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HomeMy WebLinkAbout026-113-019Y • { Now 26-113-19 - '_`''_•'""'_ 4 r.✓' �'t� — EPermit mart dwin Ave., Palermo-' ��2 60-8 OB,E(new pri.det.garage) ' i' l F w PERMIT NO. 2560-80B,E PERMIT EXPIRES OWNEF C. C. Smart' CONTF. owner 26-113-19 LOCATION (A.P. ) 1911 Baldwin Ave., Palermo ' K P r Z. s , 4 Temp. Power Pole Called PG&E Temp. Elec. Serv/ Called PG&E Temp. Gas Serv. ! Cal l e7PG& E A FINALED � (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING d� 71 Setback 3Q Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Fjoor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings J 0 Stemwa 1.1 Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLALE Final footings I Footing I ELECTRICAL F F rramir — ,> Test Water Htr. Stucco Final Subpanels Mesh Gird. Fault Pro Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBI6EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping r DATE / REMARKS OR COORRE TIONS i i (NOTE: An entry must be made on this form each time'you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A SSESSC P RCEL NUMBER - 3i L-ONING a BUILDING PERMIT OWNER J. T LEPHONE SQ.FT. OCC. BUILDING VALUATION 46 eNQG OWNER'S MAILING ADDRESS i O TRACTO 'S NAME T LEPHONE - CONTRACTOR'S MAILING ADDRUSS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ • LENDER'S MAILING ADDRESS Permit Fee $ Q® ARCHITECT OR ENGINEER 0" LICENSE NO. Plan Checking Fee $ •� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ b BUILDING ADDRESS ) /� �s / � tel• /� ��• - PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 �-� Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2:00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: / tc Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 1 OR L Main service 100 AMP ORSLESS 5.00 Main serviceADD'L 100 AMP 2.50 (EA. NEW CONSTOR ADDNS. \ ACCOWEL uP,&� 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am Licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code. for this reason NON•RESID R BRANCH C•IRCET, ITS) 2.50 ea NEw CONSTR. POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occu 50 OR FIXTURES P�oX@` BA F E ID APPLES, OR Ex. Occup. AETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ J Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. RI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling - Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County _inconseque ce of the granting of this permit. X -'� J Date. I �0 �� " ' Signature of Applicant — Owner [& Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ v OCCUP. GROUP "' I TYPE of CONST. IPARCELI V PO HD I5✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -� g -F ,S-- WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT