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Home My WebLink About079-090-022Y ' f FRiEDA HART MARTIN 115 Melros. Ave, lot 5, Copley Acree Oroville Perm ma it#1837-85B,P,E,M(new single family) — - ' PERMIT#95�° 1120 ,1- =SMITH; Richard r 115' Melrose `Dr. ,-Oroville ; .t Cont,; ;David ,Potestio 1 ,,Nat- Gas Wtr Htr & Reroof/SF= r ' ' F F � Oji 7�- PERMIT#95-4129 SMITH vi - '-'l'15'"Me.lrose'1)r., Oro''ille 'Cont; David-Potestio , Nat Qas'.'Wtr,'Htr & Reroof /SF... r. OFFICE COPY Address OFFICE COPY GAS Meter By. Dat ELECTRIC Meter By Date '71 J a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville, Califgrkia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �t76-0-M022 ZONING AR BUILDI PERMIT DR"CHARD SMITH TELEPHONE SO. Fr. OCC. BUILDING 25 e• �7l% /V�/A�LUATION ISVI/ OWN S MAILING ADDRESS 4194 HIM EST AVE.. OROVIIJ E CA 95966 CONTRACTOR'S NAME DAVID POTESTIO TELEPHONE CONTRACTORS MAILING ADDRESS 58 JATRO RD., BMRY CREEK CA 95916 Fireplace CONSTRUCTION LENDER NONE UNIQJOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENaiNEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 115IF.IROSE DR. OROVILLF PERMITFEE $ 5 .00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARC$L MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE L SF,ff Duplex ❑ Mobilehome ❑ Other SPECIFY t Water piping 15.00 MM Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK 1 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 6200 Describe Work: NAT GAS WATER 11n & REROOF W/COMP — Mobile Home IS I GI W 1 920.00 PERMITFEE S 50. Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( Zo n OR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 � LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe$sions Code, and my license is in full force and effect. / r II License Class 46 Lic. No. i OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contrac6s License Law for the following reason: I ❑ 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. JPERMITFEE ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. ) s0. FT. 3)7. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) Co 50 POWER APPARATUS (s SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) ZD @ L•50 B"u 50 EX. Occup. ( OUTLETS (RES D.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 $ 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 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.) 8-11', 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 prov ions of section 3700 of the Labor Code, I shall forthwith co ly with dse rovisions. c ��r��- /� X= -Er_. `., 1i Date ——--- Signature of Applicant - ❑Owner D Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 105.00 HA2. I D. FEES I IMP I FLOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated a for which ees have.b j'# By "°' ,I` ,f' IPERMITEXPIRESON applicable provisions Reso utions to do work n aid. p 5/30/95 Date 5/3C/(�t (Date) 1q0143 ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville. Colornia 95965 - Telephone (916) 538-754 ^ ` PERMIT NO. APPLICATION AND PERMIT ASSESS RPARCELNUMBER 03 —76-0-0"22 ZONING AR BUILDl PERMIT OWNERT t RICHARD SMITH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 464 HILLCREST AVE., OROVILLE CA 95966 25 @ 50 1500 CONTRACTOR'S NAME DAVID POTESTIO TELEPHONE CONTRACTORS MAILING ADDRESS 58 JATKO RD . BERRY CREEK CA 95916 Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 3500 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 115 MELROSE DR., OROVILLE PERMITFEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISDN'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF )CX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 J5JX@(g Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGIities ❑ Installation ❑ Other Describe Work: NAT GAS WATER HTR & REROOF' W/COMP Mobile Home S I G W 920.00 PERMITTEE $ 50.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 20 A OR LESS ) 23.00 Main Service ( 200A TO 10oOA ) 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. �� , ! License Class Lic. No. y OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 OCCUP. OR ( 8 ACC. BUDS. ) SO. 3.5Q FT. NEW CNS. CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US EX. Occup. ( OUTLET OR FIXTURES) B°� 20 Q 1.00s° FIXED Ex. Occup. (TLETS (RESID .I EA. ) OU 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 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 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 one hundred dollars ($100) or less.) Er 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 'ions of section 3700 of the Labor Code, I shall workers' coWwlts forthw' h ccvisions. X __ Date _= Sig re of Applicant - ❑ Owner CContractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 105.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate ve for which ees have By PERMITEXPIRESON applicable provisions Reso utions to do work b paid. 5/30/95 Date 5/30/96 (Dare) ReceiptNo. 180143 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a Cr PERMIT NO. 1837-85B, P, E,M $ =\ -PERMIT EXPIRES a l OWNER FRIEDA HART MARTIN • CONTR.. owner ASSESSOR PARCEL 36-76-22 LOCATION 115 Melrose Ave, lot 5, Oroville �r �r p. Jt .y OFFICE COPY I Address i GAS—� Meter Bye--- Date i ELECTRI Meter By Date ;.. Temp. Power Pole ——� F` 1" Called PG&E V 1 Temp. Elec. Service � f' Called PG&E C; tr Temp. Gas Service i` Called PG&E JOB FINALED (Date) Signature V = OK' O = Not OK =Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depfh—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.—Braci 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 Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -B1 Date Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability ' 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lini 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater •8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 10, Cert. of Occupancy 9. Health Department Approval Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Card -BI 10. Plumb; Cir. Test—Water Supply Test Date Card -BI Date Date Card -BI Date 9 1 A Js,ji� OK O = Not OR Not Applicable * - Not Ready RESIDENTIAL'(Single and Duplex) Date UNDERFLOOR Plans OK except #'a Date FRA G Continued p4giang requirements -Setbacks -Easements 4&KI?,Pdperty Line Firewall & Openings $eT!gMaIn; Solis-Steel-Elec. Grnd.- / /" Ftg.'Depth 4 Ext. oors-One 3' -Check Garage -3rd story, 2 exits 3WTtg., Garage; Soils -Steel- / /" Ftg. Depth idth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftj., Porches & Decks; Soils -Steel- / /" Ftg. Depth SL,—"Plywood on Roof Overhang -Attic Vents -Rafter Outriggers &e'StqmWAIIs, Main; Steel-Blockouts-Wrapped-Slab - Iling-Veneer Stemwalls, Garage; Steel-Blockouts-Wrap ed -Slab 5 uc o Mesh -Drip Screed-Fdn. Vents-Underflr. Access ars-Fire lace Ftg.-Steel la ng Area -Glass Protection -Skylights -Plastic W.V.: Fall-Flttings-Test-2 way C/0 -Sewer Test 5§,—Shear Walls; Nailing -Bolts 9. Gas Pipe; Slze-Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI M Card -BI Date / Card -BI Date Date T 12 It -V— Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date 'Date FIN PI s OK except #'a Card -BI Date Card -BI Date Date PLU NG (Permit) OK except #'s Steps -Door & Sidelight Protection -Landings 5 Sm Detector 1 ater Ht.; Vent -Access -Combustion Air ur ce; Vents -Clearance -Comb. Air -Connector - Gara e; Above Floor -Ducts -Mach. Protection 1 er_ Pipe; Test & Anchors -Nail Protection 1 ; Test-Fttngs & Anchors -Nail Protectionoom Exiting 1 5!!§W- er Pan; Test, First Floor -Tub Access . G.F.I. -Bath Fixtures & Tub Access 1 Test Tub & Shower, 2nd Floor -Tub Accessec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors -&.9a�lls 63. Fireplace or Stove; Clearances -Hearth 64. Elea. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except #'set8*,*'_A.C. E utlets & Receptacles at Kit. Counter . G e Fire Door; Swin-Landin -Closer Duct in Garage -Damper a(o e & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air -Co actor-P.R.V.- In e; Above Floor-Mech. Protection 2 c Receptacles Spacing -Lights &Switches a1 Doors 2 oxes & No. of Conductors -Stapled 7 Plb lec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 ex Installed Close to Edge of Studs & C.J. 2 Equi .•Ground made up w:/Mech. Fasteners -Bond Gas & Water 7 s n -Foam -Looked in Attic es ppliance Circuits in Kitchen &Conductor Size 7 uard Rails &Deck Construction -Post Caps 2 Subf d Wire Size,/ /_ a. Cu or AI- :C. Wire Size / / ga. Cu or Al Vents & Crawl Hole Door -Drainage & Wood -Earth Cleara "ce Lo e r El Yes 2 n irc. / ga AI- en Circ. / / ga. Cu or AI, ulated Neutral ❑Yes No 7 ollow ng instld.: Drive as ❑ No; Walks Yes ❑ No; Piaerers es o S ice -Riser Conductors & Ground -Main Disconnect 7 tucco; wn-Finish p. Clearances; Panels-Motors-Mech. Equip. 7 nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light 7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. Disconnect, Electrical, Plumbing 8 for Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 8!!!_::7jwtiIation throughout House Card B -I Date Date Card -BI Date MEC N CAL (Permit) OK except H's GI Protection orrections from Previous Inspections est -Meters Tagged; Gas -Electric 3K. pe.t. Ducts; Insulation & Support Water & Sewer Connected -C/O to Grade -HD Approval 3V Vent Fan; Exhaust above Insulation �w. 66 gy Compliance Certificate -Other Certificates r'A--Gendensate Drain & Overflow; Size & Grade 3d. -Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet za Attic Access & Platform if Furnace in Attic Card -BI Date lO / 6 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRA NG Pians OK except ii's Card -BI Date Card -BI Date Comments at Final: 3 , Proper Material & Anchors alls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 3e D Stop in Walls (rat proof) 4 F' tops; Furred Ceilings -Stairs -Chases -Tub 4 ader & Beam Size & Bearing H gers-Post Caps -Anchors -Connectors 4 Cin oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_. zre Ties or Type A Flue -Fireplace Throat is Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) _ R COUNTY OF BUTTE 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 OWNER PERMIT NO. i 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. I � a Inspector — Dateek- _ COUNTY OF BUTTE 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 M a.r 4- , N 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. V), ,,- .rk.o Zra-m<=� -Ck re- aoS V Inspector�Date Owner:ii��/�/�5�r�� /%%P�l% Permit No. ENERGY CEAT,IFICATION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material_. s Brand Name Q • ..Thickness(inches) Thermal Resistance(R Value) L CEILING Batt or Blanket. Type Brand Name Thic.kness(inches) Thermal Resistance alue) Loose Fill Type ?"7 "e_< w5 Brand Name. c!7 -(L Minimum Thicknesg(Inches) /� Number of Bags�Wt. per bag- 3 1b. Area covered(ft. )� ./ Sy Thermal Resistance(R Value) 7 � FLOOR,ELEVATED Material Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name_ .Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building it conformance with the State of California Energy Requirements. I.ULV1tCHl.J.Vtt J L1liC.LYJb LYV. -7 -9 � 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 duality prescribed or are specifically approved by the State of California. FIRM.NAME/OWNER (Please print) STATE CONTRACTOR'SLICENSE NO. xf /ZS IGNATURE OF GENERAL CONTRACTOR OWNER A -TE THIS CERTIFICATE MUST BE ON -FILE WITH THE BT..TILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALI, BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE`- p,EPARtMENT•OP- PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT PERMIT NO. Z-d ASSESSOR ARCEL UMBER ZO IN ' BUILDING PERMIT DW TEL PHONE SQ. FT. OCC. BUILDING VAL ON OWN 'S MAI NG ADDRESS • r O2p 4!Z CON CTO N I tr TELEPHONE r CO TRACTOR MAILING A1, RESS ��h\l Fireplace CON T UCTION LE DER UNKNOwy- �/ Total Valuation $ Filing Fee $ 10,0 LENDER'S MAILING ADDRESS Permit Fee $ 3oq DID ARCHITECT OR ENGINEERLICENSE No. Plan Checking Fee $ •� Penalty; -7h TV C $ r ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FiIIngFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 15'j SUBDIVISION NAME 2� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 -� ,/ USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 r; Mobile Home JSJGJWJ 110.00e TYPE OF WORK New [Addition❑Remode l❑ Utilities Instal lati �❑ Other �-- &-te C �� _ Describe work: �� n k e iMa ' Permit Fee $ rob Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 0 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADONS. ( ACC. BLDG , /^ 2h2sgft 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. .312_%gEA.) License No. .312_%g �� 'A3 "� Classification ❑ I, as the owner, or my employees with wages as their sole coi4pen- 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 NON.RESID R BRANCH CIRCUITS 2.50 ea NEW CONST R. POWER APPARATUS & NON -R ESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 20050e 9AL®30 FIXED A PLNS EX. Occup. OUTLETS (RESID )R 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. MECHANICAL PERMIT FiIingFee 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 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 quence of the granting of this/pe/rmit. against said CouWAZ %� Date �/ u� Signature of Applicant — Owner ❑ Controctor ❑ Agent EA---' 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 PER T FEE $ o FF 3 iN/ccuP_GROUP TYPE Oc,DNST. rfVr PARC L PD ND ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR TOR�OF BLIC BY 6 ., PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date '& J `7 Receipt No. 2 e2� I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Telephone 533-2000 North Burbank Public Utility District 19so Erin Street - OROVILLE, CALIFORNIA 95965 DISTRICTAPPROVAL AND 55-84 VERIFICATION OF INSPECTION BU I LDI NG 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: FRIEDA E. HART MARTIN Applicant Address: 91 Canyon Drive, Or.oyille, CA 95965 Applicant Phone No.: 589-3759 Property Location (s): //s Melrose 'Avenue, Orovi.11e Copley Acres. Unit 2, Phase II, Lot .5 (B) A. P. No. (s): 36-54-23 Fees Paid: $900.00'SC4OR Regional Facility. Charge & $250.00 N.B.P.U:-D. Connection Fee Due Application for service approved: North Burbank . October 17, 1984 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: e ' Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT S4-39215 '0,f--ora/fAL(( ,43Cr�.yCrFq Section 26-8.1 of the Butte County Code requires this acknowledgement ,be recorded prior to issuance of a building permit.�)e-da ' OCT C7 08 P 19flla The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this EL -414( i 4i. property may be subject to inconveniences or discomfort arising from CLFftK r HEC'a1;1'}.Eai the use of agricultural chemicals, including, but not.limited to herbicides, pesticide�E and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, .smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm: operations. All that real property situate in the County of Butte, State of,California, described as follows: Lots 1 thru 6, as shown on that certain Map entitled, "COPLEY ACRES UNIT 2, PHASE 2'.', °which Map was filed in the Office of the Recorder of the County of Butte, State of California, on. September 24, 1984, in Book 95 of Maps, at Pages 62 and 63. Date: October 17; 1984 PROPERTY OWNERS: X Frieda E. Hart State of California ) On this the 17th day of October 19 84 , before SS. me, the undersigned Notary Public, personally appeared County of .Butte ) OFFICIAL SEAL -DANIEL F. HUNT NOTARY PUBLIC. - CALIFORNIA 7 PRINCIPAL OFFICE IN - BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1; 1986 FRIEDA E. HART ,V Personally known to me. to be the person(s) whose Ifia the within instrument and ac executed the same for the p IN WITNESS WHEREOF, I here n Present A.P. No. 036-54-0-023-0 /Proved to me on the basis of satisfactory evidence. (s) is subscribed to r wledgeA that e doses therein cot n d. set Daniel F. Hunt,. NotaryiPublic END OF DOCUMENT 1 sealar a rn C3i FFa 861® o, as �'o NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 7 AQP -3e. I-OrS A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. This set of plans and specificati ns MUST be kept on the j b at all ti es and it i unlawful to n a make any changes oralterations n same with- It out written p rmission rom the D partment of K :.public WorksCounty of Butte. I -30, 2/4) 1; tiij4ee Master Plan on file fat --.building plan . FR/EDA HART A442TW #/2 q4 837-k'� BUTTE OUNTY BUILDING D PARTMENT APPROVED Zo I 5CT P�ArGIL, -30, 2/4)