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079-100-044
AP -rI J Kenneth Young 170 Loma Vista Dr., Oroville+ PURVIS, Leroy 4243EH.VENT-3422P 3380P(C(BLDG. W/O PERMITS - 5/20/81)t —4209E~-/00-0qC( AP 'X4 y%Irii}��-j Lot # 103 Copley Acres (170'Loma i ermit #2486-81B(addition/SF)CONTR: Harmony Builders, P.i3. 57$,0 (new,single familPermit #914-82P o/�(S lar W/H) _ ( _ 036-600--#4-4- - 99-2754 _ MANERA, MIKE ! 170 LOMA VISTA DR, OROVILLE CONTR: LARRY WEST REPAIR FIRE DAMAGE, 140TES 0 RESIDENTIAL 036-600-044 99-2754 PERMIT NO. i MAN ERA, MIKE 170 LOMA VISTA DR., OROVILLE CONTR: LARRY WEST REPAIR FIRE DAMAGE - _ % a -/moi/ boa II SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Dated7 Signature CHECKED BY V=OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoni equirements-Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG EI c Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoni equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. 9. 10. EI c Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 7. 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Piers -Fireplace Ftg.-Steel 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 9. 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 6. Stemwalls, Garage; Steel -Blackouts -Wrapped 11. 6a. Hold Downs and Special Anchors Property Line Firewall & Openings Date 7. Slab, Steel -Wrapped Hangers -Post Caps -Anchors -Connectors 8. Piers -Fireplace Ftg.-Steel 48. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 51. 11. Water Pipe; Test -Anchors -Regulator -Service Test Property Line Firewall & Openings 12. Electric Underground 54. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation 60. Brace Interior/Exterior Wall Panels G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 77. Plb., Elec. & Mech. Equip. Listed for Location Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date 80. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ' ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 92. Water & Sewer Connected -C/O to Grade -HD Approval Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 35. A.C. Ducts Insulation & Support Date 36. Vent Fan, Exhaust above insulation Date 37. Condensate Drain & Overflow, Size & Grade Comments at Final: 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearino Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive G Yes 0 No/Walks ❑ Yes 0 No/Planters p Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION d75-- 7 County Center Drive • Oro*ville, California 95965 • Telephone (530) 5 41 PERMIT NO. � (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-600-044 ZONING AR BUILDING PERMIT OWNER MANERA, MIKE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 170 LOMA VISTA DRIVE, OROVILLE 25,000 CONTRACTORS NAME LARRY WEST °1478 CONTRACTORS "UNG ADOPT LOMA VISTA DRIVE, OROVILLE 95966 JV CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ 25,000 ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ 252.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 170 LOMA VISTA DRIVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT $ LAT NO. SUBDIVISIONS NAME PARCEL MAP _FEE PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 �S TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR FIRE DAMAGE Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 10 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS 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 Y%l Al J0 Lic. No. 6,? ��� � 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BUDS. SO 3.5ttFr. NEW CONST. MULTI -OUTLET NDN aESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 SAL @ I.50 Ex. Occup. O.EosA RL o GRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S 43.00 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) M 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' co pensation laws of California, and agree that if I should become subject to the w rlk r compensation provisions of section 3700 of the Labor Code, I shall f rthwit Com Iy with those provisions. / /� X Date / r ��! Si t r 94 A licant - ❑ Owner Iff Contractor ❑ Agent An O A permit is required for excavations over 60" deep and demoliti nor construction of st ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3w- all OCC CONST.TYPE VM TOT L FEE $ HAZ. D. FEES _° IMP D , CDF P EL PD _ HD ISSu This permit is hereby issued under the applicable provisio s of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By. ate a Ir. PERMIT EXPIRES ON7f00 Det. Receipt No. 281076 $338.00 1� Q *0 WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INS CTOR OLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 4F DEVELOlENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - C1 DEPARTMENT CALIFORNIA 95965 - TELEPHONE�8-7541 PERMIT APPLICATION DATA SHEET V OWNER: %l���i�� t ASSESSOR PARCELNUMBER: D.36"6O®'-D'�9 Proposed Building Use: A �( _ Building Inspector: G Date: _ _ 747C7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: A?46;/_W/ZDate Received By All items have been submitted.------------------------------------------------- ------------------------------------ 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------------------------- 118. Hazardous Material Form.------------------------------------------------------------------------------------------ anufactured Homp data said *installationcUons including Tie Down Specifications .------------------ r 0. Fees of $ �-= ------------------------------------------------------------------ 9-61 VIK/11 ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. I ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---. El 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -. ❑24. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ---------------------------------------------- 1127. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. -------------------------------- 0433 ❑Grant Peed, ❑ M.H. Title, ❑ Check to H.C.D $ (Date) Wl}en you issue thy5�t, processa� follows ❑ Mail toower, ❑Mailto contractor. Telephone •7 8 and hold for pickup at OIW office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departrnen ❑ O er: Date: By: 1. Index permit application for the above items numbered: flan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 19, ne, mail, ❑ Building Division counter, byate: Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by ate: Z -Z - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Divisi counter, by Date:— Plans reviewed by: Date: Plans approved by: Date: /z' 21. ' 7 / — Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder.. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/56) APPLICATION AND PERMIT -� "` wsessoaPMeaw+ea /� 20"' 05�c BUILDING PERMIT ow"M TlLA7►gNe iVE $0. Fr- OCC. BUILDING VALUATION Ow•a�7 www AOORe'!e, r ZM o coarRAcroal NAM 00HmACTOR7 JANUM ADOAM I 30 LOIom f oorsTRtA:rtoN l!l061 ua•oerM MArM AOORess AACHMECr OR !400CM acerae NO AACWMCT OR MMOR7 MUJw AOORM RUXOM A001M 70 411s7-/7 {OTNO. SLOWO Simm Total Valuation Is Firing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee USEOFSTRUCTURE tech Trap Solar or heat um water SFDuplex O Mobilehome O Other Water tin SPectFv TYPE OF WORK Each gas water heater or New O Addition O Remodel f3 / Idles O hsislstion O Other O Gas piping system 1 - 5 of Build' inig sewer Describe Work: /L� =�%��P ���C ����� `►� r Mobile Home I S G Y /�33gda y PERMIT FEE ELECTRICAL PERMIT Main Service (°RR tFss `mss ) - 200A = O Main Service ( 20011 TO 1000A I -lung Few 20.00 7.00 23.00 15.00 SOO 715. 00 �S• 15.00 @20.00 Z:7 f - — ng Fee 20.00 23.00 46.00 80. 3.54T. 07.50 EX. OCCU oVnEr OR FOrnmE! 20 0 t.00 a�L .00 Ex. Occup. OtRtE79�Pr 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 e) PERMIT FEE S ,Q MECHANICAL PERMIT Fling Fee 1 20.00 I Hood I 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. T+—,� TAL FEE $ w1Z. 0. FLOOO COF PARCEL PO W 16Sl,E 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. By Date PERMIT EXPIRES ON December 16, 1999 Mike Manera 170 Loma Vista Dr. Oroville, CA 95965 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Parcel Number: 036-600-044 Building Permit Number: 99-2754 The above referenced building plans were reviewed by this office. Please respond in writing to each comment by creationg a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear response will expidate the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: /./2x8 ceiling joists will not span distance shown on the plans. Spacing of ceiling joists would have to be 16 inches on center or resize the joists. Ridge board must be resized to a 2x10. /, Provide full bearing under the new 4x12 beam including size of footing. � Provide additional information on the new water heater. Is it to. be a new solar water heater? FIs it in the same location as the old water heater? 701 Plan check will continue upon reciept of all of the above items. Additional items may be required when your plan check is resumed. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between,1:00 P.M. and 4:00 P.M., Monday through Fridays. Sincerely, T Martha Whitney Plans Examiner i h 33 s �' r•. gx 001/ ) ? gAflui .2f"ae i %f rc+td�Jli/6.�1 � WAU t, ro zx,s e��&o �U U lI Afo &rb0ff(4f of 1404 • R� LAp S�Oi (, i 6' X 7' D.N• ORS WANTW You i 7"e) 2Y to _ IN SAS$ ZX*710AI- AN�k&_154L, H�� See he attached &_Mimi Cons#ruc#ior� IBrn#s �--Pages 0)4� -lb hvwlo cvy JTTE -V c1H6 Fid DAh1��� IUA..1 Ioil6 _ _�>T A i1auN��; MW i�1�4 &e z 70 L4w,.f k1. 5 rx 4W. � a �� � S 946 _ VVI D A m U) -I 0 9 G) m CD I.- ❑ B.I.N. RE -QUEST FOR INSPECTION ,Percnit No r . Location: [ D • Owner. ContractbrorTenant: Complaint: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U.PRE- Form Frame/Underfloor Stucco Lath Stucco Brown Fireplace Bond Beam Insulation Rough Top Out Gas Piping/Test Temp. Gas Sewer Piping Water Piping Shower Pan Rough Temp. Service Service Underground Well Circuit Light Niche Corrections Final SPECTION Housing Job Status Permit Renewal Verify Utilities OT Nailing Corrections Corrections Correction READY FORA INSPEC.ON -t„1. 19_ P.M. Final Final Final Date: Time: Note: . FIRE D1 GE REPORT OWNER: LOCATION: M V ��_� ornd(., CONTRACTOR: DATE TO INSPECTOR: Building Description: PERMIT HISTORY:( ) NONE DATE: o'Z A.P. D� ZONING: (XAS FOLLOWS: BUILDING INSPECTOR'S REPORT Residential/# of Units: NEI Currently Occupied AbandonedNacant Aw Electric: <No Yes Electric currently On_Off' Condition of Electric Gas: Natural Propane None Currently On_ Obvious Problems: Sanitation: Plumbing Working Well Working Potablc Watery Obvious SewageProblems Description of Damaged A Estimate Valuation of Damaged Area: Condition of Foundation:_ Mobile Home: Condition of Utilities: Inspector: Date Sketch building on reverse d indicate area of damage. Off AP 36-60-9* Kenneth Young 170 Loma Vista Dr., Oroville (BLDG. W/O PERMITS - 5/20/81) f0141 W11-10- 36-60-Abjj# Permit #2486-81B(addition/SF) 36-40-44 Permit #914-82P (solar W/H) SP AMR PURVIS, Leroy 4243B H.VENT-3422P 3380P 4209E AP Lot # 103 Copley Acres (170 Loma NTR: Harmony Builders, P.O. Bx 57890z (new9single family Al + . . . . . . . . . . 4� X U 3 -777 -�o O � �i � � E 1- -�7 ,��CG CUU - ~� I � iY t CDF BUTTE COUNTY FIRE INCIDENT LOG IqLmw DATE 11/1911999 INCIDENT NUMBER 11547 LOGGED BYK64 REPORT TIME 01:21 LOCAL FIRE NUMBER 0 RO DERMA STATE FIRE NUMBER 827 STATION # CASE NUMBER 0 MEDICS: LOCATION 4 LOMA VISTA OFFICER 2115 RP IMULLIN HONE NUMBER 5341091 B COUNTY NOTIFICATIONS © OES ❑ EMD ❑ PRA L51 AGENCYID BTU STATE WILDLAND FIRES ❑ STATE ACRES 0 LOCAL WILDLAND FIRES ❑ LOCAL ACRES 0 STATE STRUCTURE FIRES RESIDENTIAL LOCAL STRUCTURE FIRES STATE OTHER FIRE LOCAL OTHER FIRES STATE MEDICAL AIDS LOCAL MEDICAL AIDS STATE PSA/OTHER LOCAL PSA/OTHER: STATE HAZ MAT LOCAL HAZ MA INCIDENT NAME IVISTA START TIME:FO-1-15-----1 CAUSE IMISC LAND USE IDOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE 15000 LOCAL TYPE $ DAMAGE: I SAVE 140000 DIAMOND #: 12.0 INJURIES/FATALITIES ❑ #CIVILIAN INJURIES: CIVILIAN FATALITIES: FF INJURIES: # FF FATALITIES �0 FC -40 ❑ DATE OF FC401NC AGENCY INC MI INC P# D COMMENTS: NFIRE AT SEN EMAIL STATION 7 -DAY © INITIALS LS DAMAGE TO INTERIOR OF GARAGE. 4 11 1, 111 NEXT RECORD 1; LAST LOCAL FIRE # 111 LAST STATE FIRE# 111 LAST CASE # BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address:'' 1740 . Tenant: Building Location: Type of Inspection requested: 1. Housing 1 [ 2. Financing 4. Other (specify) Present use of buildin A. Date of Inspection, Inspector 3. Change of Occupancy to A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: XF 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents:/ 11. Connection to sewage disposal: 12. Connection to water'.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces: 6. Comments. C. Electrical 1. Service ground:_ 2. Recept.:c.. s: 3. Fusing: - 4. Cona, ent s: D. Plumb 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments • ° E. Other 1. Maintenance and repair: 2. Fire hazards -.---- 3. Safety haz.-Ards:' 4. Weather protection: 5. Undte.rfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4. Rest:oom floors and walls: 5. Exits: - 6. Improvements: 7. Zor-ir.g:-. 8. Cour, eiit:zz G. Field Problemis or V c, I a ;. i on. s 1. Problem or :viol tl.()TIjgIve romplete description): 2. Yr7i 3t ac tion taken (give couipl--te --Jascrij 3. What an--A.m reconeended: T7A . "In f or.. -a a t i o n only - f i 1 7;,rB. Hold for tcn (1.0.) days, then wri-.-c l.e.tter. write Jetter. /7D. Wither: wja COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillq, California 95965 - Telephone 916/534-4541 Q J Q APPLICATION AND PERMIT , / r o ASSESSOR PA CEL NUMB [/� / ZONING BUILDING PERMIT OWN ov TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAIL I G DDRESS CONTRACT -S -E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,�� USE OF STRUCTURE SF L� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 Iw 1 R I IS10 top TYPE OF WORK New ❑ Addition ❑ Remod 1 ❑ Uti ' 'es q Installation Other Describe work: R. r L r� Permit Fee $ 130-010 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELLING OCCUP.ai OR ADDNS. ACG. BLOGS. / 22 sq ft 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. LI ense No. Classification U --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 -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR. 50 a 25¢ Ex. Occup,(OUTLETS OR FIXTURES gpL@1 Ex. OCCU /FIXED APPLES. OR E p•\OUTLETS (RESID.) EA.) 2.60 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 T_ Permit Fee $ 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ��f Consent to Self -Insure. ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 liabiljties, judgments, costs, and expenses which may in any way accrue against Id County in c seque a of the granting of this per it. X Date - r� ignature of Ap cant — 0 er CO rr crar ❑ Agent An OSHA per. t is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stori((e//s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BLIC BY 0_7av" PERMIT EXPIRES to '/ the applicable provi- resolutions to do fees have been paid. WORKS D to �i Receipt No. / Ls 7— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIF ICAT ION Attention Property Owner:. Phone: 916-534-4541 An "owner -builder" building permit has been -applied for in your name -and bearing your signature. Please complete and return this information in,the envelope provided at your earliest opportunity to avoid unnecessary delay in.processing.and issuing your.build- ing 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) P�- 2. I (have/have not) .signed an -application -for a building permit for the proposed work. I. I have contracted with the following person (firm) to provide the proposed construction* NameLZ I Address City Phone Contractors License No. .4. . I.plan to provide portions of this work, but I have hired the following person to.coo inate,'supervise, and provide the major work:, Name A) A 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 J�tz� Social Security n ber - % Date /s" .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 permitted to issue the permit.. g RMIT NO. 2486-81B PERMIT EXPIRES- OWNER XPIRES OWNER KenYoung CONTR. owner ASSESSOR PARCEL 36-60-01 tly LOCATION 170 Loma Vista Dr., Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V = OK 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, CORS, CARPORTS, ETC. fP OK except N's 1. Zoning Requirements—Setbacks—Easements 14_Ze g Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch __ ootings; 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) mod Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Local ion—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 ate ward-B� Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1,Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except a'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 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/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 134 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK O = Not OK Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. 24. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic F] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic _- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) e • � COUNTY OF BUTTE - DERARTMI-NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 r_ APPLICATION AND PERMIT I. ASSESSOR PARCEL NU BER ,5(o .-- �0-3 ZONING BUILDING PERMIT OW b 1 �0�1 /V 33 H`�3a/ SQ. FT. OCC. BUILDING V LUATION 00 01y t•}FR'S MAI(�V/-i /✓ ESV/✓/ t D40V IUI 64 /r/1 M C�V�/.. C./. .{/./� , / // / Lr CONTRACTOR'S NAME _ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 32,00 ARCHITECT OR ENGINE _R LICENSE NO. Plan Checking Fee ,$ rf7 f7 Penalty $ ARCHITECT OR ENG NE R'S MAILING ADDRESS Permit fee $ ,,// aCJ- BUILD 16DDRES //f� D,PI VE PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent pipingR5.00 Ov�L�C�C., Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system ,—� TYPE OF WORK New ❑ Addition 1� AR�modeel�1❑ UCtilit'es ❑ Installat'on❑ Other ❑ Describe work: SU'V S/7ADG (4C—Pt,26E� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLINGOCCUP.5) OR ADDNS. ACC. SLOGS. I 22 sq ft 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 m license is in full force and effect. y License No. Classification 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. C1 ANCH CIROUTRET 2,50 ea NON.RESID BRC ITS NEW CONSTR / POWER APPARATUS A\\ NON.RESID. (SINGLE OUTLET CIR. 1 so @ 2s¢ Ex. OCCUp OUTLETS OR FIXTURES BAL�1 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn' and keep harmless the County of Butte against all liabi ities, judgments, sts, and expenses which may in any way accrue agains said County in co quence the granting of this permit. % X Date c— ✓aJ✓�I $ gnature of Appli nt Owner Contractor Agent ❑ An OSHA permit Is required for ex vations over ' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE '9?11— $ -() OCCUP. GROUP TYPE OF CONST. V PARCEL P ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Dateaq 7—I—O Receipt No. 1� 3Oghw WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT