HomeMy WebLinkAbout039-270-05639=27=�
Mer
a s/s Ord Fern} 60'.W. o Brown St.
Dayton of 60 -7-
Permit
Permit 6445-75 B,P, ,M (new S
39-27
Jim Lact
-SIS -TOrd-Ferry-�Rd-. ; +60' :of=Brown-S-t-._,
Dayton, of 6),�/ 1,0-1.2%6
Permit #2283-76B,E( dd garage/SF)
' W fit' ` D 5 8�
BILLANE EZ. � l �� /
SIS Ord Ferry Rd, a p 125'W of
Hensley, Dayton
Pontr: Valley Electric; -'Chico
Permit#2211-80E(ele ser ch)SF
I
i
39=27=�
Mer
a s/s Ord Fern} 60'.W. o Brown St.
Dayton of 60 -7-
Permit
Permit 6445-75 B,P, ,M (new S
39-27
Jim Lact
-SIS -TOrd-Ferry-�Rd-. ; +60' :of=Brown-S-t-._,
Dayton, of 6),�/ 1,0-1.2%6
Permit #2283-76B,E( dd garage/SF)
' W fit' ` D 5 8�
BILLANE EZ. � l �� /
SIS Ord Ferry Rd, a p 125'W of
Hensley, Dayton
Pontr: Valley Electric; -'Chico
Permit#2211-80E(ele ser ch)SF
M C"l N i�l
PERMIT N0. 6445-75 B,P,E,M
• t�' P
,t �1 E
4
( M
MH UTIL.
PERMIT NO.
A. /y/y
PERMIT EXPIRES- //1a
OWNERJames Miller
OWNER
�. CO NTR. OWner
i�..
I;OCATION (A.P. 39-27-20
�. s/s Ord Ferry Rd., 60' W. of Brown St.,
Dayton, (Lot 60)
1 •�
• F
r
xF •
t�
• ttt Temp. Power Pole
Called PG&E S
Temp. Elec. S v. '�«
Called P &E — (n
Temp. G Serv.
Cal d PG&E
JO7-2
F ALED
- -r�
} (Dat �.
(Signature)
'1
r;
! I u A.
#,.. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall .�<
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish ~
2nd Floor
Footings —
Windows
3rd Floor
Stemwall
Siding -
To out
Slab "'
Roof Sheathing`eP-
P' in
--/6-
Piers
Garage
_
Roofing
Fdn. Vents
ewer
Fixtures
_ a
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
41 7
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final 7 — % 6,
Sanitation
Patio
FIREPLACE
Final
—
_ Footings--/
Footing ri
ELECTRICAL
Masonry Walls r
Throat
Rou h
.2.
Reinf. Steel
Final —. 2 4,
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
•=—�—
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating —2—
Service
Brown
Cooling -1'7— %
Temp. Pole
Finish
Ducts
j Underground
Oc"Qr Lath - _-2- 74p
Ventilation
Permanent
Door Closer r -.. — (p
inal %
Final
— v
DATE —REMARKS OR CORRECTIONS
QA47'
� U �
��� ,
�/�
®�
��
C' �� ��
ERS`
VCOM`PANY
ll H
LICENSED CONTRACTOR
Insulotion —Weatherstripping — Accoustical Tile
P. 0. Box 3506
Chico, California
Phone 342-4764
Date
To Q1/m J%..Ie—
(Purchaser) (�
Lo ��
(No'
. and Street)
(City and State)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN ,INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
� ti'".c3
Street
Lot Number
Tract No.
EXTERIOR WALLS
Manufacturer} /�_ Thickness/Typei,,& �R Value
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer Thickness !tip No/. Bags C>Q/ Wt./Bag
Sq. Ft. Covered (/110 R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
r
GE AL CONT ACT K CENSE NUMBER Z9�3Z�
B TI LE dt�14J�R DATE :7 —2 --7
ULI�%fI CONTR CTOR V-"` LICENSE NUMBER tS&S-Q32—
B J/'/ TITLE �� DATE •�
SAVE ENERGY - INSULATE!
( DATE)
ACCEPTED � --b % HERSETH COMPANY
(Authorized Representative)
r
FA
d w : • . _ e _ . . Vie. . 7• • . e
• COUNTY OF BUTTE — : DEPAAT'MENT OF PUBLIC WORKS
7 County Center Drive --Uroville, California 95965
• ' Tel ethone: 534-4541 //�' /
APPLICATION AND PERMIT
Of
BUILDING
Owner -S ! E
SQ. -FT. OCC. BUILDING VALUATION
Mailing Address
I.Lel
! C 0Z-
No
Fireplace
Contractor ��-
Total Valuation 15-4v•
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee O
`FEE
�C
Building Address 5 _
PLUMBING No. @
PERMIT FILING FEE . $3.00 3 (3CZ
- 66 6 Q '49"o CO
7ach Trap 1.50,r,:2.CC
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.3 - 77 W Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W. .
Sa on
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
I Parkin
arkin
I
Declaration
Parcel Map 60' R/W
I Improve is
Lawn sprinkler system 2.00
Bldg. ane Recd
Porcel 4rovol
Plans Approval
Permit Fee $ o )
S
NEW JK ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 2,50
Single Family IN Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25,00
Main service EA. ADD'L 100 AMP 1,00
NEW CONST. OR ADDNS. % ACCLLING BL GO CUP. &) 20sgft 3(�, 6
NEW CONSTR MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) '2.50ea
NEW CONSTR (POWER APPARATUS &
NON -RESID. SINGLE OUTLET CIR.
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:
C
8
'z- 00
Ex. Occup(OUTLETS OR FIXTURES)@Lz5a
BALN'1
Ex. Occup. FIXED APP LNS. OR
P•�OUTLETS (RESID.) EA) 2:00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
kWokmen's Compensation.
Xave placed on file with the County of Butte a certificate of
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
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 -3. OG
Heating (rj _ O O
Coolingorkmen's
Ventilation
Hood (' 2.00 2� C9 0
Permit Fee $ 3._ oo
$ F_ (9v
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.
-� Date ��-�23_i�
Signature of Permitee or Agent
TOTAL PERMIT FEE
$ 3 40
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
c J^�' �, / /—/ 7---:;,L —.7L
Receipt No. ,� .3(t'5 A5 e, V- ! -! Z
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant wilding permit expires Date -77
-IT 23
PERMIT NO. 2283-76B,E
PERMIT EXPIRES J 1
717
J OWNER Jim Black
° 'CONTR. owner
LOCATION (A.P. 39-27-20
S/S Ord Ferry Rd., 60' W. of Brown St., Dayton
. ,• Clot � v�
j'
13
• Y
4
1
1
Temp. Power ole
Called P &E
Temp. EI . Serv.
Call d PG&E
Temp. as Serv.
' F ` [led PG&E
B
INALED .
(Dat e s
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTfON RECORD
BUILDING BUILDING (Cont'd) PLU ING
Setback (,�2•1
Firewall
Soil Piping
Forms
Parapets L
1st Floor
Main Bldg.
Restroom Finish r
2nd Floor
Footings
Windows
3rd Floor
Stemwal I
Siding off- '
To out
Slab
Roof Sbeathinp
ater Piping
Piers
Roofing 0 "� `
Sewer
Garage
Fdn. Vents 40
Fixtures
Footings - j
Stemwal) to ~ 1�
arage Vents
Insulation
Water Htr.
Heaters
Slab -
Carport
Footings
Prov. for ph sically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final �- C ''
Sanitation
Patio
FIREPLACE
I Final
Footings
Masonry Walls
Relnf. Steel
Bond Beam
Framinc -• Z
Stucco
Mesh
Scratch
Brown
Final
FIRE SF
Test
Final E2�
MEC
ELECTRICAL
Rough 10 -
Fixtures 110
Motors
Water Htr. -�-
Subpanels ��•—/� �7%�
Grd. Fault Prot.
Service
Temp. Pole
Finish Ducts 04Underground
Interior Lath Ventilation Permanent
Door Closer Final IF Final
DATE, / 740 REMARKS OR
�RRECTIONS
3,
t/�5,4 ,O ��
emP1,a i �1. G7' i ii e®vsz'/Zti�G6, iU.4L4- 2EgfAZ #oezgF kL.
k L f=or,.- W &L- (JF-,< -
r , r 1
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
:v 7 County Center Drive `"_ otbville, California 95965
Telephone: 534,4541
APPLICATION AND PERMIT
wA 9
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
✓� X r Date `� S
Signature of Permitee or Agent
Receipt No. (p
White-D.P.W. — Yellow- ss r ink -Inspector — G I enro -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF .PUBLIC WORKS
By—ally- - Date
Building permit expires Date
BUILDING
Owner ( PA.
SQ. FT. OCC. I BUILDING V , UATION
Mailing Address PC>,
an 4 A, A�
M`-
T ephone No.
Fireplace •
Contractor
Total Valuation
Mai ling Address
Permit Fee ,Qp
Plan Checking Fee &/or Penalt
•
Telephone No.
—
Permit Fee ep
Building Address S s IQ
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
If
o
Each Trap 1.50
Repair drainage or vent piping 1.50
(e�j0
Water piping 1.50
Each gas water heater or vent 1.50
�/� r , 2.� r ZO
A. P. No. _l Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
W
(g)on
Fire Dept.
Fire Zone I Use Permit
Building sewer 5.00
EQA
Parkin
I0
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.0Plans
\/Bldg. Plans Recd I
Parcel dppr al
Plans Approval
Permit Fee $
$
NEWADDITION, UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 O
'n❑
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Eg- Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. I DWELLING
OR ADONS. ACC. BLDG UrP &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON•R ESI D. BRANCH CIRCUITS)2.50ea
'
NEWCONSTR POWER APPARATUS&J1
NON -RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES)50 @25C
101
Ex. OCCU FIXED APP LNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring '6.25
7( �am exempt from the Contractors License Laws of the State of Cal Ifomia.
Permit Fee $ 1-7,401
WORKMEN'S COMPENSATION INSURANCE
1 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.
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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
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 relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
✓� X r Date `� S
Signature of Permitee or Agent
Receipt No. (p
White-D.P.W. — Yellow- ss r ink -Inspector — G I enro -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF .PUBLIC WORKS
By—ally- - Date
Building permit expires Date
'-Z, �:
-4--?o
1-1
t
h,
PERMIT NO.
6444-75 B,P,E,M
.
P
{
f
E
(
M
','MH
UTIL.
1
PERMIT NO.
PERMIT EXPIRES
-1-OWNER
James Miller
'-Z, �:
-4--?o
1-1
'q�t�
PERMIT NO.
6444-75 B,P,E,M
.
P
f
E
(
M
','MH
UTIL.
1
PERMIT NO.
PERMIT EXPIRES
-1-OWNER
James Miller
t,coNTR.
owner
LOCATION (A.P.
39-27-20 )
F
nw corner Brown St. & Ord Ferry Rd.,Dayton
AV
(Lot 59)
1
-
t..
'q�t�
,c
't
f
.
(
r
T/Gas
le
CallE
Terv.
E 7L
Te.
E
JOB
FINALED
(Date)
(Signa ure)
COUNTY
OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
PLUMBING
BUILDING (Cont'd)
Setback
Firewall 5.L.16 -7
Soil Piping
Forms
Parapets
1st Floor 0
Main Bldg.
Restroom Finish
2nd Floor
Footings --.;z0: 6
Windows
3rd Floor
Stemwall c>�
Sidin ,� -� .
To out "7
Slab -- ,�O �i
Roof Sheathing
Water Pipin
Piers
Roofing
Sewer - 6
Garage
Fdn. Vents
Fixtures
Footings -- oZ Z> -76-
Garage Vents
Water Htr.
Stemwall O -;!—(p Prov. for physically '
Heaters
Slab ` - 6
handicapped
Appliances
Carport
Conformance of ex.
Gas Piping & Test -�
Footings
- structure
Temp. Gas
Slab
Final -
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
1 FIRE SPRINKLERS
Motors
Frami ng o2
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot. -Scratch
Heating
Service
Brown
Coolin —
Temp. Pole
Finish
Ducts
Underground
Ventilation
Permanent r
Door Closer -�^ �7�
Final
Final
DA .E/
REMARKS
REMARKS OR CORRECTIONS
Com LrL{"i 77'h/&-'/ 0'/ �i€7—X�
S0,C457 '
Cp,C)l e06,6
Me�l 7 07 /J0' AE�Vbs
n A
5/- e- -7 L
IG7-"
/A/,'k/4J4-ToA/
1
C:P y ��
.�
G% ,
/��z�r� D ���
..
���
ERSET
".
COMPANY4..
LICHNRED CONTRACTOR
Insulation — Weatherstripping — Accoustical Tile
P. 0. Box 3506
Chico, California
Phone 342-4764
Date
To Wi m /L/L/6 �z
(Purchaser)
LZT S ( �0 swj)
(No. and Street)
(Cify and State) `
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
I'VE C04/v,9-4 WAMPA/ -W n04i P,-Odci
Street
EXTERIOR WALLS
Lot Number
Manufacturer (9. 60C, Thickness/Type
Tract NO.
Al R Value / /
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer SL_L_r Thickn/e,ss No. Bags �/ Wt./Bag
Sq. Ft. Covered R Value l
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Tye R Value 2 Q
GENERAL CONTRACT R �' LICENSE NUMBEER
B TIT Owb'lFD- DATE C�
INSULA ION NTRACT R Qi -/''� LICENSE NUMBERT� �/
BY TITLE DATE %5'
SAVE ENERGY - INSULATE!
I DATE)
ACCEPTED HERSETH COMPANY
(Authorized Representative)
` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Dave I Oroville, California95965
Tel ephorie: 534-4541
APPLICATION AND PERMIT
�....i�...., v...a �„c Vvuil ly ul OUlla lU OIIICI UPUII Lilt!above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — 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
above for which fees have been paid.
DIRECTOR OF .PUBLIC WORKS
By ate_1-!L
uilding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
o 0
C,
C
Telephone No.
—
Fireplace -7 S-0 Q
Contractor A/ c
Total Valuation O b
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
oe
Telephone No.
Permit Fee
`0Q
C
Building Address /� Q�
Lf
PLUMBING No.
@
FEE
PERMIT FILING FEE $3.00 c
f_
O CCS ®
Each Trap 1.50 ,C
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No 02.%—� d ��'
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W . Sa ion
FireDept.
FI re Zone
Use Permit
Building sewer 5.00
EQA
Parking
Pla s
arcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Tnons Rec'd
Parcel Aproyal
Plans Approval
Permit Fee
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1
@
FEE
PERMIT FILING FEE $3.00
Main service 6001 OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP
2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER V
Main service 00 AMPO OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. &
OR ADONS. ( ACC. BLDGS- )
20sgft
•��
'
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
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:
A- Ku_L E C��`a �dZ� '�ldN
00
2 A- 1p_.100
Ex. Occup(OUTLETS OR FIXTURES) BALD;
Ex. OCCU FIXED APPLNS. OR
P• ( OUTLETS (RESID.) EA) 2:00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. �-�i.S3Z� Classification Q��
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
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.
iecertify 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 the Workmen's Compensation Laws of
California.
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
MECHANICAL No.1
@ I
FEEPERMIT
FILING FEE $3.00 3-C OO
Heating d e O O
Cooling
Ventilation
Hood 2.00 L', CDO
Permit Fee $ DU
$l 3'Q d
TOTAL PERMIT FEE
2
$ c>
�....i�...., v...a �„c Vvuil ly ul OUlla lU OIIICI UPUII Lilt!above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — 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
above for which fees have been paid.
DIRECTOR OF .PUBLIC WORKS
By ate_1-!L
uilding permit expires Date
--- - -- -- - - Gtr c C -J. ___- -- - �� ,, c 1c c_
Al/
r
GILL A-tJ
.2 9
Cola
A/2> dl4loid 'k17
le
6V4
COUNTY OF BUTTE - DEPAITMENT OF PUBIIC WORKS
7 County Center Drive - Oroville, Califol-iia 95965 - Teleph(ne 916/534-4541
APPLICATION A. W PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER ZONING
BUILDING PERMIT
OWNER TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace �_
LENDER'S MAILING ADDRESS
Total Valuation $
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
Permit fee
$
BUILDING ADDRESS _
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
Building sewer
Lawn sprinkler system
2.00
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
TYPE OF WORK
Permit Fee
$
New El Addition El Remodel❑ Utilities❑ Installation[, Other EJ
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Describe work:
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONSOR ADDNST ( ACCLBLDGS.CCUP.&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
NEW CONSTR ULTI-OUTLET 2,50 ea
NON-RESID, BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES BAL@a
BAL@tOQ
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
❑ I, as the ol,Iner, or my employees with wages as their sole compen-
Mobile Home Facilities
15.00
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. ) 7040
(
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
6.25
Permit Fee
$
❑ I am exempt under Sec. , Business and Professions Code
Contractor
for this reason
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
Heating
1 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.
Cooling
Hood
2.00
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Ventilation _
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
permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
Land Development Fee
$
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.
TOTAL PERMIT FEE
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[_�
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
against said County in consequence of the granting of this permit.
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
X Date
Signature of Applicant — Owner F-1 Contractor ❑ Agent ❑
work indicated above for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition Or construct-
ion of structures over 3 stories in height.
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534
APPLICATIQN AND PERMIT S i
ASSE y PARC L NUMBER /
— °- — q6 6Q
ZONING
BUILDING P
RMIT
OWNER
CC�ir
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
�
OWNER'S 1I ILING �DD4 3(4 C,t�� O
CD `7/C
CONT TOR•S NAME
� � L, UaT2t C o (= N or o
TELEPHONE
5--33Q11
'
CONTRAO R'S MAIL NG ADDRESS
f o • 0-A '?7a'
CONSTRUCTION LENDER
UNK N
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT oR EN�NEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORKPermit
New ❑ Addition ElRemodel ❑ Utilities ❑ InstallationEl Other
Describe work: �L�`cT S2UcC� CGl�9Nfo� _
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service &OOV OR LESS
100 AMP OR LESS
5.00 oO
Main service EA. ADD'L 100 AMP
2,50 :Z-56
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
120sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. �DS�O g Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTNON-RESID R BRANCH CTRCTITS 2.50 ea
NEW CONSTR. ( POWER APPARATUS &)
NON-RESID, SINGLE OUTLET CIR.
Ex. Occu / 50@5
p\o OR FIXTURES BAL@10¢
FIXED A
Ex. OCcu FIXED ASPENS. OR
P•(OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring J;0 Z. �(L-X 1-k0 6.25 .25
O
Permit Fee $
Contractor 4iot,Z
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�. I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X 2ll�LI� �t--�' Date
Signature of Applicant — Owner ContractorK Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei ht.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE �.�
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
HD
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date _ f Z- J
�� I �'v /
Receipt No. 2_73 39,61Z
WHITE-D.P.W., YELL S�S)Z�R. NK-I:OP T -6LDENROD-APPLICANT