HomeMy WebLinkAbout043-540-007SID
32Chatts! od Ct, 1&t...7.? .Hollybrook,Chico
rPerrmit #130-84B,P,E,M(new singl-e-family�
mit#2975-88 ,E(new garage)
Contr: files Valley Elect
e #3200-84E(temp power pole/1305-84
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�14
� PERMIT NO.
1305-84B,P,E,M
PERMIT EXPIRES
OWNER SHASTAN '-
t�. CONTR.
'SHASTAN
r ASSESSOR PARCEL 43-26-03 & 43-29-72
LOCATION 35 Chattswood Ct, Lot 7_, Hollybrook,
=cO '
I
Temp. Power Pole
y� Called PG&E
°i Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date) r�I
i Signature
r
Owncr': _511, S! V A) C O • /NC . Permit No
ENERGY C E,R T IF ICATION
Lot 7
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass
Thickness(inches) 3 5/8"
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type Fiberglass
Minimum Thickness (Inches) 13 3/4"
Area covered(ft.2) 1333
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
IN
"� 03 jo
A.P. No.
Brand Name
Thermal Resistance (R Value)
Brand Name Owens-Corning
Thermal Resistance(R Value) R-13
Brand Name
Thermal Resistance(R Value)
Brand Name Owens-Corning
Number of Bags 41 'Wt. per bag 25 lb.
Thermal Resistance(R Value) R- 30
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
in conformance with the State of California Energy Requirements.
Loerke Insulation 432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
h 0 irr . ai =;e h
SIGNA OF INSTALLATION APPLICATOR
February 12, 1985
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
,sW,,Rsr.A) Od . , SNC .
FIRM /0 rrint) //01,
,
SIGNATURt OF CONT CTOR 0
,38a7y9
STATE CONTRACTOR'S LICENSE NO.
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.
January 1984
J OK
0 = Not OK•
= Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
t
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
- R_ ,
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location, -Test -Wrap:/ P'L"ft./ P'Nat.or/ /"L"ft./ /"LPG
6� Carports; Windows -Doors
7. Utility Clearance
,
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date,
Date Card -BI :Date L,
MOBILEHOME INSTALLATION (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -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
Il
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
S
1
t
,
= OK -
= Not4DK+ . 4s
= Not Applicable
= Not Ready RESIDENTIAL'(Single and Duplex)
W,14r�
Date UN ERFLOOR Plans OK except #'s
Date
FRAMING Continued
Zoning requirements -Setbacks -Ease is U
. -froperty Line Firewall & Openings
Ftg., Main; Soils-Steel-Elec. Grn .- / A,/- Ftg. Depth
. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
-ae—'Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
Main; Steel-Blockouts-Wrapped-Slab
iding-Nailing-Veneer
S Ttemwalls,
&'Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
iers-Fireplace Ft .-SteelQ�
-fblazing Area -Glass Protection -Skylights -Plastic
8 D.W.V.: Fall -Fittings 2 wa /
ear Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
j ! r ipe; es - - eguleter-Ser a Ust
S 11 Electric; Underground
_
1121 Plenums & Ducts; Clearance -Material -Support -Ins.
U. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
T�u
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date t6 j4 ( Card -BI Date
Date
FINAL (Plans) OK except p's
Card -BI Date Card -BI Date
Date PL ING (Permit) OK except q's
. Ext. Steps -Door & Sidelight Protection -Landings
5 Smoke Detector
W. ter Ht.; Vent -Access -Combustion Air
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Water Pipe; Test & Anchors -Nail Protection
W.V.; Test-Fttngs & Anchors -Nail Protection
56. Bedroom Exiting
ower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access
1 r8. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Zel"Gas Pipe; Size & Anchors
04 Stairs & Rails
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date kV Card -BI Date
Card -BI Date Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
ER Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
ize Boxes & No. of Conductors -Stapled
Plb., Elec. &Mech. Equip. Listed for Location
Romex Installed Close to Edge of Studs & C.J.
70F. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
uip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic ❑ Yes
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
j6 ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
) Looked under Floor ❑ Yes
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes E) No
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
P!es E-1 No
-,Service-Riser Conductors & Ground -Main Disconnect
,anter
t -Finish
7§!Equip. Clearances; Panels-Motors-Mech. Equip.
. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
$[J-.oelothes Closet Light -Shower Light
7j Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date, $ Card -BI Date
AAv Ventilation throughout House
Card BCadd Date Card -BI Date
Date MECHANICAL (Permit) OK except q's
. Glass Protection
. Co rEc)ions from Previous Inspections
G -Meters Tagged; Gas -Electric
8 ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
C. Ducts; Insulation & Support
ent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
Od!Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
giF_Attic Access & Platform if Furnace in Attic
Card -BI
Date ligFil Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
Lie -'tills; Proper Material & Anchors
6
imz, e
tZ,oWalls; Studs -Nailing, Spacing & Bracing -Plates -Sound
is/fearing Walls over Girders & Floor Nailing
79 Stop in Walls (rat proof)
're to s; Furred Ceilings -Stairs -Chases -Tub
Header &Beam -Size &Bearing
angers -Post Caps -Anchors -Connectors
&3,-eing. Joist-Rftr. Ties-P_urlin-Roof Brac.-Truss-Shthng.-Rfn_p_._
*--4#-'Fireplace Ties or Type A Flue -Fireplace Throat
d5 --Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
.-+fi-Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
2975-84B,E
PERMIT N0.
PERMIT EXPIRES
SHASTAN
OWNER
owner
CONTR..
ASSESSOR PARCEL
43-26703 & 43-29-72
35 Chattswood'Ct,.1ot 7, Chico
LOCATION
LIN
Temp. Power Pole
Called PG&E'
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
o
!V V
Signature
I
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. 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 B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date UN RFLOOR Plans OK except #'s
Date
FRAMING Continued
Zoning requirements -Setbacks -Easements
4A,
-,Property Line Firewall & Openings
2.zFtg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
*,-"Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- /" Ftg. Depth
rs; Width -Headroom -Rise -Run -Landing -Fire Protection
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
ZJL--Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52
Siding -Nailing -Veneer
6. ISternwalls, Garage; Steel-Blockouts-Wrapped-Slab
iU2jlhq
V
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7. Piers -Fireplace Ftg.-Steel
-.6.1--glazing
Area -Glass Protection -Skylights -Plastic
8.1 D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
ar Walls; Nailing -Bolts
9 Gas Pipe; Size -Anchors
U11--
01 hors -Regulator -Service Test
4111
1. Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI $ Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI Date Card -BI Date
Date PLU ING (Permit) OK except q's
57.
Smoke Detector
foll"Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
ater Pipe; T st & Anchors -Nail Protection
16. D.-Fttngs & Anchors -Nail Protection J
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
ower Pan; Test, First Floor -Tub Access
.16r�Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card B1 N._ Date ( Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap-CookingClearance
Card -BI Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Couoter
Date ELEC ICAL Permit OK except N's
67.
Garage Fire Door; S ing-Landing-Closer
68.
A.C. Duct in GaragfDamper 61 0
F' re &Transformer Clearance -Ins. Protection
69.
Wtr. r ents- r Air- onnector-P.R.V.-
In ove loo ech. Protect'
Ue-Elec. Receptacles Spacing -Lights &Switches at Doors
e Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for ocation
omex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
quip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic E] Yes
Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_O
A --Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes IJ No
?&/Service -Riser Conductors & Ground -Main Disconnect
76.
77.
78.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
quip. Clearances; Panels-Motors-Mech. Equip.
qoo-Tlothes Closet Light -Shower Light
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B I L Date J Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
c
Card B -I Date Card -BI Date
Date MECHANICAL (Permit) OK except k's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
.C. Ducts; Insulation & Support
85.
86.
Water & Sewer Connected -C/0 to Grade -HO Approval
Energy Compliance Certificate -Other Certificates
62,,V-ent Fan; Exhaust above Insulation
X.,Q.endensate Drain & Overflow; Size & Grade
4 Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
itic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI Date
�� / �'� Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING Plans OK except #'s
Card -BI
Date Card -BI Date
Comments at Final:
be"Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Baring Walls over Girders & Floor Nailing
40!0 -Draft Stop in Walls (rat proof)
Q�/ ire Stops; Furred Ceilings -Stairs -Chases -Tub
4-019eader & Beam -Size & Bearing
&W -Sang ers- Post Caps -Anchors -Connectors
j ,.,6"g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-_Rfn_g_._ _
_A4vreplace Ties or Type A Flue -Fireplace Throat
j"ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
&,ndrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
,-4-Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965, - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
��Z —p —
ZONING -
BUILDING PERMIT
OWNTELEPHONE
SQ. FT. OCC. BUILDING VALUAT ON
OWNE ' MAI G ADDRESS
CON A OR'S A E ti
TELEPHONE
CONTR O 'S A L NG AD R S
Fireplace
CONSTRUCTION LENDER
UNKNOW` f
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 /may
_ PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. -%JSUBO1JLjLQAWffAME
0
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❑ Addi tlonpo Remdel[]Utiliti ❑ Ins Hation❑ Other
Describe work: e•L v 6 v _
�O 5-���
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service �oo AMP OR°V OR SLESS
10.00
`/
Main service EA. AOD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLOGS.
2/22sgft
-
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 d and my license is in full force and effect.
License No. Classification G/�
❑ 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
NON.RESID BRANCH CIRCUITS)
2,50 ea
NEw CONSTR (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
20@50C
Ex. Occup(o OR FIXTURES BAL®30
FIXED
FIXED TS APPLNS. OR
EX. Occup. OUTLETS (RESID,) EA,) 2.00
Temporary service 10.00 Q ()J
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
AI 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.
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
' inconsequence of the granting of this permit. r—, (�/�`-F'
X ��n�J —�%� Date S
Signature of Applicant — Owner❑ Contractor ❑ Agen�N
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 $
OCcu P. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
ISSUE
This permit is hereby issued under
signs of the Butte County Code and/or
work indicated above for which
DI ECTOR OF PUBLIC
/,�,
By l6
PERMIT EX ate
the applicable
resolutions to do
to do
fees have been paid.
WORKS
Dat i
Receipt No...102S � -
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMtNT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
. ' APPLICATION AND PERMIT
PERMIT NO.
396"- Y
AS ESSOR PARCEL NUMBER
( �_2C -- 3 " (3 -2,q — f2
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'SMA��ILING ADDRESS
R // V• .q l// qs
C-/ o g
CONTRACT 'SN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I wa V 1600
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3IS3
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ (>a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
"Y $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $ a IWO- GO
BUILDING ADDRESS
�SCA.�-,
PLUMBING PERMIT Filing Fee 10.00
Each Trap g 2.00 6.f�
Solar Water Heater 20.00
Water piping 5.00 5, Od
LOT NO.
17
SUBDIV SIGN A E
1
PARCEL MAP
Each qas waterheater or vent 5.00 <100
Gas piping system 1 - 5 outlets 5.00 00
�/ USE OF STRUCTURE
SF LQ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer 5.00
Mobile Home S G W 1 110.00e
TYPE OF WORK
New i Addition Remodel ❑ /Ut+' lities ❑ Installation[] Other ❑
Describe work:
Permit Fee $ 670
Contractor
ELECTRICAL PERMIT Fi'lingFee 10.00
Main service 800v DR LESS 10.00 IT, 6Y
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. ( DWE L�f41G UP.&) 2'h�$q ft 3191 QC
OR ADDNS. ACC. BJLD U -J
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 ode and my license is in full f ce 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWR.RESID BRANCH CIRCTITS. 2.50 ea '
NEW CONST R. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
20@50C
Ex. Occup(OUTLETS OR FIXTURESeAL®30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
yzZe 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.
Heating 40
Cooling 1�Lvff�
Hood 3.00 3,00
Ventilation 3 3 00 9100
Permit Fee $ 3q, 66
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 also agree save, indemnify and keep harmless the County of Butte against
all liabilitie , judgments cos s, and expenses which may inly way accrue
against said unty in seq a of the granting of this perm
Date IS
Signature of A licanr — caner
g pp ❑ Contractor Agent
ow
An OSHA permit is required for hxcovati s ov 60" deep and demolition or construct-
ion of structures ov tories ei t
r 3LT
Mobile Home Installation Fee $
'30, ob
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
PARCEL PD HD' SUE
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 aid.
p
D I R=F_T,OF P IC WORKS
By a �� ,
,&
PERMIT EXPIRES Date -_
Receipt No.
WHITE-D.P.W., TELL -,iSSC P -IN3D CTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9U65 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.v
ASSESSOR PARCEL NUMBER
-.16 _ d3 LtL3 - 'a 9 —f
ZONING
BUILDING PERMI
OWNER
TELEPHONE
S0. FT. OCC, BUILDING VALUATION
OWNER'S PC AgRESS
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
$ 70:DO
BUILDIN AD gESS
/ l
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT SUBDIVISION NAME
i'
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
lJJE OF STRUC RE
I-
SF ❑ Duplex ❑ Mobi lehome ❑ Other Y
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New O ---Addition ❑ lR model ❑ U ilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.
OR ADDIS! ACC L BLOGS.CCUP.&)
21/22Sgft 0.®
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 Professii S�de d my my license IS In full Ce 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 CO ID R BRANCH TLETCIRCUIrs 2.50 ea
NEW CONSTR. POWER APPARATUS &')
NON.RESID.SINGLE OUTLET CIR, 1
EX. OCCUp(OUTLETS OR FIXTURES eAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
F-i/'I have placed on file with the County of Butte Building Department
3 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.
I also agre to save, indemnify and keep harmless the County f Butte against
all liabiliti s, judgme ts, costs, and expenses which may in ny ay accrue
against sai County i con a uence of the granting of this perm t.
XDate
Signature of Applicant — Owner❑ Contractor ❑ Agentwork
An OSHA permit is required for excavations over 5'0" deep and emolition or construct-
ion of structures over 3 storiesin height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD I SUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIREC A OF P LIC
/t7
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
C
to ''
•�
Receipt No. /1 -2d
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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