HomeMy WebLinkAbout030-350-0841
• WAYNE MORRISON 30-35-84 - a! ft; `
1334 Grand Avenue, 0oville
f Contr: Rudy Hill. Const,, Orovill-e%��e3/g
Permit#1764-83B(reroof/SF)
30-35-84_=
[� Contr: Burtenshaw Const,•Palermo
PErmit#2824=87B E(conv porch to stg
area/SF) �• 1 lVL I'
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Permit#1764-83
Wayne Morrison
1
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIDUIND PERMIT
ASSESSOR PARCEL NUMBER
l • '� rr�
ZON-N
BUILDING PERMIT
OWNER
I
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
,
rii)J
OWNER'S MAILING ADDRESS
ri n t
CONTRACTOR'S NAME�•Y
TELEPHONE
\` Y
CONTRACTOR'S MAILING ADDRESS
I-, - + I r
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ (%
BUILDING,ADDRESS r I /� ,J r
PLUMBING PERMIT
Filing Fee 10.00
'
Each Trap
2.00
Solar Water Heater
20.00
i�
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
SF ❑Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New [_1 Addition -El Remodel❑ Utilities [:1 Installation❑ Other
r>
Describe work: i•..-� ,rt �T , f+) 1'^ �' � sil rrnj )Y, c _
, Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
10.00
r(
`i
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
21/ZQsgft
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 m license is in full force and effect.
+, y f
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 CON5TR U TI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONST R. POWER APPARATUS &'
NON.RESID. (SINGLE OUTLET CIR.
20e50e
Ex. Occup(o OR FIXTURES SAL930
FIXED A
Ex. Occup. OUTLETSP(RESID.)LNS REA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
4,1 -have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 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 01��
�- Date
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 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
JPARCIL17.
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIr;RECTOR,OFJPUBLIC
By \A/'i�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-3r�
Receipt No. i r ! ' 1 c~
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 916/534-4541
APPLICATIQ LAND PERMIT
1
PERMIT NO.
!
ASS�`..JJ(( E,$p5g PARCEL NUMBER
r -&Y jU�
ZONING`""
BUILDING PERMIT
OWNER W I
TELEPHONE
S0. FT. OCC, BUILDING VALUATION
OWNER'S MAILI GRESS
�3
TVA�AC TOR'S AMf I TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Iler
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
119Z ?v
Filing Fee -
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 45LIM
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$ �^
BUILDING ADD ESS
PLUMBING PERMIT
FiI!ngFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
®
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
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home ISI G W
10.00 e
TYPE OF WORK
New❑ Additi =,el[] UtiIit'es❑ Installation❑ Other
Describe work: W — oS
e n� 1 5,�'j,,
)rV,p'� _ fN�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2/20sgft
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.
+y am
License No. Lq 5'v Classification ^
F1 1. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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. U TI -OUTLET
NON.RESID. BRANCH CIRC ITS. 2.50 ea
NEWCONSTR POWER APPARATUS &'
NON •RESID. SINGLE OUTLET CIR,
Ex. Occu 20O50a
P�ouTLETs OR FIXTURES SAL030
FIXED APPLNS. OR
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 rmit is for $100.00 (valuation) or less.
ave 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 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 s unty in consequence ot e granting of this permit.
+
Xi Date
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 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I I
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
'sions of the Butte County Code and/or
work indicated above for which
D TO PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date r- 6"t3
Receipt No.�7 S
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
PERMIT NO. v /28254—�7A, F
PERMIT EXPIRES
OWNER
CONTR. $amt=esa�r Sees,se�ee
ASSESSOR PARCEL 30-35-84
LOCATION 1226F-� ae �4veeee-�61�ev��e
�S
}
F
Temp. Power Pole
Called PG&E .
Temp. Elec. Service _
Called PG
Temp. Gas Se
Called PG
JOB FINALE[
Signature
= OK
0 = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. De
3. Fig., Garage; Soils -Steel-/ /" Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /"Fig. Di
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.: Fall -Fittings -Test -2 wav C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -61 Date Card -B1 Date
Card -B1 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. FI ture & Transformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors
Siz Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
/ 2 . quip. Ground made up w/Meeh. Fasteners -Bond Gas & Water
-2?-.�Appliance Circuits in Kitchen & Conductor Size
-28-gulifeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /gi .
Cu or Al
mange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
36:-orvice-Riser Conductors & Ground -Main Disconnect
. Equip. Clearances Panels-Motors-Mech. Equip.
-37.-8lothes Closet Light -Shower Light -Spa Light
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
33. A.C. Ducts Insulation & Support
34. Vent Fan; Exhaust above insulation
35. Condensate Drain & Overflow; Size & Grade
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
37. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -81 Date Card -131 Date
Date FO MING (Plans) OK except #'s
,Sills, Proper Material & Anchors
AW,Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Baring Walls over Girders & Floor Nailing
K,Praft Stop in Walls (rat proof)
trlfide Stops; Furred Ceilings -Stairs -Chases -Tub
. Header & Beam -Size & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
-4e.'Fiteplace Ties or Type A Flue -Fireplace Throat
<'d .-Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
r 4"drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
�90&Oerty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
-x52.-lt ' s; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
-m r- tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
--6e-Glazing Area -Glass Protection -Skylights -Plastic
57. Shear Walls; Nailing -Bolts
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -B DateZard-B1 Date
Card -B1 Date Card -B1 Date
Date FI -NAC -(Plans) OK except #'s
0. Ext. Steps -Door & Sidelight Protection -Landings
R1 Smoke f)etarsp{
62-Formace-Vertts-Glearance_Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
63:-Bedroom-ERtting
LoIT4,,.F.1. & Batt Sixtures & Tub Access -Spa
"5-M. T ' & S.WHmw l; Breaker Sizes -Labels
6 . learances-Hearth
1, 68. Elec. Outlets at Wood Panel; Int. & Ext.
6 pp iance; rnd. -Air Gap -Cooking Clearance
u e s e eptacles at Kit. Counter
7. oor; wing -Landing -Closer
7 go Damper
7 . - e nce-Comb. Air-Connector-P.R.V.-
10-Garage; Above Floor -Meeh. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Garage; (G.F.I.)-Romex Protec.
7 - m- o ed in Attic ❑ Yes
77. Construction -Post Caps
ole Door -Drainage & Wood -Earth
Clearance Looked under Flo? ❑ Yes
79. Following instld.; Drive 12,ofes ❑ No; Walkses ❑ No;
Planters ❑ Yes krWo
80. Stnccar-1 wTi-Finish
8 . nect, Electrical, Plumbing
ove oo ; Plbg.-Appliance-Firep I. -Clearance to
Openings.
8 Fater Well; Disconnect, Electrical, Plumbing
1-84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
§LYg=nUi n- throughout House
8
7. Corrections from Previous Inpections
8 Tagged; Gas-
Electric
89. Water & Sew r Connected -C/O to Grade -HD Approval
90 ergy ompliance Certificate -Other Certificates
Card -131 Daterl_�� v and -81 Date
Card -B1 Date Card -B1 Date
Card -81 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
= OK
0 = Not OK
Not-Appl' = Not Readyiable
MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PU ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7...Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -81 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -81 Date
Card -81
Date Card -131 Date
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
w 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER 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.
% V,
7
�/ z�Gni �. i�' .•��..
Inspector li ?G Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PEF}� N0.
ASSESSOR PA2EAr U
J•{ (Jj/
ZONI G
BUILDING PERMIT
OWNER
TE EIPH
SQ. FT. OCC. BUILDING
VALUATION
OWNER'S MAIIGTDR SS d
CONT ACTO S NAME
VLo hs 1130
TELEPHONE
-9
CO RACTOR'S M LING AODM
�_
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1
/ r2
Permit fee
$ 00
PLUMBING PERMIT
'FiIingFee 10.00
Each Trap z
2.00
Solar or heat pump water ter
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping z
5.00
Each qas water he er or vent
5.00
USE OF STRUCTURE
SF% Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping syst 1 - 5 outlets
5.00
Building se r
5.00
Mobile H e I S I G 1W
0.00 ea
TYPE OF WORK
New AdditionRemodel❑ Utiliti s❑ Installation[] Other [
Describe work: r _
�-
Pe it Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
❑NON.RESID
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING O ,
OR ADDNS. ACC. BLDG /4sgft
NEW CONSTRMULTI-OUTLET 2,50 ea
BRANCH CIRC ITS
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200505
SAL030
FIXED PR
Ex. Occup. OUTLETS (RESID.IEAJ 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.
pp� 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
Ventilatio
perrnl ee
$
Co ractor
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 to enter upon the above-mentioned property for inspection purposes.
I also agree to save indemnif and Sep harmless the County of Butte against
all Iia es, ju m nts, c. ts, ntl expenses which may in any way accrue
agai t id Coun co eque ce of the granting of this permit.
�� ��,c p'�J
X / - Date Zt !
Signature of Applicant — Owner ❑ Contractor &Agent EJwork
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CON ST.T
FLoO
PARCE
PD
ND ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
indicated above for which
DIRECTOR OF PUBLIC
B
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
S','z'?--2-9 \'
Receipt No. 6
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
lj,
$# ,... ♦ 'f•,fdes;1(:;�ji(.�+'t.i�rrl�`,t"4•..ii :tzr
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL4CALIEO,F4NIA 95965 - TELEPHONE: 916/538-7541
' PERMIT APPLICATION DATA SHEET
Vl �/%Permit No.OWNER l h1:Ct � l d f ✓, )cS�yl t t A. P. No.
Proposed Building Use C -oh ✓ ,
Building Inspector Date
,
At time of permit application, I Itwas advised the following data must be submitted prior to permit processing
and/ori uance: '� 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.,= Schoo(, rDistrict ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent fo'rNon-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.
arking: 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 bel required. . . . . . . . . . . .
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16. Mobilehome Installation Data. . . . . . . . . . . .
Pre•Ins ec. request to
17. Pre -Inspection for E _...._ _.. -_ _ Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
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20. Plot plan approval from city of— _
21.
22, --
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W�V. you issue the- rpiit r c ss as fol Mail t� owner; —Mail to contractor_
Telephone + an hol or pickup -2-1f(D_office, Deliver w/inspector.
Other /1
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Applicant /X:_1
Copy of plans sent '� Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: —_—
Contractor, designer, owner, was advised of above required data by—phone---naiI—counter by date
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Contractor, designer, owner, was advised c? above required data by—phone —maiI—counter b�rD
date
Plans checked by I` Date Plans approved by ate -Z '�`1`,
Sets of plans on hold in File cabinet AP folder
Copy—DPW
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This set of plans 'Ind specificniions 314
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60 on the lob at all times and it ig un0�awfa�! f�
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written permission from the department o10 Lit
Works. County of Butte.
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NOTE:—All Materials & Workmanship
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Accordance with Recognized Good Shll
of -prescribed or 1-1,,C and
Uniform Building; Plumbingpacified use in Me
the National Electrical Coe, Machan°cal Cody and
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