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