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HomeMy WebLinkAbout030-360-051l 30-36-51 - EDWIN GOGGIA VOOR1.HEES, S. John 2836B ` H_.Vent-2492P 2287P i 1659 Alma St., Oroville 2914E Permit ##912-76P b d sew, inst) } /...�/ 0-36- sf Lot 8, Ghianda Heights#2, Thernalito 03 0-3 ........60-0(new, single family) 01-290Q { OT ER, LARRY'. �) 1659 A T, OROVILL� - CONT:'HEATH SOC �' # ` REPLACE FURNACE �� 4`��` 030-360-051 05-1580 — OTT, LARRY } n 1659 ALMA ST, OROVILLE _ CONT: OWNER VINYUSIDING B s � i 2 ME r wc%nr - I I P�l �q� "mm� � E�M� A t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO). OFFICE#: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds 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 the Business and Professions Code, and my license is iri full force and effect./. / License Class: License Number: —Z— Date: 06 — 1�7— b5 Contractor: N i h F 13 iZ 0 7 H F k OWNER -BUILDER 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 permit to construct, alter, improve, demolish, or repair any structure, prior. to its issuance,,, also requires the applicant for such permit to file a signed stateiment,that he or she is licensed pursuant to the provisions of ` 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 she is•exempt therefrorn and the basis for the alle9ed exemption. Any violation of SecloI ii,7031.5 by any applicant fora permit•subjects the applicant to a civil penalty of not more than five hundred dollars ($500),):' ❑ I, as,owner o(the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ,, intended or„o(fered,for,sale,(Sec. 7044, Business and_f?rofessipRs_ Code: The Contractors' State License Law does not apply to an owner of•property who builds or. improves thereon, and who does such work himself or herself or through his or her own employees, prgyided that such improvements are not intended or offered for site: 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 of improve for the purpose of sale.). ❑.. J. as. owner,, of the,.,property,,.am.,.exclusively. contracting with licensed contractors to corfstrucLthe,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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.), ❑ I am Exempt;under Article 3 of the Business and Professions Code Date: �.r �.. Owner: •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 is issued., ❑ I. have and will maintain. workers' ycompensation 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 jpolicy number are: ' Carrier: `� C F I 'i,1 W f ' Policy #: t/ ❑ I certify that in theperformance 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. Date: � Applicant:­-- WARNING: pplicant:, WARNING: Failure `to cure workers' sation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred t6busand 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 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.) Address: PERMIT NO. BP051580 Issued Date: 06/17/2005 APN: 030-360-051-000 Site Address: 1659 ALMA ST ORO Map Index: Description: VINYL SIDING (16) _ Owner: OTT LARRY G JR & PATRICIA ANN-..-..,-. ....M. - MORGAN CB DVA 1659 ALMA'ST, OROVILLE, CA .95965 Applicant: OTT LARRY G JR &PATRICIA ANN MORGAN CB DVA 1659 ALMA ST OROVILLE, CA 95965 Contractor: NINE BROTHERS VINYL SIDING - . 30 ARDEA PLACE SACRAMENTO,CA 95835 . . 916-743-3165 License #: 847142 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is eby • sued under the applicable provisions of the Butte County Coda anrUo Resolutio o rk indicated above for which fees have been paid. BY: , 6, Date PERMIT EXPIRES O ❑ i 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. ❑ 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 O'agent of the r. 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 fficiaument utte o ty. I hereby authorize representativesof Butte County to enter upon the above mentioned property for inspection purposes. Print Name: V Zignature: / Date:. 1 �^ ❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" __/_'. - v'-, - ZI I4 WO - OWNER Last Name O Name n► F_ Fiat N=ame i l:�h Address , G 5 9 /m �G� / City r V �� E rn e H -� State zip 95T..' 5 6 Phone " Fax 01,6 Fax E-mail �_ State License Number __/_'. - v'-, - ZI I4 WO - CONTRAC OR Name Name n► F_ 15 K o T t-1 E 2 V ✓t Address 3 0 P, DF 14 PIACrz- City C ri rn e H -� State (,5,41 Zip 9 3 Phone cJ �6 752 - 5 2 S Z. Fax 01,6 '00 _ 12 O E-mail �_ State License Number Lic.#. -/17( 4Z c"— I APPLICANT NAME ARCHITECT/ENGINEER Name Address 30 4 k DEA Address City !�01 C A ai e City Zip g State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name" �h /ail m I t n 214-.SHC Ho k- Address 30 4 k DEA NA o" City !�01 C A ai e State �A Zip g Phone(L-J(6 752 — 25 Fax ,) ( 6 4/0_j2C) E-mail Type Const. For office u onl . LOCATION Zoning Flood Zone I I SRA I Yes I No Occ. Policy Number Type Const. Subdivision Name It 6 F—= F �V N Map Book Page Lot # Planner LENDING AGENCY Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc v 'S 7 PERMIT 0 5 1 6'i-6 BIN # Page 1 of 2 Description or Scope of Work: rs IQ l' 0 1 S it b it A Sq. Footage ,� G �� S� FT. ❑ Structure Built withoLft 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 required. 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. Received by: Amount: Bldg SRA ReC ajt#: Sheriff l` SMIP Date ! �� Other Y Total REV 2-24-05 LOCATION P op y�Address Cit . T Cross Stree WORKER'S COMPENSATION Policy Number 9 O v Gf O L /9D9 Carrier � It 6 F—= F �V N 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 Page 1 of 2 Description or Scope of Work: rs IQ l' 0 1 S it b it A Sq. Footage ,� G �� S� FT. ❑ Structure Built withoLft 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 required. 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. Received by: Amount: Bldg SRA ReC ajt#: Sheriff l` SMIP Date ! �� Other Y Total REV 2-24-05 y' • - 4L SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑- 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental'Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 030-360-051 01-2900 _-OTTER, LARRY I I 1659 ALMA ST, OROVILLE CONT: HEATH & ASSOC REPLACE FURNACE ll; r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 ''PERIV31 NO. (Rev. 12/96) APPLICATION AND PERMIT C,, 61-370a ASSESSOR PARCEL NUMBE O. =Oµ`, BUILDING PERMIT OWNER TELEPH 1"E SO. FT. OCC. BUILDING VALUATION OWNERS MAILINGADDRE S 11r.o, sbLLd orclqu4, CONTRACTOR'S NAME TELEPHONE qgrCOM _ TIRrUNG,�ADDRESS '" 1 � 43 �" ,� ti..{J 2 -S998 G�.��frSA4 CONSTRUCTION VENDER\d Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6 / ilo. <l i Energy Plan Checking Fee $ $ ,a PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF�Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Avf6cka i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license IS In full force and effect. License Class t! C �ti `, <r. Lic. No. t Z C a~� L OWN -BUILD �"pECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 is issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ' - r- . A 1u 4, !_-3t 1,, +�S Policy Number i" - °'1"'1C,' {. ' G,1 (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SOL as to become subject to 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. X 1/�Ft Date 1 l �, _ Signature of Applicant - ❑ Owner ❑Contractor 'DtiAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction� "of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. SO OR ADDNS. ( & ACC. BIDS. 3.5¢FT; Xp" qOID MULTI -OUTLET 97,50 PowER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 100 EX. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. pUT�7g Ra 6J EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FES $ 00 Mobile Home Installation Fee $ Energy Inspection Fee $ IZ -b T. &MT TYPE TOTAL FEE $ 35 , a-) FEES IMP I FLOOD I CDF PARCEL PO I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated,ebove for which fees have been paid. � � By ,UEX�C.6o Date PERMIT EXPIRES ON Date Receipt No. 3 .t�ci WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V Ll COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C, 01- ;)?0_M ASSESSOR PARCEL NUM8 e3 A / ^/ ` _ ® I ZONINy� _ BUILDING PERMIT OWNER TELEPAHONE 3 5!�,f SO. FT. OCC. BUILDING VALUATION . OWNERS MAG ADDRE S ! lI1N r 5 CONTRACTOR'S `&- (J'1 V NE CONTTIR MWMADOR SS ♦ �� CONSTRUCTION LENDERSWI LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)K.,Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (a?20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 600OR LES Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code,Noµn6loT and my license is in full force and effect. ` License Class OpZ Lic. No. C-Z_0(,AyC. OWN -BUILD ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a AM. BLDS. SO 3.50FT: MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE 0 J.ET CIR. Ex. Occup. OUTETORFIXTURES ���':� Ex. Occup.. DUTifTS RaD) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My work rs' ccoompe(ns'atjon insurance carrier and licy number are: Carrier �tt�Ln_ O �2 ��`�� �qS , Policy Number VS- ', —CA (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compe tion provisions of section 3700 of the Labor Code, I shall fo hwith coi ly wit those provisions. q X tµ- (J- D to , ` _ CA _ Si ature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction Of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Wbm 151w Cooling Hood 6.50 Ventilation PERMIT FEt Aaa-00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ 1z,3 G TYPE TOTAL FEE $ 35. CO HAZ. I D. FEES P I FLOOD COF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for which fees have been paid. / By Date 9 61 PERMIT EXPIRES ON ��— / p-0a- Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I1 PERMIT NO. 912-76P E j PERMIT EXPIRES 3/1/77 OWNER EDWIN GOGGIA 4 . CONTR. owner f LOCATION (A.P. 30-36-51 1659 Alma St., Oroville 1. r i • Temp. Power Pole Called PG&E Temp. Eley.Serv. Call PG&E Temp Gas Serv. alled PG&E JOB FINALED CQ (Date) (Signa ure) . THERMALITO IRRIGATION DISTRICT .. 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: I &S 9 H /,1) �- Owner's Name: OE y , rn e,�) 0 4 4 1 L -n Date: 3,/i -7 6, Address: 0o X R -J loUT Acct. No: Jp Ffi �� Ttl ItcG �� v 7 ,3/ A. P. No. Phone: Syy ' �glo No. Units: / Applicant/Agent: Agents Proof: /"4 Address: Fees: Phone: Application $ 1 Arrearage Preliminary 11 "-� �- �n. Review By: -�' Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees ,v0 rbc Collected By: Date: Field Review By: Date: Remarks: iK MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Q Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID Footings COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ELECTRICAL BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out ' Slab Roof Sheathing Water Piping, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing • ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS • (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^7 County Center Drive - `OroviIle, California 95965 ^ Telephone: 534-4541 / APPLICATION AND PERMIT i "'Y"""''"`^���'+� ��— Vv fly U� OUu W CI IICI UPUII Lite above-mentioned property forinspection purposes. X a gea Date _3_/_� ignature of Perm or Agent Receipt No. - /�a 9s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 41 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. DIRE TOR OF PUBLIC WORKS B Date -3 g permit expires Date BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address 1® 6 3 Telephone No. 3194; tZ' Fireplace Contractor 03 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �Jr PLUMBING No.1 @ FEE PERMIT FILING FEE r $3.00 ®© Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �DU ( Each gas water heater or vent 1.50 A. P. No.Gas d ~- �� Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s IV,,elSari-taiieta Fire Dept. Fire Zone Use Permit Building sewer v 5.00 5-1 o EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg- an Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600 AMP LESSOR 5.00 j Main service EA. ADD -1- 100 AMP 2.50 Single FamilyAq Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST OR A.D.S. ( DACCLBLDGS.LING CCUP. &\ 2�4Sgft / ' NEW CONSTR. 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: I Ex. Occup(OUTLETS OR FIXTURES)50 @251 BAL@101 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 $ $ WORKMEN'S COMPENSATION INSURANCE I 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 $ "'Y"""''"`^���'+� ��— Vv fly U� OUu W CI IICI UPUII Lite above-mentioned property forinspection purposes. X a gea Date _3_/_� ignature of Perm or Agent Receipt No. - /�a 9s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 41 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. DIRE TOR OF PUBLIC WORKS B Date -3 g permit expires Date