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HomeMy WebLinkAbout025-160-087AP 25-16-87 i •' Roger Gonsalves r= - Walker Lane E. of H 70 between Cox Lane & Powerhouse Hill Rd , a Oroville �s„+ _ (AG BLDG .EXEMPTION - 12131/79) k �25-16-87 Rog Gonsalves NIS a er Lane, 4 mi.E.of Hwy 7 Oro. Permit # 0-80B,P,E,M(new singl family) _ 25-16 \\ Permit.#1485-80B (fr s n_ 'rig wood stove)sr r� 25-16-874` Perm2856-80B(new4:deck/SF) a l a 1140-8OB,P,Ej1M -jPERMIT NO.—:� PERMIT EXPIRES OWNER Roger Gonsalves owner ,CONTR. 25-16-87 %'LOCATION (A.P NIS Walker Lane, 4 mi.E.of Hwy 70, Oro. tt A4 Temp. Power Pole (2� 3 — 2— RID Called PG&E 111e.All Temp. Elec. Serv; Called PG&E 44v Temp. Gas Serv. Called PG&E JOB FINALED'- (Date) (Signature) ;��T r � � 1 COUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Brown Cooling • -,e a Temp. Pole Finish_ ... Ducts Cc> Underground Interior Lath Ventilation Permanent Door Closer Final sp,_ Final MOBILEHOME UTILITIES ••..... ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MR§16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping. Drainage Gas Piping DATE REMARKS OR CORRECTIONS Y 4t7 p (NOTE: An entry must be made on this_form each time you visit the job site.) ,r• BUILDING BUILDING (Cont'd) PLUMBING Setback r Firewall Soil Piping Forms V Parapets 1st Floor — Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out 6 Z Slab Roof Sheath n Water Piping Piers — (i Roofing Sewer Garage Fdn. Vents 2=jag &>6 Fixtures Footings Stemwa l l rlpf Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Footin s Prov. for physically handica ed Conformance of ex. structure 'Appliances Gas Piping & Test --------------- Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings ~ t"= Footino 4nELECTRICAL Masonry Walls Throat Rough 2 Reinf. Steel Final fZ Fixtures Bond Beam FIRE SPIUNKLIERS Motors Framing r Z Test • Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 1 Heating Service Brown Cooling • -,e a Temp. Pole Finish_ ... Ducts Cc> Underground Interior Lath Ventilation Permanent Door Closer Final sp,_ Final MOBILEHOME UTILITIES ••..... ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MR§16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping. Drainage Gas Piping DATE REMARKS OR CORRECTIONS Y 4t7 p (NOTE: An entry must be made on this_form each time you visit the job site.) ,r• (dash) -- = OK 0 = Not OK X = Not Applicable RESIDENTIAL (Singgla aid Duplex) (blank) = Not dealt with yet Date UNDERFLOOR Plans OK'exe t q's Date FRAMING Continusd 1. Zoning requirements -Setbacks -Easements 48. Property Lina Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- " Ftg. Depth -o--49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils: tee l- " Fig. Depth x-60. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- 0" Ftg. Depth PI wood on Root Overhang -Attic after Out[ iggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding- ailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. rip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steal 54• Glazing Are -'Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0-Sewor Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-PMaterial-Support-Ins. ' 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Shear Wails; Nailing -Bolts Card -BI Date Card -BI Date Card -91 Date Card -BI Date Card -81 Date Card -BI Oate Card -BI Date Card -BI Date Date FJWAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except ti's ' S . Ext. Steps -Door &'Sidelight Protection -Landings 57. Smoke Detector 14. Plater Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector- _ In Garage; Above Floor -Ducts -Mach. Protection , --�15. Water Pipe; Test & Anchors -Nail ProtectionZZ ----==6. O.W.V.; Test-Fttngs & Anchors -Nail Protection _ V 59. edroom Exiting X17. Shower Pan; Test, First Floor -Tub Access F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size &Anchors rs , Rat s Fireplace or Stove; Clearances-{learth 4. EI Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6§rElec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's _ 6 Garage Fire Door; Swing -Landing -Closer =!!::uc ra a -Damper x 20. Fixture &Transformer Clearance -Ins. Protection Wir. Htr.; Vents -Clearance -Comb. Air-Ccnnectar-P.R.V.- Garage; Above FloorProtection 21. Elec. Receptacles Spacing -Lights & Switches at Doors O�t6., Elec. &Mech. Equip. ip. Listed for Location Size Boxes & No. of Conductors -Stapled _ 1. ec. Receptacles in Garage; (G.F.I.)-Romex Protec. -23. Romex Installed Close to Edge of Studs & C.J. 23. 1 anon -Foam -Looked in Attic C] Yes X24. Equip. Ground made up %v Mech. Fasteners -Bond Gas & Water uard flails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor. Size 74. Fdn. Vents & Crawl Hole q -Drainage & Wood -Earth Clearance •_ . Looked under Floor reiles x-26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. /Jam/ ga. Cu:oe7DOven Circ. / / ga. Cu or At, Insulated Neut al Oyes o 75. Following instid.: Drive 0 Yes 0 No; Waiks 0 Yes El No; Planters El Yes El No; Creating Dft. Problems Cl Yes Q No 28. Service -Riser Conductors & Ground -Main Disconnectt cco; Brown Finish 29. Equip. Clearances; Pane ls-Motars-Mech. Equip. 77 .C. U it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 1-30. Clothes Closet Light -Shower Light 8. s Above Roof; Plb APP liance--Fireoi.-Clearance to Opngs. 9� - i ater Well; Disconnect, Electrical, Plumbing i 0. E rior Elae. Trim; G.F.I. Receptacle-Undergatund Card B -I Date Card -81 Date t entilation throughout House Card B -I Date Card -BI Date ;gAss Protection Data MECHANICAL (Permit) OK except q's . Corrections from Previous Inspections 84. Ga -Meter ed; Gas -Electric I. A.C. Ducts::! nsu lat ion & Support er & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation Energy. Compliance Certificate -Other Certiticatss 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnish in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Card -BI Date Card -BI Date Card -BI Date Dale FRA-MING(Plans) OK except q's Comments at Final: a--, 36. Sills; Proper Material & Anchors _ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders &• Floor Nailing 39. Draft Stop in Ylalts rat proof 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam-Sfza & Bearing -- 42. Hangers -Post Caps -Anchors -Connectors _ `---t3. Cing. Joist-Rftr. Ties -Purling -Root Brac.-Truss-_S_hthng.-Rfn_g. Fir�as or Type A Flue -Fireplace Throaty 45. frit Acces , e & Romax Protection -Draft Stop -Ins. Baff i& X46. B rm. ndows or Exiting Doors -Sill Hgt. & Dimensions ++-47. Garage Fire Protection Framing -------- -- ---/--'- ------ -/�-------- ._.._!ti1-BVI-OLl v — --- --- --�-1 --/-�/ - -- - �--�0_��o�gs_s'--mac --�li, C_,v v_el��► e__���v�v�c,�_ - - -. _._eoWy--fit/ lot-a�.-�, _---- Y RESIDENTIAL IV# 406067 ENERGY CONSERVATION STANDARDS / G D 0053 CONSTRUCTION CONTLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED•IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT . (location) BUILDING PERMIT NO. A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item.or write N/A if not applicable) -INSJ U..,AT ION Slab Edge. Fdn. Walls Floors Walls —1 A Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS.. WEATHERSTRIPPED DRS. BACK DANPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES Allie - FIMOILL (oollulose fiber) R -Value R»30. Wall - KEY Ftp (U. F. team type) - R -Value = R-19. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN;ACCORDANCE WITH -THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE -COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name .A11 Weather Insulation Bound Preolixg , and. Signature of (please /(pr'nt) , Ohs ruction Insulation Applicator U State Conttactors . License No. 127617 Gan; ;zL.C,pa4�;l4,mer, Name ) Gonsalves (please print) Signature of Ggi1Q 4 :X.q"rar tax4o er Date Satter"" 'r THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING,DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SMALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Orovi Ile, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT 114 61-(�0",__ autnonze representatives or the county or twtte to enter upon ine above-mentioned property for inspection purposes. x`�"' Dat O Signature o 2ermitee or Agent v - Receipt No. , 5T 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 OF PUBLIC WORKS By Date 411ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VAL ATION O Mailing Address F0a 9C, 7j n4 Telephone No. 7 -ZZ(oS [ Contractor Mailing Address Fireplace Total Valuation 7, Telephone No. � Building Address ' dtefrmit Plan ca /or Penalty Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00��Crir,> Each TraD ..80 tG Oa40. Repair drainage or vent piping 1,50 © A. P. No. — ) -- O AC Zoning & Planning Water piping •``60 Each gas water heater or vent 1.50 F�1?s %v6. S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration M' _ M p 60' R/W Improve nts Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parte royal Plans royal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER❑ r rr Permit Fee $ L — _ $ p7 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 DO Main service 100 AMP 00V OR OR SLESS 5.00 Single Family TRDuplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUpp S 2G,S ft OR A.D.S. ACC.BLDG q I 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 y le of: NEW CONSTR BRANCH CIRCUITS) NON.RESID, ( BRANCH CIRCUITS) 2.50ea NEWCONSTR./POWER APPARATUS a NON .RESID, (SINGLE OUTLET CIR. Ex. OccuD{OUTLETS OR FIXTURES I g L E x. Occu FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ q 3.60 $ 103 6C 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. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 �. r✓v Heating Gc--- Cooling ? Ventilation Hood 2.00 Z. 077 Permit Fee $ 3— $ [� 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 $ ZfS — TOTAL PERMIT FEE $ �o iL autnonze representatives or the county or twtte to enter upon ine above-mentioned property for inspection purposes. x`�"' Dat O Signature o 2ermitee or Agent v - Receipt No. , 5T 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 OF PUBLIC WORKS By Date 411ding permit expires Date COUNTY OF BUTTE -. •DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 - . Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ( to Signat�.f�1.%Agent Receipt No. �3� w 6 ff 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 pai DIRSP,TOR%OF2UBLIC WORKS By \ l 1 ate Building permit expires Date,- C� BUILDING Owner ©r" S SQ. FT. OCC. BUILDING VALUATIO Mailing Addre s 3 �� m A�(J� ac Contractor Mailing Address Fireplace ec s®r Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE Li 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 s ire Dept. Fire Zone 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 BI ans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILLTIES ❑ OTHER Permit Fee $ $ CLZ> ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5•00 100 AMP OR LESS Single Family .® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER P OR LESS 100 AMP O 25.00 Main service EA. ADO'L 100 AMP 1.00 OR ADDNST % ACCLBLDGS.CCUP. s) 20sgft 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: %� NEW NON-RREESID, , MULTI -OUTLET CO N BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTIIRES) rB.L@100 Ex. CCU FIXED APPLNS. OR O p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 =1 am 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. eAgI 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 N0.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 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. ( to Signat�.f�1.%Agent Receipt No. �3� w 6 ff 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 pai DIRSP,TOR%OF2UBLIC WORKS By \ l 1 ate Building permit expires Date,- C� Aa AGRICULTURAL BUILDING Exemption from.Permits ( l0 @.v - , owner of the property located at tplease print) Assessor Parcel # intend to construct an agricultural building on this property that is not subject to permits. Agricultural building is defined as.follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural 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. I understand that if I change the use or occupancy of this building in the ' r future, that I will be subject to the necessary permits, inspections, and approvals from the Butte County Building Department. t, Signature of Property Owner Date /rung ����Y s� f i� • �1r.�v�.�a. fvP� �t�s • �� rim.. 60 o#-- 10, is e1/ �� en 0"s f o2 �/ Q ��� 'ons. /% 7 Cr. c . d'i 1`e e e Xea-w, !% >/» . �L'Q Ui�G�i�r evall all, a d `> moo, rS � O'W/ / P p i'v t CZla d G1eeA -a, Y, e-) IFl o . Aim ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION•RESORD ti ' ,BUILDING BUILDING-(Cont'd) PLUMBING Setback ; Firewall Soil Piping Forms i' Parapets 1st Floor imain.B,ldg.'' Restroom Finish 2nd Floor I - Fooiin s Windows 3rd Floor - Stermw,all Siding Topout Stucco Roof SheathingWater Piping Q Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Car rt , Po Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab' Final Sanitation Patio . FIREPLACE Final Footings Footing ELECTR Masoi4 Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. 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 BILEHOME INSTALLA LION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPART�,!IENT QF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR P%R CEL f`jjJ ER 2� .- {/(J� (Y ZONING BUILDING PERM OWER �� //� n� VES K TELEPHONE SO. F7. OCC. BUILDING VALUATION '/ �un y/J� OWNER'S MAILING �O SI�/�VK��/% �CaeLl a I M_ 7- 2�%O CONTRACTOR'S NAME f I TELEPHn'll I CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ O e00 LENDER'S MAILING .ADDRESS Permit Fee $ Z=V2Ofd ARCHITECT OR NGINEER LICENSE NO. Plan Checking Fee $ 2-v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ t00 BUI ING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Jr O Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition LJ' Remodel ❑ Utilities ❑ I stalla;ion❑ Other Describe work: A C %D� � '��Z/� so Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW OCONSDWELLING R ADONST ( ACC. L.GS.CCUPM 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$S and Professions Code and my license is in full force and effect. icense No. Classification 9J 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 MULTI -CUT LET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR.NON-RESID. POWER APPARATUS & ( SINGLE OUTLET CIR. EXOCCUp(OUTLETS OR FIXTURES �@� . U BAL@10t FIXED APPLNS. OR ` Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 f Consent to Self -Insure. u ' 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'shalI be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstoccuP. all liabilities, judgments, costs, and expenses which may in any way accrueF1v-1 against said Co ty . consequence of the granting of this permit. %� �' — Date / �� Signature O Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in ight. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 6, 0o GnouP TYPE OF CONST. PARCEL PD HD ISSUE tl This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PEF011T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS -ate _d%eo �'/ Receipt No. VZO WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 2856-80B E-iMIT NO. _ f PERMIT EXPIRES Roger Gonsalves OWNER owner CONTR. LOCATION (A.P. 2999 ARID 25-16-87 ) NIS Walker Ln.,k mi.E.of Hwy 70, Oroville r ,4 4 i f. Temp. Power Pole i J Called PG&E i• Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED • (Date) iQv '7 T ,�f J ''Ca irk y r.r :s �-k .�Wd .t} w aA.�,.d. aMR.d4+-rw.4ka3r•"&'",wj.{ra+i,. Jrr '{�,O'Y , e � _. G � 4i � qr i'•i r f� �� u-� s n. SI -� 4> .HZY a �. � r •,, .n��''!!�y � r , ,.: 'oq- ''w i r { y Irv: ,-. - -:,. ; �,.,. s,• ...:.. -777..... ....:..... „.......,,,. , { } j i ,. . ..,, ).. r�o m