HomeMy WebLinkAbout017-180-006..
imothy Murp y <
NIS Rim Rock C rayon Rd.,app.2 mi.N.of
Honey Run Rd.,Rpp.2 mi.E.of Homey Run
Bridge, Chico
Permit #2232-77B,P3E,M(new single
family)
Permit ##4361-78B(lst. renewal)
.�..
Permit #k4362-78B(add open deck/S.F) <
Contr: Servamatic Solar, Chico
Permit#3171-81P(solar wtr htr)SF
PERMIT NO. 2232-77B,P3,E,M
PERMIT EXPIRES �-
OWNER Timothy Murphy
CONTR. owner
LOCATION (A.P. .46-57-6 �
NIS Rim Rock Canyon Rd., app:2 mi.N.of Honey Run
Rd., app.2 mi.E.of Honey Run Bridge, Chico
0,
W.
V,
Temp. Power Pole
Called PG&E
Temp. ElecsServ. / — 2%-77
Call. d PG&E �r
Tem . Gas Serv.
Called PG&E
JOB i
FINALED ZS
(Date)
(Signature)
-r- -V
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback
Forms 2 _/ 5--- 72
Main Bldg.
Footinas
Slab
Piers % /—
Footings 7 /j—
Stemwa I I
Slab
Slab l
Patio
Footings %— z/—,,
isonry Walls
Relnf. Steel
Bond Beam
amino //— 2 f— 7
Mesh
BUILDING (Cont'd)
Firewall �—
Restroom Finish
FIREPLACE
Windows 7-2z--'%%
Siding .��Z�7---79
t
Roof Sheathing'
-
Roofing
IRE SPRINKLERS
Fdn. Vents
Garaae Vents
Prov. for phy sically
handicapped
Conformance of ex.
PLUMBING
Soil Piping
1st Floor'..
2nd Floor
3rd Floor
To out ^d2 -- 7 %
Water Piping/d
Sewer
Fix tures -1 — 7_['1—'7 9 J
Heaters
Appliances 7_ 2.o, 7
Gas Piping & Test -----
Temp. Gas
Sanitation
Final
ELECTRICAL
Rough — 2 _,3
Fixtures %'—Zo -7
Motor —
ater H t r ')
Sub anels
Grd. Fault Prot.
scratch Heating - —?—
p— 7j' Service
Brown Coolin Temp. Pole
Finish Duc j _ ,�` Underground 1
Interior Lath Ventilation Permanent
Door Closer Final Final
_r.
MOBILEHOME bTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
If
mfr
Jr
�p
be made on this form each time you visit the job site.)
FIREPLACE
Footing�-
Throat
Fina
—"?Z,7z t4p
IRE SPRINKLERS
Test
PLUMBING
Soil Piping
1st Floor'..
2nd Floor
3rd Floor
To out ^d2 -- 7 %
Water Piping/d
Sewer
Fix tures -1 — 7_['1—'7 9 J
Heaters
Appliances 7_ 2.o, 7
Gas Piping & Test -----
Temp. Gas
Sanitation
Final
ELECTRICAL
Rough — 2 _,3
Fixtures %'—Zo -7
Motor —
ater H t r ')
Sub anels
Grd. Fault Prot.
scratch Heating - —?—
p— 7j' Service
Brown Coolin Temp. Pole
Finish Duc j _ ,�` Underground 1
Interior Lath Ventilation Permanent
Door Closer Final Final
_r.
MOBILEHOME bTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
If
mfr
Jr
�p
be made on this form each time you visit the job site.)
`f
`a
� P 1
If e. Y� F
JW
4
Apel'-►' .� ,ccs �G�c� /L � odd
Coo's'fc�6�s' o.vl
3
vr• ., *..
TO:
FROM:
RE:
Building Department
Environmental Health
Sewage and/or Water Clearance
1t
yj c z lit a6eve. &�
w►��l,u,-%KuG.e war �A„A ` l
OT ER ( LOCATION -T AP. N(A4BER
Has been approved for:
GE DISPOSAL
-'E SUPPLY:
JL__ a-,6AA
Sanitar an
Date
L
t
CERTIFICATIONS
As required by the State -regulations,- both the builder and the insulation
applicator must sign a card certifying that the proper "R" values for all
insulation locations have been installed. An example of a certification
card, which is furnished by the builder or insulation applicator is shown
in Fig. 13.
THIS IS TO CERTIFY THAT INSWTIOR HAS BEEN INSTALLED IN CONFOR'9ANCE WITH THE CURRENT ENERGY REGULATIONS,
CALIFORNIA ADiNINISTRATIYE CODE. TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Lt,
o u, er IFac .
EXTERIOR WALLS - . • .
Manufacturer w1w . � UJhickness/Type R Value
p
Batts: ManufacturerOwl 95 '4 4lOe4Thlckness (� R Value 19' .......
Blown: Manufacturer.. ..7..�... '7I
. —Thickness—
owThickness.. No. Bags Wt./Bag......
Sq. Ft. Covered R Value
FLOORS % 9
Manufactumo A uy-<</l'-4w4Thlckness/Type R Value. / /
SLAB ON GRADE
Manufacturer Thickmss/Type R Value
Width of .Insulation_ Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TITLE a DATE
I bLATION CONT CTOR AA (O w/�/g�C KS,%i��ir CENSE NUMBER C/
B i \ DATE 7
Fig. 13
8-14
.04
14162
152
175.:52 150 _ 479.86 n v
r4917 _s �1
b
IV
i
mO CA
ti
y4
1 V'. b 30.28 io
G
I 1 W I Dan n
� S89037•'f 847.76
218.76 ( -V64 629
t
�D D w iN
n
.++ 2B •p o� /56. 2 717.,
ro Z 5p. sy
u tp
F�°
m
CR --EK
3 0 400
V � '•.
ON b Zip V
cn
r
Q-
CERTIFICATIONS
As required by the State regulations, -both the builder and the insulation
applicator must sign a card certifying that the proper "R" values for all
insulation locations have been installed. An example of a certification.
card, which is furnished by the builder or insulation applicator is shown
in Fig. 13.
THIS IS TO CERTIFY THAT INSW ATION HAS BEEN INSTALLED IN CONFOW&E WITH THE CURRENT, ENERGY REGULATIONS,
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA, IN
THE BUILDING LOCATED AT:
Pock
Street 1� Lot Number
Tract no.
ERTERIOR MALLS
Tf /
I
Manufacture itqL,nW�jThickness/Type
��
R value
CEILINGS
r f/
Batts: Manufacture5 "GVW `
N Thickness v
R Value ...•
Blown: Manufacturer ... Thickness..
No. Bags pt./Ba ......
Sq. Ft. Covered R Value
FLOORS
Manufacturer !t 1�ThleknessRYpe
R Value
SLAB ON GRADE
Manufacturer ThIcAness/Typo
R Value
Width of Insulation Inches
FOUNDATION WAILS
Manufacturer Thickness/ ype R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TITLE DATE ,3 a=Z
INS TION CONTRACTOR 6L&Vtt&;- — VL'- / LICENSE NUMBER
B TITLE_ f t/YI�—� DATE —7—a5-- 7Z
Fig. 13
8-14
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
y✓3G�/ 7�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date Z5 7(Y
Signature ifPermitee o A t
Receipt No. 77 1
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.
RE F PUBLIC WORKS
BY D to
Building permit expires Date 610
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
,
Mai I inv Address /
Tele
13
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee .2
Building Address iYPlan
Checking ee&/or Penalty
Permit Fee
I y yn 1 01
PLUMBING No. @ FEE
V
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
— ��
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
--
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service aooV OR LESS
100 AMP OR LESS 5•��
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER e00V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW LING O
OR ADDNST % ACCLBLDGS.CCUP. !) 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:
TLET
NEW CONSTR BRANCHMULTI-OCIRCUITS)
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONST R. POWER APPARATUSa
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES BL �
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
�am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
2-h�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.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date Z5 7(Y
Signature ifPermitee o A t
Receipt No. 77 1
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.
RE F PUBLIC WORKS
BY D to
Building permit expires Date 610
t �
COUNTY OF•*BU ;TE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Droville, California 95965 ^ %
Tdlephone: 534-4541 /�/ 7
APPLICATION AND PERMIT All, (41V 1-1�
�uUI- - icNFwcn tau vva VI u1C t.uunty uI au ue w enter upon the
above-mentioned property for inspection purposes.
X �2" Date % 7
Signature of Permiteeor Agent
Receipt No. I& J VT
z -
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/5-PPUBLIC WORKS
By Date V3 --If - -/
B(/ildln'g permit expires Date 6—{', 2
ill
BUILDING
Owner TJ W16
bO
SQ. FT. OCC. BUILDING VALUATION
a 00 ,00
Mailing Address ze p -w
p
tC
Telephone o.
0-0
Fireplace
Contractor
Total Valuation ,
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 ,C)ro
i PEach
Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
!�
A. P. N `" Zan"
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.
S on
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
I Parking Parcel
Plans Declar n
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
cel Approval
s Approval
Permit Fee $
$ —
NEW ,& ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
V OR LE
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 6 00V25.00
100 AMP OR LE55
Main service EA. ADD'L too AMP 1.00
NEW CONST. DWELING 0
OR ADDNS. ( ACCLBLDGS 2¢sgft
NEW CONSTR. MULTI -OU LE
NON -R ESI D, (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
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
st le of:
y
Ex. Occup(OUTLETS OR FIXTURES)NL2SC
BAL�1
Ex. Occu FIXED ALNS. OR
P• ( OUTLETS (PPRESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
FT I
=1 am from the Contractors License Laws of the State of California.
Permit Fee $ —
$ S
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ W 1 have placed on file with the County of Butte a certificate of
orkmen'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
o as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ T FEEPERMIT
FILING FEE $3.00
Heating Q
Cooling
Ventilation
Hood 2.00
Permit Fee $
$ `
f PC
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
e,
t o2s
TOTAL PERMIT FEE
$ Si
�uUI- - icNFwcn tau vva VI u1C t.uunty uI au ue w enter upon the
above-mentioned property for inspection purposes.
X �2" Date % 7
Signature of Permiteeor Agent
Receipt No. I& J VT
z -
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/5-PPUBLIC WORKS
By Date V3 --If - -/
B(/ildln'g permit expires Date 6—{', 2
ill
OWNER
RE
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit # vZ -o-
A. P.
o-A.P. # !0C-- S7- Z=,
6j,
A. GENERAL
1. Zoning requirements (sideyards and parking).
on. �� I
3. Signature by R.C.E. or Architect (if require 0-01
B. PLOT PLAN
j(1, C plete parcel size and dimensions.
S aak,$, sideyards, easements, etc.
Other buildings or structures. 4Wr^
4. Grading, fills, drainage.
C. FLOOR I.AN
Complete to scale plan with dimensions.
gquired windows for light and ventilation (Sec. 1405).
quired windows for second exit (Sec. 1404).
owable glazing for energy requirements (20% max. per State law).
5 an impact glass (Sec. 5406).
(fr!� quired room sizes, ceiling heights (Sec. 1407).
X 7. G.I.'s in baths and exterior outlets (Sec. 210-8).
ight fixtures, switches, receptacles, and exterior receptacles for maintenance of
c apical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and'plumbing fixtures.
)•
1 - 3'0" exterior exit door (Sec. 3303d).
' ace location.
x13. Smoke tectors (Sec. 1413).
D. STRUJC�L DETAILS
undation plan complete enough to construct building.
or construction details complete enough to construct building.
evations and wall construction details complete enough to construct building.
/foo construction details complete enough to construct building.
replace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ..
irway details (Sec. 3305).
rdrail details (Sec. 1716).
=IADIN'11111@1 1:111113111!
0 & 708).
roper roof pitch for roof covering (Chapter 32).
er ties or bearing ridge beam.
cl E. door or porch header sizes.
4:-9':" 'Adequate bracing.
over garage - complete 1 -hour separation required including supporting
e c.
ngs
4362-78B
PE�iM1T NO. '
. PERMIT EXPIRES 7
Timothy Murphy
OWNER
s
CONT R. owner
LOCATION (A.P. 46-57-6 )
N/S Rim Rock Canyon Rd., app.2 mi.N.of
Haey Run Rd., app.2 mi.E.&f Honey Run
Bridge, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Call PG&E
Tempus Serv.
/ailed PG&E
FINALED-
(Date)
(Signa re
COUNT F BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION 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 physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final S —
Sanitation
Patio
FIREPLACE
Final
Footings
Footinq
ELECTRICAL
Reinf. Steel Final I Fixtures
Bond Beam _ FIRE SPRINKLERS Motors
Framinn T� 7 Tem• w -4e. u#.
Stucco
Final
Subpanels
Mesh
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
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 vislt the job site.)
Owner It
Mailing Address
a, \ Q
Contractor
Mailing Address
Building Address
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
rCounty Center'Drive — Oroville, California 95965`
Telephone: 5344541 Y/
APPLICATION AND PERMIT
Telephone No.
A. P. No. LtCl,fp Zoning & Planning
fe Sa n Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W roveme s
Plans Declaration P Im P
Bld Parcel ApprovqV I Plan pprovol
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
Single Family Duplex ❑ Mobil Home ❑ Others ❑
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:
License No. Classification
0,I am exempt from the Contractors License Laws of the State of California.
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.
ri-3/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 certify that I have read this application and state that the above
information is correct. 1 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 in ection purposes. p
I Date
Signature loi Perm itee o, Agan
Receipt No. I wo I �,A
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT.7 OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
P I an Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600v OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP. St
RCUIT
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$
$3.00
5.00
2.50
25.00
1.00
FEE
FEE
EX. OCCUD[OUTLETS OR FIXTI1PES
bu'i=
BAL@1
FIXED APLNS
EX. OCCup. ( OUT ETS P(RESID.)REA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Coo I i
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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.
DIRECT UBLIC WORKS
T
By Date
B(Zilding permit expires Date _ z3- I?D
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMJT NO.
ASSESSOR PA C [- ER' O�
ZONING
BUILDING PERMIT
OWN/nA M��Pw
,
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
ILING ADDRESS
OWNER'S MAILING
LE,ON
V/-IRM/T/ 1 C�O / , �" r ��' �-✓ -I TE� P�-W�
/ �7
CO%'TRACT ORI'S MAInLING ADDRESS , / /J /ii'
!(� [ 1, S KAe G/V�_L_/ii'le �
Fireplace
CON RU TIO DER
�l, �/n .r :��
/✓` F�[C••�/
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING A �j RE S
—C�
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BU ING ADDRESS/ r
PLUMBING PERMIT
Filing Fee 10.00
�l� �Tc/�✓ IWAI ZD�� "1' E- OF,
Each Trap
2.00
Repair drainage or vent piping
5.00
//^ �'`
l,kli%&,y &A)��ji le la
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
SPECIFY
Building sewer
Lawn sprinkler system
5.00
_�)
VVt^E_
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
'50L�2 ��/+� �
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST" (DWELLING OCCUP.EI)
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (Check Orley:
I am licensed under provisions of Chapt. 9, Div. 3 of the Business50
Professions Code and m�Q' license is in full force and effect.
Sy
License No..���_( Classification � -3G '564(
❑ 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. U TI.OUTLET
NON-RESID BRA CH CIRC ITS
2.50 ea
NEW CONSTR. /POWER APPARATUS 61
NON-RESID. (SINGLE OUTLET CIR. /
Ex. Occup OUTLETS OR FIXTURES
@ 25tand
BAL@1
Ex. Occup.FIXED APPLNS. OR
�OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
e permit is for $100.00 (valuation) or less.
,L�{,y/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
$
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-ment' n property for inspection purposes.
1 also agree to save, indemnify d eep harmless the County of Butte against
all liabi itie jud ments, cost an expenses which may in any way accrue
agai t aid u y i con eque ce f the granting of this permit.
(7 ` ZU— /
Date CL
Signature of Applicant — Owner ❑ Contractor ❑ Agent P___
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-tReJOROF
ion of structures over 3 stories in height.Receipt
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 50,0o
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
I ND I
ISSUE
This permit is hereby issued under
sio of thButte County Code and/or
Windicled above for which fees
PUBLIC
PERMIT EXPtRES Date—
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
U r��
No. SS9
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
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