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062-350-020
FAILURE TO FINAL ELECTRICAL 1/23/95 62-35-20 Edward M. Wood NE/S Sugar Pine Rd., app.400'N.of Bald Rock Rd., Berry Creek ne Permit #3j�P/ 44-78B P E MI f am i 1 62-35-20 Permi5,;#1433-79B(add open deck/SF) 062-35-0-0 -9-3--27T2-E HALL, THOMAS ( 24 SUGAR PINE RD, BERRY CREEK CONTR:.BUTTE ELECT IC,- MISC ELEC/SF' 062-3 50 -0 2 0 HALL, THOMAS O4-1343 43 24 SUGAR PINE RD, BERRY CREEKCon : UNKNOWN ELEC SERV CHANGE - �i �y �: ���� F_ _ __ _ , �_ :.� E BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP041343 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 062-350-020-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 24 SUGAR PINE DR BCK Date: Contractor. Map Index: Description: ELE SER CHANGE OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HALL THOMAS MARSHALL FAMILY TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section HALL THOMAS MARSHALL TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or P.O. BOX 1077 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the WEST YELLOWSTONE, MT 59758 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ELKINS, JOE such work himself or herself or through his or her own employees, 64 LUCKY JOHN RD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PARADISE, CA year of completion, the owner -builder will have the burden of 95969 proving that he or she did not build or improve for the purpose of 530-876-0728 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: 131 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier. ` • �l� / //1 Policy #: Total Square Ft: 4 Valuation: OFFICE COPY I certify that in the performance of the work for which this permit is in to Census Code: issued, I shall not employ any person any manner so as Address become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G Meter Date Date: ELECTRIC Applicant: _ Meter By Date'yC�% WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one Q (leg hundred thousand dollars ($100,000), in addition to the cost of `[ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /permit tIIs CONSTRUCTION LENDING AGENCY for the This he by issued under the applicable provisions of the Butte County Code ?nrVor Resolutio to o work Indicated above for which fees have been paid.` I hereby affirm that there is a construction lending agency is issued 3097 Civ.) j 3 f b performance of the work for which this permit (Sec BY Date Name: (O. ' PERMIT EXPIRE Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substageof any official form or document of Butte County. I hereby the for inspection authorize representatives of Butte County to enter upon above mentioned property pufpo%s. Print Nam�c`�' /moi Signature. i Date: ❑ Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor 11 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041343 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN' 062-350-020-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number:. Site Address' 24 SUGAR PINE DR BCK Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELE SER CHANGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HALL THOMAS MARSHALL FAMILY TRUST ' to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section HALL THOMAS MARSHALL TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or P.O. BOX 1077 she is exempt therefrom and the basis for the alleged exemption. Any WEST YELLOWSTONE, MT 59758 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ELKINS, JOE such work himself or herself or through his or her own employees, 64 LUCKY JOHN RD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PARADISE, CA year of completion, the owner -builder will have the burden of 95969 proving that he or she did not build or improve for the purpose of sale.). 530-876-0728 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, r and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #' ' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer' the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one �. hundred thousand dollars ($100,000), in addition to the cost of (! compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. L : _ C ( „ 12 Ito CONSTRUCTION LENDING AGENCY • This permit is•her by issued under the appliczble provisions of the B�itte County Codyanruer 'ndicated % I hereby affirm that there is a construction lending agency for the Resolutio to o work above for which fees have been ) `r whichpaid./_ performance of the work for which this permit is issued (Sec 3097 Civ.) �r J Name: By: 1 / Date: PERMIT EXPIRE 221 ' Address: 0 V Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge itis unlawful to alter the substa of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection puf�poe S. I Print Nam4 Signature: Date: ' ❑ Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor REQUEST FOR INSPECTION, Permit Location: 9/.4 • Owner: Contractor: Call L] Phone: BLDG. PLUMBNEC ECTRIC M.H.I./M.H.U.E- SP INECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglfest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on:,542 Date: Comment: PRE -INSPECTION REPORT OWNER: LOCATION: raq . QA in CONTRACTOR: DATE: A. P. #C - ZONING: REASON FOR PRE-INSPE TION ' DATE TO INSPECTOR: ) PERMIT HISTORY ( ) NONE (,,)"-SEE ATTACHED Building Description: Commercial/Usage: Residential # of Units: BUILDING INSPECTOR'S REPORT S. Currently Occupied ( ) Yes ( ) No Mobile home # of Units: Abandoned/Vacant: r Electric: Electric Currently ( ) On ( ) Off Condition of Electric Gas: Currently ( ) On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No - ACTION RECOMMENDED: ISSUE (° ( ) Yes O No Hold for permits or verify: !) Inspector: Date: CKFTCYT R1TFT,DTNG,9 ON REVERSE AND INDICATE LOCATION ON PROPERTY. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name -,I} Address fO " o City '9'5 Le Stateili-- Zlpvi-7�� Phonej4,L,� -� ) Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip��i City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip��i City Fax State Zip Phone Book Fax E-mail Planner State license Number APPLICANT NAME Name Address Z` City Stat Zip��i Phone % Fax [Tm7i, APPLICANT SIGNATURE X For office use only: Zoning Flood Zone ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 0(/ 1 BIN # LOCATION Property Address �J ► Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: (Ok Amount: �m V Bldg `� SRA Receipt #: �(�'(-7 Sheriff SMIP Other Date: ,<j1! � � 1100 1 10 0 Total REV 4-30-04 TO FINAL ELECTRICAL lJ�O�Gtcn",dv� ells�/� - 62-35-20 I Edward M. Wood NE/S Sugar Pine Rd., app.400'N.of Bald Rock Rd., Berry Creek Permit #394-78B P E Xne w s 2e family)27%i i 62-35-20 Permi #1433-79B(add open deck/SF) nal . _9--- { 062-35-0-0 g -2 HALL,THOMAS y/� k 24 SUGAR PINE RD, BERRY CREEK CONTR: BUTTE ELECT IC MISC ELEC/SF Yi BUTTE COUNTY' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name r Address Address PO 7 City e 'te State State—,— Zipv I Phone,qo( _w -n- Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name r Address Phone , .7( � g Fax l[� City I No State Zip Phone Book Fax E mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Stat Address Phone , .7( � g Fax l[� City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address (7 City Stat Zipat Phone , .7( � g Fax l[� E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP Dq JW BIN # LOCATION ?� Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: *~ Amount: n V Bldg SRA Receipt #:7 U Sheriff Date:Other 5�1/ �� 1/0"o Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, sign6d by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets'of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET C /� OWNER:+�a ASSESSOR PARCEL NUMBER��� )�Lj�' Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑, - 7. Statement of Intent for Non -heated and. A/C for Non -Residential Buildings. 0 8., Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate, s1 ❑ • 9. Metal bldgs: (A) Metal Bldg Plans,(B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-signed'by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval'from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit.........:.............................................................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits ................................... :..................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephoneand hold for pickup. I have been informed of the aboV'nn l em requiremen fo�bain g a uilding- Perm if. 11-1 Date 1. Inde rmit appl' io or the above items numbered: 2. A onal items re 'Oed Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division _ Plan Check Letter Date: Date: Date Date: { I, 2 I� I i,�o P- ISE, II C, i`� L % U 1a i iv AU � rte. �� CA L L i '� 1� � '� S iC'J U'v, � 1.�.. i � �2�i � � ?+L i7 ��l � tL ori :G�t�►L , 'IT PEA i 1 v 1-9 As r� S f I I `T��ua4 ��� • 1�4c,L I! pO CoX i132�- As 956i �� .���.,� �I �-sed•-3�8,2��1 •S . `�L.��i��� � c, � � d"� L � yl�v ,�is� l� v �,;,�-cP�f. �7 777 L0627-35-07CO) 62-35�0- 0 L, 0 SP2� 712" HAL :FH 62 35� -020 93- - 0 0 L 93-2712� 0 HALL,TH0MA8`, S S 24 U C jZ BERRY CREEK 24 , 'PINE RD,' BERR SUGAR" K., o T L -C CREEK.,,, �Cf. CONTR.�- BUTTE`,ELECT-RIC 'i't" �J�CC/ �,E E ELEC/SF-S`-'�, -Misc I 3,(9 s- OFFICE COPY. Address Date ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CAlifornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PARCEL NUMBER 062-35-0-020 ZONING U BUILDING PERMIT OWNER TKOWSS HALL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 1099T€WST YEL.I.(i`>n1STONE W 6975P CONTRACTOte.ZijgMME'� L R14 TELEPHONE CONTRACTOR'S MAILING ADDRESS 630 Zink Rd Berry Creek Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 24 St! ar Pine Rd. Berry Creek PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. 67 v SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O� Duplex ❑ Mobilehome ❑ Other ) SPECIFY - Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK1 New O Addition ❑ Remodel ❑ Utilities ❑Y Installation ❑ Other ❑ s a Describe Work: m`3G electric PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "Ov OR LESS ) 23.00 200A ORLESS Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. ` CONTRACTORS LICENSE LAW( declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification ��VsaS the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED OR (OUTLETS (RESIDRESID.1 EA. ) 5•�� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. . PERMIT FEE $ 43.40 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 consequence of the granting of this permit. X- - , Date Signature of Applicant - ❑ Owner ❑ Contractor `❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or v� construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP FLOOD I CDF PARCEL PD I HD I ISSUE 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 PUBLIC WORKS 8/1b/93 By 1� �7 r Date PERMIT EXPIRES ON 8�16�94 IDerel - Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR' PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California- 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATIMY AND PERMIT Z ASSESSOR PARCEL NUMBER 062-35-0-020 ZONING U BUILDING PERMIT OWNER THOMAS HALL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 1099 WEST YELLOWSTONE, C0NTRACT09UP1 E ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS 630 Zink Rd. Berry Creek Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 24 Sugar Pine Rd, Berry Creek 1 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. 67 SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ElMobilehome 13 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK y New ❑ Addition 1:1 Remodel ❑ Utilities C " Installation C3Other ElContractor Describe Work: mise electric PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '*v OR LESS I 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification S the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.0`50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. `+s1 I shall not employ any person in any manner so as to become subject to the Worker's ompensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling H Hood 6.50 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 Butte County Ordinances and California 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 said County in consequ nce f e granting o this permit. 'ice X Date 9-b -q 3- Signature of p licant - 1:1Owner ❑ Contractor Agent An OSHA p is required for excavations over "O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 I "AZ. D. FEES I IMP I FLOOD I CDF PARCEL PD HO ISSUE 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 PUBLIC WORKS 8/16/93 By Date PERMITEXPIRESON 8/16/94 /Date! No.1483b� .D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I E N �' a, - „u rfCounty 1<7 . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 January 16, 1996 Thomas Marshall Hall P.O. Box 1099 West Yellowstone, MT. 69758. RE: Code Violation. A.P. #: 062-35-0-020 24 Sugar Pine Road-, Berry Creek Dear Mr. Hall: This is a- courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to use and permit expiration for electrical for single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement, may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Yours very truly, MCV:dms� Mic ael C. Vieira, C.B.O. cc: Assessor Manager, Building Inspection COUNTY OF BUTTE BUILDING DIVISION �2 - 2-6 Jr DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico) CA - (916) 891-2751 7 County Center Drive, OroVille, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 RRECTION NOTICE 14,131 C-7 S OWNER PERMIT NO. A routine inspection indicates that the folliwi. C tions of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please coptact this office immediately. 't j 4."" �- X-) v v -"-4, Date RI�3 k inspector REV 10/92/ - / ' COUNTY OF BUTTE BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER ' I PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date �7�i/ Inspector 1 -11,41 - REV 10/92 COUNTY OF BUTTE BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont this office immediately. REV 10192 rP PERMIT NO. 3744-78B,PE,M PERMIT EXPIRES OWNER Edward M. Wood CONTR. owner 62-35-20 LOCATION (A.P. ) NE/S of Sugar Pine Rd., app.400-'N.of Bald Rock Rd., Berry Creek 9 Temp. Power Polez, �L Called PG&E Temp. Elec. Serv. — Called'PG&E Temp Gas Serv. ,ailed PG&E JOB FINALED 12 - (Date) C7 IJFI� (Si a re COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall {' - % Soil P-1ping z7 Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall _ Sidina Tnnnul 1 7M e- ,Z - Slab J` / Roof Sheathing —Water—Piping Piers Roofing>—, Sewer Garage/Fdn. VentsFixtures Footin s 1 Stemwall Garage Vents Insulation ow Water Htr. /01 11 Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure r L ye,Temp. Appliances Gas PI In &Test Slab Final Sanitation Patio'1F1461ACE Final Footings Masonry Walls Reinf. Steel Footing Throat Final ELECTRICAL Rough Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Q Test Water Htr. Stucco Final Subpanels NV Mesh MECHANICAL Grd. Fault Prot. �- Scratch Heating Service Ll Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath 1, Door Closer IFinal Ventilation r Permanent Final mUtSILLNUMbUIILITIES------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM KS' OR CORRECTIONS 11) i� v K ed - o�Ztr�� (NOTE: An entry must be made on this form each time you vislt the job site.) 1 . 1 t RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALL IN C0fEWITH Ca � 0� J� 74- v46-- cf"-7J1� (location) L.,I / BUILDING PERMIT NO,.A:P. NO. w/,? 3S,— THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors-- 'Walls Ceiling/ P— Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTI$ ICATE AS SUBMITTED. , Insulation Applicator Name * (;�G(%d ? / KI 69 O (please prin Signature of <-y,_` Insulation Applicato 9 State Contractors License No. General Contractor/Owner N Gf/� 4 /�UD (please print) Signature of General Contractor/ ��G�%��G Date �� 7 State Contract46,is License No. Cyee4� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING -FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DE-PART-MENT OF PUBLIC W 7 County Center Drive - Oroviile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT NEW CON.RESI DONSTR. LTI-OUTL T N� BRANCH CIRCUITS) BUILDING NEW CONSTR (POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Owner �, S O� W � w SQ. FT. OCC. BUILDING VALUATION 5 L o'Z qqG, CS0 Mai I i ng Address09 o,ae>1 7a 0 e 610 10.00 Telephone No Mobile Home Facilities 15.00 License No. Classification Contractor zo 6.25 Mailing Address Fireplace I am exempt from the Contractors License Laws of the State of California. Total Valuation $ Telephone No. Permit Fee Building Address Q- PI an Checking Fee &/or Penalty J$3.00 Permit Fee OD �2-u �00� PLUMBING No. @ FEE CSCE PERMIT FILING FEE J$3.00 .C5C7 Each Trap 1.50 I9111)As YOXIfi_C400 onfil V Cwwk Repair drainage or vent piping 1.50 / �.. A_� r A. P. No. (e 99 — " g Water piping 1.50 � Each gas water heater or vent 1.50 ' Kees I Wer I Si 1 on Fire Dept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking'Parcel Plans Declaration P a 60' R/W I SlIp Each additional outlet .30 Building sewer 5.00 Bldg. ' s Recd Parcel Approval PI s Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 0,1b Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 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 st le of: y NEW CON.RESI DONSTR. LTI-OUTL T N� BRANCH CIRCUITS) 12.50eE NEW CONSTR (POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L EO/ FIXED APPLNS. OR x. CCUp'\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor MECHANICAL No. @ PERMIT FILING FEE J$3.00 Heatinq //,p,M al?T'1i 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. } d I certify that in the performance of the work for which this upermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. �-�l{ Date Signature ofPermitee or Agent Receipt No. ` /-713:FY1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling VM Ventilation Hood 2.00 C>b Permit Fee $ 54702 Land Development Fee $ TOTAL PERMIT FEE $ 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 F PUBLIC WORKS By Date -7 Buding permit expires Date _1 -z_ -7f RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. A. P. A. GENERAL Zoning requirements (sideyards and parking). �luation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 4,- -Complete parcel size and dimensions. &:;, Setback.5, sideyards, easements, etc. 3. Other buildings or structures. .4. Grading, fills, drainage. C. FLOOR PLAN 5.—C-amplete to scale plan with dimensions. wired windows for light and ventilation (Sec. 1405). squired windows for second exit (Sec. 1404). Permit # :E� 7'41<1- ! �T # -: O- . owable glazing for energy requirements (20% max. per.State law). Daman impact glass (Sec. 5406). wired room sizes, ceiling heights (Sec. 1407). in baths and exterior outlets (Sec. 210-8). 1 might fixtures, switches,, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas quipment, and plumbing fixtures. _Garage firewall, door -size, and closer (Sec. 503(d)(0). 3'0" exterior exit door (Sec. 3303d). lace location. (,3/Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building. woof construction details complete enough to construct building. X_ Fireplace construction details and calcs if over one-story in height. 4. 3fficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). 3. Guardrail details (Sec. 1716). 4. Brick or,stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). '1E,Proper roof pitch for roof covering (Chapter 32). -er,Rafter ties or bearing ridge beam. GC-G`arage door or porch header sizes. cZ }d iiate bracing. 10. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. o 11. Two (2) exits on three-story dwellings (Sec. 3302). PERMIT NO. 1433-79B PERMIT EXPIRES C5 ✓�� OWNER Edward Wood CONTR. owner 52-35-20 'LOCATION (A.P. ) NE/S Sugar Pine Rd., app.400'N.of Bald Rock Rd.,' Berry Creek f t Temp. Power Pole Called PG&E Temp. Elec. Serv. fCalled PG&E IJTemp. Gas Serv. Called PG&E OB �/� FINALED (Da 1 ( gnature) 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 Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. st Appliances Gas Piping & Test Temp. Gas Sia in 41�- Sanitation d FIREPLACE Final F o a t i n a s A Footina ELECTRICAL Reinf. Steel I Final I Fixtures Framing / `" Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS G (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF. BUTTE —^ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .- - Oroti Ile, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �Jt®� SQ. FT. OCC. BUILDING VALUATION - �.O .440 Mailing Address 0, ^122 ©'go lIl e-c� �.y T�hone No. ldo Contractor ® N Mailing Address Fireplace Total Valuation 4Q Telephone No. Permit Fee Building Address �� 5' Ky Plan Checking Fee&/or Penalty Permit Fee Swor> &,Dek RD PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 1p Z Zoning & Planning Water piping 1,50 Each gas water heater or vent 1.50 F S ion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. .n% Recd Parcel A a one Approval Lawn sprinkler system 2.00 MA NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ A� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST ( DWELING OR ADDNS. ACCLBLDGSCCUP, 5i. 20sgft 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: NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. 250 Ex. Occup{OUTLETS OR FIXTURES g L 1 Ex. Occup.(OUTLETS P(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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 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 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 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 Land Development Fee $ TOTAL PERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above -men ' ed property for inspection purposes. AeOA Date Signature of Permittee or Agent Receipt No. o V41?1 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. DIRECT,OR`OF PUBLIC WORKS BY Date B i (ding permit expires Date ,.-l---;,--,-,,-,- --, 11-71- --- `,q ". -Tl� - I'll 771-1�"."."T"IfI, -� ,l- ... , f I I'll, T, 11'�, � -I. 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