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HomeMy WebLinkAbout079-090-004n- 'r 'E •,AI:: _ ..: ( ..../f 1- ,!^• i,�.-�••t•.',,, y •n rM. iy, JY a ''' 1i ' „ei • � 1 is ' ! �� u .,}fi ;' t - 7 VI r ,t L FRIEDA HART MARTIN �r7q 100 Melrose Drive, e lot,o 41��Pit#663-84B P,E,ew / Y single'family) RICHARD DIXON 100 Melrose, Orovi Contr; .waib'el AC ! Permit#1980-86E,M(heat p S 1 ` PErmit#3773-87B(woo urning stove/SF) ' BO�b2192fscan�tecl) D7q-pgp.�py . 100 mM NiYt OrWIlt �e�,1►Jilligrn I'j. � oaF w/ 30 yr cc►►in9le c12 0 i •f f a•• `I _ j tel."• .-_..`�'a.''._ r _J ,�.,wr,�,�.,y"ty.'`ii..- i' �. .r'_:�..,..+�.�y _f•�s:R<..,4,'..�...r ,r. See 1980-86 a PEr-mit#3773-87B Richard'Dixon 100 Melrose Dr, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 APPLICATIO41 AND PERMIT PERMIT NO. ASSESSOR PAROL NUMBER, ZONING r. BUILDING PERMIT OWNER ) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING AOQRESS CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 $ I% '! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,S Duplex❑ Mobilehome❑ Other 1.A% / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New N Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C ,� 100 AMP OR LESS Main service e00v OR LESSse- 10.00 Main service EA. ADO'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 BuslneSS and Professions Code and my license is in full force and effect. License No. Classification (int 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai ,�xQ3gft OR ADDNS. ACC. BLDGS. I NEW CONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES .20020 @ 0 3030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 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. ❑ 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. NI 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 penult 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. 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. G X Date 11-13' h ? 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 $ ,? , occu P. CONST.TYP[ SCHOOL FLooD PARClL PD ND 139UE This permit is hereby issued under sions of the Butte reCounty Code and/or work indicated above for which DIRECTOR,OF PUBLIC ' By / '/' / 1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / • ' Receipt No._4 3 .u � WNIT[-D.P.W.. YCLLOW-A3eLee0R, PINx-IN3PlCTOR, DOLDlNROO-APPLICANT J COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS ER IT 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATIORLAND PERMIT ASSESSOR PARNUMBERS!7 r � IONI%IG BUILDING PERMIT NER rO7WNER'S TELEPHONE - 3a-� o SO. FT. OCC. BUILDING VALUATION AI LING A DRESS O CONTRACTOR'S NA�M� W •W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace /OU CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit -Fee $ , �Q ARCHITECT OR ENGINEER _ LIC ENSE No. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ��Ov Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE,/ CC � SFJ9 Duplex❑ Mobilehome❑ Other---(W---QU Ct tZD "� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I STGJWJ 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ j Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 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 ❑ 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 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81 ,h�sgft OR ADDNS. AGC. BLDGS. NEW CONSTR I -OUTLET 2,50 ea NON.RESID BRANCH CIRC 5 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES SAL@30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile .Home Facilities 15.00 Misc. IYirin 15.00 g 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 t sai Cou in consequence of the granting of this permit. l f�/�4� X Date Q' Signature of Applicant — d..., [:1 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 $ e occuP. CONST.TYPE SCHOOL I F1.0011 PARCEL I Po I No ssuE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which DIRECTOPUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to /,!! 