HomeMy WebLinkAbout079-210-045ILI
oka His Inc.,,,-,
t Lo #45, NIS Forestview Dr.,Vista Mead:.
f Unit �2, Orovil�.
Permit #2575-76B�(new single famil }
.. - ?7 -.�
Contr : Gr ley Plumbing
Permit #264 76P (p bg. ,dor 2575-1'. '
76B) SF lot 4 '`,�
3 r
C_ tr: Fo Electri t
Permit 720-76E(ele for 2575'76) ;
Co r: Park Sheet Metal 1
P mit #4011-76M(mech for 2575-76} " r-
51- 1�s ER I T # 9 6 "'2496, t
CoX, Ro'se.:1'►1
2622 ForestviewDr,;
ovil�e yam;: +
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Cont ,Community A� Ytion_Agency�„,
yReplace` Wail `.Furnace%SFr M1_ F
03 3485.;'
COX ROSE
2622 FORESTVIEW DR;`OROVIL
Cont: CAvA`<ti {x;y 1NALED
REPLACE WALL HEATER'S
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT b3 --3YI5�
ASSESSOR PARCEL NUMBER 036-700-045
ZONING
BUILDING PERMIT
OWNER
ROSE WX
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
2622 FORESMEW DR. OR
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checkin Fee $
BUILDING ADDRESS
?F %
Energy Plan Checking Fee S
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 07 Duplex ❑ Mobilehome ❑ Other
SPECIFY t
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 p
Describe Work: RFRACE WAi.L, ftEAT'I�2
Gas i in system 1 - 5 outlets
15.00
Buildin sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE $
ti
ELECTRICAL PERMIT
Fling Fee 20.00
OOV OR LESS
Main Service 0. OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class � /,4; c Lic. No. E / % Z. 1^ J
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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct,the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.So
ADONS. ( ACC.
3.50x.
NOR
EW CONST. MuBD'
NONRESID.
•97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU ounET OR FocruRES
BAL �'. 0
Ex. Occup. OFvrrsA�ID.oEa 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION I
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.
®� I have and will maintain workers' compensation Insurance, as required by Section
a 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:
Carrierl-[' !w/e► --- JAI-, / /1/C
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Coolingf
Hood 6.50
Ventilation
PERMIT FEE S 35.00
Policy Number I r=te-(,- F4. V f—, /
(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
forthwith comply with those provisions.
•� '
X� ��j ��.�"/"'+ Date
Signature of Applicant - 0'Owrler-E1 Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 35.
TOTAL FEE $
HAZ.
D. FEES IMP
FLDOD
CDF
PARCEL
I PO
HD
SSUE
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.
Date ,
�V 6)-3of
PERMIT EXPIRES ON�l1 %l /�tJl
J Dafe r
Receipt No. 1 .�S 10d
WHITE-D.D.S.-B.D. CANARY -AT -SFS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 P IT No.
(Rev. 12/96) APPLICATION AND PERMIT o3 _ 3
ASSESSOR PARCEL NUMBER 036-700-045 ZONING BUILDING PERMIT
OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION
ROSE COX
.OWNERS MAIUNG ADDRESS
2622 FORESMEW DR ORO
CONTRACTOR'S NAME TELEPHONE
CAA
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS Fireplace
Total Valuation $
ARCHITECT OR ENGINEER LICENSE NO.
Filin Fee $ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
2622 FORESIVIEW DRIVE, 01RO11ILLE 9,5966$
PERMIT FEE $
LAT NO. SUBDIVISION'S NAME PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE Each Trap 7.00
Solar or heat pump water heater 23.00
SF EX Duplex ❑ Mobilehome ❑ Other Water piping 15.00
SPECIFY Each gas water heater or vent 15.00
TYPE OF WORK Gas piping system 1 - 5 outlets 15.00
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 10 Building sewer 15.00
Describe Work: REPLACE WAIL HEATER Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT I Fling Feel 20.00
Main Service A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING OCCUP. so
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADDNS. ( a Ate, gLpS, 3.5¢FT:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, INjpµgESID. T.CIROUTLETITS @7.50
and my license is in full orce and effect. POWER APPARATUS
License Class Lic. No. a SINGLE ourLCT c,R.
��20 Q 1.00
OWNER -BUILDER DECLARATION Ex. Occup.
OUTLET OR FIXTURES BAIL 0 .50
I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup. O�E�°>sA RES,6.) 5.00
Law for the following reason: Temporary Service 23.00
❑ 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. Mobile Home Facilities 20.00
❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $
reason
WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00
I hereby affirm under penalty of perjury one of the following declarations: Heating 15.00
❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. Hood 6.50
I have and will maintain workers' compensation Insurance, as required by Section Ventilation
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance;parrier and policy number are:
Carrier PERMIT FES S
Policy Number / Mobile Home Installation Fee $
(The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $
of one hundred dollars ($100) or less.) Occ CONST. TYPE
131 certify that in the performance of the work for which this permit is issued, I shall TOTAL FEE $ 35.00
not employ any person in any manner so as to become subject to workers' HAz. o FEES IMP FLOODCDF PARCEL PD HD ISSUE
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. This permit is hereby issued under the applicable provisions
1 • of the Butte County Code and/or Resolutions to do work
X _ Date" Q indicated above for which fees have been paid.
Si ure of Applicant Ow -r-10 ConUactor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction �3
of structures over 3 stories in height. y Dat
Receipt No.v�S PERMIT EXPIRES O /
WHITE-D.D.S.-B.D. CANARY -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT Iate
_. .... ..,.•.csc ;aF:a.-,y-.. ,�5 f;�'yllike+l; _ - . _ _ _ .- Afo , "!CgtL'aRax�r'.v iet rar°a;+".a.,«.+a'•,
_ 1
X036-700=045' V. .PERMIT#96-2496,
'COX,; Rose:,�
'2622'For,estwiew Dr,":Oroville
.w �• , ` ��. FCon': Community Action; Agency;
`Replace,Wall,Furna-ce%SF /O/'4, %
,
r
ell
1
fe '
..
y � . . eta - • . . .
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone •(916) 538-75.41n ,URMIT_NO.
APPLICATION AND PERMIT �� `7
ASSESSOR PARCEL NUMBER 36-700-045
ZONING APJ411
BUILDINGPERMIT
OWNER ROSE COX
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
2622 FORESTVIEW DR OROVILLE
CONTRACTOR'S NAME
CAA BUTTE CO, INC.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
2255 D11 ORO AVE OROV111E 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1622 FORES`£VI>?W DR
PERMITFEE $
OROVILL.E
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF b 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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RMACT' FXTSTING. MP I FURNACE
Mobile Home IS I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
Main Service OOOV OR LESS
( 2.OA 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'f ice and effect. // /� �% /I /
License Class Lic. No. (( / O/ L�
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. I !
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP,SO.
OR ADDNS. ( &ACC. BLDS. ) 3.5{t FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES ) BAL 9 150
Ex. Occup. ( OUTLEEDTS GREs D.j OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
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 ins �ce carrier and pity number are:
Carrier 1JJ
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMITFEE $ • 00
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.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person,,inlany manner so as to become subject to workers'
compensation laws of'Californla, and agree that if I should become subject to the
workers'-5ompensation/f rovisions of section 3700 of the Labor Code, I shall
forthwit compl withAose rovisions.
�
X ` - , '- Date �' �_
of Applicant - ❑ Owner ❑ Contractor AgentAn OSHA permit is required for excavations over 5'0" ep and demolition or construction�of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
I
TOTAL FEE4.00
HAZ.
1 0. FEES
I IMP I FLOOD
COF PARCEL PD HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indTor which fees have been paid.SigrWatur
BY Date
PERMITEXPIRESON 1028/97
I (Date)
Receipt No. 206810
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
k
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMILNO.
APPLICATION AND PERMIT — G'
ASSESSOR PARCEL NUMBER 36-700-045
ZONING AR>`411
BUILDING PERMIT
OWNER ROSE COX
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS "UNG ADDRESS
2622 FORESTVIE14 DR OROVILLE
CONTRACTOR'S NAME
CAA BUTTE CO INC.
