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HomeMy WebLinkAbout079-300-0443 �. KENNETH `ELAM -79 524 Oakvale Ave, Oroville Permit ##96-78B,P,E.(new„private L det achdd garage'), .I �l�! 71 ; Permit ##263-79B (lst�. re.newa / ` 96-78) arage fl Permit #598-79B,P,E,M(new single -f” Permit#1828-82P(lawn sprinklers) ._ 36-@5 Contr: SunwayBTdrs,., Oroville c Permit #314-84B(install.woodburning stove)SF C ._�% /VSs18 0' 00-2922 ELAM„KENNETH 524 OAKVALE OROV7k1,� \ CONTR: CLEANRITE . c_ ' FIREREPAIRS, ROOFING,FRAMIIVG,PLUMING Pov It 4 ~ y NOTE'S ` ^ ^ . � = � � . RESIDENTIAL - 036-050-151 Ob -2922 ELAM, KENNETH SPECIAL CONDITIONS CHECKED BY ' SRA FLOOD CERTIFICATE REQ. ------_ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ----'VER|FY USE PERMIT CONDITIONS U| U| SUB -STANDARD H{�US'|NGLETTER . � ` \ ' ~ ' � / ' JOB FINALED (Date). .� Signature 8 `\ 0 = Not OK { l =Not Applicable `MOBILE HOMES MISCELLANEOUS = Not Ready ,_ - n - = Y Date MOBILE HOME UTILITIES (Plaps)'OK except #'s' ; Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH SupportSketch ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete - 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete i Shing.-Frg-Bracing 6. Gas; Location -Test -Wrap;-/ /" L'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /'Nat. or/ /"L"ft./ PLPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Ele '57 8. Utility Clearance Frmg.; ills-Anch rs-Studs-Rflrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card 6-1 12. Braced Wall Panels Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date Card B•1 ` 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date FINAL (Plans) OK except #'s 4. Electricity;'MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector .2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. " 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert. of Occupancy _ 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 12. •Permanent Foundation Only; License Decal 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. ^ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 .10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date _ ' Card B-1 Date _ Card B-1 - Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (%c Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B -t Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continred) . 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm, Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 6'. . Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION U5PARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ? 7 County Center Drive s Oroville, CA • (530) 538-7541 h CORRECTION NOTICE OWNER r PERMIT NO,' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is ' completed. If you have any questions pertaining to this matter, or need additional explanation, please contact /this office immediately. j iLn _ a 'y Date D Inspector F" REV 10/92 $f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/9-6) APPLICATION AND PERMIT M _g!0V ASSESSOR PARCEL NUMBER 036-050-1511 ZONING NR BUILDING PERMIT OWNER KENNETH ELAM TELEPHONE 33-7365 SQ. FT. OCC. BUILDING VALUATION EST 8,000.00 . OWNER'S MAILING ADDRESS 524 OAKVALE OROVILLE 95966 CONTRACTOR'S NAME CLEANRITE TELEPHONE 91-0333 CONTRACTORS MAILING ADDRESS 1200 W EAST AVE CHICO 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 8 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINSA22REtAKVALE OROVILLE V Energy Plan Checking Fee $ $ PERMIT FEE $ 119.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 solar or heat pump water heater 23.00 Water piping AND VENT 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other dl Describe Work: FIRE -REPAIR --ROOFING, FRAMING, PLUMBI ELECTRIC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '*DA 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 i in —fu�foJce and effect. Z License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'm ensa n in rance carrier and policy number are: Carrier � 11 0 Policy Number (The above sections nee not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos rovisions. P./,�} X A, Date V(/ Signature of pplicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 20GA TO 46.00SO CCU000A NEW CONST. DWEILINCi OCCUP. SO OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT, NONRE ID. MULTI.OUTLET @7,50 a 2NGELE PTS o IR 20 @ 1.00 Ex. OCCU OUTLET OR FIXTURES BALL Q .so Ex. Occup. °uTt��°Ts� REslo,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee777$ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 197.00 HA2. p, FEES IMP I FLOOD CDF PARCEL I PD I HO SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whIAb fees have been paid. Date PERMIT EXPIRES O�l Date FReceiptNo. 309247/$197.00 ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [X0 `Al CDF/BUTTE COUNTY FIRE INCIDENT LOG ' DATE 11H612000 INCIDENT NUMBER r 12794 LOGGED BY ESTES REPORT TIME 05:15 LOCAL FIRE NUMBER • PRa} I orAl Firq RO APE STATE FIRE NUMBER `595 BI <; CASE NUMBER _ IRCMACA$, ] MEDICS LOCATION 524 OAKVALE AV X MT IDA' I PRA; 1-51 ECC ❑ RP JULIE PHONE NUMBER 5337365 I REPORT METHOD 911 WILDLAND FIRES ❑ _ESTIMATED ACRES MO FIRE INFORMATION STRUCTURE FIRE OTHER (OUTBUILDINGS EC FIRE INFO SENT HOW EMAILBY SKE TO 64 9 OTHER FIRE 7 -DAY LOGGED © INITIALS JAMC I MEDICAL AIDS INCIDENT NAME . OAKVALE PSAIOTHER START DATE 11/16120001 START TIME, r 03:00 HAZ MAT I DIAMOND # 2.0 COMMENTS i, CAUSE EQUIPMENT LAND USE DOMESTIC ACRES 1 TYPE OF ACRES DIAMOND 5 ONLY. $ DAMAGE TYPE DOLLAR DAMAGE 5000.00 SAVE 10000.00 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES 'r -or # CIVILIAN• FATALITIES u EMD ❑ OES ❑ . # FF INJURIES 1 # FF FATALITIES _0 a' 4 � ' ;♦ Nev✓ fnc1d4nt .> FC -46 INFORMATION FC -4O ❑ , DATE OF FC -40 INC AGENCY INC # I INC P# . FC -40 COMP DATE j FC -40 COMP BY N. 1 PY ❑�---�� County Notifications EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer f _r 9 Permit#314-84B K. Elam 524 Oakvale, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLaATiON AND PERMIT PERMIT NO. 1/1/- ASSESSO%%R PARCEL NUMBER �1,1 /n] / ZONING BUILDING PERMIT OWNERTELEPHONE e . ";;�_ / -;:� VY\ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS .)L! 0-,:;k o -_-) )a 7)r n CONTRACTOR'S NAME J[1 VNIAI`-7A [7 �C`f f S TELEPHONE CONTRACTOR'S MAILING ADDRESS tt r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,f.5 .00 ARCHITECT OR ENGINEER ` 1t N Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ '.j.In BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF D'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 GW 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other E�]~ Describe work: T�nC CO /��n� �tJ T H t N 0 C v b Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS, l ACC. BLOGS. t 2h0sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): � QNON 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. '�c License No. IVT 7 / .1) Classification A ❑ 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 CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea NEW - (POWER POWER APPARATUS . & R ESID. SINGLE OUTLET CIR Ex. Occup(o Ts OR FIXTURES 20e50a eALesoQ FIXED APPLNS. OR EX. OCCU P. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County inconsequence of the granting of this permit. lit `% �� �{ , V X 1111 t i►I n,.. Date % 19� Signature of Applicant•— Owner ❑ Contractor r;2'` Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ .5 . 0 oCCUP. GROUP I TYPE OF CONST. PARCEL PO ND I 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees n (DIRECTOR OF PUBLIC By ` ` Y l PERMIT EXPIRES Date %� — the applicable provi- resolutions to do have been paid. WORKS Date I - �-• Receipt No. 1 � 17t i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLICWORKS 7 County Center Drive - Oroville, California"95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. r :?f 4/ ! ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT owN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,S -a IU C,TRACTOR'S NAME Va r TELEPHONE CONTRACTO 'S MAI IN ADDif" ESS ^ !-]J ((a Fireplace CONSTRUCTION LENDER UNL •Wf4 Total Valuation $ / Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nf)LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: T S a W 6V)rl by 9-I% t viUELECTRICAL �.�� Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ACD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. 2t/20sgft 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. .cQ License No. ,� � l/� 7 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 CONSTR. ULT'.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. (POWER APPARATUS &'1 NON-RESID, SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 82AL/R30Q FIXED APPLNS, OR `` Ex. Occup. OUTLETS (RESID.I EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said ou ty i co sequence/ of the granting of this permit. X �ns uen i Date ,e.0 Signature of Applicant — Owner ❑ Contractors, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD SSUE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which ECTOR OF PUBLIC B � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date �^ Receipt No. T7f n WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Framing COUNTY OF BUTTS — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECDRD Water Htr. BUILDING, BUILDING (Cont'd) Final PLUMBING Setback Z - — 2 L R Firewall Soil Piping Scratcy Forms Parapets 1st Floor / Main Bldg. Restroom Finish 2nd Floor Underground/ Footings Windows 3rd Floor Door Closer Stemwal I Siding To out Slab Roof Sheathing "7i 7" Water Piping Gas Piping Piers Roofing Sewer Drainage Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physically handicapped Conformance of a structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation /' Patio F REPLACE Final Footings Footing ELECT% C L Masonry Walls Throat I Rough Reinf. Steel Final Fixtures Bond Beam FIAE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC NICAL Grd. Fault Prot. Scratcy Heating Service Brown Cooling Temp. Pole Finish Ducts Underground/ Interior Lath Ventilation Pennanen! Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS o� (NOTE: An entry must be made on his form each time you visit the job site.) 'All, Ir i a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �,- 7 County Center Drive — Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT 'N'vuoii,u VUO VI ME lwunly UI IDUlle W enter upon the above-mentioned property for inspection purposes. X - 'Q� `-���-. Date Signature of PPermitee orAgent of Receipt No. _Z�iP (f/ , 36 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 OV—PUBLIC WORKS B ilding permit expires Date 1-16-7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Add're'ss/Q J — © Telepho =No. tlI Fireplace Contractor Total Valuation Mailing Address FV Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ , Building Address ® PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 , Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N 3 6— Q �- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans ParcelParcel Declarat'on Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW;R ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Porne, ❑ Others OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 INEW NEW CONST. DWEL-ING OR ADDNS. ( ACCLBLOGSO.0' &) 20sgft CONSTR. MULTI -OUT NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@1 Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 `IN I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 16—.30 $ � WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE 'N'vuoii,u VUO VI ME lwunly UI IDUlle W enter upon the above-mentioned property for inspection purposes. X - 'Q� `-���-. Date Signature of PPermitee orAgent of Receipt No. _Z�iP (f/ , 36 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 OV—PUBLIC WORKS B ilding permit expires Date 1-16-7 3� 00 lv� M +2: a Septic system and location of build- ing to be as r Butte' Coun p . Re- NOTE:—All Materials & Workmanship Shall Be in Accordance with Rpconnized Gourd Practices and IZZ of a quality prescr-�h,�_l -for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. Ill's set of plans 4nd specifications mJSI �Qpt on the job at all times and it is un awful tib meke any changes or alterations on same without. written permisson from the Department of Public Works. County of Butte. The fir= Setback shall be 5 ft. from the side properfy line and 50 ft, from the centerline of the road, permi-.1fing a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. Vh ' 0,:p 9 t ji j Al 0 7 11,51" X1071 BUTTE C UNTY BUILDING D PARTM ENT A P P R w VED 11,51" WSJ Fe or�NO 210 �l lot - Ertl �7 C- top Q OO a m m -` . 22.F? � � m O � o ® Z 22.F? r- o. o _ _ \S\ Coo x//y s N AA COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / v ✓/ 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /f -P,6 L Date Signature of PPeermitee orAgent Receipt No. �yU White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated abov f which fees have been paid. Aoit OF P IC WORKS7 7Date 1l LBuildiexpires Date BUILDING Owner �� ��'��/ SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address S AOc- Es" Telephone No. 3 Contractor Q CtJ//lE/`(_ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee -Z,—.. Building Address�T U _ U` Plan Checking Fee&/orPenalty Permit Fee .00 Ql PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / 0/20 Repair drainage or vent piping 1.50 A. P. No. 2� " o—� Zoning i3, Planning Water piping 1.50 Each gas water heater or vent 1.50 F4 W—CC Sarti�tatlon FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA P arking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg�Tans Recd I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov DR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others LJ Main service EA. ADO'L 100 AMP 2.50 OVERovR LESS Main service OVER AMsoP O 25.00 EA. ADD'L 100 AMP 1.00 Main serviceNEW CONST./ DWELING / OR ADDNS. C ACCLBLDGS.Ccup- S1 22sgft 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 RESID,CO MRANCH CIRCUITS) NON-RESID, � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS B NON.RESI D, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES I g � , FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of. California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ TOTAL PERMIT FEE $ O( / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /f -P,6 L Date Signature of PPeermitee orAgent Receipt No. �yU White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated abov f which fees have been paid. Aoit OF P IC WORKS7 7Date 1l LBuildiexpires Date r/ ci - 598-79B,P,E,M µ r�J'_, PERMIT NO. PERMIT EXPIRES .i OWNER Kenneth Elam r s 2 . CONTR. owner 36-05-80 �3� -� LOCATION (A:P. ) jy 524 Oakvale Ave., Oroville 4, r� 1 7f i Temp. Power Pole Called PG&E Tem lea Serv. �o +� Called PG&E�� r' Temp. Gas Serv. � Called PG&E /JOB1119, •V/ FINALED ,l (Date) P (Signature) E COUNTY OF1 TTE — DEPARTMENT OF PUBLIC WORKS 79 BUILDING INSPECTION RE-COR-131- I/ fCORDS., - Zlorr BUILDING BUILDING (Cont'd) UMBING Setback Firewall Soil Piping Forms Parapets list Floor ZZ Main Bldg. Restroom Finish2nd Floor Footings Windows 3rd Floor Stemwal I Siding —To out Slab Roof Sheathing �'�� Water Pi in S 1�7�j Piers Roofing Sewer Gara a Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for physically Appliances Carport handicapped Po Conformance of ex Gas Piping & Test Footings structure Temp. Gas Slab Final l Sanitation Patio AIA "PACE' ! Final -4 ZW7TL Footings Footing C El ErflrffilbAt- Masonry Walls Throat X I Rough [- Reinf. Steel Final I Fixtures Bond Beam r7fRE. SRAINKLERS I Motors Framing Test x Water Htr. Stucco Final Subpanels Mesh 5 7 MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish I Ducts 12-g-1 Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES/--- ----------- Elec. Service Elec. Ped—t I Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS A-A, (NOTE: An entry must be made on this form each time you vis t the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 '4- APPLICATION AND PERMIT Owner E keo"' Mailing Address ec aq <2�AAc ur>1! Telephone No. Contractor 4 Mailing Address Telephone No. Building Address Single Family 14 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 _ BUILDING v SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap .Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee �P. O. C ` ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service Zo ila ng 44s EA. ADD'L 100 AMP I S(n)eon Fire Dept. Fire Zone /MULTI-OUTL \ BRANCH CIRCUITS Use Pe it EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Bd Parce royal Pla s Approvol NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family 14 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 _ BUILDING v SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap .Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee IbBAL@1 BAL@10S ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OCCJJ,,JJ FF�� '% ACC. BLDGS. /J�(�(� NEW CONST R. mom REsIn_ /MULTI-OUTL \ BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 30 EOE] 0 $ $3.00 5.00 2.50 25.00 1.00 FEE .c`fo V --- FEE Cit') EX. OCCUO(OUTLETS OR FIXTIIRES IbBAL@1 BAL@10S FIXED APPLNS. OR EX. OCCU P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home,Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I 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 complyto 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. X�.,�z51C�.��re Date .f - / `7, Signature of Permitee or 'Agent Receipt No. d 28 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i $3.00 1 1.0 pRi Ventilation Hood 2.00 1 Z,b0 Permit Fee $ 1'7 50 $ % 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 abov which fees have been paid. F3EC 1PJ0F PU IC WORKS _ B A 44411 Date Building permit xpires Date ����' ��- .� w S� � ���L� ��� 1�1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER :�G. • G / / ZONING BUILDING PERMIT OWNERf IVCN/UG7/-4 cb-1 /I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r V 111_e `7t'E• !�.•L�V '/� / / U///� CONTRACTOR'S NAME / � ami V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER,,/� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Penalty $ ARCHITECT OR ENG/EER'S MAILING ADDRESS -e Permit fee $ BUILDING ADDRESS Vu�G PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 01<�WI E Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets Y' ��' USE OF STRUCTURE SF Duplex[--] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 ±)., DO TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other [+']' Describe work: 1,14WILI �/����%� S -� - - '� e- / S � Permit Fee $ C) Contractor ELECTRICAL PERMIT Filing Fee 10.00 n service 1c00V OR LESS Maise 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.y` OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.00 J 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 CONSTR. LET NON.RESID RANCH CIRCUIT 52.50 ea IRC ITs NEW CONSTR / POWER APPARATUS 6) NON.R ESID. %SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES 50 0 BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 7.50 Permit.Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 1 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County in consequence of the granting of this permit. X r, ^-�.rx_ > %� � — 1 e - Date Si nc ure of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occup. CROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable to do sions of the Butte County Code and/or resolutions to do di f hi been es have h f aid. work or which n o indicated ab k i p DIRECTOR OF PUBLIC WORKS Lf By PERMIT EXPfRES Date Receipt No._69 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT r-fERMIT N ASS OR PARCEL NUMBER —ps—/S/ ZONING BUILDING PERMIT OWNERC— 7� TELEPHONE $,� `— �//•_ // OWNER'S AILINGDDF�E$/,/,/L CONTRACTOR'S NAME7/(Gli'le TEL PHONE CONTRACTOR'S MAILING ADDRESS S0. FT. OCC. BUILDING VALUATION I , ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS % W ARCHITECT OR ENGLICENSE N o. Permit Fee Plan Checking Fee Penalty $ 10.00 $ $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUIL DDRESS�/�_/ ^ ` � �� 22 V!/71C//V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 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 [! Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 tp 00 TYPE OF WORK_Permit New ❑ Addition ❑ Rem �'deI ❑ Uti li�tiys ' Ins allation ❑ Other Describe work: ��y /�/�l�s Fee $ °j, (7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. ZQft S q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 'NON.RESID. ElI am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No. Classification �'*I, as the owner, or my emp,Loyees 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 CONSTR. LOUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW-CONSTR. / POWER APPARATUS & %SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES BAL@51 00 FIXED APPLNS. OR Ex. Occup.OUTLETS (RESID.) EA.) 2.00 Temporary`'Service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 againstsaid County in consequence of the granting of this permit. �+ XF ——�—� Date y �' — �— Signature' of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ %j, Ott CccuP. GROUP TYPE OF CONST. I PARCEL PD I No I ISSUE This is -perm is hereby issued under si f the Butte County Code and/or w rk dic ed bove for which I CYOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 3a ate 3 p '/ Receipt No. �QO 7'r� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'a;,