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HomeMy WebLinkAbout007-340-006John D. Drake 3119 S ilverbe l l Rd . , lomat X21, J:shua Tree #2, Chico Permit #1293-79B(new single family) contr: Gore & White Plbg., Chico Pe it;, #1568-7 P plb9 .01 #1293-79) /wI0! /' ' /1�� - - ontr : McC le nd-"AC """ " PErmit #3355-79M(mech/1293-79) _ =-` Contr:�Fox' e�tric Permit #3613-79E(ele/1293-79) STEW OWNER 3119 Silverbell Rd, Chico Permit#2738-82B(install.wood. stove)SF �Cont: Larry Banks 7-34-0 1 ` I,/IaS�p/. Permit #563-86B,E,M(add den/SF) / �{O cm*;I�YM �� � I t-7 k.A cls N <50 TQ A'ietb6ck-of 5 ft. from the i property and a setback ack v 'of 56ft. centerline sheii Lt Structuret or equipment (v^ce%p, wftrhang. PERMIT NO. t 56 -$6B E M PERMIT EXPIRES .797 OWNER J CLAUSON CONTR. LARRY BANKS ASSESSOR PARCEL 7-34-06 LOCATION 3119 Silverbell, Chico -s Y d Temp. Power Pole Called PG&E Temp.:Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALE Signature V = OK , O = Not OK " — = Not Applicable RESIDENTIAL (Single and Duplex) " = Not Ready , Date UN RFLOOR Plans OK exce t#'s Date FRIAMING Continued . Zoning requirements -Setbacks -Easements Property Line Firewall & Openings Fig., Main; Soils -Steel - / /" Fig. Depth 4qj Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ga ge; Soils -Steel- / /" Ftg. Depth 59. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5g, Siding -Nailing -Veneer eel-Blockouts-Wrapped-Slab . Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access . Piers- 5 Glazing Area -Glass Protection -Skylights -Plastic 4r -"D- -4V-,- aJI-Fittings-Test-2 way C/O -Sewer Test hear Walls; Nailin -Bolts -7-fte-Pipe; Size -Anchors k` I , ,f0:-Water-F"e; Test -Anchors -Regulator -Service Test -41,-�IeeMic' Underground T'1"-P1trtt1rtt5 ✓Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date ip Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI S Date Two CCard-BI Date Date FINAt�ans) OK except #'s Card -BI Date Card -81 Date Date PL NG (Permit) OK excep #'so 50volExt. Steps -Door & Sidelight Protection -Landings e Detector _ 14. Wate t.; Vent -Act -Combustion Air urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water EN: Test Anchors -Nail Protection 16. D.W.V.; Te_ �ttngs & Anchors -Nail Protection bedroom Exiting 17. Shower �a ,�T First Floor -Tub Access C.F.I. & Bath Fixtures & Tub Access — 18. TestT & Showe , nd Floor -Tub Access. -Flet. Trim & Subpanel; Breaker Sizes -Labels V Gas Size & Anch ipe; airs & Rails -- -- '--- 63r Fface or Stove; Clearances -Hearth 6 let. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date *9"Ee Outlets & Receptacles at Kit. Counter Date EL'CTRICAL Permit OK exce t #'s arage ire Door; Swing -Landing -Closer 88r-44rG �9uct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection @9•-7�4tr•:; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 2 Elec. Receptacles Spacing -Lights & Switches at Doors 78�PTc,'& Mach. Equip. Listed for Location � _ Size Boxes & No. of Conductors -Stapled i4-- efleceptacles in Garage; (G.F.I.)-Rom�fi Protec. 'AY Romex Installed Close to Edge of Studs & C.J. 4 Equip. Ground made up w/Meth. Fasteners -Baster. 7�ulatton-Foam-Looked in Attic es 7S- d -Rails & Deck Construction -Post Caps — ^46__2-AppNff C_2+Circuits in Kitchen & Conductor Size - _ bfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al -74 Prin Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Loo ed under Floor ❑Yes --- - / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral ,_Yes DNo 48 �P•. ser Conductors & Ground -Main Disconnect 7j. F lowing ins d ' rive O No; Walks es ❑ No; P ers es ❑No 7 tucco; 1364 -Finish Equip. Clearances: Panels -Motors -Meth. Equip. isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I fight -Shower Light _ CjDate{_ 6 Card BI Date g —__ Date f Card -BI Datess 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Electrical, Plumbing r Elec. Trim; G.F.I. Receptacle -Underground 8 en ' tion throughout House Protection Date MECHANICAL (Perrr!it) OK except #'s _ Corrections from Previous Inspections �n - est -Meters Tagged; Gas -Electric _ Card -BI _ Card -BI V.A.C. Ducts_Insulation &Support _ 3f—V4r- Exhaust above Insulation _ _ _ _ - 33.-6ewdeffs-ate Drain & Overflow; Size & Grade --P'mtT�C Vent Access-Comb._Air-Return Air Vent -1_15V outlet 3�cess & Platform if Furnace in Attic Date _ -- ® �o Card -BI Date Date Card -BI Date ateTr & Sewer Connected -C/O to Grade -HD Approval 1&. --Energy Compliance Certificate -Other Certificates Card -BI Date W Eard-BI Date Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Date _ FRMING Plans OK except #'s _ Sills; Proper Material & Anchors__ _ :Tel Walls: Studs -Nailing, Spacing & Bracing -Plates_ - Sou nd 38. Bearing Walls over Girders &Floor Nailing /Draft Stop in Walls (rat proof)_ 40�f Fire Stems; Furred Ceilings -Stairs -Chases -Tub {,1! Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors ,Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 4W Fireplace Ties or Type A Flue -Fireplace Throat 4V-/ Attic Access: Size & Romex Protect ion-Draft_Stop-Ins. Baffles 4 VBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --- — 4 Garage Fire Protection Framing Comments at Final: _ (NOTE: Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK ` ='NotApprtcable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK_ except Ws i. Zoning Requirements-Setbacks-Easemerits_ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI _Date MOBILEHOME INSTALLATION (Plans) OK except tt's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except M's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting: Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO G BUILDING PERMIT OWNER a—� r TELEP ONE SQ. FT. OCC. BUILDING VALUATION C +�� OWNER'S MAILING ADDRE,iS 31 1 ef '51 Ise,. f3c, I CONTRACTOR'S AME u •� I TELEPHONE S/ --1S�H CONTRACTOR'S AILING ADORE S cJ Fireplace CONSTRUCTION LENDER G UNKNOWN Total Valuation $ O,up Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7-e/ S -p ARCHITECT OR ENGINEER Ajo LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ ,p0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ t0 Permit fee $ / ° , -75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. Zt SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF %L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Additiortk Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD' P 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full- force and effect. License No. Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLIN C P. , OR ADDNS. ( ACC. BLDGS. /20sgft -j0, fp0 NEW CONSTR. MULT'-OUTLET NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. z0@sot OR FIXTURES 9AL@30 Ex. Occup(ou XED FIXA R Ex. Occup. OUTLETS P(RESID )EA.1 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 5;&0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r�J l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 4A -LA -S (0,00 Cooling Hood 3.00 Ventilation permit Fee $ ,U�l Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. X •..-- Date Signature of Applicant - Owner 1[ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0Ccup. CONST*TYPFJ O JI. PA C PO ND ISSOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT91VOF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date . �7-?'C .3 T -7—T Receipt No. WHITC•D.P. W., YELLOW-ASHl990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE,�ALiF�(1RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. 7- _3'-1 - C, Proposed Building Use��,4��-�. Permit Fee Based Upon: Complete Contract Price Lf� DPW Valuation Other (Explain) Building Inspector DQ, Date 7", i / a AL r 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. . . . . . . . . . _P _ _� .lans-in'rdupl ci ate>/trieplecate. . 11;e4.,,t .{I,. . . . . . Complete plans 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . a\A0. ,Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) w _ 15. Improvements may be required. . . . . . . . 16. Mobileh me Installation Data. . . . . . . . . . t •Pre-InspeC. request to (pole) AW17 Pre -Ins ecti0 or Required. guildin9lnspector e orded c py of Agricultural Acknowledgment Statement. 19. Other r)ri R w-mtr t,nxaat-. _ anxar. c),t>•a I iro-mr7uiir#-d nri-cr t:c cccunancv 1 When/you issue the permit, process as follows: Mail to owner. Mail to contractor. I / Telephone 9,1/ -e2-3 ( and hold for pickup at K-l—,n office. Deliver w/inspector. Other <-1 'fora A p p I icant--- -. � �. - — 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 t t, f pf t cation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owne was advised of above required data byT lep ne Mail Other By ZDate Plans checked by 3Ll k Date Plans approved by Date Other: Copy -DPW jM. 7-351-I TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final -clearance O.K. for: water supply .q; Clearance for bedroom mobile home. Other Note***, ' /- /L-6 Sanitarian Date (brand and model number) (seasonal EER) FORM n_ ❑ (4) MASONRY AND FACTORY -:BUILT FIREPLACES shall be equipped with tight / fitting closeable metal or glass doors covering the entire opening ! of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A).' -Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr �} (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar - type (liquid or air) Collector brand and • ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope 1 Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) L- QQ nn Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT R GORbEUDfAii�ROS FOR RESIDENT.IAL ,DEVELOPMENT OF BUTTE FORWA AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement PARrif SHOWN be recorded prior to issuance of a building permit. 86- 8531 1986 MAR IS PIS 12: 38 The property described herein is adjacent to land or included 1­1� within an area zoned for agricultural purposes, and residents of thiUAN R M; BECKER property may be subject to inconveniences or discomfort arising•froo-EER}S= e.3 70J��O .- r .,.c.wr 7+r v.r`n.; yAY'i++a"f�''(`waou.,,w...—..-c,�.t�,.:... v.,+c.�.,o -r..r +� �:.r _� w:s:o r �: w...�v�...*r,�-.� •-•��cr o._�,e+.--.a .;z 792- Gc) �E /✓exv''rr/ -o COUNTY OF BUTTE - DVAR`TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CalifoNa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT"NO. ASSESSOR, PXRC EL NUMBER ZONI G BUILDING PERMIT OWNER A `r-`-' % 44 .fir ..f J (17l/ TEV749LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING_ ADDRESS CJ%ACTOR'S NAM 44,1-14,4. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ,UJX/ C UNKNOWN Total Valua ion $ / ) _ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 4,4f 1 r LICENSE NO. Plan Checking Fee 0%14$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r -PLUMBING A � Xn/, PERMIT Fill Fee 10.00 ng Each Trap 2.00 Repair drainage or vent piping 5.00 l fes/ r G Water piping LOT NO. SUBDIVISION NAME ___JPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition p. Remodel ❑ Uti Iities ❑ Installation ❑ Other Q-- Describe work: ., r s 7 Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6ALESS 5.00 00 MP OR Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N) 2� sq ft OR ADDNS. l ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r-1NON.RESI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification _Q' 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. M ULTI__UTL_T NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS 6 D. SINGLE OUTLET CIR. 50 E2DC Ex. OCCUp OUTLETS OR FIXTURES BAL�1 FIXED APLN5. Ex. Occup.(.UTLETS P(RESID )KEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 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 representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 4' y� 7�GL X- • - -j �-' -' +' { �- p""" Date � , �, Signature 6f "Applicant — Owner Q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -7 D U OCCUP. GROUP I TYPE OF CONST. F PARCEL PD HD 99UE This permit is hereby issued under the applicable provi- sions 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 / Zi PERMIT E.XURES-Date 7-- P -7 Receipt No. /.% 1/7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPMATIVkNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 I APPLICATION AND PERMIT PERMI NO. ASS ESSOP CEL NUMBER ZONI G BUILDING PERMIT OWNER TELEPHONE ZZZOWNER'S SQ. FT. OCC. BUILDING VALUATION MAILINADDRCESS �C C R / ACTOR' NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace DDO.4 C7 CONSTRUCTION LENDER k1VA1` UNKNOWN Total Valu Ion $ 100 Q. 00 Filin Fee g $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ —0 v ARCHITECT OR ENGINEER AA0 Al F LICENSE NO. w l Plan Checking Fee O� ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2 J—,U� BUILDING ADDRESS F x*O/4 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater Or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel[] U/tti lities ❑ Installation ❑ Other Describe work: A/f'GZs /I ✓ri/�/LCe(}�F_tG t/, -/00C/ �1/L/2 _ � ZS Z, G� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 5.00 • Main service EA_ ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUP.el1 OR ADDNS, l ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and m license is in full force and effect.ED y License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. -OUTLET 2.50ea NON.RESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS e) NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50@280 BAL@1 R Ex. Occup.(OUTLETS P(RESID )EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling ' Hood 3.00 Ventilation permit Fee $ Contractor 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-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse nce of the granting of this permit. Date 9 / 8L ignarure Applicant — OwnerQ� Contractor ❑ Agent ❑ r An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ a v occup. GROUP I TYPE OF CONST, I PARCEL PO 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR OF PUBLIC By PERMIT FXPIto the applicable provi- resolutions to do fees have been paid. WORKS /^ Date Receipt No. 71 O �� WHITE-D.P.W., YELLOW -Asses SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y{� _ E ►�- T HIL pn f CO' .NY ae LIGENB 'ONTR..TOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date t 19G L To �z %xeAg 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 p��® Manufacturer 0�-�6 Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer 10 C - Thickness No. BBaa888���sss Wt./Bag 6rl Sq. Ft. Covered - R Value / A FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS (DATE) ACCEPTE SAVE ENERGY - INSULATE! ET=CPANY —(Authorized Representative) Manufacturer ness/Type R Value GE C i ` A 1Thi r'�AU� R LICENSE NUMBER( CYLB I LE - DATE — 1 INSU�10N O'NTRAC R ' LICENSE NUMBERR-� ®�U� F31� TITLQ�i�/r✓ 1 DATE (DATE) ACCEPTE SAVE ENERGY - INSULATE! ET=CPANY —(Authorized Representative) - 'PERMIT NO. 1293-79B PERMIT"EXPiRES Sia o��a I� John D. Drake • r�WNER CONTR. owner 44-053-73 port. LOCATION (A.P. ) 4J 3119 Silverbel"1 Rd., lot 21, Joahua Tree#2, Chico I; jj yJ. C 6' 71 �r Il ' 1 Temp. Power Pole Called PG&E }} J — Temp. Elec. Serv. , Called PG&E. Temp. Gas Serv. Called PG&E r JOB /) '% �" FINALED v (Date) - id (Signature) Setback Forms Main COUNTY OF BUT'i,4 EPARTMENT 0f PUBLIC WORKS BUILDU INSPECTION RECORD ------------------ Elec. Service Service Tamn Pnla Water Piping Sewer Gas Piping SJR 1LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas iping DATE RES OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING 4 I-- x� RES IDENT?AL ENERGY CC-VSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFOgVCE WITH CURRENT ENERGY CONSERVATION REGULATIONS 0 (location)— BUILDING PERMIT NO.��� A.P. N0..4�-oS�--j3 THE FOLLOWING HAVE BEEN INSTALLED AS'PER APPROVED PLANS: (Check each item or write N/A if not applicable) . INSULAT ION : Slab Edge. Fdn. Walls. Floors Walls OK Ceiling/Roof 6Y-- Ducts SV-Ducts yet) Circulating Pipes t 10 APPROVED HEATER `► E`er APPROVED WTR.HTR. GLAZ ING : �S Single Glazed Special.(Insulated) CERT. & LABELED WDS. & SLIDING DRS. v� 5 WEATHERSTRIPPED DRS. BACK DAMPEKED FANS INTERMITTENT IGNITION DEVICES ,C -? CERT. APPLIANCES } J 4Y I DECLARE THAT ALL REQUIRED 'ITEMS AS NOTED ABOVE. HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS Or THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General /Owner N Vse t) Signature of ~-& /Owner epDate�8`75 tractors o. I THIS CEkTn- ICATE MUST ]iE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN.A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — cDEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT e, authorize representatives of the Cc ty of Butte to enter upon the abo ed property for in pe ion purposes. X f Date ignature of Agent Receipt 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-RUBLIC WORKS By Date -7 F But ding permit expires Date �� " �O BUILDING Owner J® `q_ ) ?/� SQ. FT. OCC. BUILDING VALUATION O Mailing Address ?p 0 �+ zlo T p pe I S3 0 -- Contractor r,�y �� Mailing Address Fireplace .6— �p ---� Total Valuation 2 �� Telephone No. Permit Fee — Building Address LGL Plan Checking Fee&/or Penalty Permit Fee J — !i1 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 J;P4/,2'� p �JCD Repair drainage or vent piping 1.50 �J A. P. No. q ^ D,j � - 73 pop- - � ,,% nc Zo Planning g! Water piping 1.50 Each gas water heater or vent 1.50 21� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans rcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 /15� // BI Plans ec'd Parcel Approval Plans pprovol Lawn sprinkler system 2.00 p Y NEW K ADDITION ❑ UTILITIES [:]—OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR Main service 100 AMP LES5.00 Single Family IN 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 CONSOR ADDNST ( DWEACCLBLDGS.LING CCUP. S) 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 of: NEW CONSTR MULTI.OUTL T NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS a NON.R. RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50@N FIXED ALNS 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 $ MECHANICAL No. @ FEEWORKMEN'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. 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 $ S Z� TOTAL PERMIT FEE $� ©� authorize representatives of the Cc ty of Butte to enter upon the abo ed property for in pe ion purposes. X f Date ignature of Agent Receipt 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-RUBLIC WORKS By Date -7 F But ding permit expires Date �� " �O r tO NOT': All Materials & W rki•nanship Sh ;li Be in ' Accordance with Recognize Good Practices andof to quality prescribed for t e Specified use in theBuilding, I Plumbing & Mechanical C� des andional. Electrical Code. This set of plans and s ecifications . UST be � kept,on fhe job at all fim ,s and it is unlawful to The Bld : Setback shal a X ft. from th4 ' make ainy changes. or alter tions on sam without side pr perty lie an 0 ft. from the writrt�n permission from t e Departmen 'of Pub - centerline of the'road., mum 2 ft. miffing a maxi- � lit Warks, County of Bu of eve ov out .of �t'ease enrts. ang but entirety N f N 1 eptic?system nQocation of build 'as ung drain st Count Butte�ents- =:Ot tot be per talth Dept. Re- I ,quire Kt X79 .:. BU E CO U NTY . - z s •si G DEPRTMENI jRO COUNTY OF BUtTE — 1 -DEPARTMENT OF PUBLIC WORKS 7 C:unty Center Drive - Oroville, California 95965 Tel ephone:'534-4541 APPLICATION AND PERMIT '1 Owner oo-,J 'D2Av_F, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. COUNTY OF BUtTE — 1 -DEPARTMENT OF PUBLIC WORKS 7 C:unty Center Drive - Oroville, California 95965 Tel ephone:'534-4541 APPLICATION AND PERMIT XDate a(}1� v nc 1vn yr r vuuv nvnrw I Ignature of P� ee r A nt By a Date zt,-, 7 Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner oo-,J 'D2Av_F, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor� y- H -I .- ` LU IL48 , 8g�-- Mailing Address Rr 4 go & V Fireplace Total Valuation f s� C "-I W GA r Qsg2(v rn,Sj% /q� 7 i Permit Fee Building Address 3 �� IL_ ��� �D� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trad 1.50 LOT I Z vEI I co Repair drainage or vent piping 1.50 y� A. P. No. 44-o 5 --13 Poe -T Zoning & Planning Water piping 1.50 J(� Each gas water heater or vent 1.50 Fe 11 ftnitatM Fire Dept. Fire Zone 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 s ec d I Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ;$ �i✓�M P, p ,Zq3 ,1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 �/ Single Family 1=t Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNST % ACCLBLDGS.LING CCUP. !i) 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 of: �• �u�C Q I 92 U Li�'L t NEW CONSTR. (MULTI -OUTLET NON.RESID `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS6, NON.RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES a L@1 FIXED APPLNS. OR EX. OCCup. OUTLETS (RESID.) EA) 2.00 6_: 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 $ $ 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. PI 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 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect n purposes. �� Land Development Fee $ TOTAL PERMIT FEE &C This permit is hereby issued under the applicable provisions of the B to County Code and/or resolutions to do work indicated ae f r whjcji fees rave been paid. ., ocn o n� ollol In 1�)novc % XDate a(}1� v nc 1vn yr r vuuv nvnrw I Ignature of P� ee r A nt By a Date zt,-, 7 Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ��� Telephone: 534-4541 APPLICATION AND PERMIT autnorl presentatives or the county OT tsuite to enter upon the above a Tonedproper for inspection purposes. X Date Signature of Permiitt�ee�ooreAgent r� 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. ECTOR 0 UBLIC WORKS By Date 7 Ooo - 311ik ng permit expires Date _3 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing iddress Telephone No. Contractor YAC Mailing Address Fireplace Total Valuation IT Permit Fee Building Address S t Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE G� 1'1 CAZ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 1�/--O — 3 ..2: oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 1N -C/ I S"tat?bii I Fire Dept. FireZone 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 11 ec Parcel Aperovol Plans Approval Lawn sprinkler system 2.00 NEWADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ W! ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 ` ( paeCOQ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST � DWELLING GS.CCUP. S) 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 St Of: , y Inc C e&11Q.i"1 C1 dz! &n 4z f"t� - NEW CONSTR. BRANCH CIRCUITS) NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS.6, NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXT11RES Ig X01 EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 o &%�jlC`6 L4,4!%�J fo /� Mobile Home Facilities 15.00 /+ av License No. 3�11 Classification C-' . Misc. Wiring 625 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 Section,3700%;of the California Labor Code which requires every employer to;be"insured against liability for Workmen's Compensation. "1"' �, fr• ,. I have placed on file with the County of Butte'a. ertificate of l Workmen's Compensation Insurance. .�lr. 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. Jr. PERMIT FILING FEE $3.00 3.c7a Heating / "c - Cooling a7-'41 e3rD Ventilation Hood 2.006.0 Permit Fee $ 1 certify that I have read this applicationiand state that the above information is correct. I agree to comply to'a11,County Ordinances and Stat9nLaws relating to building construct ioi sand hereby Land Development Fee $ TOTAL PERMIT FEE $ / 3 1 autnorl presentatives or the county OT tsuite to enter upon the above a Tonedproper for inspection purposes. X Date Signature of Permiitt�ee�ooreAgent r� 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. ECTOR 0 UBLIC WORKS By Date 7 Ooo - 311ik ng permit expires Date _3 NZ %ognxs 10 t", I �✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 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- oned property for inspection purposes. XZ Date 7 Signature of Permitee or Agent Receipt No. —Z White-D.P.W. — Yellow -A ssor — Oink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov for which fees have been paid. DI TOR OF PUBLIC WORKS Date -a- r-90ARRO permit expires Date _:7—zo BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing AQress Telephone No. Contractor Mailing Address Fireplace Total Valuation S Tele ne No. Permit Fee Building Address ^ Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Z Repair drainage or vent piping 1.50 A. P. No. 4 1 ALoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees I Yetsa,i4ertt6R Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI onsec I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V 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 V AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWE G UP. S OR ADDNS. \ ACG B ) 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 of: 1,._ ^ NEW CONSTP- MUL I.OUTL T NON.RESID BRANCH CIRCUITS) 12.50ea NEW CON STIL (POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIiRES 'B L0; EX. OCCup• ( FIXED OUTLETS (RESTS (REST. OR D.) EA)APPLNS 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No, -;!®S-.36- _ Classification C—t 0 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $-17,910$311f 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 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. 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 $ TOTAL PERMIT FEE $-37 191 authorize representatives of the County of Butte to enter upon the above- oned property for inspection purposes. XZ Date 7 Signature of Permitee or Agent Receipt No. —Z White-D.P.W. — Yellow -A ssor — Oink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov for which fees have been paid. DI TOR OF PUBLIC WORKS Date -a- r-90ARRO permit expires Date _:7—zo