HomeMy WebLinkAbout007-330-036-�
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`JohnDrake3032 Coronado Rd.%COMPLAINT GIVEN TO INSPECTOR Tree #2, Chico
�)v — Permit #1861-78B(new single family)
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BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available to the public!!!!!!!
DO NOT COPY FOR THE PUBLIC OR' THE FIELD INSPECTOR!!
The following information is required for Housing Complaints and the
Complainant MUST BE the person living at the complaint address!
Complainant:
Address:
Phone Number:
The above information is not available to the public!!!!!!!
(2)
.'
X
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV N
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 4 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT O d
ASSESSORPARCELNUMBC
�p� - 6 - 03�
ZONIN
�.-I
B LDING PERMIT
OWNER w `- z
/3/�3�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
'
O
. OWNERS MAIUtJL O�A ^
CONTRACTOR'S NAME TELEPHONE
-
Scl
CONfRACTORtMAILING ADDRESS
'e. CHICO g
CONSTRUCTION UENDEA
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $/9(y
06
ARCHITECT OR ENGINEER
UCENSE NO.
FI lin Fee
$ 20.00
Permit Fee
$ 31100
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS A ^�
Energy Plan Checking Fee
$
$
PERMIT FEE
LOTNO.
SUB ON59WMIE
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ,W Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water h96ter
23.00
Water piping
15.00
Each gas water heater 0/vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 1�p I Sa- 0 k)21�
Gas piping system 1 - Voutlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
500V OR LESS
Main Service 200A OR LESS y
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 full force and effect.
/
License Class �- 31 Lic. No. 60�/�'f 77
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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO t000A
46.00
NEW CONST. DWELLING OCCU
OR ADDNS. s ACC. FU Ds
SO
3.50FT;
NEW CONST MULTI.O
97,50
POSINGLE O CIR.WER APP rus
8
Ex. Occu OUTLETFDCTURES
BAL @ '-00
Ex. OCCU OFutED R� I EA
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.
X"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' com ensation insuranc carrier and policy number are:
Carrier S ]-i� Fciv✓�
Policy Number G 20 - 6 9
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall_3
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
wor ' compensation provisions of section 3700 of the Labor Code, I shall
=rtwomply with those provisions.
X Date
Sign e f Applicant - ❑ Owner ❑ Contract gent
An permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMI
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
'Energy Inspection Fee $
Occ
cowcs.ZLPE
V -&-TOTAL FEE $ S/,06
HA2.
p, FE IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ova for which fees have been paid.
_ /� 47
By [ Date 1-141-9f
PERMIT EXPIRES ON �7 —x066
Date
ReceiptNo. J`- --/- 3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� E R S ET
r 'E
COMPANY-
aR LICENSED CONTRACTOR
Phone: 342-4764
P. O. Box 3506 — Chico, California 95926
INSULATION (Batted or Blown) f%
Date 9':;1
U
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:
Street Lot Number Tract No.
EXTERIOR WALLS
Manufacturer Thickness/Type R Value JI/
CEILINGS
Batts: Manufacturer Thickness 'R Value
y,/
Blown: Manufacturer �r Thickness No. Bags C;Z Wt./Bag
Sq. Ft. Covered R Value /
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer
GENE9&1A iCO
BY 0 I 4 „PCZ-- -
INSULAT N CONTACTOR
Thickness/Type R ValuePoJ 1
�DeP&C �_� + LICENSE NUMBER OW
IT E �7v/ �ls DATE
lad")
,� /� LICENSE NUMB
)TLE f4L��L^rDATE
SAVE ENERGY - INSULATE!
( DATE)
ACCEPTED H SETH COMPANY
(Authorized Representative)
Y IIII ri•ah
Data
F.uiidir;g Department
ri} ; :
Eii=ar L :ns„a2 Real:; i
:_i'UTIii:: Se-:;aga -ard/or ::ar.'i• and/,_
r,.,:y__ .on Cl:.a__..
46�—
J1. D.
c ::8 -
uuSfl�_ e u T
3
Plans
are app.rova9 for: ."
.5'ewa
a
DispoSai: `� X
Water SL.cpiy X
Pc?d
up. Final for:
=atar Supply _
Final
Clearance 0K for:
oil te, r ::uoply
Clearance i3• for the f011 ' illg4
r o gfmb-ar
Type Of
]7sdf: _ii%
Trti%�q�:•� J?7
— 57
3
x:o
?ao:n
�ioja-�e Drive
5�
3
Bd a
2-oo a
f o j ave Dri va
59
3
Bd;.
b o java D. iv.-,
- 62
3
&101110cm
1.ojaV3.'Dri,,a
Ede
Roo.
voronad0 Flciy
BD a
Room-
C0roear.a r.,ay
101l
3
Bd'
Poean
kioja;rs Diva
-,-102,
3
Bd o
Room
Ho ja e -Drive
ado
Pocm
tioja ve ;-riva
Y IIII ri•ah
Data
u
F., r.
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;PERMIT NO. 1861-78B
c
PERMIT EXPIRES
OWNER John Drake
-- tONTR. owner
%_OCATION_(A.P. 44-053-73 port,
J
3032 Coronado Rd., lot 58, Joshua Tree#2,Chico,
is
Temp. Power Pole
Called PG&E ee
Temp. Elea Seri �� "'�
ailed PG&E
T mp: Gas Serv. a. C.�S
Called PG&E
JOB
FINALED `
(Date) �
//—/—
(�
i
u
F., r.
i
;PERMIT NO. 1861-78B
c
PERMIT EXPIRES
OWNER John Drake
-- tONTR. owner
%_OCATION_(A.P. 44-053-73 port,
J
3032 Coronado Rd., lot 58, Joshua Tree#2,Chico,
is
Temp. Power Pole
Called PG&E ee
Temp. Elea Seri �� "'�
ailed PG&E
T mp: Gas Serv. a. C.�S
Called PG&E
JOB
FINALED `
(Date) �
//—/—
(�
Stucco Final — Subpanels 4--
Mesh
/Mesh X78 MECHANICAL Gird. Fault Prot. Li
Scratch Heating L/ Service
Brown Cooling Temp. Pole
Finish DuctsUnder round C/
Interior Lath ✓ Ventilation _ Z;--" Permanent t/
Door Closer t/ Final 7 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 CO CTI NS
� 7
(NOTE: An entry must be made on this form each time you visit the job site.)
1
COUNTY OF BUTTE — DEPA"MENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor --�
Footings
i Windows
3rd Floor �—
Stemwall
Siding
To out `- L • '78
Slab
Roof Sheathing- -7
Water Piping /
Piers
Roofing ���
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents ---
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
— -- Prov. for ph sically
Appliances L/
Carport
T
hand ica ed
Conformance of ex.
Gas PipingTest �-
Footings
structure �-
Temp. Gas L�
Slab
L/ Final =Z
Sanitation f/
Patio
FIREPLACE
Final
Footings
1/' Footing
ELECTRICAL
Masonry Walls
Throat r^--
Rough >
Relnf. Steel
�— Final
Fixtures Cr
Bond Beam
y— FIRE SPRINKLERS
Motors
Framing
► 7 Test ^
Water Htr.
Stucco Final — Subpanels 4--
Mesh
/Mesh X78 MECHANICAL Gird. Fault Prot. Li
Scratch Heating L/ Service
Brown Cooling Temp. Pole
Finish DuctsUnder round C/
Interior Lath ✓ Ventilation _ Z;--" Permanent t/
Door Closer t/ Final 7 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 CO CTI NS
� 7
(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
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address t ® 1i Llg
0.0
lwv
Tcleph e No,
Contractor
Mailing Address
Fireplace
Total Valuation Ono
Telephone No.
Permit Fee
Building Address0,0roloado Rd.
Plan Checking Fee &/orPenalty
Permit Fee
PLUMBING No. @, FEE
WiTlIcalflon OftEach
�j 2_30 l
PERMIT FILING FEE $3.00
Trap 1.50
Repair drainage or vent piping 1.50
r
A. P. No. ti Lt — ^ 7 04 1 Zoni
Water piping 1.50
Each gas water heater or vent 1.50
Fi
VVZ* Sa i ion FireDept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel Parcel Ma 60' R/W
Plans Declaration P
Im r
p ovements
Each additional outlet .30
Building sewer 5.00
d�
�
/--Parcel roval
I Plan Approval
Lawn sprinkler system 2.00
NEW 0�r ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ 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 CONST. ( DWELING
OR ADDNS. ACCLBLDGS,CCUP. Y) 20sgft
CONTRACTORS LICENSE LAW
State of California Business & Professions Code under the name
style of:
NEW RESID, BRANCOUTL T
NON-RESIDCO N ST ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&
,
Ex. OCCUp(DUTLETs OR FIXTIIPES B L0;
FIXED APP LNS, OR
Ex. Occup. (OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
rVq I am exempt from the Contractors License Laws of the State of California.
Permit Fee $)Chll
$
MECHANICAL N0.1 @ 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.
XI 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
$ t�Z
TOTAL PERMIT FEE
$ ��
authorize representatives of the County of Butte to enter upon the
above-mentioned propertyZ—
ii:
l ction purposes.
lr Date
Signature of P m' or Agent
Receipt No r] I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have b In paid.
DIRECTO OF PUBLIC WORKS
By Dated
;6/11ding permit expires Date -V- 7 F
J06IVU A TREE 5LI50/VISION UN/7 �' 2
NOTE:—All RMatericls & Workmanship Shall Be in j
Accordance vii?l. R,r,-,r ,3-zc d r ^od Pc-tices and
of a quality +he SoecifieA use in 'rhe I
Uniform Buildinq, Plurr�ing & Machanica; Codes and
I
eN7610—Ma
X51. 00
_
ibis set of plans and specit ca�ions A1'US'I .oc ,'' f'
>. ,
cept on the job t'all times and it is
make any ch-nc?_ or alteration. on -&M-r wirhoul
written pwrmisson from the Departmentof Public
Works, County o 'butte...
The Bldg. Setba 'k• shall be. 5 f from the " � M
side propersy li d.- c�iz.e ,� 0.4f .f� c3;:a the —�
eenlerlire of the a t; i %a A[.T. w•.
e1'riii;i1 ;a U �a:zt% . dee MastEr flan n tile for building
rnura of a 2 ft. a :fie overhang But entirely '`'�-- ""'" fat is. h•
out of all ease nts. �'� �ci(61-7 it
` 13 .
Septic system tend location f build-�. BUTT COUNTY
c
gdrain stub -out .to: be 'as _ .. _.
Butte County k;Ht
ealth - De per _ � BUILDN DEPARTMEN_
quirements. ` • Re -
AP 1,OVER
S.,y, G L '
G a �,�d %• DO
i
COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS
jr- t 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 /
APPLICATION AND PERMIT
authorize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes.
X x /� Date
Signature of Permitee or Agent re
Receipt No. / 7�1 7"Ilz
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.
DI=BLIC WORKS
By Date -
Bing permit expires Date - 'Cl—g;V /
BUILDING
Owner 2 1<f -,c
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor E
O /l� �
Mailin Address �C3
Fireplace
Total Valuation
GG `
Telene o. L
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
ZZ
PLUMBING No. @ FEE
V C�
PERMIT FILING FEE $3.00
Each Trap 1.50
Z�
Repair drainage or vent piping 1.50
/�
A. P. No. % Ll �� ,� Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50 Q
es
Fire Dept.
Fire Zone i 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
Bl
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES OTHER
Permit Fee $ 00
$
1e
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR L
Main service 100 AMP ORSLESS 5.00
Single Family Duplex Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
L[
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACCLBLDGS.LING OCCUP. I 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:
/ a/y"!2 � _
NEW RESID. BRANCH CIR T
NON-RESID. BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS B
NON -RESID. (ANGLE OUTLET CIR.
EX. Occup{OUTLETS OR FIXTI1RES1 BAL 21
FIXED APLNS.
Ex. Occup.(OUTLETSP(RESID.)REA) 2.00
Temporary service 10.00
-
Mobile Home Facilities 15.00
!�
License No. ``,r= Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Califomia.
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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F -1I 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
$
authorize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes.
X x /� Date
Signature of Permitee or Agent re
Receipt No. / 7�1 7"Ilz
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.
DI=BLIC WORKS
By Date -
Bing permit expires Date - 'Cl—g;V /
- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, 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.
xDate
gP8
nature of Per It o 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.
KA—EtTOR OF PUBLIC WORKS
R
By Date I J7
a _*ffiffik.g-permit expires Date
BUILDING
Owner�— �G
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor��
'
Mai I i ng Address — ✓�
Fireplace
Total Valuation
t Lt
Telephone No.
6
Permit Fee
Building Address O
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
// _� _ I /
Lid/_ 6 o %vq a— evr � Clieco
Repair drainage or vent piping 1.50
eQ
A. P. No. _®S 3 v ��T�
Zoning $ Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
1 4cl6e1344"i4ln
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
Parking
EOA Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEWW! ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
0' (Q, 7
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 O.O
Main service SOOV OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
OVER
Main service OVER 25.00
AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONS.OR ADDNST i A' I GS CUP. S) 20sgft - "z
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:
y
NEN RESID. BRANCH CIR T
NON-RESID. � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 6
NON.RESID• (SINGLE OUTLET CIR,
Ex. Occuo(OUTLETS OR FIXTIIRES s L@2ta
Ex. Occu FIXED APPLNS, OR
LETS (RESID,) EA) 2.00
Temporary service 10.00
p y cervi
Mobile Home Facilities 15.00
License No. _.3O.rXt Classification O
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 Wo men's Compensation.
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 $
$
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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
xDate
gP8
nature of Per It o 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.
KA—EtTOR OF PUBLIC WORKS
R
By Date I J7
a _*ffiffik.g-permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
Mailing Address
Telephone No.
Contractor hi, 0-
Mailing Address
<.— / Tel -phone No.�
Building Address _AI�Y 6_0 -��
A. P. No. —Ov \ rj i ' Zoning & Planning
F VI%S"=ial.1 Fire Dept. Fire Zone Use Permit -
EQA Parking I Parcel Parcel Ma 60' R/W Im rovements
Plans Declaration P P
Parcel Approval Plans Approval
AN E!�M ADDITION ❑ UTILITIES ❑ OTHER L�
Single Family 10 Duplex ❑ Mobil Home ❑ Others ❑
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
stle of: L
'
O
5 eta na z IL
License No._3 Classification
1 I am exempt from the Contractors License Laws of the State of California.
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 orkmen'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.
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 ate Laws relating to building construction, and hereby
au ori a representative of the County of Butte to ent r upon the
Wa�e-
ntionedpi pert fo'riinspection purposes.
Datenature of Peer��mitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
,30/OD 7�
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace I I_
Total Valuation
Permit Fee
P I an Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trao
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
eoov OR LESS
100 OROR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER eoov
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. I
OR ADDNS.
DWELLING OCCUP.
ACC. BLDGS.
NEW CONST.
Nn N_R
RFSIn.
/MOLT I.OUTL T
\ BRANCH CIRCUITS
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
FEE
FEE
Ex. OCCUR OUTLETS OR FIXTIIRESB a`
AL tm I
q I
FIXED APPLNS. OR
EX. Occup. (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirina 6.25
Permit Fee $
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00 _3 O�
Heating //m m
Cooling 3
Ventilation
Hood 1 1 2.00 -,7410
Permit Fee $ �7 0
Land Development Fee $
TOTAL PERMIT FEE $ 3 OU
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 CT OF PUBLIC WORKS
By Date 3 /TP
Building permit expir s Date __�
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