HomeMy WebLinkAbout026-130-002Y
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi Ile, California 95965
Telephone: 534-4541
-7
APPLICATIbN AND PERMIT
.UU.Ulla- I71l JUIILOLIVW2 UI UIV %lVUIILY VI DULLC LV CALCI UPV11 1FRI
above-mentioned property for inspection purposes. :+
�(
-.c .Date'%
�
Signature of P/ermitee or Agent
Receipt No. 41 p eo 5-
White-D.P.W.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
t
'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.
DIREEC-TOR OF PUBLIC WORKS /
gy!w.j Date�� 176
:qui•Iding'-permit expires Data /7 %
• r
BUILDING
Owner ����li°%' �C d �,
SQ. FT. OCC. BUILDING'VALUATION
Mailing Address��5—~ Z
'513'X_
Telephone No.
/24"Z
/ - .✓
Fireplace
Contractor G�f/J� _
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address r _
3 5 1YO RrH �7 t' � "g A
PLUMBING No. @ FEE
PERMI T -FI LING FEE $3.00
.-4/
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent, 1.50
A. P. _No. //
to — I 31Zoning
& Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C./
Sac»,tatieR
Fire Dept.
Fire Zone
Use Permit ,
Building sewer 5.00
EQA
Parking.
Plans
Parcel
Declaration,
Parcel P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
3I.4-9 Pl.n--,Ret3d-
Parcel Approval.
r-.
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑. UTILITIES ❑. OTHER.PERMIT
ELECTRICAL No. @ FEE
FILING FEE $3.006) p
Main service ,.100 AMP ORV OR SLESS 5.00'
V
-
Main service EA. ADD'L 100 AMP 2.50
Main service, OVER 600V .
100 AMP OR LESS 25.00
j
Single Family ❑Y Duplex ❑ Mobil Home' ❑ Others ❑:"�
Main service EA. ADO'L 100 AMP 1.00
•- - qq
%.
NEW ,CONST. DWELLING OCCUP. h`
OR ADDNS, ( ACC, BLDGS. / 20sgft
NEW CONSTF;L (MULTI -OUTLET
2.50ea -
NEW C O I D R• ( APPARASINGLE TUS
CONTRACTORS LICENSE LAW'
I am licensed under the provisions of Chapter 9, Div. 3, of the ,
State of California Business & Professions_ Code under the name '
style of:
y
;.
Ex. Occup(OUTLETS OR FIXTURES) @L@1
BAL1
Ex. Occu FIXED APPLNS, OR
P• (OUTLETS (RESID,) EA) 2X0
Temporary service 10.00
Mobile Home Facilities 15.00
f`
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomiaSn•.
Permit Fee $
$ (-fin
WORKMEN'S COMPENSATION INSURANCE "I
1: am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability i,
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Comperisation Insurance.
❑- I certify that in the performandbe of the work for which this
permit is issued I shall not employ any, person in any manner .`
so as to become,subject to the Workmen's Compensation Laws of 11
California."
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that l have read this application and state that the above J,
information is correct. I agree to comply to all County Ordinances ..
and . State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
.UU.Ulla- I71l JUIILOLIVW2 UI UIV %lVUIILY VI DULLC LV CALCI UPV11 1FRI
above-mentioned property for inspection purposes. :+
�(
-.c .Date'%
�
Signature of P/ermitee or Agent
Receipt No. 41 p eo 5-
White-D.P.W.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
t
'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.
DIREEC-TOR OF PUBLIC WORKS /
gy!w.j Date�� 176
:qui•Iding'-permit expires Data /7 %
• r
� .r' r- wr 7� 4�'' �r.,.a a ✓ i. d �r 5 .xt r 4r. •✓ 'r 'r rw -gn . + , : .
COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS
7 County Center -Drive 'Uroville, California 95965: > g
-Telephone: 534-4541
APPLICATION 14ND'PERMIT
du lnu rl Le'
r epre5entdll vets; Br oj,jrle'ounty of outte tu. enter upon.. the
above-meptioned-property for..in'spection purposes.
7�12C�, O�zr Gl (�ate -
signature of Permitee or -.Agent
Receipt No. Jd
White-D.P.W. — Yellow -Assessor — Pink-Inspector'-Goldenrod-A'pplicant'•
This'permit,is' hereby issued under the applicable provisions of .
the. Butte County Code and/or. resolutions to do work indicated r
above for which fees have been paid.
REOF `PUBLIC WORKS
B ... Dat.76e
permit ti -C
BUILDING
Owner /%yJ—��`'d'
-SQ. FT.. OCC. BUILDING VALUATION.,
Mailing Address oL.
Teleph6ne No
2-1k
Fireplace
Contractor d
Total Valuation,, .
Mailing Address
Permit fee' ..
PIanCheck ing, Fee VorPenalty
.Telephone
No.
Permit Fee.,
Building Address --4/,3,5/VO&nJ - SLC `13vt
PLUMBING No. @ FEE
PER MIT'FILING FEE. $3.00'
C
Each Trap 1.50
Repair,drainage or vent piping 1.50
Water piping 1.50
Each*'as water heater or vent 1.50, '.
A. P. No �6.4� _
Zoning & Planning
Gas piping system 1 ,'- 5 outlets 1.50
Each additional outlet 30
Fee
W. '.
f.ireDept;
Fire Zone
Use Permit'
Building sewer 5.00'
EQA
Parkirig
Plans
I Parcel
Declaration,.
;Parcel Map.
• 60' R./W,
Improvements
Lawn sprinkler system .2.00:
` : •Pc�cel Appiaval
Plans''Approval
Permit Fee''
NEW ❑ ADDITION ❑,. UT,ILITIES ❑ "OTHER [
ELECTRICAL,' No• @ FEE
PERMIT FILING FEE $3.00 a47.o
Main service .i°o°o AMP ORV OR SLESS S.ob
• _..� •;, '; ...'_ '.,.
Main service 'EA, •ADD'.I_ too AP 2.50
OVER BOOV
Main service .too AMP OR LESS 25•�� "
Single Family. Duplex ❑- { . Mobil Home❑ Others ❑
Main service EA. ADD.'L too AMP 1.00
• t _
-
NEW CONST. DWELLING OCCUP. &') 2¢sq ft
OR ADDNS,' ( ACC• BLDGS.NEW
'
NON-RESID CONSTR.,.(BRANCHO CIRCUITS) •' 2.50ea
-
' - ,•
•
NEW CONSTR. /POWER APPARATUS & -
NON-RESID, \SINGLE OUTLET CIR.
CONTRACTORS -LICENSE LAW: `
am Licensed under'the: provisions of Chapter 9, Div. 3,' 'of the
State of. Cal ifoeni a'. Business &.Professions Code under the name.
Ie Oft
Ex. Occup (ourLETs;oR FIXTURES) BAL@1
•(FIXED APPLNS. OR
00St
EX. Occup* (RESID,EA
)
Temporary. service 10.00
Mobile Home Facilities . 15.00
License No. -,.Classification
Misc::Wiring: 6.25
I am exemptfirom the Contractors License Laws of the'State of California.
Permit,'Fee '•
WORKMEN'S COMPE.NSATION'I,NSURANCE ' ' ' •.
.1 am aware of'the provisions.of Section3700 of.the'C•alifornia.Labor'.,':.
Code which requires every employer to be insured against liability
''for_Workm'en's Compensation.,. i'
I"have pIaced•on fiile with:the County of Butte a.Icertificate of
Workmen's Compensation;Insbrance.
certify that iW1he'performance `of the work. for which this
permit is. issued. I shall riot employ any person in any' manner
so as, to become sub'ject.'to_•the Workmen's Compensation Laws of
Cali forni_a
MECHANICAL N0.1 @ FEE
PERMIT FILING FEE $3.00 '
Heating
rr.
Cooling
Ventilation
Hood 2.00
Permit Fee
$: ..
I .certify that 'I h'av'e-lead'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
TOTAL PERMIT -FEE FEE
$
du lnu rl Le'
r epre5entdll vets; Br oj,jrle'ounty of outte tu. enter upon.. the
above-meptioned-property for..in'spection purposes.
7�12C�, O�zr Gl (�ate -
signature of Permitee or -.Agent
Receipt No. Jd
White-D.P.W. — Yellow -Assessor — Pink-Inspector'-Goldenrod-A'pplicant'•
This'permit,is' hereby issued under the applicable provisions of .
the. Butte County Code and/or. resolutions to do work indicated r
above for which fees have been paid.
REOF `PUBLIC WORKS
B ... Dat.76e
permit ti -C
s
t � '
inn*
Aft _,
S• .
.•art.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
.SPECIAL INSPECTION REPORT
Owner::
A. P. # b Z�
Address:
y 3' yoieTh` !/i L �.� '
AUC
Date of Inspe tion
Tenant':,-
Owi?/L
Inspector. ..
Building
Location: y3� �Ol2 r7fy/"GC
f¢7/�
Type of
Inspection requested:
1. Housing 2. Financing
3. Change of Occupancy to
4. Other (specify)
e-, (2&5f 22
Present
use of building__: S'"2�AX`C-'
%'4-/A19i1 Li
L3��G-hCcr�
A. Sanitation (Housing)
r
1.
Water closet:"
2.
Lavatory:
-3.
Bathtub or 'shower:
4-.
Kitchen sink:
5.
Hot and cold water to fixtures:
6.
Heating facilities:
7.
Natural light and ventilation:
-8:
Room and space requirements:'
.9.
Bedroom window or door for second
exit:
10.
Infestation of.insects, vermin, or rodents:
11.
Connection -to sewage disposal:
12.
Connection to water supply:
13.
Rubbish and garbage facilities:
14.
Comments:
B. Structural
1. Piers and footings:'
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments•
C: Electrical
.1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:?
D. Plumb in
1. Fixtures connected and vented:
2. Gas water heater:.
3. Gas heating vents:
4. Comments:
(continued on back)
E. Other
1. .Maintenance and repair:
2' _F ire hazards:
3. Safety hazards:
4' Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to.property lines:
3. Physically handicapped:
4. Restroom floors -and walls:
5. Exits:
6. Improvements•
7. Zoning:
8. Comments•
G. Field Problems or Violations
1.. Problem or.violation (give complete description):
2. What action taken (give.complete description):
3. What action recommended:
�,.A. Information only - file.
B. Hold for ten (.10) days, then write letter.
C. Write letter.
D. Other•