HomeMy WebLinkAbout007-360-055iRay E. Johnson, Jr.*y^
731 Kings Canyon -Rd., Colo®, North
Park Sub, Chico
Permit #666 79B,P,E, (new sin le 4
famil �.�
i
l � ~
I
• i
•
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDINGPERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
Site Address: 731 KINGS CANYON WAY
APN: 007-360-055
Permit type: MISCELLANEOUS
Subtype: HVAC Change Out
Description: HVAC CHANGE OUT
Contractor - ,
SIERRA REFRIGERATION HEATING A
6899 -B -CLARK ROAD
PARADISE, CA 95969
(530) 877-0022
DBM Heat Pump (Package Unit)
PROJECT INFORMATION
Owner:
ONDRACEK, DANIEL
731 KINGS CANYON WAY
CHICO, CA 95973
(530) 343-3347 '
SIERRA REFRIGERATION Hl
6899 -B -CLARK ROAD
PARADISE, CA 95969
(530)877-0022
FEE INFORMATION
$58.00
Permit No: B07-1252
Issued Date: 6/8/2007 , By GLB
Expiration Date: 6/7/2008
Occupancy: Zoning:
Square Footage:
Building Garage Remdl/Addn
Other Porch/Patio, Total
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B3437
LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
SIERRA REFRIGERATION HEA 452376 / C 20 C 38 / 2/29/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license, pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
6/8/2007 the applicant to a civil penalty of not more than five hundred dollars [$500];
Date
1''. _ i ..WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I 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.
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are; thereon, and whocontracts for the projects with a contractor(s) licensed pursuant to the
PREFERRED EMPL( WKN1282291 ExpDale: 7/1/2007 Contractors License Law.).
Cartier. Policy Number: .
(This section need not be completed if the permit is or on�ndred d llars ($100) or less.
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
X 6/8/2007
nature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY "
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address •
City State Zip
❑ 1 AM EXEMPT under Section B. & P.C. for this reason: -
Owners Signature
6/8/2007
Date
• - s
I hereby certify that 1 have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Count��r
the above mentioned property for inspection purposes. I hereby certify that I am the
Property
or am authorized to ct on ty� operty owner's behalf.
_ ��70 6/8/2007
Owner Contractor OR 1:1Agentfor Owner ElAgent for Contractor
FILE COPY
k
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Las me
First Nam
M "n ddr ss
S 1�1
City �/
Stat � _7152
73
Phone >0) 3 33 7
Fax
E-mail
CONTRACTOR
Name
SAY •� � �
Address G
Ci%
Sta�/
Zip95
Phorle_ 7 - Va2 ,Z
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCI-ll TECT/ENGI NEER
Name
City
=Address
- -
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail '
APPLICANT SIGNATURE
PROJECT LOCATION
API 00 7
Property Address7
City r -�
PERMIT
6�
BIN # .
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open ov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes No
Occ.
Type Const.
PE IT NO. 6669-7•9B,P,E,M
.: Y. .
2>
PERMIT EXPIRES
_
} OWNER
Ray E. Johnson, Jr.
owner. i
CONTR.
j
444-38-102 port'.
LOCATION
(A.P..
it
731 Kings Canyon Rd.,' lot 55, North Park
Sub,. Chico
7
(
Temp.'Power Pole
Called PG&E
— Z - ��
Temp/ Elea Serv.
Called PG&E
Temp. Gas Serv. 3
Called PG&E /$`Fjd /Sf�
J
FPNALED
(Date
(Signa 're)
f
15. Watezzl.
II_
1-iec. Di
16. 'F i-r4wel
1 7 r1
18.
n s
1•II�IL Permit No.
-
&P _a-
2.
Eng___ ce S`` _ st D
Sideli _ otect::_on
Fcurdat:T_ou Vents &_ Cra:al hole Door --Drainage & Wood -Earth Clearances--
-Locked Under Floor Yes
3.
Sno w.. -_to=
i
23.
4,
5.
Fi_ c a, •.%z- 'Zea
B e3 rco- - , i-�
'o nn. ectoo 4n
- - ---�•
6.
C Ba` i:ctcres
?.5,
'+;ate- W-2111-';i�co:�nec� Electrical I n., b
7.
E1dctr_ ! rir
-€ c�e-o--._-? Ect Tri?- & G.F:I—c1e
27_
' e aHouse
28e
9.
10.
Fi�zri or _S__
.._ a oaane �.
- 29.
11_
Fixtures & Ac. - ces
in I:itch?r�--Gro -�Ai �a--Coo'cira e
vas
12._
Er �rzca L _ets
ece�czc '" oen r
13.
CaracZe Fire Door
-
33.
15. Watezzl.
II_
1-iec. Di
16. 'F i-r4wel
1 7 r1
18.
in Attic /mss
19.
20.
•& -15!q ST � 5
- _u -T-t a,6- u 5_
21.
_
Fcurdat:T_ou Vents &_ Cra:al hole Door --Drainage & Wood -Earth Clearances--
-Locked Under Floor Yes
22,
Follo::i ugSnstalled: Derive t4<L Yes _L -j 717,o; Walks es L1
k'_n, t;a, Is / _/_ Yes --Crew int? I'�a+Cl2 e Problems �''% Yes
lanters or .
P��wo
23.
A_C. Ij�ie-D;sc, t, Clear- _ Bre ' ondu - .ze--115V
24.
Vents Above R o`�PZ:. -CZea.rance
n-ings
?.5,
'+;ate- W-2111-';i�co:�nec� Electrical I n., b
26.
-€ c�e-o--._-? Ect Tri?- & G.F:I—c1e
27_
' e aHouse
28e
Class-
- 29.
Corrections from Pre ns e ions
.30.
vas
31.
Water S -.:P^ _v &-Seuaz on_ ted
32_
Enerz, Ccr;uulian Certificate -
-
33.
Si is Job Card
s +- ; PLU:IILT]G--Above ,Floor
1. Water Heater--Vent--Access--Combustion _Air
P
Permit No. _
2. IJater Pipe --Test & Anchors --`fail Protection
3. Drain Pie--Test--Fittings & Anchors --Nail Protection 42" Test � y_
4. Showe?:_.Pan--Test First floor --Tub Access _
5. Test Tub & Shower, second floor --Tub Access
6. Gas Pine--S_ze & Anchors
ELECTRICAL --Above Floor Permit No.
1. Clearance & Insulation Protection at Flush Light Fixtures
2, Elec. Receptacles Spacing --Lights & Switches at Doors y
3. Size Boxes & No. of Conductors --Stapled
:4. Romex Installed Close to Edge of Studs & C„J.'
5. Equip. Ground made up w/Meeh. Fasteners
6. Appliance Circuits in Kitchen & Conductor Size _rte
7. Sub Feeders --Wire size = ca. Cu or Al, Breaker Size Amp. .
_.Insulated reutzal, Yes L:7 No Q
8.. Range Circuit ) ga. Cu -or Al, Breaker Size Amp. --Oven Circuit ga. Cu 0 -,.-
Breaker
-, Breaker Size 1= -Amp. .
9. Service --Riser Conductors & Ground
10. Bond Gas & Water Pipes
II. Clothes Closet Light --Shower Light
12. Sign Job Card
Lard -BI Date
card -BI Date
Card -BI Date _ ___�j
Card -BI Date !
= : . IiECKANICAL - -Ab ove Floor Permit Noo_��_ _
1 A. C. Ducts --Insulation & Support - - - - _ _.- _ _ • -.- -.---.---.- _ -- - _ - ---
2. Vent Fan --Exhaust Above Insulation
-3. Condensate Drain & Overflow --Size & Grade
4. Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet
5. Attic Access & Platform if Furnace in Attic
6. Sign Jc,b Card _
ward -BI
Card -BI
a
i
Card -BI Date
Card -BI Date
E R -S E T
I . .
' COMPANY
LICENSED CONTRACTOR 'h�•, }.,
Phone: 342-0764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date lv
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 L�TED AT:
Street ^— Lot Number Tract No.
EXTERIOR WALLS �pd�
Manufacturer D`-� Thickness/Type /'�' R Value
CEILINGS
Batts: Manufacturer Thickness R Value/ _
Blown: Manufacture Thi ness No. Bags Wt./Bag
Sq. Ft. Covered l R Value f -
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TI LE DATE
INSUL ION NTRACT ICENSE NUMBER Oma+
B TITLE DATE
SAVE ENERGY - INSULATE!
(DATE)
ACCEPTED E ET COMPANY /%
Representative)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED.,',XN
. COFQRMANCE WITH CURRENT ENERGY CONSE5VATION RE:GULA'i IONS'
(locationi
BUILDING PERMIT No. 6Z66 q -22
A.1'. NO.
-THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROUrn PT.AMQ-
.(Check
each Item or write N/A if not applicable)
T
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIRlMNWAND AGREE TO
THE COMPLETENESS OF THIS, PTIFICATE AS SUBMITTED.
�L7 &
CLAZING:
,
'
Single Glazed
Fdn'W,
' 411�6
Special (Insulated)
(please print)
Floo.r4,
CERT. & LABELED WDS.
Walli
SLIDING DRS.
State Contractors
Ceiling/Roof
9 WEATHERSTRIPPED DRS.
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED.,',XN
. COFQRMANCE WITH CURRENT ENERGY CONSE5VATION RE:GULA'i IONS'
(locationi
BUILDING PERMIT No. 6Z66 q -22
A.1'. NO.
-THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROUrn PT.AMQ-
IV
.(Check
each Item or write N/A if not applicable)
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIRlMNWAND AGREE TO
THE COMPLETENESS OF THIS, PTIFICATE AS SUBMITTED.
INSUI,ATIQN':'
Sla b: Edge
CLAZING:
,
'
Single Glazed
Fdn'W,
' 411�6
Special (Insulated)
(please print)
Floo.r4,
CERT. & LABELED WDS.
Walli
SLIDING DRS.
State Contractors
Ceiling/Roof
9 WEATHERSTRIPPED DRS.
License No.
Ducts
Circulating. Pipes-'✓
APPROVER HEATER
APPROV
BACK DAMPERED FANS
INTERMITTENT IGNITION D�V)�YES
Avel 0&3 CERT. APPLIANCES
k.
I - .
(please print)
IV
'4
I DECLARE THAT ALL REQUIRED ITEMS
AS NOTED ABOVE HAVE BEEN !NSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIRlMNWAND AGREE TO
THE COMPLETENESS OF THIS, PTIFICATE AS SUBMITTED.
Insulation ,Applicator Name
Signature of'
(please print)
Insul4tion Applicator
State Contractors
License No.
General Contractor/Owner Namela)
k.
I - .
(please print)
Signature
ae
'
General Qoptr4ctor/Own
AA oe.&_ ate
;x
o
Cntractor$
'Te4nse No.
"N
THIS CERTIFICATE MST BE�ON FILE
WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL
BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
'4
COUNTY OF EWTTc — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD,.
BUILDING BUILDING (Cont'd) - PLUMBING
Setback I/
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings fir,
Windows -
3rd Floor
Stemwall
Siding
To out
Slab —
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall —
Garage Vents
Insulation
Water Htr.
Heaters
Sla
Carport
Footings
Prov. for physically
n icor ed mance of ex.
C
Conffor
structure
Appliances
Gas Piping & Test'
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat m
Rough
Reinf. Steel
r=ival
en.•.—
LE RS
Stucco Final : Subpanels
Mesh -� MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown 7 Cooling Temp. Pole
Finish Ducts _6' Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
M9BILEHOME 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.)
E
P L U M B I N G
Check List
❑ Permit
❑ Underfloor Stage
❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
❑* (8) Wrapping. (9) Test - including "T's". (10) Additional test not
required.*
❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
®* (6) Dissimilar metals. (7) Service regulator installed .or not required.*
❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
❑ Framing, Stage (Top Out)
�-D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10) Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) .Vents - turns, horiz., runs, loop, wet, etc.
❑ (14) Additional 2nd floor test not required.*
❑ Water:- (1) Pipe Test. (2) :fixer Valves. (3) Support. (4) Roof drains.
❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
❑ Water Heater: (1) Vent. (2) . Location. (3). PR Valve Drain.
❑ F inal
D.W.V.: (1) Connected to sewer system. (2) Special systems.
❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
❑ Gas: (1) Test. (2) Connectors.
Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12)'PR Valve & Drain.
❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped.
(5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap.
5/79
M E C H A N I C A L
❑ Permit
❑ Underfloor Stage
❑ Underfloor Supply,Plenum: (1) One-story...(2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5.) 'Access. (6) Catch .
receptacles and registers. (7) Fire -stopping. (8) Boots.. (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
plumbing, etc.
❑ Combustion Air: (1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
❑ Framing Stage
❑ Heating: (1) Approved appliances. (2) 'Accessibility. .(3) Clearances.
(4) Combustion air.
❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap.
(5) Termination.
❑ Ducts: (1) Materials.`(2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) Fire Damper.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Final
❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
❑ Cooling: (1) Accessibility. (2) Support. -(3) Controls. (4) Pressure- relief
valves. (5) Class 2 refrigerant.
5/79
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
{ APPLICATION AND PERMIT
authorize repre6tatives e County of Butte to enter upon the
spection purposes.
x Date l `tureent
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 7.J
Buifld ng permit expires Date la - :)<-d--a
BUILDING
Owner U e
SO. FT. OCC. BUILDING VALUATION
T J -1400X
0
+>
Mailing Address ^ I1i00
41100 _3 '1
L CO C
�Pha o.l
cool 3
Contractor ® W Uel?
Mai I i ng Address
Fireplace ~
Total Valuation
Telephone No.
Permit Fee ,Qp
Building Address �d� AJ
Plan Checking Fee&/or Penalty
Permit Fee 133,00
(33 OC
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00-3,00
Each Trap 1.50 12, 0
C� r� 1 C
�7 J �1 PAW&O Cd
Repair drainage or vent piping 1.50
c� /� ,►
A. P. No. �� "�O' U� C, PoI�,�
/� 2
,n Zoning tanning
Water piping 1.50 /
Each gas water heater or vent 1.50 1-50'
F es
I C.
I SO4-on
FireDept.
FireZone
a Permit
Gas piping system 1 - 5 outlets 1.50 ISO
EQA Parking Parcel
Plans Declaration
Parcel M
60' R/W
Improvemen
'Each additional outlet .30
Building sewer 5.00
Bldg. Plans ec'd +
Parc A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ .5D
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3100
Main service 100 AMP OR00V OR SLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS.OR ADDNST LDGS.CUP. S\ 22sq ft
/
CONTRACTORS LICENSE LAW
State of California Business & Professions Code under the name
style of:
NEW CONSTR BRANCHCIR-OUTLET
NON.RESID. (MULTI BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS.8.,
.
Ex. Occun(OUTLETS OR FIXTIIRES) g L@;
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
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ O
$ Q f
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.
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 DO
Heating c1l m
AC
Cooling "r
Ventilation
Hood 2.00
Permit Fee $ I_a.00
$ [3 PC
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 relatina to building construction, and herebv
Land Development Fee
$ tz's IOC
TOTAL PERMIT FEE
$.t30. /d
authorize repre6tatives e County of Butte to enter upon the
spection purposes.
x Date l `tureent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work .indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �. _Date 7.J
Buifld ng permit expires Date la - :)<-d--a
'-.-j r:�,,t^` � wF �Y'tf 4T'!{,+e� w—'�"YFt ��pf�� 0,•`�1'l 1'.?F �'i�.1 } ''jc..��v ts'R7l•W''Y'4n`•`'t1^�9%'1'''f.'��szm ,„` }p! .[Y4 t '! - xY
.NOTE:—AII Materials & Workmanship Shall Be in ,
Accordance with Recogn;7ed Good Practices and
i,:. of a quality prescribed -tor -.he Soecified use in the A' y 3 02 .7 9 z
Uniform Building, Plumbing & Machanical .Codes and `
he National Electrical Code.
-.20�
afiions
MOST
}o
lar�s and Spec- it is urlaw{thout
This set o P ticnes samea� public
fihe ob 0fi aliaXter”#ions °�,"fim0nt !
kept °n anges or '� fibs , a
rnai'e anv cl nission frog.
ififien Per o$.Bvhfie•
ver urh1 I
'. ru 4.
.... ��`
i I
!A,
`�-.
L J X
Q A
��L,a,ti1_IOIay-C1�:
Li
'2 0
_^ v,
. � � oe• 24' ..
The Bldg. Setback shall be 54t. from the
side property line I and 50-ft.from 'fhe
centerline of the road, permitting a maxi=
mum of a 2 ft. eave overhang but entirely
out of all easements. f.
6AN--r4vN WAY
BUTTE COUNTY.
BUILDING DEPARTMENT
FHAO!�� A P P R, O V E D.
See MasterPlan on file ;for building
�j4• .." �'] _ plans. �';