plans and calts, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Formi ............................................
6. Energy Design Compliance and supporting documentation . ..... . ...........
7. Statement of Intent for NA -H, eated and A/C Buildings.
8. Engineered truss details and.'Iayout in duplicate (required prior to plan check) . ...
9. Mobilehome data and manufacturer's in�,tallation instructions, 2 sets . ...........
Fee: of I . .........................................
ioNrn ct fees as shown on attached schedule ...............................
,p
19' California Department of Forestry plan approval/fees .........................
Flood elevation letter (100 year floo�d�bgtCalifornia Engineer ...................
14. Sanitation and plot plan approval T) _ Health Department . ............
15. City of Chico plumbing permit . ........................................
16. Plot plan and business license approval from City of Biggs/Gridle
N `� . .............
17. Planning approval for (A) Use: (B) Parking: .......
'18. Contact Land Developmenta bout (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy).
F;�;4Aspictio; req* eat
2D. Pre -inspection for required. to Building Inspectur (Date)
21. Contractor's license information. (No., Name Style, *Classification) . .......... 7 .... -
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to o,,i�n4r' Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorizatio�' . . "; '.. � ...................................
26. Copy of recorded deed of parcel 6rea'tion 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 permit, process as follows: tf"' Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation Date 31
Acreage Applicant-md ...........
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. _;r
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
Coov - Department of Public Works
F.Al, USE
lied
Phil Plan Alluc
Floor Phin Aluiclwd
scill 1.) 11.1
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
AP#
'Owner Location
lll�n Approved for: Sewage Disposal Water SLIpply: I'Llblic Private Well
oni 1'1111�111ntool! —7
Clearance �fo�r Lorc-11 I —Ir Die— . C-/-<—
NOI
Environmental Health Speciall
8/92
Date
3
036-430-016
AND RS 94-'IOIIB,--
-'O�IB
ANDERsbN'.KEN
0
�132.GREENBANK AVE. R
p I OVI
__.. E-
R EEA R OROVILL
REPAIR"TERM"
F
ITE' DAMAGE/SP.'-""'
7 7 C7
COJJNTe()F'BUTTE - DEPARTMENT OF PEVELOPMENT SERVICES - BUILDING DIVISION ill, 0 V.
PERM
7 County Center Drive - Oroville, Carifornia -95965 - Telephone (916 38 754 IT NO-. -
APPLICATION AND PERMIT 01!
ZONING
AR
BUILDING PERMIT
OVEN ANDERSON
TE L534—' 0 9 13
SQ. FT. OCC. BUILDING VALUATION
EST— 19 LK10
0 T_T2 M = =4 AIRAVE., OROVILLE, CQA 95966
CON
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Rreplace
CONSTRUCTION LENDER
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
----23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 132 GREENBANK AVE., OROVIUE
PERMIT FEE $
45.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S�NAME
PARCEL MAP
Each gas water heater or vent
15.00
AL USE OF STRUCTURE
SF ffXDuplex 0 Mobilehome 0 Other SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home _FS rG WT
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel 1:1 Utilities 1:1 installation 0 Other
DescribeWork: TEMTE REPORT REPAIRS
I I
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
OR LESS
Main Service 600v OR LESS
23.00,
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCCUP.
R ADDNS. 8, ACC. BLOS.
3.5. so
FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
0 1, 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)
0, 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUIT
@7.50
POWER APPARAT S
& SINGLE. OUTLET UCIR .
Ex. Occup. OUTLET OR FIXTURES
2001.00
BAL. @ .50
Ex. Occup. OFIXED APPLNS. OR
UTLETS (RESID.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $ 100.00 (valuation) or less.
0 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.
Nqshall 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
entei 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
Co ty , co eque of the granting of this permit.
!�Ijl
X -\ (I" C xu�r— Date q 117, bf
Signature of Applicant - U Owner U Contractor 0 Agent 1 4
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
I
Energy Inspection Fee I $
occ
CONs"
TOTAL FEE $ 45.00
—
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD
This permit is hereby issued under the applicable
. of the Butte County Code and/or Resolutions
indicated a ove for wZhave been
LA -A
PERM[TEXPIRESON
I I
provisions
to do work
paid.
Dale ltll-zlq�e
Receipt NO. I ft7 AV-- IF UP --7- / 60 9 15 5 Ly
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT
COUNTY OF BUTTE - DEPARTMENT OF, DEViEtOPIAENT SERVICES - BUILDING DIVISION 10//
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- PERMIT NO.
APPLICATION AND PERMIT ;6 ��q
NU
_613%
TT-p4lb 1
ZONIN
AR
BUILDING PERMIT
OWNER
KEN ANDERSON
TELEPHONE
534-0913
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
132 GREENBANK AVE., OROVILLE, CQA 95966
EST 11000
CONTRACTOR'S NAME
UNKNOWN
I TELEPHONE
CONTRACTOR'S MAILING ADDRESS
-F��WN
Fireplace
CONSTRUCTION LENDER
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEER
LI CENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 132 GREENBANK AVE., OROVILLE
PERMIT FEE $
45.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF (;[XDuplex El Mobilehome Q Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel Q Utilities 0 Installation El Other COX-
DescribeWork: TERMITE -REPORT REPAIRS
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 6001 OR LESS I
,OOA OR LESS 1
23.00
Main Service 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP. )
OR ADONS. a ACC. BLDS.
3.50 So.
FT._
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
0 1, 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)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
I am exempt under Sec. Business and Professions Code
forthis reason
N[W.CONST. MULTI -OUTLET
NON RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL. @ so
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS RESID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.0
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $ 100.00 (valuation) or less.
0 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.
Ishall not employ any person in any manner so as to become subject to the Worker's
XILE
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.
I 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
entei 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
Co Zty - com of the granting of this permit.
X 0 Date 147
)&a 't -
Signature of i I Owner Q Contractor 0 Agen
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
AL FEE $ 45.00
ITOT-
HAZ.
I D. FEES
FLOOD
I COF
PARCEL I PD
HO
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
1c
indicated a ove for which s have been
—04t
PERMIT EXPIRES ON
ON
/
provisions
to do work
paid.
I
Daie �—A;175Z
1/1=11 -tor
Receipt No. liEz /(0
WHITE-O.D.S.-g.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT
of
2 Greenbank AvP.
0.
ly
ille 95966
1357624 T 3/25/94 184-94
Stomp No. Dote of Inspection Co. Report No.
iiS'& RECOMMENDATIONS: (continued) (if ony)
'43 - Others to replace fungus damaged members with new material, as needed. (SECTION
I) If during repairs, damage, infestation or infection, 'are found to exist or
extend into inaccessible areas, and if requested, a further inspection will be
made, and a supplemental report issued.
INDATION:
,)A'Portion of the exterior foundation was inaccessible for inspection due to brick veneer.
;,�AA - It would be impractical to make area accessible, however if area is made acces-
sible, and if requested, a further inspection will be made and a supplemental
report issued with new findings, if any. (FURTHER INSPECTION)
ATTIC:
_-The attic was partially inaccessible for inspection due to insulation.
6.'7A - It would be impractical to make area accessible, however if area is made acces-
sible, and if requested, a further inspection will be made and a supplemental
report issued with new findings, if any. (FURTHER INSPECTION)
.'INTERIOR:
&,:,,.1Vater stains were noted to the laundry/storage.,-'roof sheathing. Lakeridge Termite &
Pest Control could not determine the absence or presence of leaks, only that stains
'could indicate possible leaks. Any further information desired regarding this item
is to be obtained from other trades. No further recommendation.
X T E R 10 R
Fungus damage was noted to the ends of the eave rafter tails. See 11A on diagram.
Ll;'..;�Rft- '11A - Others to cut off fungus damage, or replace damaged rafter tail
s, as needed.
(SFCTTnN T)
Cracks were noted to the exterior stucco, creating excessive moisture conditions. See
118 on diagram.
Rec. 11B Others to seal cracks, as needed to correct moisture conditions. (SECTION II)
SECTION 1: Rec. 1A, 1B, 11A, - others:
. ' ' ' * . . . : , , -, �. - , - 1, 1, " , ., i j: 1; 1 1. t. i i . - . t I
COMPLETED P)Y IT.-INER OR OTHER TRADES.
** SEPARATED REPORT **
A SEPARATED REPORT HAS BEEN REQUESTED WHICH IS DEFINED AS SECTION I OR SECTION II CON-
DITIONS, EVIDENT ON THE DATE OF INSPECTION. SECTION I CONTAINS ITEI-IS WHERE THERE IS
EVIDENCE OF ACTIVE INFESTATION, INFECTION OR CONDITIONS THAT HAVE ;�ESULTED IN OR FROM
INFESTATION OR INFECTION. SECTION 11 ITEMS ARE CONDITIONS DEEMEn !_!'-,'ELY TO TO INFES-
ru I -
TATION OR INFECTION, BUT WHY`RF_N_0V711BLE EVIDE14CE OF SUCH WAS Fn,"�!'. RT.'Er" IuSPECTIOti
I�T
ITEMS ARE DEFINED AS RECOMMENDATIONS TO INSPECT AREA(S)
SE X-Finlo
TION DID NOT ALLOW THE INSPECTOR ACCESS TO COYrLrTr
AS SECTION I OR SECTION 11.
FINDINGS & RECOMMENDATIONS:
1. SUBSTRUCTURE:
A. Fungus damage was noted to the subfloor, rim joist, pony wall plate, and cripples. See
1A on diagram.
Rec. 1A - Others to replace fungus damaged members with new material, as needed.
(SECTION I) If during repairs, dam ' age, infestation or infection, are found to
exist or extend into inaccessible areas, and if requested, a further inspection
will be made, and a supplemental report issued.
B. Fungus damage was noted to the subfloor, the end of a girder, and a grider brace,
beneath the bathroom,,* See 1B.on diagram.
CONTINUED ON PAGE (3)
0
15,89-82B
PERMIT NO.
PERMIT EXPIRES A
Ken.Anderson
OWNER
CONTR. Owner
36-43-16.
ASSESSOR PARCEL
132 Greenbank Av6nue, Oroville
LOCATION
Temp. Power Pole
Called PG&E
Temp. Elec. Service
-Called PG&E
Temp. Gas Service
CalledPG&E-
JOB FINALED D t
V)
urSignatu Vl=.L
V = OK
0 = Not CK
- = Not'Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Da te
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requ i rements-Setbacks- Easements
Date
DECKS, COVERS, CARPORTS, ETC,. (Plans) (it, xcept k
67 Z oning Requirements-Se-tbffcks-EasemeA4s--
2. Soils;*Special MH Support -Sketch
R --Footings: Stz6�-Deftt6--Spa%ilf�Con"lrctors
3. Sewer; Location -Test -Fall -C/0 -Concrete
-3-4)ee4s, Girders and/or Joists-Decking-Brac,ing-Stairs-Rails
4. Water; Location -Test -Easement Needed (Sketch)
V'Wood Awn.; P-�f_S-BZFs Coh,1I5c--SW,,x--4e-_Br;�i`ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. A um. Awn.; Columns -Connect ions-Spiice-Decal-Enc;usures
6. Gas; Location -Test -Wrap: / /"L"ft./ Nat. or/ /"L"ft./ LPG
-e—Carpoirts; Windows -Doors
7. Utility Clearance
Car P7161A
�#�
DatWZ-90-i57—Card-BI Date
Card -131 Date Card -BI Date
Card -BI
Date Card -BI Date
Card -131
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) CK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Con nec t ions- T h i ckness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgh1g.
Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -131
Date Card -BI Da te
Card B -I
Date Card -BI Date
Card -BI
Date Card -Bl Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Sindle and Duplex)
Date
UNDERFLOOR fflans) OK except�.'s
Date
FRAMING (Continued)
a;;Kents
48.
Property Line Firewall & Openings
So4&--6tve+-EIec-em&- 7 _E1q_-Dej*h
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
0.
Ftg., Garage; Soils -Steel- / -/" Ftg. Depth 1.,
50.
Stairs; Width -Headroom -8 ise-Run-Landing-F ire Protection
641"Ftg.,
Porches & Doe-rs; Soils Steel / /" gf6. Depth
51.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
--5-.Stemwalls, Main: Steel -B lockouts -Wrapped -Slab
52.
Siding -Nailing -Veneer
-&.-Stemwalls,
Garage; Stee I -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
--7- Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect i on -Sky I ights-P last ic
-0--D.W.V.:
Fall -Fittings -Test -2 -way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
-&.-Gas
Pipe: Size -Anchors
-+&.-Water
-++--Electric;
Pipe; Test-Anchors-Regu lator-Sery ice Test
Underground
-+t.--Plenums
& Ducts; C learance-Materi al -Support- Ins.
40, G rders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Cardw0v
Datev/!Y& k- Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps-Do6r & Sidelight Protect ion- Land i ngs
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
'57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub &-Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
.64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Applia ce; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Sw ing-Land i ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Hit.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
-Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic [] Yes
73.
Guard Rails & Deck Construct i on -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked, under Floor 0 Yes
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral 0Yes El No
75.
Following instid.: Drive E) Yes No; Walks El Yes El No;
Planters 0 Yes 0 No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Root; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Frotection
Date
MECHANICAL (Perrr.it) OK except #'s
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts: Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32,
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
.Ca�d-Bl
Date Card -B I Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'S
36. Sills; Proper Material & Anchors
37. -Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Wa Its over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof)
Comments at Final:
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
-4�.
43.
Header & B eam-Size & Bearing
14_anders-Post' Caps-Anchors-Eonnectors
Cing. Joist-Rfir. Ties- in -Roof Brac. -Truss-Shthri.q.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45 .
Attic Access : �Ize & Romex Protect i on-Dra It Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsit-3)
COUNTY OF BUTTE,- DF.PARTMENT OF PUBLIC WOR PERMIT NO.
7 County Center Urive - Oroville, California,959,§5 - Telephone 9/16/4-4541
'i
APPLICATION AND PERMIT
AS�,17SSOF3:tRC, SU R
7 _Z
ZONINAC�,
0
BUILDING PERMIT C/
0 w/,I&) AA[Z>6�e501V
TE PHONE
57
,;4_-
SQ.FT. OCC.1 BUILDING VAJLUATION
4u/-
-
f-0
OWNER' s MAILING A,99R
132- K-4-
-
1
CONTRACTOFrS NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation 1$
Filing Fee
$ 10.00
LENDER'S MAILING KODRESS
Permit Fee
$ 1;�400
ARCHITECT OR ENGINEER
4w_;�
LICENSE NO.
1
Plan Checking Fee
$ /0- 0o
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 00
BUILDING ADORE
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFEEre'DuplexF1 MobilehomeF-I' Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
NewF1 Addition 9--' RemodeiEl itt I iji-es 0 instal lationEl Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
610V OR LESS
main service 100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
.2.50
NEW CONST DWELLING OCCUP.81)
OR ADDNS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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.
[/icense 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. (See. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR(MULTI-OUTLET 2.50 ea
NON.RESID, BRANCH CIRC 17 S)
N E W.0 ON ST R. ( POWER APPARATUUS &
NON RESID. SINGLE OUTLET CIR.
50 25g!
Ex. OCCUP(OUTLETS OR FIXTURES IBAL@10�
(OFIXED APPLNS. '
Ex. Occup. LITLETS (RESID'.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Perinit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] 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.
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
S
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
again t sat Count&',n consequence of the granting of this permit.
Datlot
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
$
TOTAL PERMIT FEE $ 00
occup�JU
TYP F CONST.
:��J;;�ISS
E
Ll_*�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DJRECT F PUBLIC
2�
PE EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date C-1 4—Y
Receipt NO.
WHITE-D.P.W., YEL - LOW -AS . SE - SSOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT
L
MUST be
NOTE:—All Materials & Workmanship Shall B, e. in..,,
bn't jo at af fn o-s�-ryd it is-unlaWful to
Accordance with Rec gnized Good. Practices anrl�
0
-a 6 �nfioris on
e,. ith�
sam w
of a qualit fo� the Specified
T e Department of
ol"'i W`�r'ift'6`h*.Pefmin�6 rbfn t �h
y prescribed use in the
Uniform Building, Plu'rrilping & Mechanical C d6s�:'�"
0
Ay 011
Butte.
?Z-. '5'-
and the'Nafi6nal E
ctrqi�cal, Code...
FA
v
V
s'e q ft. f m
_Iba k.of 5
.11$%perty lines and iiFse
'om
back
f*
2r
"d
5 oft. f r -the roa
shall be clea
of
6��it'ucture ' or equip. e
s 'm
_ex�e pt_
,ni,
71 9,r a 2'f eaVe 8verha"
t
R
v
13U.M_ COLIN I
46ILDINGD6
PARTH
17 :3 '00
A Q v
P RR
LsT
CAP
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SMki)
PCIA
LATH
cpf(4)
po :�Kq
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CC>kxmTfl
j- i",
BUTT 6 COUN 1. 1.
-PARTMOS
4UILDING,DF,
A�PPROVG
31A
Permit#2009-85B
Ken Anderson
k 132 Greenbank,, Oro
I
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL
,/,U,MBER
ZONING
BUILDING PERMIT
OWNE7,/
N'r
TELEPHONE
SQ.FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING� ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTR�AC,,TOR'S MAILING ADDRESS
J f
Fireplace
CONSTRUCTION LENDER
i .- . i
UNKNOWN
Total Valuation is
Filing Fee $ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT FilingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF El DupIexFJ lvlobilehomef_� Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W F1 0 .00 ea�
TYPE OF WORK
New R Addition [:] RemodelEl UtilitiesE:] InstallationD OtherE]
Describe work: I
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS 10.00
Main service EA. ADD -L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the S
F Busine,
and Professions Code and my license is in full force and effect.
t/l/A , / r
License No. Classification '315;1 —
1, as the own�r, 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 contidut-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS. 21/20sqft
NEW CONSTR. MULTI -OUTLET
NON,RESID, ERANC,-_C,1RC-.TS) 2.50 ea.
PE;WER :PF R�TUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 1.20@50t
ALO 30t
FIXED APPLNS OR
Occup. OUTLETS (RESI' 0 .) EA.) 1 2.00
—Ex.
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 J
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R 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.
FJ_, 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 Fi I ing Fee 10.00
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 Counlyui
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 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 $
Energy Inspection Fee
TOTAL PERMIT FEE $
occup.
I CO.ST.TYPEJ
I FL0001
PARCELI
PID I
No
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 Ok PULIC WORKS
By. �/, - ;,,,
41 ate X
PERMIT EXPIRES Date—
I/ r q "-
V,
Receipt No. 11
WHITE-O.P.W., YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION. AND PERMIT
PERMIT NO
ASSESSOR,F��CEL gB I- R
ZONING
BUILDING PERMIT
OWNE71�2 4 10 V, (0) 0 1/1
TELEPHONE
1
SQ.FT. OCC. BUILDING VAL0elON
- —
ro A,
P
OWNE ' MAfLIt-TG ESS
so VI LA In M L, //(a-
If
CONT:EOR'S N
oir - )!7, j_ _ 4
M
TELEPHONE
C, IAIL ADDRESS
U L&I J0 Oil,
Fireplace
CONS.:� _CTIOR LEN15ER
N V1 4L
t. N NPO
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ <?, 19
ARCHITf,fT OR ENGINEER
A10 LV&
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 49. (go
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00
0(o I) .� //C,-
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
P�ARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Vf DuplexF� MobilehomeF� Other
9y SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
5.00"
Mobile Home S I G I IN
�.0O ea
TYPE OF WORK
V it �s a
New R Add i t i on R ode I[:] U -I - i es I t Ila -on 0 Other[]
Describe work: Pe rr int
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS___
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions. Qode and my license is in full force and effect.
License No._�YA ff!� Classification r- _32
1, 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 I, as the owner, am exclusively contracting with licensed c.ontract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS. I 21/20sq It
NEW CONSTR. MULTI -OUTLET
NON*RESI., �RAN H CI TS 2.50 ea
'ITS
C U'
117
P7_ TUS &
WE 7
R PF;�R I
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 20050c
RIAL0 300
__
FIXED APPLNS. OR
Ex. OCCUP. OUTLETS (RESIC.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
—
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[-] 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.
[g.-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.
MECHANICAL PERMIT
Fi I ing Fee 10.00
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also ag ee to save, indemnify and keep harmless the County of Butte against
all liabiliti , judgments co t and n es which may in any way accrue
x s'
against County in co' !!�Fle" anting of this permit.
gr
--?
305 / _ /Lr
Date
Signature oLwplicent - Owner EJ Contractor 20 Agent El
An OSHA permit is ryuired for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
TOTAL PERMIT FEE $
occup.1
CONST,TYPEJ
I
IFL00111PARCIELI
P11
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRECTO PU LIC
B
PER; rIT KPIZS ATOate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
4D
No.
Receipt !2ta
WHITE-O.P.W..YFLION;�.�13f.!IO'R.PINK-INSPECTOR. GOLDEN ROD-APPL I CANT