HomeMy WebLinkAbout028-020-05628-02-56 <
R089RT RICHARDSON
4 N/8 Central House Rd, app 450' W
of RR tracks, Oroville
Permit #94-77 ,M(gas piping for
furnace) SF'��
28-02-56
Permit #2130=77B(addition/SF)
028-020-056 04-2347
TEESDALE, RAY
771 CENTRAL HOUSE, OROVIL
CONT: A/C ELECTRIC
SERVICE PANEL REPLACE
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
.WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042347
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/12/2004 APN: 028-020-056-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 771 CENTRAL HOUSE RD HON
Map Index:
Date: Contractor:
Description: REPLACE SVC PANEL
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5 ,
Business and Professions Code: Any', city or county which requires a
Owner: RAY TEESDALE
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the apiplicant for such permit to file a
771 CENTRAL HOUSE RD
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95965
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the I work, and the structure is not
intended or offered for sale (Sec.1 7044, Business and Professions
Applicant: RAY TEESDALE
Code: The Contractors' State License Law does not apply to an
771 CENTRAL HOUSE RD
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
OROVILLE, CA
provided that such improvements are not intended or offered for
95965
sale. If however, the building or improvements are sold within one
year of completion, - the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
0/ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: A I C ELECTRIC
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Stat i License Law.).
286 WHITE AVE
CHICO, CA 95926
LII am Exempt under Article 3 of the Business and Prof ssi ns Code
(530) 899-7489
Date: v (7t 5
Owner: �Z
License #: 817674
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perlury�one of the following declarations:
I
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code• for the performance of the work for which this permit
Architect:
is issued. I
Engineer:
E31 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
I
insurance carrier and policy num ler are:
Carrier:
Total Square Ft: 0 S.F.
Valuation: $0.00
I
Policy #:
�
Census Code: —
Qr/ I certify that in the performance of the work for which this permit is
I OFFICE COPY
issued, I shall not employ any in any manner so as to
(person
become subject to the ' compensation laws of California.
workers
t
and agree that if I should become subject to the workers'
Address
compensation provisions of Section 3700 of the Labor Code, I shall
I
forthwith comply with those provisions.
I
Date:
GAS Date y
Meter By
ELECTRIC �
EDOi'e r /
t Meter By
Applicant:
I
Q
i
WARNING: Failure to secure workers'
unlawful, and shall subject an employer
compensation coverage is
to criminal penalties and one
-
i --- -- ---
hundred thousand dollars ($100,000),
in addition to the cost of
compensation, damages as provided
in Section 3706 of the Labor
t
code, interest, and attorney's fees.
(for
1 I
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Brrtte County Coda and/Or
I hereby affirm_ that there is a construction lending• agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.i
Resolutions to do i dicated above for which fees have been paid.
- CZ
By: Date:
Name:
)
C�
Address: (
PERMIT EXPIRES ON: /
Date
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
13 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte Coul ty to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date: t'4 VG,
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042347
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/12/2004 APN: 028-020-056-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 771 CENTRAL HOUSE RD HON
Date: Contractor:
Map Index:
Description: REPLACE SVC PANEL
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: RAY TEESDALE
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
771 CENTRAL HOUSE RD
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95965
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: RAY TEESDALE
Code: The Contractors' State License Law does not apply to an
771 CENTRAL HOUSE RD
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
OROVILLE, CA
provided that such improvements are not intended or offered for
95965
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
8d I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: A I C ELECTRIC
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects .with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
286 WHITE AVE
D 1 am Exempt under Article 3 of the Business and Prof ssi ns Code
CHICO, CA 95926
(530) 899-7489
Date: 0 Owner: / _ '�
License #: 817674
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
d
Census Code:
Policy n:
—
U / I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
11D
Date: g3
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code a.,nrvor
I hereby affirm that -there is a construction. lending -agency for the,
Resolutions to do N c i dicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)_
-0
Name:
By. _.__ �/ � Date:
)
6�
Address:
PERMIT EXPIRES ON:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25537 and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: �7 !/�7 i�/%�.G Signature: %
Date:
Owner 13 Contractor ❑ Agent for Owner 13 Agent for Contractor
F
0
a'
0
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
a 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT SIGN TURF
X
For office use only:
OWNER
Last Name
Name
irst Name
Address
City O1_0U1 _
2t u ,
State��
Zip
Phone 3 , 23
4F,
Fax
E-mail
Fax
APPLICANT SIGN TURF
X
For office use only:
CONTRACTOR
Name
Name
L-�
n C)
!/ zz
Address O
State
2t u ,
City
Fax
State CA
Zip 3
1
Phone 8
Planner
Fax
E-mail
Lic. #
Class
APPLICANT SIGN TURF
X
For office use only:
ARCHITECT/ENGINEER
Name
,
ZZ 0A C
Address
n C)
!/ zz
City
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT SIGN TURF
X
For office use only:
APPLICANT NAME
Name
,
ZZ 0A C
Address
n C)
!/ zz
City
No
State G�
Zip
Phone
Book
Fax
E-mail
Planner
APPLICANT SIGN TURF
X
For office use only:
Zoning
Property Address /
H -
Flood Zone
Cross Street
SRA
Yes
No
Occ. I
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
2,�q-
BRo
BIN #
LOCATION
AP#
0
Property Address /
H -
City
%� l
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
t &— zl-ad ce,c
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST. FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
I I Received by: +.� Amount: $110-- Bldg I I
SRA
Receipt #: 4- 12a� Sheriff
SMIP
Date: Other
Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND I7V INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations. '
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑
1.
4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
4.
Letter from Engineer or Architect for truss design review.
❑
5.
2 Energy compliance design and supporting documentation (if required).
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Statement of Intent for Non -heated and A/C (if required).
❑
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑
9.
Letter of intent.
❑
10.
Hazardous Material Form.
❑
11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
:AFORMSWILDING F0RMS1BIdgApp1SubRgmts.d0c Page 2 of 2 REV 6-16-04
W
PRE -INSPECTION REPORT
OWNER: DATE:
LOCATION: 771 C-r� c �rrzo A.P. # o�g • oao oslo
CONTRACTOR:* ZONING:
REASON FOR PRE -INSPECTION C—'
tic, s-r�
DATE TO INSPECTOR: 6 9 PERMIT HISTORY ( ) NONE ( v)SEE ATTACHED
BUILDING INSPECTOR'S REPORT
Building Description:
CommerciaWsage: _
Residential # of Units:
Currently Occupied
AbandonedNacant:
Electric:
Electric Currently
Condition of Electric
Mobile home # of Units:
('Yes ( ) No
On O Off
Gas:
Currently ( ) On
Condition
Sanitation:
Plumbing Worldng ( ) Yes
Obvious Sewage Problems ( ) Yes
i
ACTION RECOMMENDED:
Hold for permits or verify: _
( ) Off
( )N6
( ) No
ISSUE . Yes O No
Inspector• Date- �o
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
' A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT SIGNATURE
— z
X 4�
For office use only:
OWNER
Last Name —r
�Z
Name
irst Name
Address
Address
City�
u '
State
Phone
Phone
Zip X15 `7 7
Fax
E-mail
Fax
APPLICANT SIGNATURE
— z
X 4�
For office use only:
CONTRACTOR
Name
Name
LZL=
C
Address
G u!u
u '
City
Phone
State G�
Zip X15 `7 7
Phone
Planner
Fax
E-mail
Lic. #
Class
APPLICANT SIGNATURE
— z
X 4�
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
C) So
City
State
Zip
Phone
Book
Fax \
E-mail
Planner
State License Number
APPLICANT SIGNATURE
— z
X 4�
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
C) So
City
State
4
Zip
� f
Phone
Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
— z
X 4�
For office use only:
Zoning
Property Address
?-?� / l L
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR St1RMITTAL-REDUIREMENTS
PERMIT
NO.
BP
BIN #
LOCATION
AN
Property Address
?-?� / l L
City
Ci C�vG
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Liv E � Q .• �� � ct`
T
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
i
II Received by: +_eM Amount: $110-- Bldg . I I
SRA
Receipt #: Sheriff
SMIP
Date: Other
Total
28-02-56'1
i ROBERT RICHARDSON
i NIS Central House Rd, app 450' W. e
of RR tracks, Oroville `
c Permit #94-77 ,M-(Agas piping for
_furnace) SF�e�!'
,_ d �:''• r5 t �` 28-02-56 j
F rmit #2130-77B(addition/SF) ' +
41
4 00
r
1
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEV51-OPMIENT SERVICES
411 Main Street • Chico, Cj- (530) 891-2751
7 County Center Drive - Oroville, CA x(530) 538-7541
i
CORRECTIOIV'NOTICE
" OWNER
-z5(:�/7
PERMIT NO.
A routine inspection indicates that the,following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
I
ntv Iuial
PERMIT NO. 2130-77B
EE �
PERMIT EXPIRES
OWNER Robert E, Richardson
CONTR. owner,
LOCATION (A.P. 28-02-56
N/S Central House RL, app.2 mi.E.of Lone Tree
Rd., Oroville
f
t
{ j
Temp. Power Pole
Called PG&E
Temp-Elec. Serv.
Called PG&E
Temp. Gas Serv.
7Caled PG&E
JO
VON ALED (Date)
(Signa ure)
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
UILDING BUILDING (Cont'd)
PLUMBING j
Firewall /
Soil Piping
Parapets
Ist Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out \ f
` Roof Sheathing,
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures )
Garage Vents /
Insulation
Water Htr. \ '
Heaters f
Prov. for physically
handicapped
Conformance of ex.
structure / ,,,
Appllances
Gas Piping & Test
Temp. Gas
Final _ter' -�.
Sanitation
FIREPLACE
Final
A- Footinq ,
ELECT ICAL
Reinf. Steel
Final
Fixtures
Bond Beam 7i'
FIRE RINKLERS
Motors
Framing 4zzz &Z
Test
Water Htr.
Stucco v /
Final
Subpanels
Mesh
MECH NICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown Y
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath 7
Ventilation
Permanent
Door Closer
Final )'
Final
MOBILEHOME UT.IOTIES--- A ------------- -
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage /
Gas Piping j
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE_ v D&PARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auuw�icc icln cOUII GIIVV,? UI 111tJ I,UUIILY UI DUMC IU CALCI UPUII the
above-mentioned property for inspection purposes.
,__1 X o�l,(G Date
Signature of Permitee or Agent
Receipt No. / �1 3c
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOV PUBLIC WORKS
BY �� Date , C / 1 — 77
ilding permit expires Date S—f
BUILDING
Owner S•
SO. FT. OCC. BUILDING VALUATION
Mailing Address r
D U I
el hone
Fireplace
ContractorTotal
Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
IL bir
Building AddressS
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
t
Each Trap 1.50
tA /r
i•
Repair drainage or vent piping 1.50
Water piping 1.50
NO w ffe
Each gas water heater or vent 1.50
A. P. No.Zoning
O� ��
& Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fee kT
W. .
Sa i o
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EGA
Parking I Parcel
Plans Declar n
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd 4a cel Approval I
PI pproval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
U U `e j/ .eY,(S' tal
Main service 10001 OR 0 AMP ORLESS5.00
S
Main service EA. ADD -L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
60
Main service 1100EAMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. \ DWELLING
ACC. BLDGS-CCUP. &) 20sgft
NEW CONST R. MULTI.OUTLET
NON -RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON -RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
• Y
Ex. Occup(OUTLETS OR FIXTURES) 50BAL0101
Ex. Occu FIXED APP LNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
FT
m exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1:1 I have placed on file with the County of Butte a certificate of
��n Compensation Insurance.
hat in the performance of the work for which this
1-14 pssued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
auuw�icc icln cOUII GIIVV,? UI 111tJ I,UUIILY UI DUMC IU CALCI UPUII the
above-mentioned property for inspection purposes.
,__1 X o�l,(G Date
Signature of Permitee or Agent
Receipt No. / �1 3c
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOV PUBLIC WORKS
BY �� Date , C / 1 — 77
ilding permit expires Date S—f
✓, ti r�� tis w 'F �. j ;.mss
r, � ,Y�' �' er V � �' ►.. r . ,� jjj � � r, t� r s 7ti9 �.ro
�r3
a�
i
4
COUNTY OF BUTTE-. — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 7
• APPLICATION AND PERMIT
OULIV[ _v ICf11CJCIILCIUVCS UI ule L,vuniy or twtte to enter upon ine
above-mentioned property for inspection purposes.
X r' c . l�s� .r�r�. z- Date
Signature of Permitee or Agent
Receipt No. 2 �; 3 , 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By -E)o �l A�_.S Date
-Building-permit expires Date
BUILDING
Owner r �t� �" CO
SQ. FT. OCC. BUILDING VALUATION
Mai I ing Address
Telephone
oNJ %
Fireplace
Contractor/ 3-
l 1
Total Valuation
w fsf '
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building Address 4 �ev, tep I • o1 S
/fh Tye, :- fc
) PLUMBING No. @ FEE
sPIERMIT FILING FEE $3.00 �.
Each Trap 1.50
�)ro V j j
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. � � U� .- �
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans -RecA -1
Parcel Approval
Plans Approval
Permit Fee $ L)( 5`.1
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
tl �UYhLttiee '>l l�%K 1/f C�Q
OI y! 1►1 c dY C
Main service 100v OR LESS
100 AMP OR LE55 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 10 EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADONST /DWELLING ACCBDGS. UP. &\ 20 sq ft
I
NEW CONSTR. MULTI -OUTLET
NON-RESID. % BRANCH CIRCUITS) 2.50ea
NEW CONST. POWER APPARATUS &)
NON-RESIR
D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)50 @25¢
BAL@1
Ex. Occu FIXED APP LNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
�❑'l am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensationylnsurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating p
"
Cooling
Ventilation
Hood 2.00
Permit Fee $ r%
,
$
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
TOTAL PERMIT FEE
$
OULIV[ _v ICf11CJCIILCIUVCS UI ule L,vuniy or twtte to enter upon ine
above-mentioned property for inspection purposes.
X r' c . l�s� .r�r�. z- Date
Signature of Permitee or Agent
Receipt No. 2 �; 3 , 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By -E)o �l A�_.S Date
-Building-permit expires Date
COUNTY OF BUTTE - . DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, Caiiforniat)5965
Telephone: 534-4541
APPLICATION AND PERMIT
au t orize representat(ves of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X —Date✓/..�..��.>~.
Signature of Permiteeeoor Agent
Receipt No. z�6- 3- C 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR CT R OF R BLIC WORKS
BY ur l Date _ _
�y�
—B+l iug—permit expires Date re
BUILDING
Owner
iC. ,off
SQ. FT. OCC. BUILDING VALUATION
Mailing Address so z x
Fireplace
Contractor 7 3—`�8 �s
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address ��� O
PLUMBING No. @ FEE
FIiERMIT FILING FEE $3.00
Aq
Each Trap 1.50
O Vt 102
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50 Q
Each additional outlet .30
Fe s
W.
n Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
provements
Improvements
Lawn sprinkler system 2.00
-43i44?!^=_R.c-d--
Parcel Approval
Plans Approval
Permit Fee $fj
S
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
�"
l" 1 V� yte� C,Q
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ( DACCLBLDGLING OCCUP. &) 22 sq ft
NEW CONSTR. MULTI -OUTLET
NO N.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON RES,D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) LL.1
BAL@1
OCCUP•(FIXED APPLNS.
2•00. ' OR
O .
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 3,60
Heating Q i0'O
Cooling
Ventilation
Hood 2.00
Permit Fee $ r o -V
$ pC
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
h
TOTAL PERMIT FEE
$
au t orize representat(ves of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X —Date✓/..�..��.>~.
Signature of Permiteeeoor Agent
Receipt No. z�6- 3- C 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR CT R OF R BLIC WORKS
BY ur l Date _ _
�y�
—B+l iug—permit expires Date re