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HomeMy WebLinkAbout035-420-078"T. Sunbeam Const.Co. / 5275 Margo Lane, lot 126, Crestwood Sub#2, Oroville Permit #3871-79B,P,,EJM(n�e�w sZingle family) 035-420-078� Ix KEGL arry B 6 L-17 '5275, Margo Ln. ,'Ordville*", 00. 'MOM=: 035-,420-078' PEF14IT 572617'-- KEGLEY,,,'Barry', g orovill:&, ..5275,Ma o.ln., '-'Wbodstove/SF V�L COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, balifointa 95965 - Telephone (916) 5 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-420-078 ZONING W 1 BU�oMNGPERMIT OWNER BARRY KEGIEY TELEPHONE SQ. Fr. Occ�, BUILDING VALUATION OWNERS MAILING ADDRESS 52-75 Margo Ln., Ornylillfs. rA 91SO66 —1 G O*mer - - ONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace A 1 1 CONSTRUCTION LENDER UNKNOWN Total Valuation 1$ LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.ry ARCHITECT OR ENGINEER LICENSE NO. —Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS I Penalty $ BUILDING ADDRESS 5275 Margo Ln Oroul I I PERMITIFEE 55.0(y a PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF F Duplex 0 Mobilehome 0 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other)M Describe Work: woodstove Mobile Home S I G I W 920.00 PERMITFEE Contractor ELECTRICAL PERMIT Filing Fee 2 0.'0 0 Main Service 800V OR LESS 200A OR LESS 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: [3 1, asowner of the property, ormy employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO OR ADDNS___ & ACC. BWS.. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUIT 97.50 POWER APPARATUS & SINGLE OUTLET CIR . Ex. Occup. 0 UTLET OR FIXTURFS 20 @ 1.00 BAL a .50 Ex. Occup. FIXED APPLNS. OR UTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee_ 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation, provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. -T X 1. Date —JSL–n-- iSi Signature of Ipplic nt 0 Owner Contractor 0 Agent An OSHA permit,is required for exdavations over 60" deep and demolition or construction of structures over'3 stories in height" Mobile Home Installation Fee $ Energy Inspection Fee $ Occ I CONST. TYPE I TOTAL FEE $ 55.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL rPD I Ho I ISSU Th is permit is hereby issued under me applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date )/1"FX" I PERMITEXPIRESON (Dill) Receipt No. 1 -?3 WHITE-D.D.S.-BJDV —CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIEANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive - Oroville�,.,Californix- 95965 - Telephone (916) 538-75 Fp RMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-420-078 ZONING 1 BUI ING PERMIT OWNER BARRY KEGLEY TELEPHONE SQ. FT. OCd' BUILDING VALUATION OWNERS MAILING ADDRESS 5275 MargQ Ln., Oraville, CA 959AA CONTRACTORS NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN too Total Valuation Is LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35_0c� ARCHITECT OR ENGINEER LICENSE NO. —Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5975 Margo La Oro:ixilap_ PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Y Duplex 0 Mobilehome 0 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 OtherAR Describe Work: woodstove Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinci Fee 2 0.'0 0 V OR LESS Main Service 6.000A OR LESS ) 23.00 Main Service 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class D Lic. No. 6 OWN UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 12 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. BLDS. so. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 97.50 &POWER APPARATUS —SIN.GLE OUTLET CIR Ex. Occup. ( OUTLET OR FDCTURES 20 @ I �00 BAL 0 .5o Ex. Occup. LETAPPLNS. OR ( OFIXED UT S (RESID.) EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performanceof workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) J6 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X J-7 -, A in Date Signatur of �p plic�nt 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE I TOTAL FEE $ 55.00 — — HAZ. I D. FEES I IMP I FLOOD 177T;Z�71 HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated- above- for which fees have been B Date PERMITEXPIRESON Toll / (DJ) provisions to do work paid. r ReceiptNo. (4 n2 WHITE-D.D.S -13 PINK -INSPECTOR GOLDEN ROD-APPFICANT I Attention Property Owner: An "owner -builder" budding permit has been applied for in your name and bearing your.. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 . I personally plan to provide the major labor a , nd materials for construction of the NO proposed property improvement YES 1 2. 1 HAVE[)(] HAVE NOT[ signed -an application for a budding permit for.the proposed work. 3. 1 have contracted with the following person (firm) to' provide the proposed construction: NAMIE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4.- 1 plan to provide portions of this work, but I have hired the following person to coordinate,. supervise, and provide the maJor work: NAMIE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: A .�_ DATE: Ja - I) - 5,f' - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.R_ I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all pern-dts for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benifit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A freque * nt practice of unlicensed persons profegsing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building pern-dts are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin'clrelr, Nficha4l C. Vieira, C.B.O. Nlana�er, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 3871-79B,P,E,M P41MIT NO. PERMIT EXPIRES Sdnbeam Const. Co. OWNER CONTR. r)wnpr 35-13-121 port. LOCATION (A.P. 5275 Margo Lane,lot 126, Crestwood Sub#2, Oroville Temp. Power Pole Called P$AE Temr Serv. Call d PG&E p �Temp Gas Serv. ailed PG&E OB FINALED (Date) (Signatu Tor COUNTY OF BUTTE — DEPARTMENT OF PUBLIC. WORKS BUILDING INSPECTIOITRECORD MOBILEHOME UTILITIES .................... ke'c- Serv-ice V Elec, Pedestal _�Vater Piping Sewer Gas Piping =1 E OME INSTALLATION --------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0_,4y 7 �F (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont,d) PLUMBING Setback Firewall- 7/* Sol[ Piping- yo Forms Parapets 1st Flooll, Main Bid Restrodm Finish 2nd Floor FootilgS4 Windows 3rd Floor Stemw;! Siding 11� Topout Slab �,a " Roof Sheathing 4 Water n - Pip' -g- �5� e/e��P,7 Piers' Roofing VZ,11,1 k7 7 Sewer Garage 4�r, 911-7f Fdn. Vents Fixtures Footings Sternwall Garage Vents Insulation Water Htr. HeatersZ..", Is L*1�1/ �19rol Slab Carport Footings Prov. for 1p� slag"lly handicappev Conformance of e s10g9R!h ��/p Appl'aKces 9 Gas Piping& Test Temp. as Slab -final f I Z740 S-an-il.Wion Patio FIREPL'AC16 Inalo �qs Footings Footing 41 _ELEC4`RlCA1L FRough Masonry Walls Throat I 4_ z Reinf. Steel Final I'tu Fixtures 4T Bond BeaM FIRE SPRINKLERS Motors �V -; /Z 7 Framing, Test Htr. - Stucco Final -Water Subpanels -------- Mesh MECHANICAL Grd. Fault Prot. Scratch Heating q2��� Servic Brown Cooling Temp. Pole Finish Ducts Underground Interior YX4!!�tlo ,!Rm nent 0 C-/ Door Closer /4 U_,00'00'1Y<f) 04 MOBILEHOME UTILITIES .................... ke'c- Serv-ice V Elec, Pedestal _�Vater Piping Sewer Gas Piping =1 E OME INSTALLATION --------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0_,4y 7 �F (NOTE: An entry must be made on this form each time you visit the job site.) Permit Underfloor Supply-Plenu :. (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch -stopping.'(8) Boots. (9) Supply receptacles and registers. (7) Fire ducts. (10) 6as lines and plumbing c.leanouts. Ducts: (1) Size.'(2) Materials. (3), ' Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. Combustion Air: (I),Size. ..Refrigerant Piping: <l) Material.. (2) Support. (3) Fittings. (4),Insulation. Fram' heating: (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap.:, (5) Tennination. Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. Refrigerant Piping: (1)*.Material.'(2) Support. (3)'Fittings.-(4) Insulation. p (5) Conden*sate drain. ff�inal eating: (1) Accessib.ility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. Cooling: -(l) Accessibility. (2) Support. (3) Controls. �(4):Pressure relief valves. (5) Class 2 refrigerant. 5/79 P L t M B I N G Check List 1:1 Permit Under* I . I '�Ioor Stage 191, D.W.V.: (1) Sizing. (2) Materials..(3) Fittings. -(4) Grade.& Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. IE KI_ (8) Wrapping. (9) Test - including "Ts". (10) Additional.test not required.* El Water: (1).Sizing. (2) Materials. (3) S ' upport. (4) Test. (5) Wrapping. (6) Dissimilar metals..(7) Service regulator installed or not required.* EJ F1 gas: (1) Sizing.'(2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. Framiug Stage (Top Out) a.D.W.V.: (1) Size. (2) Vent Area & Termination. 3) Materials. (4) Fittings. '(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.., (14) Additional 2nd floor test not required.* .Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.: ­ s: (1) Size. (2) Materials. (3) PR Valve Drain. - Water Heater: (1) Vent. (2).Locat'ion. (3).PR Valve Drain. F inal �.W.V.: (1) Connected to sewer system. (2)*'Special systems. Water Source..(2) Shut-off. (3) Anti -siphon Valves. Zas:7(l)'Tes't.' (2) Connectors. (1) Location. (2) Accessibility..(3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Di-verter. (9) Vent Connector. (10) Vent. (11) Shutroff and onnector. (12) PR Valve & Drain. aj�I.XtUre s (1) Approved. (2) Stability. (3)'' Clearances. (4).Trapped. '(5) Connections. (6) Cross-conn6ctions. (7) Dishwasher Air Gap. 5/79 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERbY CONSERVATIO14 REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT �Z� 7— 6 (location) BUILDING PERMIT NO. A -6-P. NO. THE FOLLOWING'HAVE BEEN INSTALLED AS PER APPROVED PLANS: (C4eck each item or write N/A if* not applicable) INSULATION: Slab Edge. Fdn. Walls Floors W a I i s Ceiling/Roof Ducts , 44. Circulating /PfPF_S APPROVED HEATER APPROVED WTR.HTR GLAZ ING:. Single Glazed Special (Insulated) CERT' & LABELED WDS., & ;LIDING DRS. WEATHER STRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE,BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO. THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License -No. 6e"erel Gent FaGtor,/Owne r Name E,,1,U (please pr1rTtT—_ Signature of Getteral Ge"erfte�er/Ownecfl��__ Date �tate Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING.' Permit# INSULATION CERTIFICATION Number and 51 -feet City. County Crestwood Sub'Unit.2 Lot 126 5ubdivision Lot Nunit)er DESCRIPTION OF INSTALLATION ROO F Material Brand Name Thickness finches) Th ermal Resistance IR Value) EXTERIOR WAILL Material Fiberglass Brand Name Certainteed Thickness finches) 332— Thermal Resistance (R Value) CEILING Batt or Blanket Type Brand Name Thickness 'finches) Thermal Resistance (R Value) LooseFillType- Fiberglass e!and Name 'Certainteed. Minimum Thickness finches) Number of bags 22 Weight per bag 2�— lb Area Covered Itt2) 1140 Thermal Resistance JR Vilue) 25 FLOOR.ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB Material Brand Name Thickness (inches) Thermal Resistance Ill Value) Width (inches) FOUNDATION WALL Material grand Name Thickness (inches) Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity DECLARATION I hereby certify that the above insulation was installed in the h , uilding at the at�ove location ir. conformance with the current regulations setting Energy Conservation Standards for new.sesidenlial buildings (located in Title 74 of the Caltfornia Administrative Code). SUNBEAM CONSTRUCTIO UCENSE #153200 General Contractor (builder) License Number -�e�qna �ure=and TPItle G%X!.: RY T. VISTICA Hawkins - ation CJQ�,--lnc 378407 57C ntractor (insulation Applicator) License Number '3-10-80 Signature ani�—Tit—le Date CERTIFICATE REVIEWEDBY Pate� BIN -029 ..7&tildi�ng Inspect! f ice) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 934-4541 APPLICATION AND PERMIT 19 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 9<gnature of Permitee or -A -gent Receipt No. / 13 White-D.P.W. - Yellow-Assesso; - Pink -inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a r which fees have been paid. - T �OF PT�B IL I C W 0 R I KS 4162��Af te Buillding permit expires Date --7-6 BUILDING Owner 5",u cc,2ke4T c'c', SQ. FT. OCC. BUILDING VALUATION // 62_9 'T ;U 3-G Z) - Cz — Mailing Address 11/1?0 :a gm Z- i C? go, ot Xe 'Y'V412.7 Telephone No. 7irg ilk cc) Contractor Mailing Add ress Fi replace Total Valuation . Telephone No. Permit Fee Building Address 1,11hW-6-0 4"560"s Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -5,C-0 Each TraD 1.50 J6J..10Q 6469t;j-,—g-n� 5olif *,V At5l_ /Z6 00C>u-,iLffl Repair drainage or vent piping 1.50 _,T) A. P. No. Zoning P later piping 1.50 Each gas water heater or vent 1.50 Fees AWT=�FireDept. I F ire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans I Parcel I Declaration -1 4494q 1 60' R/W 1 Improveme _ 2�� 'Each additional outlet .30 Building sewer 5.00 A41,kP*Ka_n Me-: q, I Parce!C�provol p I a nLAf ep'ro`v a, Lawn sprinkler system 2.00 NEW ADDITION'[] UTILITIES OTHER [:] Permit Fee $ /T-1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, 0 -0 - 100 AMP OR L _ 'S 5.00 main service 600V OR LE.SEr Single Family Duplex Mobil Home Others Main service EA. ADD*L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. ( __V UP. 20 sq f t OR A..NS. AC CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. I MULTI -OUT LhT NON.RESID, % BRANCH SIRCUITS) 12.50ea NEW.CON,STR. (POWER APPARATUS & NON RES D. SINGLE OUTLET CIR. - , 50 @ 259 Ex. Occur)(OUTLETS OR FIXTIIRES, BAL@1J (FUIXED APPLNS. OR Ex. Occup. 0 TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FT I am exempt f1rorn the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION 114SURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner 0 as to become subject to the Workmen's Compensation Laws of a I i f o rn i a. PERMIT FILING FEE $3.00 CXD Heating S_-0 PA � 111#7-0 44 4>0 42�E 6 -OV -5 Cooling ,t; ADD Ventilation Hood —,,n In Permit Fee $ $ 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 relatino to buildina construction. and herebv Land Development Fee $ 6Lt5-'ato I TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 9<gnature of Permitee or -A -gent Receipt No. / 13 White-D.P.W. - Yellow-Assesso; - Pink -inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a r which fees have been paid. - T �OF PT�B IL I C W 0 R I KS 4162��Af te Buillding permit expires Date --7-6 This set of plans and spe�cificafions MUST be keo on the job at- all times and it is unlaw u 0 .4nake any changes or alterations on same without written permission from the Department of Pu6- lit Works, County of Butte. See Master Plan on -filo. for buildinq clans. C VA r1OA1 —A .K 'Z.1 ,-TIC I eo 44 _7 S/L e The Bldg. Setback shall be 5 ft. from f�OZAX? 670 side property line and 50 ff. from the centerline of the ' road, permiff ing a maxi- mum of a 2 ft. eave, overhang but entirely out of all easements. rap e1XION ev"AdAly V, </ AAIE Liu TT6 COUN" 4UILDING DEPARTMEM -APPROVED CIZOTIYOW IlAlIrN.P ?