3 Receipt No. t1L::L? WNITE-D.P.W., YELLOW-ASSE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Depai*tment of Public Works ;- 7 County Center Drlv2, 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 improvement (yes or no)S 2. I (have/have not) have signed an application for a building permit for the proposed work. 3. I have contracted with t_he following person (firm) to provide the proposed construction: Name 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 e�4v6W Social Security Number Date //-/ 3---:: g 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. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS --�� 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT Ea IT,elp. ASSESSOR PAR NUMB R7 a• �— !J ZONING •' _ - r• • BUILDING•'PERMIT OWNER - TELEPROFIE SO. FT. OCC. BUILDING VALUATION - _ OWNER S7- AI^LI G A DRESS is ih::::...='" `:} ;.l�:..L•- V�, �R..,i. �' ;i CONTRACTOR'S NAME llrli TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 0 CONSTRUCTION LENDER UNKNOWN 'Total Valuation Is - Filing Fee $ 10,00 LENDER'S MAILING ADDRESS l Permit Fee $ .5Q ARCHITECT OR•ENGINEER -•' -' ,OR`ENGINEEii LICENSE NO. - I Plan Checking Fee Energy Plan Checking Fee ARCHITECT •"S MAILING ADDRESS T _ _ . r ll Penalty $ BUILDING- ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee ' . 10.00 .."; ©�Ov Each'Trip ._ 2.00 Solar.or heat pump water heater. .20.00. , LOT NO. SUBDIVISION: NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent" . 5.00 USE OF, STRUCTURE. SF -Duplex❑ Mobilehome❑ ..Other C/U�0 �� r s 11 Fv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S I G I W 10.00ea TYPE'OF WORK- Newl�v Addition ❑ Remodel ❑ '-Utilities[:] Installation❑ Other ❑ Describe work: Permit Fee - "' $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'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 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 compen- sation'will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. .7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.al I�2QSgft OR ADONS. ACC. BLOCS. I/ NEW CONSTR. TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC S /POWER APPARATUS e )SINGLE OUTLET CIR. / 200 Ex. Occup(OUTLETS OR FIXTURES SAL0530 FIXED APP LYS. OR Ex. Occup. OUTLETS (RESID.) EAJ 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. ❑ 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-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 agai t sai CouM in consequence of the granting of this permit. 1 �����.� X Dates Signature of Applicant — wner ❑ Contractor C]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.7; SCHOOLJ PLOOO PARCEL PD No IseuE This permit is hereby Issued under sions of the Butte County Code and/or work Indicated above for which DIRECTO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS L to " 1,!:;4 .�� G Receipt No. /1 .'�h� d wNlTe-o.P.w., tet�ow-AeeteaoR, PINK-INDP[cTO R, GOLDENROD -APPLICANT _.. r i r' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive Oroville, California 9 965 --Telephone 916/534=4541-- - i APPLICATION AND yPERMIT ASSES OP-A NU R ZONING, y,Z,J,xe-. ` ¢ , BUILDING PERMIT -- ow I X r TELEPHONE .SO. FT. OCC. BUILDING VALUATION �p�.Y ''A:� .�.... .,+.-.. j _.�•_..:,,..1.-. OWN R'3 AI LIN DD ESS ....- .� . ., �. .. .._.,...— _- ••-. r, Ll if _ CT R' -- AMONE TELEPH •. ..__ _ _' _ CO A T 'S MING AR 3 h6lc 1/- + Fireplace CONSTRUCTION E KNOWN - Total Valuation $ -Filing Fee 10,00 LENDER'S MAILING ADDRESS - - - -- - Permit Fee ARCHI TECT •OR -ENGINEER ,__- _ - -• L ;�. -_ ..- - _- LICENSE NO. - Plan Checking Fee Energy Plan Checking 'Fee= --:—_. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS r • , , ._ .:� _ .!.. _ Penalty $ BUILDING ADDRESS r Permit fee $ - PLUMBING PERMIT_ Fiiing.Fee_ _-10.00 Each Trap 2.00 Li Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME C,. f ,- PARCEL MAP Water piping - 5:00 Each qas water heater or vent 5.00 USE -OF STRUCTURE SF Duplex❑ ~Mobilehome❑ '- Other - SPECIFY Gas piping system 1 - 5 outlets -- 5.00r- .00-- Building sewer - -. .5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ R model ❑--'Utlliti ❑. Install tion❑ Other Describe work: a,( -mo IY Permit Fee - - - $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov 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): 01"I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. 