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HomeMy WebLinkAbout031-251-02731-251-27 • JAMES D. C BTREE E/S 12th St, +3-5'N of Grand Ave, Orovill Permit#2217-84B,PP,,E-,.M(new sin le family) 31-251-27 1700 12t�t, Oroville Pew-t107702-84B(add deck/SF) 031-251-027 PERMIT#96-2360 CRABTREE, James' 1700 12th St., Orovill Reroof/SF - 4?7 i .031-251-027 PERMIT06=2.360 CRABTREE James 1700 12th St.,. Oroville Reroof/SF G y :rte /7 l7 y L, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIy)StON 7 County Center Drive - Oroville;: California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATrbN AND PERMIT rVx(.110 ASSESSOR PARCEL NUMBER 031-251-027. zoNING UILDING PERMIT OWNER JkIFS CRA ETREE TELEPHONE SO. FT. OCC. BUILDING VALUATION 27 f 60 1,620.00 OWNERS MAILING ADDRESS 1700 1 TFI ST QF0VTM,F, 9596 CONTRACTOR'S NAME 01MI R TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER O �",�� UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 39. ARCHITECT OR ENGINEER X40 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1700 12THST PERMITFEE $ 59.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF [1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: _Rt?S?01f1F G1jG{y4p Mobile Home I S I GI W 920.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service EOOV OR LESS ( 20.A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 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, I\ 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 NEW CONST. DWELLING OCCUR so. OR ( 8 ACC. ) 3.50 FT. CONST. MULTI-OUUTLENS. NEW CT TLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAL Q I.50 EX. Occup. (oFIXEEDrs RESID.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor 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 workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 t ose provisions. � X �c ttn ,� �,+�1� s2r Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. - Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 59.00 HAZ. I D. FEES IMP I FLOOD I COF I PARCEL I PD HD 5S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have -been paid. Da % Date By q o PERMITEXPIRESON (Date) ReceiptNo. 206638 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV N 7 County Center Drive - Oroville; "Caliis`nia 95965 - Telephone (916) 538- 41 ERMIT y.Q, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-251-027 ZONING LfUILDINGPERMIT OWNER JAMES CRABTR'E TELEPHONE SO. FT. OCC. BUILDING VALUATION //�� 27 L,e 60 1,620.00 OWNERS MAILING ADDRESS 1700 12TL11 ST OROVILLE, 9596 CONTRACTOR'S NAME MIME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHrrECT OR ENGINEER NONE T' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1700 T ST PERMITFEE S 59.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF [J( Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 4 Describe Work::T(�(�2;rP Mobile Home S G Ew7 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1K1, 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. ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR ) ( 8 ACC.ONST. SO. 3.5¢ FT. CNS. NEW CT MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUrIET us EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL 0 .50 Ex. Occup. (oFFIXE ELETS PUNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 t se provisions. X Date ture of Ap Icant - Owner ❑ Contractor ❑ Agent A permit is required for excavations over 5'0" deep and demolition or constructionJ� over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 59.00 HAZ. D. FEES IMP FLOOD CDF PARCEL -- HD ISS This permit is hereby issued under of the Butte County Code and/or indicat a ove for whi fees h v By PERMITEXPIRESON the applicable provisions Resolutions to do work een paid. Q/res Dateq ``Q l 67 /0( ( ID.D.S.-B.D. (Date) tNo. 205638 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT H -1 t k :: x•:ti Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your r signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES) NO[ J. 2. I HAVEN HAVE NOT[ J signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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 SIGNED: PROPERTY OWNER: SOCIAL SECURITY? [JMBER: ,, ' ItGl DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 3 O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin'c�l:rel ' Michadl C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. CGPI 31:� r PERMIT NO. �(" l 2217-94-R,Pj�'M PERMIT EXPIRES OWNER .TAMES 1) CRABTREE CONTR. nwnar ASSESSOR PARCEL 11-251-27 LOCATION E/S 12th St.'435'N Grand Ave, Oro ,.OFFICE COPY. ' : '.'r Y. ,:r� }, >n =. �•� i icy' �, :> Address ti .G AS . rMeter By isi r' ;* s Date�� ELECTRIC er OFFICE COPY Address i Temp. Power P GAS I Called PGI Meter By Date ` t ELECTRIC I Temp. Elec. Se Meter By Date yr Called PGat— ----- 1 t Temp. Gas Service Called PG JOB FINALEI i Signature a 10 J` OK O = Not OK y = Not Applicable MOBILEHOMES r MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-RItrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocationrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except b's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test r Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J OK / - = Not Applicable * = NdrReady RESIDENTIAL (Single and Duplex) Date UND LOOR (PLA's) OK excelMrs Date FRAMING (Continued) ng requirements— acks—Easements 48. Proper Line Firewall & Openings Im Ft ain; Soils — / /" Ftg. Depth 4 xt. Doors—One 3'—Check Garage -3rd story, 2 exits 9MIYFtg., Garage; Soils / /" Ftg. Depth O. Stas; Width—Headroom—Rise—Run—Landing—Fire Protection 4. Ft orches & Decks ils—Steel— / /" Ftg. Depth ywood on Roof Overhang—Attic Vents—Rafter Outriggers to IIs, M locko ts—Wrapped—Slab .Siding—Nailing—Veneer em alis, Gara BIockouts—Wrapped—SI 53. Stucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access 7 rs—Fireplace Ftg.—Ste 54. 55. Glazing Area—Glass Protection—Skylights—Plastic Shear Walls; Nailing Bolts W.V.: Fall—Fittings— est— way C/O—Sewer Test &99as Pipe; Size—Anchors - 10. ,_-Mater Pipe; Test—Anchors—Regulator—Service Test Electric; Underground \y Plenums & Du Clearance —Materia ateriaSuppo Ins. Qff-/p- Girders—Si s—Anchorlo Its—Joie —Ve —Cri es a and -BI Date Card -BI Date tV7,0 and -BI Date Card -BI Date and -BI Date Card -BI Datee Card -BI Date Date FINAL.4a ns) OK except k's Card -BI Dat Card -BI Date Date PLUMBING (Permit) OK except #'a 56 . Steps -Door & Sidelight Protection -Landings 5 S e Detector 4. W ter Ht,;_Vent- Access -Combust ion Air 58 urnace; Vents -Clearance -Comb. Air -Connector - ar ; Above Floor-Ducts-Mech. Protection r Pipe; Test & Anc -Nail Pr M0- Test-Ftt & An or ail P ec ' S m Exiting 7. Shower pan; Test, First Floor -Tub Access 60. F.I & Bath Fixtures & Tub Access ub & Shower, 2nd Floor -Tub Access 6-K, fil'ec,1firn & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 6 Qtdi_rs,8e Rails 6 F' place or Stove; Clearances -Hearth 64. EI . Outlets at Wood Panel; Int. & Ext. C I ate Card -BI Date 6 Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 . Elec. Out eceptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s'8B7—A—.I77.0`uct 67. ,Garag ire o , Swing -Landing -Closer Garage -Damper 20. Fi & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air -Connector .R. .- y -garage; Above Floor-Mech. Protection Elec. Re p Spacing -Lights &Switches at Doors 2 s & No. No. of Conductors -Stapled 7 , PI lec. & Mech. Equip. Listed for Location Romex Installed Close to Edge of Studs & C.J. 7 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. IJrSvl�tion-Foam=eked in Attic es 2 A nce Circuits in Kitchen &Conductor Size 7T!GuardBWi , ck Construction -Post Caps u a. Cu or AI-A.C. Wire Size / ga. Cu or AI 7 V & rawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ED Yes 27. Range Circ. /110/ C AI -liven Eire /-1_ga_C2: Insu eutral es ❑No 75. Following instld.: Drive Yes No; Walks El Yes o; Planters ❑Yes o erv' iser Conductors & Ground -Main Disconnect - inish 29uip. Clearances; Panels-Motors-Mech. Equip. 77 Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 609h! 6heweP+-ftP,78. Ventsbove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. re I; isconnect, Electrical, Plumbing 80 e ' r Elec. Trim; G.F.I. Receptacle -Underground Car I _ ate Card -BI Date 81 nts 'on throughout House and B -I Date J , Q Card -BI Date 82 s Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. ; Insulation & Support rre ions from Previous Inspections 8 st-Meters Tagged; Gas -Electric ter &Sewer Connected -C/O to Grade -HD Approval 3 ent Fan; Exhaust above Insulationg ergy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BT Card -BI Date Card -BI Date D rd -BI Date Date Card -BI Date gr Card -BI to �� and -BI Date Card -BI Date Card -BI Date Date FRA Pla s OK except N's Comments at Final: Sill r Material & Anchors Studs Nailing, Spacing & Bracing -Plates -Sound 3 Baring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 40. Fir s; Furred Ceilings -Stairs -Chases -Tub ea eam-Size & Bearing 4 an s- Post Caps -Anchors -Connectors 4 Joist-Rftr. Ties -_Purl in -Roof Brac. -Tr' -Shthng.-Rfn_g_. eplace Ties or Type A Flue -Fireplace Throat t' ccess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions / Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Z 2/-% S- 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 worms compteted`If you have any uue n.pertaining to this matter, or�n�fTi jaddonal explanation, please contact this office ' mediately. COUNTY, OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE iMIT 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 mat er or need additional explanation, please contact this office Immediately. �`I 2? LUc.// 0114/1�12I- y 7VA6 i4Fcc% 7& q `Abd.: C A4�S /7 7 �-/C- L/A.% i4LL Ione,- x � L1"z,- L / 6/ -/TS V 6x,& -o 1JIsP i Of� 414-41 OW -1 . CXT" jo//v7S li C4-7- ✓ O &Lj"S Inspector l.��o1�L"��'Ceate / ��T COUNTY OF BUTTE n 'DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, C..iico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paredise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the fallowing violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If wou have any question pertaining to this matter, or need additional explanation, 3lease contact this office immediately. • a Inspector Date i COUNTY OF BUTTE ` —DEPARTMENT CF PUBLIC WORKS 196 Memorial Way, Chaco — Phone: 891-2751 7 County Center Drive, 0-oville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 ►ou have any question pertaining to this matter, or need additional explanation, please contact this office immediately. { 1 Inspector Date _ .... COUNTY OF BUTTE +DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. L Inspector, �1 � .-'� Date t- �- ;. COUNTY OF BUTTE RLPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Ch co — Phone: 891-2751 7 County Center Drive, Oooville — Phone: 534-4541 Skyway and Elliott Road, Parac'ise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the fcllowing 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. 152 �-r �� � / �--'�.J ter, y� .r—�r�;'�r.7 '/.J� /.-4• �/' "�9J /'-'.tea`•, t I t / ij L _7 Inspector_ `� �� =��"� Date Owner • Permit No. ENERGY C ERTIF ICAT ION 1.7 0 0 12---vk sT LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material 0 0 H PO s f T/ ad Thickness(inches) EXTERIOR WALL Q Material 16 Z AF T E� A EF Thickness(inches) 2 CEILING Batt or Blanket Type A rr Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATT Material ,,BA7F Thickness(inches) "2- FLOOR, zFLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Ci tF�_ DT � X Thermal Resistance (R Value) Brand Name 11 A V Gj 0 P,_Z Thermal Resistance(R Value) !9 Brand Name Thermal Resistance(R Value) 3 n Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name IYA v so /GLS Thermal Resistance(R Value) /q Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building` in conformance with the State of California Energy. Requirements. F7 NAME/OWNE STATE: CONTRACTOR S LICENSE NO. SIGVAW OF I ALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. <:J�AH/6S nA6TIZE FINM NAME/OWNER (PWse print) fir."D ` et_! 711 o 51N • v •oLI�i�'7 Jo (A) I1G Q./ RLDR STATE CONTRACTOR' LICENSE NO. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 JCOUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville,.Cali fornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSYO (A'CEL NUMBER— ^ _ �� ZO I G BUILDING PERMIT OWNE TELEP ONE SO. FT. OCC. BUILDING VAL 7 _ o OWNER MA6 IN ADDRESS /4,J T� - O CONTRAC OR'S NAME TELEPHONE ?%0, O L'V i (so CONTRACTOR'S MAILING ADDRESS Fireplace If 600, CONSTRU TION LENDER UNKNOWN Total Valuation $1_5�219 8 Filing Fee $ 10.00 1 �ENDER'S MAI ING ADDRESS Y 067 5n—�-jPermit Fee $ !� ij' ITC OR GEJV INEER LICENSE No. Plan Checking Fee $ LIS/75 Penalty G $ On ARCHIT OR GINEE ,M�LA�IL7ING ADDRESS .. ox � "[ / Permit fee 6LJ $ 3 BUILDING ACID ESS rL`�` � S PLUMBING PERMIT Filing Fee 10.00 /��,.p """ " Each Trap 2.00 'a OQ Solar Water Heater 20.00 Water piping 5.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP 7O Each qas water heater or vent 5,00 OG Gas piping system 1 -5 outlets 5.00 S; USE OF STRUCTURE SF [V Duplex❑ Mobilehome❑ Other SPECIFY Building sewer4 5.00 s, 00 Mobile Home S G W 10.00e TYPE OF WORK New i Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ 50, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 AMP OR LESS ,d, bo Main service EA. ADD'L 100 AMP 2.50 2.5 a NEW CONST. DWEL OR ADDNS. ACC. 2t/20sq ft ♦g5 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1--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 ❑ 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 Xfor 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. ULTI-OUTLET 2,50 ea NON -REBID BRANCCH CIRITS NEW -CONSTR. SINGLE POWEOUTLET CIR.R APPARATUS &' NON RESID. Ex. Occu /o 2o@50e Occup(OUTLETSOR FIXTURES 5 1-030 XD APPLNSOR Ex. OUTLETS (RESI.D.) EA.) 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 LYJ Cooling Hood 3.00 Ventilation C) permit Fee $ (:0 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 relating0. o puilding construction, and hereby authorize representatives of the Countyot �Ote to'enter upon the above-mentioned property for inspection purposes. I`al"so agree to save, indemnify and keep harmless the County of°Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again s id Count in conseque a of the granting of this permit. X Date Signature of A icant — Owner 9 Contractor ❑ Agent An OSHA permit is required for a cavatio s!j 5'0" deep and demolition or construct- ion of structure ave o es i eig 'I Mobile Home Installation Fee $ 3 J� ' TOTAL PERMIT $ S OCCUP. OUP TYPE OF CONST. If _ PARC PD H su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC P EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateF'?D— ?'[ Receipt No.'BY O - WHITE-D.P.W., Y L - SSO 11 -IN P CTOR. GOLDENROD -APPLICANT 1, THERMALITO "I R RIGATION .IRRIGATION DISTRICT 4110 GPAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPFL-ONE 533-C•740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: I /S of 12tt1h 3trgcty. 6S,� Et. earth oi' Grgad Avo. Owner's Name: Jcz:oo D Ctrn')zrco a d romxly 11 Crcbtrco Date: 4'2D-84 Address: 6013 Paunec Uy.. Orovillo , Co. 55963 Acct. No: A.P. No. 31.231-N7 Phone: 910-533.3624+ No. Units: OV.0 Applicant/Agent: Agents Proof: Address: �„ ifs �} �• r-, f �- �� /'/, • . Fees: Phone: Application $ `D M Arrearage Preliminary Review By: Date: CSA 26 35i3. t:l Remarks: ^C rcriowl Y-clli.ty Ctmrnct CSA ?'26 Cor--nIction SC -OR Chnr�",(- So ZIc thio r -i -,)oyn:ilc V= or to ccrmcc,fta to Cho Gynom 1st mo. S.C. Other top 10 ^ 10 - Total Fees 1153J.1rZ, •. - ' 3. !t s '... �.Collected By: Date:./'4` Field Review By: Date: VJ, / ' �" �'► `� Remarks: J i i i� /` J i• ' ,y 3' � ,. 'fes':, MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑' Date of TID approval of completed building :ewer (earl, connection). ❑ 30 days after date above, or cn 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.YV. approva of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974;. I� DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID U I HEREBY AUTHORIZE CHERYLENE M. PAPER TO SIGN ANY PAPERS NECESSARY TO THE CONSTRUCTION OF MY PROPOSED RESI.D,�'NCE ON AP#31-251-27, 12TH STREET, THERMALITO, CALIFORNIA. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL RECORDS FOR RESIDENTIAL DEVELOPMENT 9U TE COUNTY -C41.,1 �EC r"DS REQ1JES _ TF';; F Section 26-8.1 of the Butte County Code requires.this acknowledgementU. be recorded prior to issuance of a building permit. APR 30 12 43 L! . The property described herein is adjacent to land or included E1-EANLtt` M.:1ECK --R P P Y J CLERK - OFf,GfiUFR1411 within an area zoned for agricultural purposes, and residents of this EE. property may be subject to inconveniences or discomfort arising from ''1 —1 34 the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, "noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcels 2 and 3, as shown on Parcel Map of a portion of Blocks 84 and 86 and a portion of Yolo Avenue (heretofore abandoned) of Thermalito, which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on January 5, 1979, in Book 70 of Parcel Maps, at page 14. Date State of ) On this thec SS. me, the unde County of/ ) PROPERTY OWNERS: /f day of 19 L—eX before ne Notary P ic, personally apd END OF ROCU+V,0gT n Personally known to me. / / Proved to me on the basis C:5 of satisfactory evidence.' W :GAL SEAL ° C ' E,�E B. HUSTON ' to be he person(s) whose name(s) Assubscribed to P:,,. f PUBLIC CALIFCXIA 0"'TYOFBUT�E the within instrument executed the same for and acknowledged that the therein c "' purposes contained. °.22,195 ! IN WITNESS WHEREOF, I hereunto set my hand and official seal. 0 Notary Public �� —2,5f _Z 7 Present A.P. No. END OF ROCU+V,0gT �Sj�rg�������n�0i�gog�,� ftPuft m W' dQ 'ldia, b ' 22i7-84 PERMIT NO. 3702-84B PERMIT EXPIRES OWNER JAMFS n, C:RARTRFF. CONTR.. nwner ASSESSOR PARCEL 31-251-27 LOCATION 1700 12th St, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PC-- Temp. Gas Sei Called PC JOB FINALE[ Signature J.= OK, 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DE COVERS, CARPORTS, ETC. (Plans) OK except #'s 1Y, zing quirements-Setbacks-.Easements 2. Soils; Special MH Support -Sketch 2. Foings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3 ecks; 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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -B Card -BI Date and -BI Date Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK J = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69, Wtr. Htr.; Vents -Clearance -Comb. Air-Conne..tor-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic C] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wcod-Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-_Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat - 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 55965 - Telephone 916/534-4541 • APPLICATION AND PERMIT PERMIT NO. ASS SOR PARCEL NUMBER ONIN BUILDING PERMIT O WNE TELEPHONE r 1 33- a SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRESS rU . 3 S� CONTRACTOR'S NAME lot 12 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCT LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ Jgf, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r-0 , Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00e TYPE OF WORK New ❑ Addition Remodel ❑ Uti I'thies ❑ Inst I lation ❑ Other ❑ Describe work:__t� � �_���.% �]coP C� oLTy r 7 _ 1Z (q_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP ORES SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. -NEW 2tb0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason cDNON.RESIDTR BRANCH CIRCTITS 2.50 ea NEW CONSTR POWER APPARATUS .&) NON ESID. SINGLE OUTLET CIR. EX. QCCUp�OUTLETS OR FIXTURES 20BgOQ °AL®soc EX. OCCUp. OUTLETS FIXED P(RESID )LINIS REA.) 1 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. Z71 1 shall not employ any person in any manner so as to become subject /'�"J to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 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 id County in conseque a of the granting of this permit. %� >>1� p Date ll. 3 V b Signature of Appil 61 fnt — 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 Q OCCUP. GROUP I TYPE OF CONST. PARCEL D D Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. 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