Loading...
HomeMy WebLinkAbout022-203-01322-203-13 Q2--989BPBM MISTHOS,' Nick 338 Pryde Oe,.Gridley ` cont: Bob Fichter addition/sf „ 22 �� O � c J RESIDENTIAL 22-203-13 92-989BPEM 4 MISTHOS, Nick 338 Pryde AVe, Gridley cont: Bob Fichter addition/sf z,. I 4' �P A'. OFFICE COPY Address GAS IMeter By Date Meter By ''Dat JOB FINALE Signature. Owner 3 g- Pxz, ROOF MATERIAL THICKNES'S Permit; -!lo.. .- `� t ENE PC.Y C 117 R T VF I Q ATI 0N e-F- I`iSULA'I'ION BRAND NAME THERMAL RES. A.P. NO. EXTERIOR WALL MATERI.1L FIBERGLASS BRAND NAME CERTAINTEED TEIICKNESS � L 4 THERMAL -RLS.. /.3 CEILI`fG BATT OR BLANKET TYPE=Fiber;lasBRAND NAME CERTAINTEED THICKtNESS /O THERMAL RES: 3 p LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED _ THICKNESS THERMAL RES. FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED �. THICKNESS THERMAL ' RES . /g FLOOR, SLAB J MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH c' FOUNDATION WALL MATERIAL THICKNESS BRAND NAME THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES IN.C. # 62.2184 F RM L 0OHR 6 -1642 - STATE CONTR. LICENSE. N0. d�� I he eby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy.Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. SIGNATURE: OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior.to final inspection approval and a copy shall be posted within.the building. JANUARY 1984 V=OK ' O = Not OK -,Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" it. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect ,. 8. Utility Clearance a i Date Card B-1 Date ,Card B-1 Date Card B-1 ' Date Card B -1 - Date MOBILE HOME INSTALLATION (Plans) OK except ft's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector t , 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 l t J MISCELLANEOUS Date DECKS, COVERS, CA PORTS, GARAGES, (Plans)OK exceptg's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3.. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date ' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date . ' POOLS (Plans) OK exceptg's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK -= NotApplicableRESIDENTIAL NRead ' Not Ready Date UPVfRFLOOR (Plans) OK except's 1. Z Setbacks -Easements -F d -Slope Ftg., Main; Soils-Elec. Grnd.-/ tg. Depth 3. Wig., Garage; Soils -Steel -Elea Grnd.-/-_ /" Ftg. Depth Ftg., Porches & Decks; Soils-Steel�g. Depth(��%� 6 5. Stemwalls, Main; Steel-Blockouts- rapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. L, -*r4. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples O 15. Access & Ventilation 16. Insulation Dat 3� and B- Date Card B-1 Date F, IfCard B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's Htr.: Vent -Access -Combustion Air -Baffle --=------ ------------ ---- ---------- 7. Water Pipe; Test & Anchor -Nail Protection � .W.V : Test -Fittings & Anchor -Nail Protection r^l hiir/Oit1 Shower Pan; Test. First Floor-Tutfff-�Amec­ess 20. Test Tub & Shower, Second Floor -Tub A tress` ---1171G'Xs Pipe: Size & Anchors --------------------------------------------------- -- �_ Date ^ f 7- rd 8-1 Date Card -B- 1 -- t----- ----�---------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22: Fix re & Transformer Clearance -Ins. Protection ---------- ---- - -------- - ---------------- 23. - - ----23. Elec. tacles Spacing -Lights & Switches at Doors -------------- - --- - __ oxes & No. of Conductors -Stapled - - - 25. ex Installed Close to Edge of Studs _& C.J. -� 26.E uip. Ground made up w!Mech. Fastners-Bond Gas _& Waiter t 2 Appliance Circuts in Kitchen & Conductor SizerGFJ - ---- -- - ---------- --- - ------------------------------------------------------------ 28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29 Racige-Eirc' / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. ��- Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------------------------------- lothes Closet Light -Shower Light -Spa Light ----------- ---------------------------------------------------------- 3 Smoke Detector ------------ --------------------------.------- --------- ----------------------- Date Card B-1 Date Card B-1 -------------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ------------- -- --- - - - - -- -- - ---------------------- --- ---- -- ------------- -- --- - - Vent,Fan: Exhaust above insulation Conden=ate Drain & Overflow; Size & Grade 37. Furnance-Vent: Access -Comb Air Return Air Vent -115 outlet ----- - - --- -------------------------------------------- 38 Attic -Access-&- Platform if Furnance in Attic Date Card B-1 Date Card B-1 ----------------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRA"G (Plans) OK except ti's 9. Proper Material & Anchors 40. afls Studs -Nailing Spacing & Bracing -Plates -Sound --,----- -- --- --- - - ------ --- 41. 'ng Walls over Girders & Floor Nailing --- - - - -- ------------------------------------------------------- raft Stop in Walls (rat proof) - - -- ------ t 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub "d ---- 44.He------aders -&--Bea------------------------r- - ----- m -Size & Bearing 110 r Single & Duplex) D to FRAMING (6ontinued) 45. Han _ - ost Cap's -Anchors -Connectors _Cing. Joist-Rftr. ties -Pullin -roof Brac-Truss-Shthng.-Ring. irep ce Ties or Type A Flue -Fireplace Throat clearance _ e ; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits to i t -Headroom-Rise-Run-Landing-Fire Protection L__ -5 -4 -plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- ---- 55. Siding-Nailin eer --------------------- ----- 56. Stu esh-Drip Screed -Fd. Vents- Und r. Access Glazing Area -Glass Protection -Sghts-Plastic 5 ear Walls: Nailing -Bolts -------- - ----- 59. I ulation-Walls-Ceilings ------%----- 0. Infiltration -Walls -Windows Dat rd B- Date Card B-1 Dat B-1 Date Card B-1 Date L ( ns) OK except s x1. Steps -Door & Sidelight Protection -Landings L 62 oke Detector , 63 F ace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------- (/u4. Bedroom Exiting 5. G.F.I. & Bath Fixtures & Tub Access -Spa ----------- c_ - Trim& Subpanel; Breaker Sizes & Labels ---- .A7 11airs& Rails ----------------- 68. 'Fireplace ---------- -----63rFireplace or Stove: Clearances -Hearth L_,G-�Etec. Outlets at Wood Panel: Int. & Ext. Kit.Fixt & Appliance; Grnd -Air Gap -Cooking Clearance --Elec. Outlets & Receptacles at Kit. Counter �- Y Garage Fire Door: Swing -Landing -Closer ------------- ------------------------ ---I,3. .C. ucin Garage -Damper Wtr. Htr_t Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection Plb__Elec_ & Mech. Eq6ip. Equip.Listed for Location r-M-TrecReceptacles in Garage: (G.F.I.)-Romex Protection ---------------------- -- nsulation-Foam-Looked in Attic ❑ Yes ----------------------------------------- - ls & Deck Construction -Post Caps •---------- ------------- --------- - 79. F n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollbwing instld.; Drive ❑ Yes 111-fdo;-Walks ❑ Yes Planters ❑ Yes 67-1qo- ----- --------- -- -------------Fi---i------ --- u - cco _---------- 82. C. Unit: Disconnect. Electrical, Plumbing ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings •------ --:gin Bei -- -- Well: Disconnect, Electrical, Plumbing - xterior-Elec.-Trim; G.F.I_Receptacle-Underground - entilation Throughout House - ----------- ----------- ass Protection 88. Corrections from Previou Inspections - ------------------------- --- - - -- ----- �9.-Gas Test -Meters T ed; Gas-Ele is -- -- 90. & Sewer Connected -C/O to Grade -HD Approval- 9� 1. Energp Compliance Certificate -Other Certificates --_- to Date ( . -B_ - Date _Card B-1 - -- Date d- rd B-1 Date Card B-1 Date rd B- Date Card B-1 Commen s at Fina COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 1469 Humboldt Road, Chico, CA - (916) 897-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work T COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2761 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE MIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If u have any qu tions pertaining to this matter, or need additional explanation, please con ac th . office i%n edi tely. Date /- f� Date, -19--/7— lnspe REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND , -PERMIT PERMIITNO. ASSESSOR PARCEL NUMBER 22-203-13 ZONING r 5 BUILDING PERMIT OWNER NICK MISTHOS 415 TELEPHONE 755-6441 SO. FT. OCC, BUILDING VALUAT ON 425 R 22,950 OWNER' MAILI G AD ESS /f,; 1 CONTRACTOR'S NAME BOB FI HTER BUILDERS TELEP ONE 846-6611 CONTRACTOR'S MAILING ADDRESS 590 HAZEL STREET GRIDLEY Fireplace "A" 1,500 CONSTRUCTION LENDER 71'17NKNO Total valuation Is 24,450 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 210.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS F AVE GRIDLEY Permit fee $ 350.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF X❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5.00 Building sewer 15.00 Mobile Home S I G I IN 1 15.00 TYPE OF WORK New ❑ Addition o Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: FAMILY ROOM & BATHROOM & WOODSTOVE Permit Fee $ 57-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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. 7 �%� ,7 Classification Q r ❑ 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 CONST. / DWELLING OCCUP.�\ OR ADDNS. l ACC. BLDGS. / 3.6Q sq.ft. ' NEW CONSTR ULT' -OUTLET NO N.RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS &) %SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES p�JAL 20 76 0 451 Ex. Occup. OUTLETS P(RESID. IRE A.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 '15.00 +_ Permit Fee $ - 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating DU .00 Cooling 9 3 TON 9.00 Hood 6.50 Ventilation - - Permit Fee $ 33.00 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, judg3nents, costs, and expenses which may in any way accrue again t n consequen of th nting of this p rmit. X Date -ep' 42- Signature of pplicont - Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr39storiesoineheigvfattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $ 509.85 S IMP FL o co PARCEy PO 's This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees R CT OF PUBLIC By PERr LIXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Y--13-9 ./ Receipt No. ---36A-509 gS WNITE•O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT n. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9.5%5 - TELEPHONE: 916/538-7541 PERMIT APPLIQA;rl N DATA SHEET ' Permit No.— 6 OWNER (GK NII 'S>�-LjOs A. P. No. ZZ—Z03- 3 Progs�d juiIdmg)Us r �� ���i4��dfn��r pector Date L-(—/—C/?— At '/` 2At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... A. Energy Design Compliance and supporting documentation ......... 7: Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ............. . ......................... 2. Park fee paid ................... fG145 Sc ool Dis rict fees paid .............. _ 14. Sanitation approval from Vt Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... _ r 25. Letter of signature authorization ................................... 26. 27. When you issue thepro e�s as follows: Mail to owner. Mail to contractor. rm't 9 Telephone and hold for pickup at office. Deliver w/inspector. Other Applicantf` �~ Date y S `z— Copy of Hdz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1: Index permit for above items No. 2. Additional items required: . 1' P11 Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date Contractor, designer, owner, was advised of above required data b.y_phone_mall_coun r by date Plans checked by Date ns approved by Date �_P ,.Sets'of plans on hold in Copy—DPW File cabinet " AP folder fi. • TO `Lildino.Department FROM: Environmental Health SUBJECT: Sanitation Clearance ------------ 33 V- Z 3t-;�473- Owner Locat'on Plan Approved for: Sewage Disposal _ 1�` J Water Supply A__ Hold final for: Water Supply Final clearance O.R. for: Water Supply Other x1 G�cc/ Y,60 sv%, e,& NOTE *** Date Sia itari COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONIN Z_. BUILDING PERMIT OWNER " l C f 1415- TELEPHONE 75-5- L SQ. FT. OCC. BUILDING VALUATION D,5 23,9 S-0 OWNER'S MAILING ADDRESS CO ATO 'S NAME C,1 t I e 19(16 TELEPHONE 6611 CON RA TOR'S MAILING ADDRESS �rr` �e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ',14 5-0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee c� $ 10, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ OS©.. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS 338 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 r ie ` Each Trap 31 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 V'O Each qas water heater or vent 7.00 USE OF STRUCTURE SOV'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 .S Building sewer 15.00 CrCJ Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ AdditionX, Remodel Utilities ElInstallation❑ Other E]Permit Describe work: /Ezj 21%lk-/ KM _ C� aC,f-4rp syv^fi V Fee $ a Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO t000Ai 37.50 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. 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 CONST. // DWELLING OCCUP.at OR ACDNS, ( ACC. SLOGS. t� 3.649q.ft. V NEW CON5TR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 76d A FIXED APPLN.. Ex. Occup. OUTLETS (RESID UREA.) j 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 29.9-5, — 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 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating U (ci OO Cooling +Oh C po Hood 6.50 I Ventilation permit Fee ; ' LSontractor 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 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 in consequence of the granting of this permit. X Date si nature of Applicant - Owner 9 pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stores in height. Mobile Home Installation Fee S Energy Inspection Fee $ Q , OCC CONST TYPE TOTAL FEE $ HAz I DFEES I IMP FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 110.369- S-0`5• "' W NITC•O. r. W.. YCLlnw.aaaraano eur_u norr Tna .... ..-....-._ -..... .-...- BUTTE COUNTY SCHOOLS DEVELOPMENT,FEE. CERTIFICATION FORM (One Form per Building) A.P. Number 2.2 - 2o_� -13 Building Department No.. School District City 1__J County Jurisdiction Property Owner N/G F405 Project Location/Address 3S8 Fridf www*iw- r Subdivision' Lot Number Residential Development: a aSq. Footage 2 S # of Living MHI Addition (Group R) Units J Commercial/Industrial: 4` Sq. Footage New Addition (Including Exterior Roofed Areas) 'Euildiro Depa ent Representative ..� Date (Floor Plans reviewed by School'Dstrict Personnel) District Id No. Q�p School District certifies that �yA►��� (o - (o to I (Applicant Name) ,.�-- (Phone Number) (Street A dress) - r (City)" (State) .(Zip Code) has complied with the requirements of Resolution No. by t e p yment - $r .{�"'" _ representing square feet. School trict /R presentative h -�' Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: J. A white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) f�l