HomeMy WebLinkAbout027-310-007r D 0 BECKER
8056 lvina Ave, Palermo
\\ Permit# BECKER Delno x 781-67E^ 957-67B
-84B, E(convert covered pore ?_3 t - p" l 1076-67B'�3; 1536=67P V
to{,living area eroof/SF) 84. 67E
'SOS 61 PIC
0- 532 -071AIlff w�s Melvina Ave. just no: of Ave.
I Permit#3477-85B(ls enewal/380 84 I Palermo `
(addition & remodel)
,�27-31-07 Meter change - CONTR: Ford Electric"
• Permit 9-86B(2nd renewal/3807-84) 4-�i�6'7-_-
(,�*a'dd carport)
0
27-:31-07
1585-90B
I BECKER, George }- T
8056 Melvin6i Palermo.
G� l {
Contr : Don C. George �/� ' /'G
(reroof/sf)
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COUNTY OF BUTTE - DEPARTMENT OF
7 County Center Drive - Oroville, I^s!ifornla 95965 -
Telephorie: 91
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
Z-7-31-7
ZONING
BUILDING PERMIT
OWNER
MR. GOER1534-1908
TEL PHONE
SQ. FT. OCC. BUILDING VALUATION
S 1111 11 t -lip
500,00
OWNER'S MAILING ADDRESS
8
CONTRACTOR'S NAME
DON Q. CRORCF, INC.
TELEPHONE
531
CONTRACTOR'S MAILING ADDRESS
Fireplace
'
CONSTRUCTION LENDER UNKNOWN
Total Valuation is
500.00
Filing Fee
$ 10.00
LENQER'S MAILING ADDRESS
Permit Fee
$ 10, 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$$
BUILDING ADDRESS
8056 �ELVINA PALERMO. CA,
Permit fee .V,
_ -20.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00 J
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE j
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ®
Describe work: _
RE—OOF 5 SQUARE AREA WITH BUILT—UP ROOVING.
Permit Fee
$
Contractor 3
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 i
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.
452266 C-39
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 license ontract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Prof Code
for this reason
NEW CONST. ( DWELLING OCCUP.tr
OR ADDNS. ( ACG. SLOGS.
2h¢sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS tri
(SINGLE OUTLETCIR. I
Ex. OOCUp(OUTLETS OR FIXTURES
120 0 50C
aA 030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 2.00 -
Temporary service
10.00
Mobile Home Facilities
15.00
Misc.}Miring
15.00
Permit Fee
$
Contractor
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 Buiidin •e ment
a Certificate of Workmen's Compensation Insurance or ficate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to beco , 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 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.
1 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 Count n-eonrs quence of the granting of this permit.
X Date MAY, 10, 1990
y
SignatGre 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 $
Energy Inspection Fee
$
occ
CONST TYPE
20.00
TOTAL FEE $
HAz
I CUA I
PARK
I SCHL
I FLD
PAR
PD
rD
I ISSUE
This permit is nereby issued under the applicable provi-
sions or the Butte County Code and/or resolutions to do
work in&%ated above for which fees have been. paid.
/ DIRE�T OF PU LI - WORKS
/
B /1f Date
y'.� - -
PERMIT EXPIRES Date-. _�
Receipt No. � "! L/
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION 4 PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
;,7-1-31-7BUILDING
ZONING
PERMIT
OWNER
MR. GOE GE BECKER
TELEPHONE
53 —1908
SO. FT. OCC. BUILDING VALUATION
MAILING ADDRESS-
80 6 MELVINA PALERMO, CA,
CONTRA CTOR'S NAME
DON C- GFORGE INC -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
500.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 10-00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
8056 MFT,VTNA PALERMO, CA-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
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 ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ®
Describe work: _
RE—OOF 5 SQUARE AREA WITH BUILT—UP ROOFING.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V 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):
® 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.
452266 C-39
License No. Classification
F] 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
NEW CONST. ( DWELLING OCCUPM
OR ADDNS. ACC. BLDGS. /
YzQsgft
NEW CONSTR ULT' -OUTLET
NON -RE BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@y0¢
BAL030
Ex. Occup. OUTLETS FIXED PIRESID.ILINIS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I I have placed on file with the County of Butte Building Department
1t� 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 County of
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 liabilities, udgments, costs, and expenses which may in any way accrue
against sa o equence of the granting of this permit.
X Date MAY , 1 0 , 1 9 9 0
tura of Applicant — Owner❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
n of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
20.00
TOTAL FEE $
HAz
CUA
PARK
SCHL
FLD
PAR
PD
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work i ' ated above for which fees
DIRE T OF PU LI
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Dat ho
rReceipINo.� /�n 117 / 0
HITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
4;
Temp. Gas Service _
Called PG&E_
32 ? ®� 8
JOB FINALED (Dat,
Signature
e
PERMIT NO.
-
3H07 -84B E
7`
OJ�-
PERMIT EXPIRES
DELNO BECKER
OWNER
owner
ib
CONTR..
1
ASSESSOR PARCEL 27-31-7
«
1
LOCATION 8056 Melvina
Avenue,
Palermo
I,
ff
,
tl
fe"
o j
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
4;
Temp. Gas Service _
Called PG&E_
JOB FINALED (Dat,
Signature
e
5
1
V, _, OK,
0 Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
:_1 _*
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O A,Not O14. . .
= Not Applicable RESIDENTIAL (Single and Duplex)
SIE = Not Ready
Date
UNDERF OR Plans OK except #'s
Date
FRAMING Continued
1.Mining rogtriremenis-Setbacks-Easements
4 . P operty Line Firewall & Openings
2.&q --Main; Soils-Steel-Elec. Grnd.- / - Ftg. Depth
4 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50, -6tairs-Width-Headroom-Rise-Run-Landing-Fire Protection
4. F ., Porches & Decks; Soils -Steel- / /" Ftg. Dept
-54--P4ym=d_on Roof Overhang -Attic Vents -Rafter Outriggers
5 temwalls, Main; Steel-Blockouts-Wrapped-SI
52 Sidiug-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab53_esh-Drip
Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
5 . Glazing Area -Glass Protection -Skylights -Plastic
55. -Shear -Walls; Nailing -Bolts
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bol -Joists-Vents-Cripples
Card -BI
Date (v Q Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Dat Card -BI Date
Date
FI L (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except"#'s
14. Water Ht.; Vent -Access -Combustion Air
6. Ext. Steps -Door & Sidelight Protection -Landings
. Smoke Detector
58...6uraaee--Rents-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test,&✓Anchors-Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17. Shower Pan; Test, First Floor -Tub Access
59. 1 ::SEX;ting
60 -9.F -F -&--Bath Fixtures & Tub Access
18. Test Tyb & Shower, 2nd Floor -Tub Access
61-Etec,. Trim & Subpanel; Breaker Sizes -Labels
19. Gas `ipe; Size & Anchors
62- Stairs &_Rails
6z Fireplace or Stove; Clearances -Hearth
64.r-Ehec Outlets at Wood Panel; Int. & Ext.
Card -BI
/ Date Card -BI Date
65. . ix . Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66. e�El c. OufTts & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67. Garage-Fire-f5mr,,-Swing-Landing-Closer
68. -A:2: Duct hr-Garage=Damper
t re & Transformer Clearance -Ins. Protection
69. ., - ance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
2 Receptacles Spacing -Lights &Switches at Doors
:e
S' a Boxes & No. of Conductors -Stapled
70.•-Wtr.,-Eiec-'&-Mech. Equip. Listed for Location
es inarage; (G.F.I.)-Romex Protec.
2 Romex Installed Close to Edge of Studs & C.J.
24. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic E] Yes
pfiance Circuits in Kitchen & Conductor Size
73. GtuaFd Rails & Bee et,etruction-Post Caps
u ee ' Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74. _klole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
27-4ange-Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes 0 N
75. Following instld.: Drive t0.4es ❑ No; Walks es [:]No;
Planters es El No
-28--SeFvice-Riser Conductors & Ground -Main Disconnect
76.--G4neee;-Brown-Ftirrieh
2g-E'q p. Clearances; Panels-Motors-Mech. Equip.
77,•p,G_L4;i.t�-.D.l.soon neet-CIrnces-Brkr. & Cond. Size -115V Outlet
lothes Closet Light -Shower Light
78, Ptbg.-Appliance-Firep1.-Clearance to Opngs.
7 isconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Q Q. Z9 S Card -BI Date
.,,.Ventilation throughout House
82
Card B -I Date �Tj--gCard-BI Date
Date
MECHANICAL (Permit), OK except q's
31. A.C. Ducts; In anon &Support
1-1'8-3.
Corrections from Previous Inspections
84. Gas Tacf_Meters-Tagged; Gas -Electric
8 .. er Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; haust above Insulation
33. Conde to Drain & Overflow; Size & Grade
8&__E_ nerpy-Zom a ificate-Other Certificates
34. Fur ce-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Xtic Access & Platform if Furnace in Attic
Card -BI
Dat - i Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FR ING Plans OK except q's
Comments at Final:
36. ills; Proper Material & Anchors
3zK Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
3 Baring Walls over Girders & Floor Nailing
r top in Walls (rat proof)
-4 . ire Stops; Furred Ceilings -Stairs -Chases -Tub
4 Header & Beam -Size & Bearing
s -Post Caps -Anchors -Connectors
4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
44.--Fir2ptace Ties or Type A Flue -Fireplace Throat
45-Attm-Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46_.84rfrt-Windows or Exiting Doors -Sill Hgt. & Dimensions
ge Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 -
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
R&te-2- c
OWN R PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
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.
�(� M e .V box
r w« i4e
4A
J '
r
i
Inspector_.__ Date /D A S ___
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE MIT V/v
ASSESSOR PARCEL NUMBER - 3/^
G
ZONING Av
- BUILDING PERMIT
OWNER
O 1= p
l�
TELE HON
5.,`� P69
�`l" O
SO. FT. OCC. BUILDING V TION
'
OWNER'S MAI NG ADDRESS
Q
- fox 5 �C,ei� l 9s9(o8
do, �
CONTRACTOR'S NAME®alk"`
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
44590,
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ • 00
ARCHITECT OR ENGI EER
LICENSE NO.
P�llapng}Checking Fee
$ 20 r
04r 6(16�24/
�QO
$ - C"
ARCHITECT OR ENGINEER'S MAILING ADDRESS --pe"
Permit fee
$ 95/ &<)
BUILDI G ADDRESS ////^� fin},/
DW C V //V/ / / r C.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Q
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFK Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home ISI G W
10.00e
TYPE OF WORK
New ❑ Addition[:] ,R/emodel tl li jos Elstal lati nn .�ther ❑
Describe work: w�v� L) o
uVlN — S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. G0'cC .
OR ADDNS. (DWELLING
2%ftq ft , , b"t�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50t
and Professions Code and my license is in full force and effect.
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
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTRPOWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR.
Ex. Occup(o X OR FIXTURES DAL®30
IED A PLNS R
Ex. OCCUp. OUTLETS (RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify at I have read this application and state that the above information
is cor. ct. I agree to comply to all County Ordinances and State Laws relating
to b Ilding coternstruction, and hereby authorize representatives of the Countyot
Bu a to enupon the above-mentioned property for inspection purposes.
Lave,
gree to sindem nd keep harmless the County of Butte against
u tr c� and expenses which may in any way accrue
conseq ce of the granting of this rmit. Dat ' 4C
Q `
Signature of Applicant — OwnerContractor ❑ Agent ❑
An OSHA permit is required for excavo •ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
G 3 w
TOTAL PERMIT FEE $ ���
OCCUP. GROUP
TYPE of CONST.
PARCEL
No
ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By.
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Z� N
'Q
Receipt No. ���
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENf & OUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
TTom�,, Permit No.
OWNER !iG`�U F.3ECi���P A. P. No.
Proposed Building Use ���✓`— �'O�/y Poe�� Cit/tiG
Permit Fee Based Upon/) Complete Contract Price ✓DPW Valuation
Building Inspector
Other (Explain)
Date IV HCl - F?
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
t� 1.
All items have been submitted. . . . . . . . . . . .
2.. Plot plans in duplicate/triplicate. . . . . . . . . . .
3.
Complete plans in duplicate./triplicate. . . . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
Plans with Energy Design Compliance Statement. . . . . .
e Energy Forms No. SiGICO' 7 ,
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . .
9.
Letter of signature authorization. . . . . . . . . . .
10.
Sanitation approval from Health Dept. . .
11.
Planning approval for (A) Use: (B) Parking: .
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . ..
17.
Pre-Inspec. request to
Pre -Inspection for Required. Building Inspector
(Date)
18.
Recorded copy of Agricultural Acknowledgment Statement.
19.
Other
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 f" -
Applicant 7 %z
Date f = - lei
Copy of plans sent Health Dept., Fire Dept`��Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at ime of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designe ,caner as advised of above required data by _407elephone Mail Other
By Date /1
Plans checked by
Plans approved b,
Other:
Copy—DPW
Date
Date
FORM 7
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT N0. 07- PACKAGE "A" (Additions)
NAME O SQUARE FOOTAGE
JOB ADDRESS OExisting Residence
TYPE OF. WORKk/2.T C'� New Addition f
New Total
The following information sheet, showing+mandatory features and required features of`
Package "A" must be completed and attached to all plans for additions. to dwellings.
,Additions to dwellings include room additions,.converti'ng garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE lE
INSTALLED APPLIES TO NEW AREA
CEILING R-30 R-30 R-38
soo<ALL R-11 R-11 R-19
FLOOR R-11, R-11 R-19
✓SLAB R- 7 R-11 R- 7
4/GILAZING 65 .65 .65
SHADING
&�'OUTH OPTIMUM OVERHANG
or .36 S.C.
!/WEST - .36 S.C.
LOOSE FILL INSULATION (Density)
,--INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
-DUCTS PER UMC - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
_ MIG/AXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
13
*1
❑
❑o
a
on
❑ *2
HEATING VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr w
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
Other
(describe)
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature cooling load BTU
*2 Submit T.I.P.S.E. chart or other approved ystem ( orm #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The ab ve building esign meets nts of
Title 24, Part 2, Chapter 2-53 of t e Calif9rnia Admin
KEY &.LAUGHLIN, INC.
CIVIL ENGINEERS
1646 POOLE BOULEVARD YUBA CITY. CA 95991
(916) 674-3481
&'4477 fl.41)
PROD EcTlaAw-v9fl. 'L,?, -i
By -DATE
CHECK DATE
SHEET / OF
M-
�1 CO iC l Cox �� z kA
All
-7 'A
ZYZ-
4--y «o) C9
TABLE 2-53U11. ALTERNATIVE COMPONENT PACKAGES FOR CLIMATE ZONE 11
BUILDING ENVELOPE
t
if
Insulation Minimums
I,}
• Ceiling
R 30
Wa111
sjlR11 (R5.0)
Slab Floor Perimeter
R 7
Raised Floor
R 11
Glazing
i
Maximum U Value
f�
0.65
Maximum Total Area
no requirement
Maximum Total Nonsouo
Facing Area
9.6% f
gas or heat
gas or heat
Minimum South Facing,
pump
Area
6.4%
Shading
{
f
B
R 30
R 19 (R 5.5)
`
(..R 7
R 19
0.65
14.0%
no requirement
no requirement
South Facing Glazing p! optimum !I optimum
overhangor ' overhang or
r 0.36 shding', 0.36 shading
coefficient '� coefficient
West Facing Glazing 0.36 shading; 0.36 shading
coefficient coefficient
Thermal Mass required ` not required
C
R 30 -
R 11 (R 4.0)
R 7
R 11 i
0.65
16.0%
no requirement
no requirement
optimum
overhang or
0.36 shading
coefficient
0.36 shading
coefficient
not required
Continuous Infiltration
Barrier
not required
not required
not required
Electrical Outlet Plate
Gaskets
not required
not required
not required
SPACE CONDITIONING SYSTEM
Heating System Type
gas or heat
gas or heat
gas or heat
pump
pump
pump
Air -to -Air Heat
Exghenger
not required
not required
not required
DOMESTIC WATER HEATING
SYSTEM TYPE
gas, heat pump,
gas, heat pump,
+
solar with gas
or solar with
or solar with
backup heat
any type of
any type of
backup heat
backup heat
1. The value in parentheses is the R -value for the entire wall assembly if.
the wall weight exceeds 40 pounds per square foot. The insulation must
be integral with or installed on the outside of the exterior mass. The
inside surface of the thermal mass, including plaster or gypsum Loard in
direct contact with the masonry wall, shall be exposed to the room air.
The exterior wall used to meet the R -value in parentheses cannot also be
used to meet the above thermal mass requirement.
2-46
C-51 BRC
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IL
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i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 /,/�`'_�/
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
27-31-07
ZONING
BUILDING PERMIT
OWNER
Delno Becker
TELEPHONE
-1908
SO, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
a e o
CONTRACTOR'S ARE
owner
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee @ 2 FEE
$ 20.00
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 30.00.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Palermo
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
SFKI Duplex❑ Mobilehome❑ Other conv cov porch to living
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work: _
1st renewal permit #3807-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V 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):
El am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$
and Professions Code and my license Is In full force and effect.
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 thig3pson
NEW CONST. DWELLING OCCUP.e ,
OR ADDNS. AGC, BLOGS. /20sgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20®50t
SALeso
Ex. OCCUp. OUTLETS (RESID )FIXED APPLNS. KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor '
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.
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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
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 toe er pon the above- boned property for inspection purposes.
I also Yee t save, ind ni _and keep harmless the County of Butte against
all li il'ties jud and expenses which may in any way accrue
I st i y n onse ence of the granting of it.
rf/
X Date f
ignotur o pplicant — Owner [IContraror ❑ Ag r ❑
An OSHA permit is required for excavations over "deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 30.00
OCCUP.
CONST.TYP!
FLOOD
PARCEL
PD
No
ISSUE
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 ave been paid.
ECT PURL RKS
By pate
PER E IBES Date 12-21-86
Receipt No. 6_/
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
— �L . —
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building -permit.' No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and aterials for construction of
the proposed property improvement (yes or do)
2. I (have/have not) signed an application for a building permit
for the proposed work. -
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I.have hired the following person
to coordinate, supervise, and provide the major work: -
Name
Address' City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Sign
Date f
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
",X.- .
COUNTY OF BUTTE
DEPT. OF PUBLIC WORKS
SEC 6 i985
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
i
PERMIT NO.
ASSESSOR PARCEL NUMBER
97-31-n7
ZONING
BUILDING PERMIT
OWNER
T)PI nn Rprki-r
TELEPHONE
9019
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'SN ME
nwninr
TELEPHONE
renewalermit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee 1F20-00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 30-00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
palinrmo
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 ak Duplex❑ Mobilehome❑ OtherBuilding
Gas piping system 1 - 5 outlets
5.00
sewer
Mobile Home S I G I W I
5.00
I 110-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 2nd— ri-eewal of permit #3907 84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
NTRACTORS LICENSE LAW
I declare under pens (check one):
rtyerjury
❑ 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. 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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for thi reason
NEW CONST. ( DWELLING OCCUP.tr 1/22SQft
OR ADDNS. C ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 2ALI 30
eL0
FIXED APPLNS. R
Ex. Occup. OUTLETS (RESID )EA.� 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
g
Permit Fee $
Contractor
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.
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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correc gree to comply to all County Ordinances and State Laws relating
to but ng co struction, and hereby authorize representatives of the Countyot
But to enter pon the ve-mentioned property for inspection pur oses.
t so a ret sa mnify and keep harmless the County of utte gainst
at Iia Ilitie g s, costs, and expenses which may in a wa accrue
in ty in nsequence of the granting of this permi .
Date 7
gnatuof Applicant — Owner Contractor ❑ Agent Ey
An OSHA permit is required for ex ov ions over 5'0" deep and d mol' ion or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 30.00
OCCUP.
CONST.TYPEJ
I
IFLOODIPARCELI
PD
I NO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
iRECT� PUB
By
PERMff EXPIRES Date 19
the applicable provi-
resolutions to do
fees have been paid.
�ORKS
Date
91_7o77
Receipt No.
WHITE-O.P.W., YELLOW-AS8E880R. PINK -INSPECTOR, GOLDENROD -APPLICANT
5
u° 0 3a
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally -plan to provide the major labor andterials for construction of
the proposed property imp ovement (yes or no)
2. I (have/have not) signed an applic.a ion for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Cont a tors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and v e the major work:
Name
Address City
Phone n r tors License No.
L
5. I will provide some of the work but I�ve contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Sigr
Date _�1 %
<G
NOTE: This Owner -Builder Verification is sent to you as required by'Sections 19831 and
19832 of the California Health and Safety Code. `
k, �.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
z;7;17 -
ASSESSOR
q4
ASSESSOR PARCEL NUMBER
27-31-07
ZONING
BUILDING PERMIT
OWNER
DELNO BE K R
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.0 B xlerMQ
CONTRACTOR'S AME
OWNER
TELEPHONE
3rd renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NnNF
VNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee FE
$ 20.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
8056 MELVINA AVE.
Permit fee
$
PLUMBING PERMIT
FllingFee 10.00
Each Trap
2.00
PALERMO
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 ❑ Duplex❑ Mobilehome❑ Other cony porchto living
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 3rd renpwal of pprmi t 418117-94
Und renewal 99790-86)
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 000V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penal y 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. Classification
ITS
❑ 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. ,
OR ADDNS. ( ACC. BLDGS. h2sgft
NEW CONSTR. I.OUTLET
NON.RESID BRANCH CIRC TS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
00001
EX. OCCUp OUTLETS OR FIXTURES pA 090
FIXED P(RESID )REA.D 2.00
OCCUp. E
EX. OUTLF
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
--K—WORKMEN'S COMPENSATION INSURANCE
I declare under p nalty 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.
❑ 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
Penult 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 County of
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 liabilities, judgments, costs, and expenses which may in any way accrue
Inst said County in consequence of the granting of this permit.
X Date
lynatura 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.
min
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 30.00
OCCUP.
CONST.TYPC
ISCHOOLIFLOODIPARczL
Pu
ND
Issue
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 tees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Dat® 12-21-88
Receipt No.
WNITC-D.P.W., YELLOW-A38CS3011. PINK-INSPCCTOR. GOLDENROD -APPLICANT
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