HomeMy WebLinkAbout064-190-00764-19-7
Harold Welborn
410 Carnegie Rd., lot 216, PP#14, Maga.
Permit 632 78B,P E,M(new single
family)-
064=19-0-007 92-4298B -
�` UHOR, David & Stephanie
14611 Carnegie Rd, Magalia-
contr: Wood Heat & Spa '
woodstove/sf
�k
' I!!
Y
i
1
f
r
t
t
r
cfli �I- r- a�i�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541
APPLICATIOWAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
064-190-007
ZONING
RT -1
BUILDING PERMIT
OWNER
David & Stephanie Uhor
TELEPHONE
873-4704
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
14611 Carni ie Rd., Magalia
CONTRACTOR'SNAME
Wood Heating & Spa
TELEPHONE
877-0799
CONTRACTOR'S MAILING ADDRESS
Skyway & Foster, Paradise
Fireplace "Alt 1,%0.W
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
.$30.00
Plan Checking Fee $
Ener Plan Checking Fee $
Energy g $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $45.00
PLUMBING PERMIT FilingFee 15.00
14611 Carnegie Rd. Ma 81ia
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ RemodelUtilities ❑ Installation ❑ Other [$
Describe work: Woodstove
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 15.00
Main service 200AORLESS 18.50
Main service 200A TO IOOOA)
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
_37.50
NEW CONST. ( DWELLING OCCUP.h) 3.64sq.ft.
OR ADONS. ACC. BLDGS. /
NEW CON5TR ULTI.OUTLET @ 5.00
NON•RESID BRANCH CIRC ITS
POWER APPARATUS
(SINGLE OUTLET CIR.e )
Ex. Occup(OUTLETS OR FIXTURES 20 @ 76
A
EX. Occup. OUTLETS P(RESID.)REA.) I 3.00.
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
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.
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.
Contractor
MECHANICAL PERMIT FilingFee 1 15.00
Heating
Cooling
g
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 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
agains't said County in lc�n equence of the granting of this permit.
I
X � a 7ut Date _� �``f
' Contractor ❑ Agent
Signature of Applicant — Owner❑ ❑
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 45.00
HAz
1 DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
IssuE
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.
� DIRECTOR OF PUBLIC WORKS
BY �% it : % -.� �i�/ �^—^"— Date 7 //fit/, :
PERMIT EXPIRES Date ,t ; /� ,1 2 '
-7 7 I
Z
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
t
C --,//t-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cal,ifornia,95965 - Telephone: 916/538-7541
APPLICATINaAND PERMIT
ASSESSOR PARCEL NUMBER
064-190-007
I ZVONING
1 RT -1
BUILDING PERMIT
OWNER
David & Stephanie Uhor
TELEPHONE
873-4704
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
14611 Carni ie Rd., Ma alfa
CONTRACTOR'S NAME
Wood Heating & Spa
TELEPHONE
877-0799
CONTRACTOR'S MAILING ADDRESS
Skyway & Foster Paradise
Fireplacei "A" 1.500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
14611 Carnegie Rd., Ma alis
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: WOodstove
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
Main service 200ATO1000A, 37.50
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 CONST. ( DWELLING OCCUPM 3.64 q.ft.
OR ADDNS. ACC. BLDGS. II
NEWCONSTR ULT' -OUTLET
NO N•R ESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 760
FIXED APPLNS.0
EX. OCCUp. OUTLETS IIRESID AR EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g '15.00
Permit Fee $
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.
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.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
g
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 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
agai said County in c n equence of the granting of this permit.
X j�,-1a
Date
nature of Applicant — owner
An g pp ❑ Contractor ❑ Agent ❑
ion oofsstructures HA toveris r39stories inuired for eheight'ons over 5'l1" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
I TOTAL FEE $ 45.00
HAz
1 11 FEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
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 aid.
D CTOR OF PUBLIC WORKS p
BY Dat
P IT ErXPI. S Date
Receipt No. 122895
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
-iT rte... .a✓ri.N "t r. .. .'n.,
/COUNTY OF BUTTE PARTMENT OF PUBLIC WO ,q BUILDING DIVISION-
I .0 qz
7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNERl�/l, %/",�I�,��l_ U /�GZ No.
Proposed Building Use /,( 00 !S 7-41 1 Building Inspector Date / 2 -
At
At timeit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted. .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
-' 5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).-
µ 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ..........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. ... .
20. Pre -inspection for Prey"sped'°" request
p required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34. /
When you issue the permit, process as follows: V Mail to owner
Telephone and hold for pickup at
Other
Parcel Creation
Acreage Applicant
� Copy of Haz-Mat form sent Health Dept. Fire Dept. _
Copy of plans sent Health Dept. ,' Fire Dept. Other
Mail to contractor.
office. Deliver with inspector.
Air Pollution Date
Date.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
By
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by 1 Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
N/7' --,-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 9W65 - Telephone: 916,'538-7541
APPLICATION'AND PERMIT
ASSESSOR PARCEL NUMBER
ZONjN
BUILDING PERMIT
OWNE�R / , �,
%
// V'/ Z �IV t4O X
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE4GItI7ADDR ES,
f�
CONTRAC OR'S NAME
HfF SPA
TELEPHONE
1!k-27 D �(j
CONTRACTOR'S 'MaAILI G A DRES
_5 JG
W / 1 __
Fireplace
CONSTRUCTION LENDIER A
UNKNOWN
Total Valuation $
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 3,0.O
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ Q(5
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW 1 15.00
TYPE OF WORK }}.,,
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other A
Describe work: V)QtV S7" Urz::� _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600VORLESS 18.50
200A OR LESS
_
Main service 20GATO 1000A1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty ur
p y of perjury y (Check One):
F-1 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 CONST. ( DWELLING OCCUP.h\ 3.60 sq.ft.
OR ACDNS. ACC. SLOGS. II
NEW CONSTR. ULT' -OUTLET
NON-RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 20 76
Ex. Occup. OUTLETS IFIXED PRESID IRE A.) I 3.00
Temporary service 15.00
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.
l ; I have placed on file with the County of Butte Building Department
u 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.
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 15.00
Heating
Cooling
Eood 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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accr a
against said County in consequence of the granting of this permit.
X Date12,-11
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demoition or construct-
ion of structures over 3 stori s i height.
Mobile Home Installation Fee S
_J
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES , v�
HAz
I DFEES
IMP
I FLOOD
I COF
I PARCEL
PO
HD
ISSUE
ermit 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.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
?
Receipt No. `
WHITE-D.P.W.. YELLOW-ASSE370R. PINK -INSPECTOR, GOLDENROD -APPLICANT
T)
PERMIT NO. 6327-79R , P , R m
o PERMIT EXPIRES
OWNER Harold L. Welborn
owner
CONTR.
(. 64-19-7
LOCATION (A.P. 4' )
410 Carnegie Rd., lot 216, PP#14, Magalia
t
7
Yx .
•f
a,
r f>
Temp. Power Pole
i
alled PG&E
T mp. Elec. Ser,. F
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED6
kta
(Date
(Signature "
a
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Fixtures '
Bond Bea
BUILDING BUILDING (Cont'd)
Motors
PLUMBING
Setback
Firewall
Soil Pipin
Final
Forms 04
Parapets
1st Floor
Gird. Fault Prot.
Main Bldg.
Restroom Finish
2nd Floor
Brown
Footin s
Windows
3rd Floor
Ducts 0 7 9
Stemwall
Siding
To out
l/
Slab
Roof Sheathina
Water Piping
Z• 7
Piers
, U u Roofing
Sewer
Garage
t Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p sically
handicappe
Conformancof ex
structure
Appliances
Gas Pip ng & Test
Temp. Gas
Slab
Final L
Sanitation
Patio
FIREPLACE
Final\
-q_
Footings
Footing
ELECTRICAL
Helnf. steel
Final
Fixtures '
Bond Bea
IR SPRINKLERS
Motors
=.Framin
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
Z MECHANICAL
Gird. Fault Prot.
Scratch
Heallno I
Service
Brown
Cooling A
Temp. Me
Finish
Ducts 0 7 9
Underground
Interior Lath Ventilation Permanent/
Door Closer V Final , ail Final
MOBILEHOME QTILItIES -•----------- ---- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
E E INSTA TI N ------/ - - - - - - - Support Elec. Con ' uity
Water Piping Drainage Gas Pip!K9
DATE ( REMARKS OR CORRECTIONS
1� U 7cf
J
712- � 0! 6 �4� / - �'� -
G
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION NAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS.
CALIFORNIA ADMINISTRATIVE CODE. TITLE 25. STATE OF CALIFORNIA. IN -THE BUILDING LOCATED AT:
X10
Street o Number Tract go.
EXTERIOR WALLS ry—
Manufacturer �� Thickness/Type ��. R Value
CEILINGS
Batts: Manufacturer Thickness 7 - R Val a
Blown: Manufacturer �7T V\N Thickness 1- 0 i2 T'l_1 No. `Bags � Wt./Beg
SQ. ft. Covered R Value cn
FLOORS�_�
Manufacturery Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of insulation - Inches
FOUNDATION WALLS
Manufacturer c N4, Thickness/Type 3V7, G R Value
GENE LJCNTRACTOR �L 0 /-S� q LICENSE NUMBER
By i TITLE 0(,CJ OF, P-- DATE 24
INS TION CONTRACT i AT I ONLICENSE NUMBER ` 212461
B TITLE DATE °•}�- ?�L�—��
4 -
RRC TflRNTTAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONF,0"CE WITH CURRENT ENERGY, CONSERVATION REGULATIONS
(location)
BU ILD ING PERMIT NO. A -6-P. NO. 42 4 — 131 — 7
aECEcPT �, I,6�Jv0
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 A LIE
Walls
Ceiling/Roof
Ducts
Circulating Pipes_
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special ( Insulated) &LL 0 — r 53
CERT. & LABELED WDS.
& SLIDING DRS. $S
WEATHERSTRIPPED DRS. S
BACK DAMPERED FANS S
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES y�iS
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 CERTIFICATE AS SUBMITTED.
Insulation Applicator Name �/'SS t'31 'r, n.SC50
Signature of (please print)
Insulation Applicator S S—L T-rl4c-H ED
State Contractors
License No.
General Contractor/Owner Name' �} P-dLJ)
(p
Signature of ease print)
General Contractor/Owner4L J to Z3
State Contractors
License No. 2053 0 g
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
c.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dive .—. Oroville, California 95965
• Telephone: 534-4541
APPLICATION AND PERMIT AA
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
n6�� /ate 10 —Z4.- 78
Signature oofPermitee or Agent
Receipt No. I We
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date Date // /.� —i�
B ilding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
60
Mai I i ng Address '7 �5
d
l�
Tele phone
•��O %
2 � Z
Fireplace
Contractor
Total Valuation
Mailing Address n
Permit Fee 00
Plan Checking Fee &/or Penalty
T&phone No.
Permit Fee $ O , b0
G
Building Address 0PLUMBING
No. @ FEE
PERMIT FILING FEE $3.00 006
PeA
Each Trap 1.50 /0>50
Repair drainage or vent piping 1.50
Water piping 1.50 /,s"
Each gas water heater or vent 1.50 1, ,gro
A. P. No. 4-
Zoning & anning
Gas piping system 1 - 5 outlets 1.50 /,5,0
Each additional outlet .30
Flies
Sjoi ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
arcel
Declaration
Parcel M
60' R/W
Im rovement
P
Lawn sprinkler system 2.00
I g. Ions Recd
Parce pproval
Plan pproval
Permit Fee $ 06
$ 7 � 0(
NEW :0 ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORV OR L LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
5
NEW CONST. DWELING
OR ADDNS. ( ACCLBL GS.0 P & 2¢sgft ,
'
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUI S) 2.50ea
NEW CONSTR. (POWER APPARATUS 8,
NON RES,D. SINGLE OUTLET CIR.
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 I of:
Ex. Occup(OUTLETS OR FIXTURES) @25l'to
OR
FIXED APP LNS.D.) EA) 2.00
Ex. Occup. LETS (RESI
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification LA — %
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ J
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 3>O'o
Heating ,p0
Cooling
Ventilation G / 2,0 Z db
Hood 2.00 p0
Permit Fee $ iya
$ 10C
I certify that I have read this application and state that the above•
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
n6�� /ate 10 —Z4.- 78
Signature oofPermitee or Agent
Receipt No. I We
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date Date // /.� —i�
B ilding permit expires Date