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�Permit#3136-83B(Ist.rene.wal./2.787-82).SE o -7 f �I �Permit#3136-83B(Ist.rene.wal./2.787-82).SE o -7 QUI _ l M CWD t y PERMIT NO. k 2787-82B "Z:q I.S PERMIT EXPIRES! 9 r OWNER Richar& Kelso CONTR. Owner ASSESSOR PARCEL 36-06-28 LOCATION 1164 Mt Ida Rd,Oroville I, ♦ FJ K 11� /�f/\ , 4 :i r pp Temp. Power Pole i Called PG&E Temp. Elec. Service 1, iCalled PG&E ° Temp. Gas Service I Called PG&E a �c�- JOB FINALED (Date) _ / t � Signature s,,_,,�v -n, J = OK O = Not OK — = Not Applicable 'MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ooti gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete _ ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 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 -B oto Date and -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date I Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; 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/O 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—Panelboards—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-1 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) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) ` 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. am -Looked in Attic EJ Yes Insulation-Foam-Looked 73. 74. Guard Rails Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral JYes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 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 Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 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. Ducts; Insulation & Support _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & 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 FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Proper Material & Anchors 37._ _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) / COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS PERMIT NNQ 7 County Center Drive - Oroville, California 95965 RTeleph'one 916/534-4541 x 7 v� APPLICATION AND PERMIT u ASSESSOR5CEL NUMBER -06-i8' ZONING UILDING PERMIT °`" R�.7 R& Al/�._C'•' 0 C -~pi'E/F7 l �j SQ. C. BUILDING VALU I�QO./N� W E s MAILING ADDRESS /lriA-17-1 11D/4 CONTR'ACTOR'S NAME aT LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ t! _i;6 Filing Fee $ 10.00 LENDER'S MAILING AltDRESS Permit Fee $ .Op ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee ,$ /7-S-0 Penalty $ ARCHITECT OR ENGI ER'S MAILING ADDRESS Permit fee $ .5—O BUIL `IyG A DRES$ T lb4 /1/(/_ �J(�/l/ 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 pas 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: F�C//�� 7>1-�-770 dOV Permit Fee $ 'Cont ractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.&) OR ADDNS. l ACC. BLOGS. / 20 sq CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y n cense No. Classification 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 -OU LET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR ( POWER APPARATUS 6� NON-RESID. SINGLE OUTLET CIR. 50@251 Ex. Occup(OUTLETS OR FIXTURES BAL�1 �OAPPLNS OR Ex. OCCUp•UTLETS (RESID.) E A. 2.00�i Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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 (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 Consent to Self -Insure. �f' 'J 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 T4 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`Trelating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. *aree save, indemnify and keep harmless the County of Butte against jud ents, cos and expenses which may in ny way accrue y n cons c t n' f this peThis plicant — Own C nrrDctor Agent ❑ An OSHA permit is required for excavatio s over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ r TOTAL PERMIT FEE $ �j2 =Jn OCCOP. GROUP TYPE of CONST. PARCEL PD HD ISSD permit is hereby issued under s of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC Byry P T EXPIRES Date the applicable provi-t resolutions to do fees have been paid. WORKS p Date �"`//�'4 a� - '- �' iIf Receipt No. 17174f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �.� - . `. . r 'r`'...r �-► .y..�h,.,.�F �R'. - s':_ TV qc is-, . • tl *e: - -++ . ITs x COUNTY OF BUTTE'- DEPARTMENT.017, PUBLIC.,WOVS - BUILDING DIVISION _i-7_.COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET �T Permit No. OWNER 04:51-lAgn ���'L��hG A. P. No. 036-06-2t Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building InspectorU..�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 VA..--pAll items have been submitted. . . . . . . . . . . . lot plans in dup-I'c� ate/ riplicate. 3. Complete .- i Nnn "upIicate./triplicate. • . . Complete engineeredIp��—a'1rd "resl 5. Plans with Energy Design Compliance Stgf,6ment. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. es of $ Letter of signature authortion. Sanitation approval from Health Dept. 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 Required. Building Inspector (Dote) 18. Other When you i.stue the permit, prlo/rye�Jss as fol toowas: —Mail to owner. _ TIe..L.....e -.5p. &Y'A ., ...•1 L.�.�'1e,--.•I ,i... ..... I..... .,Q�./� ..is:.... Mail to contractor. During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at f 2pp.lvation, circle item.) 1. Index permit for above Items N0. _.< 2. Additional items required: (Contractor, Designercowner))was advised of above required data by By one -Mail Other Date 1-7-'42— Plans -7-' 82 -- Plans checked by Date Plans approved by',= Date Other: Copy—DPW 1g1z To:.. Building repartr;.ent From: :6nmen'tall Ltealt n GL'OjeCt; S2.i'';tati0.•^: Clearance Y -TT •�jT;ner - Locat3-on t Plan proved for: JcT.ia-e dispoScl Hole final for: S(o �: crater s,,;pol., •rater supply Final clearance Q.K. for: water suppl Clearance for bedroom mobile home. Other 1\•'O T7- Sanitarian .7- Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA.' 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 C9 2. I (have/have not igned an app ication for a building permit for the pr p sed work. 3. I have contracted with the following person (firm) to provide the proposed construction• Name Address City Phone z Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordiWe, supervise, and provide the major work: Address`C City Phone Contractors 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 S igr 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. NOTE: -All Materials & Workmanship Shall Be in Acegrdaae,e . with .. Recognized Good Practices and of a quality prescrilbei for the Specified use in the Uniform Bui?ding, Flura�ing & Mechanical Codes'_Qad , the National Electric -Q] —Code. � � � x 0 This set of plans and specifications MUST be kept on the job at aT times and it is unlawful to make any changes c=- on same without wriVen permissio : from the Department of- lic Works, County of -Butte A setback of 5 ft. from the property lines and:a setback: of 50ft. from the road AL ' centerline shall be clear f structures or e,quipm nt except a' for a 2 ft. eave hq. A� k �- BUTTE C OU NTY TMENT 54-U, E , �R I a cz, rh B U TT4E C BUILDIP4G DEPTAENT Pl. 71- 3 A P'P R VE I u � I CA1 �� _ �• in Ain- 1 Y 61 CA LA CA Al NTE COU MTY BUIILv KING DEPARTMEN �Pf ROVED-N qj ,oss um s �7L �• " SN�A/4Les ljEf72/,A/G = /5Ua �75F �O QRdFESS/Ge, .ti v.> SE/5 M IC A S �E'R Ca OE I _� •y Y No. C29387 �F CAL1F�y°6j 11,•ING$L b.D.D,$ WSCOII VIA._ ..�,G AND A66 ORo oAM BLVD. SUITE M $SOCIAEES OROVILLE, CALIF. 96965 19161 6]12966 qj ,oss um s �7L �• " SN�A/4Les ljEf72/,A/G = /5Ua �75F �O QRdFESS/Ge, .ti v.> SE/5 M IC A S �E'R Ca OE I _� •y Y No. C29387 �F CAL1F�y°6j 3 fOD15 FNS~ 9NG Sl, IN RISCOII PLA,...-AG lw. ROD / AND 665 ORO DSM 81.101 SUITE M ASSOCIATES OROVILLE• CALIF. 95965 19161 5D.m66 - s7-,elN661 E /.GXAo 6P30 �vAos x7= 22�/ i3e-// JP 02-41 — 4.93 �s 93 o K S h/ER 2 9,9 F roc. 79-3'9 L//yZS a is . 4; - .ucweeuwc ees o.o oer eivo �' n.wewc wovuu. c. vsves ,� (mel sss.roe. vlAi✓S - �8 , 5i �/ f16 %GN T) Leos dimenSion 1, 33 X20= 2b•�'1(7 6.5' OK sf M 4X LU�D = %Xr/�/, 33 X 32 p5 r = 320 9 9 LlS��//> �ASON2 )' 17�S�G-/L1 T•sz,BGh� - _.. .. ' . h_ - /G _ 38 Ta%�c - .- Q 2A, 2 = O 9r'b 99e ' 3223 571 .L o,�0 = 3q.� �' long Co/v�N� • 77 3,2 � 4kT� E2 T/AL s 76aZ- 3 ;BASS Tie P Z RTr :• iG „O, U 5 t�/ 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 3 APPLICATION AND PERMIT A[) ASSESSOR PARCEL NUMBER 36-06-28 ZONING ' BUILDING PERMIT OWNER RICHARD KELSO TELEPHONE 589-1648 SO. FT. OCC. BUILDING VALUATION 1st Renewal OWNER'S MAILING ADDRESS 1161 Mt. Ida Rd Oroville CA CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee (2 of Original) $ 17.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 27.50 BUILDING ADDRESS 116 Mt da Rd.,PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Oroville Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF)M Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 1 110.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [N Describe work: 1st Renewal of Permit #2787-82 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 21/20sgft TRACTORS LICENSE LAW I d Un a jury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification 1, 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 2,50 ea No N., .SID BRANCH CIRC ITS NEw CONSTFR. (POWER APPARATUS &') NON RES D. \SINGLE OUTLET CIR. z0®s0s Ex. Occup(o OR FIXTURES eAL®soc FIXED AX OR ED A PP LHS\ Ex. OCCUp. OUTLETS (RESID.). 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 W RKM 'S COMPENSATION INSURANCE t,clare u er p tAye ' ry (check one): i00 (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 shallnot 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to s e, indemnify and keep harmless the County of Butte against all liabilities, gments, costs end expenses which may in ny way accrue against said C u y in c se `e of the granting of this per t. X Date Signature of plicant — Wner Contractor ❑ Agent An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct -OP ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 27.50 OCCUP. GROUP I TYPE OF CONST. PARCEL PD 1) Iss This rmIt is hereby issued under the applicable provi- sio f the Butte County Code and/or resolutions to do ve for which fees have been paid. -OF PUBLIC WORKS woWXXPIRES � �,3^fc�Receipt PDate 9-24-84 c�()��By'Date No.WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT s 0 J,glvpl-1 -10111011 04 -"ln4 40 Inn x !tom ^^ COUNTY OF BUTTE - Department of Public Works 7 County Center Drile, 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_ abor and materials for construction of the proposed property improvement (yes r no) 2. I have/ ave not) signed an application -for a building - p or the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: /� Name 4' � 1, 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 Addres Phone Contractors License No. City, 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 S igned : Property Owner Social Securi numb r 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. PERMIT NO. 2603-79B,PX PERMIT EXPIRES OWNER Dick Kelso 'CONTR. Holiday Pools, Chico SHKO3610 36-06-28 'LOCATION .(A.P. ) 1161 Mt. Ida Rd., Oroville ' t r I Temp. Power Pole Called PG&E Temp. Eleaa Serv. Calllid PG&E Temp. Gas Serv. Called PG&E JB VINALED (Date) ., j (Signa re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Subpanels j2 G v PLUMBING Setback Firewall Soil Piping Heating Forms Parapets 1st Floor Temp. Pole iNettrBtdg? Restroom Finish 2nd Floor Interior Lath Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings handicar pehysically ` Conformancdde of ex. Appliances Gas Piping & Temp. as est Slab F I n lS o Patio t.FIREPLACE anal % f7 Footings Footing ELECTRICAL Masonry Walls _ Throat Rounh 7 ZO '7f FIDE SPRINK btucco Final Subpanels j2 G v Mesh MECHNICAL Gird. Fault Prllot. /Y XCJ Scratch Heating Service Brown Cooling Temp. Pole Finish DuctsUnder round Interior Lath Ventilation Permanent Door Closer I Final inal MOBILEHOME UTILITIES ------------------ Elec. Ser ' e Pedestal Water Piping Sewer Gas Piping E )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS GUS>'tP .:'-7- -t �/d�o'� &D ox (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARi'MENT OF PUBLIC WORKS 7 County,Center Drive - Oroville, California 95965 •' Vrelephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Date Signature of Permitee or Agent Receipt No. -g, 3 -70 3 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. DIRECTg.Q OF PUBLIC WORKS By Date i���l 7 Building permit expires Date I BUILDING /11 Owner SO. FT. OCC. BUILDING VALUATION Mailing Address © C, Telephone No. Contractor 01— s Mailing Address `% /155,6;'Al Ave Fireplace Total Valuation e? /00 Q"' C CO Tel hon ?'�y- S%� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee t✓G PLUMBING No. @ FEE Ov6 G �_ PERMIT FILING FEE $3.00012 ' Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3G - Q `j " 8 Zoning & Planning Water piping 1.50 ,S Each gas water heater or vent 1.50 F&d-sl W.eT S Wiion I Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. I nRec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW JZ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Uo Main service 1000V OR L AMPOR 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others'M Main service EA. ADD'L 100 AMP 2.50 J` //�/�-C /V/J//G 5 W/Jy /yG Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DWEACCLBLOGS.LING Ccup. Y\ 22 sq ft // 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: ��n QOL�UAY //�OOG-! NEW CONSTR MULTI.OU L T NON -REBID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS a NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES5 L� FIXED ALNS Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 20 9' 322 Classification C-5-1 Misc. Wiring L ,L L' 6.25 �. T NIA1 o focL ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ IT MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. MI 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Date Signature of Permitee or Agent Receipt No. -g, 3 -70 3 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. DIRECTg.Q OF PUBLIC WORKS By Date i���l 7 Building permit expires Date I