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HomeMy WebLinkAbout079-330-004BULL 1255-Mt.Ida.Rd, Orovill'e 21-83P(solar-wtr htr)SE��� Ft ;re3-1-83B(reroof/SF) q/a3 f;-�rmit��1467-84B,P, addition/SF) Permit#1383-85B enewal/1 67-8 Perm 292-861B(2nd renewal/1467-84) i 1®; _ � l PERMIT NO. ' 1467-84B.,�P,E PERMIT EXPIRES • OWNER A. T'. BEALL D CONTR.. owner ASSESSOR PARCEL 36-0627 LOCATION 1255 Mt. Ida Rd, Oroville 4 Temp. Power Pole Called PG&E Temp. Elec. S Called P( Temp. Gas Sei Called PC JOB FINALE[ Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready T MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 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 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 4=OK 0 = Not DK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � , Date UNDEBFLOOR PI s OK exce t#'s Date FRAMING •inued VZ oning requirements—Setbacks—Easements erty Line Firewall & Openings Lge�Ftg, Main; Soils—Steel—Elec. Grnd.— / /" Ftg. Depth 4 xt. Do rs—One 3' Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils—Steel— / /" Ftg. Depth M S r , Width—Headroom-Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel= /' /" Ftg. Depth 5V P wood on Roof Overhang—Attic Vents—Rafter Outriggers temwalls, Main; Steel—Blockouts—Wrapped—Slab 52,/Siding—Nailing—Veneer 6. Ste walls, Garage; Steel —B lockouts—Wrapped—S lab 5a__94eceu-ffesh—Drip Screed—Fdn. Vents—Underflr. Access 7. ers—Fireplace Ftg.—Steel SArRtatln rea—Glass Protection—Skylights—Plastic V.: Fall—Fittings—Test-2 way C/0—Sewer Test alts; Nailing—Bolts s Pipe; Size—Anchors _ u, Water Pipe; Test—Anchors—Regulator—Service Test 11. Electric; Underground 12. P enums & Ducts; Clearance—Material—Support—Ins. fZZ —,*4p/ Girders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date and -BI Date Card -BI Date Card -BI ' Date Card -BI Date Card -BI Date Cja -BI Dat9& Card -BI Date Date F L (Plans) OK except #'s Card -BI Dat Card -BI Date Date PLUMBING(Permit) OK except #'s ( 6. Ext. Steps—Door & Sidelight Protection—Landings §7 •13makeBetector 1 Wat Ht.; Vent—Access—Combustion Air 58--Famace;-Hents—Clearance—Comb. 59. Air—Connector- In Garage; Above Floor—Ducts—Mech. Protection -BedTQOTPrExiting 1 t ipe; Test & Anchors—Nail Protection 16 .V.; Test—Fttngs & Anchors—Nail Protection 1.7—ftower-Pen; Test, First Floor—Tub Access 6f)�ath Fixtures &Tub Access est Tub & Shower, 2nd Floor—Tub Access 6�ec. Trim & Subpanel; Breaker Si, es—L e s s 1pe;'Size & Anchors —62. Stairs & Rails 63. ' earances-Hearth 64. E4ea.-0a4ets-at-Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _ 65 d.—Air Gap—Cooking Clearance Card -BI Date Card -BI Date Date ELECT. L Permit OK except #'s 66 a eptacles at Kit. Counter 67. raraga F��a nap-,.S,.ing—Landing—Closer —Damper i re & Transformer Clearance—Ins. Protection 69:.Wtr. Htr.; Vents—Clearance—Comb. Air—Connector—P. .— ,(n Garage; Above Floor—Mech. Protection 21. lec. Receptacles Spacing—Lights & Switches at Doors e es & No. of Conductors—Stapled N6 71. Pl es arage; Listed Elec. &Mech. Equip. Listed for Location F.I.)—Romex Protec. ex Installed Close to Edge of Studs & C.J. 2 Equip. Ground made up w./Mech. Fasteners—Bond Gas & Water 72, coked in Attic E) Yes lance Circuits in Kitchen &Conductor Size 73. Rails &Deck Construction—Post Caps Subfeed Wire Size / gaGFer AI—A.C. Wire Size / / ga. Cu or AI Fdn. Vents I Hole r—Drainage &Wood -Earth Clearance Looked under Floor es _ZZ__Rengtr'CTrc. / / ga. Cu or AI—Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes❑No 75. Following instld.: Drive es ' ❑ No; Walks es E3 No; Planters as❑No _28_4ervice=Riser Conductors & Ground—Main Disconnect 76 r29--EgGip. Clearances; Panels—Motors—Mech. Equip. 77,mt; isc ces—Brkr. & Cond. Size -115V Outlet _30__C4othe5'Closet Light—Shower Light 8, Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. 79. gp, Plumbing 15 dor r� r r,F I. Receptacle—Underground Card B -I Date Card BI Date 81. . Ve ut House G Card B-1 `' Date Card -BI Date Date MECHANICAL (Permit) OK except #'s r GBucts; Insulation & Support 83. Correcti s from Previous Inspections 8 4. s st—Meters Tagged; Gas—Electric 5. Wa er & Sewer Connected—C/O to Grade—HD Approval Fan; Exhaust above Insulation nsate Drain & Overflow; Size & Grade Energy Compliance Certificate—Other Certificates 34._.Euw.we=V`ent; Access -Comb. Air—Return Air Vent -115V outlet 3 ccess & Platform if Furnace in Attic Card -BI Date r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI 1 Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAM NG Pla s OK except #'s 3 Si+1"s; FEpper Material & Anchors 37c W S s—Nailing, Spacing & Bracing—Plates—Sound 38 ar' g W s over Girders & Floor Nailing 3 f op in Walls (rat proof) 4V5,fre Stops; Furred Ceilings—Stairs—Chases—Tub 4 Hea er Beam—Size & Bearing _4.—Post Caps—Anchors—Connectors 43 I . Joist—Rftr. Ties— Purlin —Roof Brac.—Truss_—Shthng.—Rfn_g_. ace Ties or Type A Flue—Fireplace Throat 4 Attic Access; Size & Romex Protection—Draft Stop—Ins. Baffles rm. Windows or Exiting Doors—Sill Hgt. & Dimensions VZ,._Garetje Fire Protection Framing (NOTE:Anentrymust be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r.f � � '•`�, r � i. � c.-. � t i.,w_'3C � t.�.,. � '�t4 rh �a � F't w..�, � V Inspecto�Q�W''<Date=/1 ;L 3 f a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7, County Center Drive - Oroville, Cdlifornia 95965 - Telephone 916/534-4541 APPLICATION 'AND PERMIT PERMIT NO. 1-4Z__1S1d 17414 ASSESSOR PARL NUMBER_ 66� ZONING BUILDING PERMIT OWNER (� T- T.€ PHONE � 1 FT. OCC. BUILDING VALUAT 0 /S'0. OWNER'S MAILING ADDRESS ^ r��VvVVi.(/`t -5 t./(/ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ► UNKNOWN Total Valuation $ 7275,06 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ :S�51 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ la,71Sd Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS p ^ �i'h/IV/•j `_/tlAu PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Jjo - Water piping 5.005,0-0 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 5,00 Gas piping system 1 -5 outlets 5.00 ,(}� USE OF STRUCTURE SF a� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 1 110.00e TYPE OF WORK New ❑ Addition � Remodel ❑ U i lities ElInstallation❑ Other ❑ Describe work: h 1171 — A� ,Iy�.f,V ir►` 1`. Permit Fee $ 21r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ONEW CONS.R ADDNST ( ACCL�IAgf.'�CCUP.&\ / 21/20SQft /\ V CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea • NEW CONSTR. POWER APPARATUS & NON.RESID. ( SINGLE OUTLET CIR. 1 4 20050a OR FIXTURES eAL®aoQ Ex. Occup(o XED FIXED APPLNS, OR A 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 FiIingFee 1P,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. INI 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg ts, costs, and expenses which may in any way accrue against a cons qu ce of the granting of this permit. c9 ' X Date Signature of Applicant — Owner El Contractor E] Agent ❑ lf 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 $ 0 TOTAL PERMIT E $ 2 /o, Oc Cu P. GROUP TrP OF C NST. V PA EL P ND 159 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By B PPAIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DatA ,� -�y ync— 1 Receipt No. 41 WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF'BUTTE - DEPARTMENT OF.,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER"DRIVE - OROVILLE, CA41 ORN1A 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET n Permit No. • � �_ OWNER r� 1� . A. P. No. — G 6 2 % Proposed Building Use Sad. K. a�tV OIl i;�t�1d0� ,4�r} iJ Permit Fee •Based Upon: Complete Contract Price IJ DPW Valuation /' ,� Other (Explain) / Building Inspector At,� �.6�VDate 5AI g 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. 7 Statement of Inten for Non -Heated and AC Buildings. �/C 7 8. Fees of $ I � 2 . IQ . . . . . •. 9. Letter of signature authorization. 10. Sanitation approval from 5/*t4 Health Dept.. �A 44 SK 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. . . . . . . . . Pre-In17. Pre -Inspection for a red- Build' ec. request to p , ,) � / I q Buildin Inspector (Date) YVI 18. Other_ ' ^" . s s When you issue the permit, process as follows: I/ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant/ 7/, i� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desig Own r) was advised of above required data by Telephone Mail Other 6.1, By Date Plans checked by i ilai / A Date Plans approved by I IVJV Date Other: Copy—DPW 31a, t �. J � . '�- .. v - r, f Ci!.' . .i� �J ter,+•, r. ■ _ ��...� %�� �i.'i"��� 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 mat rials for construction - of the proposed property improvement (yes or no)�s 2. I (have/have not) 1/ *[/f' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: 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 Address 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 Signed : Property Owner Social Security number Date 57, 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. ENERGY SHEET FORM 7 FOR t ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. o1 "8 PACKAGE "A" (Additions) NAME A •r (eek -- JOB ADDRESS 125'5' tit''• IDIS TYPE OF WORK ADD LAUMbP-i RD•1 0 120 IL.LE SQUARE FOOTAGE Existing Residence New Addition TV; New Total y The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions,. converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. INSTALLED APP L I E- 57-0 NEW AREA CEILING R-30 WALL R-11 FLOOR R-11 GLAZING ,65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. LOOSE FILL INSULATION (Density) -38 -1� R 9 R. 7 �65 INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *. rd ENEEM C ❑ *2 HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ty4STIWA Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector collector tilt rated y -intercept Other '1 (describe) (B) Cooling �i���JT�1V� Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: I� Heating: Winter design temperature 7 0 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California AdminAr,15,�on Code. SIGNA URE OF BUILDING DESIGNER OR APPLICANT f, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 CoOnty Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. ASSESSOR PARCEL NUMBER 36-06-27 ZONING BUILDING PERMIT °N .Ef. Beall SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1255 Mt. Ida Rd., Oroville CONTRACTOR'S NAME nwnpr TELEPHONE lst renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 6a :y $ 27-90 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT CHCT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 1255 Mt. Ida Rd. 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 [ 1 Duplex ❑ Mobi lehome ❑ Other add _ SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — 1st Renewal Permit #1467-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21h¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and Professions Code and m license is in full force and effect. Y 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 thisreason NEW CONSTR. LTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUIT S IRC ITS NEW CONSTR. POWER APPARATUS & NON.RESID. %SINGLE OUTLET CIR. Ex. Occu 20@50Q P�o OR FIXTURES gAL@300 FIXEEDD AXPP LNS. OR A 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 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 $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, and expenses which may in any way accrue a ainst sa' in c quence of the granting of this permit. s/�ro,� X Date C Ignature of Applicant — Owner Contractor El 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 $ 37.50 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD 19911E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRECT PU LIC WORKS BY Dat PERMI EXPIRES Date 5-18-86 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT W41 I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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 mat rials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) 964- signed an application for a building permit for -the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 1, J (- / 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: Address h I ,c►.1Q-' Phone --t Contractors License No. C ity 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: Property Owner A; Social Security number Date S — 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. ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive - OroviIle, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 36-06-27 ZONING BUILDING PERMIT OWNER A.T. Beall TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1255 Mt. Ida Rd. Oroville COi.LT yCTOR'S NAME TELEPHONE 2nd renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace C-CL7i152 RUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee @ � FEE $ 27.50 lyFiAT ECT OR ENGINEER LLll��ll�� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 37.50 PLUMBING PERMIT Filing Fee 10.00 1255 Mt. Ida Rd. Oroville Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ DDuplex[]Mobilehome❑ add. Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2nd renewal of permit #1467-84 (1st renewal #1383-85) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pena y 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 1, as the owner, or my employees with wages as their SOIe 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 thi eason NEW CONST. DWELLING OCCUP.yd , New DCONSTFL AUC ) hQsgft MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CM. / / Ex. Occup\OUTLETS OR FIXTURES 20050t °ALvao FIXED APPLES. OR EX. Occup. OUTLETS (RESI D,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. Isd I shall not employ any person in any manner so as to become subject Jam► 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ments, costs, and expenses which may in any way accrue Inst I in co nce of the granting of this permit. V— Date �„! _� Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 37.50 OccUP. CONST.TYP! FLOO771 ND 159UE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fee have been paid. IRE F PUB ORKS ('_11t C2 V y Date.` PERMIT EXPIRES Date 5/18/07 Receipt No. (J WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 6. 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 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. 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 work. 3. I have contracted with the following person (firm) to provide the proposed construction: 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 Address 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: Address Phone ,n Type of Work %t_ O ��i� ��1%Qrr //S'- �iP/� _ r� %�.�t "V' /id 1/�`t Sly_ ft d wlA, r Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19,831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Qaliforwa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _i " ZONING BUILDING PERMIT OWNERT TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME (� ;. J.. /- it TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /1 UNKNOWN Total Valuation $ /1r. CL • L'. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER + i, t4 ' `-�' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Permit fee $ BUILDING ADDRESS ' ' j :1 j PLUMBING PERMIT Fee Filin Fee 10.00 Filing Trap 2.00 Solar Water Heater 20.00 _ 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 2' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities,❑ Installation❑ Other Describe work: { L' ice'"r ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21hQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): ElI 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 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 ULTI.OUTLET 2.50 ea NON.R ESID BRANCH CIRC ITs NEW CONSTR. POWER APPARATUS .&') NON-RESID. (SINGLE OUTLET CIR. 20®50t Ex. Occup(o TS OR FIXTURES eAL030 FIXED APPLNS, OR 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 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 in consequence of the granting of this permit. X i Date Signature of Applicant — r Owner ElContractor ElAgent❑ 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 $ v OCCUP. GROUP I TYPE 01- CONST. PARCEL PD ND 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ( .' DIRECTOR OF PUBLIC By " ... PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DE N'T OF PUBLIC WORKS 7 County Center Drive - Oroville,199 orn a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �7G 3 ASSESSOR P RCEL NUMBER - ZONING BUILDING PERMIT OWN R • T /3 E.4 J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A. RESS CONTRACTOR'S NAME Vw/w l.i� tL� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE�;�� UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING AD ESS Permit Fee $ �j-Gtp ARCHITECT OR ENGINE LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILpjc S DRESS % P-12 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 I�QV �LL� 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 EJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other Describe work: — m F P '? Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS 1 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20Sgft 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 nlicese is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.LTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. 20e50t Ex. Occup(o OR FIXTURES 9AL03O IXEDTS EX. Occup. OUTLETS P(RESID )R 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 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 liabilitie judgments, costs, and expenses which may in any way accrue against sai con nce of the granting of this permit. 7_.s•,' ci� X Date a- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -V ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL Po HD ISSUE This permit is hereby issued under si sof the Butte County Code and/or rk i dicated above for which ECTQA OF PUBLIC PERMIT EXPIRES Date�� the applicable provi- resolutions to do fees have been paid. WORKS % r g3 Date r7- J Receipt No. / l 7 inG5-B� C/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 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 mate als 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 work. 3. I have contracted with the following person (firm) to provide the proposed construction: 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: Address `" 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 Signed: .Property Owner Social Security number 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. r 9 Permit#2221-83P A.T. Beall COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI10N AND PERMIT ASSESSOR PARCEL NUMBER "-( ZONING BUILDING PERMIT OWNER _ . /I I f: L f-. I C_ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME % ^ 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. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 0 ! i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 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 ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00@ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q' Describe work: ' ' ' " /-�— Permit Fee $ = Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p � y (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 ❑ 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 2.50 ea ID BRANCH CIRC ITS) NEW CORr NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIS. 20@300 Ex. Occup(o OR FIXTURES SAL@30Q FIXED APP LHS. OR ` FIXED A 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 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. ❑ 1 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 shal I 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 in consequence of the granting of this permit. X'- Date Signature of Applicant — 1 Owner ON 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 $ =L OCCUP. GROUP I TYPE OF CONST, J1ARCFLJ7.. I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which r DIRECTOR OF PUBLIC r By r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. t-' /[ L WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA EL NU BER lo_C?� _Z7 ZONING BUILDING PERMIT OWNJR$C-,4t IF SQ. FT. OCC. BUILDING VAkUATION /�✓J AIL RESS / , ,On IZV CONTRACTOR'SNAME 4 TELEPHONE CONTRACTOR'S MAILING ADDRESS FireplaceIf CONSTRUCTION LENDER UNKNOWN d� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEE MAILING ADDRESS Permit fee $ SS BUIL1�D ADDREA-17-�� 5s rD PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 , Ra 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 i� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ /�tji�litie ❑Jnstal la ion ❑ Other Describe work: t�4 `� �� LG Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft 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. 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 (MULTI -CUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR f POWER APPARATUS &'1 NON-RESID. SINGLE OUTLET CIR. / EX. QCCUp(OUTLETS OR FIXTURES BA 030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilit' ud ents, cqs4, and expenses which may in any way accrue against C in Mnce of the granting of this permit. �� D� X Date d C! Signature of Applicant — OwnerK 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 $ 30 0-0 OCCUP. GROUP I TYPE OF CONST. JPARCFLJ PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or wor indicated above for which D RECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS - /,301r�83 Date ria Receipt No. ©/f� � WNITE-D.P.W., TELLOW'ASSC930R, PINK -INSPECTOR, GOLDENROD -APPLICANT r tr K COUNTY OF BUTTE-bepartment 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. a 1. I personally plan to provide the major labor and mater als for construction of the proposed property improvement (yes or no) / o 2. I (have/have.not)it%fL signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: 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 aIV' ,-- AYdz—W h4 --r 7203 WAfg Address 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 C/.dg_*,lb7 w err 1_77//s -77suF S igned : Property Owner Social Security number Date 6 -36- NOTE: 3dr- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 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',. -.5r ts..'M`, :., ::.: :. _'w.ur,.,,:�, ,L-'� ,.:, .. _ _.._..,L._-...:,.�."__.�`.,_. .....: »-_...=v..,...+.rs.�rr wwr+.«.n .d,as r:.M:,...w-:,+,a.•. ., --.-vu a„wx, _,. , ,. ,... ._. ,. ,rw.nx y7w nu •� - ..�nR .rvA , r .•ast +;,- rr_day. ...11 FLfi i :'rl