Loading...
HomeMy WebLinkAbout005-473-010S- A.E. FULBRIGHT �►. �, A4 2295 Laurel St., Chico /Of/9 - Permit #150-77E(ele ser ch) SF I Permit #269-77B,E(reroof,minor inter- ior repair & add, eiec./SFV"ci14/gf7" 1 A- L' Permit 768-77B 6/917!_ (stucco exterior/sf) I 005-473-010 99-0348 WIERZBIANSKA, ELIZABETH 0 2295 Laurel, Chico or Contr: Edward House Renovation 1 Replace Water heater 0 a e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541r �P95 (Rev. 12/96) APPLICATION AND PERMIT % yr 2�` ASSESSOR PARCEL NUMBER®� L/93 r�/1 '/ ``1Y/ ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME =21 TE NONE -lvo CONT TORS MAID DRESS Y� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS _ Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS `22— 1'5— " Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump 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: kekcir— u gre-ti— y2— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 6000 R LESS Main Service p A 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 for and effect. L yy License Class L Lic. No. .�L7 OWNER -BUILDER DECLARATION 1 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADD S. ( a ACC. BLDS. so 3.5¢FT; NON -RID. T. MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. OflXLIED . qa p DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation o e hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not loy any person in any manner so as to become subject to workers' mpen ation laws _ lifornia, and agree that if I should become subject to the workers' m en atio provisions of section 3700 of the Labor Code, I shall ( forthwi c ply ose provision Date z _ Signatu of Aplicant - ❑ Owner ❑ Contractor ❑ Agent An OSH ermit is required for excavations over 60" deep and demolition or construction o s ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE 2 TOTAL HE.FJ IMP FLOOD C UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate D� p fe Receipt No. J,_T_%S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /I PAY COUNTY OF BUTTE—o-DEF..ARTMENT OF PUBLIC WORKS .r y /! 'County Center Drive — Oroville, California 95965 / Telephone: 534-4541 j APPLICATION! AND PERMIT aUIIIUIILC IC)JICJCIILaLIVCS UI Ule UUUIIIy UI Ciulle lu enter upon ine above-mentioned property for inspection purposes. XDate Signature of Permitee or Agent Receipt No. Z,-� /7 17,] 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. DIRECTOR OF PUBLIC WORKS By '� ! Date r'11� / 7l Building permit expires Date BUILDING Owner 9 J Zl /,, SQ. FT. OCC. BUILDING VALUATION Mailing Address / j-' Y/ r/Telephone / ' �' ' � No. 4Z— Fireplace Contractor Total Valuation Mai I i ng Address lid/ "Ou t i Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ - �- Building Address �l i .� t PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / O Repair drainage or vent piping 1.50 Water piping 1.50 �1 Each gas water heater or vent 1.50 !, / Y A. P. No. (� /�- / G Zoning & PIannir,g- .Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W,C'. I Sanitation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvement,,: Lawn sprinkler system 2.00 Bldg„_Plarrs-Rea d- I Parcel Approval l , Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ 4 tUTILITfES,❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 }� /: ,Xfl .-, ., i��1� Wil/ // 00V OR LES Main service 100 AMP OPLESS / 5.00 j Main service EA. ADD'L 100 AMP 2.50 Single Family ❑X Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V( Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADONS. ( ACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR, MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea 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 style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@�ia Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 '-1711 am exempt from the Contractors License Laws of the State of California. Permit Fee $ p $ GL 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 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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 0L aUIIIUIILC IC)JICJCIILaLIVCS UI Ule UUUIIIy UI Ciulle lu enter upon ine above-mentioned property for inspection purposes. XDate Signature of Permitee or Agent Receipt No. Z,-� /7 17,] 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. DIRECTOR OF PUBLIC WORKS By '� ! Date r'11� / 7l Building permit expires Date ro 331ed0 3N1CYda 1d13'13r ON1n551 F PUBLIC WORKS ornia 95965 Y---- ;."' I :BUILDING ..._.. r SO. =T. OCC. BUILDING VALUATION Telephone No. Fireplace Contractor Total Valuation 5'J CJO –`–�' , Mailing Address Permit Fee . OD Te!ephone No. Plan Check ino Fee &/or Penalty Permit Fee _ G 00 JC. Building Address s� PLUMI I3IN No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 61 Repair drainage cr vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. -- Zoning & Plonning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es I Sap"atien Fire Dept. Fire Zone Use Permit Buildino sewer 5.00 FOA Parking Plans Parcel Declaration Parcel Ma p 60' R/IN Improvement:. Lawn sprinkler system 2.00 Porcel ApprovolPlans Approval Permit Fee P� NEW ❑ ADDITION❑ ITdES ❑ THER r 0 • 1) 5/0 v •�q `� �F c£� ��� ELECTRICAI, No. @ FEE PERMIT FILING FEE $3.00 Mn service 'Main "",V OR LESS ICO AMP OR LESS '5.00 t �� . C' `! /�f /J _ �,� K� Main service EA, 400'L 100 AMP 2.50 — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main SefVICe OVER tiJOV 1@0 AMP OR LESS 25.00 Main service EA, ADD'L 100 AMP 1.00 tJEW CONST. (DWELLING O� ) 2¢$q ft OR A:1 l ACC. BLDG ' ' S( MU NEY:CONSTR'•tULTI.OUTLET NON-RESIC. CIRCUITS) 2.50ea NEW C ON5T R. POv;ER 4PPAR ATOS 8 JON-RESID. (5!NG LE OUTLET CIR. CONTRACTORS LICENSE LAW I ant licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(ouTLETs OR FIXTURES) OE?5' 9AL 2!5 FIX Ex. Occup. (OUT EAS(RESID.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 [K-<a_m exempt from the Contractors License Laws of the State of California. Permit Fee / 3 $ 3 �U G WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 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. W, -I -certify that in the performance of the work for which this t"V 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 $3.00Heating Cooling Ventilation 1,2.00 Hood Permit Fee 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 reoresentativps of tho r`nnnt,. r Q„tte . _ — TOTAL PERMIT FEE $ / (� above-mentioned property foranspection purposes.X/Z V `< Date- r Signature (Rermitee or Agit Rerpint Nn. �[J z52 9 i n(s 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. DIRECTOR OF PUBLIC WORKS By Da COUNTY OF BUTTE — QE�'1R;1WENT OF PUBLIC WORKS 7 County Center Drive — Orovllle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ... ictncocniau vas o the County UI Butte to enter upon the abozig ed property f r inspection purposes. I Date a of//ermitee or gent Receipt No.,���d j�7 %g 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. DIREJCTOR OF PUBLIC WORKS BY Date UUBil�permit expires Date BUILDING Owner ,� --- SQ. FT. OCC. BUILDING VALUATION Mailing Address` Tel hone No. �+ t' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ 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 A. P. No.�-� — /� Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Flees I We I Saaita4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I00 DePa a ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.Plans Bldg.-�Lerrs-Reel Parcel Approval Plans Approval , Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �j ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 d ' Main service i000V OR o AMP ORLESS5.00 D 0 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA, ADD'L 100 AMP 1.00 " NEW CONS. OR ADONST ( ACCLBL GDWELINGS. OCCUP. .) 20 sq ft NEW CONSTR.//MULTI-OUTLET NON -RES!D, (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES D. 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 of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APLNS.style Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ff IOC 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 Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. o, ;kcertify that in the performance of the work for which this ermit 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 and State Laws relating to building construction, and hereby t TOTAL PERMIT FEE $ 70e ... ictncocniau vas o the County UI Butte to enter upon the abozig ed property f r inspection purposes. I Date a of//ermitee or gent Receipt No.,���d j�7 %g 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. DIREJCTOR OF PUBLIC WORKS BY Date UUBil�permit expires Date e tt LPERMIT NO. 269-77B,E PERMIT EXPIRES 4. PWNER _ A. E. Fulbright �CONTR. owner LOCATION (A.P. 46-21$10 r 2295 Laurel St., Chico",� r r _a k t j r i Temp. Power Pole Called PG&E Temp. Elec. Serv. F Called PG&E Temp. Gas Serv. Called PG&E i"os 4 Q Vim% FINALED (Date) (Signature) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor v Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping • Piers Roofing Sewer N Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings i Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. Gas Slab Final Sanitation Patio FIREPLACE Final ^^ Footings Masonry Walls Reinf. Steel Bond Beam Mesh Scratch Brown Finish Interior Lath Door Closer DATE Footin REMARKS OR CORRECTIONS E ELECTRI( Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final /„ , P 7-' (NOTE: An entry must be made on this form each time you visit the job site.) z FIRE SPRINKLEF Test Final MECHAA41CAL Heating Cooling Ducts Ventilation Final 9 REMARKS OR CORRECTIONS E ELECTRI( Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final /„ , P 7-' (NOTE: An entry must be made on this form each time you visit the job site.) z V . COUNTY OF -BUTTE — DEP C(�MENT OF PUBLIC WORKS 7 County Center Drive ,awl1P„ California 95965 Telephone: 534-4541 c�46 % 77 APPLICATION AND PERMIT above-mentioned property for inspection purposes. v ", ,.�, urV IAX `-' 'Date — ! 4 - 7 i Signature o/f Pe—rmi/tee or A ntt Receipt No.' ,/ �(�lto b 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. DIRECTOR OF Pl'BLIC WORKS By B ding permit expires Date _Z[. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 0c, .Mailing Address �OX aC �' r.Qle O ���1`� Telephone No. `�`�—. �3` Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/o Penalt Telephone No. Permit Fee dL Building Address 2 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 GRepair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -�q�/ �� Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Samt4ati.on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parkn 9 PlaParcel Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER'O ELECTRICAL No. @ • FEE f Q d PERMIT FILING FEE $3.00601V S S _�r Otain service OR I -E 100 AMP ORSL.ESS 5.00 �'�/� �� �� �• p-.y�_ aLt A0 ,/7r/R�c c' /a�� Main service EA. ADD L 100 AMP 2.50 Single Family rVr Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100_AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGSCCUP. &) 22sgft 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 style of:Ex. Ex. Occup(OUTLETS OR FIXTURES)@2r- BAL@1 OCcup.(OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Misc. Classification Wiring � DU r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 1151-0 4 0( 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 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 f 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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood. 2.00 Permit Fee $ $ 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 .k TOTAL PERMIT FEE $ —7-7 above-mentioned property for inspection purposes. v ", ,.�, urV IAX `-' 'Date — ! 4 - 7 i Signature o/f Pe—rmi/tee or A ntt Receipt No.' ,/ �(�lto b 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. DIRECTOR OF Pl'BLIC WORKS By B ding permit expires Date _Z[. a PERMIT NO. 768-77B a PERMIT EXPIRES V / i OWNER. A.E. Fulbright CONTR. owner LOCATION (A.P. 46-213-10 2295 Laurel St., Chico I Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E If /O B r FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION RECORD BUI-LDING. BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings handicaddr pehysically Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing I ELECTRICAL Fixture Motors Stucco Final Subpanels Mesh o- MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish — Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS CORRECTIO 00' i J` s • � jig ./� ;: � L/ %� ! � y y ✓ � �,� , /f (NOTE: An entry must be made on this form each time you visit the job site.) Ian WUNTY OF BUw ,.— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autrrurtce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. xX Date _a Signature of Permit a or Agent Receipt No. ��'?Od 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. DIRECTO�OF BLIC WORKS ?--d�7 �. BY Date B ling permit expires Date t - :9 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION e9c) Mailing Address '-&/ o �! (� elephone No. L Fireplace Contractor Total Valuation Q Mailing Address Permit Fee Plan Checking Fee&/or Penalty • Telephone No. Permit Fee $ C' D OC _ Building Address 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 A. P. o. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 1.2/ Sefti4a ian Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 13+dg,-2lowe-Read I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ;N ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C� Main service 100 AMP ORV DR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OCCUP. &) 2¢sgft OR ADDNST (ACCLBLDGLING S. 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 style of: Ex. Occup(OUTLETS OR FIXTURES)@�'a BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 V�rl 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 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 Heating Cooling Ventilation Hood• 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ DG autrrurtce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. xX Date _a Signature of Permit a or Agent Receipt No. ��'?Od 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. DIRECTO�OF BLIC WORKS ?--d�7 �. BY Date B ling permit expires Date t - :9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,•California .95965 • Telephone (530) 538-7541/Y PERMIT, NO.' (Rev. 12/96). - APPLICATIO14 AND PERMIT 7 -If ASSESSOR PARCEL NUMBER j� j--: t )� •D��� ZONIN; BUILDING PERMIT `+ OWNER ' - e �a y TELEPHONE E -Ads _ y' SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS �� � �� � t�L • ~ .!` CONTRACTOR'S NAME j`� J , I� A lC PV1��/ , ic" , TELEPHONE t'i'i-2��>'f CONTRACTORS MAILING tDRESS CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS /')� .r+ / [ y� Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE kk SFuplex ❑ Mobilehome ❑ Other !Q SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑. Describe Work: A co A,- L Lm n--�jr/L Each Trap 7.00 - Solar or heat um water heater 23.Qp Water piping 15.00 Each gas water heater or vent 15.00 � f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S '3 r + ELECTRICAL PERMIT Filing Fee 20.00 OR Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION -1 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 fore and effect. I i l ! License Class 7 Lic. No. (I 6 �' * OWNER -BUILDER DECLARATION - ` 1 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 Main Service .. TO IO.A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( & ACC. BLDS. 3.50F. NEW REBIDMULTI-OUTLETLIT. @7.50 POWER APPARATUs 8 SINOIF OUTLET CIR. 20@ 100 Ex. Occup. OUTLET OR FIXTURES gqL p .50 Ex. Occup. oFlx TS A DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 otone hundred dollars ($100) or less.) j��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' dompensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions f �� Xy, Date - 7 1- ! 1 � ignatur 1 of A`p'plicant - ❑ Owner ❑ Contractor ❑ Agent �An OSHA:permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ r- occ CONST. TYPE TOTAL FEE $ ES, —IMP -FIAOD_ CDf „P.ARCELA PD. _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. ) { C _ (T!/ �� %�� f �/ By ��--^ 1 Date , 1.1 PERMIT EXPIRES ON -LAL- :/ ,;3 ` Date Receipt No. 11T %7q'?t WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pn 005-473-010`,T -4R 1 -0348 SKA, ELIZABETH 2295 Laurel, Chic6 1 Contr: Edward House Renovation Replace .Water heater ;- COUNTY QF.BUTTE BUILDING DIVISION -DEPARTMENT OF DEVELOPMENT SERVICES - 41*1 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 21/ 07 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should -be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f1 FRd illpC S 7-1,1- 41,_,7 147 fTir irG�,; e/,c