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036-22.0-035 Q-1430 OHLHAUSEN, BRIAN 4169 ORO BANGOR, bROVILLE ELECTRIC FOR SEPTIC PUMP COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION "': "• 7 Count Center Drive;• Oroville, California 95969'• -Telephone 530 538-7541 P R County P v �i'�'1' : (Rev. 12/95) APPLICATION AND PERMIT _ ASLEa9ORPARCIR.WMER - 036-220=035 ZONW '• BUILDINGPERMIT OWNER Oft RCS34. ]RUN TEI.BNONE SO. FT. OCC. BUILDING VALUATION .Wilms mum MORRIS 463 CEM& HOM RD. OROMIE 95%5 CONTRAcron NAME - TEUPXONE 0W= t. CONERMTORS MUM MORRIS CO1aiiWOTIMUMER _ Flra Ince Drams M ILM MORMe I Total Valuation S ARCXRECT OR ENONaHi .. UOENLE N0. Filino Fee . S 20.00 Parma Fee '. E ARCMTEOT OR R Me v MAalrai ADDRESS Plan Chackina Fee .5 aRIEDwOMOlhsu • 4169 ORO RANOOiIt Mr. 'OIti1VIi7.E Energy Plan Checking Fee .S y PERMIT FEE S hw "°. aheONaIONS 1% NE PLROEL MLP PLUMBING PERMIT Filing Fee 20.00 Foch Tr 7.00 ' • USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ other . sPECI:Y Solar or haat pump water heater 23.00 Water piping 15.00 Each gas. water heater or vent 15.00 ' TYPE OF WORK I New. ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other OBufidin Describe Work: F1i�MICAL RM SSMC F" ' Gas PIPIna System 1 -5 outlets 15.00 sewer 15.00 Mobile Home 3 G W @20.00 PERMIT FEE 'S ELECTRICAL PERMIT Filing Fee 20.00 • Main Service BO=OR IELa 23.00 LICENSED CONTRACTOR'S DECLARATION I heieby affirm under penally 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. Ucense.gese INo. - OWNER-BUILDER DECLARATION I hereby affirm under penally of perjury that.l am exempt from the ContractorsLicense Law for the following reason: Tem 7.I, as owner of the property, or my employees with wagesas their sole Compensation, will do the work, and the structure is not Intended or offered for agile: ❑ 1, as owner of the property, am exclusively contracting with licensed'contractors . to; construct the project. ❑ I am exempt under Sec. , Business and Professions Code for this reason Main Service aaaL T° fmA M 46.00 clxa . OWeUhla occuP. OR L0°N8. eo NONnEela' MULTMOImEr @7.50 POWm LIroLRLTIa L aNfiLE OUREr CIR. Ex. Occup. SUR® Ex. Occup. oun�m °En 1 5.00 ora Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 •00 fes -INSPECTION 1 123.00 PERMIT FEE $ •66. 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under Parretti of perjury one of the following declarations: ❑ 1 have and will malittain 6 certificate of consent to self -insure for workers' compensation, as -provided for by motion 3700 of the Labor Code, for the performance of the work,tor which this permit Is'issued. ❑ 1 have and will maintain wakens"compensation Insurance, as requiredly Section 3700 of the Labor Code, for the performance ofworkforwhich this permit Is Issued.. My workers' compensation insurance carrier and policy number we. ` Carrier r• MECHANICAL PERMIT Filing Fee 20.00 Heatih Conlin ' . . Hood ; ; y ,' 6.50 Ventilation .f {r h c •"�" -" - -- PERMIT FEE S Policy Number (The above sections need not be completed if.the,permit Is for work of a valuation, . of one hundred dollars ($100) or less.) ti d I certify that In the performenci 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 OLd -- I Date �� l- 6:1 Signature Applicant - f %Owmer ❑ Contractor E3 Dnta mit is required for excavations over 80' deep and demolition or construction An OSHA permit of structures over 3 stories in height. / - Mobile Home. Installation Fee. S Energy insphili0on Fae, • , S ere Tv� TOTAL FEE $ 66.00 XAz. :�.- D �g IMP HOOD 'CDF ,N PLROEL N PO 2. HD XO GLUE This permit is hereby Issued under the applicable of the BLtte County Code and/or Resolutions indicZd above for which fees have been Y ,x�[� Date PERMIT EXPIRES ONi Id I provisions to do work paid. 1 � �J Reeeipt03 No. �� I Ii%�%FJ rh WL� T WHITE-D.D.S: B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (R@v'12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-220-035 ZONING BUILDING PERMIT OWNER OHLHAUSEN BRIAI`d TELEPHONE 990-4130 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 463 CENTRAL HOUSE RD. OROVILLE 95965 - CONTRACTORS NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4169 ORO BANGOR HWY. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each mas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRICAL FOR SEPTIC PUMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xt��. _ Date '—C?3 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ht. Main Service 200A TO I000A 46.00 NEW CONST. DwEwNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.5¢FT, PWµHESID. MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OccupOUTLET OR FIXTURES fl2' @ I.S0O OR Ex. Occup. ouTLEEis AE=.) EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE—INSPECTION 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ ;CO�NST. TOTAL FEE $ 66.00 _ IMP FLOODCDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Atte County Code and/or Resolutions to do work indic ed above for which fees have been paid. n By Da PERMIT EXPIRES ON 7 ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER LOCATION: CONTRACTOR PRE-iNspETION DATE TO Banding Description: Electric: Gas: PRE -INSPECTION REPORT C.oanmaciaWsage: Residentialfg of Units:_ Currently Occupied AbandonedfVamt DATE: 5 /� fJ3 PERMIT HISTONONE) ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes - No Electric currently On Off Condition of Electric Natural Propane None Obvious Problems: Sanitation: Plumbing Woridng Currently On Off Well Working Potable Water. Obvious SewageProblems _ ' ACTION RECOMME C-LSSUE: HOLD FOR Inspector: I Date Sketch buildings on reverse and indicate location on p'roper Q.B.- 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. 0I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES'. NO ❑ 2. I HAVE ;6 HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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• OPERTYOWNER• ------------------------- 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 permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments 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. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 contractors 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Trely, 1 C. Vi ira, C.B.O. , M Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 9. Plot plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner. ❑ 12. Hazardous Material Form. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 15. Statement of Intent for Non -heated and A/C Buildings. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit. ❑ 18. California Department of Forestry plan approval ❑ paid. ❑ 19 tanning approval for (A) Use: (B)Parking: ( )Parcel Check: ❑ . Contact Land Development about ❑ Improvements, ❑ D a nage. ` ❑ 1. Encroachment Permit o r'v om e P orks n coon approval prior to occupancy). EV 22. Pre -Inspection for e tired. ❑ 23. Contractor's license information. (Number, N e Style, Cla fication). ❑ 24. Worker's Compensation Carrier and Policy ber. ❑ 25. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner). ❑ 26. Letter of Signature authorization. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement. ❑ 28. Manufactured home utility clearance. ❑ 29. Existing violations and/or expired permits. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. 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: 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. Original -Applicant j' i PIS 0, 1247-81BOE , PERMIT EXPIRES -#,"Z/,2 s OWNER L.H. CUNNINGHAM CONTR. owner ASSESSOR PARCEL36-22-35 LOCATION 4169 Oro BAnQor Hwy, Oroville `!L& Temp. Power Pole Called PG&E i. Temp. Elec. Service i Called PG&E #' Temp. Gas Service 1 Called PG&E JOB FINALED (Date) Signature p J = OK 0 9 Not OK, - = Not Applicable MOBILEHOMES 3 MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date. DECKS, COVERS, CARPORTS, ETC. (Plans)'OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.'-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. PookStructure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval' 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) r/ Date UNDERF OOR P OK exceptq's Date FRAMING (Continued) 10 'ng requirements -Setbacks -Easements -"-.Property Line Firewall & Openings )9,-Ftg., Main; Soils -Steel- nd.- 11g'1- Ftg. Depth -49r• Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth ''S9" emirs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 38,- Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. F -Fireplace Ftg.-Steel 44- Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test &Fr -Shear Walls; Nailing -Bolts ,91pas Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test lectric; Underground nums Ducts; Clearan -Material upp t- 13.' it -S' -Anc olts-J s-V-C�i#ilee' Card -BI Dates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except N's Date If PLUMBING (Per it) fflK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; V Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; st & Anchors -Nail Protection 16. D.W.V.; Tet Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower P est, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tu & S ower, 2nd Floor -Tub Access 61. Elec! Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pi e; Siz & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI date Card -BI Date Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location gel -70. Siz Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 3 mex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -26:"Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al .2ZrRange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑Yes ❑ No; Planters []Yes❑No ,2B_ Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish Q%_Equip. Clearances; Panels-Motors-Mech. Equip. 77. 78. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 38. -Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Perrnit) OK except q's 82. Glass Protection 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Duc sulation & Support 32. Vent Fan Jifxhausl above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensafe Drain & Overflow; Size & Grade 34. Furnace Ment; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic A ce s &Platform if Furnace in Attic -- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRA G Plans OK except q's Card -BI Date Card -BI Date Comments at Final: S' ; Proper Material & Anchors W s; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 46Q -.graft Stop in Walls (rat proof) •49, Fire Stops; Furred Ceilings -Stairs -Chases -Tub ader & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors KCing. Joist-Rftr. Ties-Purlin-Roof Brac.-Tr s-Sht -.-Rfng. 4 Fireplace Ties or Type A Flue -Fireplace Throat ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 11__ . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ -49. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 (// ' APPLICATION AND PERMIT �[ j ASSESSOR PARCEL NUMBER —��-- ZONIN BUILDING PERMI OWN ' e TELEPHONE �rL 477 SO. FT. OCC. BUILDING VALUATION - OW ER' A LING A RE s CONTRACTOR'S NAME In TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ _ / Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r1 LICENSE NO. Plan Checking Fee $. Penalty $ _ ARCHITECT OR ENGINEERS MAILING ADDRESS Permit fee ; V3 f-- BUILDING ADDRESS 41( O PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 fir' Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets / USE OF STRUCTURE SF [B Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition e emodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONS.OR ADDNST C I D 22 sq it 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 NEWCONSTR -OU LET 2,50 ea No N.RESID BRANCH CIRCUITS) NEW CONSTR. IPOWER APPARATUS e1 NON-RESID. ISINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES gqL251 S OR FIPLNS. FIXED OR Ex. OCCUp.�OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 AJ Permit Fee $ S Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 jvaluation) 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 co sequence of th granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for exca ati ns over 5'0" deep and demolition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee $ N TOTAL PERMIT FEE U [[PkR-11" ZP. GROUP (/ TYPE OF CONST. vl_� HD 59U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., TEL C IN -INSPECT QssO ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 910/534-4541 AIA- s.aha.+n: PERMIT APP ICATION DATA SHEET Permit No. '1 OWNER _ A A. P. No. 45 C r 2 Q _� Proposed Building Use S v Permit Fee Based Upon: Complete Contract Price _-DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . .. 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , Statement of Intent fo N neated and AC Buildings. Fees of $ ��-• . 9 Letter of signature authorization — Sanitation approval from , Health Dept.. 411,3�cQP�oA 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) ;� 15. Improvements may be.required. . , . . , , , , , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for •Pre-Inspec. request to P Required. Building Inspector (Date) 18. Other ' When yo issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone _33f:44_77 and hold for pickup at �r/� office. Deliver w/inspector. Other 1 1RA Applicant Copy of plans sent Health Dept., Fire Dept., Other r Date During the plan checking process, the following data must be submitted prior to permit i's'suance: (For required items not checked above at time of application, circle item.) .. 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer caner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by — Date o5p Other: Copy—DPW To: Building Department- From: epartmen• - From: Environmenta;. Health Subject: Sanitation Clearance soca ion Flan approved for: Hold final. for: Final clearance O.K. for: Sewage disposal Water Supply Clearance for bedroom mobile home. Other Note*** r Water Supply . Water Supply , ""a I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property, improvement (yes or no) �. 2. I (have/have not)( signed an application for a building permit for the proposed woilk. 3. I have contrac� ed with the following person (firm) to provide the proposed construe ion;/ Name Address / \ City Phone / Contractors License No. 4.I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name X 5. Address City Phone Contractors License No. 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 Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 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 permit. %fie 9�4' oo®� This se of plans and specifications MUST' b _ °'`�i�/4''ib`� ��`��o�o 6pt on t e job at all times and it is un�&fu) t '� o�C-o9 P X4 Gey _ _ Mw! a any ch;+nges or altgeations on some witho °d@ �,�`0 Sa°o 's�;o written permission from the Departm ' t of Puli a�6 eo, A^ S,� Works, 364V o+f Butte. h 0. @p.4o%•��� O se s 1. o i p O P 94- iq I P1 dAl IV, rd _ gyp. r . ! •;;,� � i� ? ....., A soback f _ o1�i'%' -� e �, �,1 i .` _...� .1 0 5 ffi: fr ' �'� prope"rty l iritis-arid- a setback-- of 50ft. from the road OPV centerline shall be clear of •� � I � l� ttructures.or equipment. excepj. _ BU' + sora 2 ft. eave overhang. �, - TTe $OUNTYo BUILDING • v c t %r,4, r; wk ' ` Vi D 1'he rtliatt3��rn �TA�'� kESID'ENTIAL EN�RGI(-�ttQl�`1fEtv1>?for is ui i 4 a t ....Degre•e Days, and .. � Design Temp. aje ....- ��1-trsl�. Insulatlon: Glazing: Slab erre e ...:.. P Sin'6-allowed; sq. ft. t %r,4, r; wk ' ` Vi D 1'he rtliatt3��rn �TA�'� kESID'ENTIAL EN�RGI(-�ttQl�`1fEtv1>?for is ui •�# 4 a t ....Degre•e Days, and .. � Design Temp. aje ....- ��1-trsl�. Insulatlon: Glazing: Slab erre e ...:.. P Sin'6-allowed; sq. ft. Fan, �' .13 - - - - t2_._.. e` -.,.._ Single-acrual; sq. ft. ft._ Floors - - . - - - - - l _ . ' - ORS _ ... _ _ ;3 ,- ,�/ Spe :ial-allowej-' Special -actual; sq. Cue� sq. #. °O - Cell - - - G; 9• Uo' D iT X,, hy`r Vapor S rier ti's Vi'ds. &Drs. not required �,� to cert. & labeled Circulaf;ng pipes Ducts Table 10-D 'J.M:::e. g• Swinging Doors . weat erstrip eP d. Htg. & A.C.: / ,( x`00 -e Exhaust Fans Gas Pilots back damper6d —intermittent ig— n!- t� Typ® wBdGl s PTU Max. —' All Appliances certified kVtr, Htr. Type —" Other: . • l r �� �� r}1 i..a r t %r,4, r; wk BUTTE COUNTY 1 BUILDING DE?ARTMEMI APPROVED �3 • 4 u y �ee a e Q t '1 /%- nf I, . �• /x l +tee 2 Q V-14 J;64C 7-4 dt-^Y 60 aod, Svgs a a � T1� - - BUTTE COUNTY - - - BUILDING DEPARTMENT Al05,�Wp /P4P, RS �,�i ® � r `:t7.PERMIT NO. 30-76B,P,E P E s �f MH UTIL. PERMIT NO. i s PERMIT EXPIRES OWNER L. H. Cunningham i CONTR. owner I l 4,LOCATION (A.P, 36-22-35 , i Ir ;44169 Oro -Bangor Hwy, Oroville ;r it } Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ! JOB FINALED (Date) _ (Signature) DATE REMARKS OR CORRECTIONS _ 76- � ®� �. as rovl �1 eo C�®a sc�` v Arvr Gu 1 -*1 6 r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r,. ` BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — —-7 Firewall Soil Piping Forms Parapets , 1st Floor Main Bldg. Restroom Finish 2nd Floor, Footings Windows — 3rd Floor Stemwall Siding To out Slab Roof Sheathing , Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure 40ZTemp. Gas Piping & Test Gas Slab Final / 7 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough — / 9 rL c Reinf. Steel Final Fixtures Bond Beam FIRE SPRINK Motors Framing — 2 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 DATE REMARKS OR CORRECTIONS _ 76- � ®� �. as rovl �1 eo C�®a sc�` v Arvr Gu 1 -*1 6 ►� COUNTY OF BUTTE — DAWMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 O ��/ Telephone: 534-4541 (� APPLICATION'AND PERMIT Ix „ r — uu ,v cn uNun mu above-mentioned property for inspectioh purposes. X-,, Z, , 0-. � , — , . , //. - - 6 —1-9 A-Ww"Ite Signature of Permitee or Agent Receipt No. OQ0 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 OF P IBLIC WORKS By Date ' G� "� Building permit expires Date 0/—V —7/ BUILDING Owner ! ' e SQ. FT. OCC. BUILDING VALUATION Z D Mai I i ng Address / (4 tsJ Telephone N Fireplace �$b Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ -- Building Address `!�' PLUMBING No.1 @ I FEE -PERMIT FILING FEE J$3.00 Z,®p Each Trap 1.50 Lj.S® Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /_ -� A. P. No. f0 a — �j Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S4i p(:[fbn I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel a P 60' R/W Im proveme s Lawn sprinkler system 2.00 , Bldg. Plzfs Recd Parcel pproval Plans Aroyal Permit Fee NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE QQ PERMIT FILING FEE J$3.00100V e � -� /+�LESS OR Main service 1000 AMP ORS 5.00 Main service EA. ADD'L loo AMP 2.50 , Family,® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00Single Main service EA. ADD'L 100 AMP 1.00 gg OR ADDNS.NEW CONST. ( DWEACCLBLDGSC Z•(J) 20Sgft !({iO NEWCONSTR. MULTI -OUTLET NO N.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS&,1 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: Ex. OCCup(OUTLETS OR FIXTURES)50 @25� BAL@1 Ex. OCCU FIXED APP LNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0 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.1 @ FEEPERMIT 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 «ti TOTAL PERMIT FEE1$7/IlL „ r — uu ,v cn uNun mu above-mentioned property for inspectioh purposes. X-,, Z, , 0-. � , — , . , //. - - 6 —1-9 A-Ww"Ite Signature of Permitee or Agent Receipt No. OQ0 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 OF P IBLIC WORKS By Date ' G� "� Building permit expires Date 0/—V —7/ 0 11 ® C It eye{ �.�,�oa ` � , j a�g o a MD ' { 65 �. 0 v' N NT • � � ►tl � of 1 rq ss w I t � v ` QI 0 Ld Bel 'C V� Il ge in h, anship CY Sha pi �; ¢a Workm �. �! 0; w Materials $` nized Good Practices and ; i „�; C9 p Recog use yrsh®i ( \' ; Accordant$ for the Specifi { o a ua y prescribed ! i i z C L f G I it Law. LL Housing State CO Q �y e , PERMIT NO. 3363-75B P i E M MH UTIL. PERMIT NO. { PERMIT EXPIRES (OWNER L.H. Cunningham 4. j.CONTR. . LOCATION (A.P. 36-22-35 ) 4169 oro -Bangor Hwy, Oroville .l R i r �v i. t F Temp. Power Pole f Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E 4 JOB FINALED (Date) 1 (Signature) ` t COUNTY OF BUTTE = DEPARTMENT OF °PUBLICVORKS 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 Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. 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 DATE REMARKS OR CORRECTIONS 9,1-7_ 71_ �a �0_ e t,0 1.3 z,(-,411 aleclerz- D ccs /0 e/ STlsIle 144.-1 %, H A COUNTY OF BUTTE — DEPARTMENT OF PUBLI • W0 KS 3365 __7 County Center Drive — Oroville, California95965 Tel hone: 534-4541 APPLICATION AND PERMIT BUIL ING t, Owner —ZzwSQ. FT. OCC. BUILDING VALVA ON - y Mailing Address eohone No. Contractor eo Fireplace -Total Valuation Mailing Address - Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fed Building Address PLUMBING PERMIT FILING FEE Q Each Trap Repair drainage or vent piping Water piping .Each gas water heater or vent A. P. No. 3,-� Zonin & Plannin g g Gas piping system 1 - 5 outlets Each additional outlet F�ZA� W on Fire Dept. Fire Zone Use Permit' Building sewer EO Parking Parcel Parcel Ma p - 60' R/W Imp rovements p Lawn sprinkler system `Declaration Bld . I n Fza% Parcel oval .0000, PIo pproval Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL PERMIT FILING FEE f Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven Water Heater or Space Heater Light fixtures 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 Evap.cooler,gar. disp.orD.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole License No. Classification 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 o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee I certify that I have read this application and state that the above information is correct. 1 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 purpyses. x sate Signature of Permitee or Agent Receipt No. 4� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant a @ FEE $3.00 1.50 1.50 1.50 1.50 _ 1.50 .30 5.00 2.00 @ FEE 3.00 1.00 1.00 1.00 ' 2.00 $ TOTAL PERMIT FEE Is 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 BLIC WORKS By Date? ding permit expires Date Jit( " 26 PERMIT'NUMBER _ g 5051 P E PERMIT EXPIRES e OWNER L.H. Cunningham CONTR: owner LOCATION (A.P. 36-22-35 4169 Oro -Bangor Hwy., Oroville r ( 1 0 P .j V l i P 1� A DATE REMARKS OR CORRECTIONS u� .! =;� 01-x- ���- r�-�-� (�.-�-•r>� �16 COUNTY OF BUTTE _ Department. of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster_ Rein. Steel Gas Piping & Test Found. Vents Framing PImg... Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup.,— ccup._Final Final Final Final DATE REMARKS OR CORRECTIONS u� .! =;� 01-x- ���- r�-�-� (�.-�-•r>� �16 •24 Hour Notice Required For.Inspection Service- -COUNTY ervice-COUNTY OF BUTTE ©" ;. DEPARTMENT OF PUBLIC, WORKS 280 NELSON AVE. - OROVILLE - PHONE LE 3-1230 EXT. 259 ` APPLICATION AICD BUILDING PERMIT Permittee Owner . �1.1 11A t -A fes,* •�� A 1.4,A A.P. No. Mail Address q Q ; e_.o Contractor State License No. Mail Address BLDG. Address' Description of Work `I NEW 0 ADDITIONfW REPAIRS F --j OTHER Q If Others, Specify s Use of Structure Width at BottomX ' Single A RESIDENTIAL Family F_N�Duplex 0 f Multi Dwelling COMMERCIAL Retail 0 Ind. 0 Prof. 0 ' OTHERS: R.W. PLATE (Sill) Remarks:v%eQA., Q uv SPACING r' DIMENSIONS SQ. FT. 4vk OCC. TYPE+ A. A. B. Joists - 2nd Floor B. BUILDING VALUATION Joists - Ceiling PERMIT FEE A. $ i Exterior Studs :. B. $ E C. Plan checking fee or Penalty $ TOTAL VALUATION TOTAL PERMIT FEr I have read the above application and know the contents thereof; the same is true and correct. I further agree the above work will be done in accordance with all State and County Laws and Ordinances, and the plans and specifications on file with the County of Butte X //'/.l:c.�✓,a,� D ate %.`-...� -�. '.... SIGNATURE OF PERMITTEE OR AGENT This Building Permit is hereby issued under ' the provisions of Part 1.5, Division 13, of the Health and Safety Code and the California Administrative Code, Title 8, Chapter 9, Article 8. O'NEILL - DIRECTOR OF PUBLIC WORKS By a- Date ,i lz 4:J .101 r Permit Expires Date- V4 -0,/A'6 1 Receipt No. E C I F I C A T 1 0 N S FOUNDATION ! MATERIAL EXTERIOR PIERS Width at Top Width at BottomX /4/'y ' Depth in Ground R.W. PLATE (Sill) SIZE SPACING SPAN Girders 4vk Joists - 1st Floor Joists - 2nd Floor Joists - Ceiling Exterior Studs /4 110 C 'Interior Studs Roof Rafters Bearing Walls r r PLOT AND,PLOOR PLAN Property Line ( ) BUILDING OR STRUCTURE E - (5' MIN)-- (Closest Part) C. (5' MIN) -� for ao' STREET ^Y U 00 W ZONING 1?—.APPLICATION AND PLANS SANITATION / APPROVED �� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS This certification is required by laws of the State of California. Please fill out either A or B, whichever is applicable. A. I hereby certify that I am licensed under the provisions of Chapter 9, Division 3 of the State of California Business & Professions Code in the classification................................................................................................................... License No............................................................. . and further certify that the aforesaid license is in full force and effect. B. I hereby certify that I am exempt from the Contractors License Laws of the State of California under Section 7031.5 because of one or more of the following conditions: 1. I am the owner of the property and the structure is being built for my occupancy and will not be offered for sale within the year. (Sec. 7044). 2..............The building does not contain more than three (3) dwelling units, one of which will be occupied by me as' the owner. (Sec. 7044) 3 ............. As the owner I am contracting with a licensed contractor to construct the project. (Sec. 7050). 4 ............. Aggregate total of the contracts is not more than $100 for labor, materials and other items of work. (Sec. 7048). 5 ...............I am a licensed architect, engineer, or structural pest control operator. operating within the scope of my license. (Sec. 7052). 6... ........ The property is in the ownership of the Federal Government. (Seca 7047). .STATE OF CALIFORNIA COUNTY OF BUTTE I am ......../....�1.... .e.,. ,/,1.. ,..FL Lam ............. in the above -entitled action. I have read the PLEASE PRINT NAME( r7 foregoing ...............•. ............................... and know the contents thereof and I do certify_ (or declare) under penalty of ITEM A OR B _ perjury that the foregoing is true and correct, except as to those matters stated.on information or belief, as to those matters I believe it to be true. Dated: ...... ��./� %....%.............................................................. at...,..��>(er�.(„�;�..../.` , California PERMIT ISSUED BY THIS CERTIFICATE 7 Building Permit No ........................................ Electrical Permit No.,,.,, Plumbing Permit No . ............................. :........ Signature_ g 4/64