HomeMy WebLinkAbout056-090-051AP 56-09-51
A .H. SinyIFT
e/s Gdhasset Rd, 6/10 mi. N. :m
sch ol, Cohasset +
,cont North State Alum, Chi
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BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE
DELIVER TO LAST PERSON NAMED
DATE NAME DEPT. DATE NAME
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DEPT.
For
Urgent ❑
Date Time
While You
M
Were Out
Of
Phone
AREA CODE NUMBER EXTENSION
Telephoned ❑
Came To See You ❑
Returned Your Call ❑ '
Please Call ❑
Will Call Again ❑
Wants To See You ❑
Message
Signed
9711 r" ADAMS BUSINESS FORMS
01
For
Urgent ❑
Date Time
While You
M
Were Out
Of
Phone
AREA CODE NUMBER EXTENSION
Telephoned ❑
Came To See You ❑
Returned Your Call ❑
Please Call ❑
Will Call Again ❑
Wants To See You ❑
Message
Signed
9711 ru ADAMS BUSINESS FORMS
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..'''PERMIT NO. 399.2-74B
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`PERMIT NO.
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PERMIT EXPIRES ___l
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:OWNER A .H. Swift
'CONTR. North STATE Alum,
1.
Chico
LOCATION (A.P. 56-09-51
)
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e/s Cohasset Rd,.6/10
mi. N. of School
Cohasset
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s
6 ~
1
{ Temp. Power Pole
Called PG&E
I Temp. Elea Serv.
Called PG&E
T mp. Gas Serv.
Called PG&E
JOB _
—7
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FINALED
Date)
(Si nature)
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COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD'
BUILDING BUILDING (Cont'd)' PLUMBING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Sidinq Topout
Slab Roof Sheathing Water Piping
-Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & T st
Footings structure Temp. Gas
Slab Final Sanitation
Patio FkREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat X Roucjh
Reinf. Steel Final Fixtures
Bond Beam FI SPR, K S Motors
Framing Test Water Htr.
Stucco Final Subpart is
Mesh KCHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICAYION AND PERMIT
autnunce representanves or the County or Butte to enter upon trte
above-mentioned property for inspection purposes.
X f�, -� ,9
Signature of Peerrjmiteeee orAgent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 PUB IC WORKS
By—
a <L - 77.0
ding permit expires Date ............................................
BUILDING
Owner
-SQ. FT. OCC. BUILDING VALUATION
'It ab Y00
Mailing Address /00 � �
elephone No.
Fireplace
Contractor
Total Valuation �U O
Mailing Address �� a 97 :s
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
y3�7 5� �
Permit Fee $
$ pa
Building Address, E/s Cohasset Road 6/10 mi..
north of school, Cohasset
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
IL
Each gas water heater or vent 1.50
A. P. No.
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F*<
W
Sa io
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/WImprovementsLawn
sprinkler system 2.00
Bldg. Plans Rec'd
Parce Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (mo:e than 12)
Range, Cook -top or Oven 1.00
8 j
Water Heater or Space Heater 1.00
Light fixtures pal_ 1-0
Receps., switches & fix outlets Z
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Y/i�>rrt--,�wr�✓
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar, lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
-3 O 7l `� �i.�e,—V
Temp. Power Pole 5.00
�
License No. _27 V- _U El'Classification 13 1 '
Misc. wiring
E]I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
is
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for W en's Compensation.
I have placed on file with the County of Butte a certificate of
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
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I TOTAL PERMIT FEE
$ UO
autnunce representanves or the County or Butte to enter upon trte
above-mentioned property for inspection purposes.
X f�, -� ,9
Signature of Peerrjmiteeee orAgent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 PUB IC WORKS
By—
a <L - 77.0
ding permit expires Date ............................................