HomeMy WebLinkAbout042-370-044/,-7//7,6A.P. 42-37-44
ST. CLAIR CONSTRUCTION CO.
18 Quista Drive, Chico, Lot 44
Permit 1261-74B,P,E,M (New single fam.
042-37-6-044,. 99=2125 B
MADRIGAL Orlando , IWIY94.19.-07-60
18-Quista Dr, Chico
.ContR: RRR . Roofing (reroof-/S-F)
1306-2674'''-"" 042-370-044
'MiISCELEANEO'US-Fi,re'pl�ce'/Wood Stove
--WOOD STOYEWERJ INTO EXISTIT
18 QUISTA DRI;l� . 1; X1-0[
AGUILAR, SHIELA & BENNY Y 11'
'2eeoa� 'R�'
/I
u
3-70
a "'
N � M �
.� ��
V -I G-2 BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds
Permit No:
B06-2674 Issued: 11/16/2006
Address:
18 QUISTA DR CHICO
APN:
042-370-044 Permit Subtype: Fireplace/Wood St(
Owner:
AGUILAR, SHIELA & BENNY Y H
Applicant:
AGUILAR, SHIELA & BENNY Y H
Description: WOOD STOVE INSERT INTO EXISTING FIA
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED Y THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801 2-2
PERMITS BECOME NULL AND VOID 1 YEAR FRO
HAS
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
--6rF46?,_4,4^ v FF 6 f. c /afr� Inspector Copy
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: 18UISTA DR
Q
Owner:
Permit No: B06-2674
APN: 042-370-044
AGUILAR, SHIELA & BENNY Y
Issued Date: 11/16/2006 By TMP
Permit type: MISCELLANEOUS
18 QUISTA DR
Subtype: Fireplace/Wood Stove
CHICO, CA 95926
Expiration Date: 11/16/2007
Description: WOOD STOVE INSERT INTO EXIS
(530) 566-9829
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
RELIANCE PROPANE SERVICE INC
AGUILAR, SHIELA & BENNY
Building Garage Remdl/Addn
P O BOX 917
18 QUISTA DR
PARADISE, CA 95969
CHICO, CA 95926
Other Porch/Patio Total
(530) 877-0799
(530) 566-9829
FEE INFORMATION
Fireplace - prefab/metal $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B900
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
RELIANCE PROPANE SERVICE 734318 / /
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,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 11/16/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
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.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
1751f1 I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
ONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Cartier: Policy Number: Exp. Date:
(This section nee is not a completed if the permit or one a hundred dollars ($100) or ess.
❑ 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 11/16/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions. 1
X ^^ 11/16/2006
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
Signature U 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 personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
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 authorized o act on the property owners behalf.
CONSTRUCTION LENDING AGENCY
11/16/2006
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] 45rmtSKpkq SV y' Date
the performance of the work for which this permit is issued. (3097 civ. code)
MOwner EJContractorOR. Agent for Owner Agent for Contractor
FILE COPY
Lender's 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 OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
v`G i
irst &ilie
Y):
Mailing Address
City c �r'� ; 0
State ex -4
Zip Ci 59,� (D
Phones (OU �l $ a q
Fax
E-mail SLOP—e—k SLve ko, 0 S C Gl 1. PkA
APPLICANT INFORMATION
CONTRACTOR
Name w a
G
Address
C'�
c�
Cit% ;S e_
Fax
State
C4X
Zip
Pho
Date Approved:
Fax
E-mail
SMIP
L' #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City CA� cz
Address
Zip iiCa b
City
Fax
State
Zip
Phone
Date Approved:
Fax
E-mail
SMIP
State License Number
APPLICANT INFORMATION
Name
v�\ r
Address `4, QQIISKG �)'f
City CA� cz
Stat
Zip iiCa b
Phone5�,U ,, a
Fax
E-mail Su.}Q,e—k @ 5$C \ck 4
v
APPLICANT SIGNATURE
X On
For office use only:
Zoning Flood Zone
SRA
I Yes I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
tyl 2_6 s
ProprSj�Addres
?� ` l Gti
C'
Cross Street
WORKER'S COMPENSATION
Policy Number
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:
Sq FT- Living 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
required.
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.
c
Received by:
I v Amount:
�� Bldg
SRA
Receipt #:
Sheriff
SMIP
Date:,���
��
Other
`� Total
__ _ +, w � �- ..,....n. •�. .�r�an-> iT�.'.�Ti/'�rTia`_+.^'moi .. -=f..- . _ .. r .- .-�.. ,
f
042-37-0-044 99-2125 B Y
MADRIGAL, Orlando
18 Quista Dr, Chico
ContR: RRR Roofing (reroof/SF)
,o.
4
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' t
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541. PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMITS
ASSESSOR PARCEL NUMBER�� ��V '` O 7 1
ZONING
�`+ '
BUILDINGPERMIT
OWNER ^
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAULING ADD SS
CONTRACTORleA,7 t
C C/
TELEPHONE
4
CONTRACTORS MAILING AD DRVS
.� S, y�.•
CONSTRUCTION LENDER
NDER'S MAILING ADDRESS
Fireplace
Total Valuation $06
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ (�
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
'��-�.�
Energy Plan Checking Fee
$
$
PERMIT FEE
$ eo V
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF IV Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water h ter
23.00
Water piping
15.00
Each as water heater or ent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ` �tll r11 -P 4 ', �_�r 1. /E.� i<%► I .�
`
Gas piping system 1 - 5 Xutlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
OR LESS
Main Service zoOA"OOV OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and m license is in full force and effect. �j ../
License Class Lic. No. -7 1 T ✓!� r
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00
NEW CONST. DWELWEE-LNJG OccuCCU p.sG
OR ADDNS. ( & ACC. BLDS.
3.5dFT.
N CONS MULTI.OUTLET
=RESID,H CIRCUITS
7.50
POWER ApUTLETus
a SINGLE ourLEr c
Ex, Occu OUTLET OR FDCTU
x'.00
�L so
Ex. Occup. ODUT�iSRal . EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
,I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' 9ompfnsatio ^i0surance arrier and policy number are:
Carrier 'i
Policy Number
(The above sections eed nbt be completed ifthe permit is or work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workeis' compensation provisions of section 700 of the Labor Code, I shall
forthwith com with th provisions.
/ '
X4 Date ��
Sign ture of Appli[w Owner Q Contractor ❑ A' nt
An OSHA permitis re Ired for excavations over 60" deep and demolition or construction
of structure over ories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCcNST.
2 .
TYPE / ! ��
TOTAL FEE $ (D J . �Q
HA D. FE IMP
. _
FLOOD
CDF
w
PARCEL
_
Po
HD
ISSUE
Y
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
p ,
By T) i/%LX.(1' -..�L Date ��'
PERMIT EXPIRES ON �5 -,ODUU
I Date
f .3q X 4—
ReceiptNo. Q 7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
i 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
a 1-0 u -,ol fir' h ea 4i r-
Date InspectorfC,T�A
REV 10/12
r T COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, PEM N
(Rev. 12/96) APPLICATION AND PERMIT y' � YM/
ASSESSOR PARCEL NUMB
ZONIN
BUILDING PERMIT
OWNER
TELEPHONE
-3�
SO. FT. OCC. BUILDING VALUATION
v
NG AD SS 'a
• OWNERS MAILI�
W 1•
CONTRACTOR'jtr� R
TELEPH
S E
CONTRACTORS MAILING ADDR S
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
00
ARCHITECT OR ENGINEER
LICENSE NO.
Flinn Fee
$ 20.00
Permit Fee
$ q6 . 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS .
Energy Plan Checking Fee
$
$
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 1 20.00
USEOFSTRUCTURE
SF j� Duplex ❑ Mobilehome ❑ Other
• ` SPECIFY
Each Trap
7.00
Solar or heat pump water hq1ter
23.00
Water piping
15.00
Each as water heater or ent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑
Describe Work: !ALP-1,0-M
3(a JsQ
Gas piping system 1 - 5 utlets
15.00
Building sewer
15.00
Mobile Home I S 1 9 1 W1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
a00VOR LESS
Main Service A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.�j �j ?.�'�
License Class Lic. No. 7 I 7 t1✓ I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
►1 have and will maintain workers' compensation insurance, as required by Section
Y 3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' omp nsatio surance arrier and policy number are:
Carrier
Policy Number
(The above section eed of be completed if the permit is or work of a valuation
of one hundred dollars ($100) or less.)
131 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
Compo sation laws of California, and agree that if I should become subject to the
wo e ' compensation provisions of section 700 of the Labor Code, I shall
f h Ith com ith provisi
X Date ' `
Owner Contractor ❑ A ent
Sign a of Appl'rtories
An OSHA per is rr excavations over 5'0" deep and demolition or construction
of structure Ove height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELUNG OCCUP. SO
OR ADDNS. ( a ACC. SLDS. 3.50FT;
NEW CONST. MULTI -OUTLET
NON-RESID. CIRCUITS 97.50
POWER APPARATUS
a SINGLE OUTLET C
EX. OCCU OUTLET OR.00
FDRU BAL @ 1. 0
Ex. Occup.OUELETsR� EA- 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP- $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ12mT
2_
TYPE /
TOTAL FEE $ (D 5 n�
D. FE IMP
FLOOD
CDF
_
PARCEL
pp
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
n /�.
eyDate i
PERMIT EXPIRES ON 1 —c9OOO
(Da te
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� I ,
HERMIT N0. 1261-74B,P,E;- `
P
E
M
I UTIL.
_RMIT NO.
PERMIT EXPIRES
)WNER St. Clair Construction Co.
'ONTR. Owner
_OCATION (A.P. 42-37-44
18 Quista Dr., Lot 44, Chico
{
u -
• i
Temp. P�ower Pdle
Ca,l, ed PG&E
TeW EIec. Serv.
Called PG&E
emp. Gas Serv. �' 2- /F 74
Called PG&E
z -V _ JOB
FINALED
([Da
P (Signature)
r
QOUNTY OF BUTTE — DEPARTMENT SOF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
v/
Firewall
Soil Piping - 7
Forms
T
Parapets
list Floor
Main Bldg.
Restroom Finish 10—
2nd Floor
Footings
- G - %Q
Windows -:74
3rd Floor
StemwaIl
_ -
Siding 7-2 4-V
To out -
Slab
Roof Sheathing - %��
Water Piping— -
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures t oZ �%
Footings
-- -
Garage Vents
Water Htr. - Z -
Stemwall
Slab
4.'_ ¢
Z
Prov. for physically
handicapped ��
Heaters
Appliances
Carport
Footings
Conformance of ex. _
structure
Gas Piping & Test - 2 1;
Temp. Gas
Slab
Final / -'o
Sanitation
Patio
FIREPLACE
Final
Footings
Footing - /)- -
ELECTRICAL
Masonry Walls
Throat — L -
Rough 4Z- �- `
Reinf. Steel
Final Z -
Fixtures -
Bond Beam
FIRE SPRI. KLERS
Motors �—
Framing iQ --7
Test
Water Htr.
Stucco
Final
Subpanels �--�-
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish---------
Ducts lam- rr -
Underground
Interior Lath
Ventilation
Permanent
Door Closer
- Z %
Final _ (-
Final ®��J
DATE
}} REMARKS �OR CORRECTIONS
/ f (fir
/-0 Cit
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A43o� IA7
OK To
r
4- Y
CO,UNTYjOF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Ownerr it;.- SQ. FT. OCC. BUILDING VALUATION
. Q
Mailing Address
� elep one
Fireplace
Contractor f9 WeTotal Valuation
Mailing Address Permit Fee
Tlephone No. Plan Checking Fee &/or Penalty
e $ C
Permit Fee $
Building Address hs PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 i
() ZX p 11- 6.41e 4f Each gas water heater or vent 1.50
A. P. No. ��- Gas piping system 1 - 5 outlets 1.50
Zoning & Planning Each additional outlet .30
F Sa ' op Fire Dept. Fire Zone Use Permit Building sewer 5.00
EQA Parking Parcel Parcel Ma 60' R/W Im rovemis Lawn sprinkler system 2.00
/Plans Declaration P P
e
g. Plans Recd Parcel Approval Plans pproval Permit Fee $ $leis
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 Q
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (mo than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bai 10
R ., swi s & fix u lets
b_olalo 40,
CONTRACTORS LICENSE LAW Hood, Ex. Fan or F. -O/ Furn. for 1.00
I am licensed under the provisions of Chapter 9, Div. 3, of the Evap, coo er, gar. disp. or .W. 1.00
State of California Business & Prof sions Code unde a name Air c9i6itioner or heat pump
style of Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
1 am aware of the provisions of Section3700 of the California Labor Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of Cooling �--
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner Ventilation
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. $ $ �l
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to i'ding construction, and hereby
authorize representatives of th Mte
e to enter upon the
above enti/o�n'ed proper y for i p s.17 ,/
X�/J r� 1 —1
Signature o er tee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
TOTAL PERMIT FEE $ (J
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date4e- 7-e - 7
uilding permit expires Date .....................0-7J