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HomeMy WebLinkAbout039-260-024v VICTOR BORDIN `W/ Troxel Rd, 800'S Burdick Rd, Durham _w';f- Cc- r-: aul Leete, Chico - r. BORDIN, Victor 467-678 . s Permit#11 ��83B,E,M(add bedroom & smoke 459-67E(s) 381-67E detectors/SF) . 4 39-26-24 w/s Troxell app. 500', so. of Bur is , Durha-` Contr:ctrl Leete, Chico (add studio workroom) iv l PSTTR t#1334-83B(reroof./_SF) 1 6 --v—'7- '-- 7 ! � 39-26-24 1.969-91B,P,E / I d BORDEN, Marie i D 9241 Troxel Rd, Durham v cont: Care -Free Pools (swimming pool) (9 039-260-024 03-1546 BORDIN, MARIE 9241 TROXEL RD, DURHAM Cont: FOUR SEASONS RE -ROOF i J i� _ VICTOR BORDIN `W/ Troxel Rd, 800'S Burdick Rd, Durham _w';f- Cc- r-: aul Leete, Chico - r. BORDIN, Victor 467-678 . s Permit#11 ��83B,E,M(add bedroom & smoke 459-67E(s) 381-67E detectors/SF) . 4 39-26-24 w/s Troxell app. 500', so. of Bur is , Durha-` Contr:ctrl Leete, Chico (add studio workroom) iv l PSTTR t#1334-83B(reroof./_SF) 1 6 --v—'7- '-- 7 ! � 39-26-24 1.969-91B,P,E / I d BORDEN, Marie i D 9241 Troxel Rd, Durham v cont: Care -Free Pools (swimming pool) (9 039-260-024 03-1546 BORDIN, MARIE 9241 TROXEL RD, DURHAM Cont: FOUR SEASONS RE -ROOF MEN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Tellephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PER IT .03 iS of Co ASSESSOR PARCEL NUMBER r ZONING ® BUILDING PERMIT OWNER . �IiJ� .TELEPHo�ONEy � �J�.•l-O� SQVT. OCC. BUILDING VALUATION . OWNER'S DRE j\ COM C 'S NA + TD TELEPCH_ON)�jjE ISO (I CONfRAC OR �MAIUND ADDRESS \ Cs CONSTRUCTION LENDER i LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS , Energy Plan Checking Fee $ 0 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PA9CEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK -4 New ❑ Addition Remodel ❑ Utilities ❑ stallation ❑ OtheQ Describe Work: 1 I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20:00 800VMain Service zo A OR LESS 23.00 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 I I full for a effect.POWER �/ License Class Lic. No �n . Q� OWNE -BUILDER D CLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reasonI WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp nsZa ' ins nce carrier and policy number are: Carrier Policy Number (rhe above sections need noMe completed if the permit is for work of a va nation of one hundred dollars ($100) or less.) ❑ 1 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, l shall wth comply wit se provisions. 5,of X 1 to of Applicant - ❑ 0 er ontrac or ❑ Agent Sij0perimit An is required fore avati s over 5'0"deep and demolition or construction of structures over 3 stories in height.CV444v�&04Q Main Service 200A TO IOOOA 46.00 % NEW CONST. DWELLING OCCUP. 3.5Qso S. ADDNS.NST. ( ZrOR MUL�TIC-O NOI}RESID. C @7.50 APPARATUS 8 SINGLE OUTLET CIR. OUTIET OR FDCTURES 20 ®-1'0° EX. OCCU BAL Q .50 Ex. Occup. DLIT>Frs qM D °� 5.00 Temporary Service 23:00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t_ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON Det, Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6-24 1969-91B,P,E • BORDEN, Marie 9241 Troxel Rd, Durham cont: Care-Free Pools- (swimming Pool) •F p4!Z `8(AvctiC.1oa. 1)ro X eA PZd JOB FINALE Signature J = OK r. O=Not OK Not AppjNot Ready$ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requ rements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 { Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line r 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector { 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date ` Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Setbacks -Easements S ' s; Compaction -Structure Stability Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Recept es and Light Distances-apti 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Con *ntries-Terminals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Groun Equip. w/5' C ing quip. -Pool Lghtg. Boxes-Encl res -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test N IG r N,cm C GGIV12--Gr- C- 11Q1-Q1A-17-gg 1) Date-ZOI•gl Card B-1 GC Date Card B-1 Date 1 Card B-1 Date Card B-1 o.�Z-a ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except it's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders-Sills-Anchor-Bolts--Joists-Vents-Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- - --------------------------- 17. Water,Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -- ------------- - ----------------- 19. Shower Pan: Test, First Floor -Tub Access ---------------- ---------------------------- 20. Test Tub & Shower: Second Floor -Tub Access ------- - -------- -------------------------- 21. Gas Pipe: Size &Anchors --------- ------ ------------------------------------------------- Date - - --Card B_7 - Date Card 8-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's' i - ^ . � 22. Fixture& Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors ` --------------------- ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled --------- ------------------------------------------------------------------ 25. Romex Installed Close to Edge of,Studs & C.J. ------------------------------------------------------------ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --- ------------------- ------- ---------------------------------------- 27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI -------------------------------------------------------- 22. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. - ---- ---- ---Cu or -Al ------- ---------------------------------------------- - 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------ --------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - -- --------- --------- --- - ---- --------------------- 33. Smoke Detector ---------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tt's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation -------------------------------------------- ------------------------------------ 36. Conden=ate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------- - - 38. Attic Access & Platform if Furnance in Attic ----------------------------------- --------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors -------- ------ --------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- -------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------------------------------------------------------------- 42. ---------------------------------------- ---------- 42. Draft Stop in Walls (rat proof) ----------- --------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. -- - 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance -- --- 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------ - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------- --- _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60. Infiltration-Walls-Windows --------------------------- ----------------------------------- - - Date Card B-1 Date Card B-1 •---------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------- 64. -------- 64. Bedroom Exiting - ----- ------------------ 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ------------ 67. Stairs -&-Faits---- 68. Rails68. Fireplace or Stove: CILarances-Hearth ---------------- 69. ---------------6J Elec. Outlets at Wood Panel: Int. & Ext. - ---------------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -- - - - --- --- - - --- -- - -------------------- - 72. Garage Fire Door: Swing -Landing -Closer -------------------------------- 73.-- --- p -- 9 -Dam er -----------------A.C.----Duct in--------Gara----------- --- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection -------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection •--------------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes ------------ - --------------------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ..----------------------- ---------------------- 80. Followinginstld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No------------------------------- _ 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing -------------------------------------- -- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing --------------•------------------------- - ---- 85. Exterior Elec.-Trim; G.F.I. Receptacle -Underground --- 86. Ventilation Throughout House - - - - - - -- --- - ...-------------- 87. Glass Protection --------------------------------- 88. ----------------------------88. Corrections from Previous Inspections ------•---- - ---------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------------- 90. ----------------------------------90. Water & Sewer Connected -C/O to Grade -HD Approval - ----------- --- ---------------- ----- ------ 91. Energy Compliance Certificate -Other Certificates -------------------------------------------- --- - Date Card B-1 Date Card B-1 ----------------------------------------- --- ---- Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville; CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION. NOTICE OWNER + PERMIT NO_ A routine inspection indicates that the following violations of Butt `County Ordinances emostat the above address and should be corrected. Please notify this office when correction at work is, completed. If you have any questions pertaining to this matter, or need additionalelq lanatimq please contact this officeimmediately. � n d An I 3 Il .Ivv n /TiP►� 771 A i' /A— ! /)/iAL. a i.ra D Date v —/C�-7 REV 11/81 /Nb IS6(&f-j GL-. �!-_j ttZ `fr `1 F Inspector !ti COUNTY OF BUTTE _ DEPART.MENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT i f ASSESSOR PARCEL NUMBER 39-26-94 ZONING A-20 BUILDING PERMI , OWNER Marip Borden TELEPHONE 3 —0017 SO. FT. OCL`, BUILDING VALUAT N Pool Est, 0 OWNER'S MAILING ADDRESS 1 9241 Troxel Rd, Durham 95938 . CONTRACTOR'S NAME TELEPHONE 1342-4639 CONTRACTOR'S MAILING ADDRESS Chicc) 95926 Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation $ 30 000.00 Filing Fee $ 0.00 LENDER'S MAILING ADDRESS Permit Fee $ 193.00 ARCHITECT OR E :NEER _ LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 2800 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ElDuplex❑ Mobilehome❑ Other POePECIFY 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 ❑X Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Master #501-88 Swimming Pool Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ET"i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi nss �Code and my license is in full force and effect. License No. (' (J Classification. C- 3 ❑ 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. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ADDNS. ACC. BLDGS. I /iosgIt NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRCU ITS 2.SOea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eLO 30 FIXED APLNS. Ex. OCCUp. OUTLETS (PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 1 15.00 15.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): �❑y /The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee . 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again'd Co my In onsequence of the granting of this permit. '1 X Date (S /' C� Signature of Applicant — Owrier ❑ Contractor &I 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 $ E HAz. cuA- PARK SCHL FLD PAR PD I Issu This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab o a for which fees have been paid. D E OR ELIC WORKS 1 By Date � PERMIT EXPIRES Date V ) f/y_..s _Q �� Receipt No. 1 93743 1 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . F , ,,.�,,,srr,, , -, a . `rr - • v . *Fr "�...,K.,,I,,..;Y..,�..,_ � .,,P .o, }-'j��','P'C'�, 'i'" S�'r"�'�'� -rc' , • .: .. _ , w.,.,� , , t .. L COUNTY OF BUTTE - DEPARTM6*' OF "PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVES OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 y PERMIT APPLICATION DATA SHEET _ s Permit No. OWNER ' ('--�`� � � /�- Z 2 Ai P . _ A ' �cL —Proposed Building Use �� � �/ S" Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: t/ DATE RECEIVED APPROVED 1. All 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,lntent 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 .................................................... School District fees paid .............. -_-`Sanitation approval from ��� Health Department 15. City of Chico plumbing permit ..................................... 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 (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the per it, proc s as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at CH / office. Deliver w/inspector. Other _ Applicant .Date Copy of Hdz-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 ---mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma fI counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder J TO Buildina Department FROM: Environmental Health, SUBJECT: Sanitation Clearance U Owner 'Location AP#1 Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other PLOTS * * * —_ r Sa itarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllei California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAR NUMB ZONING BUILDING PERMIT OWNER L ' TELEPHONE SQ. FT. OCC. BUILDING VALUATION O ER'S M41toING ADDRESS 7C•/T/ -1 IJUXE CO RRAATELEPHONE CONTRACTOR'S MAILING ADDRE55 Fireolace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee - $ ;0.00 LENDER'S MAILING ADDRESS Pemlit Fee $ ARCH(: ECT OR L.J ;INEER LICENSE NO. Plan Che,_king Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDJ A DRE 5 / L Oo v 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 rD Each qas water heater or vent 5.00 USE OF STRUCTU SF ❑ Duplex❑ Mobilehome❑ Other � �� � SPECIFY Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TTSTG W 0.00 ea TYPE OF WORK New* ew Addition ❑ Remodel[]Utilities[:]Inst�all�atiionn❑ Other [:1 Describe ro�fi —t7 �� 11=�>� • _ Permit Fee $1 10 Le Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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. ❑ 1, as the owner, or my employees with wages as their sole compen- _.sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) • ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.01� OR ADDNS. l ACC. BLDGS. yz¢sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea ( POWER APPARATUS e\ (SINGLE OUTLET CIR. I EX. Occup(OUTLETS OR FIXTURES BAL030 FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 X, 0 d Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. - ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W: C: provisions of the Labor Code; you must forthwith -comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 °y Ventilation Permit Fee _ - -- $ Contractor I certify that I have read this application and stale that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ r occ CONST TYPE TOTAL FEE $ HAL PARK SCHL FLo coF PAR PD I HD• ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ........_n s .0 -c, i n.u_.a ec--no P,u R.i4CPef.TnA. �n,_nru PRe-APPLICANT Dear Permittee: �:: _ utte Co, LAND OF NATURAL WEALTH AND BEAUTY �L� ) DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE # OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RE: Attached Building Permit RONALD D. McELROY Deputy Director Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be'made before going any further. Please allow 24 hours for inspection service. T As a reminder to you, it is illegal to. occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a�temporary occupancy will be permitted.Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed'by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the- work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG:ahb Chief Building Inspector Attachments Ir rG r r 1175-83B,E9M PERMIT NO. PERMIT EXPIRES L�2)ft l OWNER VICTOR BORDIN ` ' CONTR. Paul Leete a ASSESSOR PARCEL 39-26-24 LOCATION W/S Troxel Rd, 800'S Burdick Rd, Durham �t t , t' +F F Temp. Power Pole Called PG&E Temp. Elec. S Called PC Temp. Gas Sei Cal led PG JOB FINALE[ Signature a i J OK CT- Not OK Not Applicable x Not Ready RESIDENTIAL, (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s DateFpAMU4G (Continued) Zoning requirements -Setbacks -Easements T. rroperty Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Q3rExt. Doors -One 3' -Check Garage -3rd story, 2 exits _3•-Ftg., Garage; Soils -Steel- / /" Ftg. Depth 6 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection J•Ft ., Porches & Decks; Soils -Steel- / /'' Ftg. Depth et -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab W. Siding -Nailing -Veneer A temwalls, Garage; Steel=Blockouts-Wrapped-Slab X59 --Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ' lers-Fireplace Ftg.-Steel r5t- Glazing Area -Glass Protection -Skylights -Plastic _ --I}--1T.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -&& Shear Walls; Nailing -Bolts as Pipe; Size -Anchors " -10-JUater Pipe; Test -Anchors -Regulator -Service Test j1. Electric; Underground - its -Plenums & Ducts; Clearance -Material -Support -Ins. i• 13. Girde SWSr An olts-Jo sts ents Cripples Card -BI Dat Card -BI Date Card -BI Date Card -BI Date r Card -BI ' Date Card -BI Date Card -BI Date ' ) Card -BI Date Date FI (PI OK except #'s Card -BI l Dat `i.b I FN Card -BI Date Date PLUMBING (Permit) OK xcept #'s 56 Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -A ess-Combust ion Air 5 . -Clearance-Comb. Air -Connector - I age Above F o ucts-Meth. Protection 15. Water Pipe; Test Anchors -Nail Protection r 16. D.W.V.; Test-Fths & Anchors -Nail Protection 59VBedroom Exiting a tx u s & Tub Access _ _17. Shower Pan; Te t, First Floor -Tub Access 18. Test Tub & Sh wer, 2nd Floor -Tub Access 61.19IS1ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Sizi & Anchors _ e or tove; Clearances -Hearth 64 lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6.5 ix . liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date c. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrnit OK except #'s_Ba_ge-Damper Garage Fire Door; ing- Land ing-Closer _ 20.Efixture & Transformer Clearance -Ins. Protection / 69. - tearance-Comb. Air-Connector-P.R.V.- I arage; Above Floor-Mech. Protection 0Y _ c. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors -Stapled 7plb., Elec. &Mech. Equip. Listed for Location 23omex Installed Close to Edge of Studs & C.J. c es in age; (G.F.I.)-Romex Protec. �/ Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water '?L--Trsv+ftorr-Foam-Looked in Attic E] Yes - -21­21-Appliance Circuits in Kitchen & Conductor Size 7 onsiruction-Post Caps - —ole - �2ti-Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2 -r -Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No / 75. __ ❑ Yes ❑ No; Walks [j Yes E) No; Planters Yes ❑No '2 -8 -'Service -Riser Conductors & Ground -Main Disconnect 76_ -T -in ts __Equip. Clearances; Panels-Motors-Mech. Equip. 7 , , n -; tsccnnect-Clrnces-Brkr. & Cond. Size -115V Outlet _A Card B-1 Clothes Closet Light -Shower Light — ---- -- -- — C1�p (� _ Card -BI Date uu 7 , 79. _ _ ove RooP, Plbg.-Appliance-Firepl.-Clearance to Opngs. Water We , isconnect, Electrical, Plumbing or lec. Trim; G.F.I. Receptacle -Underground 81 �/en4jation throw t House Card B-1 Dat Card -BI Date •: ' otection Date MECHANI(Permit) OK except #'s $3. rrections from Previous Inspections - e ers agged; Gas -Electric 31: A.C. DDu u ts; Insulation &Support 86. netted -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates i Vent F t_Exhaust above Insulation 33. Conden ate Drain _& Overilow; Size & Grade 34. Furnac -Vent; Access -Comb. Air -Return Air Vent -115V outlet - 35. -Attic 4ccess & Platform if Furnace in Attic r Card -B• Card- Date and -BI Date Date Card -BI Date Card -BI Card -BI --- _Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date r. FR NG(Plans) OK except #'s Comments at Fi /Sills; Proper Material & Anchors �7!Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _VaBaring Walls over Girders & Floor Nailing__ Stop in Walls (rat proof) —_Fire Stops; Furred Ceilings -Stairs -Chases -Tub -41-."Header & Beam -Size & Bearing_ Vangers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. - IT-IFireplace Ties or Type A Flue -Fireplace Throat _- tltc Access; Size &Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiling Doors -Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) 0I = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS 4- z� Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors _ 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27511 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 corr ction of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. 11 Inspector_ Date 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 . APPLICATION AND PERMIT PERMIT NO. G ASSESSOR PARCEL NUMBERZO 9 - ING BUILDING PERMIT OWNS I, �N LEPHONE SQ. FT. OCC. BUILDING VALUATION OV OWN R'S MAILING ADDRESS , o. CONTR TO 'SN ME TELEPHONE J% L 17 CO RA TOR'S (LING ADDRESS CGO Fireplace CONSTRUC�iv.T�ION LENDER zevLENDER'S UNKNOWN Total Valuation $ Flling Fee $ 10.00 MAILING ADDRESS Permit Fee $ „Qp ARCHITECT OR ENGINEERCENSE �d�/ LINO. Plan Checking Fee •$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD 5 / - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ,I� SF 1� • uuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S GW 10.00e TYPE OF WORK New ❑ Ad d i t i o9n;_1 Remodel ❑ Ut/I IItIes ❑ JI 'stallation ❑ Other De ribe work: 1 �0(�/s%��i GC190,r�lJ _ Permit Fee $ Contractor - ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t�2GSQft CONTRACTORS LICENSE LAW I declare rider 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. 22,,,,C !! License No.�/&9` Classification ;25- ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting -with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTULTI.OUTLET NON.R(RESID. `BRANCH CIRCUITS) 2.50 ea NEW CONSTR. / POWER APPARATUS &\ NON-RESID. (SINGLE OUTLET CIR. / Ex. Occu P�o OR FIXTURES 20@50C BAL®30Q FIXED APPLNS.-0R FIXED A Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of a 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, Jud ments, costs, and expenses which may in any way accrue against sa' unt equence of the granting of this permit. X Dated %�� Signature of Applicant— Owner ContractorX Agent ❑ An OSHA permit is re red for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD 1, HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DiRf OF PUBLIC PERMIT [J �•� the applicable provi- resolutions to do have been paid. WORKS �Y Receipt No_� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - CJtf',4A-�MENrT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 9496&,7.Telephone 916/534-4541 , ✓73 APPLICATION AND PERMIT � ASSES OiPPRC=L NUMBER p�CJJ of ZONINGv BUILDING PERMIT OWMER T LEPHONE SQ. FT. . OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS CON ACTOR' AME TELEPHONE S C - CONT A TO MAILING ADDRESS _ Q X 3 (� Fireplace CONSTRUCTION LENDER E UNKNOWN Total Valuation $ 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ p t ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , SV Penalty $ ARC IT CT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR i (,(f,,/ AV xov PLUMBfNG PERMIT Filing Fee 10.00 U/G,C �• Each Trap 2.00 Solar Water Heater 20.00 AK ha -AW Water piping 5.00 ' LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5,outlets 5.00 —�USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 GJWJ 10.00 e TYPE OF WORK New ❑ Addition Q/Remodel ❑ Uti Iities ❑ Instal lati n ❑ Other ❑ Describe work:/f��w1 '� �d'<d� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLIN CEJ P.&\ OR ADDNS. 1 ACC. BL (/ / ,Z1�q¢Sq ft Dv CONTRACTORS LICENSE LAW I declare u r 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.��/�2t� Classification 9L ❑ I, as the owner, or my employees with wages as their sole compen= sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U' TI.OUTLET 2,50 ea NON -RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu / 20@s0e P\OUTLETS OR FIXTURESBAL@30Q FIXED APLNS Ex. QCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.�� Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation vG V Permit Fee $ ,CIO 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities ments, costs, and expenses which may in any way accrue again Id C y in -consequence of the granting of this permit. O Date f� 2�-��- Signature of Applicant —7 Owner ontractorM Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIREC ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,rU oc P. aGROUP TYPE OF CONST. PARCE D RD 1551 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which O OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 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