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HomeMy WebLinkAbout079-110-003L HMANNbank, Orovi.11erald George Roofing /i Ma7-g3B(reroof/SF) PERMIT#96-1850 JONES, Tom & Debbara 171 Greenbank Ave., Oroville Cont: Perfection Pools. New .Pri Swim ing .Pool 96-1935 JONES, TON CONTR: HURST ELECTRIC, MIKE 111 GREENHANK AVE., OROVILLE I Ry, SER CHJSP I 03-1344 FOMAS Y BANK, OROV'ALEERT; CHRISMOW '� .ob f 1 1 i C:mlI �-- �■- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION S 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ��'�fz't" ASSESSOR PARCEL NUMBER 036-380-003 ZONING AR BUILDING PERMIT OWNER JONES THOMAS &DEBORAH TELEPHONE SO, FT, OCC. BUILDING VALUATION owNERs MAITO DRTOX 1844 OROVILLE, CA. 95965 EST. CONT. 20 000.00 CONTRACTOR'S NAME CHRIS SEEGERT TELEPHONE 589-2986 CONTRACTOR'S MAILING ADDRESS 6103 OLD OLIVE IRVY CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 20 00 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee $ 207.00 Plan Checking Fee $ 134.55 BUILDING ADDRESS 171 GREENBACK AVE. OROVILLE M CA. Energy Plan Checking Fee $ $ PERMIT FEE $ 361.55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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: ROOF -NEW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service e00v OR LEss 200A OR LESS 23.00 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. / c License Class _ Lic. No. Z �( 0I OWN WILDER DECLA ATION 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 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 forthwit ply with those provisions. X Date o3 Signature of pplican - Owne Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" d ep and de olition c nstruction of structures over 3 stories in height. ReceiptNo. 376425 $174.55 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( & ACC. BLDS. 3.5¢FT: -CONST WEW MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES e4L �':� Ex. Occup. oxuxE'A',R DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T TAL FEE $ 404.55 HAZ. F€ IMP FLOOD CDF 1 =116 JISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fee hav y PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date O D., WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKANISPECTOR GOLDENROD -APPLICANT 14- AP NO.: 036-380-003 DATES 8 -May -031 OUTTE.o County Of Butte Department of Development Services Building Division ocDUNj+o 7 County Center Drive Oroville, CA 96965 (530) 538-7541 PERMIT NUMBER: 03-1344 M., qr-- M O OWNER: , MAIL ADDRESS: Thomas 8 Deborah I Jones Phone: - P.O. Box 1844 Phone: Oroville CA 95965- Email: CONTRACTOR Chris iSeegert Phone: 589.2986 6103 Old Olive Hwy Phone: Oroville ICA 95966- Email: SITE ADDRESS: 171 Greenbank Avenue - Phone: Oroville ICA I jEmail: Lor BLOCK I MAP I BOOK APPLICATION AND PERMIT FLOOD ZONE FLOOD PANEL ZONING AR USE OD�Ix 11 Other TYPEOF ::jAddn ❑ ❑ ❑ Rmdl Utlts ❑ Instln r S DESCRIPTION Roof -New SO FT $/SQ FT: VALUATION ELECTRICAL PERMIT ; Contractor Estimated Value 1 820,000.00 S 20,000.00 Filing 1 $ 20.00 $ 20.00 $ Main Service $ 600V or less/200A or less 1 $ 23.00 1 $ 23.00 S 200+A to 1000A $ 46.00 1 $ $ New Construction or Additions Roofing x I 0 5 .ft,= 0 $ 60.00 $ Dwelling Occupied a Accessory Bulge $ 0.035 1 $ Fireplace I A/0 I M I 1 0 $ New Construction Non -Residential TOTAL VALUATION $ 20,000.00 Multi -Outlet Branch circuits $ 7.50 1 $ PERMIT FEES QTY FEES "_.ait"Y".1`.-v�.', power Apparatus 8 Single Outlet Circuits ' $ Filing 1 $ 20.00 S 20.00 Existing Occupied Permit Fee 1 ,._ ,-.. a€; $ 207.00 Outlet or Fixtures 1-20 $ 1.00 Is Plan Check 0 66% Permit Fee 1 '' ""A""-xaS-I $ 134.55 Outlet or Fixtures 20+ $ 0.50 $ Revised Plan Check $ 46.00 $ - Fixed Appliances or Outlets Res ea. $ 5.00 $ Permit Fees Mobile Homes 0 112 Fee Temporary Service $ 23.00 $ Plan Check for Mobile Homes 65% Permit Fee `'1` ""' $ - Moble Home Facilities $ 20.00 $ Plan Check Mobile Home State Approved Plan $ 23.00 $ - Miscellaneous Wiring S 23.00 $ Mobile Home Installation Inspection $ 100.00 S - Pre -Inspection $ 23.00 $ Energy Plan Check Commercial Residential 4000+ S To Master >. $ Pool Electric $ 30.00 $ $ $ $ -- PERMIT FEE $ 361.55 - - ELECTRICALPERMITFEES $ 43.00 PLUMBING PERMIT MECHANICAL PERMIT Filing $ 20.00 S Filing $ 20.00 S Each Trap $ 7.00 S Heating 0-2000 5 ft. $ 15.00 S Solar or heat um water heater $ 23.00 S 2000+ s. . ft $ 20.00 $ Water piping $ 15.00 $ Cooling 0-2000 s . ft. $ 15.00 $ Each as water heater or vent S 15.00 S - 2000+ s . ft S 20.00 $ Gas piping system1-5 Outlets $ 15.00 S Evaporative Cooler $ 15.00 S 5+ Outlets $ 3.00 Extend Ducts in Additions $ 15.00 $ Building Sewer $ 15.00 $ Mobile Home Utilities I S G W S 20.00 S Hoods S 6.50 $ Ventilation $ 4.50 S $ Gas Fireplace $ 15.00 $ S $ PLUMBING PERMIT FEES $ MECHANICAL PERMIT FEES $ IMPACT FEES Energy Inspection Fee 1 1$ 46.00 S Sheriff OTHER FEES $ Residential Per SF Living Unit $ 360.00 $ - TOTAL BUILDING. PERMIT FEES $ - 404.55 Multiple Per Living UnitS 252.00 $ _ TOTAL OF ALL FEES $ 404.55 Commercial Per Sq. Ft. $ 0.03 $ State Responsibility Area (SRA) Per Structure $ 89.00 $ MINIMUM PAYMENT OF FEES Drainage Filing Fees S 40.00 ThermalitoResidential Per Livin Unit $ 510.00 S Plan Check Fees $ 134.55 Commercial Per Ordinance 3304 $ SRA FEES $ Street Improvements Other Fees: Chico Urban Area Residential Per Each Single Living Unit $ 1,982.00 $ MINIMUM PAYMENT OF FEES $ 174.55 Residential Per Each Multiple Living Unit S 1,370.00 $ PAYMENT INFORMATION Commercial/Service Structures Per Sq. Ft. $ 10.19 S Date: 8 -May -03 Fees Paid: Receipt No.: 376425 Staff: Check No: 17055 Cash: Li $ 174.55 Commercial Office/Medical Strctrs Per Sq. Ft. $ 2.22 S Commercial Industrial Structures Per Sq. Ft. $ 1.02 $ Thermalito Urban Area Residential Per Each Single Living Unit S 595.00 $ Check Amt: $ 174.55 Cash $ Residential Per Each Multiple Living Unit $ 355.00 S BALANCE OWED $ 230.00 Commercial Per Acre Developed 523,849.59 $ Date: Fees Paid: $ - Commercial Office Per Acre $11,924.80 S Receipt No.: Check No: Check Amt: Staff: Industrial Light Per Acre $ 5,962.40 $ Cash: Industrial Heavy Per Acre S 1,192.48 $ Cash $ Water Tender Per Parcel S 200.00 S BALANCE OWED $ 230.00 Recreation Districts - Proof of Payment Only Dale: Fees Paid: $ - Chico Area Residential Per Living Unit $ 1,189.00 Receipt No.:Staff: Check No: Cash: ' Durham Residential Per Sq. Ft. $ 1.04 Li Check Amt: Cash $ School Districts - Proof of Payment OnlyHaz D. Fees Imp Flood CD Prc PD HD IssuedBALANCE OWED $ 230.00 Gridley Unified - 075 TOTAL IMPACT FEES (Collected by Development Services)l S Occupancy: Construction: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone �(50)�538-7541 PERMIT C APPLICATION AND PERMIT �� "�-- � 0.PARCEI NUVBFT �o 86/y� //J� LO"' BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION S r-7 M MSO • C y gyp/ 7ELEPIgN^ w� TORS ADDRESS �lt/Q r� S. ;p15TRUCTON LENDER -Fireplace 2GER's WtlLIN6 ADDRESS ' Total Valuation f6 %AcmrrECT OR ENGINEER LICENSE NO. Firing Foe $ 20.00 Permit Fee L CIO wCMTECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee S BUILDING ADDRESS r V % Energy Plan Checking Fee S ' S PERMIT FEE S IOTNo. SUBDIJ5IONSUWE PARCEL MAP PLUMBING PERMIT ring Fee 20.00 eh Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 6P£C1FY So eat pump water heater 23.00 Water piping ---_15.00 Each as water heats vent 15.00 TYPE OF WORK New O Addition O Remodel ❑ Uf moles ❑ Installation ❑ Other ❑ Describe Work: Gas piping system'_ t - 5 ou'hu 15.00 Building sewer 15.0() Mobile Home S G W @20.00 PERMIT FEE i ELECTRICAL PERMIT Filing Fee 20.00 Main Service moa► oa L ss 23.OD f ,p U 'ID gcrm��- L SR)k • S,r O � e r2 5 [ — CNAZ. ew4a Main Service 200A To SOMA 46.00 NM CONST: / DwELUM DCCNP. 3.5¢FT. OR ADDNS. \ a ACC. BIDS. OWRESIDD. MVLT7.OUn.ET @7.50 N PSDIOIEOWER APPAUS 8 OURETRATG0. Ex. Occup. OVTLET OR FKTURES BAL 20 0 I.5M . Ex. Occu vn rmLNsEsro DRL 5 -DO Temporary Service 23.00 Moble Home Facilities 20.00 Mise. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating ling Hoo Hoodd 6.50 Ventilation PERMIT FEt $ Mobile Home installation Fee $ Energy Inspection Fee S Mee cokcT. Tree TOTAL FEES `1 d `Y, SS D. FEES IMP FLOOD CDF PMCFL FO MD 5SUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pa le COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNERS PJ''j/;I �G4 �P� ASSESSOR PARCEL NUMBER l �(� — j�� �3 Proposed Building Use: N P�_c�r�G3" Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ -10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ i2. Hazardous Material Form............................................................................... _ ❑ 13. Other 6I ainiees as shown on the attached items needed to issue the permit. (May require additional plan review upon receipt of the following' item /A Fed Schedule of Fees Due Sheet ....................................... b100 U 1 Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ 0 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 0 26. Letter of Signature authorization..................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement........' . .. c ........................ ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ;IP ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ _ ❑ 31. Other: When issued Telephone Is 111_�C' — UU : Cti f, and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: --r Date:`"t 4-C, g D t e 1. Index permit application for the above items numbered: _ 2. Additional items required Coatf0r, designer, owner, was advised cf the above data by Cont ctor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: FE -1 'pFione, '❑ mail, ❑ counter, by phone, ❑mail, ❑coin _Plans approved by: _Structural approved by: Yellow Building Divkinn Plan Check Letter _Date:_ _Date: Date: _Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE JUC( a„1 IAC,( A— Z 1. BUILDING PERMIT FEESU t✓ Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ x Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # 6&" da.� DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE -S , 0-:3 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner " (Rev. 6/00) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-380-003 ZONING AR BUILDING PERMIT OWNER JONFS, Tf�iOMAS & DE80RAH TELEPHONE SO. FT. OCC. BUILDING VALUATION ��yy�� ;;��77�� /� (y� EST. \AJ ? . 20.000.00 . OWNERS MAIUNG ADDRESS F.G. ECK 1844 ORMIIIE, CA. 95955 CONTRACTOR'S NAME r igs SEEDER T TELEPHONE 589.2986 CONTRACT b10.3 ADDRESS jj����iOL`— I7YY1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 20.".W ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 34.55 BUILDING AD11ESS171 GREENBACK AVE. WC. ORILLE W 11VY tl Energy Plan Checking Fee $ $ PERMIT FEE $ %1.55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um 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: WOF"N& Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa mss 23.00 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. r ` �� 7- 11- License Class LIC. NO. r� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed .contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. `, OR ADDNS. ( a ACC. BIDS. SO 3.50FT; NON-RESID. T. BRANCH MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ I;50 Ex. Occup. OUTFIXLETS Ro .DEL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.0 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.) �] 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 forthwit: comply with those provisions. X .t �"/ _ Date �w"�7 ""©� Signature -of Applicant - ❑ Owner/ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and de olition r construction of structures over 3 stories in height. __. K l_ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 4()4.55 IMP FLOOD CDF PARCEL PD .-.• HD ISSUE( � This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 613A(t& Date PERMIT EXPIRES Ol _ DtReceiptNo./0425 X174.55 Cb r VI -A.1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL PERMIT NO, 036=380 003N a - �+JONES,;THOMAS� �, W71:GREENBANIC,'-OROVIL•: `,Cont: SEEGERT;fCHRIS Al l _ 1 a i t t I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER i • � OFFICE COPY Address 3• t � 1°' = BV Befe ELECTRIC Meter By Date'////U7 JOB FINALED (Date)=� Signature CHECKED BY J'= OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 83. Following Instld./Drive O Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK 0 = Not OK . = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams-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 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. 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 POOLS (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 -GA 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test - 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 RESIDENTIAL '036-380-003 PERMIT#96-1850 JONES, Tom & Debbara 171 Greenbank Ave., Oroville !Cont: Perfection Pools New Pri Swimming Pool 2 Z JOB FINALED (Date) Signature V=OK O = Not OK - ' '=Not t Applicable NoReadyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location-TestWrap; / /'9_'ft. / /Nat. or/ NL"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS fans OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setb s -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances . oils Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3 001 Structure; Steel -Connections -Thickness Dead- 'nin 6. Water; MH Test -Regulator -Connector 4. eceptacles and Lighting, Distance-GFI ec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 8. Elec.; Grounding; Equip. w/9 Circulating Equip: P htg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Exits; Insp.-Sketch 9. Health Department Approval 11. Cert of Occupancy 11 umb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Card B- Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS fans OK except #'s Setb s -Easements . oils Compaction -Structure Stability 3 001 Structure; Steel -Connections -Thickness Dead- 'nin 4. eceptacles and Lighting, Distance-GFI ec.; 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/9 Circulating Equip: P htg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 11 umb.; Cir. Test -Water Supply Test Date Da Card B-1 Date Card B-1 Card B- Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Sirigle & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth Date 3. Fig. Garage; Soils-Steel-Elec. Gmd/ PFtg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 47. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Garage Fire Protection Framing 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 11. Water Pipe; Test -Anchors -Regulator -Service Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 12. Electric Underground Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. Siding -Nailing Veneer 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation Shear Walls; Nailing -Bolts 60. Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 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 63. 21. Test Tub & Shower, Second Floor -Tub Access 64. 22. Gas Pipe; Sixe & Anchors 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Date Bedroom Exiting Card B-1 Date Card B-1 Date G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels ELECTRICAL (Permit) OK except #'s 69. 23. Fixture & Transformer Clearance -Ins. Protection 70. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 71. 25. Size Boxes & No. of Conductors Stapled 72. 26. Romex Installed Close to Edge of Studs & C.J. 73. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 74. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 75. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 76. 30. Ranke Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 77. 31. Service -Riser Conductors & Ground -Main Disconect 78. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 79. 33. Clothes Closet Light -Shower Light -Spa Light 80. 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date Following Instld./Drive 0 Yes 0 NoAtValks 0 Yes 0 No/Planters 0 Yes 0 No Card B-1 Date Card B-1 Date Stucco Brown -Finish Card B-1 Date Card B-1 Date A.C. Unit Disconnect, Electrical -Plumbing MECHANICAL (Permit) OK except #'s 85. 35. A.C. Ducts Insulation & Support 86. 36. Vent Fan, Exhaust above insulation 87. 37. Condensate Drain & Overflow, Size & Grade 88. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 89. 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date FRAMING (Plans) 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 & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Sh6ng.-Rfng. 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 Hgt. & 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 -Rafter 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 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-Conector- In Garage; Above Floor -Ducts -Meth. 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 & Recepticales 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. Fib., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 NoAtValks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 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 OFDEVELOPMENT SERVICES-BUILDINGDIVISION v -- . 7 County Center Drive - Oroville; California 95965 -Telephone (916) 538-7541 �/ PERMIT No, APPLICATION AND PERMIT (0_19 ASSESSOR PARCEL NUMBER 036-3go-om ZONING AR BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT 18,000. OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 897 E 20TH ST., CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 198.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 171 GREENBANK AVE., OROVITLE PERMITFEE $ 241.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other NEW PRI POOL SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New [AX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER #5915-94Contractor Mobile Home S G W 920.00 PERMITFEE $ 35.00 ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 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 C - 53 Lic. No. S ISd6S� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors30 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( & ACC. BLDS. ) SO, 3.5Q FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 50 FIXED APPWS. OR \\ Ex. Occup. ( OUTLETS (RESID.) EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Hormance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �-�L G.,,.,0, Policy Number s -) r g; (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 forthwi comply with those pr visions. X —-- Date 911,3 Signa ure of 56licant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 326.00 HAZ. 0. FEES I IMP I FLOOD I CDF PARCEL PO HD ISS 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 PERMITEXPIRESON (DI) provisions to do work paid. Z Q Receipt No. 202312 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ... 'lr'r+1.i •.•Fr•r.••+'.�7•.+'tirm..tih�,,.•,>`.r„Ft....r%=ti,✓lk)...t�1-!+i'h"++�`'�p!�'^"'..�"�`i"`�.'s4.:::i .,: �v+�y.(_'..., /�+r::c: �,,.•.-,n-••-. ,� � . ,..t .. AW M COUNTYOF BUTTE-DEPARTMENTCtiQE%ELOPMfNTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector No. 03(o-3Sb-0O3 �- Date �3- At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ... •........................ 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... '8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Rlot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . 20. Predest -inspection for required. .. - g I. lnspedo (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ................. . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whgn you issue the permit, process as follows: Mail„to own i Mail to contractor. _Telephone 7� and hold for pickup t („)rV V I +2� office. Deliver with inspector. Other Of Parcel Creation 9 Acreage Y -Applicant ate Copy of Haz-Mat form sent Health Dept. Fire Dept. A' ollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Gs{ 6SaN5 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ��i ����� �� �; :� ��, �, ; � ,r- ` � .A � t ' 9 i '' �? 1 y � .• }t j:.Z i, �, �-- ,. �.....-.- .�s; f L/ /\ c . ,.� COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - _r. 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-746_d— J O 2 T NO. 0y03 ASSESSOR PARCEL NUMBER 036-380 ZONING AR BUILDING PERMIT OWNER IM e„lONE.S T="1842 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 171 GREENBANK AVE OROVILLE, 9a5966 CONTRACTORS NAME MIKE,HRST CEIC �V7-:�330 CONTRACTOR'S MAILING ADDRF.SSS. OAKCREST DR OROVILLE, 95966 ` Fireplace p CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee e $ 20.00 LENDER'S MAILING ADDRESS •• - Permit Fee $ ARCHITECT OR ENGINEER • + LICENSE NO.- + Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS171 GREENBANK AVE I PERMITFEE $ OROVILLE ` PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP 1 Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE • ° v F' �F SF 0 Duplex ❑ Mobilehome ❑ Other !!J l SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ° New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ t ` Describe Work: UPGRADE ELECTRIC SERVICE I — � Mobile Home IS1G W @20.00 1 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 t Main Service 000V OR LESS l ( 20.A OR LESS ) 23.00 • Main Service ( 200A TO 1000A ) 46.00 1 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 _?3S947 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the -w - their sole compensation, will, As 1918V4 ed for s le. ❑ I, as'{ eG OIb10313 ' h licens id contractors to c �g aalavi , ,; ❑ 1 am� "" " gyrJ ofessions Code for this rens �alt?Q __-----� . -��— )IONMECHANICAL I hereby aff' ssa,Ppd cl&raations: ❑ 1 have If -insure for workers' comp,' Labor ,Code, for the perfol 30t�40 ❑ I have AdOO s required by Section 3700 C rw or or which this permit is issued. My we rte -„anon insurance carrier and policy number P re: �� Carrier NEW CONST. DWELLING OCCUR SO. OR ( a ACC. BLDS. ) 3.5g!FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 50 FIXED APPWS.OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s •00 Contractor PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 4 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � D 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 thoovisions. X / Date_LEa _ 44t�X 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. l Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43,00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat-4 above for which fees h Se been paid. Ba. Date GTS TTrG.Iv� PERMITEXPIRESON ��2� /97 �' (Date~ ReceiptNo. ti WHITE•D.D.S.•B'.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-380-003 ZONING AR 90ILDING PERMIT OWNER TOM JONES 7.73°4°"5842 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 171 GREENBANK AVE OROVILLE, 95966 CONTRACTOR'S NAME MII:E HURST ELECTRIC T ON�330 I CONTRACTORS MAILING ADDRTt OAKCREST DR OROVILLE, 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 171 GREENBANK AVE PERMITFEE $ OROVIL•LE PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilites ❑ Installation ❑ Other ❑ Describe Work: UPGRADE ELECTRIC SERVICE Mobile Home S G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 ` Main Service ( 200A TO 1000A ) 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 ful fore and effect. C` ® License Class .� Lic. No. 0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURS OR ( 8 ACC. BEDS. ) O. 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 (a) 1.00 BAL w EX. Occup. ( OUTLETS(RESD.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 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 9 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.) 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 Collwith those rovisions. X Date g — — 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. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 4.3.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat above for which feesha& been paid. B Date dtE i PERMITEXPIRESON g (Dat Receipt No. WHITE-D.D.S.- Ef.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6.vd k, fool, ALL STRUCTURES AND EQUIPMENT INCLUDING OVF-F*ANGS SHALL BE. CLEAR OF ALL.. EASEMENTS. I A SET BACK OF _F FT. FROM THE SIDE AND 1 FT. FROM THIE REAR PROPERTY LINES AND Sa FT. FROM THE ROAD CENTERLINE SHALL BE g CLEAi OF STRUCTURES AND EQUIPMENT EXC-9Pt I FOR A 2 FTi, EAVE OVERHANG. e 5z Of 1 '71 14 e- 37 0 % is x ";L.7 3 - ,AD ELEc rRICAL, MECHANICAL, AND PLUMSIN CONE. RUCTION ( NOT PLAN CHECKED SH AL 'COMPLY WITH CURRENT EDITIC OF 4EC, UMC AND UPC - 2 -181 Jw )J�phms and specifications This set, MUST be kept on thjob at all times and it is unlawful to make any hanges or alterations on same without written permission from the Department of Public Works, Cot nty of Butte. NOTE: A I Materials & Workmanship Shall Be 1n JAccor dai Lce with Recognized Good Practices and ofaQua2-ty -Prescribed for the Specified use in the Ur iforrn Building, Plumbing & Mechanical) Codes and the National Electrical Code. See Master Plan on $1e *w -building Pl=s- 20' e0 c iQ BUT TH E CM St, Penn a SUILDNG DPAF i 4 APPRO Ej 17) FILE CO,36. ) F'E,;:Z RiFEIJ F_0.'R.� 036 - 300 A �FR F A R t:-- -D F& 1= Ec'/0'v < TO 1\1 D E E 5A -RA J0 N E S 2 J- vop 991 77 1 C, R E FN F:5, 4 0 K V..,`rvn� �>>.-<;^.y;,41�nn•,�S•�r�k„�'L.�LT�'�:"4`4j' �,::v%�tr`-4a,.+;n''-.lc,.u�.-�.,��_;:.-r�:>i,..y,7M„„rr �1�5;,1,-�-(�,s..�.i r{r�:.!';�:::3.+:=v.r'-`,m., �:;�sm.-:�v.r.�---;:.r. ,., ti. - �..... -, : N:,., ,�,.� Permit#2927-83 Mrs. Rei¢l(mann COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIAATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN i Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ;, L Z ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/20Sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business(OUT20e50C and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTIR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS & NON -R ESI D. (SINGLE OUTLET CIR. OR FIXTURESsALO 30 Ex. OccupFIXED PTS R Ex. OCCUp- OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shat l 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD I ISSUE r -_ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �� f By r t — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , I Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND+ERMIT PERMIT N 4 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 33 7q0 - lo SQ. FT. OCC, BUILDING VALUATION OWNER'S MAIL NG ADDRESS CO TRACTOR'S NAME �Jf�) TELEPHONE s IL.! C (Zy,,R� OR' MAILING ADDRESSell L/dyJ`Q! I F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ St BUILDING ADDR sS PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFX Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ OtherW Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 21ftsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): � am licensed under provisions of Chapt. 9, Div. 3 of the Business 9 --rand Professions ode and my license is in full force and effect. /� 9 License No. Classification V ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON -RESID BRANCH CIRC ITS, NEW CONSTR. POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. Occu a0®50e P�ouTLETs OR FIXTURES 6AL®so FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation 1-1 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ ce of the granting of this permit. X Date Sign 19re of Applicant — Owner ❑ ontractor ❑ Agent E — An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occu P. GROUP I TYPE OF CONST. I PARCEL PD 1 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PERVT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datee, s Receipt No. AON WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ,. ''5 ?r D ffAAA,A r__ iz r late �rvvt