HomeMy WebLinkAbout005-421-013r
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5-421-13
DOROTHY DAVIDSON -.
980 E 16th St, Chico
Contr: North State Alum
Permit#2481-86B(pAtio cover/SF)
OTHY DAVIDSON
980.16th St
Permit#15 - 2'
94� ,8_�E(new tele ser/SF)
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PERMIT NO. 2481-86B
PERMIT EXPIRES D ��
OWNER DOROTHY DAVIDSON
CONTR. North State Alum, Inc.
ASSESSOR PARCEL 5-421-13
t: LOCATION 980 E 16th St, Chico
{
Temp. Power Pole_
Called PG&E _
Temp. El— S-,-i,-
Called PC
Temp. Gas Sei
Called PG
JOB FINALE[
Signature
J = OK'
0 = Not OK
- = Not Applicable
:k = Not Ready
RESIDENTIAL LSi,ngle and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
_
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
___3.
Ftg., Garage: Soils -Steel- / - /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -landing -Fire Protection_--_
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main: Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab'
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_
7.
Piers -Fireplace Ftg.-Steel
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
_
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric: Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
-
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Card -Bl
Card -BI
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe: Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub -& Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Date Card -BI___ Date
Date Card -BI Date
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Card B -I
Card B -I
20.
21.
22.
23•
24.
25.
26.
27.
28.
.29.
30.
-
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
.Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes 'No _ _ _ _
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances: Panels-Motors-Mech. Equip. T
Clothes Closet Light -Shower {Light _
- -------_ -
Date Card -Bi_ _ Date _ - __-
Date Card -BI Date'
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
-
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive E] Yes [3 No; Walks ❑Yes C] No;
Planters❑Yes ❑No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81,
82.
Ventilation throughout House
Glass Protection
Date
MECHANICAL (Permit) OK except p's
83.
Corrections from Previous Inspections
84.
Gas -est-Meters Tagged; Gas -Electric
Card -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts. Insulation & Support _ _-_ _-_
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow: Size _& Grade _
Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet
Attic Access & Platform if Furnace in Attic
~ _
Date Card -BI Date _ __
Date Card -81 Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
-
--
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Com: ients at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills: Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings-Stairs_Chases-Tub �•
Header & Beam -Size & Bearing '-T--
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss=Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Anic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -
Garage Fire Protection Framing -
_ -
-
T
-
(NOTE-Anentrymust be made each time youvisit jobsite)
V=OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date DE S, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
ning Requirements—Setbacks—Easements _
2. Soils; Special MH Support—Sketch
. F="mjy; Si —Depth-Spae+ag=Con ctors _
3. Sewer; Location—Test—Fall-C/0—Concrete
3"DRS-@}rders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
o — ftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
_
. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6+ 6e,peiks, Windows—Doors _
7. Utility Clearance
Card -BI
Date Card -BI Date
Card -BI S.K Date) 3/�'b Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI Date Card -BI Date
Date POOLS (Plans) OK except #'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
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI Date Card -BI Date
COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS
` Y 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. /
l
ASSESSOR PARCEL NUMBER
5-421-13
ZONI
BUILDING PERMIT
OWNER
Ibrot Davidson
TELEPHONE
2-62
,SQ, FT. OCC.1 BUILDING VALUATION
10.00
•
OWNER'S MAILING ADDRESS
80 E. 16th St. Chico. CA 29
/1 Z 940
CONTRACTOR'S NAME I, -
North State Aluminu -Inc. '
T:ELEPHONE
6,
Y
CONTRACTOR'S MAILING- -ADDRESS-
2 E Chico, C 26
Fireplace
LEND
CONSTRUCTI N E
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
L NDER'S MAILING ADDRESS
Permit Fee
A CHITECT OR ENGINEER
Gordon H. Klipml
LICENSE NO.
654
Plan Checking Fee
d$
$ 15.00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1525 U St., Sacramento CA 95818
Permit fee
$
BUILDING ADDRESS
80 E. 16th St. Chico CA 95928
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 e
TYPE OF WORK
New Addition El Remodel❑ utilities Installation❑ Other EJ
Describe work:_ Installation Of 61 prof. 421 _
��1
aluminum patio cover.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS Main service
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. SLOGS.
1
2/20Sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑X 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..
'j (� /
License No. 421499 Classification +• C-bl1 C-43
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR ULT' -OUTLET 2,50 ea
NON -RESID BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS &\
NON-RESID. SINGLE OUTLET CIR. !
Ex. OCCu ZD®sot
P�ourLETs OR FIXTURES 6AL®30
EX. OCCU FIXED APPLNS. OR
P• OUTLETS (RESID,) 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.
❑ 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
Hood 3.00
Ventilation
r - r ,
Permit Fee �i}►'; ,, I ,Tl�Li $
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 aid Co ty in co seque a of the granting of this permit.
X8/20/86
5 ature Applicant — Owner ❑ Contractor ❑ Agent ®
An OSHA permit is required for excavations over 'I d%ep and demolition or Construct-
ion of structures over 3 storie in height.
Mobile Home Installation Fee
1.515,
TOTAL PERMIT 'FEE
OCCUP. GROUP
I TYPE OF CONST,
I KA2:E,rPD
ISsufi
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—
Date%— '7—)Pt-
�O�
/0—�"
r
Receipt No. LJ
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPE R, GOLDENROD -APPLICANT
9861 19 ON,
SNdOM onend d0 '! d3(]
311nC- :10 AiNnoo
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS - BUILDING�DIVISION
7 COUNTY CENTER DRIVE- DROVILLE; ICAIFORNIA 95965' - TELEPHONE: 916/+,5384 4541
PERMIT APPLICATION DATA SHEET
lPermit No..
OWNER 0eo-f `' V HCl SOrI 1 rr A. P. No. 67-
Proposed Building Use O tJ& —
Permit Fee Based Upon: Complete Contract Price _DPW Valuation. ,-
0th =(Exi .
Building InspectorA�l Date 4�Il '" "
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED '!AP6ROVED-^•-
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. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . .
_-&&Statement of Intent for N Heah and AC Bu' S. .
Fees of $ 9 'jL1
*Sanitation
etter of signature authorizati
approval from �' .1 C /7Health Dept.
/ &V_(VM
lanning approval for (A) Use: `-' (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
X 13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to ownerEl)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to (Dote)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: ivlail to owner. Mail to contractor.}'
Telephone and hold for pickup at office. - Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data m st be submitted prior to permit issuance.
(For required items not checked above at f application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
o tractor signer, Owner) was advised of above required data by
By
Plans checked by _
Plans approved by
Other
Copy—DPW
elephone.,'* a Mail
Date _
Date
f�
. i•
elephone.,'* a Mail
Date _
Date
TO: Building Department
FROM: Environmental Health,
1
C}� co Ojffice
SUBJECT: Sanitation Clearance
D Ehii
rN
Owner
Location
AP#
Plan approved for:
Sewage disposal
Water
Supply
Hold final for:
Water
supply
Final clearance O.K. for:
Water
supply
Clearance for bedroom
Mobile home House
Other
Note***
o ^ �_
Sani arian Date
:. -DATE: � �(�'� � PLOT PLAN FOR PERMIT APPLICATION THROUGH � U�-fi� ���►'� l u
.. a
y _ NORTHSTATE ALUMINUM, INC.
`. .s 3029A Esplanade • Chico, California 95926
Telephone: (916) 343-7956 (In Paradise: 872-4013)
LOCATION ADDRESS: if 0 'P*. l6 i- , SI-• t- 1%.; ccs PARCEL #
�' ••'r
OWNER: Dy r oj-4 DCA. y iJ_Sc/V!
COST OF JOB:
`: MAILING; ADDRESS• 98a E. 16+ , S-1•:, Ctlicro C(A 95`I Z
?' WORK TO' BE!PERFORMED :_ (�,y e_r
;;s• This ` " ped ��in-MUSTb '
se"v. � ns an
;
_._ t._
•dept on Elie io !
k;'mal�e anly�c}i qq�Q terdtions on sad a withoui� ^ ` { '-A
` t -
4 rvri0en �rr'ir..i n t1rom, the Department of Public; ;NOTE All IVIa#enals A-Workinanship Shall Be in
» i 1" ' '� `""T " �" "' Ad6or4 ce with' Rucognrzed -Good Practice • and
VM!or'lcs,ouny of'lBute i
ss
of .a quality prescriUea for. the. Specified use n the.
s • ' j :. f i �� Uniform Building, 'Plumbing &Mechanical Cods and
�' •; ,t �, .:,_ ,� {_ _ j__ i �..�. r__ the`Nctionol Electrical Godo: _ ... !, • __�
i__ _..w4A sefbadc of 5 ft: from the
prdperty fines and a -setback
:of. 5IIft.. fram tbe, road
centerline shall be clear of
J.
' structures or equipment exc p
for a 21t: eave overhang.
.�� /• i I R u r `
10 6
s+ o
sit i - i _ti i ..�.a ' �.1'Fy`o _fey � �✓ ;
;';r� • .. �...�;-,::w,:.... • _,a_ .ice � ._.�,,...�.l.r..M .�... � ... _ __�_._. ..... _. m.ti., . _ _ ...�. ....._ ._.. _, ...._. ...
BUTTE COUNT)
UIL !NG DEPART ENT"
r j ���i.~ i _ .•.1:....,`�...- 'j--- � -'
�7r.� ars 1i •'F,1D l _�..- t p. }L '� .f'.� {�'� _� T.._ !..,_l. .1 _ _ • /r
OFFICE COPY
Address �A Q
p
F
G.Ag_ ,. e S,k Date
a` Metei7ty'..;
ELECTRIC Date i
Meter By
Y
1 - -
5 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
f: ?County' .Center Drive - Orovil le, California 95965 - Telephone 916.4534-4541
APPLICATION -AND PERMIT
PERMIT•N0.',
ASSESSOR PARCEL NUMBER
—/% 0
ZONING
BUILDING P
RMIT
OWNER -
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
+rIV
OWNER'S MAILING ADDRESS
r r� /�= .7 4t �llr•� iu_r(
..
CONTRACTOR'S NAME
TELEPHONE,.!
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
'l,�•t
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
F
Permit fee
$
BUILDING ADDRESS S
't Or
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 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other l
Describe work:
,, Hirci...
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR L
Main service 100 AMP ORSLESS
10.00 t 1,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
Zth0sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9Div. 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 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.
EX. OCCUp(OUTLETS OR FIXTURES 9A 50
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 IA -60
Permit Fee $ya
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
0 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 County of
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, 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 — Owner 0 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition Or construct-
ion of structures stories in height.
Mobile Home Installation Fee $
r /10
TOTAL PERMIT FEE $ s0.
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
I ISSUE
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�i
�' Z/- -7� �
{over
/3
"1 ry / f �f ? [ /
Receipt No. _/ i - • ;1 "
WHITE-D.P.W.,'YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V•
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER `—PLrRIQ NO.
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.
/7 &W2g&2!5: / �of
ffcCtld
Inspector
M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND'PERMIT
PERMIT NO:
ASSESSOR PARC
(_LeUU/vim
- —
046 _
R
BUILDING PERMIT
OWNER
P040LO pr_
TELEPHONE
gq!; --gcl�I
SO. FST. OCC. BUILDING VALUATION
/�t3G
OWNER'S MAILING ADDRESS
80 All _
CONT ACTOR'S NAME
TELEPHON
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 \
p L le, — i
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Z Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W I
10.00e4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑th r
Describe work: - –
/t� /,w- (fQr�/Qj ,Uy��/���-``-
A/'�"`'
i.w •'Iw
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee, 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00 a,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.&`
OR ADDNS. % ACC. BLOGS.
,
/ 2 0sgft
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
NNEW O CONSTR.MULTI H CIRC
BRANTITS 2.50 ea
NEW CONSTR. POWER APPARATUS .&)
NON.RESID. %SINGLE OUTLET CIR.
Ex. Occu 20®s0c
P�o OR FIXTURES 9AL®ao
FIXED A
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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
i 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 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
agains said Count in consequen a of the ranting of this permit.
X O? / c+�v�-L Date
r�/�
Signature of Applica t — Owner 41 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 FE $ 50. (in
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
I ND ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTJOR OF PUBLIC
By
P01-1/'EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 17VZ(9q q41169
WHITE-D.P.W E OR, PINK-INSPEC R, GOLDENROD -APPLICANT
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