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HomeMy WebLinkAbout079-390-043Lill TU BERGLijNff 4225 Foothill Blvd,' Oroville O%Ww"Wo Permit #3551-85P,M(install new/gas -390 futnace)SF -74 Permlt#31411-8-�Pf.� ,line & w,ater Ikeater Termit#2198-91B (rebuild port roof, reroof 30.q) -Z 14LI-7 r RESIDENTIAL, - - 2 36-32-43 198-91B F. BERGLUND, Harold 4225 Foothill Blvd, Oroville (rebuild port of roof, reroof/sf) JOB FINALE Signature J=OK O = Not OK Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s / 1. Zonino Reauirements-Setbacks-Easements 2. Sails; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings', Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. ELLANEOUS Date DECK , CAAPORTS, GARAGES, Plans OK except #'s . Z uiremen ts-Setbacks-Easements 2. ; Soils -Size -Depth -Spacing -Connectors -Steel y 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electri ,,S-117 -mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit _ 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready . ,RESIDENTIAL C! ' = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope '- 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor - 1 - Nail Protection ------------------ -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- - -------------------- 19. Shower Pan; Test, First Floor -Tub Access ---------- - ------------------------- 20. Test Tub & Shower, Second,Floor-Tub Access ------- ------- ------- -------------- 21. Gas Pipe: Size & Anchors -------- -------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance - Ins. Protection ------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ----------- ------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------ ------ ----- _ 25 Romex Installed Close to Edge of Studs & C.J. 26. Equip Ground made'up w!Mech. Fastners-Bond Gas & Water ----------------------------------------------------------- 27. 2 Appliance Circuls in Kitchen & Conductor Size/GFI -- ------------------------------------------------------------- 28. Subfeed Wire Size 1 i ga. Cu or AI-A.C. Wire Size ! J ga. Cu or At - ------------------------------------------------------------------------------ 29. -------- ----29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------- ----------------- -------------------------------- 31. Equip_Clearances Panels-Motors-Mech. Equip. ------------- - ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------------- 33. Smoke Detector --------------------------------------- ------- ---------------------------------- Date Card B -t Date Card -B- 1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------ ------------------------------------------------------------ 36. --Condensate. Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ------------------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------ - --- --- -------------------------------------- Date ------------------------------------- Date Card B-1Date Card B-1 ------------ ------ - ----------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- --------------- ------------- ------------- ---- ------- ------- 41. Bearing Walls over Girders & Floor - Nailing - --------------------------------------------------------------------------------- 42. -Draft -Stop -in- Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----- ------- ---. ------------------------------------------------------ 44. Headers & Beam -Size & Bearing "0 v Tingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46-Cing• Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing=Bolts ; 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------- ------------- _Date _____ _Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's I Ext. Steps -Door & Sidelight, Protect ion- Land ings 62. Smoke Detector j --------------- 62. 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting j --------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa T 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails I -------------------------------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------- --- - 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------71.-Elec.-Outlets & Receptacles at Kit. Counter ---------------- - - 72. Garage Fire Door: Swing -Landing -Closer 73.-A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meeh. Protection -------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------ - 7. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish ----------- -------------------- - 82. A_C_Unit_DDisconnect. Electrical, Plumbing - 83. Vents Above Roof:.PIbg.-Appliance-Fireplace.-Clearance to Openings ------------- - 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ------------------------------- - - 86. Ventilation Throughout House --------- -------------------------- 87. Glass Protection 88. Corrections from Previous Inspections ------------------------------ ------------ 89. Gas Test -Meters Tagged: Gas -Electric - -------------------------------- FF -- 90. Water & Sewer Connected -C/0 to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates ----- -------------------------- --- -- 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: JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County CentOr Drive - Oroville, California 95965 - Telephone: 916/538-7541 1 1.ZZ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-32-043 aONING ARMH-5 BUILDING PERMIT OWNER Harold Ber lund TELEPHONE 589-3317 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 4225 Foothill Blvd. Oroville CA 21 Sg 1,260 CONTRACTOR'S NAME Owner TELEPHONE est 2,000 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 3260 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee 32.50 $ 16.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING. ADDRESS Penalty $ BUILDING ADDRESS 4225 Foothill Blvd Oroville Permit tee $ 70.75 PLUMBING PERMIT Filing Fee 10.00 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 `%' SPECIFY Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [ Describe work: Rernnf nnrl Part; al neer roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElI am licensed under provisions of Chapt. 9, Div. 3 of the BUSinesS and Professions Code and my license is in full force and effect. License No. Classification, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.m) OR ADDNS. ACC. BLDGS: yzQsgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea POWER APPARATUS tr SINGLE OUTLET CIR. / Ex. OCCup\OUTLETS OR FIXTURES 20®00t eAL030 Ex. Occup. OUED PR TLETS 1RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bvirin g 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. 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 against said Count in consequence of he granting of this permit. X Date 7^— % -' 2t — Signature of Applicant JOwner%I 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 $ OCC CONST TYPE TOTAL FEE *$ 70.75 HAL CUA- PARK !CHL FLD PAR I PD I HD, ISSUE, This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do workindicated abov for which fees have been paid. OI R OFIAPILUBLIC WORKS n By Date fJ s PERMIT EXPIRES ate Feceipt No, C)4438-70.75�.,HITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT yke ,. COUNTY OF BUTTE -;DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION i° 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE PERMIT„ AP96CATION DATA'SHEET a lal , ,etr /v , 916/538-7541 Permit No. OWNER e A. P. No.-2G—�.y—� Proposed Building Usen_ G✓ RQO: r1�i�o°� Building Inspector 0 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... _04=Z 2. Plot plans in duplicate/triplicate, signed by preparer of plans Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ................... ..... . 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 1. 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Maiff too r. Mail to contractor. _ Telephone 5 3-'ind hold for pickup at ice. Deliver w/inspector. Other t� Applicant Date- Copy ate Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: aaj d ' , Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by—. date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked by W Date 1 Z Plans approved by }Ri,L) Date 7b.091 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public„Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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) JJg 2. I (have/have not) J6A_,e_n2Z 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 n Signed Property Owner Social Security Number Date r1-- (- I f 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 per- mitted to issue the permit. 6:��)Zs — 9 2 iO67-� - l�E� - E7-��0 x x ��CCZ--T 6zlt OFFICE COPY Address GAS Meter By Da ELECTRIC Meter By Date 6zlt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. r - ASSF;ASOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS S, G Rl— VD fp// . CONTRACTOR'S NAME TELEPHONE t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS., Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 00 Each clas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome M Other 1 i I S SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer :d 5.00 Mobile Home I S I G JW 1 10.00 ea, TYPE OF WORK , New ❑ Addition ❑ Remodel E]Utilities ❑ Installation Other] Describe work: nG L J n to `i` U J.12 ( EJ V— _ fJrA - 1 Pi Permit Fee / $ �r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑v 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.O CC. BLDGS. , t A New CONSTP_ ULTI OUTLET .500 NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el SINGLE OUTLET CIR, / Ex. OCcup(OUTLETS OR FIXTURES 20030t IIAL03o FIXED APLNS \ Ex. Occup. OUTLETS PR (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ 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. Pshall 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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,pjudgments,lcosts,-andtexpen§es which may in any way accrue agaidst'said'County in 'cons-equence of the granting of this permit. X �) IPG+^ •-�' �Y,1.� /C - �� -/e Date ` 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 'ffi,06 occu P. Pc CONST.TY FLOOD PARCEL PD No ISSUE 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 aid. p DIRECTOR'OF PUBLIC WORKS (.•` �, r By -r,, Date �. ,. fj,y% PERMIT EXPIRES Date v�/ ) Receipt No. �il 7 ?�/ Receipt WHITE-D.P.W., YELLOW-ASSES30R, PINK -INSPECTOR. GOLDENROD -APPLICANT W 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 13 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. Inspector_�y��— I1 .__ Date COUNTY OF BUTTE - DEPARTMEN-i OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ZONING eIV7 BUILDING PERMIT OWNER 20L E N� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, CO TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD G ADDRESS AUT' G D f0 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 G Each qas water heater or vent 5.00 19 fi USE OF STRUCTURE SF Duplex[] Mobilehome] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 010 Building sewer 5.00 Mob' a Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ emodel g% Utilities ❑ Ilnstalllati n Other Cf Describe work: LJ Is L, I l7 e T a) et i r Fre — h Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): -1 ❑ 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 01 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ) hQsgft New CCONSTR.(A MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50@ BALO 30 FIXED APPNS Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 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 f 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 al gree to s e, de fy and I p harm ss the County of Butte against all i ' gs, c 9 ich mayin any way accrue a ai ai I ue o t e ran In of this permit. X c� D _ Date Signature o Applicant — Own ❑ Contractor ❑ Agent Z;/ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT. FEE $ 4e. 0o occuP. CONST*TYPEJ FLOOD PARCEL PD No seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 11-112 F PU fIA PERMIT EXPIRES Date the applicable provi- resolutions to do fee have been paid. I ORKS Dat 1171 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT II N COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLWATION DATA SHEET Permit No. // �7 OWNER Q ✓ Id !l A. P. No. C9 d Proposed Building Use 1 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1, All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans, 3. Complete plans in duplicate./triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . V. Letter of signature authorization. . . . . . . . . . . 1 . Sanitation approval from Health Dept. . 11. Planning approval for (A) Use: (B) Parking: . X 12, Certificate of Workmen's Compensation Insurance. . . . . . ZAContractor's License Information (no., name style, classif.) ' f Owner -Builder Verification (Given to owner0, Mail to owner �), —15. Improvements may be required. . . . . . . . . . . ` Mobilehome Installationjj�a. . . . . . . 17. Pre -Inspection for �� ired• Predn! �e°cre uest to _ ( °t�)Re uBuilding Inspector , 18. Recorded copy,of Agric'ultura;I-Ackno�vledgmentStatement, ,8 ,.'F( 2 acT�6 19... "Driveway/Permit. 20. Plot plan approval from city of 21. 22. Whe you issue the permit, roces as follows: Mail to�gwner, Mail to contractor. Telephone and hold for pickup atU!�affice, Deliver w/inspector. Other r� Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior 1. Index permit for above items No. 2, Additional items required: issuance: (Circle new item not checked above). Contractor, designer, o&9er, as advised of above required data by_phone---nail t: counter by date TBG Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. 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) uk_�b , . 2. I (have/have not) aaT'�_' 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 :EQ Ab Social Security Number Date I I — .) �( `k 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 per- mitted to issue the permit. L Permit #3551-85 H.R. Berglund 4225.Foothill, Oro a .i OFFICE COPY Address ` GAS Da.L`l,� Meter By +{� ELECTRIC j r Date. Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 ,r APPLICAON AD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r -S C-4 - 3 ZONING BUILDING PERMIT OWNER r le. L ��l . Y`IO �r,I�. K. iJ� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6.4 vv n CONTRACTOR'S NAME D..v /•/i s -i2.. 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 'aa F00 /-o (, / A zmcs Permit fee $ PLUMBING PERMIT Filing Fee 10.00 -)A l �/ r;,fy r O 71-+'/L L a Each Trap 2.00 r ��- 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 SWRL Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 4,00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Otherk] Describe work: iA/S//aL L. AA Gel rf?S FC41 0; f&/Z _ Permit Fee $ /3r 0 c7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ( �20sq ft OR ACDNS. ACC. BLDGS. , NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES BAL20@@3t AL90 FIXED APLINIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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. ❑ 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. 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 01 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 f I 1 Date 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $+'j OCCUP. CONST.T7 I I FLOOD PARCEL I PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR,OF PUBLIC / •. r By ,: 'r %i/� /-, ;���+ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. `' 74," WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION`AN'd PERMIT ASSESSOR PARCEL NUMBER 3 ,, - ' ZONING BUILDING PERMIT OWNERQ / i. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS} q a 5- r- i� -0 /V 4- Pc/» o/e�n CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS' Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS . FDb7-1 t- b !Ur S &,O/ss Permit fee $ PLUMBING PERMIT Filing Fee 10.00 _ _ _ A P, f /��/ /Z O ` !` 0 /SKI Z_ Each Trap 2.00 p.�. 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`fg_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 j Building sewer - 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other rgl Describe work: ��/sem/—� ��, 6f�s �U�/��/l`L _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification sation,ED 12/11 I, as the owner, or my employees with wages as their sole compen- will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ ossa (Sec owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. ( ACC. BLDGS. /20sq ft NEW CONSTR.ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t BAL030 LNS \\ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. IVI I shall not employ any person in any manner so as to become subject ni 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. Contractor 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 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 �[�/ �J r �_ j _ G� 1�-I Date a -r Signature of Applicant — Owner R• 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 $ OccuP. CONST.TYPEJ FLOOD PARCELPD KD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRETORUWORKS B61LRUI,4717D4p yj' PERMIT EXPIR S Date the applicable provi- resolutions to do fees have been paid. SS /''% / /`" -/y / �•�/ / -zc � �"`ateReceipt No. s7 � %� WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT