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HomeMy WebLinkAbout079-170-0123231189B,P,E,MA7, Ir Ire [LEEN', Brad E0, /�384 Oroville Bangor H lot 1, ` /`1. VIc Oroville (,new single family). ((/ �— 02-3377 ROSE, RICHARD INALE 3684 ORO BANGER HWY., OR =_g CONT: ARTIC AIRE �. REPLACE.HVAC y B08=O'l52} ++,x,079-1.70 012:`. MISCELLANEOUS r y' ;`'= Electrical j REPLACE MAIN ELEC BREAKER, -- 3684 ORO BANGOR HWY ROSE RICHARD B & PAT, j Y 1 v Y 3231189B,P,E,MA7, Ir Ire [LEEN', Brad E0, /�384 Oroville Bangor H lot 1, ` /`1. VIc Oroville (,new single family). ((/ �— 02-3377 ROSE, RICHARD INALE 3684 ORO BANGER HWY., OR =_g CONT: ARTIC AIRE �. REPLACE.HVAC y B08=O'l52} ++,x,079-1.70 012:`. MISCELLANEOUS r y' ;`'= Electrical j REPLACE MAIN ELEC BREAKER, -- 3684 ORO BANGOR HWY ROSE RICHARD B & PAT, l;)� Y I v l;)� r a X036-460 x072.. 02-3377 ROSE; RICHARD ` 3684 ORO BANGER HWY., OROVILLE " CONT: ARTIC AIRE J REPLACE HVAC 1 f I f . w i. l � ' i �1 j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 t 7 nv (Rev. 12/96) APPLICATION AND PERMIT L ASSESSOR PARCEL NUMBER 3 V- J `� U -7L- l (/ ZONING BUILDING PERMIT OWNER Rr� TELEPHONE 5 3: 773 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 36gH uR., '7r1fb� CONTRACTORS NAME f t r: /J a Lj TELEPHONE `f 1' __J �� v CONTRACTORS MALINGa�ADDRESS le✓c CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS aG J `1 C�R0 Ani eti �'/.�- Energy Plan Checking Fee $ $ t PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF / Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: lR/� 3 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 500V0 R UE Main Service zo.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.P License Class C "� 1 Lic. No. �. g nt OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier t... aw ml - m r1' 1 YYI & N n a Policy Number �R» Iir,� 7 41 - 21 (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X J ��"� Date �� — J 1., Signature of Applicant - ❑ Owner ❑ Contractor [).Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG Occup. sp OR ADDNS. ( a ACC. erns. 3.5QFr: �NjpµgEog,pT MULTI -OUTLET @7.50 OWER APPARATUS S SINGLE OURET CIR. OUTLET OR FIXTURES Ex. Occup. en ®'.so Ex. Occup. pFIxuTLEEo�A Burs oR.1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 5 - Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ J "' NAZ. D. - FE --ES -IMP FLOOD CDF PARCEL PD HD ISS E .,: This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ) BY PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. Sb y� ys. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 z &P � (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 b ` V / ZONING BUILDING PERMIT OWNER /q1 � !�osf TELEPHONE 533 SO. FT. OCC. BUILDING VALUATION 7973 . OW NE (. M, 1NG ADDRESS �� / 'y ®�QII✓//G.- /D ��� N 0 CONTRACTOR'S NAME IG I ELEPHONE 69r ;3330 CONTRACTORS MAILING ADDRESS 23 e-4 93/219 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS OA -0 /& 4N � /�� ,J Energy Plan Checking Fee $ $ 6) 1?o,),J1 e PERMIT FEE $ 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 I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ,/R/� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioonoR'ss 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.POWER License Class ` b- C' Ay Lic. No. 234 13 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46,00 NEW CONST. DW- .NG OCC IF. ( a Acc. eros. OR ADDNS.NEW SO 3.5Q�: ONST NONN•AESIDMULTI.OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q I.00 o .so O Ex. Occup. o xuntD s .a.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: EI I 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 rformance 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 aqd policy number are: Carrier I_t&:YtNar''• 1^+f1`MV1J. A'L MECHANICAL PERMIT Filing Fee 20.00 Heating % Cooling Hood 6.50 Ventilation PERMIT FEE $ S Policy Number �jMrA 161 41. 1M (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 X Date % (?i — 402 Signature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD H ISS This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have �p Dc� _ By i"Cr epf y1--- PERMIT EXPIRES ON I applicable provisions to do work been paid. Date r / Z - l — Date ReceiptNo. yo i1� WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f F41--EEN, Brad r 3684 Oroville Pangor Hwy, lot1, Oroville (new single family) PERMIT EXPIRES OWNER t CONTR. ASSESSOR PARCEL LOCATION 3� �R +f; A. • 4 OFFICE COPY t{t Address � `"'!�'� L GAS Meter By464� Date EL M Date i, Temp. Power Pole n Called PG&E S Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) --'//)/A1 :V Signature = uK 0 = NotRESIDENTIAL (Single and Duplex), - =Not Applicable ' = Not Ready Date UyPERFLOOR (Plans) OK except #'s Zoninq-Setbacks:- Easements- Flooc Date F 1A4!! 14AF2. Ftg., Main; Soils-Steel-Ele&'GTnd.-//Z /" Ftg. Depth ' Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. . /t Imo: Ftg., Garage; Soils -Steel -//2. /" Ftg. Depth 7. F .place Ties or Type A Flue -Fireplace Throat Clearance [N4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . Atji cAccess; Size & Romex Protection -Draft Stop -Ins. Baffles ockouts-Wrapped . B im-Windows or Exiting Doors -Sill Hgt. & Dimensions I-Blockouts-Wrapped . gwdge Fire Protection Framing B-Riecs�F+�eplsce Ftg.-Steel jf. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 40. Gas achors 4,15'Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 1 cts; Clearance-Material-Supprt-Ins. olts-Joists-Vents-Cripples +6-•4neuFatM Card -B1 d! t Date %ZzVh-' Card -B1 Date Card-B1__7/Date Gr7 ::PJWCard-B1 Date Date PL ING (Permit) OK except #'s 1 W ter Ht. Vent -Access -Combustion •A# -Baffle er Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 49-StMV-er Pan; Test, First Floor -Tub Access ,­20—Tes ub-&'Showe r, 2nd Floor -Tub Access *21. Gas Pipe; Size & Anchors Card -B `//}` DateJ2/ard-81 Date Card -B1 Date Card -B1 Date Date EL RICAL (Permit) OK except #'s FjAG're & Transformer Clearance -Ins. Protection Elec..•Receptacles Spacing -Lights & Switches at Doors . ! Boxes & No. of Conductors -Stapled 1 o ek Installed Close to Edge of Studs & C.J. 2 . . Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At ' 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or, Al. Insulated Neutral Yes No rvice-Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. ' 32. Clothes Closet Light -Shower Light -Spa Light a3 -'Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MEC ICAL (Permit) OK except #'s ucts Insulation & Support Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRA (Plans) OK except #'s . Si Proper Material & Anchors 4.. Studs -Nailing, Spacing & Bracing—Plates-Sound 9, --"Be ' g Walls over Girders.& Floor Nailing raft Stop in Walls (rat proof) F' lops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing ,ef Pr perty Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd story, 2 exits _, airs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. P 2 wood on Roof Overhang -Attic Vents -Rafter Outriggers 55'Siding-Nailing Veneer __56 -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic .58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date and -B1 Date Card -B1 Date and -B1 Date Date FINAL. (Plans) OK except #'s EAi�Bteps-Door & Sidelight Protection -Landings Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edr om Exiting F.I. & Bath Fixtures & Tub Access -Spa 6£uEtai-Trim & Subpanel; Breaker Sizes -Labels ai s ve; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 74-tre—c—Outlets & Receptacles at Kit. Counter ejpGarage Fire Door; Swing -Landing -Closer 73_A -G Q4Gt- i Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptagles in Garage; (G.F.I.)-Romex Protec. 7 sulation- Foam- Looked in Attic ❑ Yes 7 uard Rails & Deck Construction -Post Caps ents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80IF-ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Si. Sttrcr0',-0mwn-Finish Unit; Disconnect, Electrical, Plumbing ents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Openings. 84. Water-NeY-Disconnect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground afielre—ntqoon throughout House BY -t" as Protection 88—oSriectims from Previous Inpections 89. Wit -Meters Tagge a Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 9?. Roofing Certificate Card -B Dates4_/ UCard-B1 Date Card -B1 Date s- p Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: = OK 0= Not O'K ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements • 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'Vft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements , Card -B1 Date Card -61 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date Owner 7E�Q�a LGS-**,/ _ Permit No. ENERGY ('?:RTIFICATTON f n R-4=� 93,Aw <1 451x.- �c� imp v 4 4.� N'OOF `IATER1AL RAND NXIE T T,:�i;``55 i'N��^1:�L hc�t'�LANI. ALL,L1 EXTERIOR 'FALL `IATERIAL fiber ;lass B :`%ND vA,IE Certair,teed THICKNESS i ;Et;`f;L RE.ISTAN'Cr (R 1'AL"E) 1 3NG AT; c R,LA`K'ET ',")7 �1B6ZZ6(.rOrSS:..`;� A e-:ainteed THICKNESS 12L THERMAL RESISTANCE (R VALUE) 3a LOOSE FILL TYPE INS -�)A _ t__ SRAND NA:`lE Certainteed THICKNESS /Z/ Zu iH,ER^tA.L nt` 5 .1: 1r ALUL �o,r ��•. _ FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RESISTANCE FLOOR, SLAB MATERIAL BRAND NAME, THICKNESS THERMAL RESISTANCE (R VALUE) WIDTH FOUNDATION WALL MATERIAL THICKNESS BRAND NAME THERMAL RESISTANCE (R VALUE) I herebv certi-"v that the above insulation was installed in the above building in conformance with the State of Califcraia Energy Requirements. SHASTA INSULATION 0530235 7RrIRP1 NA^1 T,1TF :01�Tr,CTt�4:".. ICEiac ?.C. I hereby certify the above insulation and all required :-ems as shown or, the Building Department approved plans and "attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are o� the quali..• prescribed or are specifically approved by the State of California. FI.RN. NA` F_,'0WNER (' .EASE PRINT) ------ ---------------------- Sl ITTRE OF GENERAL CONTRACTOR;'OWNEK --------V 7 0 0 --:c:'- 3 ------------- ----- "1 A T CON'TKACTOR"s LICE NS! NO. ------'� - —-------------------- DATE r, --This certificatemustybe.,ron. file with the BUILDING DEPARTMENT, prior•,to:final .inspection Appcoial and a'c'opv shall be posted within the building. Q14 tiditt.Q� �`e � . ,��: +..'..��"���`��'•'.. +: '�`:: '..., _ :, _ .: *, r_ _ i .' w 3 S:�e'H tt .'?�f .. '� .± �a .. ... _ x:> . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �.T O ' - 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541. APPA-ICATf0N AND- PERMIT ASSS PARC r�UMBE 1/(f ZONI BUILDING PERMIT ow 1 TELPHo1E SO. FT. 0 C. BUILDIN ALUATION OW 'S MAI LIN DDR 5S r , ®� n C R TOR'S N ME TELEPHONE X3 141-17 CONT-WACTOIRIS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / s Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSt 33 �� Permit fee S i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 on V _ Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PA�CEL fQ AP /5 (�`�(� Water piping 5,00 S 4 Each pas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q Building sewer 5.00 Mobile Home S G W 10.00 ea. TYPE OF WORK New Addition ❑ Remo I ❑ Ins al do _Other ❑ ❑ Utilities /zy�) Describe work: ��c� / 1� �t/� j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Z 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 CONST'DWELLING OCCUP.ad , OR ADDNS. ACC. BLDGS. f �z¢sgft NEW CONSTR '.OUTLET 2,50 ea NO N.RESID .BRA CH CIRC ITS POWER APPARATUS e\ SINGLE OUTLET CIR. / EX. OCCUp�OUTLET3 OR FIXTURES 5AL@30 ALe Ex. Occup. OUTLETS PRESID.IIREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee s WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation Permit Fee : Contractor I certify that I have read this application and state that the above information is correct ree to comply to all County Ordinances and State Laws relating structio and hereby authorize representatives of the Countyot Butte o enpon th and property for inspection purposes. to buil g Yto, I ails agr save ndemnify and keep harmless the County of Butte against all Ii bi ies, judg ents, costs, and expenses which may in any way accrue again said Count in consequence of the granting of this permit. %� D to (� (s$ino ure of Applicant — Owner g pp ❑ Contractor Agent ❑ AnOSHA permit is required for excavations over 5't)" deep and de lition or co truc of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oc P. CONS ! ISCHOOL �. PLoo PAR E PI, r ND Ss This p rmit is hereby issued under sions of the Putte County Code and/or work ilict d above fo which C F PUBLIC PERMIIBES Date the applicable provi- resolutions to do fees have been paid. WORKSion Date /Receipt No.01 -�/ Ciry WNIT!•D.P.W., YlL LO -A ! RC . COLDlNROD-AP 'CANT T0: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location 76—N -%Z AP Driveway permit t9`7 has been issued for the above property. -.Si ature date OWNER ` 1 COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC; WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 049)tLLL7►ACALI,FO,RNIQ 95965;- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .\ n,...,.,.:. A f Proposed Building Use �VP1,r) /l— Building Inspector f,OeS�i Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................... ............ . 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.. Fees of $ �. . 11. Chico Urban Arepaid................................... 12. Park fees paid ..................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...............' ..................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ' 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) r----- 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Cla�sification) ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...................................... 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone . L and hold for pick p office. Deliver w/inspector. Other Applicant Date - LC6 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permi issuance: (Circle new item not checked abpve). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—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 Date Sets of plans on hold in . File cabinet AP f Id� "451 Copy—DPW I PERMIT NO: 61-89 Lake Oroville Area Public Utility District 1960 EWW Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County. Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: September 26, 1989 Applicant: BRAD LEEN CONSTRUCTION Applicant Address: 1135 Montgomery Street, Oroville, CP_ 95965 Applicant Phone No.: 533-2459 Property Location (s): oro Bangor Hwy. Parcel No.. 1 A. P. No. (s): .36-46 (Formerly 36-46-55) 1Xxx1XxXXXXxXKx1XxHx Fees due: $275.00 LOAPUD Connection Fee, $900.00 SC -OR Regional Facility Charge Approval from State Board oft;i�t-4 ion on nexation of Property require Application for service approved: _ LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspections) made and successful test(s) observed: Location: L - Date: Lake Oroville Area Public Utility District release to close permit: Date: By: Ret,t1rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DrNEI,OPMENT Section 26-8..1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a,building permit. The property described herein is adjacent to land or included within an area honed for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agrictiI t.ural zones which have as a priority use for productive agricultural. purposes, aiid rv-,iilcwi ; within said zones and on adjacent. property should be prepared to accept such i nciinven i (•nce or disconfor.m from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described os follows: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON JUNE 26., 1989 IN BOOK 115 OF MAPS, AT PAGES 80 AND 81. Date: 9/26/89 State of CALIFORNIA) On this the 26th day of September 9 19 89 before mcg, ) SS. the undersigned Notary Public, personally appeared County of. BUTTE ) BRADLEY V. LEEN Personally known to me. E] Proved to me on the basis ■■���■■■■■■■■■■■■■■■■■■■O of satisfactory evidence. to be the person(s) whose name(s) �S SANDY A. STACK subscribed to the within instrument and acknowledged that _ NOTARY PUBLIC -CALIFORNIA *xecuted the same for the purposes therein contained. I.N _WI'I'NI tiS Butte Count, ZMEREOF, Thereunto set m hand and official seal.. My Commissb" Expires Nov. 3. 1989 ■ y Present A.P. No. _ _ Notary Public Ncj&�, Mafedcds & workmammp SW Be In 1,11, with R nixed Good Practices tied Accordance wal, K re for 6a Specified rise in the of a qucMy re U - n Ui _i fwM B�* i & Mechm" Cad"- and "INOM &W, is unbvdul +C- or U!cr-,ntions On SCAM piwnission from thO DePCwtUKx* L4 Fh'W Celft ed VAbb A set -back of 5 ft. from, the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang a,zv ;P ave 1- - ..., V "r1f 9 'j- MO rjO,f,5 WS. xw -