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HomeMy WebLinkAbout064-240-026o N 64-24-26 Don O'Hara 225 Ponderosa Way, lot 14, PP#15, Mag contr: J. W. Marler, Magalia Permit #2356-78B,P,E,M(new single family) 1� i _ 64-24-26 — I contr: J. W. Marler, Magaba ck/SF) J {{{ Permit 4624-J8B(ad�Y 1 . .. _ _ ...., - .. 64m24-26 n. 6342 Ponderosa Way, Magalia 1 Contr: Built-Wright Const, Parad � e Permit #1044-84B,E (addition/SF)1 1' /97 � i64-24-26 � I ffPermit#3208-88B(woodburning stove SF) i� 064-240-026 99-1878 I MMANDA, DAN 6342 PONDEROSA WAY, MAGALIA CONTR: OWNER � RE ROOFr1,7q.,,1��//�v I 1 4 - o N i 060-440-026 "')9-1878 mR. Ai4b'X, -DAN 6342 PONDEROSA WAY, MAGALIA CONTR: OWNER RE ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT O. (Rev. 12/96) APPLICATION AND PERMIT ""' •' ASSESSOR PARCEL NUMBER 6 t,/r �,/• Z 77 / ZONING ` ) / BUILDING PERMIT OWNER �c A M�SD TELEPHQ�ON 3.7Z E SO. FT. OCC. BUILDING VALUATION a a a OWNER'S MAILING ADDRESS L P* 04 �s�� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ (a g J ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 0 Y2 P0,+c/'a034 W Energy Plan Checking Fee $ PERMIT FEE 3,y LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF, Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK— New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RI+ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 28000iv, oa Lss 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ' 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST. DWELLINO OCCUR SO OR ADONS. ( 8 ACC. BLD S. 3.5¢Fr; OUTLET CIRCUITS @G 7.50 NON-REOSID. T. MULTI. POWER APPARATUS a sINGLE OvrLET CIR. OUTLET OR FIXTURES 20 ®1.00 Ex. Occu BAL @ .so Ex. Occup. OFIXirriEis Aa Den 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 provisio % X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE�I TOTAL FEES GJ .R HD ISSU 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. By P Date / G PERMIT EXPIRES ON Date), Receipt No. *75W-) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 14 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � - ►�T o• (Rev. 12/96) APPLICATION AND PERMIT �% ASSESSOR PARCEL NUMBER Ur'i % / ` C/ ZONING BUILDING PERMIT OWNER 1>Art MSRCD4 TELEPHONE 3- 22 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING APDRESS 04P44,0� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 6 g 5 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ IN ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS J � a1 Y7_ P®,Vo1J-_f_®s4 LA/11 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF)(e'Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other ❑ Describe Work: /tGy� �dl�►p Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LES Main Service zo..OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: 1, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 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 workers' compensation laws of California, and agree that if I should become subject to the ers' compensation provisions o section 3700 of the Labor Code, I shall with comply with those provisio qfo419 X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is requir d for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service 2 TO 46.00SO Eo COU000A NEW CONST. DWELUNO OCCUP. SO OR ADDNS. ( 8 ACC. BLD.. 3.5¢FT. CONST. MULTI -OUTLET 97.50 POWER APPARATUS 8 SWGLE OUrLET CIR. Ex. OCCU OUTLET OR FDRURES @ I' BA0 50 So Ex. Occup. Ourrs Ao °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPET� TOTAL FEE $ J ell HD I Iss I. This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ate PERMIT EXPIRES ON � 4to provisions to do work paid. 20� Receipt No. �% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �I ti. OWNER=BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials. for construction_ of the proposed property.' rovement : YES .. NO 2. I HAV" HAVE NOT O signed an application for a building permit for the proposed work. 3. I have contracted with the following p_rson. (firm) to.pmvi0_tbe,.proposed construction: NAME: ADDRESS: CITY:_ . . PHONE: . : CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, -but I have hired. the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SEC NUMBER: T DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and. to have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. - rIf you pled to dd� (o it own work, with the exception of various trades that you plan to subcontract, you `should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (imluding-t6terials and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you .are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obli_&ations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +Mage'rC,Zuii1diirng /6�1 a, C.B.O. Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER f, 2356-78B,P,E,M PERMIT NO. PERMIT EXPIRES /747 Don O'Hara r OWNER "CONTR. J. W. Marler, Magalia LOCATION (A.P. 64-24-26 225 Ponderosa Way, lot 14, PP#15, Magalia g x fk ,i i h � Temp. Power Pole— Called Z� � Called PG&E L /U2_ Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD s.lErc Brown Finish lerior Lath for Closer OBILEHOME ater Piping balLEUlig ME anal Heatl Cool I Ventilation Final -------------•---- Elec_ Service Sewer --------------Support Aster Piping Drainage Gas Piping MECHANICAL Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity DATE REMARKS OR CORRECTIONS av�d� %ew � OTE: An entr must be a�de n- form each time you ��he job-sife�� �.. BUILDING BUILDING (Cont'd) PLUMBING Setback -- Firewall Sol l Pipin4--ILISW Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out 6�2 — Slab Roof Sheathing Water PI in Piers Roofing -I— :*T- (o Sewer Garage Fdn. Vents Fixtures Foot in s 4 Stemwal I ^% '7f - Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for phsl CAI ly handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final 7 r Sanitation Patio FJAEPLACE Final Footings Footing EL CTRICAL Masonry Walls Throat n/I Rouah -1 ... -7 S!� s.lErc Brown Finish lerior Lath for Closer OBILEHOME ater Piping balLEUlig ME anal Heatl Cool I Ventilation Final -------------•---- Elec_ Service Sewer --------------Support Aster Piping Drainage Gas Piping MECHANICAL Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity DATE REMARKS OR CORRECTIONS av�d� %ew � OTE: An entr must be a�de n- form each time you ��he job-sife�� �.. � �� F CERTIFICATIONS As required by the.State regulations, -both the builder and the insulation applicator must sign a card certifying that the proper "R" values for all insulation locations have been.installed. An example of a certification card, which is furnished by the builder or insulation applicator is shown in Fig.. 13. THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IM CONFOM10E WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA AMINiSTRATIVE CODE, TITLE 25,,.STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: ),;2 Street o u er iract no. Manufacturer Thickness/Type a-21_ //B,F�Gl alue CEILINGS Batts: Manufacturer... _ Thickness G' `/RF_/�LiISS R Value l %' ' .... Blown: Manufacturer . Thickness.. No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS �2 Manufacturep ` moi Thickness/Ty"LlL4114 /C�/L R Value SLAB ON GRADE Manufacturer ..Thlckness/Type R Value Width of Insulation Inches FOUNDATION WAILS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR —_fie e LICENSE NA"ER Q 41 ,fD 6 6 G BY TITLE DATE / /-Z 17 INSULATION CONTRACTOR LICENSE NUMBER_ ZTQGlD G BY TITLE DATE X ,F' Fig. 13 8-14 COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .e,;, Orovilhe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. � ;ite-D.P.W. Date -�_XIIZFSignature of Permitee or Agent ipt No.ZZl — 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 R F UBLIC WORKS By Date5_—/ )^— 2;P uilding permit expires Date S�f L BUILDING Owner / D SO. FT. OCC. BUILDING VALUATION O, 0 C Mailing Address 0 Telephone No. D Contractor Mailing Address Q Fireplace d Total Valuation?/2 7", 0 69 le hone No. Permit Fee 0 D Buildin Address Plan Checking Fee &/orPenalty Permit Fee ✓ it/' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p Each TraD 1.50 S Zon4ng Verification Onl Repair drainage or vent piping 1.50 A. P. N ��% y — %2 / —� Ing & Plannin Water piping 1.50 , r�0 Each gas water heater or vent 1.50 F W.188 S I on Fire Dept. F' a as piping system 1 - 5 outlets 1.50 EQA Parking Plans Nrcel Declaration — "' Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 B g. Plans Recd Parcel A royal f Plan Approval Lawn sprinkler system 2.00 NEW rM ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Zoo 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 NE WCONST.OR ADONS. ACCLBBLD LING 2�sgft 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.O L NON.RESID � BRANCH CIRCUITS) 12.50ea A NEW CONSTR. (POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 License No._QS(%g i l 6 Classification oe / Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ ell, 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. ❑1 have placed on file with the County ofButte a certificate of Workmen's Compensation Insurance. `/ ❑ I certify that in the performance of the work for which this x\ 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.0QFEEWORKMEN'S PERMIT FILING FEE Heating O D 64- Cooling Ventilation Hood 2.00 , d Permit Fee $ Q $ S I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ — authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. � ;ite-D.P.W. Date -�_XIIZFSignature of Permitee or Agent ipt No.ZZl — 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 R F UBLIC WORKS By Date5_—/ )^— 2;P uilding permit expires Date S�f L • PERMIT NO. 4624-78B PERMIT EXPIRES�i�/� OWNER Don O'Hara CTR. J. W. Marler, Magalia 64-24-26 LOCATION (A.P. ) 225 Ponderosa Way, lot 14, PP#15, Magalia r k� 4� r, t x, Temp. Power Pole Called PG&E G Temp. Elea Serv. 6 Called PG&E Temp. GGaa-s Serv. Calved PG&E t000 JOB FINALED (Date) 1 T4 Z - (Signature) 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 Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors 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 MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MS213l1LEHOMINSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS a y 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q X Date o 7 ature of Permiteee or Agent R pt No. —16:6, 4 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 PIiJ7IC WORKS By 2 —Date X -1/y - 21;F1 BuilIF —� Y ' % Building permit expires Date BUILDING Owner ,Dpi r ���, SQ. FT. OCC. BUILDING VALUATION / ,32, Mailing Address Telephone No. Contractor .�- 2LEK, Mailing Address �tf � SQ Fireplace Total Valuation 32 li elephone No. -/00 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee a� PLUMBING No. @ FEE �J� PERMIT FILING FEE $3.00 Each Trao 1.50 _ CA/ Repair drainage or vent piping 1.50 A. P. No. % y (P Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking! Plans Fcel D aration Parcel Map 60' /W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans -ed Parcel A royal Plans pproval Lawn sprinkler system 2.00 NEW ADDITION WT UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1,00 NEW CONS.WELING OR ADDNST l ACC`BLOGS.CCup- s) 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 NONRESID. /MULTI.OUTLET 1 .CONST 1 BRANCH CIRCUITS/ 12.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID.SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTI+aES g L@; FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N0.,02L?49 to G 40 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. Mk I certify that in the performance of the work for which this 44-f� 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 E2O Hood Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ S v authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q X Date o 7 ature of Permiteee or Agent R pt No. —16:6, 4 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 PIiJ7IC WORKS By 2 —Date X -1/y - 21;F1 BuilIF —� Y ' % Building permit expires Date .+r. a•.-��'_ '�' _-ai-Ta�rv.` w � -a ..,. �-. -�- - �1,. ...yam = COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 4n,-4 1 do�cc�dC O'v(Q rCl 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. Uld, Ig // /4 W Inspector Date i COUNTY OF BUTTE - DEPART-i�EN�OF PUBLIC WORKS . PERMIT Np� � 7 Count Center Drive - Oroville, California 9596 -Telephone: 916/538-7541- �/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE -741 S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 4� TELEPHONE CONTRACTOR'S MAILING. ADDRE'.SS, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation A $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ / • j G 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 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New RT Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: � ," 111�'i"= � � �{� �--�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. � Classification Q/1, as the owner, or Ty 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.61 , OR ADDNS. % ACC. SLOGS. 2hQsq ft NEW CONSTR.MULTI-OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu 20 Occup(OUTLETS OR FIXTURES eAL03030 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): i ❑ 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. f: I'shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. I also agree t"ave, indemnify and keep harmless the County of Butte against all liabiliti s,�ludgme s costs, and expenses which may in any way accrue against s:,I'd County i Kse ue ce o the granting of this permit. // X Date r Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ -y /. occuP. CONST.TYPE FLOOD PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By 'r i. L PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /� _ Date_. -}W,/ Date L7 .� " Receipt No. � /�% WHITE-D.r.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT lo# $Q CSPc `orrecfic., COUNTY OF BUTTE - DEP,ARTMF=NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 i APPLICATION AND PERMIT RMT / ASSESSOR PARCMBER (/��• �-- ZONING BUILDING PERMIT OWNER C1 TEL ONEa/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAI NG DR SS I `�f✓ Y�l CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation � $ `, ,` 0610 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ - S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit sem. fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 110.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:�./���f%/tet �S�— Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. icense 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason oa T DWELLIN G0 CUP.&) / ADDNS'/zQsgft NEW CONSTR.U I.OUTLET BRANCH CIRC ITS 2.50 ea APPARATUS e ) SINGLE OUTLET CIR. zo®yoe EX. DCCUp(OUTLETS OR FIXTURES DAL®30 FIXED APPLNS. OR EX. DCCUp. 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 oyConsent to Self -insure. rL�-,r•( 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ave, indemnify and keep harmless the County of Butte against all liabiliti judgme s costs, and expenses which may in any way accrue against s d ounty i se u c the granting of this p rmit. X Date Signature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q OCCUP. CONST.TYPEJ IFLOODIPARCEL.1 PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMI EXPIRES D e the applicable proviAA - resolutions to do fees have been paid. WORKS Date Receipt No.— 6!U7 WNITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: ' S Phone: 9167538=7541 An 'owner -builder" building permit has been applied for in your name and bearing. your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) 0274, 2. I (have/have not) (/ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction• Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name z4 Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. PERMIT NO. 1044-84B E PERMIT EXPIRES [ 11 OWNER DON & NANCY OrHARA CONTR. BUILT -Wright Const. ASSESSOR PARCEL 64-24-26 LOCATION 6342 Ponderosa Way, Magalia s y t .. 4 Temp. Power Pole_ a i Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG& E JOB FINALED (Date) / J Signature J = OK• i 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready r, Dale MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 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; LocatiorrTest-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 pate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s V 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 8. Gas and Electricity Tagged 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 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 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI - Date Card -BI Date Date Card -BI Date a !` 1 J OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL • Date UNDERF (Plans) OK except H's (Single and Duplex) 'Date FRAMING ontinued I. nin quirements-Setbacks-Easements 48. rty Line Firewall & Openings 2. •, Main; Soils-Steel-Elesr•9rrtr / ,. /" Ftg. Depth 49 xt. Doors-One 3'-Check Garage-3rd story,.2 exits 3. Fig., Garage; Soils-Steel- / /" Ftg. Depth - eadroom-Rise-Run- Land ing-Fire Protection i 4. Ft Porches & Decks; Soils-Steel- / /" Ftg. Depth 51. yon Roof Overhang-Attic Vents-Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. ding-Nailing-Veneer y 6. Ste alts, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7 iers-Fireplace Ftg.-Steel 54. Glazing Area-Glass Protection-Skylights-Plastic II-Fittings-Test-2 way C/O-Sewer Test 55. Shear Walls; Nailing-Bolts _ as Pipe; Size-Anchors ater Pipe; Test-Anchors-Regulator-Service Test i 1A--Ete-ctric; Underground -12rP1'enums &Ducts; Clearance-Material-Support-Ins. J c.f.I lbGirders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI ate Card-BI Date - Card-BI Date Card-BI Date Card-BI Date Card-BI Date. Card-BI Date Card-BI Date Date FINA (Plans) OK except N's Card-BI Date Card-BI Date Date PLUMBING (Permit) OK except N's --- 14. Water Ht.; Vent-Access-Combustion Air 5 Ext. Steps-Door & Sidelight Protection-Landings Smoke Detector j 58: utace• V -Clearance-Comb. Air-Connector- In Garage; Above o -Ducts-Meth. Protection 15.-t Water Pipe; Test & Anchors-Nail Protection 16. D.W.V.; Test-Fttngs & Anchors-Nail Protection t xrttng 17. 50ower Pan; Test, First Floor-Tub Access 6 . .F Bath Fixtures & Tub Access d 18. T t Tub & Shower, 2nd Floor-Tub Access 61 le rim & Subpanel; Breaker Sizes-Labels _ 19. Ga Pipe; Size & Anchors 62 tairs & ai . Fie or Stove; Clearances-Hearth 64411 Elec. Outlets at Wood Panel; Int. & Ext. Card-BI Date Card-BI Date �6-Kit-Fizz& Appliance; Grnd.-Air Gap-Cooking Clearance 7 Card-BI Date Card-BI Date Date 5LECTRICAL Permit OK except H's 6 c. u e s eceptacles at Kit. Counter or; Swing-Landing-Closer 687Garage-Damper ;t _ F i_pa re & Transformer Clearance-Ins. Protection Xd_Wtr. Htr.• Vents-Clearance-Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection 21 e-Receptacles Spacing-Lights & Switches at Doors 74' Plb., Elec. & Mech. Equip. Listed for Location _ 2 Siz xes & No. of Conductors-Stapled 41-6 Garage; (G. F.I.)-Rom ec. 2 o nstalled Close to Edge of Studs & C.J. - 2 . quip. Ground made up w/Mech. Fasteners-Bond Gas &Water 72. ulation,-Foam-L-coked in Attic Yes s Deck Constructi -Post Caps � -_ ante ircuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hol or-Drainage & Wood-Earth Clearance oor es - . - - �,auhfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI-Oven Circ. /. / ga. Cu or Al, _ Insulated Neutral ❑Yes [:1 No 76__Following instld.: Drive [I Yes E) No; Walks [I Yes ElINo; Planters LJ Yes LJ No 28. rvice-Riser Conductors & Ground-Main Disconnect 76,_&uc4e;-8rdwn-Finish -; -_ 29. Equ . Clearances; Panels-Motors-Mech. Equip. tl-nit; Disconnect-Clrnces-Brkr. & Cond. Size-115V Outlet a --- 30. Clothes Closet Light-Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.I --_ Card B-1 Date . Card-BI _ Date ---- ell; Disconnect, Electrical, Plumbing j 8 or Elec. Trim; G.F.I. Receptacle-Underground Ve io firoughout House J Card B-I t Dale Date 82PT1 I rotect ion Date M CHANICAL (Permit) OK except #'s 83. orrections from Previous Inspections 84. 85. 86.NEnergy 'Gas Test-Meters Tagged; Gas-Electric 2 Water & Sewer Connected-C/O to Grade-HD Approval Compliance Certificate-Other Certificates _� 3 C_.-Ducts: Insulation & Support ent Fan; Exhaust above Insulation - 33. C densate DrainOverilow; Size & Grade _& -_ 34. Furn a-Vent; Access-comb. Air-Return Air Vent-115V outlet .----35.-Attic A cess & Platform if Furnace in Attic r Card-6N-/P--131Date Card-BI Date i Card Date Card-BI Date. Card-BI _ Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date FRAMI lans) OK except q's Comments at Final: _36. _�_/ills �rope r Material & Anchors - 37- Studs-Nailing, Spacing & Bracing-Plates-Sound _3- a ng Walls over Girders & Floor Nailing__ 39 raft Stop in Walls (rat proof) - -4 ps: Furred Ceilings-Stairs-Chases-Tub 41 Header_& Beam-Size & Bearing 42- _ ost Caps-Anchors-Connectors 43.k-' ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. ies or Type A Flue-Fireplace Throat - i) 45. Attic Access: Size & Romex Protection-Draft Stop-Ins. Baffles - d6.--BdrnrOVindows or Exiling Doors-Sill Hgt. & Dimensions_--__ ge Fire Protection Framing j (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPA%TMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller,California 95965 - Telephone 916/534-4541 APPLICATION AND --PERMIT PERMIT O 1gq N 1g " ASSE$60R ^RCEL UMR /'-- 'CLI � /i0 ZONIt;G' BUILDING PERMIT OWN 1 t 1 0_ I TELEPHONE SQA FT. OCC, BUILDING VAL AT OWNER'S MAILINGDRESS C TRA TTQR•S N M T HONE 1. i CONTACTOR'SKA LING A RESS .JI Fireplace CO STRUCTION LE UNK2Ow � Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS� _ Permit fee $ BUILDI G ADDRESS e. S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 If Water piping 5.00 LOT NO. SUBDIVISION NAME PA CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,_ USE OF STRUCTURE SF Lam' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G I W 10.00 e TYPE OF WORK New F-1 Addition Remodel U ilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. �DWELLIN�p & OR ADDNS. ACC. BL S 2Y2Q$gft 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 m license is in full force and effect. Y License No. � I q� Classification R ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2.50 ea NON -REBID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &'� NON -R ESID. \SINGLE OUTLET CIR. OR FIXTURES 9AL®ao Ex. Occu / BAL030 P\o A FIXED APP LNS, OR FIXED Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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. 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 st said County in Consequence of the granting of this permit. X JJLL��0000---- Date 0 Signature of Applicant - Owner El Contractor � Agent An OSHA permit is required for excavations over 5'0" ep and demoliti n or construct- ion of structures over 3 stories in heig t. Mobile Home Installation Fee $ ' eA:u L4 TOTAL PEkkIIf FEE OCCUP. GROUP �__5 Tr E of NST. �{ `ID the �J / PARC ,L PD/ 1/ ✓ ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS ll DateL]/� —� _ / -/� e� Receipt No. - a13vLl WHITE-D.P.W., TEL LOW-ASSe SSO PINK -INSPECTOR, GO ENROD-APPLICAN : ,I I . , , � , , , � I ''I , I " , 1, I 11 1 . ­ i � I . 1. ,I -I -1- .1 171�1!11-11. 17.,,-111111� . 11 - " mal"I"I'l . I I I I I I I I � - 7' -1-7 -77- -1-I'l-l1ir --, 1-1- - "ijf�flfT-rl`i-"-ii IM-1-lil-W-WIll �;imi� PP., .,,w I � , . � I I 11 wmfwwwawwaww���r, �q�A�ak"T.�L%��*,�,q�cia�a�,MWMW44mm A 'IT&MUmiktwtg*,Atay,�&Pb=UMRMWRVWI "8� , , "I'll low ,",Woffm*�,xxlaaa�m,imi�mw,afaAw�exkw�llaww�Y04%MM=tW�-wuv***,Swgwj,�h', ma'ampli 1, , 1, , :, I 1, I ''I''Jil 'I , 11 I I I 'I I 1, " , I I , I I I 'l !'' , I I � � i ,I '�,, :- Ij i, ,;. 1l ; .::;,I !,-l' - , �, I I , i i� , ":'' � "''I, I� 11 i , ­: 11 1. I. I 11 1, I ,-1 I � t "I'll �. i 11: ,:" "'! l , I � l 1, - ,� - 11 - - I I . I I �, I �, ,,,,, 1 1. 11 It'. I .11 . .1 1 1: 'i� , l , l 11 I I I I I I , ,, , ! ,, 1 - I I ,� I�,:� I. I I , ". i ": ': "' . � %� ii, I), I , :, , I I , II I :.'' 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