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HomeMy WebLinkAbout079-090-016" FRIEDA HART MARTIN�f V I q ' Qqc'cjG 22 Hunter Lane Plot 16,Oroville Permit#1716-83B,P,E,M(new single family) - 498-1961" ' GEORGE, ;DONALD 1 22 HUNTER-�LNOROVILLE . UNKNOWN ,3 ,' - ' �REROOF ;� 1 i M 1 1 -. -�- o.t......-�za..:vnr•n^••,r•gx: •,.t,�:�•r..'.^.S:rY'..x a.xrt7'P� �"i'°":r{�''r��.!.rr+Pr,,+5� i�:lST? y Z+u tax raSaArftsm.eMtlr!it+xue•'._.,e'or,-..yF. .-�,.,�'.�+ T • • = `036-7&-016 -#98-1963 ' !� GEORGE, , DONALD, i Vt c . 22 HUNTER LN. OROVILLE . - UNKNOWN ^ ., i REROOF $'31199 a • t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE R,MT NO. (Rev. 12/96) APPLICATION AND PERMIT `� r I V' 2:5 ASSESSOR PARCEL NUMBER„r. GIM. D"7.^TP 035-710-016 ZONING ,,, 11, BUILDINGPERMIT OWNERTELEPHONE �'T'�F:�+� , M,,,,t(jLn FT. OCC. BUILDING VALUATION �fSO. r T.n . CMM 1t1 �� 31.V •1�'+ OWNERS MAILING ADDRESS ?2 "t'TiC^•F T...: <Z^t QT'OV1liCn5�vTi CONTRACTOR'S NAME TELEPHONE CONTRACTORS MA+UNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.010 ARCHITECT OR ENGINEERS MAJLING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2 � 2� jtltiti'? I'._DtICJ , {�0�1i11t' Ener Plan Checking Fee $ 9Y 9 $ PERMIT FEE $ 53. C-1 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:tC - rnnP — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '*.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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. "13, 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 TO Main Service To +000A 46.00 NEW CONST. DW W Occup. OR ADDNS. 8 ACC. BLD S. 3.5QFo; ID. OUTLET LNON•RESMULTI- 97,50 POWELEPPARATlETUS 8 SINR A GOllfCIR. EOccu OUTLET Ex. BAL ®+ o Ex. Occup. OUTLETS A IESIES o.OERw 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. ❑ 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 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.) EJ, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4 1' X .� / =� •��%'” "r Date :% - i / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" 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 FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 13. C.1 HAz D FEES IMP I FLOOD CDF PARCEL PD I HD I 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. ByDate J,�,_,�•` PERMIT EXPIRES ON /^ ���•� I Dale Receipt No.7 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 (530) 538-75410 M (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER E � GEORGE, DONALD 036-7 -�0�6 2bNING AR BUILDING PERMIT OWNER GEORGE, DONALD TELEPHONE SQ. FT. OCC. BUILDING VALUATION 22 sq. comp $1,320.00 .OWNERS MAILING ADDRESS 22 Hunter Lane, Oroville95966 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filin Fee $ 20.00 Permit Fee $ 00 ' ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 22 Hunter Lane, Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00 LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:Mobile Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ". AOR 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �- 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NEW ROESID. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. Bu o 1.00 OUTLET OR FDRURES Ex. Occup. D1UTLEEDTSA R p,OEp 5.00 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 $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo it comply with those provisions. _ X Date Signat Ap licant - ❑ 0%& ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53.00 HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT E PIKES ON Z9Z provisions to do work paid. Ye Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB— r �tONIN BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .� GO .OWNERS MAIZ ADDRE V CONTRACTOR'S NAmt TELEPHONE CONTRACTORS MARINO A50RESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ %3 gra I Go ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2 a Energy Plan Checking Fee $ $ PERMIT FEE $ S 3 • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPEclPr Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition Cl Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ,�p �� - Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (9?20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '*.v oa L as 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 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 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Mein Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. SO OR ADONS. a ACC, eLDs. 3.5¢FT: I,DµR61D 1. MULTI OUTLET 97,50 POWER APPARATUS a swGLE oun ET as EX. OCCU OUTLET OR PocruREs BAL 0 1.50 Ex. Occup. ou LETS .n EE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi_ S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ o ""� °• FE6 IMP PL000 CDP PARCEL PD HD ssuE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Te Receipt No. 2__!�-oe(Z6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .i s PERMIT NO. 1716-83B3P,E,M PERMIT EXPIRES OWNER FRIEDA HART MARTIN f CONTR. owner } ASSESSOR PARCEL 36-76-16 LOCATION 22 Hunter Lane, lot 16, Oroville ;' I ba D U do ® ve Temp. Power Pole r: Called PG&E Temp. ElerG&E- CalleTemp. GaCalle G JOB FINALED Signature 4 V = OK - 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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 Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except q's 1. Setbacks -Easements > >• 2. Footings; Size-Spacing=Marriage Line 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 S. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI - 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 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-1 Card B-1 Date Card -BI Date Date Card -BI - - Date J Card -BI Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL JSingle and Duplex) , Date UNDE OOR Plans OK except#'s Date FRAMING Continued 4 -'-Zoning requirements-Setbacks-Easementsope ine Firewall & Openings Main; Soils-Steel-Elec. Grnd.- /, tg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / tg. Depth 54 &W4p ; 444b HpZdroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. D thywood on Roof Overhang -Attic Vents -Rafter Outriggers mwalls, Main; Steel-Blockouts-Wrapped- O emwalls, Garage; Steel-Blockouts-Wrapped-S eneer cco Mesh -Drip ---Fd n. Vents-Underflr. Access g.- teel24,-Grazing Area -Glass Protection -Skylights -Plastic Fall -Fittings -Test -2 way C/0 -Sewer Test 5 iling-Bolts -Anchors -W. Water Pipe; Test -Anchors -Regulator -Service Test .X44.Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 48. Girders -Sills -Anchor Bolts-Joists-Vents-Cripples I Dat Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date I ate Card -BI Date Date FINAL ans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. W Ht.; Vent -Access -Combustion Air 5 . �s-Door & Sidelight Protection -Landings 5r—Smoke Detector 58. Furnac s- Clearance -Comb. Air-Connector- ar bove Floor -Ducts -Meth. Protection _ Wate Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection edroomm F _ 1T'Sio�Pan; Test, First Floor -Tub Access Shower, 2nd Floor -Tub Access 19_ was 24ie Size & Anchors 604 Fixtures & Tub Access 61 rim & Subpanel; BreakerSizesr s — - - arth _BI Date - Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ,. Card -BI Date Card -BI Date 6 utlets & Receptacles at Kit. Counter Date ELECICAL Permit OK except #'s r; Swing -Landing -Closer e _ Fixture &Transformer Clearance -Ins. Protection r. Htr.; Vents- - onnector-P .- I%r Ahnvn —lc. Receptacles Spacing -Lights & Switches at Doors 7 Ib., EI Mech. Equip. Listed for Location _ ize Boxes & No. of Conductors -Stapled c. Receptacles in Garage; (G.F.I.)-Romex otec. omex Installed Close to Edge of Studs & C.J.7 7Z_4rtbuTat ion- Foam- Looked in Attic es -- _ quip. Ground made up w/Meth. Fasteners -Bond Gas & Water Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size -- 7 , Fdn. Vents &Crawl Ho ainacie &Wood -Earth Clearance Looked under Flo Yes 26. S_ubfeed Wire Si e / / ga. u or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. /6-/ ga. elror AI-Ove+.Q'-j^• I ga- C %AI, Insulated Neutral r�f� No 75• Following' t ve No; Walks s ❑ No; Planters o 28 Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; wn-Finish U.P. Clearances; Panels -Motors -Meth. Equip. 77, nnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 3Light-Shower Light _ 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 nett, Electrical, Plumbing cersts I ate Card -BI _ _ Date 8 erior rim; G.F.I. Receptacle -Underground 81 til�yl'na-tkroughout House Card B -late Card -BI Date 8 ass ton Date MECHANICAL (Permit) OK except N's 8 _ 1, om Previous Inspections eters Tagged; Gas -Electric — _ 31. A . D_ cls: Insulation &Support ater &-Sewer Connected -C/O to Grade -HD Ap oval ent Fan; Exhaust above Insulation _ 33. Condensate Drain _& Overilow; Size & Grade ergy 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 Card -BI Date Card -BI Date - and -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s _ . Walls;_Studs-Nailing, Spacing & Bracing -Plates -Sound eariProper Material & Anchors_ _ _ 3 ng Walls over Girders & Floor Nailing_ raft Stop in Walls (rat proof) - 4,_F4rLrStops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: _ 4er & Beam -Size & Bearing 42_-++gSgers-Post Caps -Anchors -Connectors 4 ng. Joist-Rftr. Ties-PurIin-Roof Brac.-Tr-Shthng.-Rfng. 44,-Fircpt' a fes or Type A Flue -Fireplace Throat 4. Itis Access; Size & Romex Protection -Draft Stop -Ins. Baffles �orendows or Exiting Doors -Sill Hgt. & Dimensions__ 44�Garage Fire Protection Framing - -- (NOTE: An entry must be made each time you visit job site) -•% RRtiTT)F.NTTAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE.BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY:CONSERVATION REGULATIONS (location) BUILDING PERMIT NO. �% /;�. 8'3 A.P. NO.. g - 710 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED_PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge n/a '� Single Glazed n/�1 ,/litCc. Fdn. Walls n/ a Ott- Special (Insulated) n a v Floors_ 64�-�I CERT.. & LABELED WDS. Walls & SLIDING DRS. 1?/<�• Ceiling/Roof &9-3b WEATHERSTRIPPED DRS. n a Ducts n/a BACK DAMPERED FANS Circulating Pipes n a',x INTERMITTENT IGNITION DEVICES n/Lt �i� APPROVED HEATER n/ a � CERT. APPPLIANCES n/ a APPROVED WATER HEATER n/ a v I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. T.IT 7 7 c:'r n'( i.�'•:T l ��'� ( '. RK' 1•. Insulation Applicator Name r 0 .'S0* , � � .1 , •, ' (please print) Signature of ` Insulation Applicator'���/ State Contractors ?qf?c Gl License No. �, .• General Contractor/Owner Name 2 G 4"e T /A/ (please print) Signature of General Contractor/Owne Date State Contractors License No..,519_ ( 7 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil;:e, California 95965 - Telephone 916/534-4541 APPLICAT10N AND PERMIT PERMIT NO. i✓ a — ti�3 ASSESSOR PARCELN MBE� ' Z ONIJIG BUILDING PERMIT Ow l° ridr - TELEPHOFrE SQ. FT. OCC. BUILDING VALUATION S OW ER'S MAILING ADDRESS qon A4 CO ACTO 'S^NAME TELEPHONE C� CONT ACTOR'S AILING ADDRES r b Fireplace CONSTRUCTION LENDER UNKNOWG� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 40 1 IM ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S^ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ <S BUILDING ADDRESS � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /4,M Solar Water Heater 20.00 Water piping CA0,Z0 5.00 S LOT NO. SUBDIVISION NAM PARCEL MAP Each qas water. heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 , Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Rem del ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: dS cJr Ian" # a9 -79 Permit Fee $ Contractor ELECTRICAL PERMIT Fi'lingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 SD NEW CONST.( & OR ADDNS. ( ACC. 2I/22Sgft ,fD CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p y (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full for a and effect. Y License No.LNS 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 T -O TLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR (POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR. / 20®80C Ex. Occup(o OR FIXTURES SAL030 IXED A EX. OCCUp. OUTLETS P(RESID.)RE A.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 612 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. P . 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 1010 An Cooling , 0 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost ,and expenses which may in any way accrue agains ajd,1C y in a ence o gra ting of this perm't. X Date Sig ture of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t� Occup. GROUP I TYPE OF CONST, PARCEL 7, H NJ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF UBLIC / BY /�L PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �yQ Date �3pstories-in soover Receipt No. (1 ..a�-(\ Y WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Telephone / 533-2000 f North Burbank Public, Utility District 1960 Elgin street 80-83 OROVILLE, CALIFORNIA 95965 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: FRIRDA E. R�RT MARTIN Applicant Address: 91 Canyon Drive, Oroville, CA 95965 Applicant Phone No.: 5sA—g7 q Property Location(s): 22 T41inter Lane Copley•Acres.Sub. II, Phase I. Lot 16 A. P. No. (s): . 96-76-1 F Fees Paid: SC -OR Facility Charge unpaid as of 5/27/83.. Application for service approved: North Burbank May 27, 1983 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: North Burbank Public Utility District release to close permit: Date: By: This set of plans and specifications MUST be ! —_ NOTE:— All Materials &I Workmanship' Shall B� in .kept on the j b i f"T'iines ani it ircmla�wful tt�- -- - t " Accordance with ---Recognized Ccod Pracfices dna make any changes or alterations on same wlthovt ,of,o. qualit''y i5rescri6ed .Tqr tha Specified use in thewritten permisson from the Department of Public. Uniform Uilding, Plum6ing & Mechanical Codes. andWorks, County of Butte. the National Electrical Code: { 4, 7S # o, t 7—_ f A tee Master Plan on file for building plans. _- —.... _ -_.:.1... _._... —. `' r, t' : rs , . 'moi ?�LAN+P�} !fit!....._.. A setback of 5 'Ft. from 'the- ' property Iine4-and a setback i of.50ft. from the road A .;_centerline shall be clear of ;structures or equipment exc pt r$ for a 2 ft. eave overhang. i A dM BUTTE COUNTY 4UIL®ING NPARTMEN1 APPROVED