HomeMy WebLinkAbout031-201-02731-201-27
Ke m.th Jayne
1127�Plumas Ave., Oroville
Permit YA4O96-77B,P,E(add bath; extend
bedroom & conv.porch to Util.room/SF)
-
31-201-27
Contr : Waibel AC
t Permit #3271-77P,E, (inst. h tg & .
� AC)
-11-201-2
y.
Permit #772-79B(lst:.# enema /
3096-77)' SF
31-201-27
Perini 83-80B(2nd renewal/3096-
L77'
enewal/3096-
77) 'F
031-201=027 1-. •04-2038 •
CHESLEY, JOHN " ....
'1127 PLUMAS AVE, OROVILLE
Cont: GREENE ROOFING
REROOF & WINDOWS/SF
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Permit #772-79B(lst:.# enema /
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31-201-27
Perini 83-80B(2nd renewal/3096-
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enewal/3096-
77) 'F
031-201=027 1-. •04-2038 •
CHESLEY, JOHN " ....
'1127 PLUMAS AVE, OROVILLE
Cont: GREENE ROOFING
REROOF & WINDOWS/SF
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042038
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
7
Issued Date: 07/12/2004 APN:O31-201-021-000
the Business and Professions Code, and my license is in full force and
effect."
License Class: License Number:1 37 S
.
Site Address: 1127 PLUMAS AVE ORO
Date:.,?—/.2 -0 Contractor: 6ePz -fA BCC -17 'Z
r
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from Ithe
Description: REROOF (25 SQ) RETROFIT 13 WINDOWS '
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
Owner: CHESLEY JOHN DARWIN & MARCELLENE
to its issuance, also requires the applicant for such permit to file a
JOANN "
signed statement that he or she'is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
1127 PLUMAS AVE
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95965-3232
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: CHESLEY JOHN DARWIN & MARCELLENE
such work himself or herself or through his or her own employees,
JOANN
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
'
proving that he or she did not build or improve for the purpose of
sale.).
a
❑ I, . as owner of the property, am exclusively contracting'. with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: EAGLE TEC
❑ I am Exempt under Article 3 of the Business and Professions Code
9456 JONES AVE
Date: Owner:
DURHAM, CA 95938
(530) 895-3980 '
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
jerry.eagletec@earthlink:net
❑ 1 have and will maintain a certificate of consent to self -insure for
License #: 737452
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' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer: +
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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:
.p.
Applicant:
WARNING: Failure to secure worker ' mpensation coverage is
unlawful, and shall subject an employe o criminal penalties and one
hundred, thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
Yf' U
r
CONSTRUCTION LENDING AGENCY
This permit is he b sue under the applicable provisions of the Butte Cr_unty Coda andlor
I hereby affirm that there is a construction lending agency for the
Resolutions to�Jdrk' sated bove for which fees have been paiperformance
of the work for which this permit is issued (Sec 3097 Civ.)
,Name:
By:= a Date:
PERMIT EXPIRES ON:
Date
Address:
❑ 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. x
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte Caunty. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos .
r
Print Name: ar`cC I Te r`G /7 7_ Signature:
Date: 7— 4-2 -O �/
❑ Owner ! Contractor ❑ Agent for Owner ❑ Agent fbr Contractor
imL
:lr
. BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last a e
Name
irst Nam
Zip�s���
City
� �
Address
Address
9 Scs�es
�cS e
Cityora
s
Sta
Zip
StG'
Zips'
Phone —
9v
Fax
E-mail
3 �'-
APPLICANT NAME
CONTRACTOR
Name
Name
Zip�s���
City
e i-rtiId
State
Address
9 Scs�es
Map Book
Fax
s
e
City
StG'
Zips'
3 �'-
Phone
�, S ^ 3 S Sip
Fax es- 3.762
E-mail
Lic. #
7ys-_2,
IClass
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip�s���
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
s G
City
State
Zip�s���
Phone
Fax
E-mail
APPLICANT SIGNATURE
OEM
For office use only:
Zoning
Property Address
11-2 7
Flood Zone
Cross Street
SRA
I Yes
I No
Occ•
I Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
uvER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\Bld Ap IS bR is
PERMIT
NO.
WD 63
BIN #
LOCATION
AP#
Property Address
11-2 7
City c
17P,1
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
g p u qm .doc Page 1 of 2
Description or Scope of Work:
e ,
�/S
(Z� cro� 5
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Re • ed by: Amount: Bldg
5/
SRA
Receipt #: Sheriff
q, (Y
SMTP
Date: Other
LVj O Total
REV 6-16-04
SUBMITTAL 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 IV INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GR.4PHPAPERI
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department:
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed bytthe engaimeer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
0
'771-7?
PERMIT NO. 3096-77B.P.E
PERMIT EXPIRES
/34 � �
+OWNER Kenneth Jayne
CONTR. owner
LOCATION (A.P. 31-201-27
1127 Plumas Ave., Oroville
el glin
:2
Temp. Power Pole
Called PG&E
Temp
Called PG&E
Temp. Ga/sserv.
C,1 PG&E
V J, /6
F'INALED 7,)-7-R/
(Date)
(Signature)
Reinf. Steel Final • I Fixtures
Bond Beam. _ FIRE SPRINKLERS I Motors
Mesh .7 MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish , . , „a, Ducts Underaround /
Door Closer Final I Final
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
0616EH12ME INSTALL^ATTIIO� N - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE - REMARKS OR CORRECTIONS
Glu -
;1177XX Z -F
`' .. .
A JA
f
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE. = DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTJON RECORD
BUILDING' BUILDING (Cont'd)
PLUMBING'
Setback
/ Firewall
Soil Piping
-0,
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
, Windows
3rd Floor
Stemwall
' Siding
To out
21, 17
Slab
4g 4 Roof Sheathing
Water PI in
Piers
/ Roofing
Sewer
Garage
Fdn. Vents 2
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab
Carport
Footings
Prov. for phsically
handica e. ^
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
�.,.: FIREPLACE
Final
Footings
'Footing
i
ELECTRICAL
Reinf. Steel Final • I Fixtures
Bond Beam. _ FIRE SPRINKLERS I Motors
Mesh .7 MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish , . , „a, Ducts Underaround /
Door Closer Final I Final
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
0616EH12ME INSTALL^ATTIIO� N - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE - REMARKS OR CORRECTIONS
Glu -
;1177XX Z -F
`' .. .
A JA
f
(NOTE: An entry must be made on this form each time you visit the job site.)
• 1
.COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION ANb PERMIT
BUILDING
'
Owner
Mailing Address I t ` I�
SQ. FT. OCC. BUILDING VALVA10
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
was
Plan Checking Fe &/or Penalty
is
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
•.:
°A. P. No. I —
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
' EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Each additional outlet .30
Building sewer 5.00
+yam
Parcel AEprovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [G--'
Permit Fee $
vug - -77
ELECTRICAL No. @ FEE
,',�� Q
PERMIT FILING FEE $3.00
Main service 600V OR LESS 5.00
100 AMP OR LESS
Single Family 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
NEW CONST. (DWELLING OCCUP. &') 20 sq ft
OR ADONS. 1 ACC. BLDGS.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
y
NEW CONSTR. /MULTI.OUTL T
NON.RESID `BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 6
SINGLE OUTLET CLIR.
-NON.RESID.
Ex. QCCUD(OUTLETS OR FIXTI1RES BAL@1
Ex. QCCU FIXED APPLNS. OR \ 2.00
Occup. (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
License No. Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
$
MECHANICAL No. @ 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.
- ❑
WI have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
j�j 'e6rtify 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
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
authorize representatives of the County of Butte to enter upon the
poses.
above-mentioned pro=—Dates-6-
X Uv
Signature of mite or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor.— Pink -Inspector — Goldenrod -Applicant
Land Development Fee
$
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR F PUBLIC WORKS
•—
By_Q Date
7
Building permit expires D to 60-3jg—�z�
• COUNTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS .�
41 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 �% �%� ��% �!•
APPLICATION AND PERMIT
'"Y'�-��,,•�•,•�� �„. vvun�y v� outtc lV C11LUI UPVII \IIC
above-mentioned property for inspection purposes.
X Date
Signature of Permitee r Ag?Kt
Receipt No. 11? 9 03r)
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.
DIRECTO. CF -PUBLIC WORKS
Date 7
PEI
lding permit expires Date 6-3,o-7,0 �.
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Z Ave,
Telephone No.
wV`a
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee L
Building AddressPlanCheckingFee&/orPenalty
/% Zi V>� r -i
Permit Fee �-L
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. b r 7
Zoning"$ ann ng
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W. C.
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
I Parcel Map
1 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
Permit Fee $
is
3 O ct C` 7 %
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Single Family Duplex
9 y p ❑ Mobil Home ❑ Others ❑
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
OVER 600V
Main service 00 AMP OR LESS 25.00
Main service(( EA. ADD'L 100 AMP 1.00
NEW CONS. OR ADDNST l ACCLBLOGS.DWELING CCUP. �� 22sgft
CONTRACTORS LICENSE LAW
am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style Of:
Y
T
NEW RESID.CONSTBRANCH CIRCUITS
NON.RESI D, � BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS 11I
NON -RESID, (SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTURES 5 L�
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID•) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Li nse No. Classification
Misc. Wiring 6.25
.J 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 I
Land Development Fee
$
TOTAL PERMIT FEE
$ Z
'"Y'�-��,,•�•,•�� �„. vvun�y v� outtc lV C11LUI UPVII \IIC
above-mentioned property for inspection purposes.
X Date
Signature of Permitee r Ag?Kt
Receipt No. 11? 9 03r)
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.
DIRECTO. CF -PUBLIC WORKS
Date 7
PEI
lding permit expires Date 6-3,o-7,0 �.
COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS t
7 County Center Drive — Orovi Ile, California 95965
A, Telephone: 534-4541
APPLICATION AND PERMIT
A
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x .-: 7it+- A0�9= Date 6 A -? � I
1 Signature of Per tee Ir Agent
Receipt No. lK411,5
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 be paid.
DIRECTOR/OF/PUBLIC WORKS
By i pate
uilding permit expires Date •
'�✓° ' ?,
BUILDING
Owner �����'
SQ. FT. OCC. BUILDING VALUATION
a� o�
/`
Mailing Address 'Ge�'c,
r /
i
Te e hone No.
3 "Ls
Fireplace
ContractorTotal
Valuation 1/ 0
Mailing Address
Permit Fee (�Q
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ OO
OC
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 L,00
Each Trap 1.50 dQ
/
�L•���
Repair drainage or vent piping 1.50
Water piping 1.50 ff
Each gas water heater or vent 1.50
A. P. 51o. 3 ✓ O 97
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F' s
. S
FireDept.
FIreZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. o -ns Recd
Parce pproval
PIQpe-AppraVaI
Permit Fee $ , crO
NEW ❑ ADDITION UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
p� �gpyd/ •-r p %
Main service 10ov OR LESS 5.00
100 AMP OR LESS
r
Main service EA. ADD•L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. / DWELLING&
OR ADDNS. ( ACC. BLDGM* 21Psgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) '2.50ea
NEW CONSTR./POWER APPARATUS&j
NON-RESID, ISINGLE 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) @251104
FIXED APLNS.
Ex. Occup. ( OUTLETS P(RESID )REA) 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 $ ZT, _:T5
�
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
K permit is issuedI 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
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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x .-: 7it+- A0�9= Date 6 A -? � I
1 Signature of Per tee Ir Agent
Receipt No. lK411,5
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 be paid.
DIRECTOR/OF/PUBLIC WORKS
By i pate
uilding permit expires Date •
'�✓° ' ?,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965 /V/ �f•//`fTelephone: 534-4541 S,27
APPLICATION AND PERMIT
autnurlce representatives of the county of Butte to enter upon the This permit is hereby issued under the applicable provisions of
Bove -mention property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
Q above for which fees have been paid.
`/ Date IRECTOR OF PUBLIC WORKS
Signature of Permitee or Agent o �j rz -
o r% Date V /
Receipt No. ��
White-D.P.W. _ ellow-Assessor — Pink -Inspector — Goldenrod•Applicant kj permit expires Date
BUILDING
Owner Z.�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor st
Total Valuation
Mailing Address 00
Permit Fee
Plan Checking Fee &/or Penalty
-
Telephone No.
177— /f
Permit Fee $
Building Address a tom%
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 fj c7
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
J� d Z
A. P. O. �J '�'� ('
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50 / i0
Each additional outlet .30
F s
Saw4ui.op
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Rli o --'a
Parcel Approval
Plans Approval
Permit Fee $
$ l
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 J, D-0
G �J
Main service 60ov OR LESS 5.00 �—' 0(7
100 AMP OR LESS r
L2 L 12 &J, e. 2
ain service EA. ADD'L 100 AMP 2.506 �O
z 4 (Z
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS.LING CCUP. &) 2¢sgft
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 & Prof sions Code under the name
Sty
`
'
Ex. Occup(OUTLETS OR FIXTURES)50 @2rg
104
FIXED APPLNS. OR
Ex. Occup. 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 $
$ Z
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.
Of 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.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
HeatingNO Al 8�w , o
Cooling n, /4,00
Ventilation
Hood 2.00
Permit Fee $
$ �
TOTAL PERMIT FEE
$ EC
autnurlce representatives of the county of Butte to enter upon the This permit is hereby issued under the applicable provisions of
Bove -mention property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
Q above for which fees have been paid.
`/ Date IRECTOR OF PUBLIC WORKS
Signature of Permitee or Agent o �j rz -
o r% Date V /
Receipt No. ��
White-D.P.W. _ ellow-Assessor — Pink -Inspector — Goldenrod•Applicant kj permit expires Date
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