HomeMy WebLinkAbout028-140-010jr _ ..
AP 28-14-10 . �-
r ` Roy D. Brown ` ---- - - --
28
x .._..�.,. .._. -14-10 .,
s "Tennessee Lane approx. 1%2�mi. Ag exemption permit
450-88 fork
rr, y south of Marysville -LaPorte -Rd., storage g 64� hay & grain ;
Bangor
(INSPECTION MADE FOR CONVERSION OF
i BARN TO LIVING QUARTERS - see report
and letter)
- 2u-14-10
Permit #3762-76B,P,EXconv. 'barn to ' "T
dwelling unit/SFS �;• / /�� JY/ z
28-14-10
Permit #3763-76$,P,E(new cabin for
sleeping purpo e) ---_^
itk4l__Gt13��%r._.�;,.
_.28-14-10:'=
Per m I t #$5144--- .--RENEWAL/.'
2-
37676)�
28-14-1041
Permit ��5819-7o8B(2nd renewal for perm'
J
#3762-76)
.a
+� Permit#5958-79B(3rd re,-ewa�1)
28- 10
;. Permit##5003-8th renewal/3762-
76)SF
-F .
Pte. . mit##3704-81B(5th renewal)SF ,,
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9 � - ,
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT N
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO. _ I
ZONING 4s
OWNER
V) (b
PHONE NO.
q
OWNER' DR
1.�o- t a� i
LOCATION OF BUI NG
USE OF BU!NG
SIZE OF STRUCTURE
u X
SQ. FT.
TYPE OF CONSTRUCTI
WOOD FRAME V STEEL CONCRETE OTHER (Specify)
TYPE OF $IDING�
ROOF COVERIN s
FLOOD RQTYPE7A
L4�
ESTIMATED ICOST OF CONSTRUCTION
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:/ ✓1
✓a+� `�
e— r .
J
FRONT SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10. feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date^� CZ d Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. ) (D DC) 4 Director of Public Works
By Date �� �3 'y
White -DPW, Yellow -Assessor, Pink - 8.1., Go'denrod -Applicant
COUNTY OF BUTTE - DEPARTMENT OFAPUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.,
OWNER/'
C7 YUI� ►'� _A. P..No. gPO +(4 D
Proposed Building Use pl, Building Inspector Date C9
At time of permit application, I was advised the following data must be submitted prior to permit processing
and1or 'S'SUanCe: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5.. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
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 owner, Mail to owner ❑.)
_15. Improvements may be required. . . . . . . . . . . ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at -off ice, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
lo -- Rc�
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_-jnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
z
i§ PERMIT NO. 3763-76B,P,E
' I
PERMIT EXPIRES U ��
1OWNER Roy D. Brown
CONTR. owner
LOCATION (A.P. 28-1+-10
E/S Tennessee Ln.,app. k mi..S.of Marysville -
LaPorte Rd., Bangor
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Ga�erv.
Called PG&E
,los
FINALED
(Date)
(Signature)
4,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION' RECORD
BUILDING BUILDING (Cont'd) PLUMBING.
Setback 4zFirewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings 3 Windows 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
StemwaI I Insulation Heaters
Slab Prov. forphysically Appliances
handlca ed
Carport Conformance of ex. Gas Piping & Teste2. 3 �%
Footings structure 4 Az Temp. Gas
Slab Final Sanitation
Patio FIREPLAC Final 5;2, �' 2
Footings Footing ELECTRICAL
Masonry WallsThroat Rough
Relnf. Steel Final Fixtures
Bond Beam FIRE SPR KLERS Motors
Framin g Test Water Htr.
Stucco Final V Subpanels
Mesh mEAHANICAL Grd. Fault Prot.
Scratch Heatinq Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final I
DATE REMARKS OR CORREC IONS
OF
(NOTE: An entry must be made on this form each time you visit the job site.)
711
`, COUNTY OF BUTTE—4'6EIJARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 /`J/ _7/
Telephone: 534`-4541 (�
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date —
Signature of ermitee or Agent
Receipt No. q �'
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 F�DBLIC WORKS
By t Date 2
tiding permit expires Date
BUILDING
Owner ?O T r0 t.,y AJ
SQ. FT. OCC. BUILDING VALUATION
kZp. 00
Mai I i ng Address I T, 0 Q o 1 f Z
o H Go rr
Telephone No.
G/ •— 23 i7
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee 34. o J
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ 6.0o
3410
Building Address A777;� A, A,1 e-ssXN A Pip flok
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 �.aa
•-E— Mites 501474 D 9- /A A r V,3 V. L i v0 P., r'T—
Each Trap 1.50
A v'
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N �— I — / o
Zoning 8 Planning
Gas piping system 1 -5 outlets 1.50 I.j o
Each additional outlet .30
FLP4S ion Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Im
Plans Declaration P prove nts
Building sewer 5.00
Lawn sprinkler system 2.00
Parcel ApKroval
Plans pprovol
Permit Fee $ 14-50
q5 -c
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,00
Main service 800V OR 000 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ®
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
' ✓ SL e p , ►.� G P to r pOc-,,
NEW CONST. ( DWELLING O + ��
OR ADDNS. ACC. BLDGS..1 dd & ) 2¢syft
NEW CONSTR. MULTI -OUTLET
NON.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)50 @250
100
Ex. Occup.( OUTLETSXED P(RESID)REA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 164 7 S
$ ID 7 5-
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.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
IQI 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
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
$
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
$ Jrl a�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date —
Signature of ermitee or Agent
Receipt No. q �'
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 F�DBLIC WORKS
By t Date 2
tiding permit expires Date
w
r
l
July 1, 1976
Ray D. Brown
RE `-Building ' Permit
P.O. Box 124 , • ,(28-1440)
Bangor, CA: 95914
Dear Mr, Brown: c `
With reference to'the above•subject and your discussion with our building`irispector,
Dennis Hunt, concerning the conversion of a portion'of the barn into living quarters,
below is a list of items which must be done prior to _occupancy of the structure:
A. Contact the Butte, County •Health Depaitmeint %and obtain sanitation .pexaAti i' ,
i„ L, "and approvals and connect 'all plumbing fixtures to this sycem.
2: PSubmit two (2) complete sets of plans to this office showing complete
situctural details, plot,-plans-and floor?'p,lans,. and apply for the '
required permits' for 'coaversion of the poiction 'of a barn to livixig
fr area.
' • '3. All plumbing, electrical,, mechanical;, anl..structural work must conform
. 4 ; to codes. ltems,we..are-aware -of that need ,correction are. as, follows.-
G. iI A. Provide-potable Vater. i'•
B. Provide drain to outside on water heater relief valve:,
C. Provide proper-flue for''small gas heater:'
t S_� D. Provide natural-light and ventilation iniall rooms, per "cdde:
�. E. Provide second exit out of bedroom.',
F. General electric cleanup required: ;`Seirvice appears over
exposed romex�type wiring. Provide proper grounding;'splices
must be made in-approved junction boxes: • Provide dead 'front on '
service panel Provide kitchen appliance circuits; air'coiidi=
tioning unit not piroperly wired:'-;. '
G. Replace 3/8" copper gas tubing with approved material.
H. Provide smoke detector in access to bedroom.
In addition to the above items, concerning the living unit, a building permit is also
requited for the 16x20 shop which has been constructed:
j
. r--- --"
FILE NO
BUTTE COUNTY I (For Action 1, 2, 3)
Public Works Dept. (For Informations/)
Director
` ' 4
_ Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits -
Sub. Checking
Right of War
r
-.
F4 �.
Roy D. Brown
RE: Building Permit (AP 28-14-10)
July 1, 1976
Page 2
Please advise this office of your intentions concerning this matter.
Should you have any questions concerning this matter, please contact us..
Yours very truly,
t. ,Clay,Castleberry
Director of Public Works
-Glander
JFG:dd. Assistant, Director
cd' EnVitorzmental Hdalth, Oro;rdle
j
�a
Owner:
Addres
Tenant:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Building Location:
A. P. # Z(3-
Date of Insp/e�ction 61.R
Inspector
Type of Inspection requested: '
/ / 1. Housing / / 2. Financing[ 3. Change of Occupancy to S
1,/ 4. Other (specify)
t use of buildir
B. Structural
1. Piers and footings:
2. Floor construction: -
3. Wall construction:�s.e.
4. Ceiling and roof construction:
5. Fireplaces: `
6. Comments:
C. Electrical '2 � SP,. 3--200- SP
1. Service and ground: / P �Oet, a-o� �-3ost oz o '2
2. Receptacles:
3. Fusing:
4. Commets_ • . _ _ , _
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heatingnts:
, 4. Comments:
(continued on back)
O
A. Sanitation
(Housing)imc,�c��
1.
Water closet:sag,-4
2.
Lavatory:
3.
Bathtub or shower:
4.
Kitchen Kitchen sink:
5.
Hot and coldate to fixtures:
u/ o
6.
Heating fac it it i • W
•- -- �•
7.
Natural light and ventilation:
8.
Room and space requirements:
9.
Bedroom window or door for second exit:'
10.
Infestation of insects, vermin,
o, rodents:
11.
Connection to sewage disposal:
12.
Connection to water supply:
13.
Rubbish and garbage facilities:
14..
Comments: A
B. Structural
1. Piers and footings:
2. Floor construction: -
3. Wall construction:�s.e.
4. Ceiling and roof construction:
5. Fireplaces: `
6. Comments:
C. Electrical '2 � SP,. 3--200- SP
1. Service and ground: / P �Oet, a-o� �-3ost oz o '2
2. Receptacles:
3. Fusing:
4. Commets_ • . _ _ , _
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heatingnts:
, 4. Comments:
(continued on back)
- w
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. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
T A. Information only - file.
B. Hold for ten (10) days, then write letter.
x 7 / C. Write letter.
7 D. Other:
Pte, �.•c� �� q' '
7--�_ 7 (=�
i I
1 _ _ • `;,�;J= '-'PE�iMIT NO. 3762-76B_,P,E
PERMIT EXPIRES ,yzl�
+KtOWNER Roy D. Brown
' r CONTR. owner
'! 4 LOCATION (A.P. 2$-14-10 )
' E/S Teneeeee Ln.,app.2 mi.S.of Marysville -La
Porte .Rd. , Bangor
•M . C
{ Temp. Power Pole
- r
Called PG&E
Temp. Elea Serv.
•' �, Called PG&E
Temp. Gas Serv.
7 FS Called PG&E ' +
JOB_
- FINALED
•r' , (lfignature
1� COUNTY,OF BUTTE — DEPARTMENT OF'.PU'BLIC WORKS 1
BUILDING INSPECTION RECORD
DATE REMARKS OR CORRECTIONS
,�
�/"0 'v/ o -t . 0+2t
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback %-f
Firewall —
Soil Piping .
Forms -
% I
Para ets
1st Floor —�%- 9
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
oor
Stemwall
Sidin
-opout —210 �-
Slab
Roof Sheathing All
Water PipingCv-�-
Piers
Roofing
Sewer l/
Garage
Fdn. Vents
Fixtures ✓
Footings
Stemwall
Garage Vents
Insulatio — -g7_
Water Htr.
Heaters ✓
Slab
Carport
Footings
rov. or phsIcaIIy
handicappedy
Conformance of ex.
structure
Appliances
Gas Piping &Test✓
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final 2-
Footings
Footin s
Footing
ELECTRIC
Masonry Walls
Throat
Rough 3
Reinf. Steel
Final
Fixtures z�
Bond Beam
FIRE SPRINKLERS
Motors
Framing -►
Test
Water Htr.
Stucco
Final
anel '—
Mesh
MECHANICAL
Grd. Fault Prot.2 -
Scratch
Heatin
ervi Z
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
-2 ��
Ventilation
Permanent
Door Closer
Final
Final �2-
DATE REMARKS OR CORRECTIONS
,�
�/"0 'v/ o -t . 0+2t
(NOTE: An entry must be made on this form each time you visit the job site.)
JKI
July 1,..1976
Roy D. Brown �\ RE:. Building Permit
P.O. Box 124 <25�1410)
Bangor, CA, 95914
Dean Mr.. Brown:
With reference -to the above subject and yo= discussion with our'building inspector,.
Dennis Hunt, concerning the conversion. of a portion of the barn into living quarters,
below is a� list of items which merit be done prior to occupancy of. the structure:
1. Contact the Butte Countyliealth Department and obtain sanitation.permits-
and approvals and connect all plumbing fixtures to this syrtem.
2. Submit two (2) complete sets of plans to this office shoring complete
structural details, plot plans and floor plans, and apply for the
required permits for.conversion of the portion of a barn to living.
area.
3.. All plumbing) electrical, mechanical, and structural work must conform
to codes. Items we are aware of that need correction are as follows:
A. Provide potable water.
B. Provide drain to outside on water heater .relief valve.
C. Provide proper flue for small gals. heattero
D. Provide natural light and ventilation in all rooms per code.
E. Provide second exit out of bedroom..
F. General electric cleanup required. Service appears overloaded;
exposed romex-type-wiring. Provide proper grounding; splices.
must be made in approved junction boxes:. Provide dead front on
service panel. Provide kitchen appliance circuits; air condi-
tioning unit not properly wired.
G. -Replace 3/8" copper gas tubing with approved material.
H. Provide smoke detector in access to bedroom.
In addition to the above items, concerning the living unit, a, building permit is also
required for the 16x20 shop which has been constructed.
•
f
�_.�
jwner:
Addres
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Tenant• '
Building Location:
Type of Inspection requested:
A. P.. #
Date of Insp/e/ction 2
Inspector
1. Housing / / 2. Financing 3. Change of Occupancy to C7 5
/./ 4. Other (specify)
t use of building.-,!?,--" z9.
B. Structural V a '�X z/V
1. Piers 'and footings
2. Floor construction
3. Wall construction:
4. Ceiling and roof c
5. Fireplaces:
6. Comments• -
C. Electrical
1. Service and ground:_.
2. Receptacles:
3. Fusing:
4. Commextt_s • /vul
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heatingnts:
4. Comments: A -i",
(continued on back)
A. Sanitation
(Housing)
1.
Water closet: ,_%,:�-O
2.
Lavatory:
3.
Bathtub or.shower:
4.
Kitchen sink: r/ e
5.
Hot and cold watex tofixtures:
6.
Heating facititi s• `zg,�-
7.
Natural light and venfilation:
8.
Room and space requirements:
9.
Bedroom window or door for second exit:,' x X
10.
Infestation of insects, vermin,
rodents:
11.
.v
Connection to sewage disposal:.
12.
Connection to water supply:
13.
Rubbish and garbage facilities:
14.
Comments:
B. Structural V a '�X z/V
1. Piers 'and footings
2. Floor construction
3. Wall construction:
4. Ceiling and roof c
5. Fireplaces:
6. Comments• -
C. Electrical
1. Service and ground:_.
2. Receptacles:
3. Fusing:
4. Commextt_s • /vul
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heatingnts:
4. Comments: A -i",
(continued on back)
E Other----,'
1. laffft'enan6e 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'. Problem or violation (give...c.omplete de87cription)
2.. What action taken (give complete description):
3. -What action recommended:
A. Information only file.
B. Hold -for ten (10). days,. then write letter.
757 C. Write letter.
D. -Other:
V160
7-,/_ 7 C.
11
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way,'Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BADING OR PROPERTY ADDRESS
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 expogation, 'please contact this office immediately.
M!M�Vjyl I —
ir pjjjjii�
FBI VP rAk
0
V
PV
Date
lnspecto,��-
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
A APPLICATION AND PERMIT
ASS ESSOF76 Ci%N ,
�`J(( r/o
ZONI N 57 �l'�"
BUILDING PERMIT
w hY - nom'' I
--ph y
/vlJ
ELEPHONE
SQ. FT. OCC: BUILDING VALUATION
OWN• RO'S. 2A ING ADD SS4J
�� O� �S
/L�•®�V
CONTRACTOR'S NAME
•/
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee fj
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ , Qa
BUILDI G ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
V — ��
Each Trap
2.00
Repair drainage or vent piping
5.00
15
Water piping
LOT NO.
SUBDIVISION NAME • PARCEL M P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Vqmodel ❑ LIti lities ❑ Installation ❑ Other
Describe work: �7 Eu!�"L OF
t.3 i6 Z 7�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
O / foog -So
R�/
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. /DWELLING OCCUP.ei/
OR ADDNS. l ACC. BLDGS. �
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
`
License No. 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 TI.OU LET 2,50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR POWER APPARATUS tr
NON .RES I D. (SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES a � �
00
FIXED APPLNS. OR
Ex. Occup.
P' OUTLETS (REBID,) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Penult 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.
j� I shall not employ any person in any manner so as to become subject
j` 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
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.
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
against said County in consequence of the granting of this permit.
X ` �pj� Date 7 o� 7 ^ g�
Signature of Applicant — Owner ,% Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ OO
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions the Butte County Code and/or
wor in icate abve for which
D RE TOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
.
Date — Z%4
/D —�_ 9�
/3
�(a Zy'
Receipt No. 6
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
p 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-451
• APPLICATION AND PERMITyv
ASSESSO�3 P99EL/MBER
Z§__ /ZJ�b
ZONI G
BUILDING PERMIT 1600
OW 0 7 Z/- � /v A)
j"E� V77
SO. FT. OCC. BUILDING VALUATION
O Wy,€R MAI LIp�G p. ES$�2G/ t� 0�E�[�
,
C TRACTOR' NA E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDE
UNKNOWN
Fireplace
Total Valuation
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING .ADDRESS
Permit fee
$ Q
BUILDI G ADDRESS . , /
#ESS45E , CCPR, M /
s &Al
PLUMBING PERMIT
Filing Fee 3.00
4 tooPa
/TFT /'' w XL)'
Each Trap
2.00
Repair drainage or vent piping
2.00
8yA)1f o&._
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
++
TYPE OF WORK
New ❑ Addition Aemodel ❑ UtilitiesI allatio ❑ Other
Describe work: �• 1����2~7�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OROR LESS5.00
/, e. l� (��
moo[ /t/ `� O
Main service EA. ADD'L 100 AMP
2.50
ONEW R ADDNST ( DWELING ACCLBLDGOCCUP.&) S.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 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
NON-RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR.POWER APPARATUS 8
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETs OR FIXTURES
BAL@100
FIXED APPLNS. OR
Ex. (OUTLETS (RESID,) EA.)
2.00
-Occup.
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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
2.00
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
against said County in consequence of the granting of this permit.
X JO _ _ ��
Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $ 7 •W
OcCUP. GROUP
TYPE OF CONST.
PARCEL
PD
I HD
ssuE
This mit is hereby issued under the applicable provi-
si s o the Butte County Code and/or resolutions to do
rk i "ca ab ve for which fees have been paid.
�TOELOF PUBLIC WORKS
�
By �Date
PERMIT EXPIRES Date /oma 5 `�+ f
Receipt No. p v
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 ��jj (^_p
Telephone: 534-4541 �6I/ J
APPLICATION AND PERMIT ? I Q
autnonze representatives oT the county or buile to enter upon the
above-mentioned property for inspection purposes.
X �Date
Signature of Per 'tee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This qermit is hereby issued under the applicable provisions of
the B tte County Coe and/or resolutions to do work indicated
abo7W,IiIaT"OA
hhave been paid.
OF PUBLIC WORKS
/or Date 7 2L-�
Building permit expires Date 10-5-0
BUILDING
Owner )COY Zi, .610oW v
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address P O• Bo X 1 Z 4
ISAAJ Oelot GA Q�Vi4
�l °r 77
Contractor O(, W Ele-
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee X y 6T,ov
Building Address EAS7 DJAJ S&EjeLII./o
Plan Checking Fee&/or Penalty
Permit Fee $ 67_
d
PLUMBING No. @ FEE
L/1 �O�K pD�
/T I G I--
PERMIT FILING FEE $3.00
Each TraD 1.50
,EAQ/Z
Repair drainage or vent piping 1.50
I /
A. P. No. 29 r 10
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Ftwf
ft &.
9enitetFan
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet 30
Building sewer 5.00
f3kly.-e6eerrRec+d
Parcel A' royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
'p
gr,) �d , OF- p413 -%&2_--7
O
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6001 OR LESS
100 AMP OR LESS 5.00
Single Family [9� Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. AOD'L 100 AMP 2.50
Main service OV00EAMR 6001POR LESS 25.00
1
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS.LING CCUP. 5)20Sgft
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:
NEW RESID,CONSTBRANCH CIRCUITS)
NON -REBID (BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS 6
NON.RESID. (SINGLE OUTLET CIR. J I
Ex. OccuD(OUTLETS OR FIXTI'RES) BAL@1
FIXED APLNS OR
Ex. Occup. (OUTLETS P(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
OaI am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
42.00
Hood
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
Land Development Fee
$
TOTAL PERMIT FEE
$ DI
autnonze representatives oT the county or buile to enter upon the
above-mentioned property for inspection purposes.
X �Date
Signature of Per 'tee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This qermit is hereby issued under the applicable provisions of
the B tte County Coe and/or resolutions to do work indicated
abo7W,IiIaT"OA
hhave been paid.
OF PUBLIC WORKS
/or Date 7 2L-�
Building permit expires Date 10-5-0
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
' Telephone: 534-4541 _ / pw
APPLICATION AND PERMIT v
autnonze representatives or me county or ttuite to enter upon me
above-mentioned property for inspection purposes.
X /OKE \71^�G>t9�wv.� Date
Signature of Permitek or Agent
Receipt No. A 2-9 -
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County C de and/or resolutions to do work indicated
abo r which f s have been paid.
I R OF PUBLIC WORKS
By Date F e�
Building permit expires Date ��"�"' 7/
BUILDING
Ownt+ /?O y 'Bjeoujkl
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P1 Q 1 BOX /_24
J4(�/ri
AA�� n � _c1q 14,
Tel�hone �7 7
Contractor ow N E2
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee O
Building Address 616 l j5 �/15SSG6 L/, 45
Plan Checking Fee&/or Penalty
Permit Fee 1 O
�
�Z �1S O Si/It_&C --
PLUMBING No. @ FEE
ZA O%�� �D�
PERMIT FILING FEE $3.00
Each Trap 1.50
u Yq,&/6 dp
Repair drainage or vent piping 1.50
�j !!��
A. P. No. �i�-��4 -�v Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Sao"a4eR
Fire Dept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma
pBuilding
60' R/W
Improvements
Each additional outlet .30
sewer 5.00
B ans ec d
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®�
Permit Fee $
$
h
'9AJD
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family 2-� Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. h1 2¢sgft
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:
NEW cDNSTR MULTI -0 LET UT
NON-RESID BRANCH CIRCUITS 12.50ea,
NEW CONSTR. (POWER APPARATUS B
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES g L
Ex. Occup. OUT ETS P(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEEWORKMEN'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 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.
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
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Land Development Fee
$
$
TOTAL PERMIT FEE
$ I
autnonze representatives or me county or ttuite to enter upon me
above-mentioned property for inspection purposes.
X /OKE \71^�G>t9�wv.� Date
Signature of Permitek or Agent
Receipt No. A 2-9 -
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County C de and/or resolutions to do work indicated
abo r which f s have been paid.
I R OF PUBLIC WORKS
By Date F e�
Building permit expires Date ��"�"' 7/
COUNTY,OF #3UTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
' Telephone: 534-4541
APPLICATION AND PERMIT
X 4 ZCIV-7.1 r 4 Date ld ` `7 7
Signature OPermitee or Agent
Receipt No. 9_� ,2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the tsutte county uoae anaior resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
By Date
wilding permit expires Date
BUILDING V
Owner 13 ro 61
SQ. FT. OCC. BUILDING VALUATION
Mailing Address r' 13 0 o�
Telephone No.
a 6
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
.�
Building Address
PLU ING No. @ FEE
PERMIT FILING FEE $3.00
/ h.,♦„` I 1 e —
Each Trap 1.50
Q
Repair drainage or vent piping 1.50
(rt %
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. / –� 0
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
0`6_
Tr
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkleIr system 2.00
=d–
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JZ
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
p
e 41 04,J� p %�i?-
♦
Main service 100v OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD•L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW
OR ADDNST ( ACC`BL GS.LING CCUP. &) 20Sgft
'
NEW CONSTR. MULTI.OUTLET
NON.RESI D. BRANCH CIRCUITS)2.50ea
NEW C'ONSTPOWER APPARATUS &
NON.R. 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:
1
50
Ex. Occup(OUTLETS OR FIXTURES) BA®�
L@1
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
�(® I 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
k 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.
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
ahn,,a_ c tin A nrn ",, fn. i- I.... ...............
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
s `�
This permit is hereby issued under the applicable provisions
of
X 4 ZCIV-7.1 r 4 Date ld ` `7 7
Signature OPermitee or Agent
Receipt No. 9_� ,2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the tsutte county uoae anaior resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
By Date
wilding permit expires Date
- COUNTY OF BUT -TE —' DEPAR MENT OF PUBLIC WORKS
7 County Center,Drive — Uroville,,California 95965 � ��
Telephone: 534-4541
APPLICATION AND PERMIT
t
out IUI ILv IC),IICJioned CIIIGUVCA UI tree wunty of outte to enter upon the
above-mentproperty for inspection purposes. /
X d� 4 Date / — —7L
Signature . f e�r[miittee or Agent
Receipt No. '7 / -3 a
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 bee aid.
DIRECTOR 0 UBLIC WORKS
BY-Date�a—
ding permit expires Date ��—
BUILDING
Owner Rloy D,
SQ. FT. OCC. BUILDING VALUATION
/ D d• o
Mailing Address P. Q. f3x 1241
1341voo%1
Telephone No.
(./'
6 7 ! � Z3 77
DO pa
Fireplaceood Toes .9—e
Contractor
Total Valuation .O .00
Mailing Address
Permit Fee f30,00
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ Q .Op
O
BuiIding Add �! r
L /��� �o �' ��
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 .00
/2/• -�� • o �dZ S(//LG'.� o L�
Each Trap 1.50 /Z, o O
X002% /1 c4
Repair drainage or vent piping 1.50
Water piping 1.50 / So
Each gas water heater or vent 1.50
A. P. No./
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
C. SarI9.iion Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking Parcel
Plans
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
�Dpeclaration
Parcel Ap val
Plane roval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,p
Coit/vL—/� /21✓ t-lr:
Main service 10000 AMP OR00V OR L LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑, Others ❑
Main service OVER 6 00V25.00
100 AMP OR LESS
Main service EA. ADD'L 1p000 AMP 1.00
NEW CONST. DWELLING 0
OR ADDNS. ( ACC. BLDGS.W /9&) 20sgft 0• 3 U
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
NON- R 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
St le of:
Y
Ex. Occup(OUTLETS OR FIXTURES)@2SC
BAL@1
Ex. Occu / FIXED APPLNS. OR
P•\OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 43.3d
$ 3 C
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
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
$
out IUI ILv IC),IICJioned CIIIGUVCA UI tree wunty of outte to enter upon the
above-mentproperty for inspection purposes. /
X d� 4 Date / — —7L
Signature . f e�r[miittee or Agent
Receipt No. '7 / -3 a
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 bee aid.
DIRECTOR 0 UBLIC WORKS
BY-Date�a—
ding permit expires Date ��—
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