HomeMy WebLinkAbout042-140-065y..
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NEW
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3747-83B,P,E2M
PERMIT NO. J f
PERMIT EXPIRES—
OWNER
XPIRES OWNER LEWIS EVERETT
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CONTR. DAVID EVERETT
r.
ASSESSOR PARCEL 42-14-65
LOCATION 2165 Nord Ave, Chico
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OFFICE COPY {
Address t
GAS {
Meter By Date
ELECTRIC /� t
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Temp. Power Pole
Called PG&E
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Temp. Elea Servii
Called PG&E
Temp. Gas Servici
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Called PG&E.
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JOB FINAL ED (Date)s3-
Date) �
Signature
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J = OK '
0 = Not OK
= Not Aprficble
Rea;-..
= Not Ready • RESIDENTIAL (Single and Duplex)
.
Date
UNDERFLOOR Plans OK except N's
Date FRAMING (Continued)
i. Zoning requirements -Setbacks -Easements
11IT-Property'Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depthxt.
Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50. Stairsise-Run-Landing-Fire Protection
<
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
_ "♦
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access �
7. Pier it al tg S
64!Glazing Area -Glass Protection -Skylights -Plastic
-ear Walls; Nai in -Bolts 'A A A 4t
8. D.W. - to s- est -2 ay C/O -Sewer Test
9. Gas
10. Water Pipe; Test -Anchors -Regulator -Service Test
_
11. Electric; Underground e. - _ --
12. Plenums & Ducts; Clearance -Material -Support -Ins.
Trd-B
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI '`,• Date (� �- Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
'
Date FINAL (Plans) OK except H's _J.L�6,AJ
Card -BI Date Card -BI Date
Date
BING (Permit) OK except N's
3 _yI. Steps -Door & Sidelight Protection -Landings
Smoke Detector
--
ater Ht.; Vent -Access -Combustion Air
ater Pipe; Test & Anchors -Nail Protection
S�PTrnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Bedroom Exiting
.NL' Shower Pan; Test, First Floor -Tub Access
F.I. & Bath Fixtures & Tub Access
_
1(� lest Tub & Shower, 2nd Floor -Tub Access ,
L1•'€lec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
82/Sfairs & Rails
_
--99--Fi2place or Stove; Clearances -Hearth
--64--Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
—)
Date ' Card -BI Date
Date Card -BI Date
tt. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
pec. Outlets & Receptacles at Kit. Counter
Date
ELEC RICAL Permit OK except H's
-67,--Garage Fire Door; Swing -Landing -Closer
--�• Duct in Garage -Damper '
Fixture & Transformer Clearance -Ins. Protection
99 --Mr. Htr.; Vents -Clearance -Comb. Air- Conriector-P.R.V.-
Garage; Above Floor-Mech. Protection
_
-�l1In
lec. Receptacles Spacing -Lights &Switches at Doors
p2'. Srze Boxes & No. of Conductors -Stapled
70. Plb., Elec. & Mech. Equip. Listed for Location
_
omex Installed Close to Edge of Studs & C.J.
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
-ia-'R
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
&e'l Appliance Circuits in Kitchen & Conductor Size
Z2ifTis-ulation- Foam- Looked in Attic �S
.�2-8uard Rails & Deck Construction -Post Caps
Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74. F . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
�"-oked under Floor El Yes
ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75. Following instld.: Drive, s ❑ No; Walks 8 -"re's ❑ No;
Planters ❑CJYes Mo
2��(Staryl %-R er Conductors & Ground -Main Disconnect
Stucco; Brown -Finish'
- ---z@+
quip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
----
Ag --Clothes Closet Light -Shower Light
- - --
7B --,Vents Above'Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-
-- - --
_ZQr Mater Well; Disconnect, Electrical, Plumbing
Card B -I
---
Date j / 3.3 m Card -BI Cate
-�.--------- -- --
6L__.Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
Card B -I
Date Card -BI Date
81ell7Iass Protection
DateEC
NICAL (Permit) OK except N's
.-83.--Corrections from Previous Inspections
as Test -Meters Tagged; Gas --Electric
& Sewer Connected -C/O to Grade -HD Approval
A_C. Ducts; Insulation &Support —
Fan_Exhaust above Insulation
_ 37. -Condensate Drain _& Overflow; Size & Grade
nergy Compliance Certificate -Other Certificates
-
_ __'3>!.1
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
_ 3S -Attic Access & Platform if Furnace in Attic
Card -BIel
Card -BI
4, [Ea te(( Card -BI — Date
Date I �- Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card Bl Date z
Card -BI Date Card -BI Date
Date
'r►n[�L
FRAMING(Plans) OK except q's
C n at Final: A
r
____._36.
-
_-C-APS
_--
�-
!!__._-S��i__ p�j�r al & Anchors —
Pr. ,alis; Studs-Naili g, Spacing & Bracing -Plates -Sound
38. er Girders & Floor Nailing
- - -
Draft Stop in Wills (rat proof)
•Q�.�P1re Stops; Furred Ceilings -Stairs -Chases -Tub
-44.. Header _& Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors -
Cing. Joist-Rftr. Ties-PurBr
lin-Roof ac.-Truss-Shihng.-Rfng.
^^ Fireplace Ties or Type A Flue Fireplace Throat
4 Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles
drm._Windows or Exiting- Doors -Sill Hgt. & Dimensions_ -�
garage Fire Protection Framing
j• 6 (,
_
-
- -- /VY
�lG�
-
-
'(NOTE: An entry must be made each time you visit jobsite)
J = OK
0 = Not OK
= Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except #'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/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 -Enc losures- Pane lboards-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-B-1 Date
tI
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, E-xt. 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
mat r, or need additional explanation, please contact this office immediately.
Inspector__ Date
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
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
Inspector
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
JNER
A routine inspection indicates that the followi , i8Tations
exist at the above address and should be cornected. P_lel
when correction of work is completed. If you ha
County Ordinance
tot' this office
pergiing to this
Inspector Date
-RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 2165 Nord Ave., Chico
(location)
BUILDING PERMIT NO. A:P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER'APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge Single Glazed 'yps
Fdn. Walls Special (Insulated) .
Floors N/A /s T 9L- CERT. & LABELED WDS.
Walls R11 (2nd floor)' & SLID= DRS.
Ceiling/Roof R30 WEATHERSTRIPPED DRS.
Ducts Q - 4-, 3 BACK DAMPERED FANS
Circulating Pipes u -A INTERMITTENT IGNITION DEVICES
APPROVED HEATER yo5 CERT. APPLIANCES
APPROVED WTR.HTR. y25
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name Loerke Insulation Co.
Signature of (please rint)
Insulation Applicator
State Contractors
License No.432 18
General Contractor/Owner Name Gt ( - v Ali 1
Signature of p ase print)
General Contractor/Owner Date Z -/j.'
State Contractors
License No. z 70 /Z—
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING F INAL�INSPECT ION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California..959U - Telephone 916/534-4541
APPLICATION'.AND PERMIT
PERA IT NO
A SSOR PARCEL NUMB 5rSly\
ZONINf�
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC, BUILDING VALUA N
OWNER'S MAILING ADDRESS
a Si I
CONTRACTOR'S NAME TELEPHONE
v� r szz.I
CONTRA TOR'S MAILING ADDRESS
1-165- Q
Fireplace
CONSTRUCTION gnuLENDER
J
UNKNOWN
Total Valuation $ "
Filing Fee
$ 10.00
LENDER' A ING A ESS
//m
Permit Fee
$ 5—rm
ARC TE 'T OR E INEE ,/
' �60�'"�
LICENSE NO.
�"`
Plan Checking Fee
$ S
'
Penalty
$
A CHITECT ON ENVVEER'SS MAILING ADDRESS
294 Loc
Permit fee
$ 40?,.0
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 1000
Each Trap
2.00 (o,�
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 ,0/ 60
Gas piping system 1 -5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex)6 Mobi Iehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation❑ Other ❑
Describe work:2�,E7 Q—Ag2&7A-E
9-A) R�� � J�.��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELING 0
OR ADDNS. ( ACCLBLOGS.0 P'
21/20sgft i
CONTRACTORS LICENSE LAW
p y p I y (check one):
I declare under penalty of perjury )
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.���3 Classification ��`C�Z�����
❑ 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 CONSTR ULT' -OUTLET 2,50 ea '
NON-RESID BRANCH CIRc IT;)
NEW CONSTR f POWER APPARATUS &')
NON-RESID. \SINGLE OUTLET CIR.
20050C
Ex. Occup(o XOR FIXTURES 9AL®som
ED A
FIXED APPLNS, OR `
EX. OCCUP- OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 SLS
Permit Fee $ p
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.721jo-Oge—
E] 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$ ,
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
a upon the above-mentioned property for inspection purposes.
I also asave, indemnify d keep harmless the County of Butte against
Butte toratdlo
all liabie jud ent cost and expenses which may in any way accrue
againstun in se nce of the granting of this permit.
X Date 11)
Signature Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavt. tions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in heig
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ (O
OCCUP. ROUP
g—aj
F, -Z
TYPE OF CONST.
-�^
�`—
PARCEy
PD
HD
«.—
Issu
This permit is hereby issued under
sions of the Butte Count Code and/or
work indicated above for which
DIREC OR OF PUBLIC
By
PE T EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ZLIE-2 -3
'?
Receipt No.
WHITE-D.P.W., Y LL W A9P K -INSPECTOR, GOLD NROD-APPLICANT
y
fo o VA)o
Ez- zTI<!
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3o
19.0
$ z o
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s 16.36
1,26
Ga ;,0.,#*
+ 3 t,QtQ aetr
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r47a v.O,Qlit7NToIGNED BY �u� CHECKED BY DATE JOB NO. SHEET NO. 4_
�NTs;,e/oie /SEA.E'/N6 X/�4LG �3ETlYes.y
s9/G Y .eooly el
L.L = /G �/�•5�= 2G�iid�
L L = ;74 ,fe 1) /G = C5 f¢ �
33o,?3" • /Gy ? /0
.6/5 K0, X5,%/,4 t /32 r, 75) 3 499.0
CGl�;E�'TiCATEd L -OA O 70 /3!s ��✓iQG/1,0 �A,eAGLBL r0 YY�,GG
a = �o,S�9,o�-S.o3.��.o,J' � �,a�/?.O•J,�3o, 0 = 7Z¢5� D. L .
�� =� 2 4/• 5 ] /2..0 - 2d 98 1-4,
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77�5e'�, '�
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30745' t,7o
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S. B. BARNES & ASSOCIATES CONSULTING STRUCTURAL ENGINEERS
2236 BEVERLY BOULEVARD • LOS ANGELES, CALIFORNIA 90057 • 382-2388
I illlll 111111111-1��
-- 49 .. -%
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AP 42-1/+-90
FH.LAWSON SMITH ��/�o �-Way, Chico
803-75P(.%kagas conv.)
1
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AP 42-1/+-90
FH.LAWSON SMITH ��/�o �-Way, Chico
803-75P(.%kagas conv.)
1
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73. \
O
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auuwiice ieN[esentauvCs ui tiie t,vunty of nutte iu enter upon ine
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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 OF PUBLIC WORKS
By Date
Building permit expires Date..
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing 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 &Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C.
Sanitation
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
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) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbale 5
10
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
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
$
auuwiice ieN[esentauvCs ui tiie t,vunty of nutte iu enter upon ine
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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 OF PUBLIC WORKS
By Date
Building permit expires Date..
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ®�
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534x4541
APPLICATION AND PERMIT
authorize representatives of the C unty of Butte to enter upon the
above-mentione property for ins a tion purposes.
X` Date'4
$i na re of Permitee or Agent
Receipt No.C65;"�7
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.
Al R CTO F P BLI WORKS
o �S
BY Date
9uildirtg permit a pires Date..... '�
BUILDING
Owner M LUSO" 5M
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 7— �L �� s
ne
Fireplace
Contractor D W
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address , D
PLUMBING
No.1
@ FEE
PERMIT FILING FEE 1000
C C�
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
ec
Parcel Approval
Plans Approval
Permit Fee
$ , 5
$ : j
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE 1 $3.00
(2A4AJ&L l
Main service incl. 1 meter
Additional meters, each
1.00
Single Family 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 a?o
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 Na. Classification
Misc. wiring
1 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 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 s to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ I FEEPERMIT
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
$ 71
authorize representatives of the C unty of Butte to enter upon the
above-mentione property for ins a tion purposes.
X` Date'4
$i na re of Permitee or Agent
Receipt No.C65;"�7
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.
Al R CTO F P BLI WORKS
o �S
BY Date
9uildirtg permit a pires Date..... '�
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