HomeMy WebLinkAbout005-472-0054
Johnny Jantzen
2200eaurel St., lot 9, Chico
contr: Glen House Movers, Hamilton City
Perni&z4092-77B,P,E,M(foundation for move -
in & new roof & bracing, rewire & replumb
to code/SF)- x �/
i a
005-472-005 03-2206
ZEPEDA, JOEL
2208 LAUREL, CHICO
C/O ELECTRIC SERV. PANEL
•\ I
1/ou 77
%PERM T NO. 1j 4.092=77B,P,E,M
PERMIT EXPIRES
OWNER Johnny Jantzen
CONTR.
Glenn House Movers,' Hamilton City
LOCATION (A.P. 46-212-5
2200'Laurel St., -lot 9, .Chico
s
i
t .
i
r
Temp. Power Pole' "
Called PG&E —
Temp. Elea, Serv. —lqo
ailed PG&E/sly
T mp. Gas Serv. ^ 16-
t Called PG&E *--- fJ ('?tG04
'I JOB
FINALED
(Date) a
(Sign ture
COUNTY OF .BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION`RECORD
Door Closer I Final % 1 Final 3 —/--/ 4
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
M061LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMA S OR RRECTIONS
� f
Cly & o6 -,o - ,tl - e -7sa/y
Gapes.Q/0�
0
or upon 07r !/104- v AC - 017
-
6���-��� A-6 ,P -..RJOTE: An entry must be made on this form each time you visit the job si�e.)Gi��i-- S1�
mom — �
BUI'LDI G'
BUILDING (Cont'd)
PLUMBING
Setback Z
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings-7Windows
3rd Floor
StemwalI
Siding
To out Az/1,1Z 71t
Slab
Roof Sheathing
Water Piping
Piers Z
0/7- 7 77 7
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically �►—�
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test. 7®
Temp. Gas
Slab
Final
Sanitation �a
Patio
FIREPLA
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Of
Throat
Rough y
Reinf. Steel
101-2-71-7
We/ Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors —�
FramingTest
Water Htr.
Stucco
d Final
Subpanels
Mesh
N,
k(ECHANIZ%L
Grd. Fault Prot.
Scratch
b —
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
�—
Ventilation
Permanent
Door Closer I Final % 1 Final 3 —/--/ 4
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
M061LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMA S OR RRECTIONS
� f
Cly & o6 -,o - ,tl - e -7sa/y
Gapes.Q/0�
0
or upon 07r !/104- v AC - 017
-
6���-��� A-6 ,P -..RJOTE: An entry must be made on this form each time you visit the job si�e.)Gi��i-- S1�
mom — �
a
i�
COUNTY OF BUTTE.. — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: "534-4541 —�
APPLICATION AND PERMIT
au [Hun it: Jr4ofnurl[nuves or unty o1 esutte to enter upon the
abqve- ntio4pro y insp tion pur oseX Date S7 //,/ 17 -z-7Signatuor Agent
Receipt No. /I��/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR iGZORBLIC WORKS
By Date
Building permit expires Date '-7Z--79
BUILDING
Owner li
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation O, U
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Tele one No.
r
Permit Fee $J
— C
Building Address
PLUMBING No.1 @ I FEE.
PERMIT FILING FEE $3.00 ()
S ,
Each Trap ` 1.50
y /iG C7
Gi
Repair drainage or vent piping 1.50
Water piping 1.500
/.
Each gas water heater or vent 1.50
A. P. 6— l� (�
Zoning & Planning
Z
Gas piping system 1 - 5 outlets 1.50 U
Each additional outlet .30
s AU.F_—
S I n Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
arcelParcel
Declaration
Ma p
60' R/W
Im nts
prov
Lawn sprinkler system 2.00
ONEE
Bldg. Plans Recd
Parc proval
Plans Approval
Permit Fee $
$
rA N UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
E'
Main service 600v OR LESS
100 AMP OR LESS 5.00
Lv 7 1— cc
Main service EA. ADD'L 100 AMP 2.50
7,
Single Famil Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER s O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING O / &
OR ADDNS. ACC. BLDG y► 2�Sq ft D
NEW CONSTR. MULTI -OUTLET.
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
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
St I o
r
Ex. Occup(OUTLETS OR FIXTURES) @100
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00.
Temporary service 10.00
Mobile Home Facilities 15.00
o�
License No. 3 Classification �'- e b
Mist. Wiring 6.25
531Wam exempt from the Contractors License Laws of the State of California.
Permit Fee $ , QD
$7slTn
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 3,Q0
Heating b/ n d0 p
Cooling
Ventilation
Hood 2.00
Permit Fee $ Q
$
1 certify that I have read this application and state that tune above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
c
I
TOTAL PE MIT FEE
$ 1
au [Hun it: Jr4ofnurl[nuves or unty o1 esutte to enter upon the
abqve- ntio4pro y insp tion pur oseX Date S7 //,/ 17 -z-7Signatuor Agent
Receipt No. /I��/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR iGZORBLIC WORKS
By Date
Building permit expires Date '-7Z--79
COUNTY OF BUTTE •DEPARTMENT- OF PUBLIC WORKS
7 County Center'Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION FOR SPECIAL INS
A. P.
1
i
.-
Mailing Address //�' 0Ra X '!<%K Telephone No.
l
a ) n / &-o 1. - _f 1,,4 t,. _.2 Y r-/ "7 _ `� cl_5-/
Applicant �� �`� lit 14 �%ti SYO S Telephone No.
I
dress
Building Location— �- n"� __:> VAA4A -� T. -
I hereby request a special inspection of the following building:
1. Dwelling (if only a portion, specify)
2. Apartment House (if only a portion, specify)
/ / 3. Commercial (specify present occupancy)
/ / 4. Other (specify) t -
I am requesting a special inspection for the purpose of: `�'� �a
1. Moving the building.
) -7
` Le ,
2. Financing ( specify agency) ,�, _ as Nb�.
3. Change of occupancy to .
/ / 4. Other (specify)
I hereby certify that I will obtain the necessary permits and make any necessary corrections,
alterations, or repairs required by the County of Butte, as a result of this inspection, to comply
with building and housing code requirements. I also certify that prior to the use or occupancy
of this building, I will complete the above required corrections, alterations, or'repairs, or,
if the building is presently occupied, I will complete the above required.corrections, alterations,
or repairs within thirty (30) days.
I certify that I have read this application and state the above information is correct and hereby
authorize representatives. -of -the County of Butte to enter upon the above-mentioned property for
inspection -purposes. /
Date
,$ gnature of�Owner�/�f
Fee paid $ Receipt No. J4 � 1�
1st -DPW - 2nd -Inspector - 3rd -Applicant
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER -
/. 1
TELEPHONE
�p
SO, FT. OCC. BUILDING VALUATION
NG
. OWNER'S MAIUADDRESS
7 T CHI�ol CA
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$
Plan Checking Fee
$
BUILDINGADDRESS
A
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CJQ FT.FCTRTC SFRVTCF �ANFT.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service 000V OR LESS
200, OR LESS
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 and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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.
1, 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( a ACC. BLAS.
SO
3.5¢FT:
Ipµpalp MULTI -OUTLET
Qn 7.50
POWER APPARATUS
8 BINDLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
B20 @ 1.00
Ex. Occup. oFIXirrEiFrs AEslDLMS�en
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
c '
23-00
-
PERMIT FEE
$ rr
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.
❑ 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X 1Z 03 _
_Date
Sign of pli t - ❑ Owner ❑ Contractor [3Agent
,AITOSHA permi s required for excav s over 5'0" deep and demolition or construction
of structures o r 3 storjas '
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
Z.
D. FEES IMP FLOOD CDF PARCEL PD HD
ISS
This permit is hereby issued under the
of the Butte unty Code and/or
indiasdiad ab v for whi h fees have
By
PERMIT EXPIRES ON
Vete
applicable provisions
Resolutions to do work
been paid.
Date
Receipt No.
WHITE-D.D.S.- D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Pi
'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD P G DIVISION
r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541 . �j�
3
(Rev.12/96) APPLICATION ANIS PERMIT
ASSESSOR PARCEL NUMBER' r ZONINO BUILDING PERMIT
OWNER -7 !L r;-'–!► n . "�9/ SQ. FT. I OCC. BUILDING VALUATION
CONTRACTORS MAILING ADDRESS
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 2.0.00
CONSTRUCTION LENDER
eoov OR LEss
zoOA OR LEGS
23.00
Main Service
200A TO 1000A
Fireplace
NEW CONST.
(
DWEWNG OCCUP.DS.
LENDERSMAILING ADDRESS
OR ADDNS.
Total Valuation $
FT.
NEWCONST. / N.
NORESID. 1
ARCHITECT OR ENGINEER
@7.50
LICENSE NO.
Filing Fee
$
20.00
Permit Fee
$'
ARCHITECT DR ENGINEERS MAILING ADDRESS
Plan Checking Fee '
$
BUILDING ADDRESS
•
Energy Plan Checking Fee
$
-
$
PERMIT FEE
$
LOT No.
SUBDIVISION'S NAME
PARCEL
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPEC"Each
Solar or heat pump water heater
23.00
Water piping
15.00
gas water heater or vent
TYPE OF WORK
New ❑ Addition F� �ia� Uti ❑ � � n
/ / ip /,
� �]
/
Gas piping systet1 - 5 outlets
15.00
Buldin sewer
15.00
Mobile Home I S I G I W
@20.00
0
'6r,nki'ee.'Yw7d 4—-
51�iA�F f
oN,c,r t
Nt.'�
bC,,?LA.+ ln�e
VA
\µ
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50• deep and demolition or construction
of structures over 3 stories in height
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Ex. OCCU . OUTLET OR FIXTURESFIXED
Ex. Occup.unF S (RESIie.oE . 5.00
—Temporary Service 23.00
Mobile Home FAcilities20.00
�Misct Wiring 23.00
PE IT FEE $
MECHANICAL PERMIT ding Fee 1 20.00
6.50
Ventilation
PERMIT FEU= $
Mobile Home Installation Fee $
Energy Inspection Fee �L $
DCC CONST. TYPE TOTAL FEE $ /
HAZ. I D. FEES I IMP 1. FLDOD I CDF I TARCEL'IPD I HD I ISSUE
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 Date
PERMIT EXPIRES ON
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 2.0.00
Main Service
eoov OR LEss
zoOA OR LEGS
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
(
DWEWNG OCCUP.DS.
3 SQSO.
OR ADDNS.
& ACC. BL
FT.
NEWCONST. / N.
NORESID. 1
eMrriULTI.OUTLET
u 11
@7.50
Ex. OCCU . OUTLET OR FIXTURESFIXED
Ex. Occup.unF S (RESIie.oE . 5.00
—Temporary Service 23.00
Mobile Home FAcilities20.00
�Misct Wiring 23.00
PE IT FEE $
MECHANICAL PERMIT ding Fee 1 20.00
6.50
Ventilation
PERMIT FEU= $
Mobile Home Installation Fee $
Energy Inspection Fee �L $
DCC CONST. TYPE TOTAL FEE $ /
HAZ. I D. FEES I IMP 1. FLDOD I CDF I TARCEL'IPD I HD I ISSUE
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 Date
PERMIT EXPIRES ON
:�?y•t+.:''y,�...�."'''rU,ti7rp'°9'�5'±SW.AI'�}:'Fvj•;;:y�j,�,j�Y' r�''qf-r+�i•1.�1C�'1'=iry.+y�,.w"•'�,�'�v,..�ar.�sw^�Tw �' 7� S:r �;,y�;'T+�;"r''. �d* i,:., .,.... .
"^+ri yr\`iF T%l y+ _ '' � jr 'l"'4.i� M 1 �L Yti+.r.' ✓,.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PEERMIT APPLICATION DATA SHEETOWNER:Z,�,ed `---
ASSESSOR PARCEL NUMBER O ^ v
Proposed Building Use: Counter Technician: rOa Date: / z - o 3
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in Order to apply.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with'wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to1lie plan review line-up when required items are received.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate..
❑ 9. Site plan and business license approval from the City of Biggs......
❑ 10. Letter of intent for non-residential buildings ...............................
❑ 11. Detached Accessory Building Form filled out by the owner........
❑ 12. Hazardous Material Form .........:...........................................
❑ 13. Fire Sprinklers....................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner
❑ 15. Other
Date Received By
......................
Sent by
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _
❑ 17. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 18. Sanitation and site plan approval from the Environmental Health Department in _
❑ 19. City of Chico Plumbing permit.........................................................................
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form............................................................................................. -
❑ EncroachmentPeinformation.
driv w y f m th ,Public%ork?se t .............................. _
25. Pre -Inspection required ................ _
❑ 26. Contractor's lic(Number, Name tyle, Classification) ...................... _
❑ 27. Worker's Compensation Carrier and Policy Number ............................................. _
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _
❑ 29. Letter of Signature authorization ..................... :.............................................. _
❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _
❑ 31. Manufactured home utility clearance............................................................... _
❑ 32. Existing violations and/or expired permits......................................................... _
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ i
❑ 34: Other: _
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicants ////J/?�%G� Date: 2 Z -G �}
1. Index�ermit applic tion for the above items numbered: Plan Check Letter
2. A-iti - al items 2uired
Co tractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
LOCATION:
PRE -INSPECTION UPORT
isDATE: 7
DATE TO INSPECTOR:` C/ PERXrr HLSTORY:( ) NOJE (� AS FOLLOWS:
i
BUILDEYG iTt ccrows upon
i
Building Description:
Com=rcial/Usage~
Resid=daltf of Units:
Cutrcatiy Occupied 17
}
Abandone&V=aat
Electric: /
Yes
Condition of Ela
No Iaxtic curren y On----n—Off
ric '
Gas: /
Natural Propane
Obvious Problems:_ d N V
Sanitation:
Plumbing Working Y %�
Well Workin
Obvious ScwageProblems
None Currently On Off
• 1
Comments:
Potable Water .
ACTION RECOHMNDED: ISSUE: )`TOLD FOR
Inspector.. Date a e
)Sketch buildings on reverse and indicate location on proper
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541D-- 7�
(Rev. 12/96) APPLICATION AND PERMIT
73ESSORRCEL NUMBER r 20NING BUILDING PERMIT
� vr-- NE SQ, F(. OCC. BUILDING VALUATION
�J
CONTRACTORS MAILING ADDRESS
I '
CONSTRUCTION LENDER '
LENDERS MAILING ADDRESS Fireplace '
Total Valuation $
ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee
Plan Checking Fee $
SULDINGADDRM: Energy Plan Checking Fee. $
VZOIZI $
ZfPERMIT FEE $
LOT Na SUBDIVISIONS NAME PARCELUAP PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE Solar or heat pump water heater 23.00
SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00
SPECIFY Each gas water heater or vent
TYPE OF WORK Gas piping systerf1 - 5 outlets 15.00
New C3Addition model llfir' 13I s�llation a Building sewer 15.00
Mobile Home I S I G I W @20.00
De ribs Work:
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 2.0.00
Main Service 200A OR LES6 23.00
Main Service 2004 TO I0*0A 46.00
NEW CONST. DWEWNG OCCUP. SO
t _ OR ADDNS. 6 ACC. BLDS. 3.5¢x,
$ 1
NON -REBID. MULTAPPA AT @7.50
�O POWER APPARATUS
& SINGLE OUTLET CIR.
Sik Ex. Occup. OUTLET OR FIXTURES @ .�
FDD APPUJS. OR 5.00
)k Ex. Occup. OUn . ESID. Ea
TT
Temporary Service 23.00
O Mobile Home Fliiicilitles20.00
.Misca Wirinq 23.00
PE IT FEE $
MECHANICAL PERMIT (ling Fee 20.00
Heating
Cooling
s v� Hood
T _ 6.50
Ventilation
a PERMIT FEI S
Mobile Home Installation Fee is
Energy Inspection Fee I $
OCC CONST. ttPE TOTAL FEE
IMP 1. FLOOD I CDF ARCEL I PO HD I ISSUE
~I�•1 This permit Is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Date indicated above for which fees have been paid.
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50° deep and demolition or construction
of structures over 3 stories in height By Date
Receipt No. PERMIT EXPIRES ON
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Defe
t Johnny Jantzen
f 220%.Laurel St., lot 9, Chico
f contr: Glen House Movers, Hamilton City
{ PerdW4092-77B,P,E,M(foundation for move -
in & new roof & bracing, rewire & replumb
I to code/SF)
f