HomeMy WebLinkAbout042-600-039742 6.0L 39
`DONALSON ; C" :iai 513 :91B,P;E;M #'
raig,
=2458 pSt`reamside'kCt a -Lot6-B-;,- B ''
Manor," Chico ;. `' Wa
Ingle family)
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RESIDENYIAL. I
42-60-39 - 513-91B,P,E,M
DONALSON, Craig'
2458 Streamside Ct,'lot�, Walnut
Manor, Chico
(new single family)
�7,J
COPY
Address JY
`OFFICE
5- re,M 5..1-e
GAS
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Meter By—
Date
j ELECTRIC
Date,—/0-7/
Meter By
OFFICE COPY A
Address o2��
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GAS
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ELECTRIC
111 Meter By
\ Date
JOB FINALED (Date)
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Signature
`-
`, COUNTY OF BUTTE'
ye DEPARTMENT OF PUBLIC WORKS L(>
196 Memorial Way, Chico -Phone: 891-2751 =
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
11 ���+�/ 5/3-i/
OWNS PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
Y
when correction of work is completed. If you have.any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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Date_ ���� �� Inspector
Building Owner -L
Building Location
9019
ENERC INSTALLATION CERTIFICATE c�
O _ ,Building Permit # ��� — ✓ `�
DESCRIPTION OF INSULATION
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL .
Material 45 Q� L*etS Brand Name
Thickness(inches) `' ermal Resistance(R Value)
CEILING
Batt or Blanket Type_P% i? /B d Name (f>
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL -
Material
Thickness(inches)
Thermal Resistance(R Value) ..
Brand Name .
Number of Bags Wt. per ba. lb.
Thermal Resistance(R Value) � O
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
----A.s consistent with -approved building department plans -and attachments -and -con ---
forms with requirements of Chapter 2-53 of State of California Energy Requirement
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the required features, devices, and equipment,"a5 shown on the approved
Building Department plans and attachments have been installed and"conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
_ BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
FIRM NA►
7t,,,
S ATURE BU LD NG CONTRACTOR/OWNER DATA r
HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988 i
J=Ok'
O = Not OK
-=Not Applicable
Not Ready MOBILE HOMES
' =
Date
c
MOBtLE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch _
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Nans)OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rig.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures- Pans Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 =toot OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single. & Duplex)
Date UNDERFLOOR (Plans) OK except k's
honing -Setbacks -basements -Flood -Slope
t. Ftg., Main; Soils-Elec. Ormf--4et' F!g. Depth
. Fig., Garage; Soils-Steel-Elec. GLA. -/J& Ftg. Depth
)Q,,*, 4,.1`Ftg., Porches & Decks; Soils-Steel-�tg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemw IIs, Garage; Steel- Bloc kouts-Wrapped
6a. Downs and Special Anchors
Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -T 2 Way C/O -Sewer Test
10. G ipe; Size -Anchors
16^.ater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date y - J/ Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
lit Water Htr.; Vent -Access -Combustion Air -Baffle
Water Pipe; Test & Anchor -Nail Protection
1,K D.W.V.; Test -Fittings & Anchor -Nail Protection
19'1 h wer Pan; Test, First Floor -Tub Access
20 -1 -est Tub & Shower, Second Floor -Tub Access
A. Gas Pipe; Size & Anchors
Date 5,,a3_41 Card B-1 rG Date Card 8-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
4. Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip, u d ade up w/Mech. Fastner B ar
e s W
2 Appliance Circuts in Kitchen & Conductor Size/GFI
8. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size 4 0/ ga.
t'f.'ji or At
?Range Circ. /(!V ga. Cu o�Oven Circ. / / ga. Cu or Al.
Insulated Neutral YesNo
0. Service -Riser Conductors & Ground -Main Disconnect
)4' Equip. Clearances Panels-Motors-Mech. Equip.
2. Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date Z),,low Card B-1 fiG Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
4. A.C. Ducts Insulation & Support
Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date 5 �� Card B-1 r r Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3y-Sils, Proper Material & Anchors
4 . Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chase
4. Headers & Beam -Size & Bearin
I
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
fJfCing. Joist-Rftr. ties-Purlin-roof Brac-T�-Shthng.-Rfng.
FE Fireplace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49."Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
'9�r'Property Line Firewall & Openings
5, -'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Sid' -Nailing Veneer
tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access AA I-
5?."Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
W"nsuMtion-WaJJs-CeiliDgs
BT Infi Itration-WalkrWindAs
01: Jq—Z-�jl f`
3 -13 -sir C'TG
Date S-Z�,A( Card B-1 G(- Date(��,_--j„! ( Card B-1
Date C d B-1 (;�a Date Card B-1
Date FIN (PI ns) OK except q's
Steps -Door & Sidelight Protection -Landings
6E-5eKe Detector
6 . Furnace; Vents -Clearance -Comb. Air-Connector-
Ia,Garaoe: Above Floor-Ducts-Mech. Protection
60! Wroorn Exiting
6 . GSI. & Bath Fixtures & Tub Access -Spa
6B' EWE. Trim & Suboanel: Breaker Sizes & Labels
6?' S & Rails
6v`Fir,wK,ce or Stove; Clearances -Hearth
6Wtlec. Outlets at Wood Panel; Int. & Ext.
70. Kit.F' . & Appliance; Grnd.-Air Gap -Cooking Clearance
7 ec. utlets & Receptacles at Kit. Counter
71, 'e Fire Door; Swing -Landing -Closer
73, -<C -Duct in Garage -Damper
7 tr. Htr.; Vents -Clearance -Com ir-Connector-P.R.V.
In rage; Above Floor -Me Protection
7 . Ib lec. & Mech. Equip. Listed for Location
7*ooflec.Receptacles in Garage; (G.F.I.)-Romex Protection
77. sul ion -Foam -Looked in Attic ❑ Yes
7,4,eruard ails & Deck Construction -Post Caps
79. . Vents & Crawl Hole Door -Drainage & Wood -Earth
Clsomnce Looked under Floor 0 Yes
84,orollowing instld.; Drive 0 Yes 0 No; Walks O Yes 0 No;
Pla rs O Yes 0 No
8 NPc6; Brown -Finish
8 . A.C. it Disconnect, Electrical, Plumbing
83 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
enings
viater Well; Disconnect, Electrical, Plumbing
85rExterior Elec. Trim; G.F.I. Receptacle -Underground
86 entilation Throuahout House
from Previous
-7-q , o; 1 89. west Meters Taggeal GbjkEleffric-_�) /- / U - 7 / A-9-
9@0.' Water & Sewer Connected -C/O t& -Grade -HD Approval
$1_&a( WEnergy Compliance Certificate -Other Certificates
— o
Date ` '`jam 9f Card B-1 u% j Date Card B-1
Dat A2!W Card B-1 ilia Date Card B-1
Date" -'Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
r 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
t APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER APP ING
42-60-39
BUILDING PERMIT C
OWNER TITLEPHONE
Craip, Donalson 342-8463
SQ. FT. OCC. BUILDING VALUATION
52,OUU.UO
f
.OWNER'S MAILING ADDRESS
P 0 Box 4055 Chico 95927
420 M 5,880.00
CONTRACTOR'S NAME
Owner
TELEPHONE
153 C 1,530.00
CONTRACTOR'S MAILING ADDRESS
Fireplace A 11000.0
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ f
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 316.00
.ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 15.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2458 Streamside Ct. Chico
Permit fee $ 356.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
6B
SUBDIVISION NAME
Manor
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFYX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 • 5 outlets 5.00
Building sewer 5.00
Mobile Home I S FG7W 10.00 Pa
TYPE OF WORK
New 5a Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: Master 60-88
�O
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00 10.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
1 de la rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions od nd my license is in full force and effect.
License No Classification._
F11, 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-
ontract-
ors.(Sec. 7044)
ors.
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.5d ,
OR ADDNS. ACC. SLOGS. X /20sgft 43.00
NEW CONSTR.U TI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050t
eAL9 so
FIXED
Ex. Occup. OUTLETS P(RESID.)LINIS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F j ,Yhe permit is for $100.00 (valuation) or less.
Ilaplaced on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling 1 .0
Hood
Ventilation
Permit Fee $ ' UU
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseque of the granting of this per it.
y �� /
X / >ate
Si ure of ApPI t Owner El Contractor Agent
An OSHA permit i required for excavations over ",cue pRnd demolition or construct-
ion of structures over 3 stories in height.All �f 7
Mobile Home Installation Fee $
Energy Inspection Fee $ 3U. 00
c NST PE
TOTAL F LX$ ,S
HAz.
CUA ARK • scH
FL
CDF
PAR
PD HD U
,
This permit is hereby issued unoer the applicable provi-
sions of the Butte County.Code and/or resolutions to do
work indicated above for which fees have been paid.
D1 , s OR F PUBLIC WORKS
BY Date 2 _ q
_
PERMIT EXPIRES Date y�Z�gZ
Receipt No. %�� (� ��
�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSP OR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 12�} ��o D�J�t/� A. P. No. '7 7 �' 3
Proposed Building Use _� Building Inspector Date �J
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 . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions . /...... • • • • • • • •
10. Fees of $_ to , 0��. a... .......
1. Chico Urban Area fees paid........... •� •� �jl�; • • • • • • • • •
�x _A _,--12. Park fees paid tyl�p ..........
13. 0 S� School District fees paid .. ��.� 5—•//
14. Sanitation approval from Health�eparimer;e
/ %I —L -e -T5. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: .... •
18. Improvements may be required. Contact Land Development Section DPW
1---f9. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Building Inspector cion to (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑ —
jl�x:60. Recorded copy of Agricultural Acknowledgment Statement6r.
25. Letter of signature authorization ...................................
26.
27.
When yVelephone�14LSand
sue the permit, process as follows: MaiI to owner. Mail to contractor.
hold for pickup at C—L—L_office. Deliver w/inspector.
Other
Applicant `'� l �%� - .Date
i
Copy of Hez-Mat form sent Health Dept. —Fire Dept. _Air Pollution Date
Copy of plans sent -----Health Dept. moire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item no the ked above).
1'. Index permit for above items No. 4
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone-_mail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date (�
Plans checked by Date --Plans approved by Date
-Z r
Sets of plans on hold in File cabinet AP folder
A
�,
COUNTY DF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,-California 95965 - Telephone: 916%538-7541
APPLICATION AND PERMIT
zoNING - 13UILDING PERMIT
SSESSOR PARCEL N MB ER —
4i_fi0_ EP;c�KE SO. FT. OCC. BUILDING VALUATION I
/WNER 34 2 3 1,300 R 52 000.00
iWNER'S MAILING ADORES O - 420 M 5 8An-00 –
TELEPHONE 153 C 1,530.00
;ONTRACTOR'S-N AME A
:ONTRACTOH'S MAI LING ADDRESS Fireplace A 1,000.00
UNKNOWN Total Valuation
CONSTRUC710N LENDER Filing Fee $ 10.00 l
Permit Fee $316.00 i
L ENOER'S MAILING ADDRESS t
LICENSE 11 Plan Checking Fee $ �$.� ' 3
ARCHITECT OR ENGINEER
Energy Plan Checking Fee $
lty
$
Pena
ARCHITECT OR ENGINEER'S MAILING ADDRESS 4
Permit fee S • QO
BUILDING ADDRESS Filing Fee 1�•0� r
PLUMBING PERMIT
Each Trap 2.00
a Solar or heat pump water heater 20.00
PARCEL MAP Water piping 5.00
I,
LOT NO. SUBDIVISION NAME O�
Each aas water heater or vent 5•
00
Gas piping system 1 - 5 outlets 5.00
USE OF STRUCTURE Building sewer 5.00
r� S G IN
0.00 e
SFU Duplex[] Mobilehome❑ Other SPECIFY Mobile Homei
`— TYPE Or WORK I.I
Permit Fee
New j3
-Addition Remodel❑ ZLR
Utilities ❑ . InstallatiInstallation[]Other ❑ Contractor
� _ .
Describe work:_ ELECTRICAL PERMIT Filing Fee 10.00
Main service a00VAOR LESS ESS 1 10.00 10.00
OR L
Main Service EA. AOO'L too AMP 2.50 ;
NEW CONST. (DWELLING OCCUP.ti\ I/2ssaft 43.00
CONTRACTORS LICENSE LAW OR ADDNS. C ACC. BLDGS. 12.50 ea I
NEW CONSTR. ULTI.OUTLET I
I declare under penalty of perjury (Check one). NO N.RESID BRANCH CIRC ITS
POWER APPARATU56\
LLC ' am licensed under provisions of Chapt. 9. Div. 3 of the Business SINGLE OUTLET CIR. // 20430t
m license is in I force and effect.
and Profess n C de y j� EX. OCCUp\OUTLETS OR FIXTURES ewL030t
License No.3 Classification FIXED APPLN S. OR 2.� i
EX. OCCUp. OUTLETS IRESI D.1 EA.)
I, as the owner, or my employees with wages as their sole compen- 10.00
sation, will do the work,and the structure is not intended or offered Temporary service 15.00
for sale. (Sec. 7044) Mobile Home Facilities
C] g
I, as the owner, am exclusively contracting
with licensed contract Misc. Wiring 15.00
ors.. (Sec. 7044)
1 am exempt under Sec. Business and Professions Code $73.00
Permit Fee
for this reason Contractor
WORKMEN'S COMPENSATION INSURANCE MEC}{ANICAL PERMIT Filing Fee 10.00
I declare under penalty of perjury (check one): Heating
n T to permit is for 5100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department 0
a Certificate of Workmen's Compensation surance or a Certificate Cooling
on In
of Consent to Self-Insure. 3.00I shall not employ any person in any manner so as to become subject Hood
to the W. C. laws of California. Ventilation
Notice to Applicant: If after making this statement, should you comply
withsuchPermit Fee
$
to the W. C. provisions of the Labor Code, you must forthwith comply Contractor
provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $
;ertify that I have read this application and state that the above information Ener Inspection Fee 5
u nn
correct. I agree to comply to all County Ordinances and State Laws relating Energy Q
to building construction, and hereby authorize representatives of the County of OCC CONST TYPE
TOTAL. FEE 5 3 r
Butte to enter upon the above-mentioned property for inspection f Butte against
HAz CUA PARK SCHL Flo PAR Po Ho ISSUE
1 also agree to save, indemnify-and keep harmless the County of Butte a crue
all liabilities. judgment. costs. and expenses which may in a y way 'accrue
againsTjsaid Cot}nt consequent t the granting of this p rmi Ty;s permit is Hereby issued Unaer ;ne applicable prow
ate 2 ' I I Bions of the But County Code and/or resolutions to do
which fees have been paid.
ro
Co^r.ac. Age^work indicated above for
r S r)IRECTOR OF PUBLIC WORKS
f� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
42-
OWNER
ZONING
AZO
BUILDING PERMIT
Crai Donalson
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 Box 4055 Chico 95927
CON R'S NAME
,
420 M 5,880.0
Owner
TELEPHONE
153 C 1, 530. OT—
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace A 1,000.
Total Valuation I $ 60,41U.0
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
ARCHITECT OR ENGINEER
Permit Fee S •
LICENSE NO.
Plan Checking Fee $ ,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
BUILDING ADDRESS
Penalty $
2458 Streamside Ct. Chico
Permit fee 3 356.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
LOT NO. SUBDIVISION NAME PARCEL MAP
6B Walnu Manor ��J�—�or/
Solar or heat pump water heater 20.00
.
Water piping 5,00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFU Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00 5.99
Mobile Home S G W 0.00ea
TYPE OF WORK
New ba Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Permit Fee $
Describe work: _ MaGtPr 60-88
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service j00 AMP ORSLESS 10.00 10.00
CONTRACTORS LICENSE LAW
1 declar rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIrieSs
and Professions od nd my license is in full force and effect.
License No. r-" Classification. R
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Main service EA. ADD'L 100 AMP 2,50
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. BLDGS. ) j( '/zQsgft 43.00
NEW CONSTR. MULTI -OUTLET
NON-RESIO BRANCH CIRCUITS2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 20050t
eAL030
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESID.) EA.) 2,00
Temporary service 10.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
Mobile Home Facilities 15.00
Misc. Wiring 15.00
for this reason
Permit Fee $
73.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n I I e 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.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling ,
Hood
'
Ventilation 0T 6. OU
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
utte to enter upon the above-mentioned property for inspection purposes.
Iso agree to save, indemnify and keep harmless the County of Butte against
I liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequer of the granting of this per
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsrrvPe
G_
TOTAL FEE $
HAZ.
CUA PARK
SCHL
FLD
COF
PAR
PD HD. ISSUE
This permit is hereby issued unaer the applicable provi-
sions or the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
X ✓r / / i I J�1.✓�� to c� r_/
\\
Si lure of Appl�ca l v Owner❑ Contractor Agent
An OSHA permit i I required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
N\/A�HuT m4Nar 4?UP.PI�i�I1��� Gam.
apt or .the job at all fifes OM it b sinlav _
.make any chalep+a or altaratla�s on soma w f KAW of��quamy prescrRi'�ee igfor t o Sified a� Ow
�ritts�+ p jj iman from fis Depa,rtn"r+1 ' Uniform Build4s Plumbing & C�1 Md
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