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HomeMy WebLinkAbout079-070-030ROBERT G; HUDGENS 135,Greenbank Avenue, Oroville Permit#2124-83B�reroof/SF) 3,64'-Permit#1623786B(new garAge) •5_ 5 95-1888,' P.-, HUDGENE, Bob - y' 135 Greenbank-Avenue; row% cmi L I 036_430=030 PERMIT#98-2914 -HUDGENS' FAMILY .TRUST 'P , - 1 135 Greenbank Ave.'; Or.6ville . Cont:-P.F. ' Reilly '& Co. Vinyl.Siding/SF Lq r` 4 t , t , { COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californiad95965 • Telephone (530) 538-754.1/ PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT �-� ASSESSOR PARCEL NUMBER (+` �h•/ 4y — ZONIN� BX LDING PERMIT OWNER 14 Ili rl rr FG +ssw r �, t Tr �.. TELEPHONE l y 1 1 SO. FT. OCC. BUILDING VALUATION 6 1 A . OWNERS MAILING ADD S CONTRACTOR'S NAME TELEPHONE { CONrRACT6141 MAILING ADDRESS W �►. . c �.' `tito *e, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 5-3 mo ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS {,r r -e Energy Plan Checking Fee $ 04-0 V t -C PERMIT FEE _ % 3 � LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 11 SF ®Duplex ❑ Mobilehome ❑ Other I SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK 1 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation I111"'Other ❑ Describe Work:5 !I ' , j j ,t, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOV OR LE Main Service zo.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. + "� License Class 43 Lic. No. 11 OWN WILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section' 3700 of the Labor Code, for the performance of the work for which this permit is issued. O' 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier tri f2 /_ D,wns F-lq 4, Policy Numb"er IV r'1! f IW .1 --t 'R -V 1Z r) ! (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in ariy manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. O C 1 Date X ->' Signature of Applicant ;WOwner �❑jContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionB structures over 3 stories in height. Main Service zooA To ,000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a Acc. BLDs.5QFT: NON -RES'. T.cygcu, 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. B20 @':0000 OUTLET OR FIXWREs FIXED APPLNS. OR 5.00 Ex. Occup. otmETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling' Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ j ") HAz. D FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE - This permit is hereby issued under the applicable provisions indicated the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Dateof Y c R PERMIT EXPIRES ON N�. �.D.S.-B.CC % ate I rR7eceiptNo. 10 �1 `CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 P MIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER t7 -- '3 0 — 03 C9 ZONING 4,(2 DING PERMIT OWNERF4A yY' % ��� C 64 1, t •7 TELEPHONE I 1 SO. FT. OCC. BUILDING VALUATION L . OWNERS MAILINGADD S / baN LOr- 0JI t -L 95 1(� CONTRACTOR'S NAME --e TELEPHONE 9 P S4 CONTRACTOR MAILING ADDRESS �i 0,)-- o--.,-4-J-e E ��[ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ :5'3 ocs ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ rU V 1 PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE � SF 8" Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation W Other ❑ 1 Describe Work: �✓V .g V �. . 5 1411 ti Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 '*OVOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class G Lic. No. -% 11 03-7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BinS. SO 3.5QFT: NON -a SID ' MULTI.OU LICUT 97.50 APPARATUS 8 SINGLE OUTLET C1 R. Ex. OCCU . OUTLET OR FDCTURES 20 BAIL10 1. 0 Ex. Occup. OimFEDrs Ao °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation ins carrier end policy number are: Carrier C�!%C OF/V g, Lg— U Policy Nor /t,/AJ G a a -g 'Q 3 5 / (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pro isi ns. —0.9 X O Date /� r l g Si ture of Applicant - Owner ❑ ontractor ❑ Agent An OSHA permit is required for excava ' s over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ , HAZ D FEES IMP FLOOD CDF PARCEL PD HD Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 44,' BY n►w Date PERMIT EXPIRES ON % C Dete Receipt No. ��% [ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i t'Yj�'�+''=`'c�Y:�?+�'ei'.'��,'n-�Z'�t9r,�ti!�:A,�+�:':y�,.4l�:�c!�'Sl!vs�t'F,+.r.";.-... v '�i"`�`y,�?y�"'°o+'�Kv+/".�;Sys;�;"�is�.d�...y��.`'�"�;.`�k,cb:�i�'�""'.,..-K,-: i-� �3�--��m-- D3n r ,;.. :��� � �, rye o��%` I �� �� -� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Orov)leV California 95965 - Telephone (916) 538-7541 � v l �PPERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 016-410-030 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 135 CREMANK AYE. OROVTLL�, Q5066 CONTRACTOR'S NAME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN-OWNTotal Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ / ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 135 GREENBANR AVE PERMITFEE $ OROVII.,LE, 95966 ;► PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 . Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 8 Installation ❑ Other ❑ Describe Work: GAS PIPING FOR STOVE Mobile Home IS I GI W @20.00 PERMITFEE $ 3.5.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service EOOV OR LESS ( 2000. OR LESS ) 23.00 Main Service ( 200A TO l000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. G License Class .� /, Lic. No. S 19 8- S ( 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OC UP. DR.DONS. ( a ACC. ) SO. 3.5¢ Fr. NEW CONST. / MULTI-OUUTLETLE T NON-RESID. \ BRANCH CIRCUITS ) 97.50 POWER ( US ) 8 SINGLEAPPARATOUTLET CIR. Ex. Occup. ourLEr OR FLxruREst ( ) FIXED EX. Occup. ( OUTLETS (RESID.)EA) Temporary Service Mobile Home Facilities Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ i _ Date ', ? Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE C M. J 35.00 TOTAL FEE $ GAJ HAZ I D. FEES I IMP I FLOOD rF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated.above for which fees have been paid. B /,^` y J 11 J r /%. ` Date /• Y L""W ` -, r . PERMITEXPIRESON f-1),-, " i (Date) Receipt No. __ I WHITE-D.D.S.-B.D"^- -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 / �►v�vr NO. APPLICATION AI` D PERMIT jj ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT - OWNER Bog HITTInT Np TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1.35 GREENBANK AMR n 95966 CONTRACTOR'S NAME NE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 135 GREENBANT � AVE PERMITFEE $ OROVILLE, 95966 PLUMBINGPERMIT Fling Fee 1 20.00 Each Trap 7.00 LOT NO. SUBONISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF 15 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IN Installation ❑ Other ❑ Describe work: GAS PIPING. FOR STOVE Mobile Home I S I GI W 1 920.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service %-A OR LESS ( zooA oR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. License Class 3 ( Lic. No. e5 62 OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 91-11-1am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADON ( 8 ACC. ) s0, 3.5¢ FT. S NEW CONST. / MULTI -OUTLET UTLE NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 2a 0 I.W BAL 5° Ex. Occup, OUTLETS (REs D.j OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ 1 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 Zfforthhit comply with those provisions. X _ Date 7 J Signature of Applicant - ❑Owner ❑Contractor ❑Age t 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 I TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ova for whit fees ha en paid. (/ c BY Date (S PERMITEXPIRESON (0t/� (Date) Receipt No. I WHITE-D.D.S.-B.D RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 )NUMBER ZONING BUILDING PERMIT OWNER Ic ( • ; C J 1 11 f . TELEPHONE ,SO, FT. OCC, BUILDING VALUATION - A OWNER'S MAILING ADDRESS ." CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I ° '' - UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ''- L' v LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ;• r.' BUILDING ADDRESSPLUMBING r f PERMIT Fili Fee 10.00 n9 Each Trap 2.00 Solar Water Heater 20.00 f Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑/ Installation ❑ Other ❑-- Describe work: % %� ! f , rr 't r / ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 1 2/22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &'� NON•RESID, SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 200030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST. IPARCELDPD N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC r By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ' ( }� a WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville, Cal:tornia 95965 - Telephone 916/534-4541 APPLICATIWAA PERMIT PERMIT NO. ASSESSOR P RCEL �N/-'MBER �Co— `t3 _ 7JU 3 ZONING BUILDING PERMIT oWNFR C,R{^y�'I// N C�S, (�/ l�Cvr SQ. FT. OCC. BUILDING V ATION J 3 \. ' //��//�/1////n,^/2N OWNER'S AILING=Sefive �I�.