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HomeMy WebLinkAbout007-360-054Ray Mhnson,l Jr:�'�� �`60� V ` 737 Kings Canyon Rd., lomat• 5�4 North Park Sub, Chico ' Permit #6668-79B,P,E,M(rEw' singlea family) t'10;001-360-054,, � 007-360-054, • '01-2283 GRIMM, JEFFREY /INAI-ED 737 KINGS CANYON WAY C ' 4= r V r 1 a CW2 I�I�an(�"i�+1tY►wFi'�t+w'F�i�T'�irv..aK�oi,.�..-.S�[Gc18lv�•�s-�.!64iiW :, :rte+. a. .:�..r :..,_X',�_ .�. ,�_ _ �.. , 007-360-054 . 01=2283 GRIMM, JEFFREY 737 KINGS CANYON WAY, CHIC REROOF. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT G ASSESSOR PARCEL NUMBERZONING � 0a�- a - any - BUILDING PERMIT OWNER ivi,4n TELEPHONE F�9 3 7 30 SQ. FT. OCC. BUILDING VALUATION s o Thr l 9 a OWNERS MA NG ADDRESS 21V64 Arvyov l ,v CA 9a-? 73 CONTRACTOR'S NAM TELEPHONE CONTRACTORS MA NG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. ' Filing Fee $ 20.00 Permit Fee $ C,/ C f/ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS /^ t�,� �/ ` 7? �/�!� (.f �Ul�rI v %yid Ener Plan Checking Fee $ 9Y 9 $ PERMIT FEE $ l LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF J# Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RQQ/C r�-�►'�[ V iC G 7 ;t lx' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 I 800VOR LESS Main Service 20.A OR LESS 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 in full force and effect. License Class LIC. NO. OWNER-BUILDER DECLARATION I( I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i 1, 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. ❑ I am exempt under Sec. Business and Professions Code for this reason 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. ❑ 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of_a valuation of one hundred dollars ($100) or less.) Ix 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 workers' compensation laws of California, and agree that if I should become subject to they workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those Qrovisions: X Date 47-12-0)" _ Sign S'i-I a ;� pplicant - Owner ❑ Contractor ❑ Agent An O A pWrmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR O OR ADDNS. ( a ACC. eLns. 3.50sS N CONST. MULTI.OUTLET NDµgESlp, 97.50 8 POWER SINGLE APPARATUS OUTLET CIA. 20@ 1.00 Ex. Occup. OUTLET OR FIXTURES SAL - FlXED APPLNS. OR Ex. Occup.ourLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE b MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ CIO IMP FLOOD CDP PARCEL ppD ISSUE 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. By Date PERMIT EXPIRES ON &21/tt✓22.. ate Receipt No. WHITE-D.D.S.-B.D. *� 'CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FIA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 007-3,6a-OEY ZONING BUILDING PERMIT OWNER 2� �Yl�v► TELEPHONE 3 v7 30 SO. FT. OCC. BUILDING VALUATION RESS . OWNERS NG ADDi iNGdY,Oa/ Gl ! �.N 73 Sa CONTRACTOR'S NAM TELEPHONE CONTRACTORS NG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 7 C VAI /. Yx/ /G Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )I Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities /❑ Installation ❑ Other ❑ Describe Work: l�' �L=/G�t9f-) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.AoA.ss 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 in full force and effect. License Class No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: XI, 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. ❑ I, 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 WORKERS' COMPENSATION DECLARATION 1 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. O 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X 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 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 Zrovisions. p X Date 7 ' �Z _ Signa a pplicant - Owner O Contractor O Agent An O A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heiight. Main Service 46.00 NEW CONST. DWELLING 11N0 OCCUCUP. SO G OR ADDNS. ( a Acc. Bins. 3.50FT: CO-RESIDNST. F MULTI.OUTLEr @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDRURES BAS @':50 Ex. Occup.ouT>Fis q MLNSD.°EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ no �HAZ. D. FEES IMP FLOOD CDF PARCEL p0 HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Dete Receipt No. 311/46-1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary dela; in processing and issuing your building permit. No building permit will be issued until this verification is received. L" I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES NO D 2. I HAVE 13 HAVE NOT 13 signed an application fora building permit for the proposed work. 3. I have contracted with the following person. (firm) to.pCovio the..proposed construction: NAME: ...� ,�. ADDRESS: CITY... PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: _ PHONE: CONTRACTOR'S LICENSE NO. r S. I will provide some of the work*but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: " PROPERTYOWNER: SOCIAL SECURITY NUMBE DATE: %r /Z —(f)f NOTE: This Owner -Builder Verification is required by Section 198.31 and 198.32 of the California Health and Safety Code. This verification must be completed and returned to our ofj?ce before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propeity improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors aro required by law to be licensed and bonded by the State of California and to have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply.. t If yod plait to do S4tir own'work„ with the exception of various trades that you plan to subcontrac, you should be aware of the following information for your benefit and protection: ' ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you aro an employer,. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obliptions under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, �0 IMa el C. Vi ira, C.B.O. ger,Building Inspection NOTE.- This Owner -Builder Information It required by Section 19830 of the Callfornla Health and Safery Coda OVER a PFAAMIT NO. 6668-79B,P,E,M t r PERMIT EXPIRES 0 (3 �" 4� .OWNER E Johns c n ' .Is _�'CONTR. owner x f LOCATION- (A.P. 44-38=102 port. 737 Kings Canyon Rd., lot 54, North Park Sub,. Chico r, i k 'r a a ` y Temp. Power Pole Called PG&E Temp.lea Serv. -9—/74 a _ W 442 Cayled PG&E 3 t8l' 8o �S / Tempel. Gas Serv. �� Called PG&E JOB91,le FINALED (Date) (Si at re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING IBUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings rV Windows 3rd Floor Stemwall SIdfnq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer , Garage Fdn. Vents Fixtures Footings „., Stemwall Garage Vents Insulation Water Htr. Heaters Slab — Carport Footings Prov. for ph stcally handica ed Conformance of ex. structure Appliances 09 Gas Piping& Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRIC Masonry Walls Throat — T✓ Rou h=' "�� Reinf. Steel Final Fixtures Bond Beam F . IRE SPRJNKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown 2 2 Cooling / Temp. Pole Finish Ducts --/ Z- Underground Interior Lath Ventilation Permanent Door Closer Final 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 CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) F71AL Pezzit :Io Ins 2. _n, ranc s Do Sideli hL rotection 3. cno= ecto .4, CIeara CO^bl SGiO: _ _ CO!1iteCt, Ori t �C _ & 5. 6. i Eiectri c Tri-' & l 1- I a3els 9. rir2D1 e or S --Clear s, He 10. Electric ets at -- F---._ 11. Fixtures & ApDliapces in Kitchen--Grour-de --Air Cap --Cooking Clearance 12. E ._itche ounter 13. Garage Fi, oor--ST g & Lad 7g, Clo Jls,... a::.oer 17. voam--Looke 18. Insulaticr Attic / -*-- es 19,-' -teos 'Doors- -J andirgs 20.C_ .l\C11J 611LL VVl1J-14, ;on 21. Foundation Vents &. Crawl hole Doo Looked Undez- h loor = Yes --D.-a g.e- & Wood- arth Clearances-- - 22. Following In -Called: Drive. Yes •L•1 No; Walks Yes L,I No; Planters or Win? W 11 / %% No ---Cr int D a?e Pro31P . Yes %-7 jo 23. A.C. .it --Disconnect Cle s Br r & Cond or Size --115V et 24. Vents A-jpl' as Fir ce--Clearance t , .nines 25. W a t e e 1-Dis nngo< Elect --cal. PI a 26. Exterior Elect al Tri- & G.F.I. •.ece t:acle 27. : ent_la=io: oughout House 28. Glass P ction w 29. 30. 31. o� Gas Test• --Meters Tagged- - Eie Water S112217 & Sew Connected r_s ric -� 32. Enemy Co=oli.a _e Certificate - 33. Sign Jed Card ' ALL OF A30VE CONfTLETED / I EXCEPT A�V'•1�. L�J1Lu :.tJiCiC%.:�L1ViVJ l,Vi:�L:.1GU —4— r PLIT-ULiG---above Floor ' Permit i;o. 1. Water Heater--Vent--Access--Combustion Air 2 Hater Pioe--Test & Anchors --Nail Protection__ 3 Drain Pipe--Test--Fittings & Anchors--t•iail Protection 42" Test LZZ 4. Shower Pan --Test First floor --Tub Access 5 !est Tub & Shouer, second floor --Tub Access 6. Gas Pipe --Size & Anchors S_r.1 Job Card ' ------------- ALL --_..___.-_- ALL OF ABOVE C0:•IPLETED L __-[ ' EXCEPT _ Signed: Date: ABOVE LISTED CORRECTIONS CONLPLET-ED Date: ELECTRICAL• --Above Floor Permit No. 1. Clearance & Insulation Protection at Flush Light Fixtures 2 Elec. Receptacles Spacing --Lights & Switches at Doors 3. Size Boxes & No, of Conductors- -Stapled -4. Roex Installed Close to Edge of Studs & C.J. 5 Equip. Ground made up w/efech. Fasteners 6. 2 Apoliance Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size Q ga. Cu or Al, Breaker Size [=j Amp.-- _ _. Insulated Neutral, Yes E7 . No Q .8. Range Circuit Q ga. Cu or Al, -Breaker Size Q Amp. --Oven Breaker Size )=Amp. Circuit ga. Cu or Al, .9. _ Service --Riser Conductors & Ground 10. Bond Gas & [dater Pipes 11. Clothes Closet Light --Shower Light ..12. Si -3 Job Cara ALL OF -ABOVE CMPLETED EXCEPT - y - _... ___..... _.. . .... ... . -_... Signed: r�BOVE LISTED CORRECTIONS COLMPLETED Date:- Date: -1. _.... MECHANICAL --Above Floor.. A.C. Ducts --Insulation & Support Permit_ No. = 2. Vent Fan --Exhaust Above Insulation .3. Condensate Drain & Overflow --Size & Grade 4. Furnace--Vent--Access-Corlb.Air--Return Air Vent --115V Outlet -:5. Attic Access & Platform if Furnace'in Attic 6. Sim Job Card ATL OF ABO17E COMPLETED EXCEPT Signed: ABOVE LISTED CORRECTIONS COMPLETED Date: Date: -3- r _EQSET RRpp COMPANY iW LICENSED CONTRACTOR Phone: 342-4764 r P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date To THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS 2J J Manufacturer Thickness/Type V r/- R Value / CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer L T)� hic Hess � No. Bar, Wt./Baguet_ Sq. Ft. Covered �a R Value FLOORS Manufacturer SLAB ON GRADE Manufacturer Thickness/Type 'R Value Thickness/Type _ Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type GENERAL CONTRACTOR R Value R Value LICENSE NUMBER ( DATE) ACCEPTED OF "� e1 LICENSE NUMBER E d&l "J -A 4-/—J DATE SAVE ENERGY - INSULATE! H C MPANY (Authorised Representative) RESIDENTIAL ENERGY CONSERVATION STANDARDS -CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO.CgRTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN 1 INSTALL COME 01? 'MANC NERCY CONS R WITH CU�RE'N; 1.'ECU LAT IONS AT Cl. -V C -AA (locton) BUILD ING., PERMIT NO. ,3� Y_ 7 9—d A. P. NO THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: 0. (Check each item or write N/A if nota ppliqable) NOTED ABOVE HAVE BEEN !NSTALLED INSULATION: CWINC : Slab Edge. THE CW ENESS OF THIS CERTIFICATE Single Glazed Insulatiop.,Applicator Name_ Fdn W411S Special (Insulated) Signat4re.,of Floors re CERT. & LABELED WDS. p, Insujat p licator Walls & SLIDINC DRS. Ceiltna/Roof WEATHERSTRIPPED DRS. Ducts BACK DAM11ERED FANS Gener41-Cqqtractor /OWn er Name Circul4ting Pipe INTERMITTENT IGNITION DEVICES Signat,4r@ APPROVED HEATER -ya' OW ajVCERT. APPLIANCES APPRQVfp ,WWR. HTR. M,4 General,:Qo r ctor/. Date., St a e Contractors 0. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN !NSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE CW ENESS OF THIS CERTIFICATE AS SUBMITTED. Insulatiop.,Applicator Name_ Signat4re.,of (please print). p, Insujat p licator State Contr4CtQrs' LicenseN o,. Gener41-Cqqtractor /OWn er Name Signat,4r@ (please print)-,. M,4 General,:Qo r ctor/. Date., St a e Contractors nse No. THIS CERTIFICATE MST BE OSI FILE WITH THE BUILDING DEPARTMENT PRIOR TO HS REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A•CONSPICUOUS LOCATION WITHIN THE DWELLING. 0. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel gphone: 534-4541 APPLICATION AND PERMIT au!orize represent ti as of the County of Butte to enter upon the re-rtnerrti� ty for inspection purposes. Date -29 C>< no ure of P rmI or Agen 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 UBLIC WORKS Byate -o -D1- 7f Bub'ding permit expires Date l-'-7/,,Po BUILDING Owner VWsoly SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address �t) d -T ® � � Telephone No. t "3 y V Contractor Mailing Address Fireplace 5oo Total Valuation Telephone No. Permit Fee ,QQ Building Address '13-7 rWQ9 C6ANONPD Planng Fee&/or Penalty Permit t Fee o pp 133 QC PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .00 Each Trao 1.50 12,c�D e , 1 itrot(1 kbe;r1 ' Qi.4 S Va cRiCQ, Repair drainage or vent piping 1,50 pp r , a A. P. No.. 4L4 -31 - toz(poexf) /a-, Zi Zoning I nine Water piping 1.50 J!50 Each gas water heater or vent 1.50 50 Fs A S&1)Ln Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 1.50 EQA Parking I Plans Parcel Declaration parcel P 60' R/W Im rovemen P ch additional outlet .30 Building sewer 5.00 Bans' ec dP_WJ Porc LKAEProval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 50 I ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR0V OR LESS5.00 Single Family Ef 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 CONST. I G OCCUP. 4 OR ADDNS. C DGS. ) 20 sq ft 0 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 RESID, (MULTI.H S_1 T NON.CONS `BRANCH CIRCUITS) 2.50ea NEW CONST/POWER APPARATUS 6 NON.RESI D. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXT11RES) g Lins � FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA) 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. @ 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. I PERMIT FILING FEE $3.00 3 Heating,QQ P6 PAC Cooling Qp Ventilation Hood 2.00 Permit Fee $ f3,W $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby Land Development Fee $ ZJ •CZ PERMIT FEE $%t� (o au!orize represent ti as of the County of Butte to enter upon the re-rtnerrti� ty for inspection purposes. Date -29 C>< no ure of P rmI or Agen 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 UBLIC WORKS Byate -o -D1- 7f Bub'ding permit expires Date l-'-7/,,Po This •set of plans and specifications MUST be y 3;:Z .7 C kept on the iob at all tames and it is *unlawful to make any charges or olt-r- ;ons or, some without written permission from flee Depar+nient-of Public Works, Co,,anty of Butte: VA f3F, 564-7zi] Seo "es00, / -00 o o sig • d Di'td\S ot��1e deco %0 & , ' Np e g. et ack shall be 5 ft. from the . side property lire. and 50 ft. from the centerline of the rccd, permitting a maxi - mu -:a of a 2 ft. eave overhang but entirely cut of all ecsseme�.fs. h� I t.iCc�i G�►N�ol•1 W,e,�' . N09TH pA9K 1;2UE2Pj\e j1- N UTTE COUNTY` BUILDING_ DEPART M.F APPROVED See Matter Plan on file Tor building � .� p®rj 0&3 Ray E. Johnson, Jr. 741 Kings Canyon Rd., lot 53, Nath Park Sub, Chico r' Permit #6667-79B,'P,E,M(new single a family) { 007-36-0-053 00-079 GRAESSER, JOHN 741 KINGS CANYON WAY, CHICO •:, ELECTRIC ��O� l0 X 1 �DG . sr 007-360-053' O1'-1770. GRAESESER, JOHN F. 741. KINGS CANYON. WY: CHIC0 CONT: UNK - RE ROOF I rJ 0'. c - r , n cn - e.. v � ,...r,:y--, ys:`.,. . '4 �'t 5 i- � �. � �. _.. < � r .� t � . � � � , Y �... r M � 5 i- .>-, �.......�,-,.- .... ... •+,-:.-• .�,,,-""-jd. ``'�..�c- vN Yu'L „rwEi�:i�'7L!!�1►:"`•,�r.,,. COUNTY OF BUTTE - DEPARTMENT OF DEMELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7544 �M I�E9MIT NO. (Rev. 12/96) APPLICATION AND PERMIT `r (V�% ASSESSOR PARCEL NUMBER M ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION., v'� OWNERS MAULING ADDRESS(/ 6#11- a'; CONTRACTOR'S NAME TELEPHONE _ CONTRACTORS MOUNG ADDRESS CONSTRUCTIO DER Fireplace � LENDER'S MaLIN ADDRESS Total Valuation$ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS `Energy F Plan Checking Fee $ $ PERMIT FEE $ LOT NO3—.3 SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 2.0.00 USEOFSTRUCTURE SF KDuplex ❑ Mobilehome ❑ Other 88 Al SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r Describe Work: ���� P6 f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 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 in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I 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, n will do the work, and the structure is not intended or offered for sale. ❑ I, 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 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. ❑ 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' compensation insurance carrier and policy number are: Carrier Mein Service sow TO lC 46.00 NEW CONST. DWELLING OCUP. OR ADDNS. ( a ACC. BLDS.FT. 3.50 S0. NONpEOSID.' MULTI.OUTLET 97.50 a POWER SINGLE APPARATUS OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL Q I. 0 Ex. Occup.. ouTLEEDTSA .=.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 1r not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that lt I should become subject to the workers' compensation ,provisions of section 3700 of the Labor Code, I shall forthwith coat IY with tiiase provisions. -"/ -7A ' y • l X Date �" l �.. 19 / Signatu j of 'Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. p, FEES IMP FLOOD cDF PARCEL Pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have (���f By V(/ "-t PERMIT EXPIRES ON � � the applicable provisions Resolutions to do work been paid. Date � �i t, � 2— to Receipt No. -7 Z. (-% -7 e-,- WHITE-D.D.S.•B.Ds CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754x1 /v���E�MIT NO. (Rev. 12/96) APPLICATION AND PERMIT C, ASSESSOR PARCEL NUMBER C2 Q:2 s ZONING BUILDING PERMIT OWNERr TELEPHONE SO. FT. OCC. BUILDING VALUATIO M O . OWNERS MAILING ADDRESS 49 d 6vk 2 1,3 1C (O 5Y' CONTRACTOR'S NAME TELEPHONE CONTRACTORS NO ADDRESS CONSTRUCTIO NDER NDERS MAIUNG ADDRESS Fireplace 7 Total Valuation $ ARCHTrECT OR ENGINEER LICENSE O. _ Filing Fee $ 20.00 Permit Fee $ CHITECT OR S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ IDT No� SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ZDuplex ❑ Mobilehome ❑ Other �i%� kt SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition �0 7 Remodel ,❑n Utilities ❑ Installation ❑ Other ❑ Describe Work: [ C�� U6 r'E Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A oR LESS 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 in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I 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 WORKERS' COMPENSATION DECLARATION I 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. ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($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 workers' compensation laws of California, and agree that R I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ly with th provisions. X 7 _G/YL� Data 7--,J 0 � Sign r of Applican -Owner [3Contractor ❑ Agent '• An A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST.owELUNG OCCUP. S° OR ADDNS. ( 8 ACC. BLDS. 3.50Ft. ENST NON gE°SID. ' MULTI.OIlTLET @7.501 POWER APPARATUS ISINGLE OLRLET CR. 209 .00 EX. OCCu OUTLET OR FDRUREs a4L @x.,50 Ex. Occup.Des pa D,°F. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ D. FEES IMP I FLDOD CDF PARCEL PO HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date7r(� • 0/ L ate o Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D VISION 7 County Center Drive - Oroville, California: 95965 - Telephon (5180)'53 4 -�i�FC�iT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NU \J' /�1� ,/'* JJJ ZO"' O ` 'BUILDING PERMIT OWNER Vr 1• TELEPHO E 3q.3 SO. FT. 6 c BUILDING VALUATION .OWNERS DRESS 1 �(J� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ wAA $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF I Duplex ❑ Mobilehome ,❑ Other sPECIFv Eadh Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other N Describe Work: )(� ( ( _ Gas piping system 1 -_5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT 'Fling Fee 20.00 --vOR LESS Main Service zD.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions.1of 9 (commencing with Section 7000) of Division 3 of the Business and Profess'ons and my license is in full force and effect. 1 License Class Lic. No. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contract Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole co will do the work, and the structure is not intended or offered for sal ` 'Cv]_ 1, as owner of the property, am exclusively contracting with licensed .contractors r to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code reason Chapter Code, iPOWER i rs License pensation, _ for this Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.50FT. =REOS,D. NST.MULTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES BAL @ 1,500 0 Ex. Occup. OFU�TIEE73 ga,p•OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE i 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 fair workers' compensation, as. provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the LiSor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number arei Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number I (The above sections. need not be completed if the permit is for work of'a valuation of one hundred dollars ($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 workers compensatidn Paws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f X ,�; r, `4 e.1 J,/w / Date Signatufe o`fApplicarit - Iff Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �� con�T. VA s TOTAL FEE $ d %HAz D p FLooD cDF PARCEL Po ,,, HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate -above for which fees have been paid. �- y By ` LkDate 7 , PERMIT EXPIRES ON `"� � j '�1��% Date Receipt No. I WHITE-D.D.S.-B.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rs+.7,''-r+,. '731' YF `:,'f..*YL7wT ^ yf�� _ �Yc` :'�•+ _ • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT'SERVICES 411 Main Street • Chico, CA • (530) 891-2751 0'. 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE C & L- 0-19 - 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you.have any questions pertaining to this matter, or need additional explanation, please contact this:office`immediately. v �C7/4/v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D VISION 7 County Center Drive • Oroville, California 95965 • Telephonp,(530) 53 590__ J (Rev. 12/96) APPLICATION AND PERMIT l/./, -/ ASSESSORPARCELNU00 o ^05.3 zo;F BUILDINGPERMIT OWNER TErLEPNONE SO. FT. OCC. BUILDING VALUATION .OWNERS; S 3 1 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Wo Energy Plan Checking Fee $ S $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other JX Describe Work: At A/y1 !( Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee20.00 LE Main Service ..A OR LESS 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 in full force and effect. License Class Lic. No. 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. I, 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 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. ❑ 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' compensation insurance carrier and policy number are: Carrier Policy Number (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 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit/co ply with those provisions. X Date %�', D !i(� Si at a of pplica wner ❑ Contractor ❑ Agent n HA permit is required for excavations over 60" deep and demolition or construction o structures over 3 stories in height. Main Service To ,u�A 46.00So WEE200A NEW CONST. DWELLING OCC So. 3.5¢F°; ADDNS. ( ACCO ' NOR EW CONST. M p10µRESID, C 97.50 PoWEA APPARATUS a SINGLE OUTLET CIR. 20 � ' °° Ex. Occu ovnEr OR FaruREs BAL o "so Ex. Occup. ouTLEt-OTSA qa D,o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ _ COQ TYPE t TOTAL FEE $ , QL MAz. D. FE MPFLOOD 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 indicate -above for which fees have been paid. By ZewLA5Date T` PERMIT EXPIRES ON Date ReceiptNo. .5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 74 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL Nun,)-:,---3G(0 UM ER -:,-J G zoN ` BUILDING PERMIT OWNER A 5se?e TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 5 MAIUNO ADDRES3 S J �/Z1 eco -5 7 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 27 W72 LENDER'S MAILING ADDRESS Fire IaCe Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCNRECT OR GINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ,p1 IN 177 T` I Al L. Energy Plan Checking Fee $ CA 14,1 !♦l D Vl,+ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other slF' Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other,' Describe Work: UX Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR LE Main Service . ' OR LESS 23.00V 66 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 in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I 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. ❑ I, 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 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. ❑ 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' compensation insurance carrier and policy number are: Carrier Policy Number (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 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To I000A 46.00 NEW CONST. DWE111N0 OCCUP. SO OR ADDNS. ( a ACC. BLAS. 3.50ttt 4,2T R SINEW D MULTI.OUT'I 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. 20 .00 EX. Occup. OUTLET OR FIXTURES BA L @ 150 Ex. Occup. oirnFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FL 000 I CDF PARCEL I Po I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ 011 ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 a- ,a A OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be. issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. YES NO D '2. I HAVE H HAVE NOT 13 signed an application fbr a building permit for the proposed work. 3. I have conhwted with the following person. (firm) to.proyio the.proposed consWw on: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired. the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. F 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGN D: PROPERTYOWNER: SOCIAL SECURITY ER: DATE: ! /7- --2,9 8 y NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propeity improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and. to have a business license from the city or county. They are also required by law to put their license number, on all permits for which they apply.. If yoti glad to ddyour own work, with the excepdon of various trades that you plan to su6contracf, you 'should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including-triaterials and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, ��1 Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder Information is requiied by Section 19830 of the California Health and Safery Code OVER Pr AMIT ht. 6667-79B,P,E,M PERMIT EXPIRES OWNER Ray E. -Johnson, Jr. y Owner. s'V CONTR. LOCATION (A.P. 44-38-102 'port. p•> 741 Kings Canyon Rd., 1&t 53, North Park Sub,. Chico n a i; h}j U+ Y yyyy�' �r `d : l d Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E 3`(8- 80 f. JOB<� FINALED v �d (Date) (Signature) W -W FINAL ! ---Petrmit N 1... Pl5��� %'1F�o & �,ideli, rotectidn 3. 5��'� D_ ctor 4. Furnace--VeClearan e- ombusc' i- Connectors -i Garage -H _ & Plech. r c ion 5. Be-drooines 6. G E_ Bath ores !_ Electric TrLn 4.,tne --Z- �s — 9. F irw' a o Sto --Clete ces _ hea 10. Electr' _` ets at o- zlnt: & E_ I1.- F=' res F, A, 1- s in I�itche�--Gro ' --A' --Coo :in ince 12. Electrical is & Recea acles at R.Lt n Counter 13. Garage & La' Clo l-- [.'ater r_ater-- nts, Clearances, Combustion Air, P.R.V., Connector jn Garage -Height & 1ech. Protection 16. t IT—e- ails & enrn;zs rea Se zr'LiC7 17. Elec -ic P.ece cies in Garage 18. Insul�ticn- Foam --Looked in"Attic i %' Yes 19. Steos at Ext.'Doors & Landings 21. Foundation Vents &. Crawl hole Door --Drainage & Wood -Earth Clearances -- Locked Under Floor= Yes S 22. Following , Installed: Dr* � Yes /_ No; [•ialks / Yes 1�( Flo; Planters or [:in? [dells %/ YesNorr� Daina?e Problems %� Yes o 23. A.C. Unit --Disc ect C �i2s Bre Conduc lze--115V et 24. Ven_s nbcve Roo_ --P1 ino. AapR' as, Fire. --Clearance Penings 25.r. 'ncr 26. Exterior Electrica' im & G.F. Rece tecle 27. ventilation Th out House 28. Class Prote _ibn 29._ revlous .s 30. Gas Test --Meters Ta2&-Gas ec 31. Waver Supp1ti ,& S _ ce C _ ,.ected 32. Ener- Compl'.ce Certificate _ 33. S i_ -n Job and _ /1 AT L OF A301TE COMPLETED / / EXCEPT Signed: Date ABOVE LISTED CORRECTIONS CONIPLETED SIGN JOB__jeARD Signed: Date-{ 1. PLMSP4*G--Above Floor [dater Heater--Vent--Access--Combustion Air. - Permit Pio. 2. [-later Pir)e--Test & Anchors --Mail Protection 3. Drain Pipe--Test--Fittings & Anchors --Nail Protection 42" Test Q 4 Shower Pan --Test First floor --Tub Access 5. Test Tub & ShoTer, second floor --Tub Access 6. Gas Pipe --Size & Anchors S^n Job Card u .- -. ..-----------------_--------- ALL OF ABOVE C01HPLETED Lrl EXCEPT Signed: ABOVE LISTED CORRECTIONS CO`PLETtD Date• Date: 1. ELECTRICAL --Above Floor Clearance & Insulation Protection at Flush Light Fixtures Perit I.N. _ 2. Elec. Receptacles Spacing --Lights & Switches at Doors \ 3. Size Boxes & No. of Conductors --St a led, - .4. Romex Installed Close to Edge of Studs & C.J. 5. Equip. Ground made up w/tlech. Fasteners 6. 2 Appliance Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size Q ga. Cu or Al, Breaker Size Q Amp.-- Insulated P7eutZal, Yes Q Pio Q - 8. Range Circuit Q ga. Cu or. Al, -Breaker Size Q Amp. --Oven Breaker Size Qj Acv.. Circuit ga. Cu or Al, 9. Service -=Miser Conductors & Ground 10. Bond Gas & [dater Pipes 11. Clothes Closet Light --Shower Light 12. Si?n Job Card ALL OF ABOVE CCLIPLETED L-/ EXCEPT _.... Signed: «ROVE LISTED CORRECTIONS COMPLETED Date : Date: 1 -- -- MECFANIUl--Above Floor - -_: --_- A.C. - Ducts --Insulation & Su port - - - - - Permit No. - -- - - - _ ___ __-____ _ _ _ _ -•-- _ _ - _ -_-- 2. Vent Fan --Exhaust Above Insulation .3. Condensate Drain & Overflow --Size & Gracie 4. FL, rracr-Vent--Access-Comb.Air- -Return Air Vent --115V Outlet 5. Attic Access & Platform if Furnace in Attic 6. Sian Job Card Aj L OF ABOVE COMPLETED f EXCEPT _ Signed: ABOVE LIS= CORRECTIONS COMPLETED Date: Date: -3- S E T pppR- a=- COMPANY H, QE i!H LICENSED CONTRACTOR C� Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) i Date 1 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 /�•y� Manufacturer ©y Thickness/Type ,3 / R Value CEILINGS Batts: Manufacturer Thickness %_ R Value .Blown: Manufactur. --., . Bags � Wt./Bag Sq. Ft. Covered)Thickness A� /' R Value / 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 - I LE DATE INSULUONTRACLICENSE NUMB o V57 B TITLED" Q'X` 2 DATE SAVE ENERGY - INSULATE! - ( DATE) ACCEPTED COMPANY (/Authorized Representative) t RESIDENTIAL ENERGY CONSERVATION STANDARDS �t !; yam) .e • ' , ` �• CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN . INSTAI.I,E • TN CO 0 ` _ : , ,ATF RMANCE WITH C RRENT ENERGY CONSERVATION RVAT ION REGU LAT IONS r e , AT r 4L«i BUA L%MIT N0. GR 6(9 )n II. A.P. Z2, THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: k each'itom or write N/A if not applicable) INSULAT ION : GLAZING: Slab, Edge;, RESIDENTIAL ENERGY CONSERVATION STANDARDS �t !; yam) .e • ' , ` �• CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN . INSTAI.I,E • TN CO 0 ` _ : , ,ATF RMANCE WITH C RRENT ENERGY CONSERVATION RVAT ION REGU LAT IONS r e , AT r 4L«i BUA L%MIT N0. GR 6(9 )n II. A.P. Z2, THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 0 k each'itom or write N/A if not applicable) INSULAT ION : GLAZING: Slab, Edge;, Single Glazed +' Fdn. W411s Special (Insulated) Floorer" CERT. & LABELED WDS. ;•. Walls " -// & SLIDING DRS. ✓ R Ceiling/Roof - / Ducts ✓ WEATHERSTRIPPED DRS. ' ` g Pipes Circul kin � p ✓ BACK DAMPERED FANS !r IN1El2MITTENT IGNITION DEVICES •,.. APPROVED HEATER CERT. APPLIANCES • - ..� APPRQ}I�A.,;�iTR. HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Ngme Signaturg of (please print) Insulation Applicator r - State Contractors License No. General CoptFactor/Owner Name_���s Signature of (please print) General Contractor/Owner Date ate Contractors License No• THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) P UM ING Setback Firewall Soil Piping Z Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out — Slab Roof Sheathing Water P Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica e.1 Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas' Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE,,SPRLUKLERS Motors Framing Test Water Htr. Stucco Final Subpanels . Mesh <50 KEW MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts — Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec" Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water P' ing grrai�nage on Gas Piping DATE MARKS R CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) M E C H A N I C A L Check List ❑ Permit ❑ Underfloor Sta e ❑ Underfloor Supply Plenum: (1) -One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (b) 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. A 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. r 5/79 P L U M B I N G !•l,--1, T ; �r ❑ 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 "Ts". (10) Additional test not requ ired .* ❑ 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 To 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) Mixer Valves. (3) Support. (4) Roof drains. f ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2).Location. (3).'PR Valv6 Drain. ❑ Final 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. t e ti 5/79 _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �) Telephone: 5 4'4541 (4��&&APPLICATION AND PERMIT/ authorize representatives of the County of Butte to enter upon the abr)vp-mpnto ned p o erty for i spection purposes. X Date Sign Lure of a ''tee or Ag nt Receipt No. y 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 �DateJo-3/-7� B iltiing permit expires Date BUILDING OwnerM14o� 2 SO. FT. OCC. B U I L D I ALUA ION Mailing Address P' gd r7oo 44")0 7 1 2 2.20 Cth AR phone No. Z 0v Contractor Mailing Address Fireplace QC) Total Valuation ) Telephone No. Permit Fee `3 � , Building Address 4`0G� C" 1D/ Plan ng Fee&/or Penalty Permit t Fee 1-33,00 MIT -35-:)c PLUMBING No. @ FEE PERMIT FILING FEE $3.00 1 40p Each 1.50 �QQ v�lcl /��, C�t�O L.©?A53 A)W1+PAAt S0� r draraoinage Repair drainage or vent piping 1.50 )( 1 A. P. o. LPu_�s^ fol 1 P0�, J Arm Zoning tanning Water piping 1.50 d Each gas water heater or vent 1:50 0 Fle,sl 0(C.-LSQf4onq Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Parcel. Plans I Declaration I Parce ap 1 60' R/W I Improvemen Each additional outlet .30 Building sewer 5.00 Idg. ans ec d Pa cel Approval Plans Approval Lawn sprinkler system 2.00 NEW LKJ ADDITION ❑ UTILITIES ❑ OTHER. ❑ Permit Fee $/41150$Iq 50 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 1000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPs00v OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DW OCCUP. B OR ADDNS. 1 AC B D 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 RESID BRANCH CIR T NON.CONS ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON RES D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES) g � ,�1@ Ex. Occup. (OUTLETS P(RES(D.)FIXED APLNSREA) 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 $ 9,7d $ iq 00 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 3,00 Heating Al PITO (4,(J7 Uo—PAC Cooling Ventilation Hood 2.00 10 Permit Fee $ $ 3 �, 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 $ �S, (JL; TOTAL PERMIT FEE $O C authorize representatives of the County of Butte to enter upon the abr)vp-mpnto ned p o erty for i spection purposes. X Date Sign Lure of a ''tee or Ag nt Receipt No. y 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 �DateJo-3/-7� B iltiing permit expires Date 1tar k rl'�: r+. •.. a �4 � iLf ;7.; ple`�Y+T' +e v ,4r ^mac 4,(: � e ii+. •,1y.:�, y�- z r. ` .`�; q ;�.. ,t ,adv. �r. 10 \ `7s, 2 1000 47AIt. 0' \ugM Setbacshall b5� t.the �dg' erty line and +sidepT°P ermittb centerline a 2 #thave overhang MUM cf aU easements. & / NOTE;—All Materials Workmanship Shall Be A►ccordonce with Re � Q7c he SoeGond if ed use in the of a quality �prescr►be Mechanical Codes and Un orm Building Plurn`ning e h the Na;onal Electrical Code. e 0 1� 00 See iter Plan on file for builds g. F;Ha6� I -- ��A---gat-t-----.. IL IN ' �y1 WlAr BUTTE COUNTY. '. BUILDING DE?ARTMEN1 �C�I�I�IDN r —A