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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. �';