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HomeMy WebLinkAbout042-040-020COMPLAINT TO . 0 I� f 42-r4-20 JACK ZEILENGA E/S of Alamo Ave, app 300' N of Henshaw Ave., _Chico Permit ##4899- �6P (repair drainage & =is' t_ 42-04-20;' King NE/S AlFamo Ave.,300'N.of Henshaw Ave:, Chico lot�5) Permit #2872-8OB.,E(new eled.serv. & ' replace sheetrock stuAc�s as nec /SF) 42-04-20o�j Permit#6014:-80B,E(inst, wood� 1 stove & omplete rewire & bring rco )SF , 42-04-20 Permit#2072-85P(gas line/SF) 0 G1 V" BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM Date: t �(oq�#ava 64v Baa Owner: r%a r L.'K\c Zoning: Address: 1110q C"I-Ia.ra- S General Plan: c� U r\ y �L� cl �� S�0 upervisorial District #: Complaint/Violation Location: TYPE: { } Building { } Health COMPLAINT: { } Planning { )Housing Permit History on File { ) None { } See Attached Tenant: Description of Violation: Approx. Size of Bldg/MH:., INSPECTOR'S REPORT Address: LAI Complaint Taken By: Caution: { } Yes Why: Approx. Age of Bldg/MH: { } Occupied Has Electricity { } Yes { } No Has Gas/Propane { } Yes { } No { } Vacant Has Sanitation { } Yes { } No Obvious Sewage Problems { } Yes { } No Under Construction { } Yes { ) No Built by/for { } Present Owner { } Previous Owner Hazards: { } No { } Yes (explain) Person Contacted: Describe Action Taken: INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTIM r Inspector: Date: ACTION RECOMMENDED { } Information Only, File { } Hold for Days { } Complaint Unfounded { )Other { } Resolved per Inspector's Report { } Send Letter of Compliance Inspector must draw a plot plan with all building locations on the back of this sheet. Y OFFICE COPY Address GAS Meter By ` k Date ELECTRIC Meter By Date 8i� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT. -NO. ASSES SORP ARCEL UMBER /// ZONING 1 BUILDING PERMIT 0WNE/R,1 - f ,,,�� 'TELEPHONE rr SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINGDDR ESS r/ / CONTRA CTOR'S NAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /, �e, f UNKNOWN Total Valuation $ Filing Fee 9 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I� L' f LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR CHI'TECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /'A 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 Each qas water heater or vent 5.00 USE OF STRUCTURE SF P Duplex❑ Mobilehome❑ Other j SPECIFY Gas piping system 1 - 5 outlets 5.00 r r' Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remo�e,l ❑ Utilities ❑ Installation❑ Other ❑ Describe work: / ! ' _ 1 a 222 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 `0 / A/. se C%, (� r Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'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 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` , OR ADDNS. ACC. BLDGS. / 2/20sq it NEW CONSTR UL NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS eI (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 5AL0t AL00 3 FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I de( are 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 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 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 against said County in consequence of the granting of this permit. X '��? / '' �:" / l Date ' � "' % /;-It, '%<• - Signature of Applicant — /Owner ❑ Contracrbr ❑ Agent ❑ J' 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 $ TOTAL PERMIT FEE $ 6 occu P. CONST.TYPEJ I FLOOD PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ,% /DIRECOR F PUBLIC _ , By11=7p�.2- / PERMIT EXPIRES/ Date the applicable provi- resolutions to do fees have been paid. WORKS ". Receipt NO. r 7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -: Phone: 534-4541 �- Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - Inspector__ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSr PDNO. 7 County Center Drive - Orovilleo.Califc:Cnia 95965 - Telephone 916/534-4541 �_ APPLICATION AND PERMIT ASSESS�ft ARCEL SMB R ,[/f, ZONING BUILDING PERMIT owNE c ` E HON SO. FT. OCC. BUILDING VALYJATION OWN S MAILIN A ESS,5L 41 /1 © (`' C cn CON R CTOR'SNAME TELEPHONE CON A TOR'S MAILING ADDRESS Fireplace CON STR CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH IT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR ECT OR ENGINEER'S MAILING ADDRESS Penalty ; BUILDING ADDRESS /! 'w^ 6,C kn Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ij✓ 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 SFK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 110-00ea TYPE OF WORK New ❑ Addition ❑ Remod . [:]Utiliti s ❑ Installation❑ Other ❑ Descri a work: _ (910 V1 tj e0 Permit Fee $ %J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 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 BU$IneS$ 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) ❑, a the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , A S. /2�$gft New ou CONsrR( ULTI LET N ON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES SAL@t eALeo 3 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I dec are under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. sss���`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. Contractor MECHANICAL PERMIT FiIingFee 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 liabili ies, judgments, costs, and expenses which may in any way accrue against d County i onsequence of the granting of this peIT it IV %� Dat Signature of Ap icant — Owner Cant'r ct r ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ J ! r occu P. CONST.TYPE FLOOD PARCEL PD NO 11 -SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R F ;PU LIC By PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS ,/ion D to Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT N w°rA RMIT NO. 28%2-80B,E PERMIT EXPIRES 6/23/81 fi OWNER BARAN KING r r� 4CONTR. Owler- �� d `LOCATION (A.P. 42-04-20 ) 11Y of Alamo Ave, 300'N Henshaw Ave I 14 6 r Temp: Power Pole Called PG&E % Temp. Elea Serv.� Called PG&E Temp. Gas Called JOB FINALED COUNTY 'j BUTTE s DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone,343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE P BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordir.."n.ce exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt or need additional explanation, please contact this office immediately. - p j e'67,¢i. i e Inspector Date ' COUNTY OF BUTTE DEARTMENT 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 StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures. Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab- Prov. forph sically handicaped Conformance of ex. structure Final V- A liances Gas Pi ing & Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footin E EC RICAL Masonry Walls Throat Rou h Z Relnf. Steel Final Fixtures Bond Beam 4 PIAE SBRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp- Pole Finish J Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final sl 2(1 & MOBILEHOME UTILITIES ---4-------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS ORCORRECTIONS ��� (�g�-�/�/t� cE�G/�G`j�/ r97/� �jp..J,�•�� �-- d�L�Ti�/L ��G���`�'/2��i'L(l.C� 410�0ho • �LLG�C�� CII�eG �gfTfZl� � �J���v��rc���i`� 230 .(NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 T APPLICATION AND PERMIT PERMIT N1P v O ASSESSOR PARCEL NUMB R ZONIN51 BUILDING PERMI OWNER / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S I NG ADORE JrOR'StrA coNTR If TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ 0 LENDER'S MAIll ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG NEER'S MAILING ADDRESS Permit fee $ Q® BUILDING AD RE , PLUMBING PERMIT FiIIng Fee 3.00 / f7 Each Trap 2.00 Repair drainage or vent piping 2.00 c Water piping LOT NO. SUBDIVISION N ME H ARCEL MAP 's'- Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFV Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Olk LZ_.J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 0V OR L Main service 100 AMP ORSLESS 5.00 (� 09 'Q Main service EA. ADD'L too AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under pena ty of perjury (check one): F -1I 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) ❑ 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 NON-RESID NSTR BRANCH CIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@2# BAL@tOC FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unde 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 Filing Fee 3.00 Heating Cooling Hood 2'.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 Countyof 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, judgments, costs, and expenses which may in any way accrue agaityq said County in consequenceof the granting of this permit. X e ' Signature of pplicont — Owner Contr or ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ �Q OCCUP. GROUP Dr� /1 TYPE OF CONST. PARCEL PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By,?Date PE EXPIRES Date��Z3�"D�/ the applicable provi- resolutions to do fees have been paid. WORKS �� Z3—F� Receipt No. D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 PHONE: 916-534-4541 Candis Baran Ring DATE June 13, 1980 Rt. 6, Box 400-H Chico, CA; 95926 RE: BUILDING & ELECTRICAL PERMIT APPLICATION #2872-80 With reference to the above subject: /ACX/ .Attached is: xX Application for permit Building Plans Engr. Calcs Labor Code Information A.P. # 42-04-20 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER "mer -Builder Information" Sheet and "Owner -Builder Verification" Form We need the following information: XXX' Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. — Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in, including plot plans. Plot plans in Structural details in . Complete plans in prepared by registered civil engineer or architect. Engr, calcs, sets'of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 695 Oleander Ave., Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, 'Oroville, for Copy of recorded parcel declaration. .Recorded copy of deed showing OTHER On the owner. plication, the Workmen's so. the "owner -builder v Insurance section was orm was not sinned by Please complete the application as per the above, complete the "owner -builder verif tion" form, and return both to.this office for processing. Should you have any questions concerning the above, please contact this office. JFG•dd (ls) Attachments Yours very truly,' Clay Castleberry Director of Publi Works G�der Chief Building Inspector. COUNTY OF BUTT E r ivjE N C J,_ PUBLIC 'NO—IRKS PERkll r NO. 7 County Center Drive - Orovi lornia 95965 - Telephone 916/534-4541 APPLICATION AND PEM l T --- - A SS sS oR PAR C'� LIM-ISLR - - _— - .,..•;.-.� G< .- �4 .._.-_......_. BUILDIING PERfU91T 0 %V.4 ER l T_Lc=ri O'a E: jP� SO. FT. OCC. BUILDING VALUATION O'.YNE�'S MAILING ADDR E55 GNT! " ,OR'S :fi r'M a . CONTRACTOR'S MAILING ADDRESS /I 4�/,(�. t-ODT :S?UCTION LENDER - U.: Y. �: •_�'�!\ - — ----�/ c�-� Fireplace LENDER'S !-!A!-_iNG ADDRESS , Total Valuatibr. $ __• -_-•• Permit Fee $ ?Ian Checking Fee $ ARCHITECT OR ENGINEERLIC2r:. D!O. - Penalty -- — __ $ Permlt fee - $J�-- —� s --- —_PL ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 ADDRESS �!/ ,3 i�� gC �Q cQIsGO ei/ c - Uti131'2C PERMIT Filing Fee 3.00 Each Trap_ Repair drainage or vent piping _2.00 2.00 - Water piping E, h Gas wa-re heater or vent 2_00 LOT NO.-- 5 6 iSIO ME PAR_ i;1- MAP /7 ' s GYy ,e G,� ��� �'�j --_ — siring system 1 - 5 outlets _ — �— USE OF STRUCTURE SF Duplex-Fi Mobilehome[:] Other =E- Y ding sewer awn sprinkler system 2.00 T TYPE OF WORK l' Permit Fee $ Ne.v j Addition❑ Remodel❑ U'ilities'D InstallatonD (Other4Qtractor- Describ nor:, --_ ur- eC lc L'=CT .,A Wil. E R M I T Filing Fee 3.00 %1 t q n s 600V L ESS I�`i• rV 100 P OR LESS___ ftl{?Ili ICE.' EV 'L 100 AMP 5•�� 2.50 .-/•/' ���' ..►f'•"' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): rr•-�-i P am licensed under provisions of Chapt. 9, Div. 3' of4; SUS S I and Professions Code and my license is in full force aid e c License No. Classification NE7! C ST. L`WE LING OCC UP.&1 OR NS. A C. LIN G5. -. 20 sq ft NE �O`.STR •ULTI.OUTLET NO I 6RANCH C;RCIII!TS 2.50 ea NEW C POWER APPAP.ATUS &} NC.:-. '. SINGLE OUTLET CIR. — 1 Ex. r p OUTLETS OR FIXTURES �e�� 6ALD1 Ex. _�OUTLETSIXED P(RESID 1REA.) 2.00 Temccrary service 10.00 ' t _ i, as the owner, or my employees with wages as their sct•; ompen- sation, will do the work,and the structure is not intenced or offered for sale. (Sec. 7044) [j 1, as the owner, am exclusively contracting with licensee contract- ' ors. (Sec. 7044) 10nbile Home Facilities ' 15.00 iVlisC. tiliring 6.25�pc7b - I I ' Permit Fee $ L II i :.m exempt under Sec. Business and Profess ons Code fcr this reason Contractor NIECHAWCAL PERMIT Filing Fee 3.00 WORKMEN'S CCMPENSATION INSURANCE Heating 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. i have placed or, file with the County of Butte Building 1)epartmeia a Certificate of Workmen's Compensation Insurance or a t;ertificate' of Consent to Salf Insure. Ccoiing ---- __ Hood _ I shall not employ any person in any manner so as to beco!r.e subject the W. C. laws of California. ; Ventilation ito Notice to Applicant: If after making this statement, should you become subject to the t' C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee LLL$ _-____._—..__--_.—__ — Contractor ' -- --�- — --� 1 certify tha* I have read this application and state that the above information is correct. I egree to comply to all County Ordinances and State La:,s relating tc t Idinlj co,istruction, and herehy authorize representatives of the.Countyct ! utt to enter upon the above-mentioned property for inspection purrc'ses. Mobile Home Installa?ion Fee $ I Land Development Fee $ - - TOTAL PERMIT Fr— � g ! I also agree 'o save, inde,r.nify and keep harmless the County of Bujte against n?er,ts, costs, and expenses which may in any way accrue 1 X11 liabilities, �n, against said C In nseq nce of the granting of this permit. I �Oate Sio:,ature of Applicant - 0 ne i Contractor i 1 Agent L-! p , GPouP TYPE of CONST. — PAPCFL P HD I ISSUE This permit�is hereby issued under the applicableprovi- cions of th_. Butte COUnty Code and/or resolutions to do work: indicated above for which fees have been paid_ I An 0SHA pe-mit is required for excavations over 5'0" ceep and denoli:ion ;:r construct- ion o'i str :tures over 3 stcrl s In height, i I I Receipt fV0 [ C wiiITE-:'I.P.N., YELLOW-ASSv.SSOR, P INK-( N SPECTOR. GOLDENROD -APPLICANT DIRECTOR OF PUBLIC WORKS BY—.— Date— PERMIT EXPIRES Dates - N / r 0 LV t� PERMIT NO. 6014-80&,E PERMIT EXPIRES 12/9f81 OWNER CANDIS KING CONTR. owner ASSESSOR PARCEL 42-04-20 LOCATION NE S Alamo Ave. .300'N Henshau lot 5, Chic o } t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E r Temp. Gas Service Cal led PG&E JOB FINALED (Date) all Signature lJ �� 2 J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1, Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ . /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 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 q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3, Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 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 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Carc-BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Block.outs-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 'Nay C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Jo,sts-Vents-Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.; Vent-Access-CombLStion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. 68. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Date ELECTRICAL Permit OK except k's rN 20. Fixture & Transformer Clearance -Ins. coon 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights it hes at oors 70. 71. 72. 73. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 22. Size Boxes & No. of ConductorS-Staple 23. Romex Installed Close to Edge f Studs C.J. 24. Equip. Ground made up w/Mech. Fastene and G Water 25. 2 Appliance Circuits in Kitchen & Cond i Size k I IN 26. Subfeed Wire Size / / ga. Cu or AI -A. . Wire Size / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 81. 82. Water Well; Disconnect, Electrical, Plumbing Exterior Elec, Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Perrcit) OK except N's 31. A.C. Ducts; Insulation & Suppor: 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. A r -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) Jan. 7, 1982 Candanee.Xing 6014-80 (woodetove) Ht. 6 Box 400 H 12/9/81 Chico$ CA 95925 42-09-20 t • Attachments We are alto attaches an Owner -Bu lder Infoxuation Sheet and an Ownex%-Builder Verification Form. Please complete the Omer -wilder Verification 10o= and return it with the renewal, application and fees. Chico t t Jan. 7, 1982 Candanee.Xing 6014-80 (woodetove) Ht. 6 Box 400 H 12/9/81 Chico$ CA 95925 42-09-20 t • Attachments We are alto attaches an Owner -Bu lder Infoxuation Sheet and an Ownex%-Builder Verification Form. Please complete the Omer -wilder Verification 10o= and return it with the renewal, application and fees. Chico COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N0. 7 County Center Drive - Oroville, Calif.orn,l.a 95965 - Telephone 916/534-4 41 O/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER G _ ZONI BUILDING PERMI Vi OWNER / O _ V TELEPHONE —?- 070 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,/!�(� 0 r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace 5O CI Total Valuan $ 7. io 0 LENDER'S MAILING ADDRESS Permit Fee $ 0 00 ARCHITECT OR E��NJ✓GGIIN_EEvEER LICENSE NO. Plan Checking Fee $ Penalty $ O 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN DDRES /�°� z PLUMBING PERMIT Filing Fee 3.00 ' Each Trap 2.00 Repair drainage or vent piping 2.00 jGa Water piping LOT NO. S SUBDIVISION NAMEPARCEL w e MAP Each qas water heater or vent 2.00 Gas piping system 1- 5 outlets USE OF STRUCTURE ,-SDuplex❑ Mobilehome❑ Other SF L/ SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK_Permit New ❑ Addition R.e�model ❑ Utilities ❑ InstallgionC Oth r Describe work: /ctll Gr/DOQ� STod� E t¢a �� L, �`�G � eAe�; .� � S�� `! Fee $ Contractor ELECTRICAL PERMIT Filing Fee /600 Main service 600V OR LESS 100 AMP OR LESS 5.00 ' _ 72 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING 9'll & OR ADDNS. ( ACC. BLDG (r> 2Q Sq ft 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)0 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS IN NON.RESI D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETSOR FIXTURES 50@� BAL@toe FIXED APP LHS. OR Ex. Occu OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 70 Permit Fee $ Contractor 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 Filing Fee 3.00 Heating Cooling Hood 2.00 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. 1 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 againstsaid CountV* consequence f the granting of this permit. %� (/// Date Signature of plicant — Owner Con r ror ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE o OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HO SME This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR OF PUBLIC By PERMIT E to �,L�/ the applicable provi- resolutions to do fees have been paid. WORKS 40 Date 1/!� C, Receipt No. -W?-S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Jan. 79 1982 Candanee King RE: Building Permit o. 6014-80 (woodstove) Rte 6 Box 400 H Expired 12/91 Chicop CA 95926 (A,P, No. 42-04-20 ) With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works .F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may be completed and.signed by you where indicated and returned to this office together with the fee shown. We are also attaching an Owner -Builder Information Sheet and an Owner -Builder Verification Form. Please complete the Owner -Builder Verification Form and return it with the renewal application and fees. cc: Building Inspector Chico I7./! - .Ldc- Count ' ' � ..•dN�M.'.. LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA95965 Teleohone: (916) 534--4541 H. W. McDONALD Deputy Director Jan. 79 1982 Candanee King RE: Building Permit o. 6014-80 (woodstove) Rte 6 Box 400 H Expired 12/91 Chicop CA 95926 (A,P, No. 42-04-20 ) With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works .F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may be completed and.signed by you where indicated and returned to this office together with the fee shown. We are also attaching an Owner -Builder Information Sheet and an Owner -Builder Verification Form. Please complete the Owner -Builder Verification Form and return it with the renewal application and fees. cc: Building Inspector Chico ti 91 n s -'�--'� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone 534-4541 APPLICATION ANDS PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' t I f..f! i I �_r,. Grr.- Date Signature of Perrpitee or Agent % V' Receipt No. 1 / 73 y 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 ��l By :.' .1.,'r % Iii.r-- Date /.7 ,�f Buitding permit expires Date S�2Z %/ ;;7 BUILDING Owner !" it L �G" N � C' / Ii SQ. FT. OCC. BUILDING VALUATION Mailing Address //A/ � ,� .� Ll r- A. rt CO Telephone No. Fireplace Contractor - Total Valuation Mai l i ng Address (��� C- C 111 P ,r Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address % r /%/ 11t n "- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,r f r v =' � r N ./ r, It f / tom_, it N , � fr = i Each Trap 1.50 Repair drainage or vent piping 1.50 f . j r; Water piping 1.50 C C" O Each gas water heater or vent 1.50 A. P. No. 442 — LTJ _ o2Q Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fsesr.i Sanitation Fire Dept. Fire Zone` Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg.-Plans-Rec'd— Parcel Approval `Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEEQ PERMIT FILING FEE $3.00 A. r ,$ Main service 100 AMP OROR SLESS 5.00 Main service EA. ADD'L too AMP 2.50 J Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service t0 0 AMP OR LESS VER 600V 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING OR AD NS. ( ACCLBLDGS.CCUP. &) 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES)50 @259� 109 Ex. Occu FIXED APPLNS. 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 for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insu,ance. ❑ 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.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 $ i s authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' t I f..f! i I �_r,. Grr.- Date Signature of Perrpitee or Agent % V' Receipt No. 1 / 73 y 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 ��l By :.' .1.,'r % Iii.r-- Date /.7 ,�f Buitding permit expires Date S�2Z %/ ;;7 V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County CerJer,Drivp = OroviIIe, California 95965 Telephone, -5 ,=34-4541 APPLICATION AND PERMIT yP99 76 • •`••-" I"""�'��"��vca V� UIG lwunly VI DUIIC LU CnLUI upon Ine above-mentioned property for inspection purposes. X Date Z% Signature of Pe itee or Agent Receipt No. /151 % White-D.P.W. — Yellow -Assessor — Pi k -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 Date d 7 .E rg permit expires Date �7Z7 7 BUILDING Owner L r— A/95.4 SQ. FT. OCC. BUILDING VALUATION Mailing Address L r "W� CTelephone iG No. `IS- S-7/ Fireplace Contractor Total Valuation Mailing Address C,-- Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 1 1b a /� ve PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,© FP hO %L a"c" Al Q F A1,,— f/S h 9 uI 14 vle— Each Trap 1.50 Repair drainage or vent piping 1.50 j 1� Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —-- o`�O Zoning & Planning. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F�r rs4ozn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans Declare ion Iens Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ec Parcel Approval Plans Approval Permit Fee $ ,50 I NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1r p 1 N A 6 e d'- Main service 1000V OR 0 AMP ORLESS5.00 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 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OP. ADDNS. ACC. BLOGS. ) 12¢ sq ft NEW CONSTR. MULTI -OUTLET NON.R ESI D. BRANCH CIRCUITS)2.50ea NEW CONSTR IPOWER APPARATUS & NON.RESID. ISINGLE 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) BALN21 Ex. QCCUp. (FIXED OUT ETS IPRESID )REA) 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 INSURANCEMECHANICAL - 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 9I 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. 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 n th^ri 9 n1:..�.. ..I TOTAL PERMIT FEE $ S� • •`••-" I"""�'��"��vca V� UIG lwunly VI DUIIC LU CnLUI upon Ine above-mentioned property for inspection purposes. X Date Z% Signature of Pe itee or Agent Receipt No. /151 % White-D.P.W. — Yellow -Assessor — Pi k -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 Date d 7 .E rg permit expires Date �7Z7 7