HomeMy WebLinkAbout060-100-007"T
60-10 7
DOTY, virginia -
Ii/s Humboldt Rd. , 400' E. of
Bambi,Inn, Butte Meadows
d stove w10 permit)
'installed woo
60-10-7
�v
0 & sewer
Permit # 2407-82B,P(wOO stove
repairs)SF
1711/-C)?760-10-07
Permit#3424-83P(replace wtr line)SF
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1-7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Couniy Center Drive - Oroville, California 95965 - Telephone 916/534-4�41_,
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER's MAILING ADDRESS
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER _717�
WN
Total Valuat;on is
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
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
I
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFE] DuplexR MobilehomeF� Other
SPECIFY
Building sewer
5.00
Mobile Home S I GTW T__10-00eJ
TYPE OF WORK
NewF] Addition [:1 Remodel[:] utilities[:] InstallationD Othero
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMR OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELLING OCCUR.&)
OR ADDNS. ACC. BLDGS.
21/20sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
f
and Professions Code and my license is in full force and e fect.
License No. Classification
El 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
NEW CONSTR. ULT'_O LET
NO N.RES,., M.RANC.UCTIRCUITS)
2.50 ea
NEW.CON,STR. POWER APPARATUS &')
NON RES D. SINGLE OUTLET CIR.
1.20 @ 50C
Ex. Occup(OUTLETS OR FIXTURES AL@ 300
FIXED APPLINIS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring
15. 0
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
E] 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-Inmire.
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
Cooling
—
Hood
3.00
Venti lation
:J
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.
1 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 consequence of the granting of this permit.
X Date
Signature of Applicant - Owner El Contractor EJ Agent
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 $
occUP. GROUP
I TYPE OF CONST.
PARCELI
PD
I
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
�u
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
G
APPLICATION AND PERMIT
PERMIT N
ASSESSOR PARCEL NUMBER
60— / 0 - 0 1 -
ZONING
BUILDING PERMIT
*111RV
TELEP
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MA I UQ4�,ADDRESS
�, -7 -; Lr -a* n A�J Vu 6 d"t
CONTRACTOR'S NAME In
JTELEPHfNE
CONTRACTOR'S MAILING ADO—S.
Fireplace
CONSTRUCTION LENDER
UN%�
Total Valuation i$
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
$
BUIL�5G ADDRESS
(, I
PLUMBING PERMIT
FilingFee 10.00
87,
Each Trap
2.00
o lar Water Heater
20.00
Water piping
5.00
LOT NO.
!MBbiVISION NAME
1
ARCEL MAP
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
5.00
USE OF STRUCTURE
SFF--DuplexF-1 MobilehomeFl Other
SPECIFY
Building sewer
0 0
Mobile Home JSJGJWJ
f F5.
1110-00eE
TYPE OF WORK
NewF� Addition El R emode I [:] Utilitie InstallationC] r9therE:1
Describe work: :p I -A C, v I I
k��,n k -3
JZ; () �-
Q EE S. & (2 k
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi*l i ng Fee 10.00
600V OR LE
Main service 100 AMP ORSLSESS
110.00
Main service EA. ADD -L 100 AMP
2-.50
NEW CONST ( DWELLING OCCUP.&)
OR ADDNS.' ACC. SLOGS.
21/20sq ft
ONTRACTORS LICENSE LAW
I declare under pelX011t perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
It-+cense No. Classification
IV !, 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)
*a s I he owner, am exclusively contracting with licensed contract -
_s. (Sec - 7044)
1 oam e xempt under Sec. Business and Professions Code
f r t h i s reason - / .
F F
NEW CONSTP_(MULTI-OUTLET .)
N ON.RES'D. a RANCH CIRCUIT S 2.50 ea
NEW.CON,STF;L (POWER APPARATUS &'I
NON RES D. SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES .20@50C
AL@300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
Permit Fee $
Contractor
ORKMEN'S COMPENSATION INSURANCE i
I declare unde&halty of perjury (check one):
F_� 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 Certifi . cate
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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above informati—
on
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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 I I ab I 141fles, judgments, costs, and expenses which may in any way accrue
against id County in consequencp?of the granting of this permit.
K 122, AAA; Date 00
Signature Applicant - Owner C.q(,.c1.,E] Age., F -I
A'n 0 , SHAI.rlmit is renired fOr excovtions over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ r@pw)
' ] 51 V
occup. GROUT
TYPE OF CONST.
P AR C E 01�7 �OJI
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 paid.
