HomeMy WebLinkAbout033-023-00333-023-3. •.�
RONALD SKERM_AN • I+ {
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- Gold Avenue, Oroville
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'Permit #3637-84B(new' carport & s
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-023-2
' Contr; Glen Vohs
Permit#1038-85E(ele ser ch & clean up/SF
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S PERMIT NO. 3637-84B
PERMIT EXPIRES d O S
OWNER RONALD SPIEKERMAN '
CONTR.. owner
ASSESSOR PARCEL 33-023-3
LOCATION 170 Gold Avengue Oroville
i1
M
Y.
.i
Temp. Power Pole•
f
�-
Called PG&E
Temp. Elec. Service
Called PG&E /
Temp. Gas Service
f
Cal led PG&E
JOB FINALED (Date)�¢��
i
Signature
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Sin`gle and Duplex)
Date
UNDERFLOOR Plans OK exce tk's
Date
FRAMING ontinued
1. Zoning requirements -Setbacks -Easements
arty ine Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4
Ext. ors -One 3' -Check Garage -3rd story, 2 exits
3.
FWJ Garage; Soils -Steel- / /" Ftg. Depth
1Uth-Headroom-Rise-Run-Landing-Fire Protection
4.
Fftgo., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls, Main; Steel-Blockouts-Wrapped-Slab
5X
Siding -Nailing -Veneer
mwalls, Garage; Steel-Blockouts-Wrapped-Slab
%.
-6tacco-Mesh-Drip Screed-Fdn. Vents-Underflr. Access
Piers -Fireplace Ftg.-Steel5417a-zing
Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
5,5,Strear-Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
PI ms & Ducts; Clearance -Material -Support -Ins.
1p,
-,Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
Date
FINA Plans) OK except q's
56,"Ext. Steps -Door & Sidelight Protection -Landings
57�S7TIoTce betector
14.
15.
Water Ht.; nt-Access-Combustion Air
Water ipe; Test & Anchors -Nail Protection
58.--F
P i Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
V.; Test-Fttngs &Anchors -Nail Protection
a room Exiting
Shower Pan; Test, First Floor -Tub Access
T.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
rim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
ins & Rails
63
Fireplace or Stove; Clearances -Hearth
64.
ec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Ele . Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
67.
Ga ge Fire Door; Swing -Landing -Closer
68.
A.q. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wt . Hage; Above Floor-Mech. Protection Vents -Clearance -Comb. Air-Connector-P.R.V.-
In ar
21. Elec. Receptacle Spacing -Lights &Switches at Doors
22.
Size Boxes o. of Conductors -Stapled
70.
Plb , Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
EI c. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip round made up w/Mech. Fasteners -Bond Gas & Water
72.I
sulation-Foam-Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
uard Rails &Deck Construction -Post Caps
26.
Sdtfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
741
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
ollowing instld.: Drive ❑ Yes E] No: Walks E3 Yes ❑ No;
P nters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stuc o; 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.
Ven s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
W er Well; Disconnect, Electrical, Plumbing
80.
xterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
tVentilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL mit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged Gas -Electric
31.
A.C. D s; Insulation & Support
85.
86,
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32. Ve an; Exhaust above Insulation
33.
s2r6ndensate Drain & Overflow; Size & Grade
34.1'
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
5.
Attic Access & Platform if Furnace in Attic
Card -B
Card -BI
Date ;L- Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
Proper Material & Anchors
Is; Studs -Nailing, Spacing & Bracing -Plates -Sound
3
Bearin Walls over Girders & Floor Nailing
raft,Sto in Walls (rat proof)
e 10 s; Furred Ceilings -Stairs -Chases -Tub
.1429�6r
& Beam -Size & Bearing
4
angers -Post Caps -Anchors -Connectors
4V Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _
A*.--FTMp aTceTies or Type A Flue -Fireplace Throat
-45--h1TTC7,ccess;
Size & Romex Protection -Draft Stop -Ins. Baffles
-46rB4rm
-Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobs ite)
4,= OK,
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
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-Rflrs.-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
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI 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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 3
APPLICATION AND' PERMIT w
ASSESSOR PARCEL NUMBERzo
b2�3 — ,
IN,�nwA
Ki'rf
BUILDING PERMIT
OW R)�tJ4-r 1) S / K&ZW14-.1-U1WEEPHONIE
SQ. FT. OCC. BUILDING VA IOyAN
�j
.2® �� "
V -�
OWNER'S MAILING ADDRESS
o Goy
a o t
CONTRACTOR'S NAME
No f�! �
TELEPHONE
c.l p a
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
p
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$0L 60
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ %pp
BUILDING ADDRESS
170 60LD
PLUMBING PERMIT
Filing Fee 10.00
-
Each Trap
2.00
Solar Water Heater
20.00
o/Z014 LL
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 ❑ Duplex❑ Mobilehome❑ Other 0-40 � �t�t-.
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New C& Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP V OR ORSLESS
10.00
Main service EA, ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUR.&
OR ADDNS. ACC. BLOGS.
Z1/20sq ft
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
NEW NON.RESID R. BRANCH COUT
2.50 ea
NEw CONSTR � POWER APPARATUS &)
NON-RES,D. SINGLE OUTLET CIR.
Ex. Occu 20@50C
P�o OR FIXTURES BAL®30
FIXED 4PP LNS. OR
FIXED A
EX. Occup. OUTLETS (RESID.) EA.) 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.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
RTI �I shall not employ any person in any manner so as to become subject
X� to the W. C. laws of California.++
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.06
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, judgmentscosts, and xpenses which may in any way accrue
again t said :Cgoutnce o the granting of this permit.
X Date /
Signature of Applicant — wner � Contractor ❑ Agent El
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 $ 0.(f)
occuP. GROUP
I TYPE OF CONST.
I PARC
PO
HD S UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
By
PEWIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�Z— �r��
fz.- 7- - 0
Receipt No. �,7J
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
To
�elo/
p
d
Tr 6 Z 87,5-V
Inter-Departemorandum
UN
TO: C"
tt , Butte ildi Depa
FROM:.. Edwar . Overhouse, R. ., Butte County Department of Environmental Health
SUBJECT: Clearance fo �1"Ronald Spiekerman, AN 33-2-3-3
DATE: December 17, 1984
This memo is to confirm our conversation of -November 27, 1984, regarding
the above clearance.
The lot in question is only about sixty (60) by one hundred and twenty-five
(125) feet. Consequently, the lot may not be large enough to install -a.
septic system should someone want to convert -the storage building to a
dwelling.
Since the request for a clearance is fora storage building only, a clearance
is attached.
It would be appreciated if you would attach a copy of.this."memo" to the
Spiekerman's permit so that they will be aware of the extremely limited
space and that a septic system permit may not be issued.
EIA/lda
Attachment
Safte, Count
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS .
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM (pill) CHEFFr
f4�tDirector
I
`-October 30, 1984 '
1ek.--Yvrlah
t
Ronald RE: Building Permit
39-8 I 1A.P. # 33-023-3
Orovil , 9 965 ,-
17D I
Dear Mr..St kerman: {'
With reference to the ab i e -,subject, we have been advised.'by one of our -building,
inspectors that you have'not'obtained the required permits .and inspections from
this office for the work .you :are doing as follolas :
Constructing•a structure •on your property located Southwest corner of
Mt. Ida Road and Fig= Street,'.Oroville. ((;
Since permits and inspections" are required by both State) and County laws-, please
contact this office within ten (10) days of the date of this letter, submit two
(2) complete sets of plans., apply for,the required:permits, and pay the appropriate
fees.
(• _
All work must stop until you obtain these permits and'are authorized by our field
inspector to proceed. This field authorizatiod cannot be made until the existing
work is inspected and approved.' �
Your cooperation.in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
Yours very truly,
>tiilliamiCheff -
Director of Public Works
JFG:aj
cc:, Building Inspector - Oroville
Health Department
Assessor
I
'Original signed by
J. F. Glander
J.F. Glander
Chief Building Inspector
File No.
2 31
(For Action 1,
BUTTE COUNTY
.
Works Dept.
(Forinformation ✓)
Public
Director
Dep. Dir.
Sec.
Rd. & Br. Mt6e.
Shop & Yards
f
Bldgs. & Grnds.
Bldg.lnsp. Admin.
Design Engr•
Bridge Eng,-
Constr. Engr.
Surveys
Mopping
Tronsp.
Land Dev.
Drng. /S-1-
Sub. & Pcl. Maps
Permits
Addr.
1
cam, mak
hA LOL) e)ec ,
i
BUTTE COUNTY DEPARTMENT 6F PUBLIC WORKS
'SPECIAL INSPECTION REPORT
Owner: L
Address:
Tenant:
Building Location:��
A. P. #,13 022,-- J
Date of Insppection AlzZ
Type of Inspection requested:
1. Housing / /.2. Financin / / 3. Change of Occupancy to
4. Other (specify) �y to. 1%
use o=:. �/''✓
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:,
5. Hot and cold water to fixtures: f
6. Heating facilities:
7. Natural light and ventilation: "
8. Room and space requirements:
9. Bedroom window or door for second exit: _
10. Infestation of•insects, vermin, or rodents:
11. Connection to sewage disposal: #
12. Connection to water supply:, y
13. Rubbish' and garbage facilities:
14. Comments:
ii
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing':
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3.1, Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems -or Violations
1. Probleor v'olation( 've comppr�ri
a.
2. a ac do taken �(giv c plete description):
.,�/t�Y�,.2�_.�vc�-c
3. WhA' act iWrecommexded:
A. Information only - file.
B. Hold for ten days, then write letter.
C. Write letter.
�. D.
Other:
Airs )70 �o /d
December 19, 1984
Ronald Spiekerman
RE: Permits and Inspections
170 Gold Avenue
AP #33-023-3
Oroville, CA 95965
r Dear Mr. Spiekerman:
With reference to the above.subject, on November 19, 1984, you applied for a
per for a carport and storage structure on
your property located at 170 Gold
` Avenue, and at that time you were advised that
Health Department-approval was `
required.
Since both permits and inspections are required by both State and County laws,
please contact the Health Department, obtain their approval, and make arrangements
' for inspections within ten days of the date of
.this letter.
f
. t .
Should you have any questions, please contact
this office.
`
-Yours very, truly,' .
William Chaff
Director.of Public Works
'
l
Ori Sinal signed by .
J. F., Glander f
5 J.F: Glander
JFG:aj
Chief Building Inspector - ti
cc: Building Inspector - Oroville
Health Department
File No.
1
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
CwAddr.
trEngr.
I.
l. Maps
I _
OFFICE COPY
t _ - 'Address ,
Get r:By Date
ELECTRIC'r,
Meter By Date' r ;
1 '1'
lo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ° PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AVD PERMIT
ASSESSOR PARCEL NUMBER
�'�� _
ZONING
BUILDING PERMIT
OWNER'
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS,
CONTRACTOR'S NAME
TELEPHONE _
CONTRACTOR'S MAILING ADDRESS
1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
I i ft
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
'
Water piping
5.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S i G I W I
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑r
Describe work: - + r f � r � - —
^ '
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 810V OR LESS
100 AMP OR LESS
10.00 i rl +)
Main service EA. ADD'L 100 AMP
2.50 I j}
NEW CONST. DWELLING OCCUP.&\
OR ADDNS. ACC. BLDGS. /
2/4sgft
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
NEW CONSTR LTI.OUTLET 2.50 ea
NO N.R ESID BRANCH CIRCUITS)
NEW CONSTR. ( POWER APPARATUS &)
NON RES,D. SINGLE OUTLET CIR.
Ex. Occu 20e50e
P�o XOR FIXTURES 9ALe3o
FIXED AA PPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 !A Ii
r ti r 1 - W
Permit Fee 1 $ 4`-f •
Contractor
MECHANICAL PERMIT
Filing 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
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
•
X - Date '
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCOP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O.
I' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �
APPLICATION AND PERMIT
ASSESS ARCEL NUMBER
,3 - '-I-BUILDING
ZONING
PERMIT
0 WArer
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
F
OWNER'S MAILING t ESS
J AV
_
CON AC1 OR'S NA
sQQ'('
TELEPHONE
CON CTOR'S MAILING ADD ES
.--
.
Fireplace
CONSTRUCTION LENDER
UNKNOW -
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
1
Permit Fee
$
ARCHITECT OR ENGINEER
V
LICENSE NO. -
Plan Checking Fee
.$
Penalty
$ "
AR CHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD ESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
ASF I,�,� / Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G I IWI0.00
e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ut'lities ❑ n talIation❑ Other
Describe work: e[ - ea4 %L1_? —
l
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing
Filin Fee 10.00
Fee
service eOOV OR LESS
100 AMP OR LESS
10.00
)0,00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
er I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions ode a d m license is in full�7force and effect.
Y p� /
License No Classification Jol
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044).,
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OUTLET 2,50 ea
NON.RES'D BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS .&)
NON-RESID. (SINGLE OUTLET CIR.
20e50a
Ex. Occup( OUTLETS OR FIXTURES 6AL®ao
EX. OCCUp. FIXEDNS
TSP(RESID.)RE A,� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
M' c. Wiring 15.00
V00 JA&P
,or
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 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.
�
u shall not employ any person in any manner so as to become subject
'
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again t aid County in cons nce the granting of this permit.
X tJ/ Date
Signature of Applicant - Owner❑ Contractor � Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ovverr/3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
HD
SSUE
This permit is hereby issued under
sions the Butte County Code and/or
wor i dicated above f r hich
CT =Date
BY
PERMI EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/6 �
16
Receipt No. 9 / IO D�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES,SFtARCEL NUM -BEER
ZONING .
BUILDING PERMIT
ow
TELEPHONE
SQ. FT. OCC. BUILDING VALUATI
OWNER'S MAILING SS
V
CON ACi OR'S NA
s
TELEPHONE
$7. -
CON C OR'S MAILING ADD ES
Fireplace
CONSTRUCTION LENDER
UNKNOW`/
Total Valuation $ AY
L
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
i
Permit Fee
$
ARCHITECT OR ENGINEER
�—
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD ss
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
D
Water piping
5.00
LOT NO.SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
^/ USE OF STRUCTURE
-SF L� Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
O.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ut'lities ❑ n tallation❑ Other
Describe work: E�C- ��� -� �l.r —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.g
OR ADDNS. \ ACC. BLDGS.
I
220sgft
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and ProfessionLs Code �d my license Is In full force and effect.
License No �y OS Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I.OUTLET 2,50 ea
NID BRA c cIRA s
NEEWW CONSTR ! POWER APPARATUS B
NON-RESID. A SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES BALM 300
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
M4 c. Wiring
15.00 .,
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
ff�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
again t paid County in cons u nce the granting of this Xvi-
perm�A
� Date �S G�. �
�
Signature of Applicant — Owner ❑ Contractor � Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
to doilt.
the applicable
resolutions to do
fees have been paid.
WORKS
Date
/3stories
Receipt No. C5 / 10 Q,,5—
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT