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Home My WebLink About056-110-030A.P. 56-11-30 FD,.G. ENNS ..... .. . _......Eit Cohasset Rd. app.1/2astScool. Chico ,p�rmit_-22.92=74LB.-P_ (an).56-11-3Permit#3500-86B,E(new garage8 _1 0 0 PERIGIT NO. 3500-86B31E PERMIT EXPIRES/t `��`� �✓ OWNER DAVID G. ENNS JR. CONTR. Owner ASSESSOR PARCEL 56-11-30 LOCATION E/S Cohasset Rd, 2 mi past School l OFFICE COPY Address GAS Meter By ` -- Date ELECTRIC W/7'j7 f Meter ByDate I Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service i� Cal led PG&E f! JOB FINAL Signati J=OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 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) 5. Electricity; Location-Clearances-Grnd.-/ / 'Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 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 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 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = = NotRpplicable RESIDENTIAL (Single and Duplex) = Not Ready Date UND FLOOR Plans OK except#'s Date Ff4f�ING (Continued) Zoning requirements -Setbacks -Easements rQ roperty Line Firewall & Openings �[ Fig., Main; Soils- Steel -4Wa_Ccadr /1.2 /" Ftg. Depth 4 . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Fig. Depth Widfh-Headroom-Rise-Run-Landing-Fire Protection__ - 4. Fig_, Porches & Decks; Soils -Steel- / /'' Ftg. Depth _ .',Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5�-/-•6femcv9fls, Main; Steel-Blockouts-Wrapped-Slab .,Siding -Nailing -Veneer F1. St:mwalls, Garage; Steel-Blockouts-Wrapped-Slab' 6 t19ceo-Mesfi=D-rrip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel _ dazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 5K Shear Walls; Nailing -Bolts - 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Card -BI Dat �' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI -S Date Card -BI Date -R-- 98 Date FIN (Plans) OK except #'s Card -BI Date Card -BI Date Date PL MBING (P it) OK except #'s Ext. Steps -Door & Sidelight Proteclion-Landings ke Detector Card -BI Card -BI 14. Water Ht. Vent -Access -Combustion Air 15, ter P e; Test & Anchors -Nail Protection Test-Fttngs & Anchors -Nail Protection 18. 2ho 17. e Test, First Floor -Tub Access 18. Tub & hower, 2nd Floor -Tub Access Size &Anchors Date _ Card -BI Date Date Card -BI Date urnace; Vents -Clearance -Comb. Air -Connector - In arage; Above, Floor-Ducts-Mech. Protection room Exiti .0&`B Fixtures & Tub Access Elec. & Subpanel; Breaker Size L els19.Pipe: airs &Rails e 65. epl _at_Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. &Ext. I . Ixt. &Appliance; Grnd.-Air Gap -Cooking Clearance u els & Receptacles at Kit. Counter Date EL CTRICAL Permit OK except #'s Garage Fire Door; Swing -Landing -Closer D`t in Garage -Damper Gard B -I Gard B -I _ Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights _& Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. - -- 24. Equip. Ground made_ up w/Mech. Fasteners _ -Bond Gas & Water ui s in Kitchen &Conductor Size ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al AZ,Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insu ate Neutral Yes No Service -Riser Conductors &Ground Main Disconnect- Equip. Clearances: Panels-Motors-Mech. Equip. _ ____ - - 30. CI et Light -Shower Light _ j gR Date 2. Card BI Date - - Date ( Card -BI Date 89-77YF.-Rfr -Vents-Clearance-Comb. Air-Connector-P.R.V.- Garage; Above Floor-Mech. Protection Plb., Elec..& Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 4Z"TPf' elation -Foam -Looked in Attic ❑Yes moils & Deck Construction -Past Caps . Fdn. Vents Ji qrawl Hole Door -Drainage & Wood -Earth Clearance Looked or ❑ Yes Following ihstld.: Driv ❑Yes ao; Walks ❑Yes No; Planters ❑Yes - �o --ftrcrp-gyown-Finish 7. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. dtET e I; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground --' - -- entilation throughout House lass Protection Date CHANICAL (Permit) OK except #'s _ Morrections from Previous Inspectign _ _ 635'TesAeters Tagged; Card -BI Card -B, 31 \A.. C. Ductsensulation & Support - 3: ent Fa Exhaust above Insulation _8T. 33.C de sate Drain &Overflow: Size _& Grade 34. Fur a -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. At rc Ac ss & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date 05- W ttm-&-S'@wer Connected -C/0 to Grade -HD Approval nergy Compliance Certificate -Other Certificates -' --- T -- - — Card -BI Date g7 Card -BI Date Card -BI < k0ate Card -BI Date Card -BI Date Card -BI Date Date AMING(Plans) OK except #'s Com lents at Final: 8, Sills; Proper Material & Anchors %Wall Studs -Nailing, Spacing & Bracing -Plates -Sound S8. B ring Walls over Girders & Floor Nailing 39 raft Stop in Walls (rat proof) Fire -Stops:- Furred Ceilings-Stairs_-_Chases-T__ub eader & Beam -Size & Bearing ngers-Post Caps-Anchors-Connectorsng. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfnp. F les or Type A Flue -Fireplace Throat AY.the Access: Size & Romex Protection -Draft Stop -Ins. Baffles ndows or Exiting Doors -Sill Hgt. & Dimensions 7. Garage Fire Protection Framing _ (NOTE An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ,W 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville = Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Mv~ OWNER 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 when correction of work is completed. If you have any question pertaining to this mat er, or need additional explanation, please contact this office immediately. !6 n v L Inspector_ Date L / J/`� X a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMITNi AS ESSOR PA CEL NUMBER .11 6 7V / _ � — 0 3Dr Q ZONING TM Z BUILDING PERMIT OWNEA-,r� TELEPHONE ?5/1a33 SO. T. OCC, BUILDING VALUATION =Fi R 017& • 0 a OWN MAILING AD ox 23} e*t6494-41 \I\ N �� CONTRACTOR'S NAME TELEPHONE CON C R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ 60 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ef�-� ARCHIT10V OR ENGINEER LICENSE NO. Plan Checking Fee $ 14117.1.2s Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3A Cok&SsL S g_ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. , t 3 SUBDIVISIO NAME �O�hiS� pyv1.(.