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 ?