HomeMy WebLinkAbout042-160-0110011
42-16-11
d - BROOKS H.T.
N/S W Sa amento Ave, app 400' W Glen= ? ' S250E•- 5501B
wood Ave, 'co 4231P
Contr: Wagner onst, Chico _ _ _ _ 42-16-11_
Permit#2720-83E a ser ch & misc wiring/ n/s+W. Sacramento Ave. westGlenwood Ave. -
Unit #A)SF Chico
42-1 ' 1 1 '•rla_ ►< #Stucco c_ 3 —a.O —� g
Contr: Wagner Const, Chico �
�5 24
IaB%8 -o
Permit#2721-83E(ele s c & misc wiri g/ f
Unit #B)SF
Contr: WaR" `
g Const;.. Chico
Permit2-83E(ele ser -ch & misc wiring/
C)SF
42-36-11 FiKf
Permit #2747-83B(reroof/SF) Unit�6 $�
f
_ 42-16-11 F VWj flat,/
Permit#2748-83B(reroof/SF) Unit C
31
42-16-11
�_Aui i�,Tz ��
2062 Sacto Ave, Chico
Permit#2703-86B(new stg bldg)
042=160=011 92-1682 B
KATZ, Myra
2062 W. Sacramento Ave, Chico
CONTR: Sierra Roofing
(reroof/sf) S!_ -2p -�73
B06-2747 042-160-011
MISCELLANEOUS Re -Roof
REROOF (8) TORCH DOWN (4)
2062 W SACRAMENTO AVE
STARK, AMOS
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2062 W SACRAMENTO AVE
Owner:
Permit No: B06-2747
APN: 042-160-011
STARK,
AMOS
Issued Date: 12/01/2006 By KEJ
Permit type: MISCELLANEOUS
2062 W
SACRAMENTO AVE
Subtype: Re -Roof
CHICO, CA 95973
Expiration Date: 12/01/2007
Description: REROOF (8) TORCH DOWN (4)
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
ALLADIN ROOFING
ALLADIN
ROOFING
Building Garage Remdl/Addn
P O BOX 4262
P O BOX 4262
OROVILLE, CA 95965
OROVILLE, CA 95965
(530)533-2934
(530)533-2934
Other Porch/Patio Total
FEE INFORMATION
Re -Roofing $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B1041
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
ALLADIN ROOFING 532834 / C39 / 06/30/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
also requires the applicant for such permit to file a signed statement that he or she is licensed
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
s in full for d eff ct.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X �yC
/
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil than five hundred
12/01/2006
penalty of not more dollars ($500];
Please check one of the following:
Contractors Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:Law
does not apply to an owner of the property, who builds or improves thereon, and who does
❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
jy�j I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
LSI
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
State Fund 7130001977 10/01/2007
Carrier. Policy Number: Exp. Date:
Contractor's License Law.).
(This section need not be completed [Tine permit is or one hun red dollars ($100) or less.)
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
12/01/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 12/01/2006
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signaturel Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
�. a 12/01/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner dcontractor OR; Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name S- GO'/
irst Name O
Mailing Address D
City
State (2a—
Zip
Phone 1_ (o -7 3
Fax
E-mail
—_-APPLICANT _-APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
6
Address
2-&
State
bz
City
Lot #
State
Zip —
Address
State License Number
,
Phone s 3 '
Fax
E-mail
Lic.� 5 ?)
Class
—_-APPLICANT _-APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E-mail
Address
State License Number
—_-APPLICANT _-APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X �L
For office use only:
Zoning
Flood Zone
Property Address D � S
Q
SRA Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
APIGLya_ (SO, C) 1
Property Address D � S
Q
Cit
Cross Street
WORKER'S COMPENSATION
Policy Number
/3—1 7 — OS"
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work: 8F
li Q mal
cTr c 1,
Sq FT- Living ,Q Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received y: Amount: Bldg
SRA
Receipt #: Sheriff
SMIP
Date:
Other
i 6�0 -�
Total
...--r.,ar1(�4�1�t►Ext`5�+:..'•-;s•+s+,M1.1R;✓r'�"�"a'I�w06'�'�ii�4!!*' 'a- .�".,,�'p'�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORDS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBERZONING
10 w� "
l
BUILDING PERMIT
O W N E
Katz m ra
T�qN E
A1C-Up/0
S0. FT. OCC. BUILDING VALUATION
i7 10M.00
OWNER'S MAILING+ ADDRESS
2062 i?st %cr'wa too Avem, Chtoo, Cal
CONTRACTOR'S 'Win Co.M E
TELA=PHQ,[JE
�7TR1L7 11{n�:A77
CONTRACTOR'S MAILING ADDRESS
I0 lox 252, Chico, Ca.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 24.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $ .�--
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
M West %Cnt'A �IVAPil.J>L, NCO. Cdr 1
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00.
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF 4 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @-15.00
TYPE OF WORK
New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 17 suIres of OimmitiQI 1'1@mf
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 200A TO IOOOA) 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
LK I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code �andmy license is in full force and effect.
License No. 29'9M Classification C 39
❑ 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 CONST. ( DWELLING OCCUPM 3.64sq.ft.
OR ADDNS. ACC. BLDGS. II
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
764
Ex. Occup(OUTLETS OR FIXTURES 20 464
EX. Occup. OUTLETS ((RESID )REA.) 1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare underpenafty df perjury (�heCk onej: 'J. t - ° . I
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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
•' MECHANICA L -PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
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.
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.
' ) 5-1342
%� Date I� t` -
r
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 S
Energy Inspection Fee $
OCC
CONST TYPE
o
_0
TOTAL FEE $ �
HAz
I DFEES I
IMP
I FLOOD
I CDF
I PARCEL
PD
I HO
I ISSUE
This permit is hereby issued under the applicable provi
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
� / �
DIRE6TOfi OF PUBLIC WORKS
By v �� ,fate sJ`
PERMIT EXPIRES_. Date
`
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
DEPT OF PUBLIC WORKS -
' MA r' 18;1992 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
( 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIOWAND PERMIT G
ASSESSOR PARCEL NUMBER
'" Q
TONING
's
BUILDING PERMIT
OWNER Katz m I
T34L bV9E
SO. FT. OCC. BUILDING VALUATION
17 S uareS 1020.00
OWNER'S MAILING ADDRESS
2062 West Sacramento Avenue Chico, Ca
CONTRACTOR'S NAME
Sierra Pwfing Co.
TELEPHONE
342-1863
C
CONTRACTOR'S MAILING ADDRESS
PO BOX 252, Chico, Ca.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 24,00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2062 West Sacramento Avenue, Chico, Ca. q S9
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
"
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF g Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 17 sWareS of CgWsition mr00f _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 60V OR SS
200AORLELESS 18.50
Main service 200ATO1000A1
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. 299844 Classification C 39
❑ 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
_37.50
.&\ 3.64sq.ft.
NEW CONST. OR ADDNS. l ( DWELLING OCCUPACC. BLDGS. //
NEW NO N.RESICONSTR MULTI -OUT LET
D BRANCH CIRCITS @ 5.00
POWER APPARATUS &
k SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 20 76
P
EX. OCCup. OUTLETS P(RESID )FIXED APLNS.REAJ 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
n 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 15.00
Heating
Cooling
g
Hood 6.50
Ventilation ,
permit Fee $
LContractor
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.
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 saidounty in onsequence of the granting of this permit. Date
X 5-13-92
Signature of Applicant — wner❑ Contractor Agent
❑ ❑
i n 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 S
Ener Inspection Fee $
9Y P
Dcc
CONST TYPE
TOTAL FEE $®�
HAz
I DFEES
IMP
FLOOD
CDF
PARCEL
D
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Bork indic�e5
/which fees have been paid.
I PUBLIC WORKS
y ates
PERMIT EXPIRES Date
Receipt No.—/
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
,
j .
PERMIT NO. / 2703-86B
PERMIT EXPIRES ' 9rr
OWNER PAUL KATZ
CONTR. Owner
ASSESSOR PARCEL 42-16-11
LOCATION 2062 SScto Ave, Chico
t
1 .
�f
a�
L
A
Temp. Power Pole
a
t
Called PG&E
Temp. Elec. Service
Called PG&E
t
y
Temp. Gas Service
t
Cal led PG& E
JOB FINALE
i
Signature
J = OK ..
0 = Not OK
- = Not Applicable
* = Not Ready-
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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./ /"Na'.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. T
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 N'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 -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
R
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UND RFLOOR Plans OK except N's
Date
FRA
G Continued
-
VZ_oning requirements -Setbacks -Easements
ill
P erty Line Firewall & Openings
Ftg., Main; Soils-Steel-E;ee-GRW.- / G Ftg. Depth
4jr
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
agc Soils -Steel- / /" Ftg. Depth'
36r
Width -Headroom -Rise -Run -Landing -Fire Protection
-
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab2
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
58r--6tacco-Mesh-Drip Screed-Fdn. Vents-Underflr. Access_
-
7. Piers -Fireplace Ftg.-Steel
B. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test
_
44r -•Glazing Area -Glass Protection -Skylights -Plastic
55 --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
Date f Card -BI Date
_
Card -BI
A
tkk Date 97,i Card -BI Date
Card -BI
Date t Card -BI 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 q's
57.
Smoke Detector
Card -BI
Card -BI
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe: Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
1,7. Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Date _ _ _ Card -BI Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Gard B-1
Gard 8•I
_
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
e to Edge of Studs & C.J.
23. Romex Installed4de
24. Equip. Ground p w/Mech. Fasteners -Bond -Gas & Water
25. 2 Appe en & Conductor Size
26. Subfeedlianca Siircuits in Kitchze i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Neutral Yes -iNo _
/Svice-RiserConductors & Ground -Main Disconnect
arances: Panels-Motors-Mech. Equip.
oset light -Shower Light _ _
----.- -. --
Date Card -BI Date
Date Card -BI Date --
-
69,
Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71,
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72,
-
Insulation -Foam -Looked in Attic C] Yes
73.
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor Ci Yes
75.
Following instld.: Drive ❑ Yes [I No: Walks Ci Yes ❑ No;
Planters [I Yes 0 N
76.
77,
Stucco; Brown -Finish
A.C. Unit: Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except a's
83.
_
Corrections from Previous Inspections
84.
85.
_
Gas -est-Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
Card -BI
Caid-BI
31. A.C. Ducts. Insulation & Support _ _ -
32. Vent Fan: Exhaust above Insulation _
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
Date Card -BI Date -
Date Card -BI Date
--
86.
Energy Compliance Certificate -Other Certificates
-
-- --
- _ --
-- -
-- - -
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
F MI G(Plans) OK except p's
Com lents at Final:
6. ills, Proper Material &Anchors
3 I . Studs -Nailing, Spacing & Bracing -Plates -Sound
38ear ng Walls over Girders & Floor Nailing
3 ..fl Stop in Walls (rat proof)
40. ire Stops: Furred Ceilings -Stairs -Chases -Tub
4 ,1,4;der & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
na F r=ace Ties or Type A Flue -Fireplace Throat
4E-A44•rc-Access. Size & Romex Protection -Draft Stop -Ins. Baffles
4 o t Windows or Exiting Doors -Sill Hgt. & Dimensions
4Z_6arage'-Fire Protection Framing
-
-
--
_ - ^-
(NOTE Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe, California 35965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P RM(IT 4_�e
4
ASSESSOR PARCEL NUMBER
(/O
ZONING
BUILDING PERMIT
O W N E
TELEPHONE
SQ. FT. OCC.1 BUILDING VA ATION
D • 00
OWNER'S MAILING ADDRESS
i- R104 A >�
CONTR C OR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDFrESFJ
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
♦ 00
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ •50
ARCHITECT OR ENGINEER
a "'e--
LICENSE NO.
Plan Checking Fee
f? •1 S"�'
O OL
$AJ
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1[J 1` xit
Permit fee
$ y.7
PLUMBING PERMIT
Filing Fee 10.00
ew
Each Trap
2.00
1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other <ItoaV,6'f Q
PECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home TS7G I W
0.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: �O V-21 54-1,S)a (I _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of
p y perjury lur y (check one):
F1 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)
Lam(. 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 CONST.// DWELLING OCCUP.& ,
OR AODNS. l ACC. BLOGS. h¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC s 2.50 ea
/POER APPAR S e�
(SINGLE OUTL CIR.
EX, Occup(OUTLETS O 20 ® 50C FIXTURES .AL@30
FIXEDA LHS. OR
Ex. Occup. OUTLE ( RESID .) EA.) 2.00
Temporary servic 10.00
Mobile Home Fa ilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n,The permit is for $100.00 (valuation) or less.
r,�aByV/ ave placed on file with the County of Butte Building Department
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 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
against said County in cons uence of the granting of this permit.
X Date
Signature o(/Applicant — Owner 64 Contractor ❑ Agen
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
occuP.
CONST.TYPEJ
I
JFUD4PARCELJ
PD
1 No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR O BLIC
."
By. f
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
.fees have been paid.
WORKS
/
Dat
Gf f:
FReceipt No. 3 a / h
HITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
TO:
FROM:
SUBJECT:
Building Department
Environmental Hea.?th,., Qhico Office
Sanitation Clearance
Owner
Plan approved for:
Hold final.for:
Final clearance O.K. for:
Clearance for bedroom
Note's**
Sanitarian
Location AP#
Sewage disposal Water Supply
Water supply
Water supply
Mobile home House Other
9 - -/,/ -
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER -DRIVE - OROVI%LLE,,(GALIFORNIA 95965 - TELEPHONE: 916/534-4541
• PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use S-IvrwgQ, l�l�'t
P,er,'l, ',t Fite`;Based Upo~: L _ Complete Contract Price
(11 1
Other (Explain)
Building Inspector
Permit No.
A. P. No.
DPW Valuation
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and./or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
Plot plans inuplicaie triplicate.
Complete plans i �,dplca e/tri.plicate. . . . . . . . .
4. bmplete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7, Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9-. Letter of signature authorization.. . . . . . . . . . .
zjTJ4. Sanitation approval from %`t�y Health Dept.
11. Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. Q VCI`o5r 9
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to ownerE])
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement . .,
19. Other
When ypu issue the permit, process as follows: Mail to owner. Mail to contractor..
if Telephone and hold for pickup at C cv office. Deliver w/inspector.
Other
Applicant%2y , ,(_ Date �7
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, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by 09, Date
Other:
Copy—DPW
COUNTY OF BUTTE - Department 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 at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for.construction of
the proposed property improvement (yes -or no) h()
2. I (have/haft) signed an application for a building permit
for the proposed work.
3: I have contracted with the following person (firm) to provide the proposed
construction:
Name '
Address City
Phone Contractors License 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 3 City
Phonez _2Z2g T'^ 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 Nu ber
Date /Q
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 per-
mitted to issue the permit.
COUNTY OF BUTTE - Department 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 at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit.. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the -proposed property improvement (yes or no) n(j
2. I (have/h—ems.) �_ signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construc_t'on:
Name
Address P $ 7 city is
Phone 3 4 S h Contr tors icense No.
4. I plan to provide portions of this work, but I have hired the following person
to coordina e, supervise and provide the major work:
Name i i Q L" e r
Address City Ch I"
Phone SYS --167'2_ Contractors License No. a7s_7_0
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 st
Social Security Numbe -
Date 2//1696
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 per-
mitted to issue the permit.
_. ... _ . - -I _-
F/Or ' Map—t(Ati1 E-61
r
1r1 rao. rye '�� Scaall. ! E
3, Ouse
a
ON Bl
S
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical Codas .Qn4
the National Electrical Co&
s ed p1� �n� speei ea i'o s MUST be
! Dept on the job at all times and it isi unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
f
i
sir
setback of rom tie
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. ;
SUM COUNTY
BUILDING DEPARTME NJ
APPROVE,
�,�7,
i ; ,Xf �•; ;Z:ii� t
Ct
P104 Map --�vt io ir6 s Only
F
0
M
n
D
A setback of'5 ft. from the
property lines and a setback
of. 50ft. from the road
centerline shall be clear of
structures or equipment. except
for a 2 ft. eave overhang:
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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
c� ` /.J. f CU f e 7Te)-d
T
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.
is
Inspector �'� /''J( Date — Q 3
" 4 COUNTY�OFIBUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7.'County CenterDrive- Oroville, Z aliforriil 95965 - Telephone 916/534-4541
—
'"� APPLICATION AND'PERMIT a• '
'ASSESSOR PARCEL, NUMBER •r-. ,.
ZONING
BUILDING PERMIT
OWNER]
•�
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS {{ -
ovw�.v, L
CONTRACTOR'S NAME
//
TELEPHONE
( Y/.- 114 97
CONTRACTOR'S MAILING ADDRESS
J( //�c1 ,�f/i ;,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
-t112.w/j
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
N�I/tip lA/ (� 1'r i"/1G'�.!�>�vl �. f G.�/7
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME �J ''I
k a ,• r`.
PARCEL MAP
Each gas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
tJJ E'UF STRUCTURE
SFR /Duplex❑ MSbilehome❑ Other v SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK . -.
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other [2,
Describe work: r�fr'7��5�(r/'�< / �-�- r ,t
114i h-f/�/ G ��\ �� �� ,� lt,
Permit Fee ``
$
" Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
1 10.00 //f >,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ACDNS. ACC. BLDGS. /
21/22sgft •'`
-
.1 CONTRACTORS LICENSE LAW
\, ��\\J�
I declare under -penalty of perjury•?( c hec k"o.ne)
❑X I am licensed under provisions of Chapt. 9, Div. 3 of the Business
an d Professions Code and m license is in full, force and effect.
F' y
\\ License No`f;J' 5KK Classification �' i�
❑�` " w„ % ni. i \ 't +
I, as the owner, or my employees with wages as,their sole compen-
sation, Wil,l:
A19:Tz
` r
Aeo/vi A-4 de
r—
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
Ah
ASSESSOR PARCEL NUMBER
ZONI
BUILDING PERMIT
OWNER ��••
u
TELEPHONE
,SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING A15DRESS
CONT A TOR'S NAME
S �/
TELEPHONE
CONTR C OR' MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filin Fee
g
$ 10.00
LENDER's MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINGS DDRESS
N
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
// USE OF STRUCTURE
SF B Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
110.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: fG �sf//%l%f r. f'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OR LESS
100
100 AMP OR LESS
10.00
�%
e'411,7,
Main service EA. ADD'L 100 AMP
2.50
OR ADDNST ( ACCLBLDGSNEW CONS. DWELING CCUP.&�
21/22sgft
CONTRACTORS LICENSE LAW
I dere under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0@50C
and Profession Coe -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
NEW CON5TR MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CON ST R. ( POWER APPARATUS &'I
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup(o XTs OR FIXTURES SAL®30
FIXEEDDAPPLNS. OR
EX. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 e O
_
N
Permit Fee01 $ D
Contractor
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.
1 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
FiIingFee 10.00
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also ee to save, indem y and keep harmless the County of Butte against
all Iia II ie jtent c ts, and expenses which may in any way accrue
again s d unt i on of the granting of this per it.
X Dat
Signature of Applica — O Contractor ❑ Agent ❑
An OSHA permit is required or excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ TV,50
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR R OF P LIC
c�
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. Dz?ZZ
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
3 COUNTY OF BUTTE - DEPARTMENT-OF"wUBLIC WORKS - BUILDING DIVISION
7 -COUNTY CENTER DRIVE - OROVILL-E,-CALIFORNIA 95965 - TELEPHONE: 916/534-4541
�_••. ''� PERMIT APPLICATION. SHEET t `
Permit No.
OWNER /%iil/I /.> �/>�'/l A. P. No. -//-
Proposed Bw-Rd•i•rrg-ttse
Permit Fee Based Upon: Complete Contract Price DPW Valuation
0. plain)_ t
Building Inspector i Date /d2
At time of permit application, I was advised the following a a must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . .
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. Fees of $ .:;..
9. Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:-
12.
arking: 12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . •. . =
� Pre-Inspec. request t A
t/ 17. Pre -Inspection for s/'� �eT41Z C,C/i,�i� rRequired. Building Inspector
Q C, 18. Other
{CJ` When you issue the permit, process as follows: Mail to owner.Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
ApplicantDate L,f4TZ
Copy of plans sent Health Dept., Fire Dept., Other 1000K 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, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by JDate
Other:
Copy—DPW
7-G�p Ll/off %ate'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
-' APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
ZONING
I
i
BUILDING PERMIT
OWNER ; J /
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS J •
- r � /
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
'r ./=
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
'
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT, OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
•'���,. %� /.//. ,> > =_ J
PLUMBING PERMIT
Filing Fee 10.00
_�t..'r
/
/'�J ��' ' ' '�• `� '
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF D1"Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home IS I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal l at ion ❑ Other 0,
Describe work: /- r ' ' - '
i
Permit Fee
$
'Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS
100 AMP OR LESS
10.00
i / L
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
21h¢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
f
license is in full force and effect.
and Professions Code and my n
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
NEWCONSTR (MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR POWER APPARATUS &'
NON.RESID, (SINGLE OUTLET CIR.
20050Q
Ex. Occup(o OR FIXTURES sAL030Q
FIXED APP LNS, OR
EA
Ex. OCCUp- OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
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.
aI 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
$
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.
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 t �/���-- Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent P
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
I TYPE OF CONST.
PARCEL
PD I
HD
I ISSUE..
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
S
DIRECTOR OF PUBLIC
s
By -'- /t
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
f -
Receipt NO.—/*- : i /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR- GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Palifornia 95965 - Telephone 916/534-4541
APPLICATION AND'PERMIT
PERMIT NO. �
ASSESSOR PARCEL NUMBER ZO NG
_ —
\ \
V
BUILDING PERMIT
OWNER �JTELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�
� O
OWNER'S %AVILING ADORE � /
CONTRACTOOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
v
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ v
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD SS
PLUMBING PERMIT
Filing Fee 10.00
i
Each Trap
2.00
Solar Water Heater
20.00
C
Water piping
5.00
LOT NO.SUBDI VISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition Remodel ❑ tilities ❑ Instal ion Other
Describe work: oda W
(600V
S` /! C
'f G✓
P rmit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
21/20sgft
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR (MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTFL I POWER APPARATUS &)
NON-RESID. t SINGLE OUTLET CIR.
Ex. Occu FIXTURESBAL@30
p(o AL0
FIXED A POR
R ``
Ex. Occup. OUTLETS (RESID )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
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.
N-1, I shall not employ any person in any manner so as to become subject
V 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
$
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 a penses which may in any way accrue
against said County in conseque e o he granting of this permit.
i�
X Date /�
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and emolition or construct -0
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ V
OCCUP. GROUP
I TYPE OF CONST.
I
JPARCFLJ
Ptr
I HD
ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
O UBLIC
f
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. (�� �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-"
COUNTY OF BUTTE - DEPARTMENT OF- PI�BLIC WORKS - BUILDING DIVISION
a:K :.�,•e�.
7 COUNTY CENTER DRIVE - OROVILLE, CaLI•FOFfNIA 95965 - TELEPHONE: 916/534-4541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
_5�;
Permit No.
v
A. P. No. V,?
Permit Fee Based Upon: Complete Contract Price z —DPW Valuation
Ot.er (Explain)
Building Inspector r Date 0E�
At time of permit application, I was Lsed a fol_I-o-wing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
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. . �. . . ./
J
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.., .
8. Fees of $
9. 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 Information (no., name style, classif.)
Owner -Builder Verification (Given to owner; Mail to owner El
15. Improvements may be required. . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
17. Pre -Inspection for
•Pre-Inspec. request to
Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows:'Mail to owner. Mail to contractor.
Telephone and hold for pickup at office.. Deliver w/inspector.
Other -7-- /
Applicant—/� ; u Date e112 -11s_
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, Designer, Owner) was advised of above required data by Telephone
By
Plans checked by
Plans aDDroved b,
Other
Copy—DPW
Date
Date
i I Other
Date
r �"�� Q'
.� �' ��O
���
Ef-� ..., � ��ti�
- �-��
���� ����
.� �` -��
G-�
r
` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAVON-AND PERMIT
\ , PERMIT NO.
ASSESSOR PARCEL NUMBER
- /
ZONING
-
BUILDING PERMIT
OWNER -
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
'
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
-
PLUMBING PERMIT
Filing Fee 10.00
-
14/
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Q. Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑- Utilities ❑ Installation[] Other
Describe work: ' - ''/* J
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR
Main service 100 AMP ORSLESS
10.00 % ±-
j
���. fi•/
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS. /
21/20sgft
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 Codeandmy license is in full force and effect.
t' - 5 ,! �i; r V �/r
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
NEW CONSTRMULTI-OUTLET 2,50 ea
NON.R ESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS .&')
NON-RESID. SINGLE OUTLET CIR.
520050C -
Ex. OCCUp(oUTLD Ts OR FIXTURES eAL030Q
AL030
EX. OCCUp. OUTLETS P(RESID•)REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
, ,
Mise. Wiring ; _ � • /_ i,• 15.00
;
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
,Oto 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
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 liabilitids, judgments,,Icbsts, and expenses which may in any way accrue
against said County in consequence of,the granting of this permit.
t 1 I. ' . i.,.
X � � `� '�' ••I�'� � �,__. Date �' " �•.•-�
+
Signature of Applicant — Ow_ner ❑ 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
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
.
This permit is hereby issued under
osions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. ' 7 '
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION-Aht PERMIT
PERMIT NO. (/
.I
ASSESSOR PARCEL NUMBERING
,,_,_ _�
�•
ZO —s'
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CON R CTOR'S NAME
G �0,�/s ;rf vG7`
TELEPHONE
CONTRA OR' MAILING ADDRESS
c, !�/G
Fireplace
C NSTRUC ION ENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI D G A DRES /
PLUMBING PERMIT
Filing Fee 10.00
-/
dig
Each Trap
2.00
Solar Water Heater
20.00
r
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New El Addition_0 RemodeiEL Utilities(] Installation❑ Other
Describe work:
201 sem
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR L
Main service 100 AMP ORSLESS
10.00 , 00
/
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS.
21/20sgit
CONTRACTORS LICENSE LAW
I de lar under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiqn d a d my license is in full force nd effect.
C .1
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
NEWCONSTR. MUL TI.OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS .&')
NON.R ESID. (SINGLE OUTLET CIR.
20e50e
Ex. Occup(OUTLETS OR FIXTURES SALO 30
Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring15.00 fi U
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
f 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
$
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
nify and keep harmless the County of Butte against
I also ree to save, iFn�
all Ii bi iti s, j g nts s, and expenses which may in any way accrue
again t ai Cou t in ence of he granting of this perm't.
X Date
❑ Contractor Agent ❑
Signature of Applica —e.rzovatio.,
An OSHA permit . require over 5' 'deep and demolition or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ S�
OCCUP. GROuP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
ions of the Butte County Code and/or
work indicated above for which
DIR OR OF BLIC
By. —
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.�.1
WHITE-O.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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.
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, Designer, Owner) was advised of above required data by Telephone Mail Other
By 1 Date
/
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF -',PUBLIC WORKS - BUILDING DIVISION
V.
7 COUNTY CENTER DRIVE - OROVILLE,'C%A'_'_'FOQgNIA,95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATIDW DATA SHEET
'Permit
No.
OWNER____
[�'
_;;;7z I /.�l A. P. No.
" Proposed
�-
Bt•i-kh- rg•-Use S�� �G ) s'� �i�i,.� 5� f
Permit Fee
Based Upon: Complete Contract PriceDPW Valuation
,-_e-'Other,Explain)
Building Inspector. l Date `, — D
At time of permit application, I was advised the f owing data must be submitted prior to permit processing
and/or issuance: _ DATE RECEIVED APPROVED
1.
All items have been submitted. . . . . . . . . . . .
2.
Plot plans in duplicate./triplicate. . . . . . . . . . . `� s
3.
Complete plans in duplicate/triplicate. . . .
4.
Complete engineered plans and calcs. .r ..
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
State Energy Forms No.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . ..
9.
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 Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner, Mail to owner ❑ )
15.
Improvements may be required. . . . . . . . . . . .
6.
Mobilehome Installation Data. . . . . . . . .. .
17.
Pre-Inspec. request to �' c
Pre -Inspection for 4 quired. Building Inspector
1� r 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.
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, Designer, Owner) was advised of above required data by Telephone Mail Other
By 1 Date
/
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
•'-'"' (COUNTYOF-BUTT'E -'DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County CenterDrive- Oroville, California 9596b -Telephone 916/534-4541
APPLICATft Aft -PERMIT _•
ASSESSOR PARCEL NUMBER -
Via— // r // f
ZONING.•
/7— S—
1
BUILDING PERMIT
OWNER
TEL
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
6/z, r. ,r;_>rr`w e 4'�., �/�.,� �'•�_ MJ
TELEPHONE
; il— y/ 19i
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
.tr19 *-/ t
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS _
Permit fee
$
BUILDING ADDRESS
N/lirAC' �� IGrr/�i t-t4fr ,7n /,/Yr --vI y�� /
PLUMBING PERMIT
Filing Fee 10.00
/ �'
X A �
Each Trap
2.00
Solar Water Heater
20.00
/� �,
Water piping
5.00
LOT NO.
=N NAMEt ___JPARCEL
�
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE 'OF STRUCTURE
/
/ E
SF ❑i Duplex❑ Mobilehome❑ Other SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I10.00
e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other [j;[-
Describe work: �l/���� St���i�r /'.�%i.,n t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OR LESS
100 AMP OR LESS
100
10.00 i� rt n
...�r ly
��•fa "'�.� .11N : �\ '1 F. /.\� \�/%/%j• :t �.1
-Main service EA. ADD'L 100 AMP
2.50
NEW CONST. /DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
f
2h0sq ft
y CONTRACTORS LICENSE LAW
,
I declare under penalty of_perjury-(checi<l�,one): �f ��
\
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess i ons�Code,,,and m license is in full force and effect.
Y
�.� ,S Licerise No. ("f � �.',t.� � Classification � (���
❑ I, as &'owner, ormyemployees with wages 'as their sole compen-
sation, will do. the,, work and the structure,is not intended or -offered
for sale.+(Sec. 7044)" --t l �4 1,1— 11
❑ 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 ULTI.OUTLET 2,50 ea
NO N.RESID '- BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS &'
NON.RESID.. (SINGLE OUTLET CIR.
z0@s0t
Ex. Occup(oUTLETS OR FIXTURES BAL®30
Ex. Occup. OUTLETS P(RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirin 9 9,6//,/-1 ira!•<, i 15.00 (-no
r
Permit Fee $
Contractor
MECHANICAL PERMIT-
FiIingFee i •.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.
a 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
, ' t
Cooling
Hood r
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
Butte to enter upon the above mentioned property -,for inspection purposes.
.�
I aisoiagree to save„indemnify and keeplharmless the County of Butte against
all jtiabilities, judgments,:�costs, and,expenses which may in any way accrue
against said County in'con§equence of the granting of this permit.
j/��- ���..�f�),/' �yry�� I�
X Date S
Mobile Home Installation Fee
$ `
/
TOTAL'PERMIT FEE $,
OCCUP. GROUP
TYPE -OF CONST.
PARCEL
PFT—.—.Tl
SSUE
`,.►'
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By. L. L... /i Date
-'- • --- �� �.� _ '��•-f
PERMIT EXPIRES- Date
Y f
Signature of Applicant — ,Owner ❑ Contra "Q Agent ❑
An OSHA permit is required for excavations over 5'0"deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. r'�/ 7 /
_
WHITE -D. P. W., YELLOW -ASSESSOR• PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
,z County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAMN Aft PERMIT
PERMIT NO.
.1
ASSESSOR PARCEL NUMBERZOtrr.Jy.J,,IIING
/
r.�
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONT OR'S NAME
ITELEPHONE
CONT T R'S (LING ADDRESS
O C
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER• MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
'`/
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL I G,A9DRES /
PLUMBING PERMIT
Filing Fee 10.00
,,
(
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: E'
C /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
27hQsgit
CONTRACTORS LICENSE LAW
I d clare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi e', y license is in full e a d effect.
License No. S 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 CONSTR ULTI-OUTLET 2,50 ea
NON•RESID BRANCH CIRC ITS
NEW CONSTFL POWER APPARATUS &')
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occup(ourLETs OR FIXTURES ez0®s0C
ALO 300
FIXED APP LNS, OR
EX. Occup. OUTLETS (RESID.) EA.)
1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring dp i! 15.00/,f—.00
Permit Fee $ J
Contractor
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.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 al agr a to ave m i and keep harmless the County of Butte against
all a (li es, en s is and expenses which may in any way accrue
agai s s d Co ty i qui ce of the ranting of this per 't.
X Date
Signature of Appl' nt — er ❑ Con Tactor Agent ❑
An OSHA perm' is req for excavations over 5' ' eep 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
PO
No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF P
By t
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
LIC WORKS
aJ
Date D "
Receipt No. Pi/67
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
41
COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE�GAi--lj6RNIA-95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION -DATA SHEET
Permit No.
OWNER / C A. P. No. 6r,/7—
Proposed
/%/Proposed B-ui4d4flg-Use ���C i < F %r. CZi
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date
At time of permit application, I was advised the to ing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . .5 . ,. ,...
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. Fees of $ . . . . . .
9. 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 Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner )
15. Improvements may be required. . . . . . . . . . .
�6!Mobilehome Installation Data. . . �. . . ,.requesL/ 117. Pre -Inspection for ( iia �Re uired.Building Inspector
t a
p e)
18. Other
Pei A—
When you issue the permit, process as follows: Mail to owner. // Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
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, Designer, Owner) was advised of above required data by
By
f
Telephone Mail Other
Date
Plans checked by Date
Plans approved by Date
Other:
Copy–DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
1),
ASSESSOR PARCEL NUMBER
ZONI
BUILDING PERMIT
OWNER',
TELEPHONE
SQ. FT. OCC. BUILDING VALUAT ON
OWNER'S MAILING AVORESS
CONT4t A�'TOR•SiNAME
TELEPHONE
�CONTR C: OR' MAILING ADDRESS
.
Fireplace
CONSTRUCTION LENDER
ii v C
UNKNOWN
Total Valuation $
Filing Fee
1 ,
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
,e&2 /f
LICENSE NO.
Plan Checking Fee
$ Af III
Penalty$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING DORESS / � r
`
Permit fee
PLUMBI
Each Trap
Solar Water Heater0.00
$ 12
F' ing FW 10.00
0
•
Water pi 'ng
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qa r heater or vent
Gas pip) tem 1 - 5 outlets
5.00
5.00 '
USE OF STRUCTURE
SF L Duplex❑ Mobilehome❑ Other
SPECIFY
Buildi wer
5.00
Mobi Home S I G J#ff 1
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installati Other
Describe work: Z� %� -
---L--� ��—�l
//pit/e^
A L%/.II�i.�
Permll Fee
$
Contractor
ELECTUNZ PERMIT
FilingFee I 10.00
Main service 0 AMP OR LOR ESS
10.00
CONTRACTORS LI SE
I ilf!` !:{I ' UlllfE I pCllalty of perjury (Check 0
-,7 1 am licensed under provisions of apt. 9, Div. 3 Of he Business
and Profession Coe and my license I n full. forceand effect.
License No. Classific ti n 0L./
❑ I, as the owner, or my employees with w as their solec
sation, will do tb ork,and the struct r s not intended or f d
for sale. (Sec. 7 44
❑ I, as the wner a1 ex lusivel o cting with l ice sed tract-
ors. (Sec. 0
❑ ' 1 am exe r Business and siors Code
for this re
Main ser A. ADD'L 100 AMP 2,50
NEW CONDWELLING OCCUR.& t
OR ADDN . U ACC. BLDGS. 2/20sgIt
T TC1-0U LET 2.50 ea
NEW CONSD BRANH IR ITS
NON-RESI
CONSTR. POWER APPARATUS &'
WA %SINGLE OUTLET CIR.
OCCUp�OUTLETS O20®50t
R FIXTURES BAL030
EX. Occup. OUTLETS RESID )FIXED AP LINS.REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00 e O
Permit Fee $ D
Contractor
W R M S COMPENSATION INSU NCE
perjury (check one):
I declare under pena/ed
F -]The permitr $100.00 (valuation) or le
❑ I have plaon file with the County of utte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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 alsopaeo to save, indemi ' y and keep harmless the County of Butte against
all Iiie judg ent , c ts, and expenses which may in any way accrue
againd unt i on C of the granting of this per it.
XDat
Signature of Applica — 0 Contrcctor ❑ Agent ❑
An OSHA permit is required or excavations over 5'0" deep and demolition or Construct-
ion of structures over 3 stories in height.
Mobile Rome Installation Fee $
TOTAL PERMIT FEE $ v
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PO
ND
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. L_)Z 57 7/
WHITE-D.P.W., YELLOW-ASSXSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANUTERMIT
PERMIT NO.
ASSESSOR -PARCEL NUMBER
W�2-.j� /� _
ZO ING
–S —
BUILDING PERMIT
O WWERn
/ /-5
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONT CTOR'S NAME
TELEPHONE
CONT T R'S ILING ADDRESS
c G� , c C l:U _
Fireplace
CONSTRUCTION LENDER
UNKNOWN
rt
Total Valuation $
Filing Fee
$ 10,00
Lt� MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
— 4ZL" `�Z^Penalty
LICENSE NO.
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUNG Aq0 RES$ n i
PLUMBING PERMIT
Filing Fee 10.00
o
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
Building sewer
5.00
5.00
,/� USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
[v)
SPECIFY
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New Addition[_] Remodel❑ Utilities❑ Installation❑ Other
Describe work: �l,�f/G SfI-111'e- E'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
_
/.(' /
✓,/.,�%, /,/�� `�/�./K `/
---"°'--���bbb"`
Main service e°ov OR LESS
100 AMP OR LESS
10.00
/J` A
/s
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLDGS.
2th2sgft
CONTRACTORS LICENSE LAW
I d ciare under penalty of perjury (check one):
XI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess ip ale y license is in full r�e d effect.
S
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)
0I, 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 R_ BRANCH CIRCUITS) TS 2.50 ea
NEW NON•CONSTR. RESID. (POWER SINGLE OU'rLET CIR.POWER APPARATUS ¢')
Ex. Occup(OUTLETS OR FIXTURES
zo®soa
SAL®30t
Ex. Occup. OUTLETS FIXED P(RES[ D 1REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
—
Misc. Wiring®p 15.00 O U
Permit Fee $ J
Contractor
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 SOf-Insure.
1 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I al agr a to ave i m i and keep harmless the County of Butte against
all .a iii es, en s is and expenses which may in any way accrue
agai s s d Cc ty i qu . ce of the ranting of this per 't.
�(�/�
Date
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
95UE
This permit is hereby issued under the applicable provi-
sions 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
PERMIT EXPIRES Date
Signature of Applent — er ❑ CanractorAgent ❑
An OSHA perm' is requ.4 for excavations over 5' eep and demolition or construct-
ion of structures over 3stories in height.
Receipt No. 5 7 2Z
'
WHITE-O.P.W.. YELLOW-ASSE3SO R, PINK -INSPECTOR, GOLDEN ROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, GaiUecct*a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
[,/" „ _
owN /—
L l'l%fL
ZO ING
TELEPHONE
BUILDING PERMIT
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONT'RACTOR'5 NAME
r
TELEPHONE
CO JI Rn,!TOR' MAILING ADDRESS
Z, a_L _ /7/C"�
Fireplace
CONS'rRUC ION LENDER
--•11.!2=^j1
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
I..t_NDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
Rl� �! s
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT ENGINEER'S MAILING ADDRESS
Permit fee
$
B�D VI� G A IRE? i1- ��• f
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
'
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition Remodel ar . Utilities ❑ Installation ❑ Other
Describe work: fG�/G .Jf�!C//[%£ �1�
�t� �''
��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
800V OR LESS
Main service 100 AMP OR LESS
��y�y��
10.00 60
/
Main service EA. ADD'L 100 AMP
2.50 ()
ONE R ADDNST. ( DCELLLINDGG OCCUP.&)
'21/2Qsq it
CONTRACTORS LICENSE LAW
I de e under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professipn d a d 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
NEW R NON -RESIT BRANCH CIRET s 2.50 ea
NEw NON -CONRES D, SINGLE OUTLET CIRSTFL POWER APPARATUS &'
.
z0050t
Ex, OCCUp(OUTLETS OR FIXTURES eAL®3o
FIXED APPLNS. OR
EX. DCCUp. OUTLETS (REBID.) EA.� 2.00
Temporary service 10.00
Mobile Home Fa ilities 15.00
Misc. 6Virin 9/1 / 15.00 0
Permit Fee $
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
I Consent to Self -Insure.
X'01shall 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, ycu must forthwith comply with such
provisions or this permit shall 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I aree to save, i nify and keep harmless the County of Butte against
alIiiti s, j g s s, and expenses which may in any way accrue
n ence of he granting of this perm't.
agai Cou ti:nt
XT moi Date ��
Signature of'q — r ❑ ContractoV Agent ❑
An OSHA permit require or excovations over 50 deeand demolition or construct-
ion of structures over 3stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ S�
OCCUP. GROUP
TYPE OF CONST,
PARCrLJ
PD
No
ISSUE
This permit is hereby issued under
ions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. a/)J7I
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, SOLDENROO-APPLICANT
9 B�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County C -enter Drive - Oroville, California^95965 - Telephone 916/534;4541
APPLICATION AND PERMIT
PERMIT NO.
r % ,Z -
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNERTELEPHONE
)
A,
SO. FT. OCC. BUIgLDING
VALUATION
/rpt f
hOWNER'S
MAILINGADDRESS
."
CONTRACTOR'SNAME
' , el Fvf
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Ai " -' I
UNKNOWN
I
Total Valuation $ %
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/ .G f
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q
Describe work: / % �" - "'le I ' :" r
/ 4 • / ,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
/
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS. /
21h¢sgit
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON -REBID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &'
NON-RESID. SINGLE OUTLET CIR.
RES eALeao
Ex. OCcu 2AL03o
p(
F(IXEDTAPPLN5. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
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.
0 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
W3.00
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.
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 '� �'� 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 $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PO
HD
tssOE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF,PUBLIC
By r , / -��
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
..
Receipt No.
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPP, V OF PUBLIC WORKS
7 County Center Drive - Oroville, Ca --965 - Telephone 916/534-4541
APPLICAT � PERMIT
7w:.. ,
-
PERMIT NO.
ASSESSOR PARCEL NUMBER
Z TNG
S�
BUILDING PERMIT
/
O WNE
%tel
TELEPHONE
G
SQ. FT. OCC. BUILDING VALUATION
,
OWNER' M ILINGy A..:Mr J�C)
CONTRACTOR'S NAME TELEPHONE
G�
O NTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ S'
ARCHITECT OR ENGINEER
A112'v
LICENSE NO.
Plan Checking Fee
$
Penalty
$
AR HITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRE S
G
PLUMBING PERMIT
FiIIng Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00 e
TYPE OF WORK_Permit
New ❑ Addition Remodel Q/ tilities ❑ Installation[] Other
Describe work: GV
Fee
$
Contractor
ELECTRICAL PERMIT'
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
J�
�✓
6411.
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/20sgft
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.
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
NEW CONSTR (MULTI -OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &')
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu / z0@SOC
P\OUTLETS OR FIXTURES 9AL®30
FIXED
Ex. QCCUp. OUTLETS P(RESID.)REA.1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
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.
fel I shall not employ any person in any manner so as to become subject
►A� 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
$
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
I to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I 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 co equ ce of the granting of this per it.
�X �%j�� Date iZ
Signature of Applicant — Owner El 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
I TYPE OF CONST.
PARCEL
pro
HD
159UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OA OF BLIC
r�
BY
PERMIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date
/ '�
Receipt No. el J %7
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT