HomeMy WebLinkAbout007-440-022D SON
SE cor -icks Ln &Sycamore Creek
Chico
Per mit#2763-8Q 1<eeplace windows
partial reside).S_E o
Permit #411-81B,P;.E�ition AA&
—remodel /SF),
oOO �Permit344-82B(lst renewal/411=81)
007 0 , 0ZZ x`03-3682 .
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COMCAST COMM; *, ,
"SEE'ATTACHED;TCHICO
"Cont: WESTCOAST COMMtik}
PLACE CATV POWER POLE
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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
As'grf PXTtX(�
ZONING
BUILDING PERMIT
OW06MCAST COMMUNICATIONS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
GW4nW'V!ff'5R SACRAMEN'T'O CA 95838
D°fT COMMUNICATIONS
T343 2472
DOf4ffO SAD CHICO CA 95928
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fire Iece
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS SEE ATTACHED
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT 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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PLACE CATV POWER 'SUPPLY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
9
Main Service .R'0,,OSS
8 23.00 184.0
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 i full f rce and effect r7 / _ 5 p-�
License Class 0 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 insurange, 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.)
❑ 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' corppensato visions of section 3700 of the Labor Code, I -------
hallforthwco ply a provisions.
forth W
j
X Date /67- I S- 03
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations ov r '0" deep and demolition or construction
of structures over 3 stories in height.
Receipt No.
WHITE-D.D.S.-B%SE SO PINK-MPErTOR GOLDENROD -APPLICANT
Main Service 200A TO 1000A 46,00
NEW CONST. DWELIlNo OCCUP. SO
OR ADDNS. a Acc. sLos. 3.5QFr;
NON -RES D. MULTI -RANCH OUTLET
ROUITS T @7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET ORFocruREs eAL @': 0
Ex. Occup. ouTLEEDTSA PPM °FRw 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE = 204.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 204.00
HAz D. FEES IMP FLOOD CDF PARCEL PD
HD
6S
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 Dat . 1,0o—T
'-4'
PERMIT EXPIRES ON -
ate
PERMIT NO.
3. PERMIT EXPIRES— .2
OWNER Dick Nelson
oCONTR. wner
ASSESSOR PARCEL 44-49-19
LOCATION SE corner of Hicks Ln. &
y�- Sycamore Lane, Chico
I
�X
fr Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature— X�
V =0K '
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements -
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete 't
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures, .
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. -
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability,-,,,
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connect ions -Thickness£ Dead Men -Lining
4. Electricity; MH Test -Crossovers- Brea kers•-Clearances_
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
rx-
0 = NEt OK
Not Applicable
Not Ready RESIDENTIAL )Single and Duplex)
� =
Date UNDERFLOOR Plans OK except #'s
Date FRAMING Continued "
- Zoning requirements -Setbacks -Easements QdJ
y Line Firewall &Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /"gyp h prd ,�
xt. Doors -One 3' -Check Garage -3rd stor , 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
5idth
-Head room-Ris - n -La rng-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
on Roof Overhang tt' t Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
5
t ing-N g -Veneer
6. Stemwal .Garage; Steel-Blockouts-Wrapped-Slab
DFOP 98Fe Fdn. Vents-Underflr. Access
-Fireplace Ftg,-Steel
94 -Glazing
Area -Glass Protection -Skylights -Plastic
8. D.W -Fi Ings 2 way C/0 -Sewer Test
a+ls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Wate pe; TeEi,ICn - e ula
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. GirdtrssS1li�1 nchor is .WIWAb -Vents-O ;QQLC
Card -BI
Date J- Card -BI Date
C BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI ate Card -BI Date
Date FINAL ns) OK except k's
Card -BI Date 7Card-BI Date
Date PLUMBING (Permit) OK except p's 6
Srw�xt.
Steps -Door & Sidelight Protection -Landings
5
14. W,2Rer Ht.; Vent -Access -Combustion Airents-Clearance-Comb.
Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
ter Pipe; Test &4ArtCfiors-Nail4ka rtion
A c -Nail ction
50.-8edsat7m
Iting
W"Shower Pan; Test, First Floor -Tub Access
6
tures & Tub Access
T8 --'F TOb & Shower, 2nd Floor -Tub Access
6$--5_1ec.
Trim & Subpanel; Breaker Sizes -Labels
t9-6es-PPpe; Size & Anchors
6e--6leips-8r
ils
6
earances-Hearth
Elec Outlets at Wood Panel; Int. & Ext.
Card -BI n Date3- p. Card -BI Date
6A. --K-
ilt. &Appliance; -Air -Cooking arance
Card -BI Date Card -BI Date
lec. Outlets & Receptacles at Kit. Counter
Date ELEC ICAL Permit OK except q's
&poor;
Swing -Landing -Closer
69--A�Baet-mGarage-Damper
Fixture &Transformer Clearance ns. ectr
e9.
_UU _V,&nts-Clearance-Comb. Air-Connector-P.R.V.-
I ve Floor-Mech. Protection
Plb., Elec. &Mech. Equip. Listed for Location
Listed
2y,/Tlec. Receptacles Spacing -Lights & Switches at Doors
'22r/Size Boxes & No. ofQemZctors-Sta4I&d
omex Installed Close to Edge of Studs & C.J.
71.
'n Garage; Protec.
24. -'Equip. Ground made up w/Mech. Fasteners-Beed.Gae-9rtl03i2r
7*.�Tnsulati
on- Faamf-Looked in Attic l].Y
ppliaWir Circuits in Kitchen & Conductor Size
7+�
7
_ & Deck Construction -Post Caps
dn. Vents & Crawl Hole Dosr-Drainage & Wood -Earth Clearance
Lo .ed under Floor C
S bleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Voe�Range Circ. / / ga. Cu or A! 0 en Circ. / / ga. Cu or AI,
Insulated Neu ral ❑Yes ZW
7
ollowing instld.: Drive Els alks E -)Yes g No.
Planters ❑Yes
- - nnect
-67wn-Finish
2 ^ quip. Clearances; Panels -Mo ^ ""_Aaab_Zdip,
Light -Shower Light
77,
UibU=nect-Clrnces-Brkr. & Cond. Size -115V Outlet
7
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7�
CPalisconnect, Electrical, Plumbing
8
iter' Elec. Trim; G F.IGReeep 9 e-Uadnrground
Card B -I Dat 3p- ?/ Card -BI Date
Be -o
entilation throughout House
ection
Card B-1 Date Card -BI Date
Date MECHANICAL (Permit) OK except q's
83:-eurrer
MTrTfrom Previous Inspections
8*-das
%sC=Meters Tagged; Gas -Electric
C. Ducts; Insulation &Support
g
nnected-C/O to Grade -HD Approval
Vent Fan; Exhaust above Insulation
ergy Compliance Certificate -Other Certificates
99.--6ea�eAeete Drain & Overflow; Size & Grade
- ent; Access -Comb. Air -Return Air Vent -115V outlet
9S,�Guie-f�CCess & Platform if Furnace in Attic
Card -BI
Date ��IiEard-BI Date
Card -BI Date3 �p-�
_a— Card -BI Date
Card -Bt
Wte and -BI Date
Card -BI Date Card -BI Date
Card -BI
FeBI Date
Date FRAMIN ans) OK except #'s
L 9FOmme.ntsqFinal:
s; Proper Material & Anchors
/ZS
_ W IIs; Studs -Nailing, Spacing & Bracing -Plates -Sound
CPO
e_aring Walls over Girders & Floor Nailing
39,. -"Draft
Draft Stop in Walls (rat proof)
4 ire Stops; F-St�icc-6�aces- aWl
3 i
_1 Bader &Beam -Size &Bearing _
angers -Post Caps -Anchors -Connectors
vf
Cing. Joist-Rftries-P.M -Roof Bfdc —Tim,-s-Sh
44. F-ItgpraM_-- fes or Type A Flue -Fireplace Throat
ge-i
CAC U `V
45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
ft-_+kh m.-W"ndows or Exiting Doors -Sill HgL & Dimensions
07 rr^ g "ra protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
e' COUNTY OF BUTTE
DEPARTMENnOF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION /NOTICE
/V£/scram - 41KI/_5 Liv.
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
whencorrection of work is completed. If you have any question pertaining to this
ma err,, or need additional explanation, 'please contact this office immediately.
6A�/dlOJillF
X �
c
GG+
'7l
Inspector Date
COUNTY OF BUTTE
DEPARTMENt'OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 7G
7 County Center Drive, Oroville — Phone 534-4541
Skyway acrd' E l l i ott'Road7'P4ffdit6--"'Phone" 877-3435
CORRECTION NOTICE
/ l RE - BUILDING OR PROPERTY ADDS
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.
1
a
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION -REQUIREMENTS HAVE BEEN' .
INSTACLLED N CONFORMANCE WITH CURRENT NER Y CONSERVATION REGULATIONS
AT C'O .UGC ?l"c-45 4 =, l<"//1'ax&—
( location)
BUILDING PERMIT NO. A.P. NO. 44 -49
1
THE FOLLOWING HAVE'BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
,__ k4o,
Fdn. Walls
Floors_
Walls
Ceiling/Roof
Ducts
Circulating Pi es
APPROVED HEATER
APPROVED WTR.HTR.
—r—
GLAZING :
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS..
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEV C S e
CERT. APPLIANCES y
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 Name
Signature of lea print)
Insulation Applicator
StateAntractors
License No.
General Contractor/Ownerame
r '
Signature of
General Contractor/Owner
rv,
%\j v
(nl ea a print)
Date t-C(� �� r984
State Contractors
License No.8(p
THIS CERT IF ICATE MUST BE ON FILE W ITH?'THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED.IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING. .%
I
..'PERMIT NO. 2763-8OE
PERMIT EXPIRES 530/81•
OWNER nTQK MELGCN
'CONTR. 'Owner
LOCATION (A.P. 44-49-19
SE cor Hicks Ln & Sycamore Creek, Chico
>h
i
J.
i
A 9
w
{ Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED J
(Date) C ��
COUNTY OF BUTTE — DEPARTMENT`OF PUBLIC WORKS •
S BUILDING INSPECTION RECORD
BUILDING iq j,a BUILDING (Cont'd) PLOBING
etoacK
T Firewall
Soll Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
c- -
Siding
/ IZ4�j — . —
To out
—
_U
Piers
Root Sheathing
Roofing
Water Piping,
Sewer
Garag
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physical
hand ica ed
Conformance of ex.
structure
Appliances
Gas Piping Test
Temp. Gas
Slab
Final Z.
Sanitation
Patio
FIREPLACE
Final
Footincis
Footing
E ECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE i1PRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd: Fault Pr t.
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under roun
Interior Lath
Ventilation
Permanent
Door'Closer
Final
Final
MOBILEHOME UTIL T .ES
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILEHOME 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 WOR
7 County Center Drive - Oroville,.California 95965 - Telephone 916/5 -4541
PAAPPLICATION AND PERMIT
PSR IT NO.�
ASSESS R ARCE UMBE
r -
ZONING
BUILDING PERMIT
OWNE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN R'S MAILING ADDRESS
CO qTO 'S N ME
TELEPHONE
CON OR'S MAILIN ADD ES
[CONSTROCTION
Fireplace
rLENb UNKNOWN
Total Valuation
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee Ii $ y /a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $ -�
BUILDIN D�►ESs ,
C �.
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Repair drainage or vent piping 5.00
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Aj
SPECIFY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe w
'
Al
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service oR LESS "
100 100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. ( DWELLING OCCUP.81) 22 sq ft
OR ADDNS. ACC. SLOGS. _
CONTRACTORS LICENSE LAW
I declare under penal y of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession C d and my license is in full for a 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 CONSTR OUTLET 2,50 ea '
NON.RESID BRANCH CIRC ITS
NEW CON ST R. ( POWER APPARATUS e1
NON-RESID. SINGLE OUTLET CIR. /
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
BAL01
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
ET
Permit Fee $
Contractor
MECHANICAL PERMIT Filing Fee 10.00
ORKMEN'S COMPENSATION INSURANCE
I declare under natty 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.
Heating
Cooling
Hood 3.00
Ventilation
permit Fee S
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 County of
Butte to .enter upon the above-mentioned property for inspection purposes.
I also agr a to save, in mnify and keep harmless the County of Butte against
all • bi itie j} dg e , costs, and expenses which may in any way accrue
t aid C nt in c nsequence of the granting of this permit.
/�,' —97—
Date / CIJJ
ignatu of Applicant — Owner® Contractor �Agent
An OSHA permit is required for excalvations over 5'0''' deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ✓
OCCUP. GROUP
TYPE OF CONST.
I
PARCEL PD
I .7T7
mit is hereby issued under the applicable provi-
Tloof
sthe Butte County Code and/or resolutions to do
wat ab ve for which fees have been paid.
TOFi OF PUBLIC WORKS
BDate TT
PERMIT EXPIRES Date .2— —ko
Receipt NO.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
J COUNTY OF BUTTE - D�PAATUENT OF PUBLIC WORKS PERMIT NO.
7 County CpnteX Dxive - Oroville, ,Californ"ia 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT x
T An`
ASSESSOR PARCEL NUMBER
r / r a
ZO NG
sZ./
BUILDING PERMIT
OWNERTELEPHONE
SO. FT. OCC. BUILDING VALUATION
r0
OWNER'S MAILING ADDRESS
? 0�/200,
Q
CONTRA TOR'S NAMETELEPHONE
' /L - •So
�10J
CONTR C OR'S MAILING ADDRESS
%���� Oy, T e0
Fireplace
CONSTRUCTION LENDER -
AIV AJF,
UNKNOWNTotal
Valuation $ Zzh-7 y
Filin g Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 6 E 0(2
ARCHITECT OR ENGINEER
N s^/
LICENSE NO.
Plan Checking Fee
$ v
Penalty
$.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING RESS "
Cl G
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 CJ
Repair drainage or vent piping
5.00
/Gv
Water piping
LOT NO.
.
SUBDIVISION NAME ,
PARCEL MAP -
I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel bi Uti lities ❑ Installation ❑ Other ❑
Describe work: �i`/!-dGt/ £ /��luoll�f� AQ os4/
%S7�f✓�i ��s�
Permit Fee
$ 00
Contractor oy
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eODv OR LESS
100 AMP OR LESS
5•00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. I DWELLING 2is1�
OR ADDNS. % ACC. BLDG
p� sq ft �,�`
CONTRACTORS LICENSE LAW
I declare 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.
License No. `3S1S� 841Classification
❑ 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 I-Ou L
NON-RESID BRA CH CIRCUITS
2.50 ea
NEW CONSTR. /POWER APPARATUS 9
NON-RESID. ISINGLE OUTLET CIR. /
50 a asa
Ex. OCCUp OUTLETS OR FIXTURES BAL�1
FIXED APL S.
EX. Occup.�OUTLETS P(RENSID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ Q
Contractor (�
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I 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 beccme 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.
Heating
Cooling
Hood
3•00 jK OD
Ventilation
'
kAJ
permit Fee
S
Contractor v� .
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 County of
Butte to enter upon the above-mentioned property for inspection purposes. ,
I also ag to save, indemnify and keep harmless the County of Butte against
all Iiabi iti s, ju gments, sts, and expenses which may in any way accrue
against sai Co y i o quence of the granting of this permit.
X to Z -AI
��
Signor a of Applicant — Owner LvJ Contractor Agent ❑
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 $
TOTAL PERMIT FEE $ 7&lij 7b
o�P�OUP
TYPE_F CO T.
,,fv/
PAR
PD ND
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE C A OF PUBLIC
By
P EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�Z io —�R
DateI—
L— / O — `y
Receipt No.-VZS-7_R
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,,,Cali'fornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSES22V A TJ NUM R
'—
ZONI
BUILDING PERMIT
Ow 8164 EL TQAl
�l
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O O
OWNER'S MAILING ADDRESS
ct T�q,CTfZ' NNA +/ ^�
CS
TRC(/ACTOR'/✓O G AgRESSk%
CONSTRUCTION LENDER /
UNKNOWN
Fireplace
Total Valuation $ -
�p
2• C &,®D
LENDER'S MAILING ADDRESS
Permit Fee
$ , 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit fee
$ �(�� p
SUILDIN �DR ESQ �_ _� �[ I&AKS L14,v
L/�i�/ � /T /
PLUMBING PERMIT
Filing Fee 3.00
=C=am C���
Each Trap
2.00
Repair drainage or vent piping
2.00
t1TT ��
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF LTJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ R,fe�m�odCel EJ Utilities ❑ Install tion❑ -Other
Describe work: /?E:t �d W _
P,4 an4�, la — SIDE7_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP ORLESS5.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No./Q 7Z Ci assification D -'
❑ 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 CONSDWELING O
OR ADDNST ( ACCLBLOGS.CCUP.&) 20sgft
NON.RESID. R BRANCH MULTI-OUTLET
2.50 ea
NEW CONSTR POWER APPARATUS a
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 50@�
BAL@tos
Ex, OCCU FIXED APPLNS. OR
p•(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
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
.[7] 1 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.
sha11 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 Ansave, i em fy and keep harmless the County of Butte against
alj gm s; osts, and expenses which may in any way accrue
agty - co quence of the granting of this permit.
�( 4 �y��
'Date�/�'2
Silicant — Owner❑ Contractor �nt ❑ (
An OSHA permit is r quired for excavations over 5'0'deep and demolition or construct-
ion of structures ov tories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ 20. QU
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
HD
ssuE
T ermit is hereby issued under
Ions of th Butte County Code and/or
wor n ed a ove for which
1 C'EOR OF PUBLIC
y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate 30
30
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
••••
272'
341
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194'
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