HomeMy WebLinkAbout007-330-028John Drake `y
3043 Coronado Rd., lot 102, Joshua
Tree#2 , Chico
f Permit #1869-78B(new single family)
f Pe it #2383-78B(instal fireplace/SF)
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L
� ERSFET,
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' pppp COMPANY
aN LICENSED CONTRACTOR
Phone: 342-4764
P. O. Box 3506 — Chico, California 95926
INSULATION (Batted or Blown)
Date
To
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
/O9
Street Lot Number Tract No.
EXTERIOR WALLS /
Manufacturer /� �4 ✓d� Thickness/Type ( R Value
CEILINGS
Batts: Manufacturer Thickness `` R Valyl
Blown: Manufacturer Thic Hess�� / �J�J No. Bergs Wt./Bag
Sq. Ft. Covered 1 �'r R Value G/I
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer - T@hicknee's�s/�TTVp�e. R Value
GEN L CONT T �A(v \�Y��� LICENSE NUMBER �q
BY fl TI LE � �� ATE Vc-]
INS ATIO CONTRACTOR LICENSE NUMBER
TITLE l�J( ��--� DATE /
SAVE ENERGY - INSULATE!
(DATE)
ACCEPTED RSETH OMPANY
D7Ji -moi '
(Authorized Representative)
F ).A irarmen' to Fiea1th
Sao i a«d/oi 's:at end/or r ,.`
��:Ui on C? c 2.-_
J. D. Drca..ka
Pians are app. over? for: Sowasa Disposal: x_
Foid up Final for:
Final Clearance OK for:.
C earzince i3. for the foli'c4ing:
T•GV S!ll&:`baY'
a of rriF:ii1
— 57
3
..B'd Rcora
Bd. Pcom
59
3
Bd. i;.c,o:a .
—62
3
Bd.. .Pocm
Pd F
Pil o Room
-._ 101
3
Bd. Fc1CM
Bd. Room
-44,103
Ls,
ad c ROC-
.Wl
Water Supply _ x
gate. sUcp'lf
Yiater Su?Ply —
pio ja7e Drive
kojave Dr1va
Mo jave Drive
ilojaQ�a Drive
:;orxado
Way.
.Ccrcca..'. ;.'a
;:.oja;_ Mriva
Flo ja Je Drive
Mojave lbriva
I
PERMIT NO. 1869-78B
PERMIT EXPIRES
OWNER Jojn Drake
"CONTR. owner
R LOCATION (A.P. 44=053-73 port.
3043 Camnado Rd., lot 102, Joshua Tree#2,Chico
r
Az
{
Temp. Power Pole
Called PG&E
Temp. E'lec. Serv.
//Called PG&E
/Tmp.eGas Serv.
Called PG&E
JOB —79
(Date) FINALED / —G C�
(Date)
A
g ure)
COUNTY OP 06*Lu — DEPARTMENT OF PUBLIC WORKS
• BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms _
Parapets
list Floor
Main Bldg.
0 Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding C/
o out
v L,Slab
Roof Sheathin Z�
Kar Pf in
Z3
Piers C/'
Roofing Z/
Sewer
t/
Garage
Fdn. Vents ---"
Fixtures
!�
Footings
Garage Vents
Water Htr.
StemwalI
Insulation
Heaters
Slab —
Prov. for ph sically
Appliances
Carport
handica ed
Conformance of ex.
Gas Piping & Test7-22
Footings
structure —
Temp. Gas
Loi
Slab
Final
Sanitation
[___
Patio
FIREPLACE
Final
44 — —7
Footings
FootinELECTRICAL
Masonry Walls
Throats L `
Rough
V
Reinf. Steel —T'
Final`r <i
Fixtures
Bond Beam
FIRF SPRINKLFRS
Untnra
Framin " I Test WWk5 1 ZA < <-
Stucco - Final — - Subanels [�
Mesh MECHANICAL Grd. Fault Prot. C/
Scratch Heating Service 1/
Brown Ly Cooling Temp. Pole
Finish Ducts L Underground Ll--,'
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
M0016EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
-S/2 3 / 1) V f� /Pella
Ate- az
7R�W//"
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive � Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT A
autnonze representatives or the county or ttutte to enter upon the
above-mentioned property for insp ct' n purposes.
x Date 7 7,6?
i9nature of Per e o A ent
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 F PUBLIC WORKS
By Date4L.1/- 2X
ilding permit expires Date —.a -t_.7
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
O letWo . (9
Mai I i ng Address
gq I - ` (0 1 00
Telephone
iG
ch L
Contractor
Mailing Address
Fireplace
Total Valuation g ®®
Telephone No.
Permit Fee Q0
Building AddressA!1111
Plan Checking Fee&/or Penalty
Permit Fee -00
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Trap 1.50
V �UEach
r✓v l"'g !Fl9rificatio® Only
#
Repair drainage or vent piping 1,50
A. P. No. p
FJO We. S ni tion Fire Dept. Fire Zone
p _^Z
Zo
Use Penni.t
Water piping 1.50
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
Parking
EOA plans
Parcel
Declaration
cel Ma
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
RParce
A royal
Plans Approval
Lawn sprinkler system 2.00
NEW E3' ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD -L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACCLCCUP, s
BLDGS) 2¢sgft
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. MULTI.OUTL T
( BRANCH CIRCUITS) 2.50ea
..NON.RESID.
NEW CONST. (POWER APPARATUS 9
R
NON RES,D. (SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES 5 50L*
FIXED ALNS
Ex. Occup. (OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
JKI am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
MECHANICAL No.1 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 1 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 relatinq to buildinq construction, and hereby
Land Development Fee
$ J Q(
TOTAL PERMIT FEE$
Q(
autnonze representatives or the county or ttutte to enter upon the
above-mentioned property for insp ct' n purposes.
x Date 7 7,6?
i9nature of Per e o A ent
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 F PUBLIC WORKS
By Date4L.1/- 2X
ilding permit expires Date —.a -t_.7
JQ51VLlA
TREE - 5t15D/VIS/ON U/V/T
''0 2
-NOTE:—All Mle4t^4'IOIs ?r M/orkmanship
'Shall Be in-
- ?
Pr. ,.t;res and
of a clu'v4;., .,•.�-A ;4_r �' �1F •^l,e T�.��it�ff
use- in the
A i
+,Illt`��r,�• +�i.4;:•.f;'no �? ochonlcai
InvfP&*M--7
Codes and
•I
the 'Ivat►6ngl Eltrd, a o e;"'*
'
b` Q..u' .
ihis sa of pla
-
's -and s0 citieations' MUST be.
,. /02 -
cep! on tnt: jot-, Z
:'a!i lir s• rand'it is un!aw al1 fo
make an-, c is ^!r
or, a`., Vons on same without
',from \\\ -
written p-Drrnisson
111 partment of Public
Works, County o
Butte.''
r Sept -ac system- and location ofbuild-
i, g , drain, stub -out to be as per
W e� : to Cc�,inty Health Dept. Re- l�
p g4irernents.
T'I e Rich.. Sefbl•k'shail
0 ft: from the
sick prof . v
1(, and `; 11. •f, o;nfihe
cer:#cl-1144:,= of
a,maxi-
murn of a 2 Tf. . c
;9 oyern) +ung but eiitirely S ;
out of all ease
i6nts.
:See IV aster Plan o,�•fileIor
buildinq
plans. 13 P9_4—'
BUTTE COUNTY
' UILDING DE
. • � �• .. '_
ART MEN-
,
- A
VED
l0' 7
+
�
4 78,0
.-._
'�•( Wrlur•al:._b. iaJ�+FtI+.W./JY•iYr.��� _ b6 A� 1 �* A• ,�
f
I �
.
COUNTY OF 8UtTE1 DEPARTMENT OF PUBLIC WORKS
" F 7 County Center Drive Oroville, California 95965
.. Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
K X Date C 7
Signaturee ofermi-/teee /or Agent
Receipt No.J . 761 / 1 -
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.
DIRECf OF PU LIC WORKS
By 1 � --� Date ✓ cp
g permit expires Date'����;�?
BUILDING
Owner �IOLZ / CS
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor /14114/1
Mailing Address,*Fireplace
Total Valuation
'elephone
o.
�,�
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
C-_ eyla ""` 1�d
PERMIT FILING FEE $3.00
Each Trao 1.50 U
Z -� ��/� �,Sw
Repair drainage or vent piping 1.50
A. P. —� � Zoning &Planning'
Water piping 1.50 p
Each gas water heater or vent 1.50
es
tSaaiielr
Fire Dept. I
r1ireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
ec
Parcel Approval
Plans Approval
Lawn sprinkler system 1 1 2.00
NEW [J ADDITION ❑ UTILITIES ❑ THER
Permit Fee $ Q
is :TIT,
&Z�1� Z Azle lie, 7
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family I?] Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
/
Main service OVER 7615 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ACCLCONS. D BLDGS.LING Ccup. Y) 20sgft
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:
�'�r�
�%� L f/-[6T"�lr///_/ �✓ j�LL
NEW CO ID ( BRANCH CIRCUITS) 2.5Oea
NEW RESID. BRANCH CIRCUITS)
NEWCONSTR. (POWER APPARATUS B
NON -RESID. %SINGLE OUTLET CIR,
Ex. OCCUD(OUTLETS OR FIXTI1RES 5 L25
Ex. Occup ( FIXED APP LNS, OR
OUTLETS (RESID•) EAl 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification G (!�;,
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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
kmen's Compensation.
ave placed on file with the County of Butte a certificate of
PI
orkmen'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.
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
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee �$
Land Development Fee
$
$
TOTAL PERMIT FEE
$ S
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
K X Date C 7
Signaturee ofermi-/teee /or Agent
Receipt No.J . 761 / 1 -
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.
DIRECf OF PU LIC WORKS
By 1 � --� Date ✓ cp
g permit expires Date'����;�?
COUNTY OF BUT -W DEPANTMENT OF PUBLIC WORKS
7 County Center Drive — .Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
,�f -,7P-
Ignoture of Permitee or Agent
Receipt No. ZY 777
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
By Date
Building permit expires Date <f 77
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
`
)ehono No.
Contractor
Mailing Address
Fireplace
'
Total Valuation p O
Telephone No.
Permit Fee O
Building Address ��O/O /�_/�
19v
Plan Checking Fee&/or Penalty
Permit Fee DO
PLUMBING No.1 @ FEE
.5
O
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. N C��dSr .� 3 �
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
s6XISaRisatien
FireDept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Bui [ding sewer 5.00
BU4r-+ vnrRead I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JA
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V O
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service O100VERAMe0oPORv LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSNEW / CONST. ACCDWE•BLDGS.LING CCUP. ') 2P Sq ft
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 R S, D, / RANC C R T
NEW CO ID 1 BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON -RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES g L2j
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Lic se No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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 "e placed on file with the County of Butte a certificate of
rkmen'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 $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above a •oned property for i s ion• purposes.
kv�ate 5 � /v U
Land Dev9lopment Fee
$
TOTAL PERMIT FEE
$
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.
DIREC OR OF BLIC WORKS
Ignoture of Permitee or Agent
Receipt No. ZY 777
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
By Date
Building permit expires Date <f 77
- COUNTY OF BDEPARTMENTF P BLI WORKS
BUTTE = O PUBLIC
7 County Center Drive — Orovi Ile, California 95965
Tel ephone:' 534-4541
APPLICATION AND PERMIT
�yo-�P
a
authorize representatives of the County of Butte to enter upon the
above-mentioned property for i pection purposes.
X Date
gnature of P m e ent
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.
D TO OF PUBLIC WORKS
By Date
8a permit expires Jate ik/3.1 �'7
BUILDING
OwnerSQ.
O �
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor tic c�2 r
Mailing Address �1cdC�Fireplace
Total Valuation
81e6UL 4 L
Telep one No.
Permit Fee
Building Address d�
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
a� /
C,1 ic-6
Repair drainage or vent piping 1.50
A. P. No. o-!;3 — -73 +-%
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
Sa+fiitatfvn
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
Parking
EQA Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
/
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5•�0
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service 0,0v0ERe AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNS. ( C &CUP. Y� 20sgft :3 ylg
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
le of: (/�
C-.•CiK•
TLET
.CONS ITS/ 2.50ea
NEW NONRESID, BRANCH CIRCUITS) ULTI.O CRCU )
NEW CONSTR. POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES 50@25a
BAL@1
Ex. OCCU IXED APPLNS. OR
Occup. (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 3oS 3Gr Classification �%V
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $-77,70
$ 7 r1Z
MECHANICAL No @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code w ich requires every employer to be insured against liability
for Wo men's Compensation.
eplaced on file with the County of Butte a certificate of
have
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
$ 3 7
authorize representatives of the County of Butte to enter upon the
above-mentioned property for i pection purposes.
X Date
gnature of P m e ent
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.
D TO OF PUBLIC WORKS
By Date
8a permit expires Jate ik/3.1 �'7
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive ,— Oroville, California 95965
Tel ephone:' 534-4541
APPLICATION AND PERMIT
a5aO -1-7o
auth7,,.-
representatives of the County of Butte to enter upon the
abontioned property for inspection purposes.
k X ('� Rhe-�%U Date 3
Signature of or Pent
Receipt No. 11 - /
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.
ECT R OF PUBLIC WORKS
By'211 Date " rha
/ M1
A46ft permit expires Date
BUILDING
Owner lemv4 L�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address pI��Z �
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
a a1.0 le V,
PLUMBING No.1 @ FEE
%CC7
PERMIT FILING FEE J$3.00
Each Trao 1.50
Z —z rel
Repair drainage or vent piping 1.50
A. P. No. .— QsJ— 73 Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
Saclita•:-_
I Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
I Parcel Map
1 60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
Parcel A 1-11-1
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 21
Permit Fee $
$
l .col _ ZT
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L too AMP 2.50
IM. C j�v
AMP O 25,00
Main service 00 P OR LESS
t00 A
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. OR ADDNST � ACCLBLDGS.CCUP.'II) 22sgft
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
le of:
Y � n n
OAC �
TLET
NEW °"ST'i BRANCH CIRCUITS)
NON-RESID (MULTI BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES B L@;
Ex. Occup. FIXED APPLNS. OR
p•(OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
0-11.-e{ 01 ��, S c�
Mobile Home Facilities 15.00
License No. yS Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ 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
or 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.
PERMIT FILING FEE $3.00 Q
Heating O� d c ., U p
Cooling
Ventilation
Hood 2.00 Z, QO
Permit Fee $
$ 6
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
a
$3•�
TOTAL PERMIT FEE
$ 3
auth7,,.-
representatives of the County of Butte to enter upon the
abontioned property for inspection purposes.
k X ('� Rhe-�%U Date 3
Signature of or Pent
Receipt No. 11 - /
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.
ECT R OF PUBLIC WORKS
By'211 Date " rha
/ M1
A46ft permit expires Date
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8161 0
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S>,aoM �nDn� 30
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