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HomeMy WebLinkAbout024-080-062_~~ 2 08-62^c ^q6S. F)2 62Permit #2 '18�2BPE mr�(6ew sin eon ex4es""'foundatiou) , ` /FAY J. TORRANCE'409 Obermayer Ave,,, Gridley,Permit for stg -of farm imple l24-08-62 � / ` " � 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 it f 1 - ". .. -- - t 4 ~ ~ ~, 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-&wr; 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 08F_R'M�ya A-V