9-b Classification, ,20 Fl 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) ❑ 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.tr , OR ADDNS, ( ACC, BLDGS. ftsq It NEW CONSTR. MULTI.OUTLET 2,50 ea NON.RE.SI0 BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20030t eAL030 Ex. Occup. OUTLETS (FIXED PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under perialty 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 permkt shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing 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 of 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 x a Date Signature of Applicant - Owner ❑ Contractor ❑ Agent El ion of structures over 3 stories i height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct-4T, Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCuP, CONST.TYPC ,- PL000 PARCEL - PD , ND 1ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR T OF PU BDate PXPIRES Date the applicable provi- resolutions,to do fees have been paid. I WORKS Receipt No. WHITE-O.P.W.. YELLOW-A7eE3e R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR.TMEN�T OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT /PERMIT N0� ASSES OPA E NU ER l�J ZON` BUILDING PERMIT oT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIN DD ESS r C T R' AM TELEPHONE CO A T •S M ING A R S CO MT I/ Fireplace CONSTRUCTION E R KNOWN 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 roLs 6 P Permit tee $ PLUMBING PERMIT Filing Fee 10.00 c Each Trap 2.00 — Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 ,�,{ USE OF STRUCTURE SFODuplex❑ Mobilehome❑ ' Other T� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ model ❑ Utilitie ❑ Install tion❑ Other Describe work: RN110 X 6q !i/yr;, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8111 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): 0I 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. ` 10�_ Classification ( n ,,D E] 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) ❑ 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.�( , New CONSTFL AUC qft ) ��2sea MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER /POWER APPARATUS tr OUTLET CIR. ) EO�20®501 x. CcupOUTLETS OR•FIXTURES DAL030 Ex. Occup. OUTLETS P(RESID )FIXED APLNSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 9 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 FiIingFee 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 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. %� ( ,GL Date / ��—_A6 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 i height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ accUP. CONST.TTPE _[_FLOOD PARCEL I PD I HD 38UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR T OF PU B PERM T EXPIRES Date the applicable provi- resolutions to do fees have been paid. I WORKS Date Receipt No. WHITE -D. �. W., YELLOW-AS8E35 R, PINK -INSPECTOR. GOLDENROD -APPLICANT Ni,,f` ti rK6i ::..aa•yt„ '$' =r •: '".,yr.:.!' 7 . x+. ; e. �.. .� ii.. t t .w .. - COUNTY OF BUTTE - DEPARTMENT P=PllLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916X�534--4541 PERMIT APRLIPATION DATA SHEET Permit No. "* s ' �j OWNER Q V -t y A. P. No. C� PUr/c Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other xp ai I A/11 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees.of $ . . . . . . . . y 9. Letter of signature authorization. . . . . . . . V.Certificate itation approval from Health Dept. nning approval for (A) Use: (B) Parking: of Workmen's Compensation Insurance. . . . . . 13. 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. . . . . . . .. 17. Pre -Inspection for Required..Pre-Inspec. request to (Dote) pBuilding Inspector 18. Recorded f A c t r l Acknowledgment Statement ... 19. Other D��AY �'ItI�' Construction approval required prior to occupancy) Wh�you issue the.permpr�q� ss[lows: Mail owner. Mail to contractor. Telephone ,.5� � orrandohold-for pickup at office. Deliver w/inspector. Other Appl icant.lA 0.)112 - Date 7 �•' �o �D 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:,k•-^-" (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Date Plans approved by Date Other: Copy—DPW Date e i i PERMIT NO. s 663-84B,P}E,M '•i PERMIT EXPIRES r ". OWNER FRIEDA HART MARTIN', f CONTR. owner ASSESSOR PARCEL 36-76-04 r • t Oroville C e i i PERMIT NO. s 663-84B,P}E,M '•i PERMIT EXPIRES • i ". OWNER FRIEDA HART MARTIN', CONTR. owner ASSESSOR PARCEL 36-76-04 t- ` LOCATION 100 Melrose Dr, lot 4, Copley Acres Oroville t ,FFICE COPY -4r,, y: Addressr 'rtf n GAS�r1 Date�k ^W Mete�By. EUECTR6l J+ 1 E 41 ZMeterBy Temp. Power Pole Called PG&E {• Temp. Elec. Service i' t Called PG&E s ' Temp. Gas Service Called PG&E ` t JOB FINALED (Date) Signature Y V = OK 0 = Not OK .� - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete - _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date 'Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements .2. Footings; Size -Spacing -Marriage Line Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils: Compaction -Structure Stability .3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting: 15 volts-GFI 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 Lghtg. Boxes -Enclosures -Panel 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date G v J = OK 0 = Not OK = Not Applicable Rea = Not Rey RESIDENTIAL '(Singl,e and Duplex) Date UNDE OR Plans OK except #'s Date FRAMING (Continued) oning requirements-Setbacks-Easeme 48. iypE a Firewall & Openings yet in; Soils-Steel-Elec. - / Ftg. Depth xt. D ne 3' -Check Garage -3rd story, 2 exits s tg., Garage; Soils -Steel- / /" Ftg. Depth airs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers - temwalls, Main; Steel-Blockouts-Wrapped-Slab ` 52. i g -Veneer .- :B-`3tTmwalls, Garage; Steel-Blockouts-Wrapped-Slaw tucco Mes -Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel 5 ing Area Protection -Skylights -Plastic Fall -Fittings -Test -2 way C/O -Sewer Testear W s; Nailin Bo s IC 9. Gas Pipe; Size -Anchors t O. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - K12. Plenums & Ducts; Clearance -Material -Support -Ins. 5073. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C Card -BI ate Card -BI Date DateCard-BI Date Card -BI Date and -BI Date Card; lW ate Card -BI Date - Date FINA Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 5 xt. Steps -Door & Sidelight Protection -Landings 57 rrpke Detector 14. Water Ht.; Vent -Access -Combustion Air 5 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. W Pipe; Test & Anchors 'Nail Protection Test-Fttngs & Anchors -Nail Protection 5 71 oom Exiting First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access 18 - ub & Shower, 2nd Floor -Tub Access 1.9_. Gas Pioe: �e & Anchors Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails _ S3. Fireplace or Stove; Clearances -Hearth 6E,' EQc. Outlets at Wood Panel; Int. & Ext. ate Card -BI Date 60/Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI to g4WCard-BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELECT C•AL Perini) OK exce t N's � arage Fire Door; Swing -Landing -Closer 68.1 A.C. Duct in Garage -Damper Fixtur &-Transformer Clearance -Ins. Protection - Ow�Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 2m_-re—c. Receptacles Spacing -Lights &Switches at Doors , P� Elec. & Mech. Equip. Listed for Location 225' Bo s & No. of Conductors -Stapled - - Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. - ex In Wed Close to Edge of Studs & C.J. 24 �. nd made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic es 73. uard Rails & Deck Construction -Post Caps 2 - Appliance Circuits in Kitchen &Conductor Size _ 26. _ Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ / / g r;.^ '�r�:.^• .::,. ——IySulertEaTNeu al Yes --- 75. Following instld.: Drive es No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No Servic iser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish -- 25,-f'q`uig_Aa1earances; Panels-Motors-Mech. Equip. 7a/fC,C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet othes Closet Light -Shower Light — 7tCents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------- -- 79. Water Well; Disconnect, Electrical, Plumbing ja�!Exterior Elec. Trim; G.F.I. Receptacle -Underground aL �_�_ Card -BI - Date jl�tVentilation throughout House Card B -I Date Card -BI Date 8 lass Protection Date MECHANICAL (Permit) OK except N's 8 _ orrections from Previous Inspections 84. 8 Gas Test -Meters Tagged; Gas -E ric er & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts: Insulation &Support 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain _& Overflow; Size & Grade g Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --35.--Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date -r-_ ___ -te Card -BI Date C BI Date .--ZZ� Card -BI Date Card -BI Date Card -BI Date Date FRAMI G(Plans) OK except N's Comments at Final: -_: S�JS�Proper Material &Anchors Nailing, Spacing & Bracing-Plates-Sound_overGirders & FloorNailing3Walls (rat proof) /'- mf!_Sloppin -_ sre Furred Ceilings -Stairs -Chases -Tub Bader m -Size & Bearing s- t Caps -Anchors -Connectors Joist-Rftr. Ties-Puriin -Roof Brac. Truss= hthnq.-Ring. 44 e A Flue -Fireplace Throat '�d5 Attic Access; Size &Romex Protection=Draft Stop -Ins. Baffles 4 rm. doves or Exiting Doors -Sill Hgt. &Dimensions 4 rage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) Owner: _ Permit No. LOCATION E N E R G Y C E R T I F I C A T I 0 DESCRIPTION OF INSULATION ROOF Material Thickness(inchcs) EXTERIOR WALL Material Fiberglass Thickness(inches) CEILING Batt or Blanket Type Fiber lass Thickness (niches) Loose Fill TypeFiberglass Minimum Thicknes$(Inches) Area covered(ft.ZZ) FLOOR, ELEVATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A.P. No. Brand Name _ Thermal Resistance '(R Value)__ Brand Name Certainteed Thermal Resistance(R Value) Brand Name Certainteed. Thermal ResistAnce(RValue)-_-4 Brand Name Certainteed Number of Bags Wt. per bag lb. Thermal Resistance(R Value) -- Brand Name Certainteed Therfial Resistance(R Value) Brand Name Thermal Resistance(R Value)_�� Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Hawkins Insulation Co., Inc. 378407 FIRM NAME 00 NCR STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTAI.I.ATION APPLICATORz DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM ./OWNER (Please print) STATE CONTRACTOR'S LICENSE N0eaX?. . -0, , , 1 al — SIGNATURE OF (IENERAL CONT CTOR OWNEK _DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY 'SHALL BE POSTED WITHIN THE BUILDING. January 1984 N COUNTY OF BUTATE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE ,iilln 77ni >/ f,�3-�y OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ) !Xxi&/,:F 71m5s AEA11C4 .&0 Waffc I 10..7- ,a i I � v/Sr. 0 C- Gly �/-� Z- ) F A Inspector )+!i�ii/ /tfi�.�/� Date 111 I Ai COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 J_d APPLICATION AND PERMIT /-) ASSESR PARCEL NU BER -74_� ZON BUILDING PERMIT OrER ��� MPP -7W / KIiJ ALV/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION /100 995,001670 OWNER'S MAILING ADDRESS 5-7 7Z •flo 0,� 0-v /41, C)re�O7SNAM /!�/Q ! /Q`-�� �✓Q/� 10P HONE 37S N /417 ] 310 44 90a; ING CO�RAaj),D // �//� Rogallae Fireplace CONSTRUCTION LENDER 11 UNKNOWN Total Valuation $ 59 7,1Z,� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ VIC' $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUILDING ADDRESS loo klEtFxs c- Re%vC-- PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 10-0 Solar Water Heater 20.00_ Bp Water piping 5.00 LOT SUBDIVISION NAME �1/�� PARCEL MAP �4re5S � ��-�' Each qas water heater or .vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,� USE OF STRUCTURE SF L� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 �r.0-U Mobile Home S G W 0.00 e TYPE OF WORK New Addition ❑ Rem del ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: PLA1114 42 >010 — 79 CA Permit Fee $ 561. &0 Contractor ELECTRICAL PERMIT Fil1ngFee 10.00 Main service 100 00 OR LESS AMP OR LESS 10.00 10-0-01 Main service EA. ADD'L 100 AMP 2:50 NEW CONS. )W ELING 0 OR ADDNST (ACCLBLDGS. 21/20Sgft6 V. (11S CONTRACTORS LICENSE LAW 1 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. 319 g67 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 NE WCO NON -RESIT R BRANCH TLETCIRCUTs. 2.50 ea NEW NON -CONSTR RESIT. ( SINGLE OUTLET CIRPOWER APPARATUS & , Ex. Occup(OUTLETS OR FIXTURES 20e50C BAL®30 EX. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 7/1 (p j Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. f 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 6.00 14QgT R4M Cooling 7 .oU Hood 3.00 Ventilation permit Fee $ 2- -Z 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 i consequence of the granting of this permit. X� Date 517- 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 3storiries in height. Mobile Home Installation Fee $ C_7 E / AMP. TOTAL PERMIT FEE' $ �� r o P��OP TYPE of CONST. "U �N\ PARCEL PD HD' ar//7// ISSyE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY _Date IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS - ,5;,,4J/ 2 o� Receipt No. � 3 0 �7 'P WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i I COUNTY OF BUTTE - DEPARTMENT OF PIU LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILi E; CAt?FORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET , Permit No. OWNER Fig irDj" Alf P /�%��1�/%N A. P. No. 36 ^76-acL Proposed Building Use Permit Fee Based Upon-: Complete Contract Price DPW Valuation / Other (Explain) Building Inspector Date S-7-644 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. . . . . . . . . . . . Plot plans in duplicat.eJtri:p.l.icate. Q.x;�. . . . . . . . 3 %5 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , . , , , 9.Letter of signature authorization. w 10. Sanitation approval from ;�� 9L/7) Health Dept. • �► �% 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . ... e14�r 1,17. Pre -Inspection for Req ire g`aid"�yeC a "° 01 (Date) 18. Other- 4=10- A 4.41 6. -3/15/2 When°you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone Sk4—_<7<1 anC-`hold for pickup at 4ZtO office. Deliver w/inspector. Other Appl icant _`7�� �Date -/7l / 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, Designe caner) as advised of above required da By,,4 elephone Mail 0 0 Plans checked by Date Plans approved by �T Date Other: Copy—DPW Date Telephone . 533-2000 North :Burbank Public MR' Y� District . ,'. 1960 Elgin Street �c ' OR.OVILLE, CALIFORNIA 9S965 77 83• v, DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance.of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a :.copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: JERIEDA E FIART MARTIN Applicant Address: 91 Canyon Hrive, Oroville, CA 95965 ..Applicant Phone No.: 589-3759 Property Location (s): 100 MPlrnsP nrivP Capp Aar Anres Suh, TT Phngp T_ T,nt 4 A. P. No.(s):. .36-76-04 Fees Paid: $250.00 N _ B _ P _ U _ D _ Connect ion Fee and $900.00 SC -OR Facility Charge unpai as of 5/27/83. Application for service approved:- May pproved: May 27, 1983 North Burbank Public Utility Oistrict Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: � D .y.� - a i.F-it ���i`1�d4Y,i�•_e- .-. 1�-f"��!,.�• � �� " i. .. 5 -0 ..- '� -_ . � .. 1.� . s . . .i" � .. " This se s lans'and specifications, MUST 6o I' kof on th of � '�� O all times and it is'unlawhf fo. r�4� any �'" t • chri s.di• a erati 'written ;ss`miss, D on.same.;�jfhout W*rksi:County of Buffe epartm of of,Public ± ,` '% oZ NOTE: All Accwcdcrnce w . atria(S`'8� W+dlrtndrrlsi h' G t .Recognized ooc '' - Pial, icas and - ` f; _ Q qualaiy_ Uirkmi Widin scrub®d #or the -PS—,,e4 Plumbing & Mecham d`iusi i1L.fhi�...,.r sit • Cod" " « ~ . hfationaI lli trical bode, - ' iU 76 BUTTE COU BUIIDING DEPS APPR See MasTer. P* on ,ale Tor bull, plans. R� RQ A Y '1iA AAAR�Ia t0 cows XwL.ut-:- "Luh a0p. "• eF aW! soMSN cw"O :%%0) A setback of 5 ftfrom the property lines-anda s8tbac4c from tl,e road �` `a of Wt. . , centdtIine shall be dear Df • , ,i, struoijres or equipmen e, ! = f^r a 2 $t_ ccv ! �v�rt,anr. ;•. � D .y.� - a i.F-it ���i`1�d4Y,i�•_e- .-. 1�-f"��!,.�• � �� " i. .. 5 -0 ..- '� -_ . � .. 1.� . s . . .i" � .. lip 0'ROVISpi? �I LCL .E�,. C.A L I l= 0 R N I A GENERA, ;'dL ~CLmi l CLAIMANT: Frieda Hart -Martin ADDRESS: 91 Canyon Drive 1 CITY & STATE: Oroville, CA 95965 1•f.MRt7f??ANT: March 91984 SEE INSTRUCTIONS DATE OF CLAIM:. � 0.J .REVERSE SIDE env. utT rt Arm Tn nI=PARTMFi4T RECEIVING GOODS OR SERVICES DESCRIPTION OF- CLAIM. (DESCRIBE FULLY TO. AVOIO DELAY) I AMOUNT DATE Owner has decided not to do. work.. (Bldg Permit Appin. 714-- 83B,P,E21R2 Receipt #82890,; dated 6/1/83, AP #36-76-.04). Building Permit fees paid ---------- ;-------- `=------$245.00 Retain. filing .fee----------------$ 10.00 (Retain plan -checking fee--------- .15.00 Amount retained------------------------------------- 2— - ----$220..00' Refund due---------------------------------------------- Plumbing permit fees paid------- -------_-_---------$ 56.00 Retain filing fee-----=-------------=--------------'- 10.00. Refunddue -------------------------------- -------------- Electrical permit.fees paid-- --------------------=$ 4.9.55 �.. Retain filing fee ---------------------------------- 1 .0 •'Refund due------------------------=------------------ -------- $'39.55 Mechanical permit fees paid- ---_-=----------------- $ 25:00 f — t Retain filing fee -------------- --=------------------ 0-00 Refunddie-------------------------------------------- ---- 15.00 TOTAL REFUND DUE ------------------ ---------------------------- $32.0.55 $320. 55 TOTAL $320.1'55 I, tie uadersizned, declare under penalty of perjury that the services or p:Scles elained have been performed ordeliv"'.d, and t4atthi+ elsica is true and correct as stated. ter/ ....., Calif. _... /��„... ..�. Dated thin / ,day.ot 19:�,. a- .....................................-... ........................... Signature cf C1s:nant a I, the undersitned, hareby certify that, to the best of my knowledge, the services or articles speclfied above have been per'ad'or-ee- . livered and that there is a Budget Appropriation U or Specific Board Approval (Checkone) for the s� a I roville ealu. .._._....... ........a:......1d'�:�.2::r._ ....—. ....... Dated t_�i9............ 7.tf1............... day of .....March..........1984., at .. ............ . . ... Dcpa.+.rrer.: Fiearl. or Authorired Dcpu y Dept, Eip. ' Cade Code ....PAYABLE FROM ... FUSD -- __----�—_— — DO F.0'f Ht ITE- 6:LOH TH,13 l.li:�----AL!71TC:V!; USE OHL•Y — —�-- DEPT. & SU:Z. PRO•J. SUB..OiiJ.- CLAVA NO. JNV, NO. — INV. DLtl E ENCUPI�B. GROSS AVLT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES R .ARC UMBER r Z N ) BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VAVJATION 0,57i OWNER'S MAILING ADDRESS C RACTO 'S NAME r -1 !�3 Srq-J' TELEPHONE 1'74 CO RACT 'S MAILING ADDR SS Fireplace CONSTRUCTION LEN ER UNKN!w/ / Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee I ' $ BUILDING ADDRES n Q A PLUMBING PERMIT Filing Fee 10:00 Each Trap 2.00 Solar Water Heater 20.00 �[} Water piping 5.00 f` LOT NO.5 DIVISION NA E 4t= 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 S G W 10.00 e TYPE OF WORK New Addition ❑ Remo I ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: . V I.S Permit Fee $ e 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. ( DWELLI OR ADDNS. C ACC. B , 2�2QSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 9--T am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Code an m license is in full f rce and effect. y License No. Classification F-1 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) ❑ 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. UTLET 2.SOea NON -RES'., CIRC ITS. NEWCONSTR. POWER APPARATUS 6' NON-RESID. ( SINGLE OUTLET CIR. I Ex. Occu Z P.OUTLTS OR FIXTURES BAL0L®30 FIXED Ex. QCCUp. OUTLETS P(RESID LNS.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , �S Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. e_�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 ,OQ Cooling ,DD 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 County of 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 'd County in onse nce o the g ntin o this permit. X/f 4 Signa ure of Applicant — Owner Contractor enr ❑ An OSHA permit is required for excavati ns over 5'0 a demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ r� TOTAL PERMIT FEE $76, OCCUP. GROUP I TYPE OF CONST. r[11ARCE PD H ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By PERMIT EXPIRES the applicable provi- resolutions to do fees have been paid. WORKS D to �• �� Receipt No. `� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -I SPEC OR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT Oli-AUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,,CALIFORNIA 95965 - TELEPHONE: 916/534-4541 �-, PERMIT APPLICATION DATA SHEET Permit No. MOWNER p�,> '',. , a a t,;A. P. NO. Proposed Building Use Permit Fee Based Upon: —Complete Contract Price/DPW Valuation Other (IE explain) Building Inspector CT7_�)Date At time o�ermit application, I was advised t,6 following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED y 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . �lanning approval for (A) Use: (B) Parking: 2. ertificate of Workmen's Compensation Insurance. . . . . . 6 13. 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. , � . . . .. 17. Pre -Inspection for Pre-Insp ec. request to (Date)e uired, Building Inspector 18. Other y When you issue the permit, process as follows.: Mail to owner. Mail to contra tort Telephone and�for pickup at_ office. Deliver w/inspector. Other A l icant�/� .Y, �Y i /.� / fDate PP i Copy of plans sent Health Dept., Fire Dept., Other Date zoo'- 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: (,!o:ntrac), Designer, Owner) was advised of above required data byre phone Mail Other i By Date &ems-1�3 Plans checked by`1*-'1 :J)) Date Plans approved by ` Date Other: �"in �V a�•' Y y Copy—DPW 1 Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA, 95965 77-83 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Work's - Building Department prior to issuance of a building or occupancy permit,. whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy_of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: FRIEDA HARTMARTIN Applicant Address: 91 Canyon Drive, Oroville, CA 95965 Applicant Phone No.: 589-3759 Property Location (s): 100 MP1rast •nrivP A.P. No. (s): 36-76-04 Fees Paid: $250-00 N _ -R _ P _ TT _ D _ Conn ect i an EPP- n.n d $P00.00 SC-OR_Facility Charge unpai4 as of `5/27/83. Application for service approved:. May 27, 1983 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: A -- North North Burbank Public Utility District release to*close permit: Date: By: I chis sot of plans and specifications MUSI'- _i_ .-,kept on--I `job-at 611 times and it is unlawful t0 NOTE: AIAI M fet- & .Workma.nsh p Shall Be in = make an! changes or a'Iterations on' same wi0h Accordance - wifh keeogm:ed Good Practices and out written isermisson from the Department;-of Public of a qudlify prescribed I fjr. flic- Specified. use in the Works, County of. -Butte. Uniform Building, Plumbing & Mechanical Codes and the Nafidnal'Elecfrical Code. -� Ni - A setback of 5 ft. from the "properfy'lines aril a setback of 50ft. from the-road centerline, shall be clear; f See'Master Plan on file for building . - structures or equipmentexcept Plans, t Arp OVA o Y f fora 2 ft." eave overhang.74 � � �• .. • O Q !1 Wac o c . -- -- BUTTE co UNn _ ; _ BUILDING DEpARTMEN i APPR-p 4