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HomeMy WebLinkAbout079-250-015Mmes Chamberlin ?_681 Pinecrest Rd., Oroville �-� tCHAMBERLIN', J.J. 1099-70 contr : Holiday Pools, Chico, _,_ __. 422-'71� permit #2268-76B,P(swimming p ol)'lop I n , J ` .2681 Pinecrest Rd., Oroville �. Pi# 6 9 E(� ditio (addition), r of IS-D- Permit ##3843-79E (ele ser ch misc wiring) garage es J. Chamberlain , 2681 Pim rest Rd., Oroville ? Permit #56883 9 ,P,E,M(new sin -'e T - --- - family) V Perm' X81.5-8QB,P,•E(add wasAuse/SF) BRIAN STANFORD Permit#2752-88E(upgrade elec r)SF 0�6'3QD'H�Ig' 04-0394 HARVEY, ALENDA 2681 PINECREST RD, OROVILLE i Cont: WRIGHT ELEC ELEC UPGRADE 079-250-015 06-1574 q HARVEY, ALENDA 2681 PINECREST RD, OROVILLE Cont: C & N HEATING & AIR HEAT PUMP INSTALL ` G wA - Amok I wA raft I Cni Cs� BUTTE COUNTY PERMIT'NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061574. 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7641 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 06/29/2006 APN: 079-250-015-000 the Business and Professions Code, and my license is In full force and effect.� License Class :L "2 U License Number: -706S-6 Site Address: 2681 PINECREST RD ORO Date:, -,2_9- vG Contractor: C !N W"af A �° 44 d,._ Map Index: Description: INSTALL HEAT PUMP PACKAGE UNIT p OWNER -BUILDER DECLARATION I hereby affirm under penally 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HARVEY ALEN DA to Its issuance, also requires the applicant for such permit to file a 2681 PINECREST ROAD 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 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9029 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 rive hundred dollars ($500).): ❑ I, as owner of the properly, 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: C & N HEATING &AIR PP Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 2210 BIRD STREET provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of 530-534-9419 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 not apply to an owner of property who builds or Improves thereon, Contractor: C & N HEATING & AIR and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' Slate License Law.). 2210 BIRD STREET ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE; CA 95965 530-534-9419 Dale: Owner: License #: 700568 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 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 performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation Insurance, as Engineer: 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. Policy#: Valuation: $0.00 ( I certify that in the'performance of the work for which this permit Is Census Code: Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, j5 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:/, -_2Q-0-( Applicant: WARNING: Failure to secure workers' 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 permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutl n to do work Indicat abo a for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Clv.) By: Date:l r�I Name: n(1� PERMIT EXPIRES ON: 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 19927.5 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 l have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or docu enl of Butte County. I hereby authorize representatives of Butte �to enter upon the above mentioned property for Inspection purpo lCounty Print Name: A (� 1� YV h O r� Signature: Date: O Owner �, Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-i6-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION L t Name Li r first � e Add r so 9 '' -N2 City O 0 c `�q State I Zip 9 PhoneLS73 2 ' -g 3 7 3 Fax E-mail CONTRACTOR Name 0 W if , 10"u rJ 4C c• Address t IP City DVI City State / Zip 9 Phone �-3 Fax E-mail E-mail Lic. # ODS 6� C ss ? ZD APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address'- ddress .City City State Zip Phone Fax E-mail For office use only: Zoning Flood Zone City SRA I Yes I No Occ. Type Const. Subdivision'Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPUGI BIN # PROJECT LOCATION AP# 0"p-10-50-1015 Property Address 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 Page 1 of 2 GDescription-or Scopeof:Work:� 3 �_ 7,o-,-,) t 60'/-Z EA tj Sq FT- Living Garage Open Cov 0 Structure Built without Permits 0 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 required. 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. �0D Received by: 01 Amount: 5 D. Bldg Receipt MI %Oli 1 Date: 29-06 SRA Sheriff SMIP /- Other X15 Total REV 8-12-05 y� SUBMITTAL & PERMIT REQUIREMENTS. 1 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 faxes! ❑ 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) Marriage 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 Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES 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, anew 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 UFORMS\BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040394 LICENSED CONTRACTORS 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 Issued Date: 11/24/2004 APN: 036-300-095-000 the Business and Professions Code, and my license is in full force and effect. License Class : C I & License Number: 17 Site Address: 2681 PINECREST RD ORO Date: llZ9`6!� Contractor: 0 J"( '& 6A, Map Index: Description: upgrade elec service OWNER43UILDER 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: HARVEY ALENDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2681 PINECREST ROAD 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 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9029 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•' WRIGHT ONE ELECTRIC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1129 A NORTH TOWNSHIP RD provided that such improvements are not intended or offered for YUBA CITY, CA. 95991 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-755-4444 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: WRIGHT ONE ELECTRIC 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' State License Law.). 1129 A NORTH TOWNSHIP ROAD ❑ 1 am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95991 530-755-4444 530-755-4446 (fax) Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 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. Valuation: $0.00 Census Code: Policy #: certify that in the performance of the work for which this permit is 19(I 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: // 2 e/- D/y Applicant: �,// N,(C Z /x'/C a / WARNING: Failure to secure workers' 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. 1' I ^nqVtq CONSTRUCTION LENDING AGENCY This permit is hereby issued upder the applicable provisions of the Butte County Coda anrUpr I hereby affirm that there is a construction lending agency for the Resolutions to do 'ndVzforich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: t C.x 0 PERMIT EXPIRES ON: Date Address: ❑ 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 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Nom/ �Ka> Signature: Date: ❑ Owner contractor 13 Agent for Owner ❑ Agent for Contractor J , 4,ObNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION l �e 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V\ `6 V WW1 \ ASSESSOR PARCEL NUMBER � Proposed Building Use: �% G CfaQ . f� Counter Technician: Date: S G Items required in order to appy for a permit. All boxes MUST be checked OR marked NA in orde opply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. U ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other 6 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................. ❑ 18. Agricultural Buffer'clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the PubliTWorks Dept.............. .............. 28: Pre -Inspection for 1 40 f required....... - Ir❑ 29. Contractor's license informatio`�(Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrierand Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit a plica ion for th a ove items numbered: Plan Check Letter 2.s required o�n�tracener, owner, was advised of the above data by one, ❑mail, ❑counter, by ate:ner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by I Date: Plans reviewed by: Date: Plans approved by: Dat . Structural reviewed by: Date: Structural approved by: Dat . Note transfer by: Date: Yellow: Building Division PRE -INSPECTION REPORT OWNER: LOCATION: CONTRACTOR: � � • REASON FOR PRE- INSP CTION Q DATE TO INSPECTOR: O� PERMIT HISTORY ( ) NONE ( ) Building Description: Commercial/Usage: Residential # of Units: - Currently Occupied AbandonedNacant: Electric: Electric Currently Condition of Electric Gas: - 3 DATE: -'a �5 + 04 A.P. # 0'3(O,U. U ZONING: FEW BUILDING INSPECTOR'S REPORT ( es ( ) No (-,Yn ( ) Off Currently () On ( ) Off Condition Sanitation• Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No Mobile home # of Units: ACTION RECOMAHNDED: ISSUE es ( ) No Hold for permits or verify: c I Com_ S r c� aQ Inspector: ,�� / �j Date: 6 SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: !"'"""�'ld'\ro`�rVr..+1.��+.+1��y,"" ✓1✓1 ..�^��("r'����a-`..rr-•.�\.-.;�`;.Yr':.:-tir'-�-..+1;,..i}•-��"`.i""`''l ' Petmit.#2.752-88E B Stanford 2681 Piriecrest Rd, ,r d l r w 9' r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS S5OR PARCEL NUMBER ZZNG A BUILDING PERMIT OWNS —/� \ � 10—k\ ,C. TELEPHONE o�S SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL) ADDRESS 01 '91 a ►tile, CONTRA TOR•SNAME TELEPHONE C -Or NTRACTOR'S MAILING ADDRESS+ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME If PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 � USE OF STRUCTURE SF9:L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Int 10 Q r &A -p- S�e_-p— 4D Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee '10.00. 12 Main service 8001 OR LESS 100 AMP OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 1 2.50 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. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI ,/z2Sgft OR ADDNS. ACC. BLDGS. NEW CONSTR U TI -OUTLET '2,50 ea NON-RESID .BRA C CIRCUITS) /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES .200030 FIXED APP LHS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ „rJ� 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 emplo•y,,any person in any manner so as to become subject to the W. Q.tlaws of California. . .. Notice to Applicarit:.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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood . ` 3.00 Ventilation Pelt Fee $ Contractor I certify that Knave read this application and state that the above information is correct: I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for•inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Dainst said County in co s quence of the granting of this permit.This Date _ na,ure 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 37, 0 Occu P. CONST.TYPEJ SCHOOL FLOOD PARCEL P11 I NO I I.2SUE permit is hereby Issued under sions of the Butte County Code and/or work Indicate abov for which R C UBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt N�. WHITE-D.P.W.. YELLOW -ASS 3308. PINK -INSPECTOR. GOLDENROD -APPLICANT "'OERMIT NO. 5688-.79B,P,E,M PERMIT EXPIRES OWNER James Charkrlain. CONTR. owner 36-30-29 LOCATION (A.P. ) 2681 Pinecrest Rd., Oroville j. 4 a • T i l i, S f Temp. Power Pole d PG&E em p Elec. Serv. I T 'Called PG&E Temp. Gas Serv. i Called PG&E JOB 9 _ FINALED (Date (Signature) 1 r COUNTY OF BUTTE — DEPARTMENT 6F PUBLIC WORKS BUILDING INSPECTION RECORD '(Cont'd) BUILDING BUILDING PLUMBING Setback Firewall Soil Piping Forms ® Parapets 1st Floor ' Main Bldg. Restroom Finish --- 2nd Floor Footings 42 J Windows 3rd Floor Stemwall Siding To out '3/-72 CAR Slab Roof Sheathing i i Piers Roofing Sewer 149 V Garage Fdn. Vents42 =aJ,'� Fixtures - o Footings Stemwall Garage Vents Insulation aA4- Water Htr. Heaters .- c9 e-�►�� Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Patio Final FIREPLACE Sanitation Final Footings Footing /a- *2-9- ELECTRICAL Masonry Walls Throat .�°' Rough - Reinf. Steel el, Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test 11�-Water Htr. Stucco Final Subpanels Mesh MECIZANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish -� — 4/ Ducts Underground 7 Interior Lath Ventilation Permanent. Door Closer Final Final G--- MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity h - Water Piping Drainage Gas Piping %,\A TE PIFEMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) J Chamberlin - ell Perms t# INSULATION CERTIFICATION 2681 Pinecrest Number and Street Oroville City County DESCRIPTION OF INSTALLATION Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Brand Name Certainteed Thickness (inches) 3 2t1 Thermal Resistance (R Value) 11 CEILING' Batt or Blanket Type Fiberglass Brand Name Certainteed- - Thickness (inches) 611 Thermal Resistance (R Value) 19 Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag Ib Area Covered Ift21 Thermal Resistance (R Value) FLOOR.ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR, SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (H Value) . HEATING SYSTEM Gas Furnace Make Model Cescription Rated Bonnet Capacity DECLARATION I hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). License Dumber Date Hawkins Insulation Co,,,,,,nc. 378407 Sub -Contractor (Insulatn -iicator) License Number S=Z��.�� _i Pres. 1-11-80 Signature and Title Date CERTIFICATE REVIEWED BY Tate - BIN -029 7Building Inspection Ofd) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT (location) BUILDING PERMIT NO. A -6-P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR, t/ GLAZING: Single Glazed ' A)A- Special (Insulated) tip CERT. & LABELED WDS. & SLIDING DRS. L� WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED. IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SU�B/MITTE`pD. Insulation Applicator Name E ff'fT@.r,h 1 Signature of (please print) Insulation Applicator State Contractors License No. / General Contractor/Owner Name Signature of General Contractor/Owner( �seprn to ��A�.. State Contractors—T— License No. 3/ �2 r-` d THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO' REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY'OF BUTTE - DEPARtMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville, California 95965 / Telephone: X34-4541 _ APPLICATION AND PERMIT autnorize resentatives OT ine county or tsutte to enter upon the above- ent1 ned propert for inspection purposes. X Date gnature si�tee or Agent Receipt No. LZWO 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. DIRECTORDF PUBLIC WORKS By ef Date L —rd Building permit expires Date f' ZIF" BUILDING Owner J AMeS J , C RA6612.(,A (j�A SQ. FT. OCC. BUILDING VALUATI Mailing Address L(G$I PI(JEC"S-F P—CIiaD I L i C T4 13 ^t Contractor ow 1J &C Mailing Address Fireplace 500- -- Total Valuation 00$'0 ,-- Telephone No. Permit Fee •� ' 1 Building Address 2�j I �� �� i Plan Checking Fee&/or Penalty Permit Fee • d V 3G PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 5.00 Each Trap 1:50 Q, —O ` � (LA -,e l� /Repair drainage or vent piping 1.50 a A. P. No. 0-7J� 1 Zoning 6 Ian g Water piping t.50 Each gas water heater or vent 1.50 Fees W.C. S ' 'on Fire Dept. Fire Zone Use Pe t Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans R d Parce roval I Plans rovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Js -00 /s Ge ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .00 Main service 100 AMP OR00V OR L LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 6 OR LESS 25.00 " ' Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O [- SS OR ADDNS. % ACC. BLDGS 22sgft J 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: NEW CONSTR / BRANCH CIR T NON.RESID 1 BRANCH CIRCUITS 2.50ea " 1 NEW CONSTR. (POWER APPARATUS fi NON.RESID. SINGLE OUTLET CIR. Ex. OCCUr)(OUTLETS OR FIXTURES)BAL@ IIJFIXED A Ex. Occup. (OUTLETS PLNS (RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic nse No. Classification Misc. Wiring 6.25 arc Wig -YV I I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 'Z $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor 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 orkmen'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 FI ING FEE $3.00 '3. I) Z) Heating 0.6L40Code 7 1041" OP Cooling Ventilation Hood 2.00 aO Permit Fee $ 13,o -,o $ 13 00 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 Land Development Fee Op TOTAL PERMIT FEE $ S� autnorize resentatives OT ine county or tsutte to enter upon the above- ent1 ned propert for inspection purposes. X Date gnature si�tee or Agent Receipt No. LZWO 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. DIRECTORDF PUBLIC WORKS By ef Date L —rd Building permit expires Date f' ZIF" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING O Setback --,_-- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings L'. Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing P` Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. -f,3 Heaters Slab Carport Footings Prov. for physic ly handicapped Conformance o ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final 1 Sanitation -Fafio— _ FIREPLACE I Final LECTRICAL _ S Fixtun Motors Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling y Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE' REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ' 815=80B,P;,E ' .PERMIT NO. y r r • •, + PERMIT EXPIRES _Aft�/0?47 t �� .James J. Chamberlain OWNER t CONTR. owner y 36-30-29 f LOCATION (A.P. ) ! 2681 Pinecrest Rd., Oroville ' t1 a 1 w f j Temp. Power Pole Called/PG&E . Temp—Elec. Serv. II Called PG&E , t Temp. Gas Serv. Called PG&E f JOB FINALED (Date (Signature) { Owner � MA169 Mailing Address 2&8l OAC®(/ 1&-C� Contractor -9(,�/�/ Mai I i ng Address Building Address .,.COUNTY OF BUTTE " DEPARTMENT OF PUBLIC WORKS County'center Drive — Oroville, California 95965 Tel epppne: 534-4541 ✓�/// APPLICATION AND PERMIT U C7.110F M 11F i / I i _ BUILDING /it % ,� U/, SQ. FT. OCC. 'BUILDING VAL AT� iFv i Tele , one P 11 ., Fireplace I elephone No. Total Valuation Permit Fee A. P. No. 0e", — -3,0 - 7,9 Zoning -1 Planning F W1161 cam- Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg. Plah!"Zc'd Parcel AEprovol Plans Approval NEW ❑ ADDITION Cfl UTILITIES ❑ OTHER ❑ f/%Af44ka66 _1Z,_ 80g SER7--79 Single Family 19 Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification -FrFa-nCheckin a /or Penalty G.OUC2 NEW CONSTR. (POWER APPARATUS 6� NON-RESID. SINGLE OUTLET CIR. j Permit Fee 50@250 BAL @ 1C FIXED LNS.Ex. Occup. ( OUTLETS P(RESID.)REA/ — PLUMBING No.1 @ FEE 15.00 PERMIT FILING FEE $3.00 5. 111-41 Each Trap ✓ 1,50 -Z, 00 Repair drainage or vent piping 1.50 Water piping 0 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Build' sewer 5.00 awn sprinkler system 2.00 Permit Fee ELECTRICAL PERMIT FILING FEE 600V OR LESSSS Main service 100 AMP OR LE Main service EA. ADD'L 100 AMP Main service OVERsoov 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. / DWELLING OCrU,13 S $3.00 5.00 2.50 25.00 1.00 NON.RESID 1 BRANCH CIRCUITS/ G.OUC2 NEW CONSTR. (POWER APPARATUS 6� NON-RESID. SINGLE OUTLET CIR. Ex. OCcun(OUTLETS OR FIXTURES, 50@250 BAL @ 1C FIXED LNS.Ex. Occup. ( OUTLETS P(RESID.)REA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 LN I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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. 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 aboveptioned wppfrty for inspectiorpurposes. /- X Datel- $i nature of Permitee or Agent t No. _0 -Z,-2— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cool -in $3.00 I Ob fe &R Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. DIRECTO OF PUBLIC WORKS By Date wilding permit expires Date Z_Z2 �� Owner: e ivlf �y� Address:__ Tenant: ---- Building Location: Type of Inspection requested: BUTTE COUNTY DEPARTMEM OF PUBLIC WORKS 'SPECIAL 'IMSPECTION REPORT Date of Inspect / / L . 1?ote s ing / / 2. F inane i ng EZ 4. Other 4specify) f 3. Change of Occupancy to Present use: cf building., - Sanitation 11__asin 1. Vater c:ios �t.:� 2. Lavatory.-...___--- °. Bathtub ,r -- 4., Kitchel?. Bi. C. tint and co ci \n-4. to fixtures: -- 6.. '1e,ting f .ch --- -- 7, Na�utal fg1�tntflacman:8. Roc01n ante spicrements; ����� — ""�" 9. Bedrochn f window; or door, for second exit.-. 10. Infestation of insects, vermin, or rod azts: 11. Connect-i.on to sew•;aFe' disposal.: 12. Connect,'Lon to ,cater supply:_` 13. Rubbish and garbage fac-ijities: 14. Corments: B. Structural 1. 1 f 2. Floor con 3. Wall const 4. Ceiling a :i 5. Fic. rpiac• s: 6. C�mm-►enr_ o,r a.ngs: icti.cn: ,00f construction - C. Electrical i.� Servi •e: ned z sound: 2. Rel : E' i7 ^: t` eq,__ � ._,.._._�._.._.,...._.._........_._..._._.�._..._,_........v �,-- -- 3.. Rece_ig V. 4 .cT1:T1 T: S . D. PlambinE, 2. 3. Cas 'n -cat 4. Co ment.y ::enc (,d and vented:_ E_Other 1. Maintenance and repair: 2. Fire hazAl�ds: 3. Safety hazards: _ 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Comme_rci.al Buildings 1. Roof covering: 2. Distance to property lines: — 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning:_ 8. Crxmnnents: G. Field Problems or Violations T-77roblem or-,iolation (give complete description): or, 2. What action taken (give complete cle„cril>�ion) 3. What -action r�ecom_nended: XA: nformation only - fi4i,,!. B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: i } FIRE I. REPORT b�Mr 01 P �OFIDER NUMBER REG R U I INCIDENT 0 �-1_1I2 FIRE NUMBER t FC -18 REV 1-79 HtG I H U I FIRE # 2— LOCATION LOCATION (CDF Direct P.A.) - SEC. ITOWNSHIP F9a-N RANGE j?'E 1 �9+ ❑ S — � O W RESPONSE TYPE FIRE NAME �d C.4a., �p r/ p, WILES DIRECTION ROM Q IN NTL. FLOR�EyST, FIRE DIST., CITY & STREET NO., ETC, 3 Aft ffFIRE []El FALSE ALARM I STOP �O TO 10" n RESPONSIBILITY (AT ORIGIN) n ` CAUSE (Starts In CDF Direct Protection Area only) DIRECT STATUTORY LIGHTNING PROTECTION RESPONSIBILITY (J ARSON MISCELLANEOUS J J SMOKING STATE MAP ✓ REF. ONE STATE ZONE F] DISTRICT t\i STATE ` ❑ CITY ©� LOCAL (Contract) ❑ COUNTY ❑ LOCAL (Non -contract) U.S.F.S. ❑ UTILITY, RAILROAD LOCAL ZONE ❑ B.L.M. O❑ LOCAL (Contract) ❑ B.I.A. O❑ LOCAL (Non -contract) ❑ N.P.S. ®❑ FEDERAL ZONE ❑ OTHER FEDERAL ©❑ MISCJOTHER ❑ OTHER CAUSE (Starts In CDF Direct Protection Area only) 5 TYPE LIGHTNING ( J DEBRIS PLAY W/FIRE J CAMPFIRE (J ARSON MISCELLANEOUS J J SMOKING ( J EOUIPMENT PROPERTY USE (Starts in CDF Direct Protection Area only)' 6 GRASS DOMESIIC ❑ UTILITY, OTHER [j -RANCH -FARM ❑ FOREST INDUSTRY ❑ DUMP ❑ RECREATION ❑ ROAD ❑ OTHER INDUSTRY -COMM ❑ UTILITY, RAILROAD ❑ VI(ILDLAND ❑ UTILITY, ELECT ❑ NON WILDLAND Vr%nnm%xr_ ti.ur infect rrorecuon mrea only) TIMBER VOR YOUNG GROWTH WILDLAND VEGETATION (Except Timber & Young Growth) AGRICULTURAL PRODUCTS (Except Timber & Young Growth) DWELLING &/OR CONTENTS (Other) VEHICLES & CONTENTS OTHER TOTAL I$ $ DAMAGE 11 ,\ACRES BURNED SIZE ':: VEG. C.D.F. D.P.A: " TYPE ,ACRES BURNED ' TIMBER�.��,t.....�r B.L.M. LAND ., y BRUSH GRASS AGR, _ _ .. . PROD TOTAL STATUT. RESP. OF C.D.F. D.P.A. ACRES BURNED STATE U.S.F.S B.L.M. B.I.A. B.O.R. OTHER FED OTHER TAL L ON ARRIVAL (CDF Direct Protection Area only) ] VEGETATION FIRE L X OTHER (GO TO (t0)) DISTANCE (Origin to head) . .t AC. FEET • WEATHER (Est. at scene) WIND DIRECTION FROM TEMPERATURE M.P.H. I F. 10 Over please �OORDER NUMBER 'FTI Ril I INCIDENT #3— •(CDF Direct "FIRE RECORD Protection Area only) ens nATF Tient - .. r FIRE STARTED ORGANI- ZATION MAN HRS. AIRCRAFT FLT. HRS. If appropriate) - FIRE DISCOVERED MAN HRS. 17 102,041LOOKOUT: FIRST REPORT U.2 SITE NAME r SECOND REPORT �/ 17 SITE __ , .w _; ; w.• , NAME •` •_'' FIRST ATTACK /7 4` FIRE CONTAINED 17 ,;//0b y 'CREW/OVERHEAD RECORD 16 C.D.F. CREW NAME or OTHER AGENCY TOTAL ORGANI- ZATION MAN HRS. AIRCRAFT FLT. HRS. C.D.F. CREW NAME or OTHER AGENCY TOTAL `ORGANI- ' ZATION MAN HRS. !ST. ATK.`/4r ✓S �ii {� /„�;vv dv/ letir7 v •v0 / F r,/r, �,•� ;vo - j- 1ye . " FPS 2 ; ve .5� G It/;00 per OVERHEAD (ALL) PAID PICKUP (ALL) '•' - - --- VOLUNTEERS (ALL) - •\ V111UIrvAL nCrvnl or: SIGNA/TUURE/, j 0 t APPROVED BY: r E DATE INTL. , DATE FG, 7_ 1_ 'z r..JRMIT NO. 2639-78B,E PERMIT EXPIRES (3WNER James J. Chamberlin ,. - CONTR. owner LOCATION (A.P. 36-30-29 2681 Pinecrest Rd., Oroville 79_,a Y' f ^rI r. I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E' Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out _ Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MDBILEHOME INSTALLAT�--------------Support Elec. Continuity Water Piping Drainage Gas Piping in 9 DATE REMARKS OR CORRECTIONS Of (NOTE: An entry must be made on this form each time you visit the job site.) f COUNITY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 <otunty (!"enter Drive — Oroville, California 95965 Tel ephpne.: 534x4541 APPLICATION AND PERMIT aA aut a representatives or the county of t3utte to enter upon the a ve- entioned a for inspection rposes. X Date '5 Signotur of P rmitee or Agent ) eceipt No. 177 / 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. DIRECTOPA'F PUBLIC WORKS Bye— Date —7i �11 ng permit expires Date S7, v3 - 7 BUILDING Owner L z SQ. FT. OCC. BUILDING VALUATION O r O6 Mailing Address • U Telephone No. 3 Contractor �) Mailing Address Fireplace Total Valuation Telephone No. Permit Fee • Od Building Address � � Plan Checking Fee &/or Penalty - Permit Fee .Ob dt PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. d Zoning & Planning Water piping 1.50 -Each gas water heater or vent j 1.50 F s S I n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improve m s Each additional outlet .30 Building sewer 5.00 � � Bldg. fps Recd Parcel pr PI Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00 Single Family Duplex E]❑ Mobil Home ❑ Others Main service 600V OR LESS 100 AMP LE5.00 Main service EA. ADD-LSS 100 AMP 2.50 OVER Main service 00 AMP oR LESS 25.00 Main serviceEA. ADD'L�j1�00 AMP 1.00 OR ADDNSNEW T (( ILA CC L PFUP S) 20sgft 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: NEW CONSTR.M L T NON-RESID ( BRANCNCHH CIRCUITS 12.50ea. NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L25 Ex. Occu P•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L!cPnse No. Classification Misc. Wiring 6.25 ElI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ t 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. 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 @ 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 Land Development Fee $ TOT AL PERMIT FEE $ aut a representatives or the county of t3utte to enter upon the a ve- entioned a for inspection rposes. X Date '5 Signotur of P rmitee or Agent ) eceipt No. 177 / 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. DIRECTOPA'F PUBLIC WORKS Bye— Date —7i �11 ng permit expires Date S7, v3 - 7 PERMIT No. 2268-%6B, P r PERMIT EXPIRES �/ 17 r OWNER JAMES CHAMBERLIN CONTR. Holiday Pools ,LOCATION (A.P. 36-30-29 2681 Pinecrest Rd., Oroville Z J' Temp. Power Pole Called PG&E /ee ` f (Signature) Setback i Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinos COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd)•PLUMBING Firewall Soil Piping Mesh 1st Floor -Parapets Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing A Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for ph sical handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final o Sanitation C FIREPLACE n Final Z %f, .. ELECTRICAL Stucco Final Mesh MEC NICA Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation . Door Closer Final DATE PEMARKS OR CORRECTIONS RS Motors oe Water Htr. Subpanels L Grd. Fault Pri Service Temp. Pole Final (NOTE: An entry must be made on this form each time you visit the, job site.) f COUNTY OF BUTTE — �;OE . I MENT OF PUBLIC WORKS 7 County Center Drive — Orovllle, California 95965 �--7� Telephone: 534-4541 APPLICATION` AND PERMIT u onze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Ag��� _ 1.5� Date Signature of Permitee or Agent Receipt No. 1214.2_6 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. DIRECTOR PUBLIC WORKS BY Date ilding permit expires Date S ' -7 ?,L BUILDING Owner. E E/z_Aj SQ. FT. OCC. BUILDING VALUATION Mailing Address•�� C2L:5Al I 4. 300 0/OLI= e I�,�., L laphone o` s Fireplace Contractor Total Valuation Mailing Address v(2 s5gA.1 d Permit Permit Fee Checking Fee&/or Penalty (,�(y Permit Fee , Building Address /�/ /e � �'' C• PLUMBING No. @ FEE PERMIT FILING FEE/�� $3.00 Zoo 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. 36 _?0 a� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 6"1Fees W.C. Sa ton Fire Dept. Fire Zone EQA ParkiPlans Declaration Parcel a 60' Use Permit R/W Improvements Building sewer 5.00 Lawn sprinkler system 2.00 N 17141-Y9. tans ec'd Parcelcel A� � � Plan�proval Permit Fee $ NEWof 0 ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 `' /�. �{�J/� I L Sw I A4 A4 ''v 0 // oo . Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR.MULTI-OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CON5TP- POWR APPARATUS & NON-RESID. (SINGLEE 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 st le of Y Ex. Occup(OUTLETS OR FIXTURES)50 @25q BAL@1 FIXED APPLES. OR EX. DCCUp.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No G' �� � � Z— Classification Misc. Wiring 6.25 ❑ 1 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. 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 any person in any manner so as to become subject to bject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 a th ' TOTAL PERMIT FEE $ .� u onze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Ag��� _ 1.5� Date Signature of Permitee or Agent Receipt No. 1214.2_6 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. DIRECTOR PUBLIC WORKS BY Date ilding permit expires Date S ' -7 ?,L )7 tt i 1 W --z t. J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541��7 J/� APPLICATION AND PERMIT BUILDING Owner �l SQ. FT. OCC. BUILDING VALUATION Mailing Address �� pj^f� ' �'�," RIp 0 Telephone Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address L.Spa� l/!/[%G',Z'r �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3ep ®^ Zo Ing 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F W Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 BI ans ec Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, permit Fee $ $ ��'G �a✓ G% ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3.40 5 S Main service OOOV OR LESS 00. 100 AMP OR LESS . Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 y�A/ OrT OVER Main service 100 AMePooOvR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 _ NEW CONST. DWELLING OCCUP. 4( 2P Sq ft OR ADDNS. ACC. BLDGS, l/ CONTRACTORS 'NSE 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: NEW CONSTR. MULTI -OUTLET NON-RESID ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON -RESID, (SINGLEOUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURESBALZ1 FIXED APLNS. Ex. Occup. (OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 �p.�✓ Lice se No. Classification Y 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ Ak,% % MECHANICAL No. @ 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 ha a placed on file with the County of Butte a certificate of W kmen's Compensation Insurance. PERMIT FILING FEE $3.00 Heating Cooling I certify that In the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 author' r presentatives of the County of Butte to enter upon the abov -ment oned proper `foyi pection purposes. i����l' X / gnature of arm' ee or Agent �y Receipt No. LJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the BCounty Code and/or resolutions to do work indicated abo fo which fees have been paid. IREP BLIC WORKS B ` Date Building permit expires Date 0 —