$ �i.0 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other RLGr SIR ECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsines and Professions Code and my license is in full force 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) ElI, 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 CONST. DWELLING OCCUP.ttl , 1•G0 NEW DONSTR� A B h¢sgft oL ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occu 20ee0C Occup(OUTLETS OR FIXTURES 30C. FIXED APPLNS. OR \\ EX. OCCUp. OUTLETS (RESID.) EA./ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ (QO Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The 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. A1� 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 FiIingFee 10.00 Heating Cooling g 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 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 aid Count in consequence of the granting of this perm//it. %� Date %Q/Vay. g(p Signature of Applicant — wnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures//ow� Mobile Home Installation Fee $ Energy Inspection Fee $ G TOTAL PERMIT FEE 8 occuP.CONST.TYPc 1�LoOOJ ARCEL N I i7_1 ISSUEi ✓/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF PUBLIC By --D PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p a t e r Receipt No. _ VP % S%'-1 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT ,OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNITA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET fl Permit No. OWNER tea. 6= nvIV5 A. P. No. .SGO I/ — 30 Proposed Building Use Pr% GO1-C# rX Building Inspector Date // AO -4 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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 talcs, with wet signature on plans. 5. Plans with .Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . ✓0. Sanitation approval from Ghlc') Health Dept. . . //—,a— 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 owner, Mail to owner E] ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant (� &Cll, /Y% e"ne //—,—,70 A6 .,t Copy of plans sent Health Dept., Fire Dept., Other Date ; The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —Mai l—counter by. Plans checked by Sets of plans on hold in Copy—DPW Date Plans IP ff date _ date ate 42 _ File cabinet AP folder — Hours 10:00 a.m. - 3:00 p.m. 1� TO: Building department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance (14 Owner Location — I AP# Plan approved for: Bold final for: sewage disposal Final clearance O.K. for: Clearance for bedroom mobile home Note*** water supply water supply water supply Other 2 cf r l�36 r �C'!/1QG1-P /1-20 V Sanitarian [late, 11 COUNTY OF BUTTE - Department'of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) � e 2. I (have/have not) V\G,Lj-e_ signed an application for a building permit for the proposed work. 3. I\ave contracted with the following person (firm) to provide the proposed contruction: Name Address Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate,.s rvise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the persons to'provide the work Name Address but I have contracted (hired) the following cated: Signed: Property Owner CQkAIJ,,_• m_GS=6IS Social Security Number Date I'i -,I) o Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 0 'LOCATION (A.P. 56-11-30 e/s Cohasset Rd, app. 1/2 mi. -past school, Cohasset Uoa r A' I Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Ej. PERMIT NO. 2292-74B i ! P E a M MH UTIL. PERMIT NO. i PERMIT EXPIRES D. G. Enns OWNER CONTR. owner ' 'LOCATION (A.P. 56-11-30 e/s Cohasset Rd, app. 1/2 mi. -past school, Cohasset Uoa r A' I Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS t! 1" 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 Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI l Slab Prov. -for -physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls . Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORR ® C� E ONS Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Ji . Date Signature o-f�Per itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte C y ode an r olutions to do work indicated above for ich f es b aid. PUBLIC WORKS 3 Date q Bu ding permit expires Date.... .."'.!.............. BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address n Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty . Telephone No. Permit Fee $ $ Building Address6LWL4�_>eKee.PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans ParcelLawn Declaration Parcel Map 60' R/W Improvements sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ A ITION ❑ UTILITIES THER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more t n 12) 510 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water He ter or Space Heater 1.00 L iA fixture ba��l �(l�0 , swit hes & fix o tlets 105 O 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: Hood x. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 01 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑WI have placed on file with the County of Butte a certificate of orkmen'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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ S $ 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 TOTAL PERMIT FEE $ �S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Ji . Date Signature o-f�Per itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte C y ode an r olutions to do work indicated above for ich f es b aid. PUBLIC WORKS 3 Date q Bu ding permit expires Date.... .."'.!.............. Owner Az Mailing Address Contractor Mai I i ng Address COUNTY OF BUTTE — DEPARTMENT OF•PUBLIC WO 7 County Center Drive — Orovi lie, California 95965 /j /� /J �f TelephorW.: 534-4541 0)c / 'p /9/7 '/ APPLICATION AND PERMIT �(J� BUILDING S0. FT. I OCC. BUILDING VALUATION F3 71, e No. Telephone No. t Building Address Kim A. P. N0. Zoning & Planning Fees W.C. S ire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rove ents ns Declaration P P g. P c' Parce proval Plans royal NE�W� ADDITION KA UTILITIES ❑ OTHE ❑ Single Family C& Duplex ❑ Mobil Home ❑ Others ❑ 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: Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Jain service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not em to p employ an y person in any manner so as. to become subject to the Workmen's Compensation Laws of California. MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood 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 building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 2, :;&- �iY✓N�� Date Signature of PermiteW;Z Receipt No. / � 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE $3.00 0 TOTAL PERMIT FEE 1$-S-0IS� 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 "BLiC WORKS BY E Date 7 9--% 4 ding permit expires Date ............................................ _ E J v /�' �-.�.-s��