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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 r 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 i f .E i f cmn! CMI I t S , i ' 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 � v 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