�VVL (/T CONTRACTOR'S NAME TE PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is _00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEE •S MAILING ADDRESS Permit fee $ 72:_1 BUILDIN SDDRESS C � J PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 / Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New❑ Addition❑ Remodel[] Utilities4 Installation[] Other O Describe work: C— 0F lit/ c"4P S //IfC,L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.R I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS &' ESID. SINGLE OUTLET CIR. ( zo®soe Ex. Occup(o FIXTURES BAL@30 A POR FIXED LISIS Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. jK;1 I shall not employ any person in any manner so as to become subject `"N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all ities, judgm pts, costs, and expenses which may in any way accrue gain i o my n se nce of t e granting of this permit. X Date a �Z�r>� Signa)ure of Applicant — net r Contractor ❑ Agent ❑ An OSHA permit is required for exclva ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 27- OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTOR OF PUBLIC By. PERMIT EXPIRES Dat the applicable provi- resolutions to do fees have been paid. WORKS Date.ems/ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT v PERMIT NO. 1623-86B r PERMIT EXPIRES v yi OWNER ROBERT HUDGENS CONTR. owner ASSESSOR PARCEL 36-43-30 &•31 LOCATION 135 Greenbank Avenue, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALE[ Signature V = OK 0 = Not OK 1- = NotApplicablej MOBILEHOMESO-�!)1quC% b"" 'e",:Rr"a. !A!THFir;Z� = Not Ready 'MISCELLANEOUS -Date MOBI LEHOME - UTILITIES- (Plans), OK en'6­pt.,#-E�,�L�-i.., 1. Zoning Requirementi-SetbacksEasements---L,- -Date--- DECKS; COVERS, CARPORTS; w6kid`xoepi ;1; -Zoning -:Requirements -Setbacks -Easements , ' SrecjatMH'Support�Sketch_ .03 2!otins�Size7Qeth�Sacing-qonqeqtor§_ Location:Test-Fall-C/O-. --3'..D6&ki,Girderiand/6-r,,j6ist$•-Decking-'-,B�r-aq'i"n-g-Sta-i'rs-Riiis 4. Water; Location -Test -Easement Nee'ded;(SWch)-.,b_.,C t, 4. Wood Awn.;tRos tvr Bea ms -,R f trs-. -.Con nec'-Sh t hg;- R fg. -Brac i ng 5.,- Electricity; cLbcation-Clearances-Grnd".-/!f/:Amp-Concrete 6. Gas' 1166ajiorrfest-Wrap:­L­ft./'�­/ Nit.or/ LPG' 5. Alum! AWnr,,,Columns-Co6nectio6s=Sp[iCi-De6alT--Enclosures 6. Carports; Windows -Doors 7. Utility Clearance It -Card-BI Date Card -Bl Date- Card -BI Card -BI Date Card -Bl',, Date !J.1ic3F - Card -Bl Date i!,� _-a!;I Card - -Bl;! i, - ,i:I:t_%_Date t:., Date MOBI LEHOME I I WSTA LLATION;. (P Cans) OK except #'s 1...Zoning RW46irements7,S6tb - �ks! ac. 7Easements--.- 71 1 i v hr.,!. L101 P. Date POOLS (Plans) OK except #'s 1., Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line fi 2. Soils; Coml5action7Struct6rd'Steibility ___3. -Gas; MH -Test -Demand -Valve -Connector=-'- .-,- -n 4. Electricity:'MH-Test-Cr;ss6V6rs-Clearances='_-C1&irandes-7— -Pool Str.u6tu're:.Stee]=Co6nectio;ns-Thickness7-D6ad, M e n L i n 16 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; -MHjT!aSt--7Fall7,Flex Connector 5- E lec.;. Poo I - L igot i ng; .15 fs-`b F I'2—E-1-- 6. Water;, MH,,TQ$t7f.legulator.76onnector.v.:d,, 7. Water and Sewer Connected -C/O to Grade -HD ApproVal.-',. 6.- Elec.: Enclosures. ConduitEntrips-Termjnal§-Lis!ed: Elec."-,-(3onding..,Meta.l w/5;�-CirculatiRg-EquipmentT-,.H2aier. 8. Gas and;Tagged -9. Exits; . ._I .;T:J: 8. Elec.; Ground in9;, Equip. v/5'-Circ,ulating Equip. -Pool Lghtg. Boxes-Enclosures-P-a'nelboards--ins.-,;to,K4ain-in'C'onduits' 10. Cert. of Occupancy 9. Health Department Approval '_1 A, r A 10. Plumb; Cir. Test -Water Supply Test Card'8-1 -Date Card BI D - ate.,-. i, Card -Bl Date Cwd76(Date Card 6-1- Date- ^7 -.,Card-BI ,7(Damt�Ca,d-B I ------Date — ----------Card-Bl Date, ------------ J.A I -.3..: ofc.,J --:jA 1k 110 .03 Z 71 1 i v hr.,!. L101 P. ----- - f3 L!• A),,E i,)j )mnvo $ n !:i :13 xt, k f,fivi -I,� F"-, Y tA X;i 9f,"Ir.p. -Y A ml IV 0 V`; L,- A ...... 7 41. .0"!J I J, 1,: f; fr. '31­1-�;,i.-,--i C;' - It t m • "u, 1J., .4,-- ot!`! J 1,C- T:;!,`iT1! a- Ati -M; T i:A ek J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready i Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued oning requirements -Setbacks -Easements perty Line Firewall & Openings 2. Ftg. Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - g., Garage; Soils -Steel- / 7d;j-Ftg. Depth 50.S�e+r NtidUi-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth _ Overhang -Attic Vents -Rafter Outriggers 5. St walls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer -Stemwalls, Garage; Steel -B lockouts-Wrapped-Odr53. -Staees-Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel _ 54. dazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date - Card -BI Date _ Card -BI Date Card -BI Date Card -BI NJ Date Card -BI Date Card -BI Card -BI Date #/- . Card -BI Date Date Card -BI Date Date FINAy,(Plans) OK except N's Date, ---PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings 57. Swake-Betector- Card -BI Card -BI Dat 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test &Anchors -Nail Protection 16. D.W.V. Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size &_Anchors Date Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 58. 59. F4=ace; Ve�Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Ram .tom^m Fxl,,,r_;ng 60. G,F-+--&-BeJxtures & Tub Access _ 61. EIPYpanel; Breaker Sizes -Labels 62. StRaj ls 63. Firi place or Sloue� Clearances -Hearth 64. EFee.44 w Jets at Wood Panel; Int. & Ext. 65. Kit. A, Appliance; Grnd.-Air Gap -Cooking Clearance 66. Eles-6atfets & Receptacles at Kit. Counter 67. Gaffe-FirtrDOor; Swing -Landing -Closer 68. A.e-Et t-t0'Garage-Damper Card B -I Card B -I 0. Fixture & Transformer Clearance -Ins. Protection 1. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 7. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes __ No _ 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. -_-_-_ 30. Clothes Closet Light -Shower Light _ ----- -- Date Card -BI Date -- Date Card -BI Date 69. Wtr.+ -.,,-Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. P_11Lrbleer& Mech. Equip. Listed for Location 71. in Garage; (G.F.I.)-Romex Protec. 72. 1nsvtaCTi!lr F-Shm-Looked in Attic C] Yes 73. Gua�& Deck Construction -Post Caps 74. Fdrr.--VentT-&-Crawl !-tole Door -Drainage & Wood-E�rth Clearance Looked under Floor EJ' Yes 76. FoHewipg instld.: Drive Yes o; Walks [i Yes E b4o;" Planters El Yes SWccor-Bcewn-,Finish 77. A.(��scewnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vente--A-bU72-nioof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Disc nnect, Electrical, Plumbing 80. ExteflIIr-Efec-'Trim; G.F.I. Receptacle -Underground 81, Verftt ion throughout House 82. Gla s Protection Date MECHANICAL (Perrr•it) OK except N's 83. Cor on from Previous Inspections 84. 85. g6. _ Gamiest -Meters Tagged; Gas -Electric Water&'Sewer Connected -C/0 to Grade -HD Approval EnersyJaompliance Certificate -Other Certificates Card -BI Card -Bi 31• A.C. Ducts. Insulation & Support _ - _ - - 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size_& Grade _ _ 34. Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date - --- - - Card- Date - and -BI Date Card -BI _ D to Card -BI Date _ Card -BI Date Card -BI Date Date FRA.MtNG(Plans) OK except N's Com lents at Final: Sills; Proper Material & Anchors alls: Studs -Nailing, Spacing & Bracing -Plates -Sound 3 ing ders & Floor Nailing 39. D� I Stop in Walls (rat proof) 40. ops: urr eilin2ss-Stairs-Chases-Tub Header & Beam -Size & Bearing - - -- -'-- ----- 4 ers-Posl Caps -Anchors -Connectors (� 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Tr0k-S-4Shthng.-Rfng. 44. FtrepT5CT7iL`s-ior Type A Flue -Fireplace Throat 45. 44-1•is ©ceps& Size & Romex Protection -Draft Stop -Ins. Baffles --- 46. Behn*rW-mclowsor Exiting Doors -Sill Hgt. & Dimensions 47. Ga75je-F-hv-ProTenion Framing _ - - _ --------- - - -"--- -- - - - ------ (NOTE-Anentrymust be made each time you visit job site) F 4 COUNTY OF BUTTE-I•DE•P.ARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovi'lle,,..Cal,iforpia 95965 - Telephone 916/534-454 APPLICATION AND PERMIT a ASSES PAR L UM�R � s ZONIN G BUILDING PERMIT ow R r TEL oNE _/ SQ. FT. OCC. BUILDING VALUATION O ER' S MAI LI ADDRESS 1CO R CTOR'S NAME TELE HONE .CO1TTRAC_T4ASnILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ng 7 y Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT RGas SF ❑ Duplex ❑ Mobi lehome ❑ Other piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea ,�f TYPE OF WORK New�p Addition ❑ Remodel[-] Utilities[:] Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT_ Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under enalt of perjury penalty p i y (check one): ❑BRANCH 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license IS In full force and effect. License No. Classification [,/7 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.6i1 OR ADDNS. C ACC. BLDGS. �20sgft NEW CONSTR ULT' -OUTLET NO ESID 2.50 ea CIRCUITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu 20050c Occup(OUTLETS OR FIXTURES eAL030 FIXED APLINIS EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile Ho Misc. g 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. ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai•n'st• said ou y i consequence of the granting of this permit. / X Date to /b - �� - Signature of Applicant 16.n.rd Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , Occup, CONST.TYPEJ I I F21 PAYL I PO ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU b By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date Receipt No. 5Q �� WHITE-D.P.W., YELLOW-ASBLSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT`"O'F'PUBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILL�, CiL1 ORNIA 95965 - TELEPHONE: 91,6 /534-4541 PERMIT APPLICATION DATA SHEET -- Permit No. Ro OWNER be Y, A,,�Xqe A. P. No. Proposed Building Use Cl rz-w E Permit Fee Based Upon: Complete Contract Price DPW Valuation Other Building Inspector Date 1�. 8t/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items. have been submitted. . . . . . . . . . ` __UPVPlot plans in %licate tri licate. 3CompIete pl �sd1t uplica /triplicate. (/ . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp,on,-Floor Plan . . . . . . . . Statement of Intent for Non /=1Heated and AC Buildings. 8. Fees of $ l�� . . . . . .. .. .. ». Letter of signature authorizatVX001** % Sanitation approval from / Health Dept. 1 '. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . X/Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (pole) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. . . I- 19. Other DRIVEWAY PERMIT (Construction approval required prior to occupancy) Whe you issue the permit, process as follows: Mail o owner. Mail to contractor. Telephone and hold for pickup at UVO office. Deliver w/inspector. Other Applicant/ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone _-'Mail By Plans checked by. Plans approved by Other Copy—DPW rate )ate Date Other To: Building Department From: 11�nvironmental Health Subject- Sanitation Clearance a. � eeA- - idskito, eaks -135 &M&L!�AA Owner - Cd Location AP# Plan Approved for: Sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home.. . Other SO �C 12 N07E Y'i v In W. -8-6.j� � faIrnA—ar2W'---7'NV -- - . Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,-Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing.your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvementt es�or no) 2. I(.hav -Have not) signed an application for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the 'proposed construction: Name a Address City . Phone Contractors License No., 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major. work: Name ' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ' Name . Address Phone Type of Work Signed: Property Owner _a4 -&�4 Z'", IG -2 Social Security tuber � ,� _ �,�— Date 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. ` This verification must be completed and returned to our office before we are per- mitted to issue the permit. wesT / oe6e% 14-U Yi ENS This set of plans and specifications MUST be A on the job at all times and it?is unlawful to ike any changes or alt.r-+ions on some without tten permission from the Department of Public orks, County of Butte. ? Su6M11f engineered detail of Trusses for approval -:prior 'to erection. 24X¢"STuDS/Gu�.�:. LP 9UTTE COUNTY...... BUILDING DEPARTMENT A'PR(D"v/E /loZ.3-gG 9 y� NOTE—All Maten M & Workm Accorda--n'-c—e WA Recognized Goo' d graces and q6olify prescribed for the Specif;ed use in the Uniform! Building, Plumbing & Macho'nical Codes a- d the Nafional Electrical' Code. 20W A setback of 5 ft. from the Property lines and a setback 7 FT of 50ft. from the road centerline shall be clear of struciures or equipment except ..., I ?') ft- eave overhang. ILITTE COUNTY BUILDING DEPARTMEN ArrKUV EJ) M x P T PLATE *1q