TELEPHONE
CONTRACTORS "UNG ADDRESS
2255 DEL ORO AVE OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2622 FORESTVIEW DR
PERMITFEE $
OROVILLE
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF X) Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:PERMITFEE
_REFT.A('.F. �'XT4TTNr GT.T. F�2j�f F
Mobile Home I S I G W
@20.00
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service eOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I( 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 fU ce and effect. / f� /i� /
License Class Lic. No. (p / OG
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 OCCUR
OR ADONS. ( 8 ACC. BLDS. )
SO.
3.50 F7.
NEW CONST. MULTI -OUTLET
NOWRESID. ( BRANCH CIR_-UITS )
@7.50
( POWER SINGLE APPARATOUTLET SUS )
8
Ex. Occup. (OUTLET OR FACTURES )
20 Q +.00
BAL SO
Ex. Occup. ( OUTLEETs RESD.OEA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
' n ins nce c rrier and policy number are:
My workers' co io
Carrier k' —
Policy Number a
(The above sections n ed 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 any manner so as to become subject to workers'
compensation laws of ali rnia, and agree that if I should become subject to the
worke mpens On rovisions of section 3700 of the Labor Code, I shall
fort i com it ose rovisions.
Al)of
X Date A(/ ��_
Sig atu a of Applica - ❑ 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.
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
1 9 -nn
Cooling
Hood 6.50
Ventilation
PERMITFEE $
3b. 00
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee is
Occ
CONST. TYPE
TOTAL FEES%. 00
HA2.
D. FEES
IMP
FLOOD
COF PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated b ve for which fees have been paid.
-
pp��
By Date /v 14&
PERMITEXPIRESON 10/23/97
I (Date)
Receipt No. 20681 n
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
PERMIT NO. 2575-76B
PERMIT EXPIRES _4/42 QZZZ
OWNER Wynoka Homes IIIA.
`jCONTR. owner
%LOCATION (.A.P 36-194-10 port.
Lot#45t'Forestview Dr., Vista Meadows Unit#2, Oro.
Temp. P Wer G Pole
Cat p8,E
Temp.�Elec. Serv' -7/-
)C11 '�/ - � 2- :z
C lied PG&E
Te . Gas Serv. .11-4-71,
ailed PG&E.
J B
INALED (Date A
X)
(Si nature)
Footin s
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC•WORKS
ELECTRICAL.
Masonry Walls
BUILDING INSPECTION RECORD
Rough
i
Reinf. Steel
Final
Fixtures
/ -
Bond Beam
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback - Z - -
Firewall f-) Z - 7 f_
Soil Piping
Stucco
Forms
Subpanels
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
-
Footings
Windows
3rd Floor
--
Stemwal I
Siding
To out
— - 74 -
Slab cl,
l 7— 7C
Roof Sheathing
Water P! in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
/ - / 2
Stemwall
Insulation /-
Heaters
Slab
/ 7 --7
Prov. for physical
Appliances
handica ed
Carport
Conformance of ex.
Gas Piping
&Test
Footings
structure
Temp. Gas
—�
Slab
Final o--
Sanitation
Patio
FIREPLACE
Final
°-
Footin s
Footing `'
ELECTRICAL.
Masonry Walls
Throat
Rough
i
Reinf. Steel
Final
Fixtures
/ -
Bond Beam
FIRE SPRINKLEYA
Motors
Framing
Test'
Water Htr.
Stucco
Final
Subpanels
/ - / 1 -7
Mesh MECHANICAL Gid. Fault Prot.
Scratch ! Healing 'r-1(Service / -J 2 -
Brown 117•-J - Cooling em Temp. Pole
Finish .., Ducts 'Underground
Interior Lath SG p C Ventilation1! C. ' / !/-!- iG Permanent
Door Closer • I--7 FinalU—/4-74-_JXanal, / /. - / 1• -74
DATE % REMARKSS OR PORREC IONS
r r• � p � � r s r
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION, HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE '25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number
EXTERIOR WALLS 3
Manufacturer- Thickness/Type L
CEILINGS
Tract No.
R Value //
Batts: Manufacturer Thickness R Value
Blown: Manufactures - Thickness 3 y No. Bags-Wt./Bag
Sq. Ft. Covered Z R Value l
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value_
GENERALCONTRA O i _ : � e fti - LICENSE No. ����
BY � ��— TITLE���'�� — DATEA
INSULATIO i CONTRACTOR: AWTITLE
KINS INSULATION CO. LICENSE No. 215-925
BY
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi lie, California 95965
Telephone: 534-4541 ��_��
APPLICATION AND PERMIT (�/`/
Date
Sign lure of Permmiteeor A ent
Receipt No. 1V& 4/
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
the tsutte county code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
By Date S 7
ilding permit expires Date
BUILDING
Owner �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
% 0
�b
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
PI an Checki ng Fee &/or Penalty
Telephone No.
Permit Fee $ to
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
�{fs
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. — �Q .�/40—
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s n Fire Dept. Fire Zone Use Permit
E�QjA Plans Declara�tionnParcel Map 60' R/W I prov ents
Building sewer 5.00
Lawn sprinkler system 2.00
" 81dg Pian Rec'd
�arcel Approval
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family Duplex ❑ Home E]Others ❑
Main service VER 600V
00 AMP OR LESS 25.00Mobil
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. ) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
NON.R.
RESID. (SINGLE OUTLET CIR.
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:
�/ r1
G�� it�rf/5./T ��/i%�� % �%Cs•—
Ex. Occup(OUTLETS OR FIXTURES) BALE211
09
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. !�Q 2, S�O,o Classification ��
Misc. Wiring 6.25
❑ 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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I to an certify that in the performance of the work for which this
ermit is issued I shall not em
P employ y 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 $
$
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
..
nhnvp-mpntinnoH --rt f- i .t;
TOTAL PERMIT FEE
!�.
This permit is hereby issued under the applicable provisions
of
Date
Sign lure of Permmiteeor A ent
Receipt No. 1V& 4/
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
the tsutte county code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
By Date S 7
ilding permit expires Date
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
•••"••� •"Y•`�""^""��V�� u�c vOunlY UI DUllc LU elllel UNUn ine
above-mentioned property for inspection urposes.
Date `—�C
gS,,n.1r Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pint -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
BY Date
permit expires Date S�� ���% �eY'MiY_
BUILDING
Owner Ltj vm®
^' 'I c
�V
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address D D
'` f / I
L (
."
Tel hone No.
7
Fireplace
Contractor 1, P ,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
p L'
Telephone No.
Fee $
_JWPermit
Building AddressPLUMBING
s7— &FPERMIT
No. @ FEE
�Or �N `S% CIp t #�
FILING FEE $3.00
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. -. 9
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50 ,
Each additional outlet .30
Fees I
W.C.
•Ger�i4atiria
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 .S &D
EOA
Plans
Decla anon
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $ 0
NEW F1ADDITION ❑ UTILITIES [JOTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE 1 $3.00
U61,"y r
Main service 16101 OR 00 AMP ORLESS5.00
FJ L-CbV !^'O•i /
Main service EA. ADD'L 100 AMP 2,50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER
0MP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING CCUP. &
OR ADDNS, ACC. BLDGS. ) 20 sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Bus' ess & P asions Code under the name
styleO ' -
Ex. Occup(OUTLETS OR FIXTURES) BALL1
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.�. Z234Classifications-7�_
Misc. Wiring 6.25
❑ 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.
B,t�ave 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 employ y person i n any manner
so as to become subto an subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEEPERMIT
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
anthnri� ...�.; ...... ..s .I.. n
TOTAL PERMIT FEE
s�
$ a
•••"••� •"Y•`�""^""��V�� u�c vOunlY UI DUllc LU elllel UNUn ine
above-mentioned property for inspection urposes.
Date `—�C
gS,,n.1r Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pint -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
BY Date
permit expires Date S�� ���% �eY'MiY_
COUNTY OF BUTTE DEPARTMENT OF PU IC WORKS
7 County Center Drive — 34-45 le, Californi 5 5� n 176
Telephone: 534-4541 � v
APPLICATION AND PERMIT 1
X Date % 7�
Signature of Per itol or gent
Receipt No. ` v
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DI ECTOR PUBLIC WORKS
BY Date
Building permit expires Date — Z
BUILDING
Owner ��� �,� `��� ����,�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor�
Total Valuation
Mailing Address ��� 1r �!/�
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
3-27�v
Permit Fee $
Building Address y `=�2c-s�'ls, IiV
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
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.3<57/9 Z%'%0 ?,T Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
S&,4,t,M
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parkn s
PlaRIA
Declare ion
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
PI _- a_L+
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER -0
ELECTRICAL @ I FEE
-No.1
PERMIT FILING FEE $3.00 32J
��
MaiiSS
n service 100V OR LE
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 1100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONS. DWELING 0
OR ADDNST (ACCLBLDGS.CC P &) 20sgft 33 9
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONST. /POWER APPARATUS &
NON- RRESID. %SINGLE OUTLET CIR.
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:
_
%�� ������� �/✓CrJ
Ex. Occup(OUTLETS OR FIXTURES)@�
BAL@1
Ex. Occu FIXED APPLNS. OR
Occup.( OUTLETS (RESID.) EA) 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
License No. 30 n2 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 3LLr
$TCTR
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.
® 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
authorize representatives of the County of Butte to enter upon the
ahnvP-nnPntinnar1 nrnnarty fnr In n^tlr,n .,
TOTAL PERMIT FEE
$ 7 i 9
This permit is hereby
P y issued under the applicable provisions
of
X Date % 7�
Signature of Per itol or gent
Receipt No. ` v
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DI ECTOR PUBLIC WORKS
BY Date
Building permit expires Date — Z
I
.. COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC
7 County Center Drive' - �Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
WORKS
�Ioll —/
above �ment ze representatives
yspection purposes. of Butte to enter upon the
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.
DIRECTOa OF PUBLIC WORKS
By Date-
Building
ate
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor PQ*Z
Total Valuation
Mailing Address po. 13x-
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address,,!,-. 7-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
f/%G�� /✓i�AJC: dNS sL�n- (� 2,
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.1 6-1 qy 1-0 l; Po dzl-
7'
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet .30
Fes"
/
VY�C.
n
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
m
Improvements—
provements
Lawn sprinkler system 2.00
QId.eLarr�itec d
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER -R
ELECTRICAL @ I FEE
—No.1
PERMIT FILING FEE J$3.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
ER Main service 1
0 0 AMP oR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS. OCCUP. &) 22sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
-
R
NEW CONST. (POWER APPARATUS .&)
NON RES,D. SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed •under the provisions of Chapter 9, Div. 3, of the
State of CgiAifornia Business &,Professions Code under the name.
style QJ
Ex. Occup(OUTLETS OR FIXTURES)B@250
109
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID.) EA) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
G - �C>
License No. � � 7 Classification > _% SG'
Misc. Wiring 6.25
[:]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.
10 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 $3.002
Heating /00 „0Jv . Uv
Cooling-1-VIf
Ventilation
Hood 2.00
Permit Fee $ l 3pJ
$ i3 3
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 I
TOTAL PERMIT FEE
$ O[j
above �ment ze representatives
yspection purposes. of Butte to enter upon the
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.
DIRECTOa OF PUBLIC WORKS
By Date-
Building
ate
Building permit expires Date
t
The Bldg. Setback shall b- 5 ft fram
IT
_k: C %,
the side property line and 50 ft. from a a
the centerline of the road, permitting
a maximum of a 2 ft. save overhang. = u (D -n
a;O
in ' U
a o V
O s
O
„ (D N IU
Q °-a�
•C,0 0.40
PAP
So
i +.s •y S
See Master an on file for buildin u
a ans.„
C'A� 667
i0 tV
1 _ �W
Ia•a°O o
w-2o"a
F-- a
0 u c m
�4(�LZ��t'ei�+
I
BUTTE CO
'ru III nner4 mr
SUBOIVISION CITY COUNTY LOT NO.
SEWER
VI
WATER
GAS j'� II
r7LECTRIC�
OMES, IN
.O. BOX IS
ROVILLE,
JOB NO. I
SCALE
r
NI -J,
"CAL • 135965_~`�-
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