HomeMy WebLinkAbout039-360-049I
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' '` A.P. 39=36-49 -
7Permit
E. MURP
8 Orchard Way,
3174-72B,Eij
ddition) N r
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New 39-36-49
Rich Carpenter MU,pgyW. E. 3174-72B,E'
1158 Orchard ,Way, Chico
Permit #4318-76Bf (convert garage to
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family room/SF) 4'�%� 9-36-
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1158 Orchard Way, Chico
39-36-49 ,�- (addition)
Contr:
Permit#1697-86B(reroof/SF)
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' '` A.P. 39=36-49 -
7Permit
E. MURP
8 Orchard Way,
3174-72B,Eij
ddition) N r
t..
New 39-36-49
Rich Carpenter MU,pgyW. E. 3174-72B,E'
1158 Orchard ,Way, Chico
Permit #4318-76Bf (convert garage to
'e�+
family room/SF) 4'�%� 9-36-
'
f
1158 Orchard Way, Chico
39-36-49 ,�- (addition)
Contr:
Permit#1697-86B(reroof/SF)
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'IN
-43T8-76B,E
r ,PERMIT NO. ;t
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OWNER Rich Carpenter
CONTR. Oster
�LOCATION (A.P. 39-36-49
1158 Orchard Way, Chico
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Temp. Power Pole.
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp Gas Serv.
Called PG&E
JOB �
FINALED
(Signature)
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COUNTY OF BUTTE — DEPARTMENT Of PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
Grd. Fault Prot.
PLUMBING
Setback
Firewall
Soil Piping
Cooling
Forms
Parapets
1st Floor
Underground
Main Bldg.
Restroom Finish
2nd Floor
Door Closer —
Footings
Windows C
3rd Floor
1
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing ,2 -
Sewer
Garage -A
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents .P----
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically�^
handica pel
Conformance of ex. —
structure —�'�
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
lv —7
Bond Beam
E SPRINKLERS.;
Motors
Framing -
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
CHANICAL,
Grd. Fault Prot.
Scratch
Heating I
Service
Brown
Cooling
Temp. Pole
Finish
Ducts ,
Underground
Interior Lath ��
Ventilation
Permanent
Door Closer —
Final
Final lo---
1
DATE- �- / `�� REMARKS OR CORRECTIONS
672--dfC, AER
— / Z-61– 7
70 L --
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
^� 7 County Center DriV. , — Oroville, California 95965
Telephone: ^5-4-4541
APPLICATION AND PERMIT
7(v
This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been pai
X q � Date 7V 30-74 DIRECTOR OF LIC WORKS
Signature of P//rmit(e�e or A�g+e�n/t By Date 7 4
Receipt NO. �`—ir l 7 V 6
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date
BUILDING
Owne, (Q4 QUJ7--__
SQ. FT. OCC. BUILDING VALUATION
-� 7ECf
Mailing Addressg A
I hon No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ oo
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
j �?J�_/1 G�
A. P. No. ( `—t' t
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FeW
C
SerrFtaiivlr
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
ParcelParce,
Declaration
Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
�dg. Plans Rec'd
Parcel Approval
Plans pproval
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
///�' j�'�� (1 n
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Main service 600V OR LESS
100 AMP OR LESS 5.00
/� p
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Main service EA. ADD'L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V 100 AMP OR LESS 25.00
Main service EA. ADD'L 11¢000 AMP 1.00
LING
NEW CONSTDACCLBLDG &) 20sgft Z
OR ADONS. ( WE
NEW CONSTP. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
-
NEW CONSTR POWER APPARATUS&J1
NON-RESID, (SINGLE OUTLE=T 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)@56
BAL@@21
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
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
ZC
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.
I certify that in the performance of the work for which this ~
X �ermit 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.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 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
This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been pai
X q � Date 7V 30-74 DIRECTOR OF LIC WORKS
Signature of P//rmit(e�e or A�g+e�n/t By Date 7 4
Receipt NO. �`—ir l 7 V 6
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date
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SI/0 BUTTE COUNTY
This set of plans Or. BUILDIM7 n!7PARTMENT
kept on the job of0111 times UST be
and if is unlawful to
make any changes or alfercif ions on *same wifhouf A P r,) -R OV ED
written permission from the Department
nf of Public
Works, Counfy of Buff,.. - ePar'me'
its
NOTE:—All Materials & Workmanship. -'Shall Be' in
Accordlanre. w;+h R, -cognized Good. Practices and —rop
liv
of - a—awA-
Uniform. Buildinq, Plumbinq A Mechanical Codes and..
the National Electrical Code.
",ULIDING DEPARTMEW
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BUTTE COUNTY
BUILDING DEPARTMENT
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BUTTE COUNTY
BUILDING DEPARTMENT
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BUTTE COUNTY
BUILDING DEPARTMENT
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
3 Cl - 3 Co — ey C3 APPLICATION AND PERMIT
\ PERMIT NO.
i
ASSESSOR PARCEL NUMBER
ZONING
(.
BUILDING PERMIT
OWNER
TELEPHONE.
S0. FT. OCC, BUILDING VALUATION
/ '•�
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OWNER'S MAILING ADDRESS • /
CONTRACTOR -S NAME/
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T`jE EPHONE t.
Aj
CONTRACTOR'S MAILING ADDRESS
1`
Fireplace
CONSTRUCTION LENDER
f V
UNKNOWN
Total Valuation $
/ l,i � � . :.� 3
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee ,
$ i ,x
ARCHITECT OR ENGINEER
nI' -"
LICENSE NO.
Plan Checking Fee NA
$
Energy Plan Checking Fe
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
7C r'1 r- r r r
Permit fee
$ L -%J
:21,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
i
Water piping
5.00
Each gas.water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
'
Main service OOOV 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):
❑ 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
❑ 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)
\2I, 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.y�
OR ADDNS. ( ACC. SLOGS. /20sgft
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCcu zo a a0e
p OUTLETS OR FIXTURES .AL030
Ex. Occup. OUTLETS (RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
--0`-The•permit-is-for-$100:00.(vafuatrom)~or4esa.. —
,r1\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.
ar 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
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree oto save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against"sa.id Courdy in consequence�f the granting o ,this permit.
� �� ���' J �1 - 2
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Xte �,
Sign ture of Applicant — Own r g /Contractor 1:1 Agent F1
An OSHA permit is require® for excavations over 5'0" deep and demolition or construct-
ion of structures aver 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP,
CONST.TYPC
IFLOODIPARCELI
PD
ND
ISSUE"
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF, PUBLIC
/
r-•—ttr_�,
—` �—
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
el'By
Receipt No._� � o�
WHITE-D.P.W.. YELLOW -ASS 3308, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
-39 Co APPLICATION'ANO PERMIT
PERMIT O.�
ASSESSOR PARCEL NUMBER
ZOc1N`JJG
✓+`V I
BUILDING PERMIT
OWNERa
t
TELEPHONE
3.9 is Pry ��
SO. FT. DCC. BUILDING VALUATION
® 0-'5
OWNER'S MAILING ADDRESS e
O r j,, .6
CONT A TObt S NAME
TELEPHONE
3 ��3ti3
CONTRACTOR'S MAILING AD RESS lie ���-i1��[
T /
Fireplace
CONSTRUCTION SLENDER
V�
UNKNOWN
Total Valuation $
� 0W�. PCZ
Filing Fee
$ 1Q.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
1V,3
LICENSE NO.
Plan Checking Fee LVI Iq
$
Energy Plan Checking F9Z$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5 4.,
Permit fee
$ g, exp
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
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF bW, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel❑ Utilities ❑ Installation❑ Other ❑
Describe work: �,2 { ZSt7� _
CZ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
OR
Main service ,$DO AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of perjury
I declare under penalty p I y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force and effect.
License No. 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 CONST. DWELLING OCCUP.1)( ,
OR ACDNS. ( ACC. BLDGS. 2/20sgft
NEWCONSTRMULTI-OUTLET
NON .RESID BRANCH CIRCUITS) 2.50 ea
APPARATUS &)
(SINGLE OUTLET CIR.
(
Ex. Occup\OUTLETS OR FIXTURES 20050c
eALA Bo
FIXED PR
Ex. Occup. OUTLETS IRESID )EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I de lare under penalty of perjury (check one):
77�a, e 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.
N ice to Applicant: If after making this statement, should you become subject
t 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
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agre o sa ndemnify and keep harmless the County of Butte against
all liabil' I s, judgme s, cos , a expenses which in any way accrue
agains d Cou yin ons �n��Of to Is permit.
/_ 2,0
X Date o
Si afore of Applicant— wner antractor E]Agent❑
An OSHA permit is require for Xcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories/n height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ q', CR3
OCCUP,
CONST.TYPC
IFLOODIPARCELI
PD
NO
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOR OF UBLIC
p
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
00,
Date
Receipt No. S 0 D
WHITE-D.P.W., YELLOW-ASSE990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
ff fr, „ `'„ .•l . ,.. _ ', +r f,. y
IF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAEtF(33�A 95965 - TELEPHONE: 916/534-4541
_. PERMIT APPLICATION DATA SHEET�f
y,. '' Permit No.
OWNER IR'c•�` C wwrer: _ A. P. No. 3 q -3 9
Proposed Building Use S/f-- t2e,roo�-
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and./or Issuance: DATE RECEIVED APPROVED
1. All items. have been submitted. . . . . . . . . l
2., Plot plans in duplicate/triplicate. . . . . . . . . . . ��
3. Complete plans in duplicate/triplicate. . . . . . . . . �+
4. Complete engineered plans and calcs. . . . . . . . . . !`
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement,of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . f
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
1 Certificate of Workmen's Compensation Insurance. . . . . g
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
• Pre-Inspec. request to (Dote)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement .
19. Other Dri-vewapermit `const. a ro al reruirei prior
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other I A �� A ni
Date
fit/
Copy of plans sent Health Dept., Fire Dept., Other / Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail
By
Plans checked by.
Plans approved by
Other
Copy—DPW
Date
Date
Date
Other
PERMIT 'UMBER - B 317.-72B ,E
1 !- P
E
,_---------- PERMIT EXPIRES /I -I 1--'/3
OWNER W. E. Murphy
} CONTR:.
owner
I
LOCATION (A.P. 39-36-49
1 1158 Orchard Way, Chico
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DATE
Form s l—)
Fireplace
Lath & Plaster
Found. Vents
Rough Elea"
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final
REMARKS OR CORRECTIONS
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i COUNTY OF BUTTE
} Department of Public Works
! BUILDING INSPECTION RECORD
Zoning
..1 Setback '
Foundation
Piers & Girders
Rgh. Plumbing
Bond Beam
Rein. Steel_
Gas Piping & Test.
Framing / — / —
Plmg. Topout
Wtr. Htr.
Furnace
Firewall
Garage Vents
ELECTRIC
GAS
Temporary
Temporary
Final
Final
DATE
Form s l—)
Fireplace
Lath & Plaster
Found. Vents
Rough Elea"
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final
REMARKS OR CORRECTIONS
v C cl-e I'J '44 e C<c -
Qnd �G vi crit C iY1q
b�rd c�r q/ouvt,-,1 lv�r�5
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COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WO
7 County Center Drive — Oroville, California 95965
Telephone: 533-1230, Ext. 259 / o`
APPLICATION AND PERMIT
• ••••� �..r..,��,�.0 1v 3 01 uic -Ourtty vi butte to enter upon the
above -m ntionjj���ed property for inspection purposes.
Date
Signature of PTitee o Agent
Receipt No. �o
White-D.P,W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
v-rT
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 UBLIC WORKS
By. —.—,--rte Date 11-1q— 7L.
Building Permit Expires Date// j`l-7 3
BUILDING
Owner(
SQ. FT. OCC. BUILDING VALUATION
Mailing Address %�/
O
Fireplace
Contractor
Total Valuation 62-3 UP
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
o
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. —
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.Sanitation
Ok/
Planning
Building sewer 5.00
Plans �
Fees
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑
Permit Fee
ELECTRICAL No.1 @ FEI=
PERMIT FILING FEE $3.00 v
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures b 0 2
0
Ret4ps., swit hes & fix 8utlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. Classification
21 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 Section 3700 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.
�l 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 $3.00Heating
Cooling
Ventilation
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
th
auori�c r .,tots.. �,.. ..r +I- n,..._..
sstate Fee for Strgpng Motion
In;trumentatian Program $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
• ••••� �..r..,��,�.0 1v 3 01 uic -Ourtty vi butte to enter upon the
above -m ntionjj���ed property for inspection purposes.
Date
Signature of PTitee o Agent
Receipt No. �o
White-D.P,W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
v-rT
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 UBLIC WORKS
By. —.—,--rte Date 11-1q— 7L.
Building Permit Expires Date// j`l-7 3
4), %
4` .J 1 Z / r✓T /DRi ',
it L /Old
6-1-7 3 SO F.- e
BUTTE COUNTY
BUILDING DEPARTMENT
APPS aV D
0 e� _
ki
a
The Bldg. Setback sbail be S ft, from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft, eave overhang.
IMS
F
r
y fNa C° f. f �t At r
�� of&- 11 Materials & Workmanshi-p Shall Be ih
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in .the
.. Uniform Building Code,' Uniform Plumbing Code, and
4" the National Electrical Code.
r ,
lot
[his : set of plans and specifications MUST be
kept on +e job at all times and it is unlawful to
make any c.Y�nges or alterations on same without
written perTnisson from the Department of Public
Works, County of Butte,
�. F
/ /sem
INTER -DEPARTMENTAL MEMORANDUM
TO: BUILDING DIV SION, OR VILLE
r
FROM: ENVIR. HEALTH, CHICO
DATE:�—
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNER NAME: SEPTIC: C,---" WELL:
A
AP#: ���J �i`1�9ADDRESS/LOCATION:
Comments:
. COU v
GWmemos/relemehold
Nov z 8 2005
DEV.;w.PMENT
SERVICES