HomeMy WebLinkAbout035-420-031'
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35-42-31
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.Sunbeam Const.Co.COMPLAINT TO INSPECTOR SuV#2, Oroville`
5319 Becky �ane, lot 112, Crestwood
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Permit #3982-80B,P,E,M(new single
family) Vol
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BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number: --
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:,
2
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA 9 (530) 891-2751
7 County Center Drive * Oroville, CA * (530)'538-7541
CORRECTION NOTICE
OWNER PeR'Ml;rNo—.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
CQ/, -T -W< --r 7-6+j
7-P
Date Inspector
REV 10192
.. .. ..... .
35-42-31
Su nbeam Const.Co.
5319 Becky Lane ' lot 112, Crestwood
Sub#2, Oroville
Permit #3982-80B P E M(new single
family)
1A,0100INQ: main Assessor I-nquiry Feb -18, 2003 08:54 arp
Name :-R L & ROCIO B JT
Asmt # W-11 Fee # 1035-420-031 -00�j
Status JACTIVE Date :=::�
I Status
Addrl 15319 BECKY LANE
- -
Tax ��T RA F691 -668 11
Addr2l 35966
Situs 15319 BECKYLN OROVILLE
Addr3
base Dt
Addr4
ITT imber Preserve Land 1 H43
Structure 48,47]
Comments 13542003100 CONVERTED 09/08��
QAgPres
0 Fixtures ��O
i Etal Growing
Creating D oc#1 1 98OR 2570231 DateE�—
r -i Notes —
Current D6c#I Date
Total L&I 65,42
Q Bonds Fix. RP
Killing Doc# I Date
Fj Multi Situs MH PP��O
Qj Flagl
Asmt DescJ5319 BECKY L N
PP
I Flag2 0"
Zoning Rl 00 Dwell 1
O -J 910 M H Exempt_ 7,Obd,
Acres/Sq Ft N/C=
25 j
WAsmt PP Pen Net �58�TQO
-
0-1 Tax PP Pen R/C#F-
QJJ Appeal Pending T/,R DtF.-=---�
QJI S P R/C Stat= I
PHY OWN F -TRP IF —TAx 17.1—jONIF
ATT aIT U�RJF —RCL
Eind7]MIA
3:27:21 PM
PEFVIT NO. 3982-80B,P,E,M
PERMIT. EXPIRES.
Sunbeam Const.Co.
OWNER
CONTR. owner -
35-42-31
LOCATION (A.P.
5319 Becky Lane, lot 112., Crestwood SUb#2,
Oroville
TempAfPower Pole
7alled PG&E
Temp. Elec. Serv.
jCalled PG&E Wr T,
emp. Gas Serv. VJ '-IZ6�v
Called PG&E
J Jol
OB
FINALED
(Date)
(Signature)
Telephone
53.*2M
North Burbank Public Utility District
1960 EWn Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 168-80
BU I LDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a'building or occupancy
permit, whichever is applicable. I
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: SUNBEAM C.QNSTRUCTTON CO,
Applicant Address: 11190 HOOPER LANE, LOS ALTOS HILLS, CA 94022,
Applicant Phone No.* 419-948-6482 "'
Property Location (s): 5319 BECKY LANE, OROVILLE
CRESTWOOD UNIT NO. 2, LOT.112
A. P. No. -(s): 035-42-0-031-0
Fees Paid, - $300.00 SCOR FACILITY CHARGE PAID 6/29/79
NBDUD CONNECTION FEE(&—�PAID
Application for service approved: -
6, 1986 -
AUGUST XMIXYM
North Burbank
Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Z07 -//Z Date: //- Z
By:
North Burbank Public Utility District release to close permit:
Date: &--,T- 70 - By: 'ke� -, z &"�-
KFS I DFIN',f] A I,
FNFI,(:Y C()N.'.,FI:VA'r'I0N STANDARDS
_CONSTI�d(,11011 C()HPL.1ANCJ;:.
1"HIS TO 'C'EkTIFY THAT ENFRGY CONSERVATION RF-QU1RF1\LFNTS ILWE BLEN
IN CONFOK�LAIJICEI WLTII (AWRE'INT ENERGY CONSERVATION RE'GULAT'FUNIS
(I oc at ioll)
III) I N(; PF RIM Cr NO. A. P. NO.
1*111-" FOLLOWIV; HAVE ISEEN INSTALLEI) AS PER APPROVEn PLANS:
(Chuck cach item or kN'rrite N/A if not applicable)
INISM.ATION:
GLA Z 114 G :
NA
Fdo. Walls
NA
Floors
Nk
CERT. & LABELED WDS.
C". i'l J.11j"/Hoo f.
NA
DRS.—
NA
BACK DAHI'I`.I-'FD FANS
NA
APPi-IMVI'D HFA-l"I"R
NA
AP"'i"OVED
NA
GLA Z 114 G :
Sinije. Clazed
NA
Special (Insulated)
Nk
CERT. & LABELED WDS.
& SUDING IMS.
NA
DRS.—
NA
BACK DAHI'I`.I-'FD FANS
NA
i -41' i G N IT 1. () N D E \1 I C ES
NA
CFRT.
NA
I DKI.APE THAT ALL REOUTRE'D ITFMS AS NOTFD ABOV17 jiAVI.7, BEEN TNqTALI,I7D
IN 11%(:C(li11I)ANCI-: VILI'll THE FNI-AWY CON�ERVA1'10H I\ F(�UTRVFIENTS AND AGKI-A' TO
THF. 01' THIS Cl'WrIFICATE AS �JIP,�HTTKD.
Appi icat.m: blame..— Hawkins Insulation Co Inc.
Sii,,11atlire ol*
hr;u1.:iui0ii Applicac r
Cencral Contractor/(Micr Mune
Sii"ll.-Itilre of
Gencr,il. Contrictor/omic
State Contractors
Licciise No- 328407
(please print)
StaLc Contractors
License No.--
'I:;`,T 'B17 ON FILE VHT11 THE PIII_i.DTN(; DI-I'PAR'ITIFINT TO
FI;;A1. AND SHALL hK IN A CONSPI'CIIOH� LOCATION
W :Tll I:! T11F. I!:(:.
RESIDENTIAL
ENERGY CONSERVATION -STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY REGULATIONS
AT Lot / 17., CRESTWOODN SUDIVISION TINIT NO-. 2
(location) A 6'P
BUILDING PERMIT NO.— 35 9 Z NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:'
. (C�eck each item or write N/A if -not applicable)
,iNsnAT ION: GLAZING:
slab Edge. M Single Glazed NA
Fdn. Walls- Special.(Insulated) X
Floors CERT. & LABELED WDS.
Walls & SLIDING DRS.*. x
-i—n DRS. NA
Ceil WEIATHERST RIPPED
Ducts x BACK DAXPERED FANS x ES x
Circulating Pipes NA INTEK1±1'TENT IGNITION DEVIC
APPROVEDHEATER x CERT. APPLIANCES x
APPROVED 14T R. lit R. X
I -DECLARE THAT ALL REQUIRED ITEMS AS NOTEDABOVE HAVE BEEN INSTALLED
IN ACCORDANCE -WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
IAITTED.
THE COMPLETENESS OF THIS CERTIFICATE AS SUB1
Insulation Applicator Name SEE ATTACHED
(please print)
Signature of
Insulation Applicator
State.Contractors
License No.
General Contractor/Owner NameSUNBEAM CONMUCTI COMPANY
(please print)
Signature of
9 11� DateA
r/Owner!::�
General.Contracto
-Gregory T. Vistica I Pves State Contractors
'License No. 151290
THIS CERT . IFICATE MUST BE ON F ILE WITH THE BUILDING DEPARTMENT PRIOR TO
R UESTING FINAL INSPECTION AND SHALLBE POSTED. -IN -A CONSPICUOUS LOCATION
EQ
WITHIN TRE DWELLING.
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service'
CalledPG&E
JOB FINALED (Date)
Signature
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
,-.--Zqping requirements-Setbacks-�,s�m�n,
�s,
&Q11—Property Line Firewall & Openings
'St --Grn _ 1,
JWTtg., MW. SQDa-- $ef'-Elde. Ftg. Depth
OWTxt. Doors -One X -Check Garage -3rd story, 2 exits
Soj�e-'StWet--/ /46�' Ftg. Depth
irs; W idth-Headroom-8 i se -Run- Land i ng -F ire Protection
r4i-Ftg., Porches & P2cks; §oils -Steel- / // Ftg. Depth
5*'flywood on Roof Overhang -Attic Vents -Rafter Outriggers
r5) Stempalls, M&r-, �2e4--B�p(Kouts-VrWedalab'�>
50- Sid ing-Nai I ing-Veneer
pe'Sten§#Mls, Gdmfe; St6eT-BlookolTt's-WrapreT--.-&Mpb-
*&.-Sjtucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
PVir2 lace Ftg.-Steel
4e -Glazing Area -Glass Protect ion -Sky I ights-P last ic
4. 5 FaRII-Fittings-Test4 wa)l�ewer Test
-05-6hear Walls; Nailing -Bolts
4L. -Gas Pipe; Size -Anchors
A�6 Water Pipe; Test -A nc hors- Reg u lator-Sery ice Test
Electric; Underground
T2 -Plenums; & Ducts; Clearance -Material -Support -ins.
4sa, Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -Bl
Date Card -BI Date
Card -BI
Date Card -BI Date
�J-Bl
Card -BI
Date Card -BI Date
Card -BI Date ",Y e4/Car( Date 111,7Z ZA4V
Date
FINA_L- (Plans) OK except #'s
'I.
Card -131 Date Card -BI Date
Date PLUMBING (Permit) OK except #'s
*' E_y*. Steps -Door & Sidelight Protection -Landings
sV�'Sqoke Detector
,641'qp4tr Ht.; Vent- Access -Combustion Air
5A --Furnace; Vents -Clearance -Comb. Air-Connector-
_jp.rnrnq1* Ah -As ElaAa*-Ducts-Mech. Protection
45'W!$�erPipe; Test & Anchors -Nail Protection
- V.; Test-Fttngs & Anchors' -Nail Protection
99"'Bedroom Exiting
A;?,. -Shower Pan; Test, First Floor -Tub Access
FO. �G
F-1. & Bath Fixtures & Tub Access
AS, 1.2,�! Tub & Shower, 2nd Floor -Tub Access
Qle'-Elec. Trim & Subpanel; Breaker Sizes -Labels
*.0 -Gas Pipe; Size & Anchors
-62T-Stairs & Rails
_413.- FLreplace or Stove; Clearances -Hearth
U-11pec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
Ww"Kir Fixt. & Appliance; Grnd���Cooking Clearance
Card-BE,� D*A0/2,/,Y0 Card -131 Date
jK-_Z-tec. Outlets & Receptacles at Kit. Counter
/ f
Date ELEP;rRICAL (Permit) OK except #'s
Ar Garage Fire Door; Sw ing-Land i ng -C loser
-6e- A_C. Duct in Garage -Damper
t&' ��ure & Transformer Clearance -ins. Protection
&q---Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Atew-e-Fl- -Mech. Protection
Receptacles Spacing -Lights & Switches at Doors
b., Elec. & Mech. Equip. Listed for Location
221 -Size Boxes & No. of Conductors -Stapled
- - -
_>.�'Fjec. Receptacles in Garage; (G.F.I.)-Romex Protec.
x Installed Clo se to Edge of Studs & C.J.
32' 1 nsu lat ion -Foam- Looked in Attic E] Yes
4a-5pard Rails & Deck Construct ion -Post ;4ps
Ar.- 5wyi p. Ground made up w/Mech. Fasteners -Bond Gas & Water
28� 2 Appliance Circuits in Kitchen & Conductor Size
74."F&r.-Vg-nrs-&-Cr-aWrTMte-Modr-DrainTge & Wood-EaYTh Clearance
Z
,46-.&ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or At
Range Circ. ; / ga. Cu a
27. Insula eutral r, tjjXC_��en Circ. ga. Cu or A[,
iLdf L_� Yes ];��o !'
'45o.00�Fol lowing instld.: Drive .4j�.�es E] No; Walks E5fas [] No;
Planters 0Yes EZeo
k�28 SaWrceM Gret-nd-Main Disconnect
-T6r,- Sft�,n�wn-Fi�ish
Clearances; Panels -Motors-Mech. Equip.
Lg!,j�4,4-
it. 7 __ -Clrnces-Brkr. & Cond. Size -115V Outlet
C. , D sc�nnect
s Closet Light -Shower Light
IES -.1 -Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
Card B-1 Dal eel��,
e Oward-B I Date
Card B-1 Dal Card -BI Date
Date ME5�!ANICAL (Perrr-it) OK except #*s
919. !�Later Well; Disconnect, Electrical, Plumbing
- - - - -
- - L -Exterior Elec. Trim; G.F.I. Receptacle -Underground
b< Ventilation throughout House
820.' -Glass Protection
_gorrections from Previous Inspections
W.,C-as Test -meters Tagged; Gas -Electric
4!F"" '04- ��_._Duct�: Insulation & Support
7 A""Vent Fan: Exhaust above Insulation
Drain & Overflow; Size & Grade
W.'Furnace-vent. Access -Comb. Air -Return Air Vent -115V outlet
4W.1 Attic Access & Platform if Furnace in Attic
Card -B-1 Date/�,�. Ca -rd ---B,- D -a -t -e-
Card -BI Date Card -BI Date
we Water & Sewer Connected -C/O to Grade -HD Approval
SRI- Energy Compl . i - ance Certificate -Other Certificates
n
Card-Bl�!!�
Date A9 Card -B I Date
Card -Bl
Card -BI
Date Card -B I Date
Date Card -BI Date
Date FRA"G(Plans) OK except #'s
Comments at Final:
21�0.'Sills; Proper Material & Anchors
�4alls: Studs -Nailing, Spacing & Bracing -Plates -Sound
.W�,O�eafring Walls over Girders & Floor -Nailing
&go' - a t Stop in Walls (rat proof)
Fire Stops; Furre� Ce.lin ir C ases'
_�s-Sta S- h -Tub
*-*'Header & Beam -Size & Bearing
Vangers -Post Caps -Anchors -Connectors
Clng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthn.q.-Rfng.
�.F' e lac e T ' e s or Type A Flue -Fireplace Throat
P!
�llic Acc s: Size & Romex Protect ion -Draft Stop -ins. Baffles
Z:5�rm:Windows or Exiting Doors -Sill Hat. & Dimensions
. G
C . Garage Fire Prote-ction Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
V = OK
0 = Not OK
- = Not Applicable -MOBIL610MES
* = Not Ready
M-1610ELLANEOUS
Date
MOBILEHOME UTILITIES (Pians) OK'except #'s
1. Zoning Requirements-SetbacO'-Eg"
. . §emdnts
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
r
2. Soils; Special MH Supp.rt-Sk.tch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -6/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; L ocat i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-B��-
5. Electricity; Location -Clearance$- Grnd.-/ ' / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice7Decal-Enclosures
6. Gas; Locatiort--Test-Wrap: /"Nat.or/ /"L"ft./ LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -131
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
Card -Bl Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ i rements-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 Te st-C rossovers- Brea kers-C I eara nces
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test- Regu lator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged'
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date'
Card -BI
Date Card -61 Date
Card B -I
Date Card -BI Date
I'Card-Bl
Date Card -Bl Date
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
BUILDING
BUILDING (20 Vd)
PLUM�)NG
Setback
Firewall 21k-6
5011 pip
Forms 'n r, Z'
Parapets I �e
1st Fl
Main ElIdg.
Restroom Finish
2nd Floor
Footings
Windows J
3rd Floor
4
Stemwal I
Sidina 46 Z) /0,;b
Topout 5,A�
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
FootinLSAc r4VWP-0
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p�jslcally
ndicappD
Conformance -of ex.
structu,
Appliances
Gas Piping & AX
Temp. Gas
Slab
Final
Sa-clApfigri
Patio
/ Fil(EPLACE
inal
Footings
Footing
/ --i1EJ2.ECTRIqAI_,
rRough
Masonry Walls
Throat
, —/,� 1,2'_'-0 (
ReInf. Steel
Final
-
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Fr aming
Test
Water Htr.
stucco
Final
Subpanels
Mesh
MECHANICAL,-
Grd. Fault Pro
cl /(Z
Scratch
Heating
Service
.5z&,��
,0
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Bqavlan"ant,=:,
a
Door Closer
Final 7
MOBILEHOME UTILITIES ------------------ Elec- Service
t+er Pedesfak-'
Water Piping
Sewer
Gas Piping
M0116EHOME INSTALLATION -------------- Support
Elec. Continuity
Water -Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vis1t the job site.)
COUNTY OF BUfTE - DEPARTMENT OF PUBLIC W*CRKS ;PR IT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIONAND PERMIT 0
ASSESSOR PARCEL NUMBER
ZONI
BUILDING PERMIT
OWNER
TELEPHONE
N9 — 7,
SO. FT.__ OCC. BUILDING VALUATION
OWNER'S M I I DDRESS
CONTRACTOP/S NAME
ITELEPHONE
I
CONTRACTOR'S MAILING ADDRESS
CONST� TION ENDER
,f
al e5g&� /—.- "I
UNKNOWN
Fireplace
Total Valuation $
—
LENDER-SMAILING/ADDRZ 0!,
a 474
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR Ess
to e
PLUMBING PERMIT
FilingFee 3.00
Each Trap
91 2.00 /,'OK,60
Repair drainage or vent piping
2.00
Water piping
A-7,420
LOT NO.
SUBDLI�V�4110N NA,4E
eel
ARCEL MAP
1P
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
Zoco
USE OF STRUCTURE
SF a DuplexF-1 MobilehomeF� Other SPECIFY
Building sewer
d7o
Lawn sprinkler system
2.00
IF
TYPE OF WORK
NewE�f� AdditionEl RemodelEJ Utilities[] Installation[] Other E:1
Describe work:
Permit Fee
$
Contractor
_,7euck�)
ELECTRICAL PERMIT
FilingFee 3.00
Main service 600V OR LE S S
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( OWE" Q�,&)
01, ADDNS. ACC qV
20 sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
D I am licensed under provisions of Chapt. 9, Div. 3 of the business
I
and Professions Code and my license is in full force and e fect.
License No. Classification
R 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. (See. 7044)
I, as the owner, am exclusively contracting wit'h licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MULTI.OU LET
IT
NON RESID, BRANCH CIR ITS) 2.50 ea
NEW_CON,STP-,( POWER APPARATUS &
NON RES D. SINGLE OUTLET CIR. )
50 @ 25C
Ex. Occup(OUTLETS OR FIXTURES BAL@IN
FIXED APPLNS. OR —_
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
[_] The permit is for $100.00 (valuation) or less.
E] 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.
1-2o, 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 49At
1
5�Q2 I e: 9 ?
Cooling e
'(00
4040
Hood
2. 00 9,00
Ventilation
Permit Fee
$ 00
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, judg r ments, costs, and expenses which may in any way accrue
againsysaid Pounty in co"equenge of tihanting of this permit.
Date!
Own n—
Signature of Applicant er El Co tracto r 0 Agent ri
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
$
Land Development Fee $
—
TOTAL PERMIT FEE $
gP. GROUP
__3
TYPE OF CONST.
I r
PARC;J
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF P19BLIC
By. 1�151W - I
PERMIT EXPIRES Date—
the applicable provi-/
resolutions to dr'
fees have been pa�/
WORKS
J Date
Receipt No. L13 V
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
This set of plans and specifications MUST b@
kept on the job at all times and it is unlawf4l 19
' hout
in ake any changes or altercitionstn some wit
written permission from fhe Department of Public
Works, County of Butte.
--./ 0- -za.,
OTE:—All Materials & Workmanship Shall 5
ccordance with Recoqnized Good Pracftces
: a qualify prescribed for the Specified use in
niform Building, Plum6ing & Machanical VCodee'
ie National Electrical Code. 41=>,
S4 - -7 i�
See Masfer Plan on Pile *for buil4kng
Plans.
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an
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57
et-,
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A setback of 5 ft. from tha
property lines and a setback
bf,,50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang,
3Ta2-90
BUTTE COUNTY
BUILDING DEPARTME1
r r -
APPROVED
WAIY-
72
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