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079-190-008
U A.P.;F' WYNOKA HOMES, INC. 2575 ForeA.7 - Dr., `•� ¢ Meadows Permi��_8�TJV,ista t -74B(1Vew single 9 fam COLE KINGSLEY 2575 Forestview- Drive,.0roville-,,31 'Contra Servamatic Solar System �,rmit#95-85P(solar & gas�wt�i�-*-r/SF) 406-1021 -079-196- -d- 079=190- --� :. > t JERNIGAN; AMY bR�V LE '' 2575 ,FORESTVIEW DR, _..,;a •' RE ER ROO • r 1 { • t L i 079-190-008 ! 10 1 1 JERNIGAN; AMY r D N O T E S• 2575 FORESTVIEW DR,.rOROVILLE = r - OWNER ,�Cont: RE ROOF RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit 4 f . r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: . — { SIGNATURE: .01 . =OK - "-I me MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Suppoft Sketch 3 Sewer; Loctn-Test; FaIUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap .. Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH CntntyTest-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C KS -C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Opth-Spacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs4UUs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -landings 12 Braced Wall pnls °'o 4. DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enctsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5'•Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' CrcItng Eqp-Pool lghtg Bokes-EncIsrs�pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide r Pool Drawing = OK = Not OK RESIDENTIAL (S1ngle & Duplex) UNDERFLOOR 1 ZoningSetbacks-Easements-Flood-Stop e 2 Ftg Main; Soils-Elec Grnd Ftg Dplh 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 4 Ftg PorcheslDecks; Soils -Steel Ftg Opth ' 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 61 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd 13 Plenums & Ducts; Clrnc-MatedalSupport-Insultn 14 Girders-Sills-Anchr Bolts,)oists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation �S oma' 0.s DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 lnsu ltn-Walls-Ceilings 39 Infiltration -Walls Wndws o'• a o'• 0: DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up wlMech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or DAL AC Wire Sz ga ❑ CU or D AL 48 Range Circ ga DC U or DAL 'Oven Circ ga ❑ CU or D AL Insulated Neutral DYes ONo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAIt (PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe-, Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Pctctn 56 Shwr Pan; Test First flr-Tub Acc. 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz.& Anchrs t 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace VnLs-Clrnc-Comb, Air-Cnnctr• In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFi Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, GuardlHandrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lottn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters DYes FIN - 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Wits abv Roof, Plmb-Appinc-Frplc-CIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061021 B. C. Building PermitOl-16-04 pg 1 LICENSED CONTRACTORS DECLARATION j�jGt�lG'O 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of v 1 Issued Date: 05/03/2006 APN: 05b- 70-064'-000 the Business and Professions Code, and my license is in full force and effect. 'License Site Address: 2575 FORESTVIEW DR ORO License Class: Number: Map Index: Date: Contractor: Description: re roof 13 sq OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JERNIGAN AMY & LEVI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2575 FORESTVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966-7201 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: JERNIGAN, AMY AND LEVI Code: The Contractors' Slate License Law does not apply to an 2575 FORESTVIEW DR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA. provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one 530-533-8982 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stat License Law.). ❑ lam xe pt under Article 3 ofj a Business and Professions Code Date Owner: License #: WORKERS' COMPENSATIO ECLA TION 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. 0 � Policy Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to�# i become subject to the 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. – Date: Applicant: i WARNING: Failure to secure w kers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY d under a ap Ilcable provisions of the Butte County Code and/or This permiL4 hereby (Indicated Resolu 'dns to do wor bove for hich fees have been paid. I hereby affirm that there is a construction tending agency for the the for this is issued 3097 Civ.) performance of work which permit (Sec . By: Date: Name: PERMIT EXPIRES ON: ""E��7 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I ve read this application, that the above information is correct, and that I am the owner or a duly authorized agent of the owner. I agree to comply with all county and statyt s relating to buildi g construction. I acknowledge it is unlawful to alter the substance of official form or d96 ment of Butte County. I hereby authorize represe t roes of Butte Count to enter u n the above m ntioned property for inspection purpose�t Print Name: Signature: t— Date: Owner 13Contractor E3Agent for Owner 13Agent for Contractor 4 B. C. Building PermitOl-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061021 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION b('Q1 — I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of l/ l" 1 �/ Issued Date: 05/03/2006 APN: 8=95*000 the Business and Professions Code, and my license is in full force and effect. Site Address: 2575 FORESTVIEW DR ORO License Class: License Number: Map Index: Date: Contractor: Description: re roof 13 sq OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JERNIGAN AMY & LEVI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2575 FORESTVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966-7201 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: JERNIGAN, AMY AND LEVI Code: The Contractors' State License Law does not apply to an 2575 FORESTVIEW DR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA. provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one 530-533-8982 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Law.). Luscense Cl lam xe pt under Article 3 iness and Professions Code Date Owner: License #: WORKERS' COMPENSATIO ECL TION 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. j) Valuation: $0.00 Policy a: Census Code: 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 the 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. Date: Applicant: WARNING: Fainse'cure w kers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to . the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permits hereby its ed.under ea licable provisions of the Butie County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolu ' ns to do wor indicated bovefor hich fees have been paid. / ? performance permit — _-0 l3 BY Date: Name: v� PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I ve read this application, that the above information is correct, and that I am the owner or a duly authorized a ent of the owner. I agree to comply with all county and stat, relating to build fg construction. I acknowledge it is unlawful to alter the substance of official form or d9 ment of Butte County. I hereby authorize represe t Ives of Butte Coun to enter u n the above m ntioned property for inspection purposes. Print Name: i� Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �V1'�-� BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 O BUILDING PERMIT APPLICATION. 0 0 - AND SUBMITTAL REQUIREMENTS 0 _=r 0 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 - CHICO:-(530) 891-2834 O -�+ O OFFICE #: (530) 538-7541 z A FEE WILL BE REQUIRED AT TIME OFAPPLICATION COV N�y Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Natna ust me �J Ad- s S e Food Zone Address Occ. City Pho Fax: E-mail (� t U Y' IV -)A , Cv For office �gonly: CONTRACTOR Name Food Zone Address Occ. City Type Const State Fzi Phone ' Fax 3 E-mail Uc: #Class For office �gonly: ARCHITECT/ENGINEER Name�`L Food Zone Address Occ. City Type Const State Zip Phone Page Fax E-mail State License Number For office �gonly: APPLICANT INFORMATION Name�`L Food Zone Address Occ. City Type Const State Zip Phone Page Fax E-mail For office �gonly: AN 0`7 9 -- / '�o r-a©g Zoning Food Zone SRA I Yes No Occ. Policy Number Type Const Subdivision Name Map Book Page Lot# Planner Date Approved: PERMIT NO. BP / v2I BIN # PROJECT LOCATION AN 0`7 9 -- / '�o r-a©g Prope'! 3 Address S_ r-a�rzC J/cyv City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Name Address __ _.._..._ ...._ _..... D..escdplion or -Scope of_Work:__...-_.-_-._ . _.._.._._ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be requireZ REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMIT 1 AL KttJUlKtluttN 10 L Ie -%M %0hA0XMI m nin]r•_ dnc Paae t of 2 Received by, Receipt #: Date: 0.3 Amount Bldg Total REV a-1 2-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (B) Manage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office '(if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ---0-----4: -NP-DES-Form. ----- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew Action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan' check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K TORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV B-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide tb jor labor and material for construction of this proposed property improvement: YES.[)() NO[ ]. —2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work'' 3. I have,contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work: NAME: ADDRESS: PHONE:. CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: 1, + DATE: S-4 ��nl NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the Butte County Department of Development Services ADMINISTRATION `BUILDING `GIS t PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -(BUILDER INFORMATION Dear Property Owner: An application for a building permit hasbeen submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do'your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o niere may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or. through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, C-- A Y 4-vo Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ".r�r�..,+>r•�4...v'^.;1Z:'^�y.`V�*'+•.y�—'�.^'""'`'`„""1�.,,..ii�'+.^s'�'+,«.r..A -1 -..` ,rt',.s•-.m-'--�.2`s^.-..•...'rJ' +wF.. , Perm$t#95-$5P Cole Kingsley 2575 Forestview T N ' 3 ///�/1 999 ± / v . e C� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT Pte. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 7 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 1 TELEPHONE f CONTRACTOR'S MAILING ADDRESS _ 1 I ` Fireplace 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 $ BUILDING ADDRESS r r t t + PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL 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 I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST DWELLINGS. 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 1 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) El 1, 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. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu zo@soe P�ouTLETs OR FIXTURES BAL®30 Ex. QCCUp. OUTLETS ((RESID FIXED APPLNS )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I"have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, 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. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 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 PERMIT PERMIT NO. �d ASSESSOR PARCEL NUMBER r _ ZONING BUILDING PERMIT OWNER Le- TELEPHONE T S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAMETELEPHONE tNc. i 1 CONTRACTOR'S MAILING ADDRESS ,f MLy i Ld Fireplace CONSTRUCTION LENDER h�w UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER No KI L— LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S57 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 O� 1W RWater piping 5.00 0 LOT NO. SUBDIVISION NAMEPARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF A Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJW 10.00 e TYPE OF WORK New F-1 Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: �5�u4P_,_I MATIF—R— AR i1 i At -1 I-, /: 1, _/4 ��� 5�Z ' Permit Fee $ => e"S Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLOGS. I 2/20sgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. e�^^ /' License No.T4n A/—+e- Classification �T} ❑ 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,.CONSRE R BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. zo®soa Ex. Occup(o OR FIXTURES BAL�30 FIXED FIXED APPLNS. OR A Ex. OCCUp. OUTLETS (RESID.) EA.) 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): ❑ Th ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, judgments, cos s, Ldexpenses which may in any way accrue against sai C un n onseq ncegranting of this perm't. %� Date 1 j �� Signature of cant — Owner❑ ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -I ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ `r--) oa OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 99DE This permit is hereby issued under sions f the Butte County Code and/or wor i diled ove for which CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � 4AJ 8� / T v Receipt No. :5 0402-- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT'NO. 1876-74B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Wynoka Homes, Inc._ '`.CONTR. Owner ` LOCATION (A.P.- 36-57 ) x 2575 Forestview Dr., Lot 8 Vista Meadows r y a u f Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E -- f Temp. Gas Serv. _ Called PG&E '� �•r JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings g2g&— Windows Stemwall Siding Slab r Roof SheathingZn— Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwall Slab O Prov. for physically handicapped Carport Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch H e a t i n 9kf7 Brown Cooling Finish — Ducts Interior Lath Ventilation Door Closer Final -� DATE REMARKS OR CORRECTIONS Soil Piping /- _ ft 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Q;4< � Fixtures Water Htr. Heaters Appliances Gas Piping & Tes Temp. Gas Sanitation to Final 7'-/ ELECTRICAL o,.....►, 16 -07 — �J — Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final O —i–;7— ri COUNTY OF BUTTE — . DEPARTMENT OF PUBLIC WORK ' 7 County Center Drive — OroviIle, California 95965 )��� Telephone: 534-4541 / APPLICATION AND PERMIT // autrwrrce rupresentdtrves of the County or Butte to enter upon the above-mentionW property foLj.Wection purposes. X ature of Permitee or Receipt No. / iC+ /. White-D.P.W. — Yellow -Asses Date Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF,PUBLiC WORKS \ / E By Date B�i/lding permit expires Date ................ �� I. 7. BUILDING LZ Owner SO. T. OCC. BUILDING VALUATION Mailing Address _ Tge; hon��. Fireplace Contractor E• Total Valuation ._ Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Q Building Address l/%s�PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fek W . Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 B g.ons Recd Parcel proval Plon pprovol Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 0 — Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal dlo Receps., switches & fix outlets20 bla CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /�- j��Ar j/ w%D //T/ �S / Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ,p� /n(f40 /e� �- / • License No. %6j�� Classification AJ— Temp. Power Pole 5.00 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT Ci FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 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 TOTAL PERMIT FEE autrwrrce rupresentdtrves of the County or Butte to enter upon the above-mentionW property foLj.Wection purposes. X ature of Permitee or Receipt No. / iC+ /. White-D.P.W. — Yellow -Asses Date Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF,PUBLiC WORKS \ / E By Date B�i/lding permit expires Date ................ �� I. 7. COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 ' APPLICATION AND PERMIT a4y_//7'/ �r•���,• • — v Ullky — uu — cnici uNUn inc above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE.CTO OF PUBLIC WOR S Dat �0/ Building permit expires Date ............................................ BUILDING Owner AJQ x,R. Q /"&r!5 SQ. FT. OCC. BUILDING VALUATION Mailing Address S Telephone No. Fireplace Contractor Ci3 /Al Total Valuation Mailing Address S7 /—/ �t✓ L/ �� Permit Fee Plan Checking Fee &/or Penalty T e h ne No. Permit Fee Building Address S '7� �C PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,0 �a Each Trap 5— 1,50 76-0 0 Repair drainage or vent piping 1.50 Water piping 1.50 �0 Each gas wat ater or vent 1.50 A. P. No. " y `7 �.pC� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 S Each additional outlet .30 F&eiff W10f6An+4etioTf Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. 7n Parcel Approval Plans Approval Permit Fee $ t NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20ba (d 10 Receps., switches & fix outlets E 20 (d 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busines & Professions Code under the name styl f: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.!:;I.i7_d3/ Classification �� G Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 I TOTAL PERMIT FEE $ , �r•���,• • — v Ullky — uu — cnici uNUn inc above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE.CTO OF PUBLIC WOR S Dat �0/ Building permit expires Date ............................................ COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the County of Butte: to enter upon the above-mentioned property for inspection purpDa ses. X e 7�11751 Signature of Permilpf or Agent Receipt No. / 2-- Z w 3 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. — DIREttTOR OF PUBLIC WORKS Byn Date 2 — Z _ % 11.1 Building permit expires Date ............................................ BUILDING Owner Zt_/0 � l SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace r Contractor s Total Valuation Mailing Address 3� O Permit Fee Plan Checking Fee &/or Penalty elephone No. seerPermit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$2.00 GC7 % $�%S� 2�s Y1, EL& a1Z Each Trap 1.50 ©zoy1//if Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. � 5_7 "'S Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F "FA_ view Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 service incl. 1 meter °Main %� CSC t7 % vat -7 Additional meters, each 1.00 Single Family IV Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morethanl2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 200120 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 A j, License No.��3��1J ClassificationC��.5 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3. & 0 HeatingO ` Cooling.p p Ventilation Hood 2.00 Z . C?0 Permit Fee $ $ Z C9 TOTAL PERMIT FEE $ Z Q( authorize representatives or the County of Butte: to enter upon the above-mentioned property for inspection purpDa ses. X e 7�11751 Signature of Permilpf or Agent Receipt No. / 2-- Z w 3 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. — DIREttTOR OF PUBLIC WORKS Byn Date 2 — Z _ % 11.1 Building permit expires Date ............................................ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 � � Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent 40 Q Receipt No. / ��/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTQ 0 PUBLIC WORKS By.��� 2r- :_� Date Building permit expires Date ........7�-s� BUILDING Owner® C SQ. FT. OCC. BUILDING VALUATION Mai I i ng Add ss Telephone No. Fireplace Contractor U G 2/ G Total Valuation Mai I i ng Address al `� �� Permit Fee Plan Checking Fee &/or Penalty T� hone N . Permit Fee $ $ Building Address /_, PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /oXc Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 A. P. No. — _91 Zoning 8 Planning Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 F::� Bldg. Plans Recd Parcel Approval Plans Approval - Permit Fee $ $ NEW ADDITION ❑ UTILITIES E] OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0a, pt OV 731 Main service incl. 1 meter Addition eters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -p a (12 or less) (more than 12) Ran Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light I ixtures bal@lo R swi es & fix o lets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: \ Hoa6, Ex anorF.A. Furn. Motor 1.00 Q Evap ooler,gar.disp.orD.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. % 4� 0/ DMisc. Classification � / wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent 40 Q Receipt No. / ��/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTQ 0 PUBLIC WORKS By.��� 2r- :_� Date Building permit expires Date ........7�-s� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Dates Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Dat/ ......................................... BUILDING Owner Wynoka. Homes, Inc. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Gridley Plumbing Total Valuation Mailing Address 590 Hazel St., Gridley 95948 Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 2575 Forestview Dr., Lot 8, PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 2.00 Vista Meadows, Oroville Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas 36-57-54 Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ ] 0( NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 add' 1. plbg. for #1876-74B Main service incl. 1 meter Additional meters, each 1.00 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal dlo Receps., switches & fix outlets 20 in CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Bus' s & Pro ns Code under the name style _ 4�w Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.. C� �! L./ Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. F-/Iyllave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XQDate ,gnature of Permitge or Agent /- _ TOTAL PERM IT FEE $ 7700 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. IRE R OF PUBLIC WORKS _ _ _ _ O '1 W/" /, C/ _ Dates Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Dat/ ......................................... I � bQi ft. tr _._ n Setb!ck ft• {r Olegldg.t lineand Cnitt �'° " the cenfierlin �� eave b�rh 9. %0 See Master plan on file for struc- tural details. f�Lgnl J7C'�e f 'HOM ES INC: . YNOK.- 91 .533.2738 O r'O V e C4 -�1�'j�•GP,+R.. rw-•+w'�,.�'!se•{.�•+r-• _ .. �_—_�•+•w-.-_...- rr�+.r •r .. w -� �.....-��..� «.r .. •..�., ....wr.�...�fn. �_..n..n ,r•.•^�a+r,� • .. •. ..r .. .. l BU7TE COUNTY NTy p APP.p O j � bQi ft. tr _._ n Setb!ck ft• {r Olegldg.t lineand Cnitt �'° " the cenfierlin �� eave b�rh 9. %0 See Master plan on file for struc- tural details. f�Lgnl J7C'�e f 'HOM ES INC: . YNOK.- 91 .533.2738 O r'O V e C4 -�1�'j�•GP,+R.. rw-•+w'�,.�'!se•{.�•+r-• _ .. �_—_�•+•w-.-_...- rr�+.r •r .. w -� �.....-��..� «.r .. •..�., ....wr.�...�fn. �_..n..n ,r•.•^�a+r,� • .. •. ..r .. .. BU7TE COUNTY NTy APP.p '01VIEr: A qi CV I •1 � bQi ft. tr _._ n Setb!ck ft• {r Olegldg.t lineand Cnitt �'° " the cenfierlin �� eave b�rh 9. %0 See Master plan on file for struc- tural details. f�Lgnl J7C'�e f 'HOM ES INC: . YNOK.- 91 .533.2738 O r'O V e C4 -�1�'j�•GP,+R.. rw-•+w'�,.�'!se•{.�•+r-• _ .. �_—_�•+•w-.-_...- rr�+.r •r .. w -� �.....-��..� «.r .. •..�., ....wr.�...�fn. �_..n..n ,r•.•^�a+r,� • .. •. ..r .. ..