C TOR OF PUBLIC WORKS
By- Date
PERMIT EXPIRES Dye. 10 _S_ -CPV I
Receipt No -7::;56A
WHITE-O.P.W., YELLO�-ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
.COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
I
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
I personally plan to provide the major labor and materia s for construction,
of the proposed property improvement (yes or no)
7
2.. -- I -(have AMMM-%t) signed�an application- -for a buil-ding—"
permit for.the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.'
4. 1 plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major'work:
Name
Address City
Phone Contractors License No.
5. 1 will-provide.some of the work'but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned: K ,
Property Owner Za� ) 9 7 ,
Social Security er .
0 _
Date
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
permitted to issue the permit.
At /00
Al
I- 7A
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT I','
PERMIT NO.
(4
ASS 0 )PARCEL NUMUR
"I"?
ZONING
BUILDING PERMIT
OWNER
Xhro�v%i-o- Oflltk4
TELEPHONE
SO. FT.� 0 - CC. BUILDING VALUATION
OWNER'S ?4AILING ADDRESS
(,,"- 91�11 N?V
CONTRACTOR'5NAME
L EPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I "A
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
tj
ILICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS rR J Do (4 n I)
Al I!Q d 4?� 14 u VA)r% A
PLUMBING PERMIT
FilingFee 10.00
ITN'Z imv, I --T�l iN
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
UBDIVISION NAME
is
PARCEL MAP
Each qas water heater or vent
5.
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF[9 DuplexF� MobilehomeF-] Other SPECIFY
Building sewer f�e *-c:r^ It I-
EOO
n
j5.00
Lawn sprinkler system I
TYPE OF WORK
New f-� Addition El Remode I Uti lities Installation Other -2
Descri be work: oevA ht kN 0 S. 00 1�-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.al
OR ADDNS. AC C . BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
t
I declare under -pen ) y of perjury (ch6ck one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
License No. Classification
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)
F1 I, as the owner, am exclusively contracting with licenseU L;UIILIdG1-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONSTR. MULTIOUTLET
.N.R._ 2.50 ea
N " . BR�,NC. CRC., TO
NEW CONSTR. I POWER APPARATUS
NON-RESID. I SINGLE OUTLET CIR .
50 250
Ex. Occ—UpT.-UT LETS OR FIXTURES IBA@L@100
OCCUP.(FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor",
MECHA ICAL PERMIT
Fi I ing Fee 10-00
X WdRKMEN'S COMPENSATION INSURANCE
I declare under-pe4ty of perjury (check one):
11�n/ The permit is for $100-00 (valuation) or less.
�0. I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a CertillUOLU
of Consent to Self -Insure.
FV I shal I not employ any person in any manner so as to become subject
c" % to the W. C. laws of California.
Noti e 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
Cooling
Hood
3.00
Venti lation
Permit Fee
S
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 re,lating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 consequence of the granting of this permit.
�/ . - - P� P7
Date d IT
JX 14e" -, "') � L�-
Sig... ' of Applicant Owner KI Cont'Fractor E] Agent 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 $
OCCUP. rROUP
I TYPE OF CONST.
IPARCELI
PD
I HD I
ISSUE
This permit is hereby issued under the applicable provi7
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
;,--- -1
DIRECTORFOF PUBLIC WORKS
By. Date
PERMIT EXPIiES Date
Receipt No. 7 14�5-/
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT____
COUNTY OF BUTTE - DEPAR-iMENTOF PUBLIC WORKS PJERMIT NO.
7 County Center Drive - Oroville, California 95966 - Telephone 916/534-4��
APPLICATION AND PERMIT
ASSEC6PARCE UM;7R
ZONING
WILDING PERMIT
O,VER
%"\Vwa_ unkq
TELEPHONE
SQ. FT� _XCC. BUILDING VALUATION
OWNER'nLING ..S
(0 '-9ok;30_,TU
CONTRACISNAmE
ITELEPHONE
CONTRACTOR'S MAILING ADDRESS
Firepl�ce
CONSTRUCTION LENDER
U N 1<2!.��
Total Valuation $
Filing Fee
$ 10.00
LENDER's MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/V
SE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI D LADOFIESS If
!�� id e a V "t)
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
UBDIVISION NAME P�ARCELMAP
is
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
USE OF STRUCTURE
SF P/ Duplex FJ MobilehomeF� Other
SPECIFY
Building sewer R2420011r__
Lawn sprinkler system
5.00
TYPE OF WORK
New R Addition [:1 R emode I EJ Utilities Installation Other
Describe work:—W- boy-yvVvio
AA Q"-
Permit Fee
0
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LE SS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.81
OR ADDNS. ( ACC. BLDGS.
124:sqft
CONTRACTORS LICENSE LAW
I declare undl-isloity o(perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and iny_license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the stfucture is not intended or offered
for sale. (Sec. 7044i -
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and, Professions Code
for this reason
NEW CONSTR. ( MULTI.OUTLET
NON RESID, %BRANCH CIRCUITS) 12.50 ea
NEW.CONSTFL (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex. Occup(OUTL'ETS OR FIXTURES 50 @ 2150
1BAL@10J
.(OPI.XED APPLINIS OR
Ex. Occup TL ETS (RESI*D.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
W RKMENIS COMPENSATION INSURANCE
I decl �e unWIrty 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 _Qompensation. Insurance or a Certificate
of Consent to Self -Insure. grP,�� -
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 beco'nre 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
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 ot
Butte to enter upon the above-mentioned property for inspectiton purposes.
I also agree to save, indemnify and keep harmless the boun y of Butte against
I li:bijit�ies judgments, costs, and expenses which may in any way accrue
):g,ain st aidd 6ounty i consequenc f the granting of this P mit.
X D IFPZ
. -7
Signature pplicont - Owner 9 CoAr ctor F1 Agent
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 $ AM
OCCUP. GROUP
I TYPE OF CONST,
IPARCELI
P11
1 1113
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicateedbove for which
IRE T OF PUBLIC
By (Z, _ .1
- , - _
PERMIT EXPtRES DYte_Fr_-1
the applicable provi7
resolutions to do
fees have been paid.
WORKS
— Date -/ t- r'2 -
Receipt NO. 7 141-S-1
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County -Center Drive, Oroville, C.A. 95965 PHONE: 916-534-4541
DATE July 29, 1982
Ms. 'Virginia'Doty
1673 Franklin Road
.Yuba City, 7 95991
Dear Ms. Doty:
With reference to the above subject:
RE: Building Permit Application
A.P. # 60-10-7
X/ Attached is:
X Application for permit Mo , bilehome Utilities Installation Sheet.
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Labor Code Information List of Codes Enforced
OTHER Owner -Builder Verification form and information sheet.
X/ We need the following information:
X Permit applica'tion signed and completed where indicated with all copies return ed.
X Fees of $ 40.00 payable to Butte County Treasurer.
X. Certificate of Workmen's Compensation Insurance or check.exemption statement.
X_ Contractors License Law information or check exemption statement.
Letter authorizing signature of
Complete plans in including plot plans..
Plot plans in
Structural details in
Complete plans in prepared by registered civil engineer or
architect.
Engr. calcs.
sets of p.!a,*ns in s.ccordance-with the changes marked in red.
Sanitation approval from But-te County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
'Oroville,.for
Copy of recorded parcel declaration.
.-Recorded copy of.deed showing
7—X/ OTHER owner -Builder Verification 'from comipleted*and returned with a2plication.
Should you have.any questions.concerning.,the,above, please contact this office.
Yours very truly,
Clay Castleberry
Director of Publi Works
's
1 -0 r 0 I'l "Orr
. V Glan
er
ie f i
JFG:dd ;Chief Building,Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, C-alifornia-95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
6PARCE- NUMIR
A S.Z; E�O
Z-ONING
BUILDING PERMIT
O,VER
il, V-0 \ jA, �-1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER ',AAI LI �G_—&ODRESS (7.&
(0 k,
_.0
CONTRACTOR'4 NAME-
I
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
U N KZ5VAN
Total Valuation Is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER MOM 0—
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
IIUILkNf,�APO E
Jf� SS
J e
PLUMBING PERMIT
FilingFee 10.00
a yyoa I V)
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
UBDIVISION NAME PARCEL MAP
is
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 92/DuplexF� MobilehomeFj Other SPECIFY
Bu i I d i ng sewer �\' Q -a -,-n V—
Lawn sprinkler system
I
5.00
TYPE OF WORK
NewE] AdditionF! Remodel E] Utilities Instal lation Other El
Describe work: hoi-wy�\o S&-
Q
1:1:Z0A J.) Q"V- TIQR�<—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 610V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST� DWELLING OCCUP.81
ADONS. ACC. BLDGS*
20 sq it
CONTRACTORS LICENSE LAW
I declare undwty 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 full force and effect.
License No. Classification
El 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)
El I, as the owner, am exclusively contracting with licensed L;UIILFdCL-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for th is reason
_OR
NEW CONSTR. MULT'-OUTLFT 2.50 ea
..F
NO �ES., BRANCH CIRCUITS
N E W.0 0 N 5 T R. POWER APPARATUS.&
NON RESID. SINGLE OUTLET CIR
50 @ 25C
Ex. Occup(OUTLETS OR FIXTURES 8AL@1
(FIXED APPLINIS OR '.)
Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
—Mobile Home Facilities 15-00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
P
W RKMEN'S COMPENSATION INSURANCIE
t,
I declare unw, y of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 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.
F] 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
Cooling
—
Hood
3.00
Venti lation
Permit Fee
S
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, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of. the granting of this permit.
X Date
Signature of Applicant — OwnerEl Contractor [I Agent
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 $ A/0 10 0
occUP. GROUP
I TYPIE OF CO..T.
PARCEL
PO
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
R�eceipt NO.
WHIrE-D.P.W.. YELLOW-ASSeSSOR. PINK-INSPI!CTOR, GOLDEN ROD-APPL I CANT
owner:
Address:
Teniit:'
Building Location:
rA
BUTTE COUNTY DEPAP
,TMNT,OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
.4
-7/tw jaj/,1,/A&JV �&,fil
Type of Inspection requested:
F7 1� Housing. Zj' 2. Financing 7 3. Change of Occupancy to
2
other (specify)' 7,
'Present use.of buildin&:_
A Sanitation (Housing
.1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4.: Kitchen sink:
5. Hot and cold water to fixtures:
6' Heating' facilities:
Vatural light and ventilation:
B.' -Room and space r6quirements:
I, Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
.11. Connectior.-to sewage disposal:
12. Connection to watei'.supply:
13. Rubbish and garbage facilities:
14. Cc= ents:_
B. Structural
1. Piers and footings:
2.- -Floor construction: -
3' Wall construction:
-4: Ceiling and'robf construction:
5. Fireplaces:,
6. COMILents:
C. Electrical
1. S ery ic e and ground:
2. Receptac es:
3. Fus ing:
4. Conatents:
D. Plumb
1. Fiktures connected and vented:
2. Gas water heater:
3. Gas heating vents:
Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:. -
3. Safety haziards:
4- Weatl?er protection,
5: Underfloor and.attic. ventilation:
6'e' Conazents:
F. Cmmercial Buildings
1.
Roof covering:_
2--
Dist-cince to property lines:
3.
Physically handicapped:
*-Restrobm
4.'
floors and -walls:
5.
Exits:
Improvements:
7.
Zoning:'
8.
Con, ent �i:
G. Field 'or viclatiorz
1.
Problem or violation (give
4!IA&; 7-
complete. de script ion) :,,�,I;A-
.3.
'W�.fquctlon taken (give complete description).
df Al�-1;:11ZLIf -0.
rce��1111 I low,/
Zvi—
Wh.at acci.nn rArpm.*ended:
'77 Infori-,y,tion Only f
Hol(l for ten (10) days, then wri-c-
C. Write letter.
77 D. Other:
7467 HtLmboldt ' Road
Butte Meadows, Ca. 95921.
June 29, 1982
Butte County Building Dept..
Dept. of Public Works
7 County Center Drive
Oroville, Ca. 95965
,W)
Dear Sir:
This is to notify -;-�ou4 office that Mrs' Virainia
Doty, Butte Meadows has placed a smoke stack
on her roof without a building pernit
-during the winter of 1981-82
The work was done -by Ernie Truett'who lives
in Butte Meadows-
She'is also draining her kitchen sink water'..:
on the ground which creates a health hazaro��
for her neighbors.
Thank you for your attention to these matters.
S
lyl/
Mrs. 'Renee Roll
ZI
J
C
7467 Humboldt Road
Butte Meadows,, Ca. 95921
June 29, 1982
9
Butte Count Building Dept.
F4 s_�
Dept. of Publ-iz�-Vurks
7 County'Center Drive
Oroville, Ca. 95965
Dear Sir:
This is to notify your office that Mr.s,.,Virginia
Doty, Butte Meadows has placed a smoke 'stack
on,.her roof without a building permi.t.,
'during the winter of 1981-82.
The work was done by Ernie Truett who lives
in Butte Meadows.
She is also draining her kitchen sinkwater;..,
on the ground which creates -a health hazard.1, I
for her neighbors.
Th,a�nk you for your attention to.these matters.
S
Mrs. Renee Roll
/4f (; 04 J
On- ep -
bD
too
ago