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HomeMy WebLinkAbout043-430-033l�12—pe�� i Durkin & Drew ' 1417 Scottsdale Ct., lot 63, Big Chico Creek Est.#3, Chico contr: Jerry rice, Chico Permit #216. 81BgP,E,M(new single (family) t 043-43-"33 00-1788 TRIlvIIv1ER, DICK 1417 SCOTTSDALE, CHICO CONT: BAIRD ROOFING REROOFF/k%fL, lf—Z -00 i 1 i t, n `fj .,k.r, ti,a _ :. �� 043-43-0-033 00-1788 TMINIER, DICK 1417 SCOTTSDALE, CHICO., ;kt; CONT: BAIRD ROOFING . REROOF , . rr. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 541;YERNpi`� ?' (Rev. 12/96) APPLICATION AND PERMIT 12- - x x ASSESSOR PARCEL NUMB (43- Y30-033 ZONING BUILDING PERMIT OWNER /- TELEPHONE 0 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS �� f S !iL 1/rv / "ME J CONTRACTOR'S NA l I ?i .) _ //': r �: W TELEPHONE CONTRACT R5 MAILING ADDRESS "" I I1+ CONSTRUCTION LENDER u LENDER'S MAILING ADDRESS Fireplace Total Valuation $ �) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Ir^G, Ener Plan Checking Fee Energy 9 $ PERMIT FEE $ , LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ �I Describe Work: I EA)or'^ t;{'y%/'J A lei ., � )&.0 1f SQ, n() Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 22000A OR LES LIE S 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. / /' / `' License Class l �� "� h� 7' P ! �° � 1 Lic. No. ,.- '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. Q' 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. ivy workers' compensation insurance carrier and policy number are: Carrier / f-61,/ m,,/5 . - Policy Number— i:'. (rhe above sections need 'not be completed if the permit is for 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provjsions. X Date 1 Signature of A plicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TD X 46.00 NEW CONST. DWE WNG OCCSO WU OR ADONS. & ACC. BLOSUP. S. 3.5ttFT_ PpFyR6ID. " MULTI.OLITIET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 100 Ex. OCCu OUTLET OR FIXTURES BAL 50 FLIED LNS Ex. Occup. ouTrs RESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC 7 CONST. TYPE $- n, TOTAL FEE $ (?3 JWN HAZ. D. FE IMP FLOOD �- CDF PARCEL — PD HD .- ISSUE ,... 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. !� t Ocie-•� Y B !s1 E ` Date � S, I PERMIT EXPIRES ON -) Date gYO0 Receipt No. Y4 WHITE-D.D.S.-B.D-. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING IVISION .� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 5411AMg11 r (Rev.12/96) ' APPLICATION AND PERMIT I(j ASSESSOR PARCEL NUMB (430-n33 ZONING BUILDINGPERMIT OWNER may T I /_ij SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING DRESS UC q2w.Ar) CONTRACTOR' E TELEPHONE CONTRACTQRS MA1 /DRESS /^ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 0 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 3100 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS/Co Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑Othheer ❑ Describe Work:/ h// C3 4� Da qd`4 . OO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.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 rce and effect. �, .,(/ Y//J License Class Lic. No. llll���� I ///LLL VVV OWNER -BUILDER DE ARATION 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 I 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' compensatio insurAnQe carrier and policy number are: Carrier L Jr%�� %/�/J Policy Number - , ,, (The above sections need -not be completed if the permit is for 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 workers' compensation provisions of sectio 3700 of the Labor Code, I shall forth th comply with those pr isio s. X Date Sigriatd e /pplicant - ❑ Owner ontractor ❑ Age t ` An OSHA perhrit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service PUDA TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. a ACC. BLDS. 3.50FT. ,,Dµpa,p MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex, Occup. BnL� p'a00o OUTLET OR FIXTURES Ex. Occup. ouTrEEDTSA RM.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ /L 3 CONST TYPE I— TOTAL FEE $ 3 D IMP FLOOD CDF PARCEL PD HD SSUE 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. ���-•y By Date Oma' PERMIT EXPIRES ON 7 ere Receipt No. 5_6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c December 6, 1993 Building Department County of Butte Oroville, CA RE: A. P. # O 3 ' ZZZ-q O 3 Gentlemen: You have permission to release a copy of the floorplans for our home at 1417 Scottsdale, Chico, California, to Michael Fortino of Coldwell.Banker`DuFour Realty in order to acc6modate the buyers.of our home which is currently in escrow. Sincerely, Parkman Moore COUNTY OF BUTTE BUILDING DEPT Qty U 7 1993 V RMIT N0. 2166-81B,PE,M ' l X r a PERMIT EXPIRES '': OWNER Durkin & Drew rCONTR. Jerry Price, Chico. s y 43-29-102 port. ASSESSOR PARCEL 1417 Scottsdale Ct., lot 63, LOCATION Big Chico Creek Est.#3, Chico Temp. Power P ee-- *71 ///,v Called PPE V Temp. Elec.Service f Called PG&E Temp. Gas Service Called PG&E JOB FINALE 'D te) Signature r RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT J.bT 63 916. 1 NIGU 0ZWL 567-T—1 .69160 (location) BUILDING PERMIT N0. a�iy�o-�� A -P; N0. ��- �-�v2 /�U2'r THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. A- Fdn. Walls A_ Floors Walls Ceiling/hoof-�G Ducts Circulating Pipes if" APPROVED HEATER &- APPROVED WTR.HTR. GLAZING : Single Glazed Special (Insulated) �- CERT. & LABELED WDS. & SLIDING DRS. �- WEATHERSTRIPPED DRS. ✓' BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES V/ CERT. APPLIANCES L...•�""' I DECLARE THAT ALL REQUIRED ITEMS. AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS.SUBMITTED. Insulation Applicator Name it t M$yi, As`�1e�D�1 (please print) Signature of Insulation Applicator State Contractors License No. General Contractor/Owner-Name . �it%4-4..,_.. please print) S iguature of \ \ General Contractor/Owner V�1 Date�d�Le'r� State Contractors License No. , ?W).3 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. —'CO6kTY OF BUTTE ;'DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway ano Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. Date 9,,s'� �J� o m . N:....,,♦ �� s V 00, 0 = Na0�; r — = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce Pa's Date FRAMI Continued jz!io 'ng requirements—Setbacks—Easements 4 perty Line Firewall & Openings tg., Main; Soils—Steel—E — / [; /'' Ftg. Depth 4 Ext. Doors—One 3'—Check Garage -3rd story, 2 exits , Garage; Soils—Steel— / y" Ftg. Depth ddth—Headroom—Rise—Run—Landing—Fire Protection / tg. Porches & Decks; Soils—Steel— / /" Ftg. Depth ywood on Roof Overhang—Attic Vents—Rafter Outriggers emwalls, Main; Steel—Blockouts—Wrapped—Slab 1 Ar iding—Nailing—Veneer mwalls, Garage; Steel—Blockouts—W 3. 2tucco Mesh—Drip Screed—F , ents—Underflr. Access replace Ftg.—Steel —Glass ection—Sky lights—Plastic ll— . D.W.V.: FaFittings—Tes w /0 w esP ; Nailing—Bolts 9.--Gae-F'tpe; Size—Anchors 1d-'WMVr' 1pe; Test—Anchors— ator—Service Test Underground ice--Pferfams & Ducts; Clearance—Material—Support—Ins. 12--hire—Bills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date Card -BI Date Card -BI Da Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINALlans) OK except #'s Card -BI Dat Card -BI Date Date PLU G (Permit) OK except q's r46 --'Ext. Steps—Door & Sidelight Prote —Landings moke Detector _Wafer Ht.; vent—Access—Combustion Air 58. Furnace; Vents—Clearance—Comb. Air—Connector- _Ip Garage; Above Floor—Ducts—Mech. Protection 5i Pipe; Te" Anchors—Nail Protection Te —Fttngs & Anchors ail Protection. edroom Exiting 1 hower Pan; Test, First Floor— ub Access F.I. & th Fixtures & Tub Access & Shower, 2nd Floor—Tub Access Ele Trim'o Subpanel; Breaker s—Lab as Pipe; Size & Anchors ireplace or Stove, Cle ec. Outlets at Wood Pane ; nt. &Ext. Card -BI Date Card BI Date it. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BI D / Card -BI Date Ewe. Outlets & Receptacles at Kit. Counter Date ELE ICAL Permit OK except q's G age Fire Door; Swing—Landing—Closer AL,. Duct in Garage—Damper 2 fixture & Transformer Clearance—Ins. Protection �9 Ntr. Htr.; Vents—Clearance—Comb. Air—Connector—P._R.V.— Ln -Garage; Above Floor—Mech. Protection . 2 . Olec. Receptacles Spacing—Lights &Switches at Doors PI ., Elec. & Mech. Equip. Listed f Location S•ze Boxes & No. of.Conductors—Stapled .Receptacles in Garage; F.I. Ro ex Protec. mex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech. Fasteners—Bond Gas & Water t2—Foam—Looked in Attic es uard Rails & Deck Construction—Post Caps 2 Appliance Circuits in Kitchen &Conductor Size — 2V Sofeed Wire Size -h -7't Cu or AI—A.C. Wire Size / ga. Cu or At t7 74: raw ole Door—Drainage &Wood -Earth Clearance es 2t,,tange Circ. lfc>l ga. Cu or Al -even Circ -`-Y -p. Cu or AI,t5el I sulated Neutral ❑yes o — instld ' rive s _]No; Walks es ❑ No; Planters es ❑ No Planters 21VSer ce—Riser Conductors & Ground—Main Disconnect ip. Clearances; Panels—Motors—Mech. Equip. C. Unit; Dis t—Clrnt —Bre Cond. Size -11 Outlet 3 lothes Closet Light—S�t ts Above Roof; Plbg.—AppO ce—Fir .—Clearance pngs. _Velk ater Well; Disconnect, Electrical, Pk9bing er•or Elec. Trim; G.F.I. Rec le—Underground Card B I Date Card -BI Date ntilation throughout House Card B -I Date Card -BI Date Glas rot tion Date MEC ICAL (Permit) OK except N's rrecti s from Previous Inspections Gas st—Meters Tagged; Gas—Electric 3 C. Ducts: Insulation & Support er & Sewer Connected—C/O to Gra —HD Approval nt an; Exhaust above Insulation Energy Compliance Certificate—Other Certificates _ _ C densate Drain &Overflow; Size &Grade 3 urnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet is Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date to and -BI s Date Card -BI Date 1 Card -BI Date Card -BI Date Card -BI Date Card -BI ate Card -BI Date Date FRA G(Plans) OK except O's Comments at Final:A 10 3 Si s; Proper Material & Anchors 3 . _ _ s; Studs—Nailing, Spacing & Bracing—Plates—Sound aring Walls over Girders & Floor Nailingt 3 raft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings—Stairs—Chases—Tub ader & Beam—Size & Bearing ._ 4 ngers—Post Caps—Anchors— nnectors Joist —Rftr. T_ie —Roof Brac.—Truss—Shthnq.—Rfnq. _ F' eplace Ties or ype lue Fireplace Throat 4 _i Access; Size & o rotection—Draft Stop—Ins. Baffles m. Windows or Exiting Doors—Sill Hgt. & Dimensions 4, Garage Fire Protection Framing c a. (NOTE: An entry must be made each time you visit job site) Y;I J = OK 0 = •Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors , 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7, Utility Clearance 6. Carports; Windows-poors 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date 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 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg, Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy ' 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR 9ABCE(,- +BEgoZ L / �QOej ZONING BUILDING PERMI OW ER U p, 1 -11 / rb��, J _ Vv TELEPHONE SQ. FT. OCC. BUILDING VAL ATION OWNER'S MAILING A DRESS Y/ l 1 CONTRA NAM F�/✓I�LJ O , /� T EPH_OJJD �] ', W COQ- 5Y'V {7 •Q CONTRACTOR'S M�A�r/� rFs, GICT(c� 7 S �[271� ' Fireplac Ja®OO.OU Cf�NST�UCTION LENDER l S-�V��/ � r �! UNKNOWN Total Valuation $ ,O FilingFee $ 10•�� LEND 'S MAILING ADDRESS 17Lg� Cjq- Permit Fee $ 0() ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ SD BUILDING% A DRESS �/'') rS 7� &7— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping5.00 [L Water piping -00 LOT NO. SUBDIVISION NAME lL /_ 41c0 C -41L • �S.T 3 csi PARCEL MAP Each water heater or vent 5.00 .0 a Gas piping system 1 - 5 outlets piping y� Ov �/ USE OF STRUCTURE SF g? Duplex❑ Mobilehome❑ Other SPECIFY Building sewer .5, 00 Lawn sprinkler system 5.00 00 • TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Permit Fee $ ,0d1 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP LESS 100 5.00 SVD Main service EA. ADO'L 100 AMP 2,50 ZSD NEW CONST. (DWELLING O OR AODNS. \ACC. BUGS. 2�S ft CONTRACTORS LICENSE LAW I declare un nalty 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 force and effect. T� License No. -�/// W/-� Classification (� F1 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) ❑ 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 NON-RESIT,NEW BRANCH CIRCTITs 2.50 ea NEW CONST R. ( POWER APPARATUS 61 NON-RESID, SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES so @ zga BAL@1 FIXED APPLNS, OR jj Ex. Occup. LETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ ,61 Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �1�ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as.to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating O O 412 64- Cooling 7- 7S V Hood 3,00 0O 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, ' demnify and keep harmless the County of Butte against a liabilities, judg en s, roosts, and expenses which may in any way accrue aga t said un o�ns�e/quence of the granting of this permi . %� Date 6 SiIn. Ap icant - Owner ❑ Contractor © gent Anermit 's required for excavations over 5'0" deep and demolition or construct- ioures o er 3 sttorrii�es in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occ . GROUP TYPE OF CONST. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE EXPIRES Date— PARCE PD H ISSUE the applicable provi-. resolutions to do fees have been paid. WORKS Date eg Receipt No. 53(�0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �.. ,. p� � � 'r r ..�-�-�" �.w �a- �-�� � � 7 � . ��,� �I � �� p� � � 'r r ..�-�-�" �.w �a- �-�� � � 7 � . ��,� �I � �� 1 r r OWNER COUNTY -OF BUTTE DEPARTMENT_.OF-PUBLIC-WORKS - BUILDING 'IVISION 7 COUNTY CENTER DRIVE _ OROVILLE, CALIFORNIA 95965 - TELEPHONE' 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. �/ A. P. No. 113-Z, -1027 %1 � Proposed Building Use ,5 % /-- _r Permit Fee Based Upon; Complete Contract Price DPW Valuation l Other (Explain) % Building Inspecto - 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. . . . . . . . . . . . 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 authorizatilo/n: . Sanitation approval from /r,I.�.(iLl�• Health Dept. • to // SY Q�GP— 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 owner0, Mail to owner ❑,) 15. Improvements may be required. . . . . . . . . . .. 16. Mobi lehome Installation Data. . . . . . . . •Pre-Inspec. request to (Dote) . . 17. Pre -Inspection for Required. Building Inspector 18. Other When you, issue the permit, p ocess as follows: Mail to owner. Mail to contractor. 2/ Telephone 1��- 5 � and(00, for for pickup at ffice. Deliver w/inspector. Other /1 Applicant Date b`\1\1 \C- Copy C Copy of plans sent Health Dept., Fire Dept., �Ot,her V Date During the plan checking process, the following data must be;sub�mitted 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 Plans checked by Plans aDDroved bt Other By Date Copy—DPW