HomeMy WebLinkAbout024-080-062_~~
2 08-62^c ^q6S. F)2 62Permit #2 '18�2BPE mr�(6ew sin eon ex4es""'foundatiou)
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/FAY J. TORRANCE'409 Obermayer Ave,,, Gridley,Permit for stg -of farm imple
l24-08-62
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186-6-81-1
24-08-62
n/s Obermeyer l3001<eZ.:37;1;:strap, Gri _e2
Cr /2 of house - CONTR: Edw. Smithr—
J= q - 7 1/+40 Sheldon, Grila"I I
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERIVIIT NO.,_,
Agricultural building is defined a's follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL N -G.4
ZONING
OWNER
,P �� Ck
PHONE NOq16 Cg
OWNER'SADD4S
oq ke
LOCATION OF BUILDINIG
L v
USE OF BUILDING I
SIZE OF STRUCTURE
x 30 SQ. FT.
TYPE OF CONSTRUCTION:
WOODFRAME-STEEL CONCRETE -OTHER (Specify)
TYPE OF SIDING
Rif 7 -AL-
ROOFCOVERING
TYPE
AVOWS -
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows
FRONT SIDES REAR
AG Buildings sh2ube' `a'minAlUin of five (5) feet from-5an"y 'Se"p—tic tank or [each fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use'
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
� 4: --Al �--
Receipt No. C� 'J ki- Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
t-" ��- -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT PERIVII YO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structureshall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSO!J PARCEL NO. -
3-
ZONING
A
OWNER
PHONENO
OWNER'S_APDREt)
L06ATION OF BOILDING
All M
USE OF BUILP)NG
'Sjoe4,6(�, Of
SIZE OF STRUCTURE
f7 Ix Z2) 6 SQ. FT.
36
30
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL -CONCRETE -OTHER (Specify)
TYPE OF SIDING
ROOF COVERI NG
451WACK SX.AJ61,esl
FLOOR TYPE
dnAi:�'
ESTIMATED COST OF COIROUCTION
3 - -
$
AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: w .
0 FRONT- SIDES REAR .. I
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorarea shall be locateda minimum of 23 feet from a residence and
a mobilehlome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date. Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
9
Receipt No. 0 6 Director of Public Works
By Date T_�
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
I
'e
8
PERMIT NO.
PERMIT EXPIRES
Burl E. Wodward
OWNER
CONTR. owner
24-08-62
ASSESSOR PARCEL
409 Obermeyer Ave., Gridley
LOCATION
pi
Temp. Power Pole
Called PG&E
Temp. Elec. Service k Y\
Called PG&E.
Temp. Gas Service
Cal led PG&
JOB FIN ED (Date)
I
1/ 0 ' K
0 Not OK
Not Applicable
Not Ready
MOBILEHOMES
MISCELLANEOUS
Da te
MOBILEHOME UTILITIES (Plans) OK except#'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) C' _,xcept F,
1. Zoning Requirements -Setbacks -Easements
1. Zoning Req6 irements-Setbac ks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Locatiori-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams -R ftrs. -Connec. -Slithg.- R (g. -Brac�jr�q
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.os�.res
6. Gas; Location -Test -Wrap: L"ft./ /" Nat. or/ /"L"ft./ P, LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Date Card -81
Card -B I
Date
Date Card -81 Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
-Card-B]
Card -61
Date
--Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Selbacks-Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils: Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect i ons- T h i ckness-Dead Men-Enm
4. Electricity; MH T es t -C rossovers- Brea kers-C I eara nces
4. Elec.; Receptacles and Lighting; Distances-GF1
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 Lghig.
Boxes -Enc losures- Pane I 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
t
V = OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Sinql� 6nd Duplex)
Date
UNDER_F1,e0§ (Plans) OK except #'s
Date FRAMING (Continu6d)
dwol-oning Lequ irements-Setbacks- Easements
48_�-��i wall & Openings
Soils-Steel-Elec. Grnd.- Ftg. Depth
Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils -Steel- / / Ftg. Depth
50,,4L&ir�*leadroom-R i se -Run- Land i ng -F ire Protection
4--F4T., Porches & Decks; Soils -Steel- Ftg. Depth
0_-F� -Attic Venis-Rafter Outriggers
XW-d on Roof Overhang
alls, Main; Steel-Blockouts-Wrapped-Slab
JgrloSiding-Nailing-Veneer
Stemwalls, Garage; Steel -B lockouts-
53. alUaQe-MyST--TrrT "creed- Fdn. Vents-Underfir. Access
;i�_*6.
7�.' Pj2,;s-Fireplace Ftg.-Steel
51e.,946T-ing Area -Glass Protect i on -Sky I ights-P last ic
Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
X 9. Gas Pipe; Size -Anchors
Water Pipe; Test-Anchors-Regu I ator-Sery ice Test
Mq��upport-lns.
�Y�6-r>qe*o�-Girders-Sills-Anchor
Bolts-JoKs-Vents-Cripples
Card-RI41.,�-�Date4:(,�-0'5_Card-BI Date
card -BI Date -Card_BI Date
Card -BI Date Card -BI Date
Card-131�*)%.�ate
Date
Date FINAL,4PIans) OK except #'s
Card -BI j�_�Date�'� �/Cv�b� �poM_rd-Bl Date
Date
PLUMBING (Pe��OK except #'s
W -Ext. St�ps- 2r & Sidelight Protection -Landings
V__8f65k; De=tor
Water Ht. ��ccec(A-CDPbust ion A-u.N
1pe"W�!;ar ?_ipe; est & Anchors -Nal I Protection
56,-F-urnace; Vents -C leara nce-Comb. Air-Connector-
In GaLage; Above Floor-Ducts-Mech. Protection
1!:,�'D�. .; Test-Fttngs & Anchors -Nail Protection
Ne-le-droom Exiting
->7-eF(:2Z__%hower
Pan; Test, First Floor -Tub Access
& Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
6&w-fTe_c.__Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
6U.-STa—irs & Rails
6A,,f�lre
pjace or Stove; Clearances -Hearth
-1.9.
6jp.-VT_ec. Outlets at Wood Panel; Int. & Ext.
Card -BI CA_J� ate Date
I
6j��it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -13 I 64A,,__0aK
-r-S- � _Y�2,"rd-B I Date
6A,-f5e—cOut lets & Receptacles at Kit. Counter
Date
ELECIRICAL (Permit) OK except #'s
67_1-"araje-X49-≀ Swing -Landing -C loser
68"-_4r6y+hP",iGarage-Damper
2t'.Fi2(jure & Transformer Clearance -Ins. Protection
6B,-W_tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garaqe; Above Floor-Mech. Protection
2A-'F=Iec. Receptacles Spacing -Lights & Switches at Doors
74,-Prb., . & Mach. Equip. Listed for Location
2A,-15ze Boxes & No. of Conductors -Stapled
7d_,E1re`c, -Rprpptacles in Garage; (G.F.I.)-RoTPX-Protec.
&a--'9bmex Installed Close to Edge of Studs & C.J.
Ar--1S-q-g*-Ground mEde up w/Mech. Fasteners -Bond Gas & Water
7Zw�rn_su lat ion- Foam- Looked in Attic 1�es
M. ;!=eck Construction- Post Caps
2,5.o14Z Appliance Circuits in Kitchen & Conductor Size
26. ga. Cu or AI-A.C. Wire Size ga. Cu or At
r�
7AeTd&_VauL%_8_Cr wl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor E3 Yes
27. Range Circ. ga. Cu or 11 0. en 0 Am,
Insulated Neutral ��,s No '
75. Following insild.: Drive �es No; Walks L�1-�s 0 No;
Planters 0 Yes Plqo
?j cnductors & Ground -Main Disconnect
24-*-E-quip. Clearances; Pane I s-Motors-Mech. Equip.
76. .6t=e, filrem--rMsh
IL?A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.-"CTdTRUT&tosVrLight-Shower Light
nts Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
741-wUer Well; Di �connect, Electrical, Plumbing
ft�-Exterior Elec. Trim; G ptacle-Underground
Card B -I ,,f!n _Date4/--/_?-jY_A-eard-BI Date
&U-_-j'q_ViIation th��hSyh�p
Card B -I
Date Card -BI Date
@t.�'Gblass Prppc
AY
Date
MECW�!ICAL (Perrr.i-.) OK except #'s
Aoffb-m Previous Inspections
8A,-C-orrecti-oT
QM--Ga,&,Tfs t- meters Tagged; Gas -Electric
941.'A.C. Ducts; insulation & Support
8fiv,�er & Sewer Connected -C/0 to Grade -HD Approval
Vent Fan; Exhaust above Insulation
4
)j -(3!a Energy Compliance Certificate -Other Certificates
--32.-
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V Outlet
35. Attic Access & Platform if Furnace in Attic
at
Card-B1Q4_____--_6 -875;;;7Eard-_E�1 Date
,C a r�_ D -a t -e— Card -BI Date
Owa-BILMY6, Datel--J-0-6 4P -Card -BI Date
C LI;041 a t e B I Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
Proper Material & Anchors
__._&j5'-SiIIs;
jj��alls: Studs -Nailing, Spacing & Bracing -Plates -Sound
AAt0'-B 'g - Wa - I I L�v�L Girders & Floor Nailing_____
_;.. �Dr�f!� t�op in Walls (rat proof)
4go-fr-ire-Stops; Furrec Ceilings -Stairs -Chases -Tub
4u--le-z r & Bea -Size & Bearing
:;�r�.--_Hat.rs- Post aps-Anchors-Connectors
C C -R-00i -gra -s-s—
Ing. Joist-Rftr. Ties-pt�rlin- c. -Tru -shth��qRfnq.
4�. or Type A Flue -Fireplace Throat
45,�-tjt��_A�_cess: Size & Romex Protection -Draft Stop -Ins. Baffles
49r"Td-rm. Window's —or E_xi_ting'6`oor's-SiII Hgt. & Dimensions
47. % Eiswla�e r+�Lr�tion Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center'-Dri�e' - Droville, California 95965 - Telephone 916/53�4-45 ZP --7
<Z 4�n
APPL ICAT`10N AND PERMIT M
ASSESSOR -F)'AR CEL NUMBI;R
&-C�3-6z_
;7
ZONING
A0
' 9
L"' BUILDING PERMIT
OWNER
2%�Ael, Ag. at2am&,�?
4i
VFSHONE
—
SO. F�. OCC. BUILDING VALUATION
r, 212-1
1�4,9
OWNER'S MAILING ADDRESS
2 �, '0' r i � e- > � e � ��7
FE E, SF
CONTRACTOR'S
/0
CONTRACTO R'S MAILING ADDRESS
;:5f�le �If �
F i replace
CONSTRUC ION'L.ENDER
mk�
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
—
LENDIEft'S NTAFICING ADDRESS
Permit Fee
$ A. 00
ARCHITECT j0FJ ENGINEER
. XAO_�
LICENSE NO.
Plan Checking Fee
$ mi
Penalty.
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Im
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
%J 2.00 16t=
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 I - 5 outlets
USE OF STRUCTURE
SF V/DuplexF� MobilehomeF� Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE O�VWORK
NewEJ Add I t i on �?� Remode I ��Ut i I i t ies [:1 1 n sta I I at i on 0 Ot her P?"
Describe work: awa�f� ffv "-e--
av r!VNA4ffa6f_ E7F-:Iy_- g -A
/Permit Fee
$ Z4 r no
contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS
o-00 la, oo
Main service EA. ADD -L 100 AMP
2.50 -Z, S-0
NEW CONST DWELLING OC
OR ADDNS.' ACC * BLDGS.
2 qft 36 -70
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. 2�n -Classification, 75
El 1, 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)
1, 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 F_ON5TR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50 ea
NEW CONSTF;L POWER APPARATUS &
NON-RESID. %SINGLE OUTLET CIR .
Ex. Occup(OUTLETS OR FIXTURES 50 @ 251
BAL@10;
OCCUP.I(II.E. AIPLNS. 5—R -A—
. Ex. , OUTLETS (RESID ) E 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
—
7.50J
1
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing 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 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 shal I be deemed revoked.
Heating
Cooling
od 411z'WA)
3.00 Y,0 0
Ventilation
Permit Fee
Contractor
I certify that I have read this application and state that the above informati—
on
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
aga n Vs A County in consequence of the granting of this per It
/�ignature of Applicant - OwnerEl Contractor 10, 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 $
occu ;, rROUP
e�
I TYPE 0 F CONST.
I PAR�J
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
B
P;� �TEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. k 2_1=50
-C.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
1� - ___ __ - - -
RESIDENTIAL
ENE RGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS.HAVE BEEN
INSTALLED IN CONFORMANCE -WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 1601 0 b E R M E YF k RD
(jocation)
BU ILDFG PERMIT NO. A -.P. NO.
THE FOLLOWING HAVE BEEN INSTALLtD AS PEk-APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge:
Fdn. Walls
Floors
Walls
Ceiling/Roo
Ducts
Circulating Pipes
APPROVED HEATER L/
APPROVED WTR.HTR.
GLAZING:
Single Glazed 4
Special (Insulated)
CERT. & LABELED WDS.'
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES. -
CERT. APPLIANCES
4
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
I
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of - I (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name,��Z?Z— P-7 111,16d
Signature of
General Contracto ate
acebrs
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
- M
_�. I -AW
RESIDENT�AL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 409 Obermever Road
�ljpcation)
BU ILD ING PE RM IT NO. I C) A.P. NO.:I'f — OIR-6
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge NA Single Glazed NA
Fdn. Walls Special (Insulated) NA
Floors . :.,CERT...,.&..LABELED WDS.
Walls I'La-11 R-1 I Ann -A'11 & SLIDING.D.11S. NA
Ceiling/Roof yZ1_1fq 6�,;, '1469*11ERSTRIPPED DRS. NA
Ducts NA BACK DAMPERED FANS NA
Circulating Pipes NA INTE'PM1TTtNT IGNITION DEVICES NA
APPROVED HEATER _79 CERT.' XPPLIANCES NA
APPROVED 14TR. HTR.
1 DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE.HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVAT - ION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS -SUBMITTED. -
Insulation Applicator Name—Hpykins Insulation Co Inc
(please print)
Signature of'
Insulation Applicator
State Contractors
License No. 378407
General Contractor/Owner Name b F wA
Signature of c4p (please prlip
General Contractor/Owner_�_" D a t e2---4
State Contractors
0_43� License No.
e
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO '
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION*
WITHIN THE DWELLING.
COUNTY OF BUTTE - D ' EPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �Wo — ��/
'APPLICATI.ON'kND PERMIT I - A
PARE
URI/RCEL NUMBER
-7
ONING
WILDINGPERMIT /yk
-TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
ot!20. C20
OPF
.,JNG ADDZ,
e)S MAt
CONTRACTOR'SNAME
gap_�_ 45.
TE HONE
C6 TRACTD�F MAILING ADDRESS
4
�e'a- OX 677 45�A/P&C
Total Valuation Is
0 00, o
CONSTRUCTION LENDE1R,,o71,,g/',,,,.,,
,
UNKNOWN
Filing Fee
$ 10.00
LENDER'S MAILING ADDRE SS
Permit Fee
$ S-0
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Permit fee
$
BUILDI�16DDRESS
-9 ooe;c AVE -
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
—5,
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00 15-00
Gas piping system I - 5 outlets
USE OF STRUCTURE
SF Duplex[] MobilehomeF� Other
SPECIFY
Building sewer
Lawn sprinkler system
TYPE OF WORK
NewD Addition Q RemodelEl utiiitiesE:l installationD Other r9—
Describe work: /V_57;9� A;�,
p,e-,prl Ft oe.,P
,9//54. U/L),7
Permit Fee
$ L30, 0 a
'contractor
ELECTRICAL PERMIT
Filing Fee 10.00
GOOV OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I de I under penalty of perjury (check one):
C7 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions �Iode and my license is in full fo e and effect.
License N .2cT Classification
F1 I , as the jwner, or my'em/ployees with wages as their sole compen
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2.50 ea
NO N.RES'.. R ANCH CIRCUITs)__
NEW.CONSTF;L POWER APPARATUS &I
NON RESID. SINGLE OUTLET CIR. I
50 @ 230
Ex. OCCUP(OUTLETS OR FIXTURES BAL @ 100
OCCUP.(FIXED APPLNS. 0
Ex. _ OUTLETS (RESID.)REA.) 2.00
Temporary service 10.00
—
Mobile Home Facilities 15.00
Misc. Wiring 7.50
1 1
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing 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 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
Venti lation
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 rejating
to building construction, and hereby authorize representatives of the County ot
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 sai Coprity in donseq rice of the granting of this permit.
6�
X - = I � — Date _>_4
?ign.ture of Applicant — OwnerEl Contractor El Agent F�
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 $/0/.
OCCUP. rROUP
? _�;
I TY 0
I :V_�INST,
1*1C
Ll
�:J
111U1
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date/Z !J—P
7-- 7- Lf —
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
30
9-0
V-0 r
ITS 1? -50 S
. P I
This set.of plans and specificaiions MUST be
kept on fhe'jo6 at all'�-'fimes and it is unlawful to
make any changes or alterations on samewithout
wri*on permission from the Department of Pub--
Ik Works, County of Butt%
-NOTE.—All Materials & Workmanship S . hall Be in
Accordance wifh Recognize -1 Good Piradices and
of a qualify
I pre.-cri'--od for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
.10
SC
/211 x 10" anchor'bolW
P,Ovide
@ 6' . O -C- Max. and withirk
12" of joint$.
I
ISOLTS 0 C'
-��(o Rwo.; PL�rTf_
2-0
P
ZL -r*g`f
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
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