HomeMy WebLinkAbout031-246-02031-246-20
North Sierra Const.
765 Colusa Ave., lot #8, Oroville
Permit #790-77B.,P,E,M(new single
family)��
31-246-1
Permit #1301-77B(add'1 footage for
permit #790-77)�G�
B07-0953 031-246-020
MISCELLANEOUS Re -R of
REROOF W/COMP 25 SQ��
10-
765 COLUSA AVE
RANDALL GARY F & MAR; 10 • t .Q'�
i
i
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0953 Issued: 05/02/2007
Address: 765 COLUSA AVE Area: OROVILLE
Owner: RANDALL GARY F & M�APN: 031-246-020
Applicant: RANDALL GARY F & MMap Page:
Permit Type: Re -Roof
Description: REROOF W/COMP 25 SQ
Flood Zone: None SRA Area: No
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
I
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Stee l/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile H Final
802
Inspection Ty e 1
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
FiEils,,,
t
Env. Health
538-7111
o e ome ma "PROJECT FINAL 1 801 11-4 4_//;
*Project is aertiica� Occupancy for esu entia Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
F
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 765 COLUSA AVE
Owner::
Permit NO: B07-0953
APN: 031-246-020
RANDALL GARY F & MAR,
Issued Date: 05/02/2007 By KEJ
Permit type: MISCELLANEOUS
765 COLUSA AVE
Subtype: Re -Roof ,
OROVILLE, CA 95965
Expiration Date: 05/01/2008
Description: REROOF W/COMP 25 SQ
(530) 533-3730
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
RANDALL GARY F & MAR,
RANDALL GARY F & MAR,
Building Garage RemdUAddn
765 COLUSA AVE
765 COLUSA AVE
OROVILLE, CA 95965
OROVILLE, CA 95965
Other Porch/Patio Total
(530)533-3730
(530)533-3730
FEE INFORMATION
DBMSC Re -Roofing $137.50
Total Charged: $137.50 Fees Paid: $137.50
Balance Due: $0.00 Receipt No: B2890
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
RANDALL GARY F & MAR, OL:CRW_00366261 / /
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
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 statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
'
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 05/02/2007
'the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number: Exp. Date:
(This section need not be completed if the permit is tor one hundred dollars ($100) or less. - .
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
r -t,
Iv' 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 Workers'
ompensation laws of California, and agree that if I should become subject to the workers'
X 05/02/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Si nature Date
X 05/02/2007
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES..
County to ter the above mentioned property for inspection purposes. I hereby certify that I am the
props fora rile ac on theprope oUrshalf.
�' /4 /02/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name O Per i ee SIGN] Print to
the performance of the work for which this permit is issued. (3097 civ. code)
wner Contractor OR; Agent for Owner Agent for Contractor
9-0
FILE COPY
Lender's Address City State Zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
G If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PL�N�O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. R NO)
I VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY,
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS
PHONE
CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: REROOF W/COMP 25 SQ
Reference Number: B07-0953
Applicant Name: RANDALL GARY F & MAR,
Owner's Name: RANDALL GARY F & MAR AP #
Signature of Property Owner:014Date:
:031-246-020
. -;2 D
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last NameFirs
Address
Mailing Address V
City
Sta
cIrT
Zi '/
Phone �
Fax
E-mail
Name '
CONTRACTOR
Address
State
City
Phone
State
Zip
Phone
Zip
Fax
E-mail
Fax
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
State
Address
Phone
City
E-mail
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name uAk
Address
City
State
Zip
Phone
Fax
E-mail
Ell?. WRAI
PERMIT
NO.
61.063
BIN it
PROJECT LOCATION
AP#
Property Address
City
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
DESCRIPTION OR SCOPE OF WORK:
t�
6157
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use): 56
For office use only:
Zoning Flood Zone
SRA
Yes
I No
Occ.
Type Const
i,PERMIT NO. 790-77B,P,—g
PERMIT EXPIRES
OWNER North Sierra Const.
`CONTR. owner
LOCATION (A.P.
31-246-1
765 Colusa Ave., lot.#8, Oroville
^7
ti
z�
4a
z (,
i,
j Temp. Power Pole _.
Called PG&E
Temp. Elea Serv.
Called PG&E
emp. Gas Serv. ��7 7XI
Called PG&E
JOB
FINALED
(Date)T�
fib'
(Signature)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Setback
Water Piping Sewer Gas Piping
MOBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
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
BUILDING INSPECTION' RECORD
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
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handica e.
Conformance of ex.
structure
A liances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
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"
MOBILEHOME UTILITIES - - - - - - - - - - • • • - - • - - Elec- . Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLLA BION
- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,'' STATE,OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS �L
Manufacturer Thickness/Type R Va.lu�
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer _ L� Thickness, No. Bags Wt./Bag
- Sq., Ft. Coveted % S I R Valu
FLOORS
Manufacturer _ ` Thickness/Type /L' R Value (� '
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation ' +nches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE No.
BY TITLE — DATE
INSULATI N CON ACTOR: AWKINS INSULATION CO. LICENSE No. 215-925
BY TLE DATE //� % 7
COUNTY OF aUTTE - DEPARTMENT OF PUBLIC WORKS
7 Coun,y Center Drive — Urovilie, California 95965
Telephone: ,534-4541
• APPLICATION AND PERMIT
autnorize representatives of the t:ounty of t3utte to enter upon the
above-mentioned property for inspection purposes.
X- Date -Z%a '! 7
n dk re of rXiteeeor Agent
Receipt No. IS 3K /L/ -
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 PUBLIC WORKS
By Date
rZ
7 7
Building permit expires Date 3~
BUILDING
Owner �,
SQ. FT. OCC. BUILDING VALUATION
a0Ito SigO. 040
Mailing Address
�7
Telephone No.
'1L
Fireplace
Contractor
Total Valuation q, oQ
Mailing Address �L►/j
Permit Fee , 00
Plan Checking Fee&/or Penalty ,
•
Telephone No.
Permit Fee $ R ,00
$ SY 100
Building Address (-o U sn Alve..
PLUMBING No.. @ I FEE
PERMIT FILING FEE $3.00 5,60
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
ff
Zoning Verificafion Only
Each gas water heater or vent 1.50 0
A. P. No. 31-7W6 !
ZO"
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W . �r(i FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
arcel
Declaration
Parcel Ma P,
60' R/W
Improvements
Lawn sprinkler system 2.00
M1kf�v �6r
dg. Plans ec'd arceI Approval
Plans royal
Permit Fee $ '
$ j
NEW ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL
❑
No. @ FEE
PERMIT FILING FEE $3.00 3,ICJ0
Main service i°o°o AMP ORV OR LES5.00
Main service EA. ADD'L too AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 1.00
NEW OR ADDNS. ( DACCLBLDGLING OCCUP. &) 2¢sgft • D
NEW CONSTR. (MULTI -OUTLET
NON-RESID. l 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: G/
i'/
50
Ex. Occup(OUTLETS OR FIXTURES) BAL@104
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. � 0 Classification "
Misc. Wiring 6.25
-
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ gy. I
$ o
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.
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 3,00
Heating
`
Cooling 6Q (rQ
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
/
64`0
-2s UD
TOTAL PERMIT FEE
$'B�-
to
autnorize representatives of the t:ounty of t3utte to enter upon the
above-mentioned property for inspection purposes.
X- Date -Z%a '! 7
n dk re of rXiteeeor Agent
Receipt No. IS 3K /L/ -
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 PUBLIC WORKS
By Date
rZ
7 7
Building permit expires Date 3~
THERMALITO ` IRRIGATION DISTRICT
410 GRAND AVENUE
OROV`YLLE, CALIFORNIA 95965 a t. , •'`
TELEPHONE 533-0740 r
'f • ` ,-CSA'26 SEWER SERVICE APPLICATION AND :CONNECTION PERMIT
Service Address:
w
Owner's Name:
.� ''` Date: -` m' 7,
(Address:
Acct.. No: ,.
ti' c A.P. N o ,,, -12 i/` :' o'/. .
Phone:
r -No. Units: t
Applicant/Agent"
�. Agents Proof:
Address:
Fees: \ t
Phone:'
Application $
l Arrearage
Preliminary Review By: •-/J Date: - 7 O"
CSA'26 �f
•Remarks:
SC -0 R
1st mo. S.C.
t Other;
Total Fees a 7
Collected By: ✓9-r-1-'
Date: "d 7•�'.I
Field Review By: -
Date: a
Remarks:'
• 1 `� �,- 1`•�'+9.,•�"'�•, !� r7 .I .� r y-+...r�t1 •,�a•�+:'�'h 1) A .✓. �1' t 1•`
MONTHLY SERVICE' CHARGES' WILL COMMENCE AUTOMATICALLY UPON:,,.
❑' Date of TID approval of. '
• �, • , . pp completed building sewer(early connection). ; 't•''" '/: � -
E 30 days after date above, or on date.of D.P.W. app'roval'of completed building sewer, whichever comes 'rr•:
•first`("existing construction'.'; prior to Mar.;5, 1974).
., .; . ,.
• 1. • , ... \ .' !, ' / • ' y � - • Y. -
` Q ' 180 days after date above, oron date'of D.P.W. approval. of completed•building sewer,'which ever comes
i P, first ( 'new construction' after Mar.•5, 197.4).
'
DISTRIBUTION: WHITE TID YELLOW ,APPLICANT, ' ' '
} PINK�I DPW, - DPW to TID
i•
I... Fr/' .. � . j• ,.; 1.., •.} t• - •nix lig •.q i, _ 1 '� i � .. .� ,.fr 1. Y� �P'. •rI •.
The Bldg. Setback shaft be 5 ft. from the.
side properfy line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
NOTE:—All Materials & Wo
Accordance with Recognized
of a quality prescribed for A
Uniform Building, Plumbing & I
the National Electrical Code.
This set of plans and specificrtic�ns'MU'ST'6e £ ;.''y .;
kept on the icy!, of all times and it is unla%►ful to
make any chanres or altercations on same without,..
written permission from the Department of .Public
Works, County of Butte.
See Mcsfer Plcn on file for buifdiny
Plans.
t;
BUTTE BOUNTY
BUILDING DEPARTMENT:'.'y 'r
APPROVED-
COUNTY OF BUTTE — •DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965'
` Telephone: -534-4541 ,
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
2
X X Date/
i Lure ermite or Agent
Receipt No.
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.
I ' DIRECTOR OCAIUBLIC WORKS
BY Date 3 —/O ' 7 7
7
Building permit expires Date 3 —Z— _
BUILDING
Owner ` i� -
'SQ. FT. OCC. BUILDING VALUATION
4l
Mailing Address ZIMS G
tI
Telephone No.
�� Q�'?Z
Fireplace .
Contractor
Total Valuation Zoo 0
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No..
Permit Fee $ Q Q
OC
Building Address Jt� �3�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
/
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A P ,� r /
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fpidsl
Sar�
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
%/�A�/
SrTo F I&-L_s Recd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
f .�
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L too AMP 2.50
OVER 800V
Main service 100 AMP OR LESS 25.00
Single FamilyR Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 1.00
OR ADONS. ACCNEW CONST. DWELBLDGOCCUP. &) 2¢Sgft
( /
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: �j
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APP LNS. OR
Ex. Occup.(0 'TLETS (RESID.) EA) 2.00
Temporary service 10.00
T/�%//���%S
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.
fir I have placed on file with the County of Butte a certificate of
�l 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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
2
X X Date/
i Lure ermite or Agent
Receipt No.
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.
I ' DIRECTOR OCAIUBLIC WORKS
BY Date 3 —/O ' 7 7
7
Building permit expires Date 3 —Z— _