HomeMy WebLinkAbout027-240-065(i
.y _ .27=24-65:.
DONALD ,DELANY I. l
7760 -.Citrus .Ave, Oroville. s r %(�
_
" PEZ
1 rmit#2172-89P' EJ(util, MH), . q .
I' ELEC:
-GAS.'
SUPPORTS STRUCTURE; REQ,
COMPACTION TEST REQ. �~
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2172-89P,E(MH) ,
PERMIT NO.
PERMIT EXPIRES Q
DONALD�Y
N OWNER
unknown
CONTR.
ASSESSOR PARCEL 27-24-65
'r
s LOCATION 7760 Citrus Ave, ORoville
•
Temp. Power Pole
Called PG&E
Temp. Elec. Servic
1 Called PG&E444
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
t "
= OK
0�-- Not.OK
' = Not Readyable MOBILE HOMES ;
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ 1"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 -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11.. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -61 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-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -B1
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -B1 Date
Card -131
Date Card -B1 Date
uK
0 = Not
Not Applicable RESIDENTIAL (Single and Duplex)
- =
= Not Ready ,
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Ong. Joist-Rftr. Ties- Puri in -Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance -Material -Su pprt- Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -131 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
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
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/Mach. 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
30. Service -Riser Conductors & Ground -Main Disconnect
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 -81 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 -B1 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -131 Date Card -B1 Date
Card -81 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Of. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -B1 Date
Card -81 Date Card -B1 Date
Card -B1 Date Card -131 Date
Comments at Final:
COUNTY OF BUTTE - DEP'ART'MftNT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION- AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER
— `Z — S�
zoN G�
BUILDING PERMIT
OWNER I
o v�
TELEPHONE
s 3� s 9 y
SQ. FT. OCC. BUILDING LUATt N
OWN MAILING A DR!:I t
%\
CONTZA1L TO
VV�
'S NAME, l
` W
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
G - s L, -e -
Permit fee
$ '
PLUMBING PERMIT
Filing Fee 10.00
r 9 S 16 6
Each Trap
2,00
(� (� 0 ()
Solar or heat pump water heater
20.00
LOT NO./
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home G W
O.00ea 7-070-1
TYPE OF WORK
New ❑ Addition ❑ Remode ot' 'ties_ Installation[] Other ❑
Describe work:
Permit Fee
$ y
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS,
10.00 /000
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, 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)
f 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 2 s
NEW CONST. DWELLING OCCUP.21
OR ADDNS. ACC. BLDGS.
, /20sgft
NEW CONSTR MULTI -OUTLET
NON-RESID .BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OccU OUTLETS OR FIXTURES
p
20050#
8AL030
P
FIXED APLNS. OR
EX. Occup. OUTLETS (RESID.I EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00 'moo
Misc. Wiring
g
15.00
It
Permit Fee 3 7 :3'
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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. 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
g
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, judgments, costs, and expenses which may in any way accrue
aga' st said C unty in consequence of the granting of this permit.
X 77 G„ ��
Date
Signature of Applicant — 44n.r1V 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ �� `)
OCCUP-
CONST.TTPE
SCHOOL
17
PARCEL
Pa
[��Hpl
This permit is hereby issued under
sions of the Butte County Code and/or
work indicatedab e f which fees
IR TOR F PUBLIC
BYJCA—Date
PERMIT XPIRES Date _
the applicable provi-
resolutions to do
have been paid.
WORKS
�j / :Ie
/�J �^
Receipt No.
WHITE-D.P.W.. TELLOW-ASBC32011. PINK -INSPECTOR. GOLDENROD -APPLICANT
`fia�'�^'r'iL�l`-`rs�,s � . � '... •r. -S ,r..-��' �.%'r+w►; _.-.Yi'=+'V�K�"�Q'i ]'?•d��_:�."�" .k�� t�'i fT�d,�*.frsT'�+:.'�.Ar�'�'�'�'4�iaf-"�':.{ -
'
V COUNTY OF BUTTE - DEP
ARTMENT OF PUBLIC WORKS -BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICA. TION DATA SHEET
Permit No. it;
OWNER G. el A. P. No. 5L % — `Z
Proposed Building Use /—>l Building Inspector , G Date ?--G —,95
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 duplicat triplicat , signed by preparer of plans....6
3. Complete plans in du t riplicate, 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 .................
kWSanitation 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
p q • • Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
1. Certificate of Workmans Compensation Insurance ....................
2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
� 23. Recorded copy of Agricultural Acknowledgment Statement ............
�Letter of signature auth rization ......... .................- ......... _
2,51 e 00A 1701 40r-ikuw&
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
t
t Applicant ��-c D_'' ate/q
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_—nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date f�
Plans checked by Date Plans approved by Date 7 lD
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO: Building Department
11
FROM: Encroachment Permit Section
.Q' RE : Driveway Clearance
DVA eA*I 771(0 CfArvs 2 7-Zy-65.
owner f location AP #
Driveway permit N9/ 72 G has been issued for the above property.
�;`�si ature date
Return to DPW AGRICULTURAL STATEMENT.OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section "'26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
$9 025
The property described herein is adjacent
-
to land or included within an area zoned
for agriculturalpurposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit '
of agricultural operations including,
but not limited to cultivation, plowing, .
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes,
and residents
within said zones and on adjacent property should be prepared to accept such
inconvenience
or di8conform from normal, necessary farm operations.
All that real property situate in I the County of Butte, State of California, described. as
follows:
Date: 1 — Z.- & _
PROPERTY OWNERS:
State 'of) On this the day of 19', before me,
SS. the undersigned Notary Public, erso lly appeared
County of �)
=PUBLPersonally known to me. Proved to me on the basis
IC-
EAL of satisfactory evidence.
TER
LIfORNiAt be the persons) whose names)
Y s bscribed to the within instrument and acknowledged that
AY 13, 199 ecuted the same for the purposes therein contained. IN .WITNESS
1680. LWcQNL OmYW% 4A 94M WHEREOF, I hereunto set' my hand and official seal.
Present A.P. No. Notary/ii.l "c
PTION
3
ALL THAT
CALIFORNIA,
oloo
89-2330.D.
CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
COUNTY OF BUTTE, -DESCRIBED AS FOLLOWS:
PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTION OF SECTION 16, T.18N., R.4E., M.D.M.", SAID PARCEL MAP
WAS -RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
.BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1987, IN BOOK 107 OF MAPS,
AT PAGE(S) 43.
CERTIFICATE OF CORRECTION RECORDED APRIL 18, 1988, UNDER BUTTE
COUNTY RECORDER'S SERIAL NO. 88-11888.'
EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND:
ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 3, BLOCK
132, AND A PORTION OF NOW . ABANDONED...SARGEANT-=-AVENUE-- LYING—
ADJACENT" TO - SAID LOT 3, ACCORDING TO THAT CERTAIN MAP ENTITLED
"SUBDIVISION NUMBER 3 OF THE PALERMO CITRUS TRACT", RECORDED IN
THE OFFICE OF THE RECORDER -OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, JANUARY 2, 1889, LYING IN SECTION 16, TOWNSHIP 18
NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA AND
BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS
COMMENCING AT THE INTERSECTION OF THE CENTERLINE OF SARGEANT
AVENUE WITH THE WEST LINE OF CITRUS AVENUE AS SHOWN ON 'THAT
CERTAIN PARCEL MAP AS RECORDED IN BOOK '107, PAGE 43, -OFFICIAL
RECORDS, SAID INTERSECTION BEING THE TRUE POINT OF BEGINNING FOR
THE HEREIN DESCRIBED PARCEL OF LAND; THENCE SOUTH 89 DEG. 29' 0811
WEST, ALONG THE CENTERLINE OF SARGEANT AVENUE, 630.00 FEET, TO A
POINT ON THE NORTHERLY PROJECTION OF THE WEST LINE OF SAID LOT 3;
THENCE SOUTH 00 DEG.' 391 14", EAST,/ALONG SAID PROJECTION AND
ALONG SAID WEST LINE, 32.87 FEET, TO A POINT IN AN OLD FENCE LINE
RUNNING EAST—WEST; THENCE NORTH 88 DEG. 37' 09" EAST, ALONG THE
MEAN LINE OF SAID OLD FENCE LINE, 189.57 FEET, TO A POINT ON THE
SOUTH LINE OF SARGEANT AVENUE; THENCE NORTH 89 DEG. 29' 08" EAST,
ALONG THE SOUTH LINE OF SARGEANT AVENUE, SAID SOUTH LINE ALSO
BEING THE MEAN LINE OF SAID FENCE, 440.45 FEET,— TO'A ONE—HALF
,.INCH REBAR TAGGED L.S. 4085, ACCORDING TO SAID PARCEL MAP; -THENCE
NORTH 00 DEG. 39' 14" WEST, ALONG THE WEST LINE OF .CITRUS AVENUE,
30.00 FEET, TO THE POINT OF -BEGINNING.
END OF DOCUMENT
— - . - June 22� 1989 .,_ _ - - ._.. �..__.._-. ,�� � ,�—i��.>,,, --. •
a LEO T. LANTSBERGER �1
_V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM NO(_/'� ,
7,a —
� Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 1)"')
7
7 County — J
APPLICATION'AND PERMIT
i
zON G S BUILDING PERMIT
:S ESSOR PAR NU R
6 S�.
,E
-EL
—_
�
TC LE-7PHONE SQ.FT. OCC. BUILDING VALUATION
NNER
1 J -3
Q h.a
WNER'S MAILING A DRESS -
+rLA
a634 TELEPHONE
ONT A� TO 'S
C L
ONTRACTOR'S MAILING ADDRESS Fireplace
UNKNOWN Total ValUatlon $
:O NSTRUCTION LENDER
Filing Fee $
�
MAILING ADDRESS Permit Fee $
.ENDER'S
LICENSE NO. Plan Checking Fee $
6S
4R11ITECT OR ENGINEER
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $
$
�S V
Permit fee
BUILDING AO-7DR SSS �- �./ t r �� Filing Fee 10.00
PLUMBING PERMIT
r 9G Each Trap
2.00
(.Solar or heat pump water heater
20.00
PARCEL MAP Water piping
500.
LOT NO. SUBDIVISION NAME
(7– Each gas water heater or vent
5•
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE Building sewer
5.00
SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Mobile Home ; S IG W
0.00 ea
TYPE OF WORK
$
Addition ❑ Remodel ti 'ties Installation❑ Other ❑ Permit Fee
New Contractor
Des r' wdrJ- ELECTRICAL PERMIT
Filing Fee 10.00
JkMain service 6100 AMP ORSLESS
10.00 /Q
Main service EA. ADD'L too AMP
2.50 2
NEW CONST. (DWELLING OCCUP.al
CONTRACTORS LICENSE LAW OR ADD S. ACC. BLOCS. II
y20Sgit
NEWCONSTR U TI.OUTLET
1 declare u er penalty of perjury (check one): NON .RES10 BRANCH CIRC TS
APPARATUS 6)
2.50 ea
❑ /POWER
I am licensed under provisions of Chapt. 9, Div. 3 of the Business (SINGLE OUTLET CIR.
is in full force and effect.
zoeeoe
Ex. Occup(OUTLETS OR FIXTURES
and -Professions Code and my license
eA03
License No. Classification FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.
Z.00
[� I, as the owner, or my employees with wages as their sole cornpen-
is not intended or offered Temporary service
10.00
'0
sation'will do the work,and the structure
Mobile Home Facilities
15.00
for sale. (Sec. 7044)
91 the owner, am exclusively contracting with licensed contract-Misc. Wiring
t5.00
I, as
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
Permit Fee i", •5'0
$ f
for this reason Contractor
WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT
FiIIng Fee 10.00
I declare under penalty of perjury (check one): Heating
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate Cooling
a
of Consent to Self -Insure.
manner so as to become subject Hood
3
{� I shall not employ any person in any
Ventilation
+"t to the W. C. laws of California.
If after making this statement, should you become subject Permit Fee
:
Notice to Applicant:
to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor
iions or this permit shall be deemed revoked. Mobile Home Installation Fee
$
e read this application and state that the above information Inspection Fee
Ordinances and State Laws relating Energy
fy thatiover
$
rect. I to comply to all County
and hereby authorize representatives of the Courtyot
TOTAL PERMIT FEE
CJI
$
lding cction,
to entethe above-mentioned property for inspection purposes.
SCHOOL PLoo
PARC[L
PD
�D
laeuc
indemnity and keep harmless the County of Butte against occuP, coMST.TYPc
/
r
agree e,
bilitiegments, costs, and expenses which may in any way accrue
Itures
st saidy in consequence of the granting of this permit.` J l� This permit is hereby issued under the applicable provi-
the Butte County Code and/or resolutions to do
Date (- sions of
work indicated above for which
fees have been paid.
Agent o
ure of nt – wner� Contractor ❑ 9 DIRECTOR OF PUBLIC WORKS
for excavations over 5'0" deep and demolition or construct-
SHA perrequired
structur 3 stories in height. By
Date
! �n
P_RiiITE`;P!RES Date
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c
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77
I
I
RC4
B5 ft. trom the
s
property li s
I
_ and a setback
)�
n
of 50ft. fro" n the road
Zenterline spall be clear
of
aril , ent ey-ceO
structures
for a 2 ft. eave ove,hang�
. .............. . ..........