HomeMy WebLinkAbout040-150-05640-15-56
Curt Johnson
NE corner of ktt Rd., & Tabby Lane,
Durham
Permit #4512-79B(add k/SF)
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TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Loca.]1on AP#
Plan Approved for: I Sewage Disposal Water Supply _
Hold final for:
Final clearance O.K. fbr:-.'
Clearance for bedroom mobile home.
NOTE * * *
Water Supply
Water itupply
Other --a. d,
Sanitarian Date
4
I
13
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Locata
A
.Plan ,Approved for: Sewage Disposal Water Supply
Fold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home.
Water Supply
rr// Water Supply
Other�V�
NOTE �
:Saitarian Da e
Cr
r 451249B
OEFAIIIT NO.
PERMIT EXPIRES
' Curt Johnson' `
OWNER
CONTR. owner
.,LOCATION (A.P. 40-15-96
)
AYE corner of Lott Rd. U Tabby Lane, Durham
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1
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
Masonry Walls Throat Rou h
Relnf. Steel Final - Fixtures
Bond Beam FIRE SPRINKLERS I Motors
mesn
MECHANICAL
Grd. Fault Prot.
Scratch
COUNTY OF BUTTE —DEPARTMENT OF PUBLIC
WORKS '
t
Brown
BUILDING INSPECTION RECORD
Temp. Pole
Finish
Ducts
Underground
Interior Lath _
-BUILDING: i BUILDING (Cont'd)
j PLUMBING
Setback
Firewall
Soil PipingI
Forms
�'ti �, Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footiri s
Windows
3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I l
Insulation
Heaters
Slab
Prov. for phsically
Appliances
Carport
handica ed
Conformance of ex.
Gas Piping & Test
Footings
structure
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls Throat Rou h
Relnf. Steel Final - Fixtures
Bond Beam FIRE SPRINKLERS I Motors
mesn
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath _
Ventilation
Permanent
Door Closer I Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
O016EMOME INSTAL I ANION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS /
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A,101--4 �&U,wc eraa�,
(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 .— OrcmiIIe, California 95965 ✓�
`
Tel ephone::534y,4541/0 y�
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING UATI
�
Mailing Address 'L
Tel6S
Telephone No.
"a'
Contractor c) /�
Mailing Address
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:
Lice a No. Classification
r I am exempt from the Contractors License Laws of the State of California.
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.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r
ertify that in the performance of the work for which this
�x it 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X / Date
Signature of mitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — PiAk-Inspector — Goldenrod -Applicant
Fireplace
Telephone No.
Building Address ; G01S.1J6rL 6 /1,0
L c
Permit Fee
PERMIT FILING
Plan Checking Fee &/or Penalty
$3.00
Permit Fee
A. P.,No. �"l��s� Zoniy1`g`& Planning
Fle/es
.C.
Fire Dept.
Fire Zone
Use Permit
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovents
P em
Bldg. Plaric'd
Parcel A proval
1.50
Plan pproval
NEW ❑ ADDIIITION - UTILITIES ❑
OTHER ❑
J
Lawn sprinkler system
2.00
Single Family Duplex ❑ Mobil Home ❑
Others ❑
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:
Lice a No. Classification
r I am exempt from the Contractors License Laws of the State of California.
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.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r
ertify that in the performance of the work for which this
�x it 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X / Date
Signature of mitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — PiAk-Inspector — Goldenrod -Applicant
Fireplace
BAL,,L �1
Total Valuation
Q
Permit Fee
PERMIT FILING
Plan Checking Fee &/or Penalty
$3.00
Permit Fee
00V OR LE
100 AMP ORSLESS
PLUMBING
No. @
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
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
BAL,,L �1
$
ELECTRICAL
No. @
PERMIT FILING
FEE
$3.00
Main service
00V OR LE
100 AMP ORSLESS
5.00
Main service
EA. ADD•L 100 AMP
2.50
Main service
OVER
100 AMPP OR LESS O
25.00
Main service
EA. ADD'L 100 AMP
1.00
NEW CONST. I OR ADDNS. %
ACCLLING BLDGSCCUP, 4)
20sgf1
NEWCONSTR.
NnN.RESID_
MULTI.OUTL T
BRANCH CIRCUITS/
1
2.50ea
FEE
Ex. OCCUD(OUTLETS OR FIXTURES
BAL,,L �1
FIXED APPLNS. OR
EX. Occup. (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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.
DIRE OR Q P LIC WORKS
BY Date—
Building
ate Building permit expires Date
i
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