HomeMy WebLinkAbout026-181-0110
r
26-181-11
SAM LOVE
7568 Melvina Ave., Palermo %
Cont: Rick Mauldin
Permit #1494-88P(water heater/SF) '
26 =181-1,1
Contr : Doug Albiez -11444
^ -3 -
Permit#4035-88B(repair-storm amage)SF r -
t,
if
iI
4035-$8B
PERMIT N0.
0
PERMIT EXPIRES
OWNER
S. J. LOVE
fi
CONTR.
Doug Albiez
ASSESSOR PARCEL
26-181-11
3 '
1
LOCATION 7568 Milvina, PAlermo
V
f,
t`
I�
�R
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
}
'(
i.
Called PG&E
ti
k'
JOB FINALED (Date)
Signature
e _
r
i
It
= OK
0 = Not OK
' = Not Read�yable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1..Zoning Requirements'-aetbacks-Easements &i:_; _
;.
1._Zoning:Require_ments-Setbacks-Easements
"' r _s
2 _So.ils;.Spec al'MH! Support-Skefcli4 tz �L c n : - _~
n n 2_.Footings_Soils=Size=Depth`.:pacing=Cohnecfors-Steel
_.
°"'r'F's 'r3.PSewer,_Location-Test=Fall'-CSO Concrete
-
3: Decks,'Girders and/or loists-D`ecking=Bracing=Stairs-Rails
4. Water; Location -Test -Easement Needed (Sketch)
""-4'.
Wood Awn.,»`Post"s=''Beams=Rftrs:=Cohnec:=' '
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
'
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -61 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
•
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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-Panel boards- Ins. to Main in Conduit
Card -81 Date Card -81 Date
Card -B1
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
=OK
o = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Carl -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
l 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
L 30. Service -Riser Conductors & Ground -Main Disconnect I
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -B1 Date
Card -B1 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39-SRrs-,157iroper Material & Anchors
40.-WeHs-S'tu-ds-Nailing, Spacing & Bracing -Plates -Sound
4LZeafirg Walls over Girders & Floor Nailing
42 Drat -Stop in Walls (rat proof)
43_f -w t , Furred Ceilings -Stairs -Chases -Tub
44. eam-Size & Bearing
Date FRAMIN (Continued)
- os Caps -Anchors -Connectors
. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
47 F4ep+acy-Tret or Type A Flue -Fireplace Throat Clearance
tAff-Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. r Exiting Doors -Sill Hgt. & Dimensions
50. tion Framing
firewall & Openings
59 Ext Dnnr�e 3' -Check Garage -3rd story, 2 exits
i - eadroom-Rise-Run-Landing-Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
/ Veneer
rip Screed -Fd. Vents-Underflr. Access
lass Protection -Skylights -Plastic
ing-Bolts
9.Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -131 Date!,
i and -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
T-6+-Exr�-Stepr-Dwr & Sidelight Protection -Landings
6 SmokaJ>_teetcrr--
6.1
- learance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
fi4 Rarirnnm Fvitinn
65 es & Tub Access -Spa
u panel; Breaker Sizes -Labels
67. Sta ails-
68. Fir�,olara nr cfn .�Iearances-Hearth
ood Panel; Int. & Ext.
nce; Grnd. -Air Gap -Cooking Clearance
71 eceptacles at Kit. Counter
72. ire boor; Swing -Landing -Closer
73r-A.G_Duet n -Garage -Damper
7". `Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
.
a4°,.e- 4b C1 c. & Mech. Equip. Listed for Location
7 . -eptacles in Garage; (G.F.I.)-Romex otec.
1- /�f(!-% Insulation -Foam -Looked in Attic s
78-Griar gils & Deck Construction -Post Caps
79-_Fdn-V,ents-&-Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
8 ; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. cco; row Finish
;-Disconnect, Electrical, Plumbing
3, Vents Above Roof; PIbg.-Appliance-Firep l. -Clearance to
.Openings.
8 ' connect, Electrical, Plumbing
x e i Trim; G.F.I. Receptacle -Underground
8ff7VMntt3tfon throughout House
tection
Lae: -Corrections from Previous Inpections
49.-Gae-4:9Meters Tagged; Gas -Electric
9A water -4 -Sewer Connected -C/O to Grade -HD Approval
Of. -Emrcgy C ompliance Certificate -Other Certificates
9� Rca y Certificate
Card -131 Date):WR Card -131 Date
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
-
• Yr
.._........ ......... ......... ........... Grp ..... - .. .. ..... .. _
•:• - tet\
V 'w
�► �F- -• _ `."..•,tom
•r.
ASF` c' LAND OF NATURAL WEALTH AND 8 E -A UT
DEPARTMENT OF
,PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
T.lepnone: (916) 534;541
WILLIAM (Bill) CHE=
Direc to
November 16, 1989
Doug Albiez
-1456.Hammon Avenue RE: Building Permit No. ye
•Oroville, CA 95966: Expires Z — 2 Z
007
' (A.P. No.
Dear Mr. Albiez:
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date, ng
and should construction be star Building permits are valid for one year
ted but not completed by the ex0i-
the permit, the permit shall be renewed for 1/2 the original ation date of
Fee (plus a S10.00 'TilingFee" o -nal Building Permit -
)• The renewal permit will extend the Building
Permit for as additional year from the Original expiration date. -
--
_Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit is issued.
If your construction is completed or',shp'uld you have any question concerning
:.i this matter,- please'contact the e,
Oroville office.
For your convenience, we are enclosing a renewal application form and an. owner -
builder form to be completed and signed by you where indicated. and returned
..this office together with the fee shown.
application form. ,Please return all copies of the to
Thank you for your prompt attention concerning this matter'.
Yours very truly,
William Cheff
Director of Public Works
JFG:aj F. G1ander
Attachments: Permit Application Chief Building Inspector
�
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Chico.7 196 Memorial Way/89I-2751 Paradise - 747 Elliott Rd/872-2961, Est. 57
Z..T •1,...Stt•.... ~ f._.•'a/ ti 1- A t�•.�awT� eri:i., •w '�.e{':- �'.'iiL`7.i�.A
d COUNTY. OF BUTTE
DEPARTMENT OF PUBLIC WORKS °
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 EI'liott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER — PERMIT NO.
A routine inspection indicates that the following violations of County Ordina bce
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
pector
1
r
i
pector
1
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive - Orov;lle,. California 95965 - Telephone:
APPLICATION AND PERMIT
WORKS PERMIT NO._�
916/538-754
ASSESSOR P99RCEL NUMBER
CR (o —/ _eJ ZZ
ZONING
BUILDING P
RMIT
OWNER
MV.0
TELEP ONE
SQ. FT. OCC. I BUILDING VALUATION
OWNER'S MAILING ADDRESS L oV V rQ`/) I'G 95��6
U
CONTRACTOR'S NA 1 TELEPHONE
Dpu - Sy0
CONTRALTO •S MAILING AODREA.S
4 56 146ty%moN Ave, r 0 VIIK'9S966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSPermit
AQ
fee
$
'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
rJ :3.3 — .,-?6b
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
55.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ OtherRI
Describe work: GRon,;U!°
o ee brCiNc !,�.j�lA/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
® 1 am licensed under provisions of •Chapt. 9, Div. 3 of the BUsines$
and Professions Code and my license is in full force and effect.
,S n C.IcAl 'Ad.1
License No. Ui Oar Classification
El 1, y
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.pI ,ftSQft
OR ADONS. ACC, BLDGS.
NEW CONSTR MUTI.OUTLET 2,50 ea
NON-RESID .BRA CH CIRC I S
/POWER APPARATUS 6
(SINGLE OUTLET CIR. I
Ex. OCCUp�OUTLETS OR FIXTURES 20®50t
eALo90
FIXED
Ex. Occup. OUTLETS PLNS REA.) 2.00
(RESID )
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I 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.
IC71 I shall not employ any person in any manner so as to become subject
4� 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
;
Contractor
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 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, Jud ments, costs, and expenses which may in any way accrue
agai id Coun in con uence granting of this perm't.
` Q
X Date b V
Signature of Ap cant - Owner ❑ Contracto 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPEJ
SCNooL
OOOJPARCELJEL
PD
ND SUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/Z- 2Z•�
Receipt N Z
WNIT!-D.P.W.. YELLOW-AleC730K, PINK-IN9PlCTOR, GOLDENROD -APPLICANT
-� .-r "-, .- ♦ - y . ..,..is ,.. �' 1,: f... i .•. `s .*,,...r„_::... -.:Y..; ., . Y.. _,-.-�yV.� y +r► w : i .. -1-.r ✓-:r 4� ..a . � .. w -- -+..-.m. - .�
COUNTY OF BUTTE - DEPARTMENT
�O,F�PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -_TELEPHONE: 916/538-7541,
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �� A. P. No.
Proposed Building Use.., Building Inspector Date
VU
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
' instructions ........................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing. permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required .... Pre-Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner.y Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept„ Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II_counter by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
rrorv+.
J)OOf
This set of plavis and sPec"Ie"! Ons I MUST Se
kept on the job of o" times rjnd ',;,is unlawfill to
rn&ke any ch"�jc es er al. Prct*,ens on same without
wijiffen permission from the Depari-merif of NOW
Wo—As. Cozz-.1hr Of BOte-
40%�All PcOorials & Workroon;MP9,
Accarclarice with Recognized Good Practices and
of. a quality prescribed for the Spa ,.*Iflq'd use in
UniformDiAdin g, Plumbing & Machanic 1 C4101" Ow
40 "and Se=Mcal 0-6-461,
Frolvt
0 /.0 CE 3 r aI � ,,- :3 ..
L P -r
surra OOUNTY
BUILDM D�PARTMEN't
APPROVED
ji
-X
rrorv+.
J)OOf
This set of plavis and sPec"Ie"! Ons I MUST Se
kept on the job of o" times rjnd ',;,is unlawfill to
rn&ke any ch"�jc es er al. Prct*,ens on same without
wijiffen permission from the Depari-merif of NOW
Wo—As. Cozz-.1hr Of BOte-
40%�All PcOorials & Workroon;MP9,
Accarclarice with Recognized Good Practices and
of. a quality prescribed for the Spa ,.*Iflq'd use in
UniformDiAdin g, Plumbing & Machanic 1 C4101" Ow
40 "and Se=Mcal 0-6-461,
Frolvt
0 /.0 CE 3 r aI � ,,- :3 ..
L P -r
surra OOUNTY
BUILDM D�PARTMEN't
APPROVED
1 \
1
C
1494-88P
Sam Love
7568 Melvina Ave.
Palermo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT I
ASSESSOR PARCEL NUMBER
ZOFi ..JG . fi
y
BUILDING PERMIT .
OWNER ..
D t
TELEPHONE
SQ. FT. OCC. 'BUILDING VALUATION
OWNER'S MAILING ADDRESS
NAM
CONTRLEPHONE
ACTOR'S I 1 ``.) 1
TE L4 —114
CONTRACTOR'S MAILING ADORES �! I
10 W) C_ LA1)01 Ci
Fireplace
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS f `
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
__7
Solar or heat pump water heater 20.00
LOT NO.
VISION NAME PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00 Q
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 5.00
Mob le Home S G W 0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherV1
Describe work:
Rt,Mne-rm
NkIU - DG- - IS j o f; I ,
'Permit
Fee $
Contractor Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 800V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
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 No.0,41yol Classification ( � 4t�
❑ 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
NEW CONST. DWELLING OCCUP.y , hltsgft
NEW A u o
CONSTR. I.B -LET
NON-RESID BRA CH CIRC TS 2.50 ea
POWER APPARATUS e)
SINGLE OUTLET CIR.
200 0
Ex. OCCup(OUTLETS OR FIXTURES DAL@30
FIXED APLNS \
Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R. 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.
❑ I shaft 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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
g
Hood 3,00
Ventilation
_
permit Fee
Contractor
I certify that I have read jthis 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'hereb'y 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
al I liabilities, judgments, costs, 'and expenses which may in any way accrue
against said County•in consequence'of the granting of this permit.
X.. �
Date
S gn tie of Applicant - ? :-Owner ElContractor,,E Agent ❑
An OSHA permit is required for excavationsJ,over.5'0" deep and demolition or construct-
ion of structures over height.
Mobile Home Installation Fee $
Energy Inspection Fee. . , $
TOTAL PERMIT FEE $
0 CUP.
CON3T.TTP6
SCHOOL
FLOOD
PARCEL
PD
NO
Isgut
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees, have been paid.
�PUBLICWORKS
DIRECW��.t.
` / �'
BY ��JJ��'a1 r _�/�/U�
PERMIT EXPIRES Date
i3',stories,in
Receipt No. nn'�
WNITE-D.P,W,. TELLOW-A3e E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSEIT��
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
jli
APPLICATION AND PERMIT
ASSESSOR P CEL NUMBER
1 — 1
ING
BUILDING PERMIT
OWNstie
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'
iRAI IN ADDRESS
��L-e_�l�
CON TORS NATELE =QN•E�
L I))��''�tCC,•
CONTC DR'S t11LrG A DRE$r5v �ItI� /1����
Fireplace
CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
Filing Fee
.$' 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit feeAV
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
1 e.((n o
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or ven>
5.00 6, f0
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ OtherV
Describe work*
%
K(IJ - ;.s- I
Permit Fee
$ <7—
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
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 /�Co%�dec and my license is in full force and effect.
License No. �jyb Classification C56 'f'g
❑ 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)
IDMobile
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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.y
OR ADDNS. % ACC. BLDGS. , h2sgtt
NEW CONSTR TI.OUTLET
NON.RESID BRANCH CIRC TS 2.50 ea
POWER APPARATUS eI
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURESRA0 0
Ex. Occup. OUTLETS P(RESIDFIXED APLNSIREA.12.00
Temporary service 0.00
Home Facilities 5.00
Misc. �Yirin 5.00
9
Permit Fee $
.WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
p,� 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.
❑ I 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. previsions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liab' 'ties, Tents, costs, and expenses which may in any way accrue
agai t Val=nin cons ce of the granting of this per
Date
iot a of Applicant — Owner Contractor— Agent ❑
n
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-E
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
C049T.TTPE
SCHOOL
FLOOD
PARCEL
PO
ND
Is9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
CT PUB
By
PERrT4PIRES Date
the applicable provi-
resolutions to do
fees have been paid.
.
ORKS
_Dae
Receipt No. SSS
WHITE-D.P.W.. YELLOW-ASSEe60R. PINK -INSPECTOR. GOLDENROD -APPLICANT