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HomeMy WebLinkAbout028-410-027( � ;�- WILBUR MOORE x11177 265 Dunstone Dr//, Ormdlle ' contr: Moseley & Hill, Oroville 1 'Permit #6337-75B(EQ Damage -replace � a ( fireplace/SF) 028-410-027 T 00-2519. �,.. ANDY PETERS 1�/AIR l 265 DUNSTONE OROVILLE a CONT: THEVEOSSCONST REMODEL,to �f •;: ,.fit �' S PERMIT NO. 6337-75B P E M �F MH UTIL. PERMIT NO. t PERMIT EXPIRES - OWNER Wilbur Moore `-CONTR. MOstkiey & Hill, Oroville LOCATION (A.P. 28-19-27 ) .265 Dunstone Drive, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E " JOB FINALED (Date) (S k6na re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing _ -- ELECTRICAL Masonry Walls Throat -- —7 Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final ATE D/� %� REMARKS ` r�/// /7 i OR CORRECTIONS _ A �� aV1Lt COUNTY OF BUTTE — DEPAFZ MEiir OF PUBLIC WORKS 7 County Center Drive, — Oroville, California 95965 / �2 7 75 Telephone: 534-4541 C� �J APPLICATION AND PERMIT L� BUILDING Owner Al OCC. BUILDING VALl1ATI0N *SOF Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address i Permit Fee Plan Checking Fee &/or Penalty Telephone No. ,777 Permit Fee Building Address �� �!/y1S' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 q A. P. No.f��� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 WC,,- Sai'titaTitrrr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel I Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 _�Plannss Bldg. awl ns Recd I Parcel Approval I Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �d G� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (J 26'_ Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Water t / Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No./%1t)7 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work s Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I $ 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. x `! Date i a e o ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE This permit is hereby issued under the applicable provi ions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF PUBLIC WORKS By Date % 7 Building permit expires Date C. REQUEST FOR,.E-ARTHQU.AKE 1 . CTION Date Name (last �name) (first name) Address Directions IVIS OF CONCERN: C DEPT. Telephone,6-3 3 73AS INSPECTION Date NATURE OF DAMAGE: Sal a .arc k —e� �`4L � ; � 1111.c- "0 � 0 2 /�1 �`�v vv %/ � �, alewl a A .o 175 Inspector � NOTES 0 RESIDENTIAL PERMIT NO. — 028-410-027 PETERS, ANDY 265 DUNSTONE, OROVILLE CONTR: THEVEOS CONST. REMODEL 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY t R Address Date GAS Dad Meter By - Da ELECTRIC a Meter By Date S ,1 I 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY OFFICE COPY Address OFFICE COPY Address Date GAS Dad Meter By - Da ELECTRIC } Meter By Date OFFICE COPY Address GAS Meter By ELECTRIC - Date Meter By Dad JOB FINALED(Dat U Signature = OK 0 = Not OK - = Not Applicable• MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 8. Frmg.; Sills -Anchors- Studs- Rfirs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Braced Wall Panels 1. Zoning Requirements -Setbacks -Easements 2. Footings;,Size-Spacing-Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances FINAL (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector Setbacks -Easements 6. Water; MH Test -Regulator -Connector Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval Pool Structure; Steel -Connections -Thickness Dead Men -Lining 8. Gas and Electricity Tagged Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert. of Occupancy Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rfirs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK = Not Applicable Not Ready RESIDENT14� (Single & Duplex) = Date Underfloor (Plans) OK except #'s ,Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 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-Fittina-Test-2 Wav C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 32. EouiD. Clearances Panels-Motors-Mech. EauiD. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Bearing Walls over Girders & Floor Nailing 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 44. 15. Access & Ventilation Headers & Beams -Size & Bearing 16. Insulation 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2, xture & Transformer Clearance -Ins. Protection 24Elec. Receptacles Spacing -Lights & Switches at Doors 2,§ -Sin Boxes & No. of Conductors Stapled 2 mex Installed Close to Edge of Studs & C.J. yppliance 29. 30. uip. Ground made up w/Mech Fasteners -Bond Gas & Water Circuits in Kitchen & Conductor Size GFI Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. EouiD. Clearances Panels-Motors-Mech. EauiD. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Card B-1 Date Card 8-1 Date 40. Card B-1 Date Card B-1 Date alls Studs -Nailing Spacing & Braces -Plates -Sound MECHANICAL (Permit) OK except #'s Bearing Walls over Girders & Floor Nailing 35. A.C. Ducts Insulation & Support 44. 36. Vent Fan, Exhaust above insulation Headers & Beams -Size & Bearing 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sit oper Materials & Anchors ✓ alls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywoo&6n Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66._JWdroom Exiting 67 .l. & Bath Fixtures & Tub -Access -Spa 6 ec. Trim & Subpanel, Breaker Sizes & Labels 6 airs & Rails 7 ce o Stove, Clearance -Hearth 74. 'I9o.-Aatilss at Wood Panel, Int. & Ext. 72_144 -FOC Appliance; Ground -Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter 71,456rag.e Fire Door; Swing -Landing -Closure 7 Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection pec. & Mech. Equip. Listed for Location 8 ec. ceptacles in Garage (F.F.I.)-Romex Protection la,irsuiation-Foam-Looked in Attic an QuauLQeils & Deck Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 8 lowing Instid./Drive ❑ Yes ] NoMalks :) Yes :j No/Planters :1 Yes :1 No 63.-46taccul!r n- Finish ,DR Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8b `Qete "__Disconnect, Electrical, Plumbing 8Z__Exterier c. Trim, G.F.I. Receptacle -Underground 88-YeTMf tfon Throughout House 8a.-81ass Protection 50 -Co aclions from Previous Inspections Gas Test -Meters Tagged, Gas -Electric no `--. aIgj,& Sewer Connected -C/O to Grade -HD Approval E gy Compliance Cartificate-Other Certificates Address Posted Datir Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE T .res C16- OWNERPERMIT NO. A routine insp n indicates that the following violations of butte county Ordinances exist at the above ad ss and should be corrected. Please notice this office when correction of work is compl ed. If you have any questions pertaining to this matter, or need additional explanation, plea6e contact this office immediately. -REVDate Inspector -44-- REV 10/42 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGD VISION { ' R 7 County Center Drive • Oroville, California, 195965 • Telephone (530) 538, 38 541 PERMIT NO. (Rev.12/96¢ APPLICATION AND PERMIT o `2S7 ASSESSOR PARCEL NUMBER 028-410-027 ZONING BUILDING PERMIT OWNER PETERS TELEPHONE SO. FT, OCC. BUILDING VALUATION EST 25,000-00 OWNER'S MAILING ADDRESS 265 DUNSTONE 95966 CONTRACTOR'S NAME THEVMS CONST.1533-0716 TELEPHONE cOM 7090 OPODCOUNTRY CLUB OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 25- no-oo ARCHITECT OR ENGINEER LICENSE N0. —Filing Fee $ 20.00 Permit Fee $ 252-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SafilE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 91 7.00 14 -nn Solar or heat pump water heater 23.00 Water piping 15.00 15 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel I*a Utilities ❑ Installation ❑ Other ❑ Describe Work: REMODEL Gas piping system 1 - 5 outlets 15.00 1 01 Building sewer 15.00 Mobile Home ISI GI W PERMIT FEE $ 94.00 ELECTRICAL PERMIT I Fling Feel 20.00 OOOVOR LESS Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force arl effect.apOWi License Class Lic. No. CP �L% R OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. j� 1 have and will maintain workers' compensation Insurance, as required by Section / 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S i �� -,�R+ Policy Number i7_7 F 7• 7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' pens tion rovisions of section 3700 of the Labor Code, I shall forth o pl ose provisions. X Date1JeP45>1 Sign re of A plicant - ❑ Owner ❑ Contractor ❑ Age An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so WEE200A NEW CONST. DWELLING OCC P. SO CC OR ADONS. a ACC. BLDS. 3.5¢FT. 1M.R�,pT' MULTI -OUTLET 97,50 E.R AP MT IS OUTLET OR FIXTURES 20 @ 1'00 Ex. Occup.R. BAL @ ,50 FIXI Ex. Occup. OUT R D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00123.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating DUAL 30.00 Cooling Hood 6.50 6.50 Ventilation PERMIT FEt: $ 56.50 Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ 652.30 Z. D Fels XP t� FLo_ 09 I/ CO PARCEL A PD HD su PO Q 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. By /n L'Ite PERMIT EXPIRES ON G V 7 D ate ReceiptNo. 308683 $652.30 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL ER ZONING BUILDINGPERMIT OWNER T "� SO. FT. CC. BUILDING VALUATION s � OWNERS AWU D SS V N /7 I CONTRACT O E/� TE NE O CONTRAC © ^ SD /'2V 60 L/ N :1K C v CONSTRUCTION LENDER ( Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $. J ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ a a er ARCHTTECT OR ENGINEERS M ' UNG ADDRESS Plan Checking Fee $ BUILOINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. _ SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 0.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 New ❑ Addition ❑ Describe Work: TYPE OF WORK Rem ❑ Utirities ❑ Installation ❑ Other ❑ Gas piping system 1 - 5 outlets 15.00 ( . Building sewer 15.00 . Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.0.0 Main Service 200A OR LESS 23.00 I • Receipt No. WHITE-D.D.S.-B.O. 111 C (% CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLOC. 3.50FT. NEW CONS MULTI•0UTLET NON-RES10. @7.50 POWER APPARATUS a SINGLE OUTLET CI., Ex. Occup. ovTEr OR FIXTURES ep 1'0O (4� .SO Ex. Occup. OFUXEDTS R6 DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.003 PERMIT FEE $ MECH ICAL PERM Fling Fee 0.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT L FEE $ HA2. D. FEES I I FLOOD I CDF p p0 HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Do to) :1�T'�i"'rla`��`�.-�i � � ,i f;'•-'y`-.�w�iti '`ri. �:j. ,t y 6� ,i�.��l� „T��~in���•+-..-.r-.. . C-_OUIVTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: Proposed Buh&n7g Use: Building Inspector. 'Date / •- _/ -- p (*p At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By P6 items have been submitted.------------------------------------------------------------------------------------- - 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ r ❑3. Complete plans, 3/4 sets, signed by the prepares of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------=------------------- 08. Hazardous Material Form.------------------------------------------------------------------------------= - ------- 139. Manufactured Home data and installation instructions including Tie Down Specifications .----------------- ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16.'Plot plan and business license approval from the City of Biggs. ---------------------------------------------- - ' - ❑ 17. Planning approval for (A) Use: (B) Parking: --------------------- - ----- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- _r 1D20:.Pree--inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- E123. Owner-Builder ---------------------------------------------------.❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - _______________________________ ❑24. Letter of signature authorization. ------------------------ -------------------------------------------------- El 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------------------------ '_-------------- ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------------7 029- 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ (Date) 030. Other: Wh u issue the permit, proces§ as follows"[] Mail to owner, ❑Mai o contractor. elephone and hold for pickup at ❑ - e ' er with inspector. FO "�Z -1 Applicant: Date: �� �� !JO Cat form sent ❑ Health D ❑ ' PY Department, Fire Department, ❑ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:/ 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuilB Divi io er, by Date: Plans reviewed by: Date: Plans approved by. Date Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. 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