HomeMy WebLinkAbout028-073-010AP 28-073-10
NE Corner Palermo-Honcut Hwy. & Lower
`' Honcut. "Rd �, Honcut ,
.,
1 4
i 1
1
x
ms's
11/9/76
OWNER CHANGED MIND AND CAME IN THE NEXT MORNING BEFORE
DEPOSIT WAS DONE SO RETURNED HIS CHECK, VOIDED APPLICATION
AND XKRM RECEIPT.
Darlene
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center.Driver:. Uroville, California 95965 / //!%/6
Telephone: 534-4541 6 / .
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
Xza
Date ♦� T C.
$i nature ermitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector ant
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
Building permit expires Date
Date
BUILDING
Owner /
SQ. FT. OCC. BUILDING VALUATION
Mailing --Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
a
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $3.00
Each Trap 1,80
_
Repair drainage or vent piping
,.50
Water piping V/ 1:tt
245�
as water heater or vent/ 1.50
r
A. No. O ��� �!�
OF
Zoning &Planning
Gas pip g system 1 - 5 outl is
1.6d-
crIm
Each ad tional outlet .30
Fes';
VUC2' Sanitation F�reDept.
Fire Zone
Use Permit
Building ewer / 5r98
EQA Parking Parcel j Parcel Ma 60' R/W Im
Plans Declarati n P prove ents
Ions Recd Parcel Approval Plans Approva
awn sp nkler system
2.00
P it ee $
$ _'
NEW ❑ ADDITION UTILITIES,a OTHER E]PE
ELECT , CA
No.
@
FEE
FILING EE $3.00O
Main service s o AMR/ORSLESS c— 5.00
-
ain service' A. A D L 100 AMP
2.50
B—
Single Family Duplex Mobil Home ers El
ain service tooE P oR LESS 25.00
MU seNic� EA. DD'L 100 AMP 1.00
NEW CONST ( DW LING OCCUP. &
OR ADDNS \ AC • . BLDGS. )
2�sgft
NEW COP! r.FL ULTI.OUTLET
NON•RESI RANCH CIRCUITS) 2.50ea
NEW CO TR. OWER APPARATUS &
NON-R.E D. SINGLE OUTLET CIR.
CONTRA ORS LIC SE LAW
1 am licensed under the rovisions of apter 9, D Je
State of California Busin s & Profession Code and a
style of:
Ex./CUp 'OUTLETS OR FIXTURES) BAL@�1
FIXED APPLNS.
Ex. CC . (OUTLETS ((RESID )REA) 2.00
Te por y service 10.00
bile ome Facilities 15.00
;,4
License No. Classification
f iso • firing 6.25
I am exempt from the Contractors icense Laws of the StateCalifornia.
Per it Fee
$•
e3 Y01
WORKMEN'S COMPEN TION INSURANC
1 am aware of the provisions of Sectio 700 of the Californ' Labor
Code which requires every employer to insured against iability
for Workmen's Compensation.
❑ I have placed on file with the County of, tte a c ificate o
Workmen's Compensation Insurance.
I certify that in the performance of the work for which t s
permit is issued I shall not employ any person in any man r
so as to become subject to the Workmen's Compensation Law of
California.
I
MECHANICAL
No.
@
FEE
RMIT FILING FEE $3.00
eating
%Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the a ove
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
8_1W
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
Xza
Date ♦� T C.
$i nature ermitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector ant
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
Building permit expires Date
Date
Owner:
Addres
Tenant:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Building Location:
Type of Inspection requested:
A. P. #
Date of Inspection
Inspector �G�ivli1
/ / 1. Housing / / 2. Financing •-/ 3. Change of Occupancy to
4. Other (specify)
Present use of building: 0;71_4�
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot,and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation: '
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of 'insects, vermin,•or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction: c,[�
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6, Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments•
D. Plumbin
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments•
(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments•
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1.. .Prlem or violation (give complete desiptioi� :
2. What action taken (give complete descript
3.
wnat action recommended:
A. Information only - file.
/ / B. Hold for ten (10) days, then write letter.
/ / C. Write letter.
7 D. Other: