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HomeMy WebLinkAbout042-080-049I 0 AP 42-08-49-1 mj.BBARD .2 10' S. W/S , 0 - of Kennedy ---­--- --------------- Ave., C c Perniit# 4722- 4B (private detached garage) 08-4.9 Permit #1126-81B,E(Is --nd,3rd,4t,, 5th & 6th renewals for 22-74 inst.elec.wiring age Y �42 - 0 8 - tmit #1127-81B,Ua d workshop to pri.garage ( 42-0849 Permit # 2b0742B(reroof comp shing/SF)_ WE- I!= PERMIT NO. ° _ 2007_82B PERMIT EXPIRES ) OWNER Mickey Hubbard CONTR. Owner y 4 ASSESSOR PARCEL 42.08-49 g`. LOCATION W/side Hwy 32, app 150' Sof Kennedy r AvPnnp r.hien r Temp. Power Pole Called PG&E Temp. Elec. Service p° Called PG&E J Temp. Gas Service Cal led PG&E r JOB FINAI Signat .t = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS,.ETC. (Plans) O, ,,ccept k 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -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.-RIg. -Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,us„tes 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 H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK except #'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 -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 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 -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date_ FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. 57. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 14. Water Ht.; Vent -Access -Combustion 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. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive E] Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑Yes 0_ No 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. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House - Card B -I Date Card -BI Date Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except p's 82. 83. Glass Protection _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- - -- Card -BI Date Card -BI Date Card -BI _ _Date - Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except q's 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. Hangers -Post Caps-Anchors -_Connectors T 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.- np. 44. Fireplace Ties or Type A Flue -Fireplace Throat Comments at Final: 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovi.11e, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT Iv ASSESSOR PARCEL NUMBER ,7-- ZONING 119 BUILDING PERMIT flt OWNE // TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION o OWNER'S � MAILING AVrDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is e1 Filing. Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ O Ve ARC ITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 1 BUILDING AD SS G% ti ' Z — PLUMBING PERMIT Filing Fee 10.00 L Each Trap 2.00 Repair drainage or vent piping 5.00 C /CO Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other – SPECIFY Building sewer. Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ' Describe work: f-/lOar�,0 7? /0 S ? Z3` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. (ACCLBLDGS.LING CCUP.pI� / 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NON.RES DTR BRATCH CIRCUITS 2.50 ea NEW CONSTR. / POWER APPARATUS h) NON-RESID. %SINGLE OUTLET CIR. s0 @ 0 2 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup. (o UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ies, judgments; costs-aed expenses which may in any way accrue against s i County in F erllen�cetof the granting of this permit. %'; ' `l'�Cl/ Date —( Signature of Applicant – Owner ❑ Contractor ❑ 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 $ TOTAL PERMIT FEE 5_ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PERM EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS /� @?/ 2_ Date?-- �L L� O 3 Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT AM Ito on DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD Deputy Director August 6, 1982 Mickey Hubbard RE: Permits and Inspections 546 Hickory St. (AP 42-08-49) Chico, CA 95926 Dear Mr. Hubbard: With reference to the above subject, on July 2, 1982, we wrote you a.letter requesting that you obtain the required permit and inspections from this office for re -roofing a single family dwelling on your property located off Hwy 32, Chico. A permit was applied for by a Mr. Skip Peters on July 9, 1982, and at that time he. was advised that a letter of signature authorization from you and a completed "Owner -Builder Verification" form from you were required prior to issuance of the permit. .Since both permits and inspections are required by both'State and County laws, please submit the above-menticned items so that the permit can be issued,. then make arrange- ments for the required inspections. Should you have any questions regarding this matter, please contact this office. Yours very truly, Clay Castleberry r Director of Public Works J.F. Glander JFG:ds Chief Building Inspector cc: Building Inspector, Chico i Attachments: "Owner -Builder Information" data "Owner -Builder Verification" forma File No. BUTTE COUNTY Public Works Dept. (For Action 1, 2,3) (For Inforhnation4,/) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. T ra n sp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Maps Perm its ..-,--v-..s-tee:-..r,=,:..�,,...a.,���.,e�..�.•.�.:r..--.....�r--y ..r..-,r:.�'�,.,�`�-�--,i. w,. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI_LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET " Permit No. OWNER _ �Cl�c 't%,% A. P. No. 41.2 Proposed Building Use Permit Fee Based Upon: Complete Contract Price'' DPW Valuation --01 er (Ex/plla.in Building Inspector Date—��--.� At time of permit application, I was advised the fol 'owi g data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1• All items have been submitted. . . . . •h 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. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings, 8. Eees of $ Co Letter of signature authorization. . . . . . . . . . ... 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License 'nformation (no., name style, classif.) 4. Owner -Builder Verification (Given to owner0, Mail to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to • Building Inspector (Date) 18. Other When you issue the permit„ process as follows: _/�Mail to owner. _ Telephone and hold for pickup at office Other Mail to contractor. _Deliver w/inspector. Date 7 7 V-92 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, DesigneC,,_•Own was advised of above required data by Telephon$_2:�ZMail Other By Plans checked by Date Plans approved by Date Other: Copy—DPW Date /7 p / ✓�+ L w � y /A � GGOOVV I1 � • l S' COUNTY OF BUTTE - - Depar`tment of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name 'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mate ials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an lic�tion for1�i a build'�}} permit for the proposed work. Sy �i �wpS�l`t� e n 2 vz r wGlg9 �i ,rte 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City`' Phone Contractors Lcense;No. 4. I plan to provide portions of this work,`:but I have hired the following person to coordinate, supervise, and provide the major -work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number, Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 00 X73 Ga o op -0 y0 w :0 M. R. Hubbard 546 Hickory Street Chico, CA .95926 Dear Mr. Hubbard: LAND OF NATURAL WEALTH AND BcAUTY x� DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. MODONALD Deputy Director July 2, 1982 RE Building Permit A.P. # 42-.08-49 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Reroofed a single family dwelling on your property located off Highway 32, Chico. Since permits and inspections are required -by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees including penalties. All work must stop until you obtain these permits and are authorized by.our field inspector to proceed. This field.authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public.Works a JFG:dd cc: Building Inspector Assessor J.F: Glander Chief Building Inspector BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' SPECIAL INSPECTION REPORT Owner: A.P. V Address:' `5 ` Date of Inspection„_�o ► .: ' Z..' Tenant: : SAvn Inspector ' JZ :.: Building Location:—.SAj, jYAA/�L DO e. WLIS-NNI-rte` . Type of Inspection requested: �-T% l.: Housing,2. Financing f�, 3. Change of Occupancy to i� 4:.Other (specify) ' Present use. of buildin A. •Sanitation (Housirit�) . ' .. 1. Water closet: 2. Lavatory: 3. Bathtub or shower: ' 4.: Kitchen sink:' 5. Hot and cold water to fixtures: 6. Heating' facilities: . 1.Natural light and ventilation: Room and space requirements: "9. Bedroom window or door for second exit: . 10. Infestation of insects, vermin, or rodents: .11. Connect ior•to sewage disposal: 12. Connection to wate:e-.supply: ' 13. Rubbish and garbage facilities: .14. .Comments: B. Structural 1. Piers and footings: 2.- Floor construction: 1: Wall construction: .4. Ceiling and'roof construction: 5. Fireplaces:':' ,_ .. 6. . Comments: C. Electrical. '. 1.. Service a,ad groundc� 2. Receptac: es: ' 3.. Fusing: 4. Comments: D. Plumbing `. ' 1. Fixtures connected and vented: 2. Gas water heater: ' 3. Gas heating vents: 4... Comments: E. Other ' 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. 'WeaVier protection: 5. Underfloor and attic ventilation: 6: Comments F. Commercial Buildines 1. Roof covering: 2. " Distarce to property lines: 3. Physically handicapped: 4. Rest-oom floors and walls: 5. Exits: 6 Improvements• 7. Zoning:_ 8. CommentC: G. Field Problems -or Viclatiots 1. Pr hlem o- -r;.o�lpaction (give c lete description): �. What actio:l ta'icen (i.ve complete ....3.. Wh: a, s_im r'eccmmen ription): 77 A. Information only - fzl" B. Hold for teal (10) days, then wrie letter. /7/ C. Write letter. 77 D. Other: 0 Mickey Hubbard 546 Hickory St. Chico, CA 95926 Dear Mr. Hubbard: DEPARTMENT OF PUBLIC WORKS CLAY CAST LEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD Deputy Director August 6, 1982 RE: Permits and Inspections (AP 42-08-49) With reference to the above subject, on July 2, 1982, we wrote you a letter .requesting that you obtain the required permit and inspections from this office for re -roofing a single family dwelling on your property located off Hwy 32, Chico. A permit was applied for by a Mr. Skip Peters on July 9, 1982, and at that time he was advised that a letter of signature authorization from you and a completed "Owner -Builder Verification" form from you were required prior to issuance of the permit. .Since both permits and inspections are required by both State and County laws, please submit the above-mentioned items so that the permit can be issued, then make arrange- ments for the required inspections. Should you have any questions regarding this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:ds j Chief Building Inspector cc: Buil^�'d�in'`Inspzctor`;`ChieoN Attachments: "Owner -Builder Information" data "Owner -Builder Verification" form PERMIT NO. 4722=74B P E M .:MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER M.R. Hubbard .ONTR. ?°_OCATION (A.P. 42—'08-49 ) w/s Hwy 32, 100' S. of Kennedy Ave., Chico ,x Al �5 LI 1i(�( 4 ,P n Power Pole Called PG&E p. Elec. Serv. Called PG&E Gas Serv. /p. Called PG&E o FINALED Z (Date) (Si lure) U Reinf. Steel I COUNTY OF BUTTE — .DEPARTMENT OF PUBLIC WORKS.ci BUILDING INSPECTION. RECORD . E jj 9 Fixtures BUILDING BUILDING (Cont'd) Bond Beam PLUMBING Setback Firewall Soil Piping Framing Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Subpanels Footings Windows 3rd Floor MECHANICAL Stemwall Siding To out Slab Roof Sheathing Water Piping Brown Piers Roofing Sewer Garage Fdn. Vents Fixtures Underground Footings Garage Vents Water Htr. Ventilation Stemwall Slab Prov. for physically handicapped Heaters 'Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE'_ ��-S`% J REMARKS OR CORRECTIONS C iQ X07 Tv /A/ FbXr,'I /-lira -A0ftMWW7z---F 9Y1,5 was to -TA�Igig. J F- FT' MESS C— FOX 141 ow 3-,;> �. F T 0 4)646 Z: eomP4.isTE lPEX09 i r �44s 7'0 01' 4 k,L, u) / T14 gx�-'A E -v v" iE/ ,xed Croy ,4~,-7- �Y c'p 15AuC t% c -r- /-v, W.- `� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Qcoville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT vc ASSESSOR PARCEL NUM ER - ZONING r �Z BUIL ING PERMIT OWN ITELEPHONE G/r SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING AD RESS 7.7 /r e � CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee (D CQ $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINC7 /� DRE /W'•/ �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCT E SF ❑ Duplex❑ Mobilehome❑ Other— SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑' Remodel❑ Utiljties❑ Installation[] Othf7 Describe work: jj-- �--� �_—�JJ SbL �T--i S K (I - 7( -0' /✓ / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING O •M) OR ADDNS. ACC. BLDG 20sq ft CONTRACTORS L ENSE 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 m license is in full force and effect. y cense 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 CONSTK -OU LET 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR. / POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR, sD @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL�1 Ex. Occup. OUTLETS FIXED PLNS R ( RESID )EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor filt MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r ❑ 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 ,9pconsent 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, sn xpenses which ma in any way accrue of th• rm1t. agains id County in e::=—� X at v SignatureOf Applicant - caner` Contractor ❑ 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 $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL Pb 14D SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR-OFPUBLIC By PERM ate the applicable provi- resolutions to do fees have been paid. WORKS Date _ '� Receipt No. ® ail z/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT X.R. Hubbard 546 Hickory St. Chico, u 9:926 : tsar Mr. kuhbaret t utte ....... ,counfy LAND OF NATURAL WEALTH AND BEAUTY �-� DEPARTMENT OF PUBLIC WORKS - CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD Deputy Director April 2, 1961 RE: Building Permit A.P. # With reference to the above subject, we have been advised by one of our building inspectors that you have not -obtained the required permits and inspections from this office for the work you are doing as follows: Constructed an approximate 1.2 x 24 addition, installed gas piping, gas furnace and electric wiring to a garage located on' your property off Highway 32, Chico area. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, a ly for the required permits, and pay the appropriate fees, including penal 06. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works JFG:dd cc; Iu�ildeiin�=nspector J.F. Glander Chief Building Inspector A FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Informotiont/) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way Y� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: - A.P. Address: Arol" H'%Gk-' Tenant:- /1�lt/FiC Date of Inspection---?-, Inspector Building Location: --/3 //"/ . L -10 /` AIE /Go *' Type of Inspection requested: 1. Housing 2. Financing T 3. Change of Occupancy to AL 4. Other C spec i ) C /��G��/h/ L fy / fJ/feacl / l /toGu9/ �/7J Z Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating' facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. CoXnecti-on to sewage disposal: 12. Connection to water'.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor constriction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: -- C. Electrical 1. Service and ground:_ 2. Receptacle:,: ' 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas hearing vents_ 4. Comments: 1 E. Other 1. Maintenance and repair: 2. Fire hazar_ds:• • 3. Safety hazards _._ 4. Weat}!er protection: _ 5. '.Juderfloor and attic. ventilation: 6. Coma encs : F. Cormerci.al Buildings 1. Rcof covering: 2. Distance to property lines: 3. Physically handicapped: 4. ;'estroom floors an<I :galls: 5. Exits: 6. 7mrroveme^.ts : 8. Comment-: G. Field Problems or Vicla:iovs 1. Problem or violatic .i ;give complete description): -°I/0 1 LLe ?_. 'rihaJt action taken (give complate descriFsti.oxi 3. What recommended: A."nfor..aation. only - it l Hold for tcn (10) days, hien wri-.e l.rtter. / r Write letter. 77D. other: COUNTY OF BUTTE - DEPARTMENT OF PUBL C ORKS 7 County Center Drive —; Oroville, California 9596 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti ro y for in a tion p oses. X Date//4� Signa ure of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 06'%PUBLiC WORKS By Date Z—? 5/ �//ildin'g permit expires Date .............. `l=2'.2'.-.7 BbILDING Owner _ �, 11,6w 9/`p SQ. FT. OCC. BUILDING VALUA -r- Mailing Address /7` <Cleo /L e c i�l Tel a F o. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address LC/ Z PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 0 O G 7 /C. �i� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 o� �� A. P. No. C� Zoning & Planning Gas -piping system 1 - 5 outlets 1.50 Each additional outlet .30 F San, a F, re Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Parcel Plan Declaration Parcel Ma P 60' R/W Im ro ements P Lawn sprinkler system 2.00 Bldg. ns Recd I Parc pproval 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) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 '� � TVCI Water Heater or Space Heater 1.00 Light fixtures ba11l0 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. di sp. 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 $XN $ 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 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 Is 3 authorize representatives of the County of Butte to enter upon the above -menti ro y for in a tion p oses. X Date//4� Signa ure of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 06'%PUBLiC WORKS By Date Z—? 5/ �//ildin'g permit expires Date .............. `l=2'.2'.-.7 l� I '64V 1127-81B,E -rERMIT NO. PERMIT EXPIRES- OWNER M. R. Hubbard CONTR. owner ASSESSOR PARCEL 42-08-49 LOCATION W/S Hwy 32,app.100'S.of Kennedy Ave., Chico u Temp. Power Pole Called PG&E Temp. Elea Servi Called P &E Temp. Gas ervice Cal edPG&E JOB Si r i ,r r u Temp. Power Pole Called PG&E Temp. Elea Servi Called P &E Temp. Gas ervice Cal edPG&E JOB Si J = OK 0 = Not OK Not Applicable MOBILEHOMES -1 MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (PlansfOK except N's 1. Zoning Requirements -Setbacks -Easements _ 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 ft's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t.'t.t = OK = Not OK Applicable RESIDENTIAL (Singhe and Duplex) = Not Ready Date UNDERFLOOR (Plans.) OK exce t#'s Date FRAMING Continued , 1. Zoning requirements-Setbacks-Easements4a,-Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 411__St4 ;_N th-Headroom-Rise-Run- Land ing- Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 1pood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52�,Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 64__CWa4ng-Area-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 56.-S4eeo-Wa1ls; Nailing -Bolts 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 -Joists -Vents- ripples Card -BI Date Card -BI Date �Z Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI a Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING ermit) OK except q's xt. Steps -Door & Sidelight Protection -Landings Detector _ 14. Water Ht., Vent -Access -Combustion Air 68.--F waase; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ­59-Bedfeom.Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test Fttngs & Anchors -Nail Protection 17. Shower Pan; T t, First Floor -Tub Access =�=p-F-4.- Bath Fixtures & Tub Access 18. Test Tub & Sho er, 2nd Floor -Tub Access rec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size &NAnchors 'e2-.-trjlTT-&-RaIIS 6!�a_^e or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date ets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's �'�ye-=g Door; Swing -Landing -Closer 'rin Garage -Damper 2M, --fixture & Transformer Clearance -Ins. Protection r. r•; ents-Clearance-Comb. Air-Connector-P.R.V.- In G ge; Above Floor-Mech. Protection EI .Receptacles Spacing -Lights &Switches at Doors b., Elec. &Mech. Equip. Listed for Location 2 iz Boxes & No. of Conductors -Stapled ate. -rt =:Bmc*ptacles in Garage; (G.F.I.)-Romex Protec. 2 omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water -79_Jacufa44en-Foam- Looked in Attic E) Yes 40-Geard-Re4s & Deck Construction -Post Caps 45.-2 Appliance Circuits in Kitchen &Conductor Size �qr.p & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26.-S�ieed-Yaire-Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 127. Rart2e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral CYes [:1 No jr -F:gllnPlant ^r ns Drive ❑Yes ❑ No; Walks El Yes C] No; Planters ❑ Yes EJ No 48.--Saculce-Riser Conductors & Ground -Main Disconnect grown -Finish quip. Clearances; Panels-Motors-Mech. Equip. 77�; it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet eve Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 19r9+othes'Croset Light -Shower Light 74 k-�NelerWell; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground Card B� Date 2 . Card -BI Date �a throughout House Card B -I Date Card -BI Date rotec tion Date MECHANICA (Permit) OK except q's orreotions from Previous Inspections ^� rT-RMeters Tagged; Gas -Electric 31. A.C. Duck; Insulation & Support 8FrWa1Tr -kewer Connected -C/O to Grade -HD Approval 32. Vent Fan; xhaust above Insulation 86,.�6ompliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -V t; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acces & Platform if Furnace in Attic -- Card- 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 FRAM!Plans) OK except q's Co ments at Final: Proper Material & Anchors _ills; _ 3_ails; Stu .. ds -Nailing, Spacing & Bracing -Plates -Sound aring Walls over Girders & Floor Nailing 29-@rafYStop in Walls (rat proof) _ M9--ff►tr5iops; Furred Ceilings -Stairs -Chases -Tub eader & Beam -Size & Bearing - 4 ngers-Post Caps -Anchors -Connectors 4&,4�1'ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnp.-Rfng. 44--Eiraplace Ties or Type A Flue -Fireplace Throat 4&__O, Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4r,._Btls . indows or Exiting Doors -Sill Hgt. & Dimensions 4Z -Gar -age Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-441/ ' APPLICATIM AND PERMIT A ijl.i ASSESS R PARCEL NUMBER ZONING C -Z, BUILDING PER OWNER A �• �// TELEPHONE r iLA,/ (LG ,SQ. FT. OCC. BUIL/D�IN�G•t ALUATION OWNE 'S MAI ING DD ESS 7f19 7 " G, / eco ✓ 7r OL J CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ fSJO Q 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,Q ARCHITECT OR ENGINEER �!O LICENSE NO. Plan Checking Fee $ o p Penalty $ 661. B® ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A KESS (,rO PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCT11E ' SF ❑ Duplex❑ Mobilehome❑ Other ky4 �lrir�GCE ' SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition{' Remodel[] Utilit' s❑ Installation[] Other Describe work:Kf� 6)-a Slt"�/7Lt-%T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING aiN� OR ADDNS. ACC. BLDGS _ p�sgft 6cv CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. klcense No. Classification • I, as the owner, or my employees with wages as their sole comoen- 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 CONSTR -OU L T 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR, 80 T2s¢ Ex. Occup OUTLETS OR FIXTURES gAL@1 Ex. Occup. (.%TLETSXEDP(RESID )LNS.REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 i =30 Permit Fee :29,9S- $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. Heating I-- Cooling Hood 3.00 Ventilation Permit Fee S 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 unty of Butte against all liabilities, judgme t is and expens s whic m in any way accrue -- again s s CountAnoq �ce oft �in;fi ermi _ �/ D Signature of Applicant - Owner L;#- Contractor ❑ Agent ❑ An OSHA permit is requiredfor excovat•ons over 5'0" deep and demolition Or co u t- ion of structures over 3 stories in haig Mobile Home Installation Fee $ P TOTAL PERMIT FEET $ Oc4P. GROUP 1� ` ( TYPE OF CONST. ✓ �% PARCEL v N ISSUE i,/// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE EXPIRES Date the applicable provi-X resolutions to do fees have been paid. WORKS i^ Date DD Z/ D. 6S� Receipt No. 6 WHITE-D.P.W., YELLOW-AS6lSSOR, INK -INSPECTOR, 60LD ROD-APPLIC T 4