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POUNTY OF BUTTE — DEPARTMENT OF PUBLIC�WORK$
7 County Center Drive — Oroville, California 95965
Teleph4 ne: 534-4541
APPLICATION AND PERMIT
. 1— � "" "UUIILy VI UU— W OIILVI UPVII UIC This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes.
- � � the Butte County Code and/or resolutions to do work indicated
/ above for which fees have been paid.
D'IREC'TOR OF PUBLIC WORKS
X ; ' :,c•{ r, '-� ` pate f
t
y $ig� tOre of Permitee or Agent B+\ Date /� / / "�
% `
Receipt .W. %'
White-D.P.W. ,Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant E lgiildirig permit expires Date f
,
BUILDING
Owner T
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractort_onll �f��� # i GwA
,,Total Valuation
Mailing Address Jos- r � Y�"LC/,Z r ,,Permit
A
Fee
Plan Checking Fee&/or Penalty
Oro
Telephone No.
Permit Fee
Building Address k1
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
j t
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
f p
A. P. No. J /
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
Fes
W. C,
Sanitation_
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg._Pl,an.s,.Rec-d`^ I
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERY❑
-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 •�•�
....//,JJr,�,� / // �t N
A < /N ! ! I' Pei I I M 4 � �
Main service 8001 OR LESS 5.00
100 AMP OR LESS
Qkl ADA 11W17 1A�
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ ,/Duplex ❑ Mobil Home 0 Others ❑
Main service 100 OVER
EAMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.DWELLING OCCUP. &
OR ADDNS, ( ACC. BLDGS• 2�sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONST. POWER APPARATUS &)
NON-RESIR
D. (SINGLE OUTLET CIR•
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:
�� :�--• r ,. ` •!� L.
Ex. Occup(OUTLETS OR FIXTURES)@L@'+4
BAL�1
FIXED A
FIXED
Ex. Occu P LNS. OR
(RESID.) EA) 2:00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. fl. '7 �I •9. IMisc.
Classification l - � � }�-�1
Wiring �,� 6.25
rP ,o 1 Tv FT JW.50
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WOCOMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1 have placed on file with the County of Butte a certificate of
INWorkmen's Compensation Insurance.
F1I certify that in the performance of the work for which this
permit is issued I shall not employ,any-person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAIL No. @ FEERKMEN'S
PERMIT FILING FEE $3.00 �n
Heating JQ Q
Cooling .2 7,JO
Ventilation _
-Hood- f"` ,�M 6 %V -2:'00 ,Wq (:Yc
Permit Fee
I certify that I have read this application and state, that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby I
TOTAL PERMIT FEE
$ [} Y
. 1— � "" "UUIILy VI UU— W OIILVI UPVII UIC This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes.
- � � the Butte County Code and/or resolutions to do work indicated
/ above for which fees have been paid.
D'IREC'TOR OF PUBLIC WORKS
X ; ' :,c•{ r, '-� ` pate f
t
y $ig� tOre of Permitee or Agent B+\ Date /� / / "�
% `
Receipt .W. %'
White-D.P.W. ,Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant E lgiildirig permit expires Date f
,
~ rCOUNTY OF'BUTT� DEPARTMENT, QF,PUBLIC WORK'S; =,
County CenterDrive Urovl"Ile CaFifornia 95965
jTelep.Upne ,,53$ 4541
APPLICATION AND, PERMIT
r
BUILDING >l
Owner" S.
; SO FT.: OCC., 'BUILDING VAL'UAijoN
Mailing Address Y
Telephone, No
,
Fireplace
Contractor. ' Y C
Toial Valuation;
Mailing Address /I� - `-
ermit Fee
Pd'an Checking Fee VorPenalty
Telephone No:
Permit Fee,• r $
BUilding.Address
PLUMBING No
-PERMIT,FILING FEE _ $3:00,
It
-Fadi :Trap 1.50.
r,
r
Repair drainage- or.venY piping --•1:50
F
'Water piping 1.50
-Eachgas water heater or vent 1.50
Zoning:&'`Plcnni'. 9 `
Gas piping•system a'• 5 outlets" ", 1.50 O •
_
,
r3
Each additional outlet .30
F s 'W."
6elwtatiaii,
Fire Dept:
Fi.reZone:
1Jse Peiti
rm
Building sewer 'i•i ;. ;:5.00 _
EQA
Parking,
,Plans:
Parcel :;
Declaration :Parcel Map
60 R/W improvements
Lawn sprinkl system -2.00
yy: [�
C
l?a�ceLApproval
Plans Approval ;r",
Permit Fee:
-NEW, ❑ ADDITION Q U7fLITIES ❑ _;OTHER
-" ELECTRIC L @ ;FEE
PERMIT FICING4FEE $3,.00 7j,•�p
Main service..eoov OR LESS
X100 AMP OR LESS
-
:Main serV.ICer EA:' "ADD �C�100AMP " Z.50
f`
_
Mai n _SerVICe` !OVER 60OV. _ - -:
k100%AMP OR: LESS. _. - 25,00
_ - - -
- - -
Single Farnay Q Duplex Q Mobil Home Others Q
JN
Main service. EA� ADD L_100 AMP 7.QQ
• - 1 - .... • 5 F,'. ,.'�,
NEW CONST: 'DWELL'ING.-OC C. -
.DGS:,"4'-:UP
OR.'AD.DNS'.�.(AC�G.-BL' .. & )22Sq,ft
.NEW CONST,R.-.� .MULTI- OUTL Tr - - -
NON.R ESI D,' -�`B RANC H•.0 IRCUIT S) 2.50,ee
'- - - '-
_
N'EW.•CONS'TR '// POWER'. AP PAR ATUS'&
.NON=RESID.- - CSINGLE OUTLET-CIR.
CONTRACTORS LICENSE -'LAW,'
,amLicensed,,under`the provisions 'of Chapter 9 ..Div ,3, of the250
� State of California Business &..Professions 'Code :under -"the name:Ex.
yIe O�I -
,
Occup(OUT LETS OR, IXyTURES) BAL
- •-
APPLNS; OR -')'2.;00
EX: CCUP• OUTCETS (RESID ) EA
Tenippra' ervi' "
10.00St rysce-
1.
Motii le' Home Faci'I'itiesr. ' 15.00
License Noy `1 a' r
�- Classification '�-�• G�(ol
Mrsc. Wlrin 9 6.25
IN ry �•
'ElI am exempt ,from the Contraotors License Laws of the State of Cal lfomia. '
Permit Fee'•.' t" $'". . - '-
$
WORKMEN'S 'C0MPENSAT16N .INSURANCE
I am aware of the provisions of Section3700 of the.California�Labor
.Code.which'reguires every•employe�'to.be. insured against.liabiliay
for Workmen's:Compensatiori.
C _ - :'101-31 .
have placed. on file with the County of Butte a•certificate of
A.Workmen's Uinpen-;atiori Insurance.,:=
Fj I. -certify: that- in -the performance of the/ work, for which this ;
permit -is- issued -1 shall not employ, any,. person. in�:any manner
so as ' "b' * ome suWecf io .the Workmen''s•:Compensation :Laws pf.'
California.
MECHANIC " No @: FEE
;•
PERMIT FILING EEE x $3:00 i
Heatin g Deo
Cooling r
-Ventilation"
+Ieec '- 8A `
'Permit- Fee ? $. .
$"
'I certify that -1 have read this app! 'ication- and.state'that,the above`
information' is-.correct..:1- agree�to.`compI ,to -;all. -County Ordinances
and''State Laws-,relating:`to bui1ding•'construction; :and "hereby-
_TOTAL-
�, aU 41V11LC ICl/ICJCII IG
above.• -me boned prof
Sig ure,jof
Receipt No
White- D. FW.n'YeIIo
'CJ VIµUIC Vuunly U,I^DULIC to C"It:IUU11,LnC "This permit,
t for i;' pection purposes f1the Butte Ci
above r wl
Date;-•�
itee or - gent
s.hereby-iss6ed'uhder.the__appli'dable provisions of
unty Code .and/or, resolutions to -o.•work indicated.
icfi-fees have been paid r
IRE OP FL;I"C�WORK_
_ l
Dat
7.
!•'.. _° \
ssoi —Pink=lnspector _ Goldenrod,Appliwnt ,B permit expires Date
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j 3 y-- 7 BUTTE COUNTY `UPARIMNT OF
.PUBLIC' WORKS M
SPECIAL INSPECTION REPORT
Owner.5.,
A:P. #
-_
Address: .Ion
�. ,Date of Inspection
Tenant..
Inspector .�t6':'
Building' Location:.:aC
Type of, -Inspection requested:
T 1. SHou sing 11' 2. Financing I. Change
.of Occupancy to
4. Other {specify) S /UA—moi
LJ 5
Present ,u'se of 'building:.
;
A. Sanitation (HousinO
a
1. Water closets
2. Lavatory:.
3. Bathtub,or 'shower: -
4. Kitchen sink
5. Hot • and:%. coldwater, to fixtures:
6.''..Heating facilities:
• 7., Natural light and. vent flat ion:.,..
8:'` 'Room and space requirements:
9. 'Bedroom window or door'for second exit: -
xit:`10.`'Infestat_ion"of.insects;
10.` 'West'ation"o'f insects;vermin, or.rodents:
.1l.' ..Connection to -sewage disposal:
. '12._ Connection to water supply:
U." Rubbish and garbage facilities:
- r
. 14. Comments:
B. Structural
1..'Piers and :footings;
'Floor 'construction: .-.
.3.• Walf.construction:'
'Celing �aind, roof construction: .
5' Fireplaces ; ..
6.', Comments: . .
C. Electrical
1. Service arid.. ground
2. Receptacles:
3. Fusing:
�.
4. ' Comments • %✓'TAW
i'
' r..
D: Plumb inti
1. ',Fixtures connected .'and vented:
2. 'Gas water heater:
3 Gas heating y ts: