HomeMy WebLinkAbout033-140-010~�/
33-14-10
^ .
CHARLES REAVIS
.304 Canyon Highlands Dr, Oroville�
33-14-10
�contr:-Blaneon Const., OpvillePermit #378.2B(repairroof.'/,earthquakeA OwlproContr: Don George RoofIng
Permit#2102L83B(reroof/SF)ia/g/i
�33-14-10Cont: George Roofing
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1244-87B
Ann Reavis
304 Canyon Highlands
Oroville
I�L
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATLON AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
/
OWNER'S MAILING ADDRESS
C ,.Jivr ' 71.'.C71 -i r6 fi~av i i�
CONTRACTOR'S NAME
. oc :1.3t(-
TELEPHONE
533- 1_1.3�3
CONTRACTOR'S MAILING ADDRESS
".0 10--- :7n Orov4.11.7-1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ —"
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
17 -n-V
Permit fee
$ 23
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water he or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other r?---r?fT'
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherE]'
Describe work: :'?1"1"4 nrr _
x J
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO -L 100 AMP
2.50
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. f 1 i 1 ^ ` Classification r 'h
❑ 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.61 ,
A LDGS. h2sgft
NEW
CONSTR. ULTB OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES eA 0 0
Ex. DCCUp. OUTLETS PFIXED APLNS R
(RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
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.
Contractor
MECHANICAL PERMIT
Filing Fee 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 said County in consequence of the granting of this permit.
X Date �• y i
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 $
Energy Inspection Fee $
)
TOTAL PERMIT FEE $ -.
occ"P,
CONST.TYPE
FLOOD
PARCEL
PD
1 H17
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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAII,ON A1,ND PERMIT
PERMIT
ASSESS R P R EL NUM ER
-- _la
ZONING
BUILDING PERMIT
OWNER
Ann Reavis
TELEPHONE
533-3335
$Q. FT. OCC. BUILDING VAAJ41ON
OWNER'S MAILING ADDRESS
304 Canyon Highlands Oroville
CONTRACTOR'S NAME
George Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 729 Oroville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 113—
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
304 Canyon Highlands
Permit fee
$ d J �-
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Garage
' SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other E*
Describe work: Roof i nc
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1111 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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 Code and my license is in full force and effect.
License No. 452266 Classification _C-39
❑ 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)
ElI, 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 CONST. DWELLING OCCUP.EI ,
OR ACDNS. (ACC. BLDGS. h¢sgft
NEW CONST R. ULTI.OUT LET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 5AL@20@EAL03030
FIXED APPLNS
Ex. Occup. OUTLETS ((RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E2 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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 County of
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 sai County in conse✓quue ce of the granting of this permit.
X vDate 4-15-87
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE-' $
occuP.
CONST.TYPe
I FLOOD
PARCEL
PD
ND
Iseu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF UBLIC
B
PERMIT EXPIR Date 41
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Q _X` 17
0—Sg
Receipt No. 23.2o i
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
DEPT. OF PUBLIC ORKS
MR 171987
Y
j
1
KA
COUNTY OF BUTTE--DEPAPTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Dr've Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND 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
CONSTRUCTION LENDER UNKNOWN
Fireplace
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
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. /DWELLING OCCUP.a)
OR ADONIS.t ACC. BLDGS.
2P. sq 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 m license is in full force and effect.
y
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
NOW CONSTR I- UTLET 2.50 ea
NN-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS D
NON-RESID. (SINGLE OUTLET CIR.
50@250
Ex. Occup OUTLETS OR FIXTURES gAL@100
FIXED APPLNS. OR
Ex. Occup.(oUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
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
S
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 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 $
ocCUP. GROUP
I TYPE OF CONST.
I
PARCEL
Pb
1 ND
1 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
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
BUILDING OR PROPERTY ADDRESS
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.
;
0
Inspector V,10 X f ! i�iw..! Y Date �� �N
I
Inspector V,10 X f ! i�iw..! Y Date �� �N
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARS NUM R
—/
ZONING
BUILL& PERMIT
OW "Mq))e rs /s
GADDRESS
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING
s T � �'�� 1AkJ
WV �$�i
/O N�/�G/�s y� ADDRESS f,.� f26Fi
/V (�—]UNKNOWN
rep lace
CON R TION LENDER
Total Valuation Is
Filing Fee
$ 10.00LENDER
VADDRESS'SL
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty -
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD AD RESS„ - I�O
II'1/ l/�1J./IV/ 14-1#LJOLS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
�� USE OF STRUCTURE
SF [7 Duplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
i60
L
\
, 0b
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation Other
Describe work: t-,OL.f992_ /9--,P,27V -
Permit Fee
$ SG
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCC UP.81)
OR ADDNS. ACC. BLDGS.
22 sq 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 effec .
License No: SJ16� (o�Classification e_ `3
El 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
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-RESID BRANCH CIRCUITS)
NEW CON ST R. ( POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR. /
80 @ 23¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
Ex. Occup.(OUT LETS P(RESID )REA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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
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 up he above-mentioned property for inspection purposes.
I also a re to s ve, inde nify and keep har ss the County of Butte against
all liabi it s, j g s, c sts, and expen es hich may in any way accrue
against i Cou y ' the gl nti g of this permit.
!
X Date �d—$ 1
L
Signature of Ap 'cant — 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 $
OCCUP. GROUP
TYPE of CONST.
PARCEL
HD
IseuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
RE PUBLIC
By
PERMIT EXPIRES DatV ��`��+
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-/Di� ate `3n 40/Receipt
���
No. �
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -<a—r—i-R, TMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Tel ephone.916/534-4541
APPLICATI,Mq A M'PF.�M1T
ASSESSOR PARNUM R
-/� -/0
ZONING
2�
BUILDING PERMITn
Owl �41qeLE15 r /�
C
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
S _ZPef 5',6G42 //f,/KJ
M NS 7:J
CONTRA TOR' MAILI G ADDRESS /
CO -N (TSR, 710N LENDER UNK;�:O�,�,--�Totai
Fireplace—.L_
':'aivation S
Filing Fee
S 10.00
LENDER'S MAJ 1_ yG ADDRESS
G/j-�y l/�(C!^
Permit Fee
$
AR`HITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
--
Permit fell
$ 1
BUILDI AESS
" D C4 O /I/ 1_9A) L1s l%Q 1%
PER
PLU�lISiiy>a �r1IT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
eA?0 //LLQ
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
5.00
Gas'piping system 1 - 5 outlets.
USE OF STRUCTURE
/
SF E-�� Duplez ❑ Mobi lehome ❑ Other —
SPECIFY
Building sewer
L�
G!/
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilitie�sP Instal lation �;1 Other
Describe work: �TGL,- '✓ -/-v
Permit Fee
$ SG
Contractor
ELECTRICAL_ PERMIT
Filing Fee 10.00
OR L
Main Service 100 AMP ORSLESS
5.00
Main set -vice EA. ADD -L 100 AMP
2.50
NEW CONST. r DWELLING OCCUP.y\
OR AOGNS. \ ACC. BLDGS- /
2-sgft '
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�am licensed under provisions of Chapt. 9, Div. 3 of•the Business
and Professions Code and m license is in full force and effect.
�/ y
9 �- (,_ �
License No. �. 1!i te4S_ _ Classification �3 -`
El 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-OUT LE,T
NON-fitSID. SRANCH. CIRC ITs 2.50 ea
NEW CONSTR (POWER APPARATUS D1
t -:ON -R ESI iJ. SINGLE- OUTLET CIR. 7
9 @@
Ex. Occup(otIXED TS OR FIXTURES BqL@IGC
FIXED APPLNS, OR
Ex. Occup. TS (RESID.) EA./ 2.00
Mobile Home Facilities 15.00
Misc. Miring 7.50
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.
19/( 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.Q0
Ventilation
Permit Fee
3
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 up he above-mentioned property for inspection purposes.
I also a re to s ve, inde nify and keep har ss the County of Butte against
all Iiabi iti s, j dg s, sts, and expen es which may in any way accrue
against ai Cou y the g nti g of this permit.
X f Date ! (�-�, /
Signature of Al licant - Owner ElContractor ElAgent�
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 $
OC CUP. GROUP
TYPE OF CONST.
PARCEL
HO
ssuE
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.. TELLOW-ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
of/ 1A
K4WHOM OMMMOMM. M -M
7v
� 14A,
f bof- 9. Af MIZ--s
?dLUED t9�01`
.4
L;UUN 1 Y Ut- bU I I t - Utt'Aq 1 MLN I Ut 1`Ut3L!G WUHK1M- - — PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
.— i(�— /%i
ZONING-
•� -
BUILDING PERMIT
OWNER / y
},(\
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME TELEPHONE
I; P --Y, � P, �P n it 0 4 3
CONTRACTOR'S T ___ MAILING ADDRESS 4 � �-
�
I
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, /11 PM rJ As4 K ID `r l (7-5 U
1 1ht J
/K/- (♦, 11 CI
PLUMBING PERMIT
Filing Fee 10.00
-
V
Each Trap
2.00
Solar Water Heater
20.00
0
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 Q/Duplex❑ Mobilehome❑ Other4—
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities ❑ Installation ❑ Other Q 100,
Describe work: �' .n Lo ho `^ u
,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS, l ACC. BLDGS.
21/20sgft
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 nlicese is in full force and effect.
'� 4( /. i '� -
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
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 R ULTI.OUTLET 2,50 ea
NON.RES'D BRANCH CIRC ITS
NEW CONST(POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
Ex. Occu 20@50C
P OR FIXTURES BAL@30
FIXED A PLINIS
Ex. DCCUp. OUTLETS (RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
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.
�- 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.
❑ 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 -- = / &. -'
'` ❑ Q�
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 $ Al�df✓
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTO OF PUBLIC WORKS
C /
By \ i Date 4
EXPIRES Date
Receipt No. o I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICANTPERMIT
Permit #2102-83
CharlesReavis
., a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
r—
ZONI%IG
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
COTRACTOR'S E LEPHONE
r v. _C_33 _4 23
C TRACTO •S MAILING AD ESS
S'
Fireplace
CONSTRUCTION LE DER
UNKNOWIR
Total Valuation Is
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
$ 3 ,
BUILDING A DRESS
� -d
PERMIT
Filing Fee 10.00
Each
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
r-� USE OF STRUCTURE
SF D� Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ AdditioRemodel Utilities❑ Installation❑ Other
Describe work: VW
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.&
OR ADDNS. ( ACC. BLDGS.
2thQsgft
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 C dy e and m license is in full force and effect.
License No. _39 39
❑ 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 CONSTFL MULTI -OUTLET 2,50 ea
.N -RES'.. CIRCUITS)
NEW CONSTFL ( POWER APPARATUS &'1
NON.RESID. SINGLE OUTLET CIR. /
20@50c
Ex. Occup(o XEDTs OR FIXTURES 9AL030
FIXED APPLNS, OR \
EX. OCCUp- OUTLETS (RESID) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 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.
'[aeo1 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 shal I be deemed revoked.
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 said County in conseque ce of the granting of this permit.
X Date 4
Sig tura of Applicant — Owner ❑ Co actor ❑ Ag
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
ion
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP I
TYPE OF CONST,
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
O OF PUBLIC
By ��
PERMIT EXPIRES Die
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Q l ! q R,
Receipt No. 1 0►-
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 3-82B
PERMIT EXPIRES
OWNER Charles Reavis
CONTR. Blanton,Const., Oro.
ASSESSOR PARCEL 33-14-10
LOCATION 304 Canyon.Highlands Dr., Oro.
Temp. Power Pole
Called PG&E
*Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E//
JO INA LED (Date) "--'
Signatur
J = OK
O = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce tq'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-Blockouts-Wrapped-Slab
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
C -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
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
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
18.
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
60.
G.F.I. & Bath Fixtures & 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
Date Card -BI Date
ELECTRICAL Permit OK except N's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
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 & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
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.
80.
Water Well; Disconnect, Electrical, Plumbing
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
Date Card -BI Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
-_
31.
A.C. Ducts; Insulation & Support
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.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
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
Comments at Final:
Date FRAMING(Plans) OK except k's
36.
_Sills; Proper Material & Anchors
37.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41. Header & Beam -Size & Bearing
42. y-langers-Post Caps -Anchors -Connectors � � ��
4 Cing. JSrR� nks-
b,ftr-P -Roo.-TrusShf ng.-Rjrfg.
44. Fireplace Ties or Type A Flue -Fireplace Throat
v45.
_
-
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
= OK
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready a
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) :. ,xcept t:
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-Rf.trs.-Cbnnec.-Shthg.-Rig.--Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,os„res
6. Gas; Location -Test -Wrap:/ /"L"ft./ /")Vat. 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 Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
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
B. 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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
a
-COUNTY OF BUTTE - DEPARTMENT OF PUBLX9164-4541
PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephon�...��
APPLIDATION AND' PERMIT
ASSESSOR PARCEL NUMB R
ZONING
BUILDING PERMIT
owNed, Rq
TELEPHONE
SQ.FT. OCC. BUILDING
/VALUATION
OWNER'S MAILING ADDRESS
CO JJTRAf�,TOFZ M� R -S '
TELE HON-7E.c
CQ{yi.Fj_ACTOR'SeAI LING ApODRES�S__ De. ogoU/WLR
/JL G�7( 49 /�fy�, SAV/�T
Fireplace
p
CONSTRUCTION LENDER
U KNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINE E
LICENSE NO.
Plan Checking Fee
,$ Q
Penalty
$
ARCHITECT OR ENGINPER'S MAILING ADDRESS
Permit fee
$ , pZ)
BUILDG ADDR E,$ ���
33 l///71 I[//LG.
��AJD,5 t,K ^/V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
ORO VILLC-
Water piping
LOT NO.SUBDI VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ ther
Describe work: ClP/�' k P�oF R,4i7�2 � Ptll
SEPf}2)gT7QA./ Eloq)e)(7u/J- ���
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 1100 AMP
2.50
NEW CONST. DWELLING OCCUP.DI\
OR ADDNS. ACC. BLDGS.
/ 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am 'licensed under provisions of Chapt. 9, Div. 3 of the BusinessDO@zsa
and Professions Code and my Classification license is in full force and effect.
Z n
License No.-4105'721y
o. �0� % 2
❑ 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 -OU LET
NON-RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR POWER APPARATUS S
NON.RESID. SINGLE OUTLET CIR..
Ex. OCCUR(OUTLETS OR FIXTURES BAL@1 00
Ex. Occup.(OUXED PK
(RESID EA. 2.00
T LE TS I
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.50
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.
❑ 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.
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
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the 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 expens s which may in any way accrue
against said County in consequence of the grating of this permit.
X Date ) 1.�—��
Signor a 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 $
OccuP. GROUP
-?j
TY E DF ONST.
_�
PARCEL
r/
PD
HD ISS UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
By
PO T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �S Z
/
Receipt No. :JDS7�
WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Rec:�gni::e G_)od practices and
of a quality prescriLe; f4- Sj,; cizied use in the
Uniform Building, Plur---Sing & Mechanical Codes gn,4
the
T#�is set of plans and specifications UST be
kept on the job at all times and it is +in awful to
make any cl^ ng^s o- alterations on samE without
'Departmen of Pubi
X writrten permission from it -he
lite Works, County of Butt%
ce ---
... . ...... . . ........... 421
' 0' � �r
v
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED l�.v
O
�
�
C
�z
C
rn
��
z