HomeMy WebLinkAbout026-100-025026-10-0-025
KNAPP, JIM 00-0809 i
1774 PALERMO RD., PALERMO vt/ I.
ELEC SER CHNUSC WIRING 4 r' 1(%IU
ch a 0 —1 0 - J(P PERMIT RENEWAL
026.100-025 02-2687 DATF: & -1 c -e,!
KNAPP,1M &- TEAL lira
� ` 2. - Z"(
_ 1774 PALERMO RD., PALERMO F.x171( s:
ADDITION ,& REMODEL i
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0.26-10k025 02-3262
' KNAPPP //r�1LiO iO-(X�
1774 PALERM
DOO
ACERMO
FRENCH RS, DER IN DINING
ROOM & KITCHEN
i
B08-1096 026-100-025
MISCELLANEOUS Electric Panel i
NEW ELECTRICAL SERVICE PANEL,
1774 PALERMO RD
KNAPP I H,
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g c a o o m
m�a Cinc o�
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026-10-0-025
KNAPP, JIM 00-0809 i
1774 PALERMO RD., PALERMO vt/ I.
ELEC SER CHNUSC WIRING 4 r' 1(%IU
ch a 0 —1 0 - J(P PERMIT RENEWAL
026.100-025 02-2687 DATF: & -1 c -e,!
KNAPP,1M &- TEAL lira
� ` 2. - Z"(
_ 1774 PALERMO RD., PALERMO F.x171( s:
ADDITION ,& REMODEL i
l
0.26-10k025 02-3262
' KNAPPP //r�1LiO iO-(X�
1774 PALERM
DOO
ACERMO
FRENCH RS, DER IN DINING
ROOM & KITCHEN
i
B08-1096 026-100-025
MISCELLANEOUS Electric Panel i
NEW ELECTRICAL SERVICE PANEL,
1774 PALERMO RD
KNAPP I H,
v
i
g c a o o m
m�a Cinc o�
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 1774 PALERMO RD
Owner:
Permit No: B08-1096
APN: 026-100-025
KNAPP J H,
Issued Date: 6/11/2008 By GLB
Permit type: MISCELLANEOUS
1774 PALERMO RD
Subtype: Electric Panel
PALERMO, CA 95968
Expiration Date: 6/11/2009
Description: NEW ELECTRICAL SERVICE PAN
(530) 370-2113
Occupancy: Zoning: U
Contractor
Applicant:
Square Footage: .
KNAPP J H,
Building Garage Remdl/Addn
1774 PALERMO RD
PALERMO, CA 95968
Other Porch/Patio Total
(530)370-2113
FEE INFORMATION
DBE Single Phase Service-Resid $59.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 6/11/2008
Contractor's Signature
Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date: _
(This section need not be completed if the permit is or one hundred dollars ($100) or
❑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 Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
N,,_- 6/11/2008
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
total t-nargea: 30%up tees rata: $59.00
Balance Due: $0.00 Receipt No: B7637
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER CF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this
\.i �`.1 __--J 6/11/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building
construction, and with any and all conditions of permit. 1 agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
4-4 #-- \ ti-,— 6/11/2008
❑ Owner ❑ Contractor OR. DAgent for Owner DAgent for Contractor
FILE COPY
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION* * NO.
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140('
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds BIN #
PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
1 � v. C� n
CONTRACTOR
First N me
nNt-S
Mailing Address 1 �:4 4,
1�0`� � yvo Rd
City P,2LLe..r ir-t-o
Fax
State
Zip IS9L
Phone . 30 3 ( (3
Fax
rE__MT1l
(
0, 116,luo -
APPLICANT INFORMATION
ARCHITECT/ENGINEER
CONTRACTOR
Name�-
Address
Zip
Address
Fax
State
City
Phone
Fax
Zip
Phone
State License Number
EFaxe(S,,
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
x------,
L--��
PROJECT LOCATION
_ b
AP# (4 — Co
Property Address v�
Flood Zone
City P_aie J+JO l _ C'IS—
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
we. -4,(11rop
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits r
-❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
Yes
I No
Occ.
Type Cbnst.
Butte County Department of Development Services
TIM SNELLfNGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. OOR NO)
2. I (IHAV$�HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: NEW ELECTRICAL SERVICE PANEL & POLE (FIRE DAMAGE)
Reference Number: B08-1096
Applicant Name: KNAPP J H,
Owner's Name: KNAPP J H, AP # : 026-100-025
Signature of Property Owner:r Date: > > 0
1
it
NOTES PRESIDENTIAL
026 100 025 'A)2-2687
PERMIT NO. I.KNAPP,JIM &.TEAL..._ - - _
3 \_, 11774 PALERMO RD., PALERMO
�� k �S ADDITION & REMODEL
(�—tCJ(fl % E Z-� C o
PERMIT RENEWAL
DATE:
DPk � -Z1v�7
EXPIRES: j
d
l t1 -
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
K, SPECIAL INSPECTION ITEMS
Y' VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
f
E
3
A
1�
/0 -lU D
JOB FINALED (Date)
i Signature 0% c"k
J=OK
0 = Not OK
. = NotReadyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
Carports; Windows -Doors
3.
Sewer; Location -Test -Fall -C/O -Concrete
8.
4.
Water; Location -Test -Easement Needed (Sketch)
Siding; Nailing -Veneer -Stucco -Mesh
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
11.
6. Gas; Location -Test -Wrap;-/ . /" L 'ft.
/ . P Nat. or/ /" L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'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
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date, Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6...Water;
MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity -Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements.
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date Card 8-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure-, Steel -Connections -Thickness
Dead Men -Lining.
4. Elec.; Receptacles and Lighting, Distance-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- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing-Alarrr.s
Date Card B-1. Date Card B-1
Date Card B-1 Date Card B-1
i-
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDER OR (Plans) OK except #'s
i
ng -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
5. Stemwalls, Main; Steel-Blockouts-Wrapped
f Lo6place Ties or Type A Flue -Fireplace Throat Clearance
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
A Access; Size & Romex Protection -Draft Stop -Ins. Baffles
6a. Hold Downs and Special Anchors
drm. Windows or Exiting Doors -Sill Ht. & Dimensions
7. Slab, Steel -Wrapped
garage Fire Protection Framing -RC Channel
8. Piers -Fireplace Ftg.-Steel
Line Firewall & Openings
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
-boors -One 3' -Check Garage 3rd Story, 2 Exits
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
S i s; Width Headroom -Rise -Run -Landing -Fire Protection
11. Water Pipe; Test -Anchors -Regulator -Service Test
lywood on Roof Overhang -Attic Vents Rafter Outriggers
Siding -Nailing Veneer
ucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
12. Electric Underground
Glazing Area -Glass Protection -Skylights -Plastic
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
ce Interior/Exterior Wall Panels
15. Access & Ventilation
Date
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMING (Permit) OK except #'s
ater Htr.; Vent -Access -Combustion Air Baffle
Water Pi e; Test & Anchor -Nail Protection
.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
1. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
2 izeBoxes & No. of Conductors Stapled
27. Bomex Installed Close to Edge of Studs & C.J.
2T-LSpip. Ground made up w/Mech Fasteners -Bond Gas & Water
2T 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
'
ervice-Riser Conductors & Ground Main Disconnect
31,E -quip. Clearances Panels-Motors-Mech. Equip.
34. Pothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
.'T6- A.C. Ducts Insulation & Support
. Ver t -Fan, Exhaust above insulation
3 Condensate Drain & Overflow, Size & Grade
Furnace -Vent AS - rn Air Vent 115 Outlet
40. Attic AccessPlatform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41, -Sills Proper Materials & Anchors
42 ails Studs -Nailing Spacing & Braces -Plates -Sound
43,ASearing Walls over Girders & Floor Nailing
44. Praft Stop in Walls (rat proof)
4 . Mops, Furred Ceilings -Stairs -Chasers -Tubs
46- Headers & Beams -Size & Bearing
Date FRAM(Continued)
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
f Lo6place Ties or Type A Flue -Fireplace Throat Clearance
A Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5
drm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
garage Fire Protection Framing -RC Channel
50�'Pjoperty
Line Firewall & Openings
q0
-boors -One 3' -Check Garage 3rd Story, 2 Exits
5
S i s; Width Headroom -Rise -Run -Landing -Fire Protection
6
7.
8
lywood on Roof Overhang -Attic Vents Rafter Outriggers
Siding -Nailing Veneer
ucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
ce Interior/Exterior Wall Panels
i.� Insulation -Walls -Ceilings
Infiltration -Walls -Windows
Date V Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FINAL Plans OK except #'s
fact. Steps -Door & Sidelight Protection -Landings
Wr Smoke Detector
Z _F.ernace Vents -clearance -Comb, Air-Connector-
In,Garage; Above Floor-Ducts-Mech. Protection
"edroom Exiting
68. G.FIA Bath Fixtures & Tub Access -Spa
69-94. Trim L Subpanel, Breaker Sizes & Labels
Stairs & EaA
'7i -Fireplace or Stove, Clearance -Hearth
7.2 ec. Outlets at Wood Panel, Int. & Ext.
V_3yKit.. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
94-'Elec. Outlets & Receptacles at Kit. Counter
-75-Garage Fire Door; Swing -Landing -Closure
V767A.C. Duct in Garage -Damper
,r77`Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
,in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
7-0r.Efec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
8T -'Guard Rails & Deck Construction -Post Caps
-82:-Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor O Yes
783_Tollowin Instld ve O Yes O NoMalks O Yes O No/Planters O Yes O No
W f 84. Stucco n -Finish
85-A.C. Unit Disconnect, Electrical -Plumbing
8§,,Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
487 -Water Well, Disconnect, Electrical, Plumbing
8 . Exterior Elec. Trim, G.F.I. Receptacle -Underground
89!'Ventilation Throughout House
9 Glass Protection
91/Corrections from Previous Inspections
92. -Gas Test -Meters Tagged, Gas -Electric
�J3-Water & Sewer Connected -C/O to Grade -HD Approval
8 _
. Address Posted
6_jW Sprinkler
Date ��> E/ o Card B-1 �j✓ Date Card B-1
Date Card B-1 Date Card B-1
Date CO -(O -ward B-1 1( X6 C - Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541 ;
CORRECTION NOTICE
off- /Cc -dzs- Cbz -2(n8
OWNER"
PERMIT NO. .:
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional a:
explanation, please contact the Building Inspector as indicated below.
i) CUR IiWnS 1df2
-io i)VSIC/- _%l0A
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Date l J "-` Inspector `
REV 4/05 Phone #�`
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF'DEVELOPMENT SERVICES
411 Main Street'- Chico, CA' • (530) 891-2751
7 County Center Drive • Oroville,--CA - (53.0) 538-7541
CORRECTION NOTICE J
4,F 7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
ZA J A4-T,=7z--.
1A 2 r
.7 Date Inspector
REV 10/92
4
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 06-^ "n -)/-C-
f /ref' �.o "I a -y
ASSESSOR PARCEL NUMBER
026-100-025
ZONING
BUILDING PERMIT
OWNER
wJim Knapp 538-2342 X1021
TELEPHONE
SCO. FT. OCC. BUILDING VALUATION
445.5 R 24057.00
. OWNERS MAILING ADDRESS
1774 Palermo PabwmD
cont est 300.00
CONTRACTOR'S NAME
Owenr
TELEPHONE
"
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 24.357.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 252.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $163.00
BUILDING ADDRESS
1774 Dalerm0 Rd 43PalermO
Energy Plan Checking Fee $ 23.00
$
PERMIT FEE $ 458.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 91 7.0061M
Solar or heat pump water heater 1 23.00
Water piping 15.00 15.00
Each as water heater or vent 15.00
1 5-(y)
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installs,' ❑•`Other ❑
Describe Work: 3 .V1 - 14-7 l) Y" opyl � ,r'�P /
� r
Gas piping system 1 - 5 outlets 15.00 1 00
Buildingsewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE $ 128.00
ELECTRICAL PERMIT Fling Fee 20.00
Main Service .OA oR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( g )
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWEWNG UP. SO
OR ADDNS. ( a ACC. BLD.. 3.5¢ i 5.60
NEW CONST. MULTI.OUTLET
NON-RESID. 97.50
APPARATUCIR. S
aPSTN SINGLE OUTLET
FocruRs 20 @ 1.00
Ex. Occup.DR BAL .50
Ex. Occup. DUTIEEDTS REBID•°�Rw 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 '
Misc. Wiring23.00
PERMIT FEE $35 60
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of.the work for which this permit is issued, I shall
"1 not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X�'"""••'�""� "`"" "' WN _ Date 9 �•� r!Y"
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height/A
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling15.00compensation,
Hood 6.50
Ventilation 2 4 5n 9.00
PERMIT FEE $59.00
Mobile Home Installation Fee $
Energy Inspection Fee $46.00
occ
CONST. TYPE
TOTAL FEE $ 726.68
}1AZ,
V
D. FE 1MP
VIA
FOOD
04
CDF
L""
PARCEL
C,
PO
`�
HD
ISSUE
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.
A�IF�IA_4�#TW6 7
By_� 1D[aat�tejj r
PERMIT EXPIRES ON� r '77 15'ii q
Defe
Receipt No. � (,O '77 1 1 1 To- �:7 -1 7 _7 7 ,Ci7)� 1
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEOTO-R GOLDENROD -APPLICANT
BUTTE COUNTY RECEIPT Printed: 10/04/2006
7 County Center Drive 1:01 pm
Oroville, CA 75965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Receipt Number: B383
Permit Number: 02-3262
Job Address: 1774 PALERMO RD
Contractor:
Fee Description Account Number Fee Amount
�Re-Inspection Fee
0010-440001-4210500-1010 $54.99
Total Fees Paid: $54.99
Date Paid: 10/04/2006
Paid By: JAMES AND TEAL KNAPP
Pay Method: Check 3685
Received By: TMP
P pgTMENr
10TrFo� Department ®f Public ®.rks
C o u n t y o f B u t t e
O
o � 7 County Center Drive
Oroville, CA 95965
\ CO JG J. Michael Crump, Director (530)538-7681
U N (FAX) 538-7171
A�eCrc WOFShawn H. O'Brien, Assistant Director
0,2.6
Assessors Parcel Number: /OU" U 5—Building permit #
Owners Name:
Owners Mailing Address:
J
Property Address: S�
ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER: 0407-9/
ENCROACHMENT PERMIT EXEMPTION:
Reason for exemption:
Not a County maintained road
[] Existing driveway conforms to County S-31 standard
Other
Approved by-�
Printed Name Loin%s J �/�r1s en
�.
Title
Date
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
An existing home with a driveway 10 years or older and doesn't cause any problems with
the county road or drainage.
2. An existing home with only minor remodeling or repairs.
BALANCE OF FEES /SHEETb I / P; , ebz
DATE:
PERMIT: CJ�
ASSESSOR PARCEL
OWNER'S NAME: �
FEES: (Amount and Purpose):
BALANCE OF FEES: $
ADDITIONAL FEES: $
REVISED PLAN CHEC
SHERIFF FEE:
SRA
COPIES
URBAN AREA FEES
CSA 87 (North Chico Spec.) $ "
WATER TENDER FEE $ BATTALION #
THERM DRAINAGE FEE $
OTHER $
OTHER $
VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES:
TOTAL VALUATION: $
ADDITIONAL VAL: $
(Check one) COUNTY
CM OF BIGGS
(Check one) RESIDENTIAL
COMMERCIAL
RECEIPT NUMBERS:
�1
RECE
M
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No.
APPLICATION'AND PERMIT �-
ASSESSOR PARCEL NUMBER
026-100-025
ZONING
BUILDING PERMIT
OWNER
Jim Kna 538-2342 X1021
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1774 Palermo Palermo
445.5 R 24057 00
cont est 300.00
CONTRACTOR'S NAME
owenr
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
L
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 24 357.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$ 252.00
Plan Checkin Fee
$163.00
BUILDING ADDRESS
1774 palermo Rd Palprmn$
Energy Plan Checking Fee
$ 23.00
PERMIT FEE
$ 458.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
91 7.00 3.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ er ❑
Describe Work:
Gas i in stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S 128.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service a00V OR LESS
200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penaltyof perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensa ' n
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main .Service 200A TO IOOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. OS.
3.50FSTO : 5.60
NEW CONST. =LT 1.
NON•RE NS
97.50
POWER APPARATUS
a SINGLE oun Er CIR.
Ex. OCCu OUTLET OR FOCTURES
B20 @ I.000
Ex. Occup. Plxeo APPLNS.oR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 35.60
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 1 20.00
Heating
1 15.00
Cooling
15.00
Hood
6.50
Ventilation
PERMIT FEE
S 59.00
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent/
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46 , 00
occ
CONST. TYPE
TO FEE $ 726.68
O MP
FJpo
r[1►
cDF CEL
pp D ISsuE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By I
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
,� r�
Da OS
(Date)
Receipt No.
WHITE-D.D.S.-B. D. CANARY -ASS SOR PINK-INSP 5E52GOD O -AP f1LICANT
W J"_1*) 7. r/ -
1
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - I
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA 95965 -1
SCHEDULE OF FEES DUE
OWNER SJ m :E[ G KnAp,n
i PROPOSED BUILDING USE rL/ t'
—Z, BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES O'el 64
(paid at District Office)-(Available__er Plan Check)
r.
3. SHERIFF FEES (paid at bu,iding Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... x = $
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
G DIVISION
E (530) 538-7541
A.P. #
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT 77;:: h '
DATE . ti la, (oa-
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
i
FLOOD PLAI..N DECLARATION
i
I declare the actual . value of the proposed construction work under building permit
application number: ��-^°a (oat the location of
y
Assessor Parcel Number:for the construction of an addition
for
does not equal or exceed the definition of "Substantial Improvement'".
I am aware the building site is in a flood - plain area, even though I am not required to
comply with the flood plain management criteria.
Property Owner: A. trams -ems.., l I,)" A n -
Address:
PhoneNumber: �
Date:
C
' Substantial improvement is defined as follows: An air,
. y re p reconstruction, or improvement of a
structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before
improvement or repair is started or (b) if the structure has been damaged, and is being restored,
before the damage occurred.
NOTE: Documentation may be required to substantiate cost.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: \o 1 4 Too k1AOn ASSESSOR PARCEL NUMBER
Proposed Building Use: _Ad l llo n- 10Wrct - Counter Technician t V Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned tot - eceived.
OOTA ved By
VS,. Flood Elevation Certificate, wet -stamped and sit ned in du �� _ / 1-T•
o p an an usmess icense approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
9(14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings........................
Sanitation and plot plan approval from the Environmental Health Department in rO V1 e,
�❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: O K (B)Parking: (C) Parcel Check: 10— a-& C2--
0 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
'V25. Owner -Builder Verification igen to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
\
Applicant: h '
Date:
11
�
1. Index permit application for the above items numbered:
4-
Ian C
2. Additional items re
C�ptractor, designe ,own as advised cf the above data by
phone, ❑ mail, ❑ counter,
Date:
'^,tontractor, designer, owner, was advised of the above data by
,
R pTione, ❑ mail, ❑ counter, byf—Date:
. Date:
Plans reviewed by: Date:
Plans approved by: ,:
_
Structural reviewed b Date:
Structural approved by:
Date:
Note transfer by: Date:
ellnw- Ruildi
nivicinn
Letter
EA
E.H. USE ONLY
Plot Plan Attechad
F1oos Plan At2n had
Sent to B.D.
TO: Building Department f
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I 1—+-1j) M16L
1�0 liff
Owner \ Location AP#
Plan Approved for: Sewage Disposal Water pply: Public Pri ate Well
N Clearance for dwelling. Other
-Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
11. -26. -w -Z -
- -
Date
OWNER -BUILDER VERIFICATION -I
Attention Property Owner: 1
An "owner -builder" building permit has been applied for in your name and bearin8 your si�pde,
Please complete and return this information at your earliest opportunity to avoid,nooeoesaagdeiw
in processing and issuing your building permit. No building permit willbe sssned ttijil W,
verification is received. f
i
1 I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YESX NO 0
I HAVE' HAVE NOT C3 signed an application for a building permit for the pc+oposed Windt.
�. I have contracted with the following person (firm) to provide the proposed constivetia®:
\ NAME:
DRESS: CITY:
j
P INT: COr"TRACTOR'S LICENSE NO.
4. I plant rovide portions of this work, but I have hired the following person to coordinate,
supervise, d provide the major work: r
:_II"W_
PHONFE:
5. I will provide some of the
the work indicated:
NAME
O
CITY:
_CONTRACTOR'S LICENSE NO.
rk but I have contracted (hired) the following persons to provide
\DRESS PHONE TYPE OF WORX
i
I
SIGNED:
PROPERTYOWNER:
DATE:
r
NOTE: This Owner -Builder Verification is required by Section 198.11 and 19831 oV&k
California Health and Safety Code This verification must be eoapls0d m1
returned to our office before we are permitted to issue the permit
OVER i
OWNER BUILDER INFORMATION
An application for a building permit has beta submitted in your name listing yourself as the builder of property
improvements specified
For your protectiom you should be aware that as "owner -builder" you are the rre. psponsibbe parry ofreeord onsuoh
a permit. Building permits are not required w be signed by property, owners unless they are personally performitti i5eir
own work. If your work is being performed by someone other than yourself, you may protect yourself &am possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the. exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family. and the work ('including ataterials
a,nd other toss) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcorttactors. then you may be an emplover.
♦ [ f you are an employer, you must re -inter with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may to Fnancial risks for you if you do not tarty out these oblivations, and these risks are especially serious
with resoeet to worker's compensation insurance.
♦ For mere specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ii You wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, certact he Department of Benefit Payments and the Division of Industrial Accidents.
l; the meture is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permir, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 10=0 1`1 Street, Sacramento, CA. 958 14.
Please complete the "ner Builder Verification" on the reverse side of this form so that we can conium that you
C►w
are aware of these maners.' The building permit will not be issued until the verification is returned.
MLAU`1
Mie el C. Vi ira, C.B.O.
ht ger, Building Inspection
NOTE: Tlrs 0wrter-Builder Information is required by Section 19810 of the Cali
NO Health and Sajery Cods
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Dave , Orovilla, OpI-rfor-Ma 55965 ► Telephone (S30) 538-1541 - PEAT 14o•
APP L.1 GAi-t III Ah[ D I aryl l'I
ssrp&% m� FIZ:
BUILDINGFERMIT
� I SQ-_ FT, I OCC. I _ SUE -DWG VALUATION
ort
r�,y1 4 mcm mm=
Qi.'i= CIA E
f=M= r; %VQM ADZ;=
arts
USECESir� =um
;F 0 Duel= D 61 zWsb=s O Ober
& ME OF WORK
Mme 0 Ad:r= 0 Ran dd 0 LED=- 0 bdmfmi= 0 Oher 0
Dema Wadi
*?moi FEE PUD $
SRAOT
$
Sty $ •.
e4A4t�t R�C�V cE� $
Oro MIR !Ji D" COMM
Total vahmson S
Fmno Fee
Pwmit Fee
AM Ch=ldn o Fes 5
-%wgy Pian Chw-Wr►g Fee S Z
. P�iT FEE 6
PLI KBD43 F-r-RuUT
F mg Fee 20.Do
Ead► TMP
7.DD
SOW est had pwnp wdar heeler
23.DD
Wgsw Plphg
15.DD
=Mcb P= we%r her ar vert
MOD /S
M= ! •5 =& ft
15.DD
MulAng mww
15.0D
tbbb Hmma ISIGM
C20.0D
Fo
= a
Q EL"r^JLL P!-!PMr>;
I RkA FqpA ZD.D0
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/ S
Ca �
Had s.'
Z y .�
• P��T r>= s -�
llbhbe Houne hsst�6ssne Fes L
�ergy efoA Fee
" TOTAL FEE $'-7Zg 6115
!tiL d FS w I P-3 -1: P=--1 I PD I t� me
This PUMN is hereby h=$d under /he ePPi=5bie pr�v-brs
of She Butt° C=ty Caie enwar b do tk
b6msi--d &mtj br wrNr-h %es have b>en pail-
5y
sd5y Dstn
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
' 1 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBiM (O `O BUILDING PERMIT QS 17r. 1
1M V in n _ cMLiO�/� SO. Fr. OCC. BUILDING VALUATION
% CONTRACTORS NAAAJN10 ADI
CONSTwcnoN LENDER
LENDERS MARJNO ADDRESS
ARCNRECT OR ENOINEER
ARCWMCT OR ENONEERS MALJNO ADDRESS
SULONO ADDRESS 17
LOTNO. L 9USONS ION4 NAME�� LD.- p
USEOFLSTRUCIPARCEL MAP
6TURE
SF Duplex ❑ Mobilehome ❑ Other
SPECFY
TYPE OF WORK
New Addition M Remodel I/ Ubhes ❑ insta
i Describe Work: Cl.F
Other ❑ .
PERMIT FEE PAID $
SRA $
SHERIFF $
OTHER $
GO
GCi
Total Valuation S
Filing Fee b
Permit Fee 3 $
Plan Checkin Fee $
Energy Plan Checking Fee E
o i $
PERMIT FEE _
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G W
PERMIT FEE f
ELECTRICAL PERMIT
eoov
Main Service tow oR OR LESLesSs
Main .Service 200A TO 1000A
NEW CONST. / own, OCCUP. \
fling Fee 20.
7.00
23.00
15.00 C
15.00 S o'
15.00
15.00 ,cC
X20.00
ig Fee (20
23.00
46.00
3.50M
@7.50
i S - _ OUILFax
EX. OCCU . OUTLET OR FdnURES
200 1.00
SAL. a .50
EX. OCCU 0 AP
OUTLETSESI.. EA
5.00
I
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
=
{
3• /
MECHANICAL PERMIT
Fling Fee
Heating
Coolino
6.50
Ventilation
PERMIT FEI: S
FEnergy
ome Installation Fee i
nspection FeecgNST. V-Al�� TO L FEE S � ,NAz o.FEFs w SsuE
M
it is hereby lame der the applicable provisions
$'tte County Code and/or Resolutions to do work
AMOUNT • RECEIVED Indicated above for which fees have been paid.
:." . .. By Date
RECEIPT PERMIT EXPIRES ON
wF
O NVNE R -B UILDE R VE RIFI CATION
A;tencion Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your 980aam
Please complete and return this information at your earliest opportunity to avoid 1-1 1 saryd ft
in processing and issuing your building permit. No building permit will be ism this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the' proposed
property improvement: YES NO O .
2. I HAVE e HAVE NOT C3 signed an application for a building permit for the pt+opoaed w &
;. I have contracted with the following person (firm) to provide the proposed eonstructioa:
NAME:
ADDRESS:
PHONE: COL-- ACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
ADDRESS: CITY:
PHOr-E:
CONTRACTOR'S LICENSE NO.. .
5. [will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE- OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMMER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 14831 and 19832 4Vws.
California Health and Safety Code. This verification must be eompk d &vd
returned to our off7ce before we are permitted to issue the permit
OVER
j OWNER BUILDER INFORMATIO
Ari application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible psM of teeard onsuch
a permit. Building permits are not required to be signed by property owners unless they are personally per£oemip% 15eir
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract„ you ihould
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including mau rials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcortracrors, then you may be an employer.
♦ I (you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations inciudin' state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For mere specific information about your obligations under Federal Law, contract the internal Revenue Service (and,
if you wish. the U.S. Small Business Administration). For more specific information about your obligations under
Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If zhe strucn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or throu&h their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 10=0 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this four so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
Ilt�vf
rely,
el C. Vi iia, C.B.O.
ger, Building Inspection
NOTE: Tits Owner -Builder Info rmadon is required by Secdlon !9830 of the California Health and Safety Cads.
OVER
COD
BUTTE,COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
r
School District 02Q — IM 0A/ A&4 Building Department No.
A.P. Number Jurisdiction: City County
Property Owner
1
Property Location/Address
Subdivision Lot No.
................................................................................................................. :
Residential Development Sq. Footage
No of Living Mobile Home Ad"ditid 'Supplemental to (Group R)
Units Installation Conversion Permit #
" '(No foundation inspection)`
Commercial/Industrial
/1 * New/ Addition
C � Y
Building Department Representbrive✓
(Floor Plans reviewed by School District
District Identification No. 030128
e-, Ctn1__b__AJA�Sc ool District certifies that
4aa
(Street Address)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
6 m
61, (Applicant) t
6_3 Y — /?c/f
(City); {(State)
has complied with the requirements of Resolution No. by
,c� h
representing ` square feet. AB 2926
11FULL MITIG TION
School District Representative
Paid by Check # N Remarks:
(Phone Number)
99?0
(Zip Code)
yment of $
S
S
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to, submit a timely written protest will,prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CE"),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -
BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-
IFev.12/96)APPLICATIONAND PERMIT _3 E IT NC
ASSESSOR PARCEL NUMBERd�V � ZONING BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OwNEAT MAIUNO g
r ry-V
CONTRACTOR'S NAME
.
CONTRACT MAILING ADDRESS
CONSTRUCTION LENDER
OLENDERS MNUNO ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS 1 1
0l Q'`1'_yVL__13 1 +1�
LOT NO. I SUBDNISx7N5 NAME
USEOFSTRUCTURE
SADuplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ RemoAd UBI" Installation ❑ Other [3Describe Work: ��/��//\JJJ�JJJ /
I- J , 1--11
-
*PERJAIT FEE PAM
Sim • .
SHERIFF
OTi�{E.R
AA 6VN'T RECE 1/EI b
NO.
MAP
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checkin Fee
$
$
$
20.00
Energy Plan Checking Fee
PERMIT FEE
PLUMBING PERMIT
S
S
-
Filing Fee 20.00
000A OR LESS
2ooA OR uess
Each Trap
Main Service
7.00
46.001
Solar or heat um water heater
OW�3IING OCCUP.SO.1-'
8 ACC. BLDS.
23.00
N CONS �
NON•RESID.
Water piping
97.501
15.00
Each gas water heatar or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
@20.Do!
Ex. Occup. OUTLET OR FOnUREs
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee. 20.00
Main Service
000A OR LESS
2ooA OR uess
23.00
Main Service
200A To w0_0A
46.001
NEW CONST. (
OR ADDNS.
OW�3IING OCCUP.SO.1-'
8 ACC. BLDS.
3.50
N CONS �
NON•RESID.
MULTI.OUTLET
BRANcmciRcurrs _
97.501
Ex. Occup. OUTLET OR FOnUREs
20 @ I.00 I .
BAL .50
EX. Occup. FIXED APPS' OR
OUTLETS RESID. EA
I 5.00
Temporary Service
23.00.
Mobile Home Facilities
20.00
Misc. Wiring
PERMIT FEE S /
1. MECHANICAL PERMIT Filing Fee 1 20.00
6.50
PERMIT FEE I S
Mobile Home Installation Fee $
Energy Inspection Fee $
DCD CONST. TYPE TOTAL FEE $ C
TOFur nqrO CO#PVM HA2, I D. FEES I DAP FLOOD CDF • PARCEL PD I NO i ISSCE
This permit is hereby issued under the applicablerovisions
of the Butte County Code and/or Resolutions to o work
indicated above for which fees have been paid.
By Date
Receip PERMIT EXPIRES ON
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
ere
RE7, OWL --7-Ps
r
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER - 100,- OD -
Proposed Building Use: Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked O marked NA in or r to ipply.
❑ 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form tilled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following
t4.i�i,yHM. ry4.
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization.....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone _ and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: t t (..,-\,, I Date: i t 7-7-
1.
Z1. Index permit application for the above items numbered:
2. Additional items required ,
11.
Contractor, designer, owner, was advised cf the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
Plan Check Letter
❑ phone, ❑ mail, ❑ counter, by Date:
❑ phone, ❑ mail, ❑ counter, by Date:
_ Plans approved by: Date:
_Structural approved by: Date_
Yellow: Buildine Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION '
NOTICE {
Post this job card in a safe, conspicuous place. Do'
not remove until all required inspections are made and
building is approved for occupancy. Plans must be
available on the job site.
A.P. No. Li026r100:025 ._......._..02 3262...,...: �.N..�
. KNAPP; JIM
Owner
,1774 PALERMO; PALERMO .�,;
Contractor `FRENCH.DOORS HEADER IN'DININGf
Permit No , ROOM i r KITCHEN
7717 77
PERMITTEE MUST CALL
FOR INSPECTIONS
INSPECTION DATE INSPECTOR t
Footings
Conduit
Underfloor Plumbing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
Rough Electrical
Rough Mechanical
Framing
Shower Pan
Insulation
Fireplace Footings
Fireplace Throat
'. o NaCX
.............
Stucco Lath
Scratch and Brown
Sewer Service
Water Service
Pool Final
Plumbing Final
Electrical Final
Mechanical Final
Building or M.H. Final
NOTES
I
RESIDENTIAL
026-100-025�k
02-3262
PERMIT NO. KNAPP, JIM .
1774 PALERMO, PALERMO
FRENCH'DOORS, HEADER IN DINING
ROOM &:KITCHEN
SPECIAL CONDITIONS
I
CHECKED
BY
SRA i
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
J=OK
D = Not OK
. = Not Readyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
5. Electricity; Location-Clearances-Grnd-/ • /Amp -Concrete
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'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
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 - Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
'Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-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- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
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 -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
61.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
62.
15.
Access & Ventilation
63.
16.
Insulation
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
65.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
66.
18.
Water Pipe; Test & Anchor -Nail Protection
67.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
68.
20.
Shower Pan; Test, First Floor -Tub Access
69.
21.
Test Tub & Shower, Second Floor -Tub Access
70.
22.
Gas Pipe; Sixe & Anchors
71.
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Card B-1 Date Card B-1
Date
Elec. Outlets & Receptacles at Kit. Counter
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
Clearance Looked under Floor 0 Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters O Yes 0 No
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
87.
Water Well, Disconnect, Electrical, Plumbing
Date
88.
Card B-1 Date Card B-1
Date
89.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Glass Protection
36.
A.C. Ducts Insulation & Support
Corrections from Previous Inspections
37.
Vent Fan, Exhaust above insulation
Gas Test -Meters Tagged, Gas -Electric
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
96.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
41.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83.
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters O Yes 0 No
84.
Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
026-100-025
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER;AMP06ROM
ext.1021
jXALEPMCONTRA R 7 9 GA 95968 TELEPHONE
OWNM
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS Mn
Energy Plan Checking Fee
$
PERMIT FEE
S
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: NEW FRENCH DOORS, HFADFR TN 1)TNTNC RnnM
c4, KTTCHF.N
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
a00V OR LES
Main Service 200AORLES:
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO IDOOA
46.00
NEW CONST. DVIE L PK3 OCCUP.
OR ADONS. ( 8 ACC. BLDS.
SO
3.5¢x.
NON-RESSID MULTI.OUTLET
97,50
PSOWEINR APPARATUS
b GLE OUTLET CIR.
Ex. Occup. OUTLET OR FD(TURES
.50
BAL @ 1
Ex. Occup. oFlxuTiEEo�AR� o OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
`
X w� Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
NA2.
p. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
rReceiptNo.:364460 $140.00
ITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 f' o
(Rev. 1246) APPLICATION AND PERMIT �Z
ASSESSOR PARCEL NUMBER
01)G
ZONING
BUILDING PERMIT
OWNER _..
VMA T5380-2342
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILIIa AD�bRES "r
P.ALM.9 GA AF O ext: • 1021
CONTRA dRR��S771�--��pp:d[ M _ %
0�
VWLYi
TEL
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER j
�1
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
rte`
Pian Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$
"'
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME 'Lu/
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other s.
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW FMCH DOORS, AFADER IN DINING ROOM
& KIT%NF,N
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
I@20.00
PERMIT FEE
S
R
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo A oA LEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
"rand my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as. provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X —�.,�.ti1./ +� �✓� Date i OIL oo
Signature of Applicant -11, Owner ❑ Contractor ❑ Agents
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO 46.00
CCU000A
NEW CONST. DWET cc. LDs. SG
DWE200ALLING
OR ( a ACC. 3•5a FT.
CNS.
UTLE
NO"�aOSID. BRANCH CIRCUITS MULTI -OUTLET
@7,50
POWER APPARATUS
a BINDLE OUTLET CIR.
20 � ' 00
Ex. Occu ourLFT OR FIXTURES BAL @_50
PUSIS
Ex. Occup. OFLITLEEDTSAR.,6) E 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
FF
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
FEES IMP
ROOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 364460 $140.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
fog �- <•a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 D
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
S
ZONING
BUILDING PERMIT
OWNER t
ppK20—oMn
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MW1_UIId AD R S - -VA_
n�. 4 t. 1021
59,
CONTRAC�O�R�'S'` ` i ME ` $ '
OWt\M
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S.MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
4 PATER$
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex 0 -Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW FMCH TORS, HEADER IN DINING, R"
& KIMEN
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S
f
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service .OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
,and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BIDS.
SO
3.5aFT.
NOµgESIpT' MULTI.OUTLET .C. CIRCUITS
@7.50
APPARATUS
8 SINGLE OUrL,ET CIR.
Ex. Occu ourLFT OR FocruREs
20 ° 1.00
SAL @ .50
NS
Ex. Occup. ouTLEEDTSA PES16°Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
(.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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�� '' (
X �� Date %.t �Z...! _
Signature of Applicant - 1P Owner ❑ Contractor ❑ Agent t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
CDF
PARCEL
pD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 364460 $140.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
it !o.Gd
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PXR' IT O
(Rev.12/96) APPLICATION AND PERMIT �'l'�`
ASSESSOR PAR,WL;NUMBER
I
..1
ZONING
BUILDING PERMIT
OWNER
.
TELEPHONE
538 42
SO. FT. OCC. BUILDING VALUATION
�.w
. OWNERS MAILING AD RESS
MOWN*, o n. a ext.1021
CONTRACT�OR2'S��NAME- •..��
VfMm
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS h
Plan Checking Fee
$
BUILDING ADDRES1774 S PALERM, PALERMO
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00.
- TYPE OF WORK '
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NW F'RENM WOKS, HEADIM IN DINING )RtOQM
& KITCHEN
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
rand my license is in full force and effect.PSINGLE
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWEWNG OCCUP.
OR ADDNS. (
.3.5Q s0.
FT.
NEW CONST. MUALCTIC-oU�TLET
NW&RESID" C
97.50
b OUTLET OWER APPARATUCIR.S
Ex. Occu OUTLET OR FaTUREs
s20 @ +;00
Ex. Occup. OUTLETS FIXED R DOR.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
.� •� f%,
X " ►� Date If l I �•.� ��.•••� _
Signature of Applicant - Owner ❑ Contractor ❑ Age—nim' j
An OSHA permit is required for excavations over 60" deep and'demolition or construction
of structures over 3 stories in height. .`; "
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Da te `
ReceiptNo. 3%"60 $140.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754}^_ /} (TMfi No.
(Rev. 12/96) APPLICATION AND PERMIT
AssE�SQRpARCELNUMBER
����a--YI1-0-025
ZONING
BUILDING PERMIT
OWNER
.M: I
TELEPHONE
MX CC ,C
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1774 P,',L 7',f) .171M). PAL"`T�' n r)516�11
CONTRACTORSNAME
(e.... .
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1774 Iii',!.. -.1— 1 `.'^0,' . f1,*k%Tr 1
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q_'
Describe Work: T'T."( ;"" f''t7J�^TCT, ' fn1r
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI G1 W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200AOR. LESS 23.00 ?.3,C'?
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the .Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLMIG OCCUP. s0
OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT_
CONSTI' MULTI.OUTLET 97.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FD(TURES SAL @ 1, 0
Ex. Occup. DFlxc EosA R OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
71" 1**'qp %3 f'J
PERMIT FEE $ n.t:0
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X�. /'�+f Date ff
Signature of Applicant �C7 Owner 0 Contractor ❑ Agefit
An OSHA permit is required for excavations over 60" deep and demolition or construction'
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ Ern . (17
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISS YE
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.
/S/� `�
By—t-" Date ny
PERMIT EXPIRES ON ! 1 n i
Date
Receipt No, .,t'5:i �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 D Og NO.
(Rev. 12/96) APPLICATION AND PERMIT 1.01
((//
ASSESSOR PARCEL NUMBER
026-10-0-025
ZONING
BUILDING PERMIT
OWNER
JIM KNAPP
TELEPHONE
534-1848
SO. FT. OCC. BUILDING VALUATION
• OWNER'S MAILING ADDRESS
1774 PALERMO ROAD PALERMO 95968
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1774 PALERMO ROAD PALERMO
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF IN Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.001
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX
Describe Work: RLE2RR1 0H,/M12C—WIRING
C
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service '.".A oRRLESS
23.001 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 20DA TO IDDDA
46.00NEW
CONST. DWELLING OCCURSO
OR ADDNS. ( & ACC. BLDS.
3.50FT.
NEW
RESIIIDD. BRANCH CIRCUIT$ T. MULTI -OUTLET
@7,50
OWER APPARATUS
& SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FDCTURES
BAL @ 1, 0
Ex. Occup. OFucs A s� oR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00 23,00
23.00
PERMIT FEE
$ 89.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X� �/,^/� Date 'j Q L
Signature of Applicant -Owner O Contractor ❑ Age t
An OSHA permit is require for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
$ 89.00
HAZ.
D. FEES
[TjOTjLFE
cDF
PARCEL
PD
HD
ISSI�E
V
This permit is hereby issued under the applicable provisions
of the Wl�uCode and/or Resolutions to do work
indiwhich fees have been paid.
i D
By Date 'Y
PERMIT EXPIRES ON y/2/ / D r
(Da te
Receipt No. 286582
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
60UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541(tel/ (J �- Mq0.
w.12/96) APPLICATION AND PERMIT
uscssoR►ancaNu� �oZONINGZONO
--
BU I LD I NG P ERM IT
�K "����
SO. FT. OCC. BUILDING
VALUATION
7Nk Al "NO ADORES �- ,
(�7 (�!�(/(
=WRAR'S NAME �/1
CTO
�G/•/-
EIV��ONE
CONTRAGT0R7 "NO ADDRESS
,^,ONSTRNCMN UENOCR
Fireplace
LEND As IWUNoADORESs
Total Valuation :
AAcmrrE-T OR ENOINEEA
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
AACNTECT ON ENOWEEA! YAiJNO AooREsa
Plan Checkin Fee $
aU-OSW ADORESS
Energy Plan Checking Fee =
5
PERMIT FEE _
LOT NO.
SMONS ION'S NAME
PAACEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trn
7.00
USEOFSTRUCTURE
SF O Duplex O Mobilehome 0 Other
SP Ecsv
Solar or hent pump water heater
23.00
Water piping
15.00
Each as water heater or vent
1 5.00
TYPE OF WORK
New 0 Addition O Remodel j7 Utilities 0 Installation 0 Other O
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ' IS G W
Q20.00
PERMIT FEE _
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service o0 'o. LEss
23.00
_
Main Service 20" TO I000A
48.00
NEW CONST. DWELLINO OCCUP.
OR ADDNS. a ACC. OLDS.
3.SCso.
..n.�eR.n-MULTT-0VTT.ET
07.50
EX. OCCU . OVnET OR WWRES aAl ' .w
Ex. Occup. 0 71.1 ESIO E, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
PARMIT FEE I _
MECHANICAL PERMIT I Fling Fee I 270.00
Hood I 8.50
PERMIT FEE i
Mobile Home Installation Fee S
Energy Inspection Fee $
°C CONST' 7Y°E TOTAL FEE S
NAZ 0. REB --, RDOO COf PAACEL PO Io asp
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.
By Date
PERMIT EXPIRES ON
r
r✓l
Attention Property Owner:
An "owner -builder" building permit has-been applied for in your name' and bearing your.
signature. ..... -. _. _
Please complete. and . return this information at your earliest opportunity to .avoid ._.
unnecessary delay in processing and issuing your building permit. No building permit
be issued until this verification is received. . .. '-I-
1. I personally plan to provide the majo bor and materials for construction of=the
proposed property improvement : YES
2. 1 HA j HAVE NOT[ : _j si ,ed an: application' fora budding permit for.ttie _
propo ork.:::.:
3. I have contracted with the" .following person (firm) to provide. -the proposed
construction:
NAME:
ADDRESS:" _ -,:::: - . CITY:
PHONE: _ . �.;_....CONTRACTOR'S. LICENSE NO:
4.' 1 planto--provide'-portions of this work, -but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME: `
ADDRESS: CITY: :..
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the followipg-persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: ,�)�/, -2,MD
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the 'builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they ane personally
performing their own work. If your work is being performed by someone other than yourself; you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of variousa trades that you plan: to subcontract,=you -=
should beaware of the following information for your benefit and protection ..
0 If you employ or otherwise engage any persons other than your immediate familand the'work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employeiJuid you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance; disability i surance.costs, and unemployment compensation
0 There may be financial risks for you if you do not carry out these obligations,Aand these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Iuteinal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division: 'of Industrial
Accidents.
. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an `bwnerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street,` Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Ovmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
Nfav 1995 2.27
PRE -INSPECTION REPORT
OWNER:
LOCATION:/ 7 -7
CONTRACTOR: C GU /-L��
PRE-INSPETION FOR:
DATE TO INSPECTOR:
Building Description:
Commercial/Usage:
ResidentiaU# of Units°�
Currently Occupied
AbandonedNacant
Electric:
Ycs_-.z No
DATE:
A.P. #1CL&q
ZONING:
f
PERMIT HLSTORONE ( ) AS FOLLOWS:
i
BUILDING INSPECTOR'S REPORT
Electric currently On_Z Off
Condition of Electric
Gas:
i
Natural Propane None
_,Z. Currently On 'Off
Obvious Problems:
Sanitation: / +
Plumbing Working
Well Working_ Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE:
Inspector e,
HOLD FOR
Date — L ''
i
Sketch buildings on reverse and indicate location on property.
ay.12/96)
,.LOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
AsscssoRPARCaNurso` _O ��
aT< v�—
ZONNG
BUILDINGPERMIT
,«NEr r vo
SO. FT. OCC. BUILDING VALUATION
�INNas wAuw AooRa C2 12Z
;ONrRAcrOR•t
cOwkW7011I MOWUNO ADOAUG
CONSTRUCTION tLNOQ
Fireplace
u:NOER,s "UNO ADORcss
Total Valuation =
ARCNrttCr OR EHMNEEA
ucP SE No.
Filing Fee b
20.o0
Permit Fee ti
ARwrcCr OR cawEMI MAJUNO ADDRESS
Plan Checking Fee S
s"sDO4AMMS
Energy Plan Checking Fee t
S
PERMIT FEE _
IDT No.
sueoNe:aNSNA►rE
PARCEL MAP
PLUMBING PERMIT Fling Fee
20.00
Each Trn
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O Other
°°ecoy
Solar or hent pump water heater
23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New O Addition O Remodel Q UdGties ❑ Installation O
Describe Work:
Other O
Gas piping system 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home ' S I G I W (920.00
PERMIT FEE t
ELECTRICAL PERMIT Filing Fee
20.00
800V LES
Main Service 200AOORR LESS
23.00
-
Main Service 20" TO IowA
46.00
NEW CONST. OWEiLM OCCUP. 3.5Q�°;
OR ADONS. i ACC. RDs.
MW COM F.
NON•RESIO. MULTI-0IrTLET 97.50
' P9l/OLEOWiA APPAOVW
l Q0.
Ex. OCCU ovn.rr OR ncTvAm d2* 0 I-00
49 .w
EX. Occup, M. ESLD SEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Msc.,Wiring 23.00
P RMITFEE _
MECHANICAL PERMIT Fling ee
20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE !
Mobile Home Installation Fee =
Energy Inspection Fee 5
OCc
°O"'" TOTAL FEE $
MAL
1 o. FEES I WP
I rL000
I Cor
PARCEL
PO
w
ISSu
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.
By Date
1 l PERMIT EXPIRES ON