HomeMy WebLinkAbout035-225-011O
e
91E
JONES' ,Albert L "'
4755 Baggett,.Rd; Orovlle
(elec upgrade/sf)- s w ;yam 3
.."
F035-22-5=011.. 93=2396
JONES,'
ALBERT.
�,CONTR: GEROGE ROOFING
47,55BAGGET MARYSVIL_LE RD,'(`OROVI-L
REROOF
�Il
i
. 1
1
1.
i
1'
91E
JONES' ,Albert L "'
4755 Baggett,.Rd; Orovlle
(elec upgrade/sf)- s w ;yam 3
.."
F035-22-5=011.. 93=2396
JONES,'
ALBERT.
�,CONTR: GEROGE ROOFING
47,55BAGGET MARYSVIL_LE RD,'(`OROVI-L
REROOF
�Il
• � ,, ... :. Y+,..r .• .- - ,..:.- , w.. ._i} � ;^''�+x�-s�S^r.::-,.ras-��ac�:��.. ,�-�...:�c.,. f •_
r' _
��
��
l ". !� �, ii ..
.. i - � -
- ` Yl
j-�i
1 �
F
� � ..• Jr
;�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
N AND PERMITg -�IFT"�Z
ASSESSOR PARCEL NUMBER y
'
ZONING
BUILDING PERMIT
OWNER
S
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ORESS
5 /
CON 'rTOR'S NAME
TELEPHONE ^
Y
CONTRTR(. MAIQ AD�ESS
1 l
Fireplace
CONSTRUCTION LENDER J
UNKNOWN
Total Valuation $
Filing Fee $
20.00
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 1 $
BUILDING ADDRESS , 1
`—�
PERMIT FEE $
,
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO. �
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
' USE OF STRUCTURE
SF)� Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 1:1Utilities O Installation ❑ Otherx
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 2"' OR LESS OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
3.50 S0. FT.
CONTRACTORS LICENSE LAW
I q fare under penalty of perjury (check one)
' I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and,m license is in full force and effect.
/i — � �
License No. � Classification l..
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS
@7.50 -
( POWER APPARATUS '
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1.00
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
5•��
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare,under,penalty of perjury (check ,one):
❑This permit is for $100.00 (valuation) or�less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor ,
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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 said
County in consequence,6f the granting of this permit. // Q?
X: /%/1. ///i // / Date,y
Signature of Applicant O Owner ❑ Contractor A' Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
'
HAZ.
I D. FEES
IMP
FLOOD
cDF
PARCEL PD
Ho
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By /tJ T i 7' = 'I' Date !7 4Z
�. �y
PERMIT EXPIRES ON 7A I/`17
(Date)
/Li ' ��
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califoriiia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICAT �N AND PERMIT 93
ASSESSOR PARCEL NUMBER 5 — O 1
ZONING �J
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VAL A I N
OWNER'S MAILI G DRE 1
5
CONTR TOR'S NAME
TELEPHONE
,�MAILIO ADDRESS I
CONTrff
Fireplace
CONSTRUCTION LENDER J
UNKNOWN
Total Valuation $
02
Filing Fee $ 20,00
LENDER'S MAILING ADDRESS
Permit Fee $ f,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $ ,
Om q
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF/< Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New O Addition O Remodel El Utilities O Installation Other
Describe Work:
• PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
S
OVL
Main Service ( BOOV OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. ) 3.50 FSTO..
CONTRACTORS LICENSE LAW
I re under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C de and m license is in full force a d effct.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.0000
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS IRESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
XT have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
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 Butte County Ordinances and California 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 said
f t grantin of this p
County in consZcant
Date
Signature of ApOwner ❑ Contractor XAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $�
DCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
IMP
I FLOOD
I JCOF
PARCEL PD
HD
ISS E
This This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES ON �+
1 �.S.-B.D.
(Dote/
EReceo. 3
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ro,
0
p�I �
t
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK8 1110tRMIT N0.
.,, 7 County Center Drive - Orovillo, Califofnia ®aegis - ToWphone. 010/530.75414, S— W Z
APPLICATION AND PERMIT
35'-225&11
R4
BUILDING PERMIT
A90.
N
35j§ A a t, ;roville
FT. OCC. BUILDING VALUATION
Florins#612564, 257743
N N
7421
CONTRACTOR,.
ON C OR'D M NG DOR6S111
Marysville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
None
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
None
Penalty
$
BUILDING ADDRESS (
1
Permit fee
$
PLUMBING PERMIT Fl ling Fee 10.00
4755 Baggett, Oroville
Each Trap
2.00
i
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
(;
Water piping,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE ;
SFXX Duplex❑ Mobilehome❑ Other Il
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel❑ Utilities F-1Installation❑ Other [
Describe work: elec upgrade/aervice
{
t
Permit Fee
$
contractor
ELECTRICAL PERMIT
Filing Fee 10.00
F
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 Z.JU
CONTRACTORS LICENSE LAW {
I declare under penalty of perjury (check one): I
F -1I am licensed under provisions Of Chapt. 9, Div. 3 of the Bushes$
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
oa ADDNST DWELLING CCUP'8d)
'/x2sgft
NEW CONSTRMULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. Occu p OUTLETS OR FIXTURES
20e50e
SALO 30
Ex. Occup. OUTLETS FIXED P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 •
Pre— nepect o -
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.
�.� 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 becomesubject
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 10.00
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 at County in cons Gp nce of the g ting of this permit.
X �� P Date
Signature of Applicant — Owner ❑ ontractor ❑ 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 $
occ
CONST TYPE
—
.5
TOTAL FEE E $ 520
2.
HALcuA
PARK
SCHL
FLD
PAR
PD
;
ISSUE0
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated aboove for which fees have been paid.
DIR CTOR OF PUBLIC WORKS
By. "iX a,Z7 Date
PERMIT EXPIRES/Date •'-�-ri7
Receipt No. 88887
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
:�Y.��.�� �A_�'��:w-�.,�,,-S"4i�X7v �{ jyw -.��.r. F-.� - -' �" r_-•' �'C'4"•�;'''�'^-'-•��
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
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.
Date / Inspector 1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/638-7641
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR
35-225-011
NINO
BUILDING PERMIT
OWNER
Albert -Jones _ _ _
HON
.533-0635
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
3548 Aronaut Oroville
CONTRACTOR IN
Florins License
TELEPHONE
488-7421
CONTRACTOR'S MAILING ADDRESS
Marysville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
None
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
None
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping ,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: elec upgrade/service _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADO'L 100 AMP
2.50 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. 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)
El am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e
OR ACDNS. ACC. BLDGS.
, �z2sgft
NEW CONST R. MULTI -OUTLET
NO N.R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS a
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20150,
SAL030
FIXED ALNS.
Ex. OCCUp. OUTLETS P(RESID )REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 15.00
pre—inspection
5.00
Permit Fee
$ 52.50
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.
f4I 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult 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 County in cons nce of the anting of this permit.
X� Date
Signature of Applicant — Owner ❑ ontractor ❑ 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 $
occ
CONST TYPE
TOTAL FEE $ 52.50
HAL
I CUA
PARK
SCHL
FLD
CDF
I PAR
PD
j HD•
ISSUE.
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
IR. OR OF PUBLIC WORKS
^ 9
By Date
PEAIT;XPIRE Date 1�
Receipt NO. 88887
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
--� COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ti
PERMIT, APPI ICATI.ON,DATA SHEET
Permit No.
OWNER i ! li12 �7- / �Q 't/ .� A. P. o.
Proposed Building Use ��� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
hKiAll items have been submitted . ................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans. . .
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .............. .................................... :......
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid.0..................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
4 16. Plot plan and business license approval from City.of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (conAjrLctio�/Lapproval required prior to occupancy)
�– �_� Pre-Inspec. request to G /
Pre -Inspection for �% required ... Building Inspector - // ate)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspect
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--jnalI—counter by ..date `
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
J
PRE -INSPECTION
.i
OWNER: 04551 J �'�/ � DATE
LOCATION: �' S s- '16 7 � (� �A . P . # .� - �? 2 ��
CONTRACTOR: (if/ 4�- /�/C- ZONING
----------------------------
PRE-INSPECTION FOR:
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS FOLLOWS:
c
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
OCCUPIED D HAS ELECTRIC HAS GAS [::] HAS SANITATION FACILITIES -
E::] HEATED -COOLED, PERSON CONTACTED
OTHER COMMENTS:
L
TION COMMENDED:
ISSUE E::] HOLD FOR
OTHER:
BY
DATE 7r!'�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7. County Cant®r Drivo - Orovillo, California 96905 - T@Wphon®; 016/630-7641
APPLICATION AND PERMIT
114P 11V
BUILDING PERMIT
IIWNr,M
I J l�
(�lo�
S0, FT. OCC. BUILDING VALUATION
W N D DIR zoo
U
N
Q
TELEPHONE
CONTRACTOR'S MAILING XDDRF33'
Fireplace
CONSTRUCTION LENDER j
`
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 DDRESS�'
't 7C/I/_
Permit fee $
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 heater or vent
5.00
USE OF STRUCTURE
SF)< Duplex❑ Mobilehome❑ Other
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 Remode[M Utilities:� Installation[] Other
Describe work: L�(� ��
L2 P-62 EVI ej 19 V LEE
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
V OR L
Main service 10000 AMP ORSLESS
10.00 16,aer
Main service EA. ADD'L 100 AMP
2.50 yrs
CONTRACTORS LICENSE LAW
I declare under penalty of (check one
p y perjury (ec)•
❑ 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 CONST. DWELLING OCCUP.8d
OR ADDNS. ACC. BLDGS.
,/z¢sgft
NEW CONSTR. MULT(.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20®50t
eAL990
FIXED ALNS. OR
Ex. Occup. OUTLETS P(RESID ) EA.Y
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00 l ,D0
Permit Fee
$ S
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.
❑ 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Pennit 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 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 s aries in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ S� r S�
E
HAz.
CUA
PARK scHL
FLo
PAR
PD
I HD.
ISSUE
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
YELLOW-ASSE330R, PINK INSPECTOR, GOLDENROD -APPLICANT