HomeMy WebLinkAbout040-221-011J. t.
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AF 40-??l yl c
HAZEL BOYLES r
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203 Durham St., Durham F�ricaLI-c
ontr: John • Flucard,,- Chico''
Permit# 69-75P(install heater)
40-221-11
contr: Butte Ro6fing, Chico "--�
! Permit #3420-76B(reroof
040=221-011`,' s PERMIT#97-1387 -
! STRAWN, Jill ,
2381 Durham St., Durham' T}�
Cont: Tri-Counties Elect ic/l
Repair. Ele Ser/SF 0
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040-221-011 PERMIT#97-1387 ,
STRAWN, Jill
2381 Durham'St:, Durham
Cont: Tri -Counties Electric
Repair Ele Ser/SF
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, CaPfornia 95965 - Telephone (916) 538-75 I� / ERMIT NO.
V /"/�%
(Rev.12/96) APPLICATION AND PERMIT 7
ASSESSOR PARCEL NUMBER L/^ ` 2.7 _ �^� /,
7N {w V/
ZONING
BUIL INGPERMIT
OWNER /
-
�' ��A�/'J � �
7I
TEC ;,/_69,9-Z
SD. FT. OCC. BUILDING VALUATION
OWNER'S MAILINGDRESS
CONTRACTORLJS NAME _ � � ` I •
To I
TELEPHONE
CONTRACTORS rMAILI ADDRESS
5- Ji -r M r,.,r
CONSTRUCTION LENDER
LENDER'S MAILING 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 fa, -1
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF/ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Syc A/40(4 �Al"e C1 Q
Gas piping system 1- 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
600V 0LE9
Main Service 200AORLESS 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
'
License Class (' .- 3I�a LIC. E C 2 S�i
OWNER -BUILDER DECLARATION
I 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
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCS. SO
OR ADDNS. ( 8 ACC. BLD S. 3.5QFT,
NON -R S DT ANLL I OU CET @7.50
POWER APPARATUS
b SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTURES BAL @';50
Ex. Occup. ourLEETUNS
RES D.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
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.
❑ 1 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' compensation insurance carrier and policy number are:
Carrier
Policy Number .
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
[ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
'compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/)
X_Date
Signature of Applicaht -GO Owner .,Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction%
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ Y'J-
HAZ.D.
.,....
FEES IMP FLOOD
CDF PARCEL
ISSUE
=ISSUE
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.
�1 �'Z`fDat /
By / N''
PERMIT EXPIRES ON ^// ' / 2
IDate
ReceiptNo. 7 Z -L
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
COUNV OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
(Rev. 12/96) APPLICATION ND PERMIT �i-�3s�
ASSESSOR PARCEL NUMBER �,. i _ O .�
J
=O�NING�
BUILDING PERMIT
OWNERTELEf'�N,
,'! , ��� Sum
Ej ��
�� `7
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME •-
Ira I _ C o'),J '1 rkj k�.,--z &
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 6 A*
Z�✓2 !1
Energy Plan Checking Fee $
40 JA 4
PERMIT FEE S
LAT NO.
SUBDNISIONS NAME PHRCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF J,Duplex ❑ Mobilehome ❑ Other
sPECIFY
Each -Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 -
Each cias water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _•
Describe Work: SP�!{/fq �/1.M`. a �{r r
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W 1
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
�N
NOV OR LESS
Main Service 200AORLESS
23.00 Z
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 Frofessions Code,
and my license is in full force and effect. '/
License Class [' z� Lic. No. Z L `f` —4� 5
OWNER -BUILDER DECLARATION
I 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.
❑ I, a:`�----" _,� o�clnsively_contracting with licensed contractors
to �
[3 1 aL OFFICE COPY 'rofessions Code for this
rel ZQ rj
Address _23 r-2 0124 m TION
I hereby c�--/ 1 declarations:
❑ I h �•J self- insure for workers'
cc GAS he Labor Code, for the
pi Meter By (� i.
Date :e, as required by Section
❑ 13 ELECTRIC Which this permit is issued.
Meter By
N Date �`-- cy number are:
C
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _'G _rte 4�___ Date �
Signature of Applijafit Owner Contractor ❑Agent
1
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To 1000A 46.00
NEW CONST. OWELUNG OCCUP. so
OR ADDNS. ( a Acc. 9LDS. 3.5¢R;
NpN.pE°S,p MULTI.OUTLET @7,50
POWER APPARATUS
a SINGLE OLn IET CIR.
Ex. Occup. OUTLET OR FIXTURES ��'"50
eAL � .w
Ex. Occup. DAX 1PEDApRVS.D.D� •5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $
1:Occ
HAZ. 0. FEES IMP FLOOD COF PARCEL PD HD ISSUE
- L
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.
/ // 7
By
PERMIT EXPIRES ON ?/
Oats/
Receipt No. .L L Z
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
Fwe,," -/0-9)
U:�e
RESIDENTIAL
x
1.
JOB FINALED (Date)
Signature
V=OK
O = Not OK
'=NottRealdyble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-Dep"pacingConnectorsSteel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Locatiorv-aearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location-TestAltlrap; / /VtL
/ /Nat or/ /`L`ft/ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-DemandVaNe-Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts -GA
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Vater Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Dep"pacingConnectorsSteel
3. Decks; Girders and/or Joists-Decking-BracingStairs-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. Fnng.; Sils-AnchorsStuds-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
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts -GA
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Vater Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
0
O = NNot OK o RESIDENTIAL (Single & Duplex)
- = Not Applicable
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning-Setbacks-Easments-FloodSlope
47.
2.
Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
48.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
49.
4.
Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
56.
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card E-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Comments at Final:
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Pib., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
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 8-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5RMIT NO.
(Rev. 12/96) APPLICATION"AND PERMIT 38-7 7-1
ASSESSOR PARCEL NUMBER LJ� .r 2,7- _ O/ /
{
ZONING
BUIL ING PERMIT
OWNER '• / (; A �7 �
� �
TEZ "� 99
♦6
SQ. FT. OCC. BUILDING VALUATION
OWNERMAILING ADDRESS
'S
CONTRACTOR'S NAME-
(? _ C o��
TELEPHONE '
CONTRAC70 'S MAI ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING 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 ./ / '
�J
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 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
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: SP0,4A,, O�GtOle Rl
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 Filing Fee 20.00
Main Service "'.A oR LESS9 23.00 Z J
zoOR LES
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class /4— ye Lic. No. 2 Z V��f -�S
OWNER -BUILDER DECLARATION
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
reason
Main Service 200A TO 1000A 46,00NEW
CONST. / DWELUNG OCCUP. S O
OR NS. \ a ACC. BLOS. 3.51tFT.
CONST.
CONST.
NON-RESID. M�UILTI-OuTcL T 07.50
POWER APPARATUS
a SINGLE OUTLET CIR.
20 Q 1.00
EX. Occup. OUTLET OR FIXTURES SAL @ .50
Ex. Occup. ouTIEtTS REESSID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
I 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.
❑ 1 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Ilk I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Xf- Date�aaqq
_, wner Contractor ❑ Agent ' �
Signature of Ap6- O =
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ �3
HA2. D. FEES IMP FLOOD COF PARCEL PO HD
ISSUE
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.
By
PERMIT EXPIRES ON /
Dale
Receipt No. Z L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_ r
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Rom;-C+Tic6; CA - (916) 891-2751-
7
91-27517 County Center Drive, Oroville, CA - (916) 538 7541
747 Elliott Road, Paradise, CA - (916) 872-6307
i
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. N
Date �]? 1 iq � Inspector
REV 10/92
r _ _� � � ��=� s _�,�C
C� .
��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ep W e: 53,4-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
K4
Signature of Permitee or Agent
Date
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.
By
DIRECTOR OF PUBLIC WORKS
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
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.Gas
Zoning 8 Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Pen -nit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethanl2)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20aio
Receps., switches & fix outlets
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
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
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
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
+2.00
Hood
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.
K4
Signature of Permitee or Agent
Date
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.
By
DIRECTOR OF PUBLIC WORKS
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
Date
" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIIe, California 95965 {Q
Teleptonq; 5T4-d�41
APPLICATION AND PERMIT
u1cVi 0an.auvca UI Me UOUHll/ UI bulle W enter upon the
above-mentioned property for inspection purposes.
x 2 / fDate ~ _Z5
ignaturee offPermitee or Agent �
Receipt No. /,- qpe�?
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.
DI ECTOR PUBLIC WORKS p c�
B� Date
-i+�g permit expires Date ........ ./..."..9..-.... (�?......
BUILDING
Owner �E a
SQ. FT. OCC. BUILDING VALUATION
Mailing Address .21
Telephone No.
Fireplace
Contractor J0 () cqe,I->
Total Valuation
Mailing Address / �� �` O ���
Permit Fee
Plan Checking Fee &/or Penalty
�G7 1 C O IS �%.
j ,42 -e N -2-3
s
Permit Fee
$
Building Address��
43 D
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
, 00
el /l tj & /4A CW
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
S (�
Each gas wat ater or vent 1.50
/,,570
A. P. No.
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
s
W.
ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Declaration
Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval I
Plans Approval
Permit Fee
$
5_1400
$ p
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
S G C. E
Main service incl. 1 meter
Additional meters, each
1.00
Single Family 19 Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bal% io
Receps., switches & fix outlets
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
st
ofyr—A'�
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
Mobil Home Facilities 5.00
22, :5% 5 .13 - J.—
J !
Temp. Power Pole 5.00
y
License No. Classification c
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
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.
A-�TTcertify 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 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
u1cVi 0an.auvca UI Me UOUHll/ UI bulle W enter upon the
above-mentioned property for inspection purposes.
x 2 / fDate ~ _Z5
ignaturee offPermitee or Agent �
Receipt No. /,- qpe�?
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.
DI ECTOR PUBLIC WORKS p c�
B� Date
-i+�g permit expires Date ........ ./..."..9..-.... (�?......
PERMIT NO. 3420-76B
V PERMIT EXPIRES
OWNER Hazel Boyles
CONTR. Butte Roofing, Chico
LOCATION (A.P. 40-226-11
203 Durham St., Durham
�D6F
C led PG&E
.i.
o
FINALED V ~ ✓ ��
(Dat c
(Signature)
p
1�
,41
1
t'•
;r.
.Y�
ci
Temp. Power Pole
Called PG& _
Temp. Elec. rv..
Called G&E _
Temp. s Serv. _
C led PG&E
.i.
o
FINALED V ~ ✓ ��
(Dat c
(Signature)
COUNTY OF BUTTE — DEPAR'i MENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUIL'DIN'G BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapet;
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing SE -4— A&7_2E)
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
handicar ehyslcally
Conformance of ex.
structure 4Tem
Appliances
Gas Piping & Test
. Gas
Slab
Final b 'rep-
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
. Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLER
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
" Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior La h / .
Ventilation
Permanent
Door Closer
Final
Final
DATE
N00 IAls��.t � /47
REMARKS OR CORRECTIONS
7!/11.0' OI=r- 11'16P'EC7_1G
(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 Drive OroNlle, California 95965
Telephone: 534-4541 37� v —
APPLICATION AND PERMIT :lA
-.._..__ ._ ..... ..ay v. uu uc au cnaci uNun u1c
above-mentioned p rt. for i pection purposes.
X Date
ignature ermitee 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 resol ons to do work indicated
above for which fees have been pa'
DIRECTOR OF Pi[JB,LIC WORKS
By r Date
B ing permit expires Date
BUILDING 77
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 203 DuP—"A i �'•
4q S -
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address P o
Permit Fee , 0 c?
Plan Checking Fee &/or Penalty
Cbl ( q 2-6
l
Telephone No
Teep.
—(o
Permit Fee $ ls,00
Building Address %L/il` ✓11
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.40 —a?- 1 %
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
. /
V_.C.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
ons Recd I
Parcel Approval
Plans Approval
Permit Fee ,$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
R E ROOF
Main service ,0000 AMP ORLESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER
OEAMP OR LESS 25•l]0
Main service EA, ADD'L 100 AMP 1.00
NEW CONST. DWELLING CCUP. &
OR ADDNS. ( ACC. BLOGS. ) 2�sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID• BRANCH CIRCUITS) 12.50ea.
NEW CONST. POWER APPARATUS &
NON.RESI R
D. (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 @25a
BAL@t
Ex. Occup.FIXED APPLNS- OR
(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
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.
4 [XI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I to an certify that in the performance of the work for which this
ermit is issued I shall not em
P employ y 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 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
s Six
-.._..__ ._ ..... ..ay v. uu uc au cnaci uNun u1c
above-mentioned p rt. for i pection purposes.
X Date
ignature ermitee 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 resol ons to do work indicated
above for which fees have been pa'
DIRECTOR OF Pi[JB,LIC WORKS
By r Date
B ing permit expires Date