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HomeMy WebLinkAbout061-350-0301 61-35-30 K MAZZARINO 120,' off E/S Bald Rock Rd at end Green f'Cedary, lot 4, Berry Creek Permit#25,26-84B . ,E(new private AgaraSge storage)— 61-35-30 Derml! 92-85P(gas piping & wtr htr) P a COUNTY OF BUTTE :. --. i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53411541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 matter, or need additional explanation, please contact this office immediately. U.14;1, 4,) 'a p C=am F L Inspector_ __ \1 VI'A2 Date _ _ t ••- Fi PTE OF Tutee / � 85 CJ .I O l Q N • V C < A K n . f O CER IFICATE OFITZ CONFORMANCE /HE UNDERSIGNED MANUFA C TURER HEREB Y CER TIF/ES that the products identified below and on attached sheets Nos. 1 are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in -conformance with applicable provisions. of American National Standard ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has been at our plant in Wi ndsor, Cal i fnrni a , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF. -TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME: PCT. 301-1175 JOB LOCATION: ADDRESS UNKNOWN, STOCK LUMBER CUSTOMER'S ORDER NO. 301-3375 DATE 10/5/84 MFGR'SORDERNO. C -H -41670 -IG -1 2 GLULAM BEAMS/ARCHITECTURAL APPEARANCE TITLEOUALITY CONTROL DIRADDRESS920 SHILOH ROAD DATE JANUARY 160 1985 AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC Certificate No. 08622 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION © 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION The glulam members of the job covered by this certificate are stamped with one of the following type quality marks. Each qualified plant has an- individual qualification designation. The designation "P-143" shown on the typical quality marks below is not assigned to any plant and is used only for the purpose of illustration. A TYPICAL CUSTOM PRODUCT QUALITY MARK P-143 AITC designation of qualified licensed plant QUALITY p ANSI/AITC INSPECTED A 190.1-1983 Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC n. Indicates conformance to ANSI/AITC A190.1-1*983, Structural Glued Lamin- ated Timber.. TYPICAL NON -CUSTOM PRODUCT ALITY MARK Identification of structural use, desig- narted by. symbols;, B—simple .span bending member; C— • compression.member; T—tension mem- ber: CB—continuous or cantilever span bending member USE- ARCH L- Designates appearance ppearance grade. IND— P-143 Industrial. ARCH—Architectural. PREM—Premium I V SPECIES � 11UA1IT1f � 000-00 OOF� / INSPECTED ANSI/AITC A190.1-198 Indicates that the designated licensed plant Indicates conformance to ANSI/AITC has met all requirements for qualification A190.1-1983, Structural Glued Lamin - and maintains an acceptable quality control ated Timber system which is periodically inspected by AITC AITC designation of qualified licensed plant and wet -use adhesives. When dry -use adhesives are used, the letter D is added Name of wood species used Designates applicable AITC laminating specification and combination symbol; for example: "117-82 24F or 117-82 3" ► For custom products the detailc — Vogl w80=1 011v MANUFACTURING ORDER 16 -JAN -85 SSI 920 SHILOH ROAD WINDSOR CA. PALMER G LEWIS 8435 24TH AVENUE SACRAMENTO CA 95813 AITC DRAWINGS NOT. REQUIRED ARCH 2 NOM LAM COMB 24F ENDS ID MARK QTY WIDTH DEPTH LENGTH 81 2 6-3/4 12 15 0 PAGE 1 OF 1 PGL 301-3375 C -H -41670 -IG -1 84 -OCT -05 .301-3375 RON 916-381-4242 84 -OCT -05 FOB SR PLANT INDV WRAP. CANT L CAMBER RADIUS CANT R BOARD TAG ELEV L ELEV R FEET. NUMBERS 0-1/4 1600* 327 1-2 IJ r 'b I � I PERMIT NO. 2526-84B, P,E PERMIT EXPIRES S-A /� V Z a,�— OWNER FRANK MAZZARINO CONTR. owner ASSESSOR PARCEL 61-35-30 LOCATION 1200' off E/S Bald Rock Rd @ end of Green Cedar Way, Berry Creek r r�. j; { OFFICE COPY s» Address +5' GAS Q D Meter By Date { ELECTRIC i I Meter By Date• 1'* r � a Temp. Power I Called P( ti Temp. Elec. S Called P( Temp. Gas Se �x Called PG a I JOB FINALEI { Signature • i� r 1 J = OK , t 0 =,dN-ot OK .♦ S i - = Not Applicable RESIDENTIAL (Single and Duplex) ; = Not Ready i Date UNDERF R Plans OK exceWs Date F A G Continued '. 1. oning requirements -Setbacks- asements 4 , P_rpprrty Line Firewall & Openings i 2. Ftq., Main; Soils-Steel-Ele . Grnd.- / /" Ftg. Depth 49 xtpoors-One 3'7 Check Garage -3rd story, 2 exits t arage; Soils -S - / /X:�" Ftg. Depth 50. a' ; Width -Headroom -Rise -Run -Landing -Fire Protection 4 tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 Inwood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-13lockouts-Wrapped-Slab 52.L3iding ;Nailing -Veneer walls, Garage; Steel-Blockouts-Wrapped Sla 53. Stuc o Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. GI Ing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C& -Sewer Test hear Walls; N fling -Bolts 9.` Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders-Sills-Anchor'6olts-Joists-Vents-Cripples Card -BI Date -/0 ^ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-BI&41�2ate Card -BI Date Date Plans) OK a ce t #'s Card -BI t Card -BI Date Date PLUMBING (Permit) OK except q's xt. Step Door & Si Blight Protection -Landings Detector 14. Water Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection -59-Bedroom Exiting W! t r Pipe; Test & Anchors -Nail Protection 1�D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 66' .I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access�1, Gas Pipe; Size & Anchors `Flet. Trim & Subpanel; Breaker Sizes -Labels 82. Stairs & Rails -03--F-ireplace or Stove; Clearances -Hearth _ -64-.-Elec. Outlets at Wood Panel; Int. & Ext. Card -BI gk Date /' Card -BI Date '657-RTF'iRt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date E Date Card -BI Date RICAL Permit OK except q's 66-Etet-Outlets & Receptacles at Kit. Counter 49�. Garage Fire Door; Swing -Landing -Closer ara a -Dam er ucf-i'n Garage-Damper-"9 20. t re & Transformer Clearance -Ins. Protection 69•�W r. Htr.; Vents -Clearance -Comb. Air-Connector-PV.=� V In Garage; Above Floor-Mech. Protection 2 c. Receptacles Spacing -Lights & Switches at Doors 2 e Boxes & No. of Conductors -Stapled 7a--P{y- 'Elec. & Mech. Equip. Listed for Location 'c. Receptacles in Garage; (G.F.I.)-Romex Protec. I sulation-Foam-Looked in Attic RYes- 2r,Romex Installed Close to Edge of Studs & C.J. 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size 3 Guard Rails & Deck Construction -Post Caps u Bed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al , 44r -E a.-Ments & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, ipwated Neutral ❑Yes [I No .--75­.-Fol'lowfng instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28 Service -Riser Conductors & Ground -Main Disconnect -76,-Stucc_o;_Brown-Finish . Clearances; Panels-Motors-Mech. Equip. '77. ,C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Nlothes Closet Light -Shower Light encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. !l (�ater Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date g1-14enti1ation throughout House Card B -I Date Card -BI Date 82-' ass Protection Date MECHANICAL (Permit) OK except N's 31.A A.C. Ducts; Insulation & Support a6­correttl'orvTfrom Previous Inspections as Test -Meters Tagged; Gas -Electric r er-♦-Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation ,86 --Energy Compliance Certificate -Other Certificates 33. tondensate Drain & Overflow; Size & Grade 34. rnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. A is Access &Platform if Furnace in Attic Card -BI ,->p Date Card -BI Date Card -BI D to Card -BI Date Card -B& Date S Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAM Plans OK except q's Comments at Final: 36 i Proper Material & Anchors 37 38. all ; Studs -Nailing, Spacing & Bracing -Plates -Sound e ' g Walls over Girders & Floor Nailing 39. r top in Walls (rat proof) 40. Stops; Furred Ceilings -Stairs -Chases -Tub 41. J' er & BeamSize& Bearing 4V Ha rs-Post Caps -Anchors -Connectors 43. Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. es or Type A Flue -Fireplace Throat s; ize & Romex Protection -Draft Stop -Ins. Baffles endows or Exiting Doors -Sill Hgt. & Dimensions 47. Krage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) OK ' Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS .6. . 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/O -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 q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except b'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 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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 I Card -BI Date Card -BI Date Card B -I Date Card -BI Date I Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965.- Telephone 916/534-4541 . ' --7� APPLICATION AND PERMIT ASSEtOR PARCEI_NUMBER ZONING BUILDING PERMIT OWNER3355^ �v 1 TE PHO SQ. FT. OCC, BUILDING VALUAT ON OWNER'S MAILING ADD ES , V-., i1 -&r, CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ on ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ^ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , co BUILDIN ADDR S I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 900 Solar Water Heater 20.00 re /y,,_ r W at Water piping 5.00 /S; LOT NO. SUBDIVISION NAME PAR EL MAP gg— Yip9 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRU URE �q •��\r' SF IJ►� (Duplex❑ Mobilehome❑ Other I• r SPECIFY Building sewer 5.00 Mobile Home S G W 110.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADO'L too AMP 2.50NEW CONST. ( DWEL-ING OR ADDNS. ACCLBLDGS.CCUP.&) 21/20sgft 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 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) ❑ 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 NON•RESID CONSTR. BRANCH CIRCUITS 2.50 ea NEw CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. OCCu BAL030 P�o OR FIXTURES BAL®30 FIXED A FIXED APP LNS, OR EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ j 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. j 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 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 consequenc,,e of the granting of this permit. X Date �P8 Signature of Applicant — OwnerIA Contractor ❑ Agent ❑V An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ . No OCCUP. GROUP I TYPE OF CONST, PARC PD JSSUE HD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date X-3 '3�^stories Receipt No. r b WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville., Calijornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N9., ASSESS R ARCEL NUMBERzONI r. G BUILDING PERMIT O r r TELEPHO NE 3 SO. FT. OCC. BUILDING VALUATION MAILING ADD E SS CONTRACTOR'S NAME IV) 1N 14 0.1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 i'�e/1rL Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUB I VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ^r USE OF STRUC RE SF ❑ Duplex ❑ Mobi lehome E] Other 1Gn T SPECIFY Building sewer5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstalItion ❑ Other ❑ Describe work: r\ — �,� Y C _ Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2thP.Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RES 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 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 NON -RESIT R. BRANCH CIRCTITS 2.50 ea NEW.CONISTR. POWER APPARATUS & D. SINGLE OUTLET CIR. ExOccu / 20@50a . p\OUTLETS OR FIXTURES SAL®so 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. ❑ 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. 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 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 Count in consequence -of the granting of this permit. p X Date Signature of Applicant — 41�(wner.�R Contractor ❑ A g e nitlD 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. PARCEL PD HD 195DE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT OF PUBLIC n By PERMIT EXPIRES '40D -le the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. � 9 / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 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 61-35-30 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1285 Elliot Rd. Paradise CA 95969 CONTRACTOR' S NAME owner TELEPHONE 1st renewal vermit —_ CONTRACTOR'S MAILING ADDRESS -- Fireplace .- CONNSSTeRUCTION LENDER non UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee (a a_T_EE $ 49-00 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee - — - --' -- Energy Plan Checking Fee-- $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee $ $ 99-00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 'Green Cedar Wav Each Trap _ Solar or heat pump water heater Water piping 2.00 20.00 5.00 Berry Creek LOT NO. SUBDIVISION NAME PARCEL MAP _ _ Each qas water heater or vent 5.00 USE OF.STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer— _ 5.00 i. de Other_ 1• t. garage & Sbo SF n- Duplex❑ Mobilehome❑ pr SPECIFY Mobile I-Iunle S G W 10.00 ea TYPE OF WORK New Addition[-] Remodel❑ Utilities[-] Installation[] Other EJ _ Permit Fee- $ Describe work: ] gt- renpwa 1 PArmi t#2584 —_ Contractor -- --_ ELECTRICAL PERMIT Filing Fee 10.00 Main service "oov off LoR esLs Ess 10.00 - _ _icoAnnr Main se(vice i.A. ADO'L. 100 AMP 2.50 CONTRACTORS LICENSE LAWr,Ew I declare under pe alty 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 ❑ 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 CO'J;t ( OwELLIrJG OCCUP.&� yzq.sgft or; An oras. 1 Acc. aLocs. NFA' r'nid',1 It. MT 11. rI.0UTUET TO 2.50 ea r,Ora.It t__I ui.._ IJ Fe ArIC lI CIRCA I GOWER OUTLE7rUS &I -----.-.-- -- SINGLE — Ex, Occllh(I)I'I LE: T5 OR FI x TURES SAL 70¢ I . ALa3o OR Ex. Occup_ O.ITLETS LRESIO.I EA.) 2.00 Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Hume 1-:aciilnes -- ilfig-""-"--` Mise. 1Yuing - - T 15.00 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee _ _ _ _- $ Contractor -- `],A.JIIORKMEN'S COMPENSATION INSURANCE— .I declare unde natty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 Heating ❑ The permit. is for $100.00 (valuation) or less. --__--_ Cooling .❑ 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. Hood - _ -- Ventilation 3.00 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. 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. Mobile Home Installation Fee Energy Inspe(Aion Fee $ $ TOTAL PERMIT FEE $ 55.00 1 also agree to save, indemnify and keep harmless the County of Butte against OCCVP, CON SI.TTPE�L000 PARCEL Po No 39UE All liabilities, judgments, costs, and expenses which may in any way accrue aainst said County in consequence of the granting of this permit. This permit ii hereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do X' Date Signature of Applicant —'' Owner ❑ Contractor ❑ Agent ❑ work Indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS By-._.—.-- ------_-__-- Date PERMIT EXPIRES Date 8-30-86 Receipt No. 'WNITE-a.P.W,. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD "APPL.ICANT ` �p ��[ZZLIITJW Y295 ate olf - - - - - pa"A 04.95969 - _ (9<G) 57 i- i71t 3