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HomeMy WebLinkAbout006-660-0390 b? 1 `r'.: ELMER NILSSON NIS of Nord Hwy.. approx 25' W of x.�. Hosler Ave (inter.) Chico f. Pe--r'mit -#2166-76E ('ser.ch) to6 omm ` meter, Door Manufacture.,. < DOOR MASTER' - F NE corner (;,f-Nord.R y & Hosler Ave., ; Chico � contra N0 hstate Aluminum, Chico Pe -r -mit �� 6-2---7-6-B (add 2 awn-ings-/MH)- — A. P. - ELMER C . IVILSSON r es_.Hosler:_Aue-.app.-150,' 7,--�of,.Nor-d - Hirt'. Chico y�.� Permit 3417-72P,E ���" �'�.3 (utilities for mobile=home) LSFPermit #291-80B,E(new p`rii.deett.garage/ ) I �7/O/ 'e. V i o 1 cfli c fli cfli COUNTY OF BUTTE — " DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives of the t;ounty of t3utte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 Building permit expires Date BUILDING %r Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. Contractor Mai I i ng Address� Fireplace Total Valuation � G t�"77 Telephone No. Permit Fee Building Address �G �' � fi/ /, ,- - 'Plan Checking Penalty / Permit Fee1"" ✓(`. >' "" %� �_;; �, PLUMBING No. @. FEE PERMIT FILING FEE $3.00 Each Trap 1.50 G' " ., Repair drainage or vent piping 1.50 A. P. No. _> ���=_ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Frees 1 W.C.] Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans -Parcel Deciaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan19-Rec'd Porcel Ap royal Plans°Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ V. i,.�>�:_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 55.00 Single FamilyE]-' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ) ( DWELLING OC4;-UP-�Y20s ft OR ADDNS. ACC. BLDGS.""q 4 �- 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: NEW CONSTR BRANCH CIR T NON.RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIiPES) B L@; FIXED APPLS. OR Ex. Occup.(NOUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee 717 MECHANICAL No. @ 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. ElI 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. 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 Land Development Fee $ TOTAL PERMIT FEE autnonze representatives of the t;ounty of t3utte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 Building permit expires Date V • FfRMIT NO. 291-80B,E PERMIT EXPIRES &A) OWNER Elmer C. Nilsson CONTR. owner 44-03-92 LOCATION (A.P. ) NE corner of Nord Ale. & Hosler Ave., Chico y d Temp. Power P fe Called PG&E Temp. Elec Serv. Called. G&E Temp. G s Serv. Call d PG&E F LED (Date) (Signature) Mesh COUN`7Y O0BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING 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 Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for ph sically handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Mesh 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 MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 0319UNDERaLOOR P11 ) OK eAept K's jDate FF!AMING Contir�+led) �y{j erring requirements -Set ck� nts cop=rt Lina Firewall 8 2penings _ M` in; Soils-Staal-Elec. Grnd.- " Ftg_Depth 4 xt. Doors-Ona_3'-Check Garage -3rd ster/, 2 exits g_Garaya; S ' s-StMal- i. " Ftg. Depth, idt_h-Headrocm-Rise-Run-Landing-Fire Protection 4-F.yPerohes &Docks; Solis -Steel- []" Fig. Dep 5 Yavood on Roof Overhang -Attic Access -Rafter Outrigcars 5t_&fEmwalls, plain;Steel-B+oekauts-W+apped S Sid+n tailing -Veneer _ fi-5:ea+waita, Garage; Steel-Blockouts=Wrapped-Slab tucco Mesh -Drip Screed-Fda. Vents-Underflr. Access -~ 7 iers-Fireplace Fig. -Steel _ Fall -Fittings -Test -2 way C/O -Sewer Test azing rea-Glass Protecilnn-•Skylights-Plastic 56-�STS'lails; Nailing -Bolts 0 -C-La-Pipe: Size -Anchors _ 36.-Wa+ei-Pip9; Test-Anchors-Regulator-Seryice Test -V 14-Elect?r-ic: Underground 12--I�iemrns & Ducts; Clearance -Material -Support -Ins. i_ Ea - Vis -Sills -Anchor Bolts -Joists -Vents -Cripples rd•(3t CaDale& Card -B! '�-Oate Card -BI Daso Card -BI _ Date _ Date Card -BI D315 C .-BI Date „j Card -BI Date Date FINA tans) OK except #.s Card -BI Date Card -BI Date Date PLUMBING ( emit) OK except Ws _ _- Ext. Steps -Door & Sidelight Protsction-Landings to elector 14.Water HL: Vent -Access -Combustion Air 313.-F*rmzM, Vents -Clearance -Comb. Air-Ccnnector- In Garage; Above Floor -Ducts -Mach. Protection 15. Yater Pips, Test & Anchors -Nail Proiectlon 16. O.V/.V.; Tes Ftings & Anchors -Neil Protection _ biting 17. Shower Pan; st, First Floor -Tub Access ath Fixtures & Tub Access _ 18. Test Tub & Sh er, 2nd Floor -Tub Accesa lec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & nchors '-- [ Al leoa-or•Stove; Clearances -Hearth C 6 ec. Outlets at Wood Panel; Int & Ext. Card -BI Date Card -BI Date &-APPlianr-e; Grnd.-Air Gap Cooking Clearance Card -Bt Date Card -BI Date 66_E1ec- yftTs'& Receptacl3s at Kit. Counter Data ELS P.ICAL(Permit) OK except R's 6X_-Gertgv-"-_ Door: Swing -Landing -Closer Duct in Garage -Damper xture & Transformer Clearance -Ins. ProtectionVents-Clearance-Comb. Air-Connectcr-P.R.V.- In Garage; Abova Floor -Meth. Protection c. eceptacles Spacing -Lights & Switches at Doors -_— Elec. & Mech. Equip. List= for ecation 5 _ Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; ( -Rom tea . R x Installed Close to Edge of Studs & C.J. Equip. Ground m p vv/hlech. Fasteners- 72. I '-'+---Foam-Loo.eed in Attic ❑ Yes _ {- C. Wig'&Deck Construction -Past Caps - nce Circuits In Kitc =n & Conductor Size 7 dn. Vents &Crawl Holo pro' ago & Wood -Earth Claaranro . Looked under Floor -- 7 ing instid.: Drive es No; VYalks [] Yes Planters ❑Yes o; Creating Drug. Problems ❑ Yes o _ 46.-SLuc.co-8rown-Finish Unit; Disconnect-Cirnces-Brkr, & Cond. Size -115V Outlet -^ 2 aobfeed Wire Size / / ga Cu r AI-A.C. Wire Size r r r...., ,+ 27 Rza;2 circ_ t r ga. Cu or -Al -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑ Yes ❑ No _-Riser Conductors & Ground -Main Disconnect - quip. Clearances; Panels-Motors-liech. Equip. 96__C_Lot1r_sCloset Light -Shower Light , M. Vents Above Root; Pibg= Appliance-Firepi.-Clearance to Opngs. _ I; Disconnect, Electrical, Plumbing _ xterior Elac. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date ohroughout House Card B-1 Dare Card -BI Date Date MECHANICAL ( ernit) OK except X's I oo�ction Sa"to--rrect from Previous Inspections gay Maters Tagged; Gas-Etaciric 31. A.C. Ducts; Insulation & Support @3--VTrer-6-Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Ex gust above Insulation _ o EajLgy -omoliance Certificate-0:her Certificates 33• Condensate *in & Overflow; Size & Grade - 341. Furnace -Vent Access -Comb. Air -Return Air Vent-1I5V outlet 35. Attic Access 4 Platform it Furnish in Attic �- IICard-BI - Date /L Card -BI Date ICard- Date - �/ Card -BI Owe _ Card- Dare Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date A' G(P!ans) OK except H's -_- Comments at Final: �-L yaSs; Properrs Studs -Nailing, Spacing &Bracing -Platys -Sound 3 _arir,g 173113 over Girders & Floor Nailing _" raft Siop in Walls (rat proof) _ _Stops; Furred Ceilings -Stairs -Chases -Tub 4 Bader & Beam-Siza & Bearing H 1,gar3-Post Caps -Anchors -_Connectors >� Clru. J.is_t--Htir, Tii;s-Pu_rhng Roof Br•;c.- r Sntnng,--R'rg. ice Tias or Type A Flue -Fireplace Throat j �- - - j ___ _ 45._6ttic Access: Size E. Rome,( Protection -Draft Stop -Ins. Baffels as - i Windows or Exiting Doors -Sill Hgt. & Dimensions �+ 44s -6'-r—_,_ Fire Protection Framing J d l CD k COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION. NOTICE �_.,.._..,_,_.,... LDING OR PROPERTY ADDRESS 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 need need additional explanation, please contact this office immediately. ol'z ���� r 'G/GG% % 4 ul at/ Inspector.._._ Date t l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 v Telephone: 534-4541 APPLICATION AND PERMIT �1 authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X C��i bL� Date �0 Signature of Permit or Agent Receipt No. 3 �ef/'(/o�/ 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 Y d B (ding permit expires Date BUILDING ff. & Owner 4e, /4-55a SO. FT. OCC. BUILDING VA ON ;�;;� Mailing Address i" t3ox 4 77)q - 9s Q7-& h=�'� Contractor �(,qJ�/� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee -- Building Addre s /(05 doe&�� k1®/� I%i IanCheckingFee /or Penalty p& Permit Fee too i l7V� F $L —e 4VE. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 LQ Repair drainage or vent piping 1.50 A. P. No. 03 9�/ 4e -"M 3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s W. `San t�' n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plork<ed Parcel Ap roval Plarlis4pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑� Permit Fee $ $ )ie/VA-1C— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 i 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OC 22S ft OR ADDNS. ACC. BLDGS. q CONTRACTORS LICENSE,LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 8, Professions Code under the name style of: T NEW RESID. / BRANCH CIRCUITS NON-RESID. ` BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. SOL1 Ex. OCcur) (OUTLETS OR FIXTURES ) BAL@1 Ex. Occup. (FIXED OUTLETSP(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 $ 100. Gd $ l MECHANICAL No. @ 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. ❑1 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. PERMIT FILING FEE $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 Land Development Fee $ TOTAL PERMIT FEE $ % GC authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X C��i bL� Date �0 Signature of Permit or Agent Receipt No. 3 �ef/'(/o�/ 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 Y d B (ding permit expires Date TI . -W—,., Building,Department From: Environmental Health Subject: Sanitation Clearance #rs _ / Stti �% C�vy� 4�2 �a �� f c�—d3 Nner Location AP Plans approved for. Se4age Disposal Water Supply Hold final -for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Clearance for addition of ZZ 49 No�tee *� COUNTY OF BUTTE — DEPARTMENT'OF`PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, California 95965 — Telephone 534-4541 -� PERMIT APPLICATION DATA SHEET ,,.••�»- qaC Permit No. OWNER i� G'. �l/�CCSSO�(I �'" A. P.. No. qV 0—: Proposed Building Use Permit fee based upo9y'n,''Ith Complete Contract Price &--DPW Valuation er (explain) Building Inspector Date !�" ��- 9!) At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3 Complete plans in duplicate/triplicate............................................s... Complete engineered plans and calcs..7-9.0 .�.....P V�� ....... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 1. a&11_ o Sanitation approval from af4/Go Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for requ.i/redPre-inspec. request to date 6 Other �-�% 7�Lt�i OF 1 Ple/ (� 4&l dg4 When you issue the permit, process as follows: Mail to owner Mail to contractor. ✓Telephope 3 — eW3;� and�for pickup atC#160 office. Deliver w/inspection. Other �4 Applicant [::� Tt® Date Copy of plans sent Health Dept., Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of app i do ,circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, caner was advised of above required data by Telephone 4 Mail ✓Other */0 aZo-� By Date��� Plans checked by Date —Z —8o Plans approved by —1 Date 5 Oox 4774) I v F a . PERMIT NO. .4562''-76B PERMIT EXPIRES►�/ OWNER DOOR MASTER 'CONTR. Northstate Aluminum LOCATION (A.P. 44-03-92 ) NE cor. Nord Hwy & Hosler Ave, Chico y .Temp. Po er Pole Call d PG&E Temp. lec. Serv. C Iled PG&E Te p. Gas Serv. Called PG&E OB FINALED (Dat (Signature) Footings 4D- -�_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONRECORD ELECTRICAL BUILDING 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 Piping Piers Roofing o!. �a� Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Foot,:njs:::::4 Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio I FIREPLACE Final Footings 4D- -�_ Footing ELECTRICAL Masonry Walls Throat Rou h 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 DATE - c`9� k) "( NG N10 � REMARKS OR CORRECTIONS B L/ / 4- T /9S S !d O et) "�/ 01V �� I fir, Via. 0 'fi `P4 A A/ At0 r' (NOTE: An entry must be made on this form each time you visit the job site.) Ip"R�'rR�'•`g�'9R �•Yf"P. �4 „�7r' r .. � � r .:. ,'�i+'lw-�C'a.+t"�'��._'�I'Aw�"". _ . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W&K-St 4 7 County Center Drive -Oroville, California 95965 ^ '� Telephone: 534-4541,-� �- APPLICATION AND PERMIT a+uuwi�cc IcF/IC JVIILQLIVVJ UI Ultl LUUnIy UI OUlltl IU CrllCr UPUn lnU' `above=m@ntioned property for inspection purposes. Date ignature of Permitee or Agent ReceiP No.��� ite Wh-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 PU . LIC WORKS r By 9!�2����9 , Date ( PIA - & % Building permit expires Date O '�'�' - 7 BUILDING Owner J)o 4 /� � �-1� SQ. FT. OCC. BUILDING VALUATION •. ., Mailing Address k 1enj �j7 7,4 ` �'�j�j / f /� 'el e No Fireplace �. Contractor`"�z/ __Tl% �(�,, � , Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty � hone No. � Permit Fee $ /V1 IV Building Address ,, "7% PLUMBING No. @ FEE . PERMIT FILING FEE $3.00 J ., , , I J r ✓ t`s ���� �� 7�, GLr'r� c' +"ib�� �. Each Trap 1.50,+�""� Repair drainage or vent piping Water piping A/ 1.50 Av G - CA ((_0 � Each gas water heater orf6ent 1.50 A. P. No. oo f??- o _ ©(f :2 , © Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each addit.i6n-al outlet .30 Foes WCf S_n` ti.on-.'FireDept.Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcelparcel Declaration Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 C,/B`Idg. Plans Recd Parceh Apal Plons�val Permit Fee $ $ NEW ❑ ADDITION Er UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ PERMIT FILING FEE $3.00 ,. Main service • i°oo AMP ORSlE55 5.00' •K Main service EA. ADD'L 100 AMP , '` 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OIER 600V Main service 100 AMP OR L.E'SS 10 25.00 Main service EA. ADD L.�00 AMP 1.00 NEW CONST. DWE"'ING OCCUP. & OR ADDNS. ( AGC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID! BRANCH CIRCUITS) 2.50ea NEW CO-MSTR. (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: / { � ;z �t ��i11f ����� Ex. Occup(OUTLETS OR FIXTURES) C° 7v`¢ 100 Ex. OCCU FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) ?•�� Temporary service 10.00 qG // /�. License No.4711'19G I!- Classification -Z Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. Pave 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 n� $ A t94 a+uuwi�cc IcF/IC JVIILQLIVVJ UI Ultl LUUnIy UI OUlltl IU CrllCr UPUn lnU' `above=m@ntioned property for inspection purposes. Date ignature of Permitee or Agent ReceiP No.��� ite Wh-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 PU . LIC WORKS r By 9!�2����9 , Date ( PIA - & % Building permit expires Date O '�'�' - 7 Ir ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ~ Oroviile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 'V W + r. r /ld)Vn auulunce repre eves o1 1ne �,ounzy o1 tsune zo enter upon lne af1t3V p ty for inspection purposes. __ - Date 01 $i ure ef—�Z& of Permitee or Agent R ce' t No. e-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 PU IC WORKS f BY ate eF11 B ilding permit expires Date BUILDING Owner Q o- SQ. FT. OCC. BUILDING VALUATION Mailing Address 2'� 1 �t7 7 ele hone Wo. Fireplace Contractor Total Valuation Mailing Address—:To 7 Permit Fee P I an Checking Fee &/or Penalty I one No. �� Permit Fee $ Building Address7 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 w 1 C jV !.� WtC Repair drainage or vent piping .50 Water piping 1.50 V E (CO Each gas water heater ent 1.50 A. P. No. 6Y!/ —0-3-0 - © , ® Zoning & Planning Gas piping sys 1 - 5 outlets 1.50 Each addi ' al outlet .30 F vke S Ire Dept. Fire Zone Use Permit B i10W5` sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 L.-41dg. Plans Recd Parce ppro..I I Plans Approval Permit Fee $ $ NEW ADDITION E]UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 w Main service 600V OR LESS 5 100 AMP OR LESS derQz Main service EA. ADD'L 100 AMP 2.50 Single Family F] Duplex ❑ Mobil Home Others ❑ Main service 10000ER 600V AMP OR S 25.00 Main service EA. ADD' 100 AMP 1.00 NEW OR AODNS. ( DWEJAP.C.BLDG S.CCUP. &) 20sq ft NEW CONST MULTI -OUTLET NON.RESI ( BRANCH CIRCUITS) '2.50ea - NEW G ST R. /POWER APPARATUS & NON- SID. \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions ode under the name t style Y L ' Ex. Occup(OUTLETS OR FIXTURES) 2051009 Ex. OCcU FIXED APPLES. OR P• (OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 q. � License NoA? t�f G Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code whi h requires every employer to be insured against liability for Wo en'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. @EE PERMIT FILING FEE 00 Heating Cooling Ven ' 4' n H 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 $ // G auulunce repre eves o1 1ne �,ounzy o1 tsune zo enter upon lne af1t3V p ty for inspection purposes. __ - Date 01 $i ure ef—�Z& of Permitee or Agent R ce' t No. e-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 PU IC WORKS f BY ate eF11 B ilding permit expires Date a �'�t�Idl�'���+►'Ttf�j�V�g'!d Gdd wv r96lTTJnV l� �j //�� !! -I I a � ON SANOM mond -Jo 'idaa lune do uNnoo • r FILE MEMO OWNER AP NO. At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 'By 1. All items have been submitted. ' -2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and talcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9.. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request -for r:r 18. Other fibq MA LL__ Date <3 `( 1- 16 Bldg. Inspector amamaaaaaaaamamaaaaammmaaamaaaamammaamaaamaaaaaammmaaaaaammaaaaaaamaoamamaaaaamamaaammmmmamaamema When permit is.issued, process as follows: 1. ail to owner. Mail to contractor. 3. Deliver with inspection. 4.. Telephone and hold for pickup. 5. Other woacaacaaocaocacaacccccccccacaacaaocaccccccaaaaacaaacaaaaaaacaccaaaccaccaaccacaaccccaa=cccaccaaaca During plan checking process, the following data or information must be submitted prior to permit issuance: 2. Index permit for items numbered above. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans(c5he Additional Processing or Notes: and/or approved by _ �- aaaaaaaaaa �-i3 725 Date maaaaaaaaaaamoaaamao m,maoammo ammmma:. oi14 NOTE:—All Maferials & Workmanship Shall Be in .Accordance with Recognized Good Practices and of a qurylify prescribed for the Specified use in the Uniform Buildinq, Plumbing & Machanical Codes and the National Electrical Code. N it s C i� r v.0OD iv- N 'N�� ��o ` Phis set of, pians ,SI— s MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. +t � C i� v.0OD iv- 32 0 `.it7 v A M .. D 0 O G fl \ 'N�� ��o ` Phis set of, pians ,SI— s MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. +t 00, F ;I-. 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Y r.ta. .w r' �"`!""-V`4r•.�...�.t+r- y '�.,rr d' �l •+ `f ��� �n••,�� .. w COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS ` `" a 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 4y APPL'ICATIONII•AND PERMIT ♦�` - �� cru a wiicc IcF 1i VIIIaUVoa UI LIM VUUnIy Ui DUIIC tU CIItCI UPUII UIC above-mentioned property for inspection purposes. X Date /-f 14)y ,3,17d Signature of Perm -57_-g5_,9 itte �-e or Agent Receipt No. � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant IN 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. DI ECTOR OF , UBLIC WORKS By 't--e-e- Date 52-5-76 •Bui-ld ng -permit expires Date s' ✓ _ 7 7 BUILDING Owner fjE1 S SO'. SO. FT. OCC. 'BUILDING VALUATION Mai I i ng Address / C Telephone No. Fireplace j Contractor ©UJ /(/ �� , Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty !—, ..L. - - �-+ti, Telephone No. Permit Fee $ f Building Address S ©F ate, ��� >� _7 - <� -.7 �' l•� �4� l� .��E/G'. PLUMBING No. @ FEE" J PERMITVILING FEE $3.00 Each Trap ' 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 r Each gas water heater or vent 1.50 A. P. No. •--© -^ ��♦' s Zoning & Planning Gas piping'system 1 - 5 outlets 1.50 , Each additional outlet 30 Flees a,e Sarrrtaftd Fire Dept. Fire Zone '�.U_ se Permit Building sewer ' 5.00 EOA Parking Plans Parcel Declaration. Parcel Ma P 60' R/W jm provements-: Lawn sprinkler, system _ 2.00 ' �- , `.- "ns Ree"d Bldg Plans Rec Parcel Approval ` Plans Approval Permit Fee $ $ ' NEW ❑ - ADDITION ❑ UTILITIES ❑`- OTHER ©. ELECTRICAL, _ No. • @ , FEE i PERMIT FILING FEE $3.00 c)C) (%/ C C--, (%/G,L 7"Q Main service io°o AMP ORSLESS 5.00 -j Q Q _ ` kjp r -W 1 C. / o L �'t > `-_7— I l Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 A /�� /�•� /� /f "' i•'• C..I l.✓ /�. ��� -Z (s!/� - • NEW CONST. DWELLING OCCUP, & OR ADDNS. ( ACC. BLDGS. ) 2Csq ft NEW CONSTR. MULTI -OUTLET 'NON-RESID, ( BRANCH CIRCUITS) 2.50ea - NEW CONS FR: (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:FIXED ` t ., r ' �Ex. Occup(OUTLETs OR FIXTURES) BAL@1 APLNSOREX. OCCUP•OUTLETS(RESID,) EA) 2.00 Temporary service 10.00 Mobile Home.Facilities 15.00 License No. 1 Classification Misc. Wiring` 6.25 a I am exempt from the Contractors License Laws of the State of California. Permit Fee , j $ rC41 0CU $ 1l)c 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 $ cru a wiicc IcF 1i VIIIaUVoa UI LIM VUUnIy Ui DUIIC tU CIItCI UPUII UIC above-mentioned property for inspection purposes. X Date /-f 14)y ,3,17d Signature of Perm -57_-g5_,9 itte �-e or Agent Receipt No. � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant IN 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. DI ECTOR OF , UBLIC WORKS By 't--e-e- Date 52-5-76 •Bui-ld ng -permit expires Date s' ✓ _ 7 7 I 0 -7oz� I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATPON AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date /' ' L IM Signature of Permitee or Agent Receipt No. `�4=> 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. DIj,:+ECTOR�OF/OJBLIC WORKS By` Date 675-76 permit expires Date s— 3 ^ % '7 BUILDING Owner'Ar SQ. FT. OCC. BUILDING VALUATION Mailing Address �© _ t r f Telephone N 3 Fireplace Contractor © CA--' Al C—_/Q" Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty IT lephone No. Permit Fee $ Building Address S eC ne� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q SZEoZ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 C Each gas water heater or vent 1.50 A. P. No. —Q 2 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma p 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. anus Rec d_ Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Eie U! C C %��/� �^- To 600V OR S Main service 100 AMP ORLESLESS 5.00 _5— O ~ G� `''OVER Main service EA. ADD'L 100 AMP 2.50 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L loo AMP 1.00 V NEW CONST, I DWELLING OCCUP. & OR ACDNS. ACC. BLOGS. 20Sq ft 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 le of: y Ex. Occup(OUTLETS OR FIXTURES) BA@L@T� 09 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ C)U $ C 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 1 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date /' ' L IM Signature of Permitee or Agent Receipt No. `�4=> 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. DIj,:+ECTOR�OF/OJBLIC WORKS By` Date 675-76 permit expires Date s— 3 ^ % '7 `y w /2o gas E � llr . j Al G' z lr Ar 7 t., ,7-cr rC-- or t' cs.P -�--2 cl 71 I/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center !give - Orovijle, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT out Iluiice ieNteserttauves of trte uounry of tsutte to enter upon the above-mentioned property for inspection purposes. Date DEC, y, 177 2 - Signature Signature of Permitee or Agent Receipt No. „White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 1-' Date ' - ?�- 7 L Building Permit Expires Date/2 I BUILDING Owner /� Cr J� SO. FT. OCC. BUILDING VALUATION Mailing Address A" f ";f-- -�xr cl/ o Fireplace _ Contractor Total Valuation Mailing AddressS Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ BuildingAddress � �- % / , NtJC PLUMBING No. @ FEE PERMIT FILING FEE $2.00 (i ,/ p �W y' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S -U Each gas water heater or vent 1.50 1 A. P. No. ¢� - -' �nr�, o � 7 Zoning['„ Gas piping system 1 - 5 outlets 1.50 Z� Each additional outlet .50 Building sewer 5.00 V U Fire Zone Fire Dept. Sanitation ' Planning (/'" Plans p— Fees !— W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Q. Permit Fee $ $C(/, OBJ � � /� ELECTRICAL No. @ FEE, PERMIT FILING FEE $3.00 3 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ® Duplex ❑ Others ❑ Range, dryer or water heater 1.00 G Oven, Cook -top or space heater 1.00 Light fixtures bal Id 10 Receps., switches & fix outlets Ani� 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump „ Water pump A 1011;11e_ (/.CL/I ,e 0 �. U Misc. wiring License No. Classification 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ /, UO 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 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 I P.15trumentotio,t` a o°r;1On $0.07/$1000 Evaluation $ TOTAL PERMIT FEE tw out Iluiice ieNteserttauves of trte uounry of tsutte to enter upon the above-mentioned property for inspection purposes. Date DEC, y, 177 2 - Signature Signature of Permitee or Agent Receipt No. „White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 1-' Date ' - ?�- 7 L Building Permit Expires Date/2 I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORS f�j 7 z 7 County Center Drive - Oroville, California 95965 '�`" r Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X W444� Date ACC, Y, 1772 Signature of /P�ermitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 / Z- )9- '7 Z-- Building Permit Expires Date/7 Z BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ` Fireplace Contractor �/ Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Z aaar n /4W,Each Trap 1.50 v Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — -� g url cy Zoning%- Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Building sewer 5.00 CV Fire Zone Fire Dept. Sanitation Planning Plans Fee W. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION❑ OTHER Permit Fee �� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family 0a Duplex ❑ Others ❑ Range, dryer or water heater 1.00 / �f Oven, Cook -top or space heater 1.00 Light fixtures 2 loe=kiiIARZI Receps., switches & fix outlets MR I 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ UO 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. ❑1 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 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 j$Permit Instrumentati nirPr gamion $0.07/$1000 Evaluation h $ TOTAL PERMIT FEE e. $-LI authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X W444� Date ACC, Y, 1772 Signature of /P�ermitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 / Z- )9- '7 Z-- Building Permit Expires Date/7 Z OWNER Zoning Permit fee based PERMIT APPLICATION WORK SHEET �g Permit No. A.P. No. Use Proposed Approved Not approved upon: '1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 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. Fees of $ -------------------- 6. Letter of,signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. "Pre -inspection request for -- ovemen s -p a s re uir & PW a robal.------- 19• 0 r - -- - �D �U By B1 Date g. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail %Other 3. Plans checked by 4. Plans approved by Date Date i permit is issued, process as Tollows:. 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold., for pickup @ office. 5. Other Before permit.issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works _ Date Notice Sent 'A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other