HomeMy WebLinkAbout007-390-00517-39-0454 - - - - U • 390
\D, ke Homes
3373 ilverbell Rd., lot 5, Woodside '
Sub, Ch'co
Permit �k32�34-80B(new single family) _
Contr : Gore & ite Plumb' ng
Permit#3302-80P�lbg/323� 80�SF
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Contr : McClellea C, chi. c�b
Permit#3496-8 e 234-80) SF �..�
F
i Contr•Reed Francis Electric
39 +
Pe it#35-80E (ele/3234-80)SF
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' PERMIT NO. 3234-80B
PERMIT EXPIRES
OWNER Drake Homes
owner
CONTR.
44-47 7+. port .
LOCATION (A.P. )
3373 Silverbell Rd., lot 5, Woodside Sub,
Chico
x.
7�
� y
J
`h
Temp. Power Pole f
Called PG&E 111
Elec. Se 7Jz
Called PG&E
Temp. G�s Serv.
Cal'Ied PG&E
VOB
FINALED
k; (Date) 01
(Sig ture)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office: immediately.
e
0NcL,w1 uate
E •
ERSE`t'
COMPAI�lY
LICENSED CONTRACTOR
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALb D �I�N GONFORMANCE WI CU E NERGY CONSE r ON REGULATIONS
AT 1..t_� X it CI TUT 1
(locatio�} )
BU ILD ING PERMIT NO. A. P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge A--,.
Fdn.,Walls T�
Floors /--;
Walls
Ceiling/Roof r
Ducts --�
Circulating Pipes
APPROVED HEATER"
APPROVED [JTR. HTR. -
GLAZING:
Single Glazed
Special (Insulated) .
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICE
CERT. APPLIANCES 17—/
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 G�ERTIF II ATE, AS SUBMITTED.
Insulation Applicator Name /zb�
Signature of (Jp°lease print)
Insulation Applicator ` (-�;'4,j
State Contractor
Licgnse No.
General Contractor/Owner N
Signature of
General Contractor/
(plea e print) pJ
Date
ate Contractors
icense No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING.FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
RESIDENTIAL (Singh and Dup1a;t)
Data
UND FLOOR Plans OK'exept!'s
Date,
FRAMING Continued
Zoning requirements-Setbacks-Easernants
48:--V`r45Ferty Line Firewall & Openings
tg., Main; Soils -Steel -El - ' Ftg. Depth
4}/Ext. Doors -Ona 3'-Chack Garage -3rd stcry, 2 exits
$,iFfg., Garage; Soils -Steal- V " Ftg. Depth
5; t. 'r- a 9droom-Ri3e-Run-Landing-Fire Protection
d-Fat3 ,- ches & Decks; Soils -Steel- Q" Ftg. Depth
%-G Jyv:ood on Roof Overhang -Attic Access -Rafter Outriggers
5. temwalls, Main; Steel-Blockouts-t'Irapped-Slab
ding -Nailing -Veneer
6. Stemwails, Garage; Steal -81ockouts-Wrapped-Slab
Stu co 1,19>h -Drip Screed-Fdn. Vents-Und�-,rflr. Access
7�isrs=Fir_lace Fig. -Steal
ing Area -Glass Protection-•SSylights-Plastic
YI.V.: Ffil7�itt -Tee via O-SEw eel
Shear Walls; Nailing -Bolts
ipe; rzs-Anchors
_ r
1 Water Pips; Test-Anchors-Rsgulater-Service Test
44:--E-tec-Fr4 Underground
Hums & Ducts; Clearance -Material -Support -ins.
113-. dt°rs ills -Anchor Bolts -Joists -Vents -Cripples.
C;` rd -Bl
Ole -41_
jj and -BI Data
Card -SI
Card -BI
Date Card -BI Date
Date Card -BI D3t9
Cir -81
y_--� Date Card -BI Data
Oats
FINAL (Plans except H's
Card -BI Date ' Card -BI Date
Dais
PLUM_GING (Permit) OK except Ws
56. Ex-DA,-9SidakgWl5ron-La
57 . <a Detector
Ht.; Vent -Access -Combustion Air
58. Furnace; Ve learance-Comb, Air-Cor-
In Gac AaeJg loo .D�M3ch ection
1 tatar Pipe; Test & Anchors -Nail Proiectio
6. D .; TegFsFttlkJ�
ft
59. Bedroa
1 Sewer Pan; Test, First Floor -Tub Access
60. G.F &
d Floor -Tub Accesa
61. EI rm & Zvbvv ,3i; Breai rz=s-La '
1 as Pipe; Size & Anchors
63. &weptaeo-or Style; Cle sit_
^
_
ec. at WtRd-Ma"Is ev Ext.
Ca) -81
Date and -81 Date
65. Kit. Fixt ianc - .-Air C nce
Card -81
Date Card -BI Data
Date
ELEC .ICAC Permit OK except k's
67. Garage F r; Sqjogeanidqer'
68.
261"'F lure & Transformer Clearance -Ins. Protection
63, YJ[r. Hir.; Ve-,learPl b A _*,un9ector-P!A.a/�
In Garag ; Ab Fieac.Met�. Prcio�
' 2€c. Receptacles Spacing -Lights &Switches at Doors
2. Size Boxes 8 No. of Conbuctors �taplzd
70. PIS., Elec. & blech. qui isted f n
k�Yt4hiex
Installed Close to Edge of Studs & C.J.
71. Elec. Recapta - ' araga; (G.F.I. -x Pro.
Equip. Ground made up w•/Meth. Fasteners -Bond Gas & Water
72. Insu nein-Looked in Attic E] Yes
?� 2 Appliance Circuits in Kitchen & Conductor Sizer
s ec onstruc ren- Oo
,26. Snb4eed-1Nira•5i±s-} / ga. Cu or AI-A.C. Wire Size / / ga, Cu o
74. Fdn. Vents & Crawl Hol
Looked under Floor � `o'o rain -Earth Clearanco
Y
27. Range Circ. / / ga. Cu or Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes o
75. Following insild.:riv E) No; Walks s _[]No;
Planters ❑Yes o; Creati. Dru P.oblams ❑ Yes62F
728sgrvice-Riser Conductors & Ground -Main Disconnect
.
76. Siucco; Bin -Finis yl
E ip. Clearances; Panels -Motors -Mach. Equip.
77. A.C. Unit; isc ect-Clrnce _B' • Coo Sig A
Clothes Closet Light -Shower Light
r
78. Vents A oof; Plbg_ A is i 05lea ce t pngs.
79. a Plumb; .
60. Exterior Elee. F _cap. ride.
Card 8-1
Dots �' and 81 Data
St. Ventilation t out House
Card 8-I
Date Card -81 Date
-
62. Glass Pro an .
Date
MECHANICAL (Permit) OK except X's
o
83. Cnus nspec tions
. Ga - .et Tagged; Gas -=I_ c
A.C. Ducts; Insulation & Support
85. Plater,.r Ccnnected-CIQj Gr=de-HO Approval
119$ 'Pnt Fan; Exhaust above Insulation
65. Energy Compliance Certificate-0:har Ceriticates
33--`Condensats Drain & Ovsrflow: Size & Grade
34 -1 -Fu. n3ce-Vent; Access•Comb, Air -Return Air Vent -115V outiat
3 e -s 'Platform if Furnish in Attic
I
card
C d -BI
Oata i/ and -BI Date
-81
Card -BI
�3,d.gl
Date Card -BI Dots
ate rd -BI Dale
Dan 81 Data
Comments at Final:
Card -81 Date Card -61 Date
Date FRAM!(Plans) OK except K's
3 Sr Is; Proper material & Anchors
alis: Studs -Nailing, Spacing & Bracing -Plates -Sound
3 B>arirg 17alls over Girders & Flour Nailing
38. Draft Siop in Ylalls (rat proof)
Fire Stops: Furred Ceilinc s -Stairs -Chases -Tub
_oder & Beam -Size & Bearing
�-
_
4 Hangers -Post Caps -Anchors -Connectors
Cln Joist-Rftr. Ties -Pur n; -Roof Brat. ru s Shihr.
�•�, g. -Rina.
- - - -- -- 't- - -=
_ Ties or Ty;giA Flua-Fireplace Throomat
4$-1ttic Access; Size & Roma.,. Protection -Draft Stop-lns. Baffats
4A. Bdrm. Windows or Exiting Doors -Sill Hat. & Dircensicns
y.7,*�_Gar 'age Fire Protection Framing
COUNTY OF BUTTE.— DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTI6N RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
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
Slab
Carport
Footings
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas PipingTest
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. 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
OBILEHOME 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.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
,
PERMIT 0�
ASSESOR PARCEL NUMBER
q% -- %� PVA
ZONING
*'CZ AS
BUILDING P
Dwp��lt�C /- O" Es
TELEPHONE
SQ. FT. OCC. BUILDI/NG�J ALUATION
///O
`J/7� . /W
OWNER'S MAILING ADDRESS
�9 M
S ?r&8.00
C ODNTR AC TOR'S NAME
0
g 3�E3/
/i> ��
JQ•w.
CTR QCT/`>OCrOMAILING
ILI ;GT `TSS W
)' �•�
C4 9 S9Z
��gqNSTRUC N LENDE�j
GUP�1,Es R D K�Rz STATE /BUD, Ci Rol()
UNK OWN
Fireplace
Total Valuation $ 3� O
LENDER'S MAILING ADDRESS
PO- BO 2 008 SAC1. GA- x/58 2.5
Permit Fee
$__156,00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 3 ,OCA
Penalty
$
ARCHIT C OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 170. 00
BUILD G AC ;ESS
3377
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
�14/c0
Water piping
LOT O.
SUBDIVISION NAMEPARCEL
000f7S i
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF E�J�Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: —
M�¢2-2--77(o
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600v OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. \ ( DWELLING OCCUP.&
OR ACDNS. ACC, BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I decl a under penalty of perjury (check one):
I d licensed under provisions of Chapt. 9, Div. 3 of the Business
nd Professi Code and my license is in ful force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON-RESIT.CONSTR.BRANCH CIRGTITS
2.50 ea
NEW CONSTR. (POWER APPARATUS a)
NON -RES D. SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 50@�
BAL@10C
EX. QCcu FIXED APPLES, OR
p•(DUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I`� 1 have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to upon the above-mentioned property for inspection purposes.
I als a re e t save, in mnif keep harmless the County of Butte against
al a ilitles, g n s, ts, expenses which may in any way accrue
ga' st aid C un on . en of the granting of this ermit. _
�-
Date
Signature of Applicant — Owner
g pp ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in 4eight.
Mobile Home Installation Fee $
Land Development Fee $ 2S•OtJ
TOTAL PERMIT FEE $ 199, 0(7
PP. GROUP
3
TYPE OF CONST.
� /
PARCEL
v
PD
ND
ssOE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
Receipt No. l �2
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�Vcoosip` Ulell r IL
n Ibns and specifications MUST 96� NOTE:—All Materials & Workmanship. Shall Be to
o
This Accor once w► h r�ecognrzed Good rractice, ajnd
:ept o -the iob at all times and it is u— ni l
nake c ny changes or alterctions on some without of a quality prescribed for the Specified use in the
I— +►,Q rUpartment of Public Uniform Building, Plumbing & Machanical Codes d"Ad
Horks County of Butte. the tN0TiVF1U1
i
Aa,
rL� �
ra _ N
t+
7�
\ \See Master Plan on file "for tilding
T T L Q t ZO A setback of 5 :t. from
�� � ► i �� the
property lines nd a setback
--- --- of 50ft. from tF rc;ad
centerline shall . e dear of
13-0-R.ev- 5_ structures or of aipment -',accept
F.F. 174.5 _ F F' 174• �? _ for a 2 ft. lave ivE'rii�?t�
i
43z3�
f
t 70. Sq, 7o so I BUTTE COUN
v — - BUILDING DEPAR VENT
APPRO
V D
r
COUNTY 0r BUTTE - DEPARTMENT OF PUBLIC WORKS
,• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -ASVD PERMIT
PERMIT N 'l
A SSEq R ARCE MBE
ZONING
S I
BUILDING PERMIT
OWNE
TELEPHONE
SO. FT. OCC. BUILDING VAL
O WNE MAILING ADDRESS
TRACTOR '
A
t nc1927
T LEPHONE
O RACTOR'S AI ING ADDRESSV
— •
O NSTRUC TIO NDER
LINK N w
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD I G ADDRESS S1 ) V I
6
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00 r�(/
Repair drainage or vent piping
2.00
Water piping
LOT NO.
UC/
SUBDIVISION AME
W
PARCEL MAP
Each qas water heater or vent
2.00 p
Gas piping system 1 - 5 outlets
t b
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
tD0
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition Remodel Utiliti ❑ Ins Ilation❑ Other
Describe work:
S'� —
Permit Fee
$ 30,DD
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service ;DDo AMP V OR ORLESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUR,&
OR ADDNS. ACC. BLDGS.
26 sq ft
CONTRACTORS LICENSE LAW
I declare nder penalty of perjury (check One):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professio a and my. license is in full force a effect.
License No. Classification �-T CP
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUT LET
NON.RESID, BRANCH CIRC ITS 2,50 ea
NEW CONST R. ( POWER APPARATUS &1
NON.RESID, SINGLE OUTLET CIR. I
EX. Occup( OUTLETS OR FIXTURES 50 BA x¢
L�tos
(FIXED P \
Ex. Occup.OUT ETS(RESID )RE A./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare and -penalty of perjury (check one):
❑e permit is for $100.00 (valuation) or less.
Pr I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s oun 'n cone que ee2oft�anting of this permit.
X -�
-
Sign lure of Applicant – Owner Contract Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over ren
stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUR, GROUP
I TYPE OF CONST.
PARCEL
PD Ho
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
wo ndicated above for which
I GTOR OF PUBLIC
60&Al/Date
PERMIT EXPIRES Date -,,,/Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
2�' �J
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P IT NO
Ad lhr�
ASSESSOR PARCEL N B R
ZONING
BUILDING PER
OWNER Drake Homes
TELEPHONE
SQ. FT. OCC. BUIL
VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 1448 - Chico Ca. 95927
CONTRACTOR'S NAM E TELEPHONE
McClelland Air Conditionin ,In 891-6202
CONTRACTOR'S MAILING ADDRESS
0 Th ndf-rbolt Street, ChicoCa,
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
$
ARCHITECT ORPenalty
ENGINEER'S MAILING A DRESS
Permit fee
$
BUILDING ADDRESS
3373 Siverbell Road
PLUMBING PERMIT
Filing Fee 3.00
Chico
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
5
NAME
Woodside
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ® Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition Remodel Ut'lities❑ Instal latio ❑ other
Desc a work:
'Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORSLESS
5.00
V
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC, BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I clave under penalty of perjury (check one):
�] I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
345121 C-20
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTIR U T1.OUTLET 2,50 ea
NON-RESID, BRANCH CIRCUITS)
NEW_CONSTR POWER APPARATUS &
NONRESID. (SINGLE OUTLET CIR.
Ex. Occup(ouTLErs OR FIXTURES 50@z5e
BAL N'10C
p /FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating /j*
, e/U
Cooling
O
Hood
2.00 Dv
Ventilation 1
,U
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to'comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I alsoagre to save, indemnify and keep harmless the County of Butte against
all liabi ' es, judgments, co ts, and expenses which may in any way accrue
against d County in co a ehe granting of this permit.
nc of t
I� 7--"a
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agen►
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
OCCUP, GROUP
TYPE OF CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D TOR F PUBLIC
By
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
��
Receipt No.4P.22
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
��►M''�9'`�lrr1��'�^�gl
Z
ciao! � 7r►r
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J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION'AND PERMIT
.ERMIT NO
f
ASSESSOR PARCEL NUMBER
Y`1- Y — 7Y rgainlBUILDING
ZO ING
PE
IT
OWNER
ELEP NE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5 E
CO TRAC :TP,r �t'�`
TELEPtIONF
ify3-17
CIOVITRACTOR/`S��/ AILING ADDRESS
CONSTRUCTION LEN R
D Al rTotal
UNKNOWN
Fireplace
Valuation $ "
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
-41ta 4
PLUMBING PERMIT
Filing Fee 3.00
p
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION AME
Sia
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 0' Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ R model ❑ Uti l•ties ❑ Inst Ilation C Other E
Describe work: !`c �� f.�-3d"s/—_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service jp0 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONS. DWELLING
OR ADDNST ( ACC. BLDGS.CCUP,
\ 20sgft `�
/ 7.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession ,and my license is in full force and effect.
License No. S !/ Classification C o
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR UL I' -OU I LET
NON-RESID. BRANCH CIRC ITS 2.50 ea
NEW CONSTR.POWER APPARATUS &
(
NON-RESID. SINGLE OUTLET CIR.I
so�25C
Ex. Occup(o Ts OR FIXTURES BAL@tOG
X_Code
FIXEEDDAPP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $ 3Z 5—y
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
� have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County,,kn conse enc of the granting of this permit.
X Date
Signature of Applicant — Ow 4V Contractor ��Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE 3 . SV
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
I HD I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date o�
/over
Receipt No.� �i2 %7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT