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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, -IRE mLAX I Dr, N T t r� .fl pET_�pnrm ISErAMH H -4 L U4 Y -D c4Dr UTILiTY Jr. PO(fl Tr .I MA*IER BOr THRO131 r U"" F 'PCIAT YARD V-1 \J N ba & ...... .. . AUG —9 m 0 D - ---------- -7 2. 9 S7 I rIIXE 1,, 7 o' ,Jc, co tv "U , Ll ii ht 1-1 Approx. I'L40C) FEEA G A L e-21 L f- 73 , --� ...... ... .. I i I L L (tYTl LO A'I IV. ............ G A L e-21 L f- 73 , --� ...... ... .. I i I L L (tYTl LO A'I IV. 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 * ^ J� +S, E -E-4 , e-- AN Ou- Liv Ol 73 00T fA ILL (01T, V 1 0 C, -act A i4�- q- AbUESS 13 21 CjaEW,6AAJe) N C3 0 CIO 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 Oi� Fo- SMki) PCIA LATH cpf(4) po :�Kq A, KII K (S 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