HomeMy WebLinkAbout064-260-028L3
AP 64-26-28
G. GEIST
415 Ponderosa Way, lot 39, PP#15
Permit##`3762-74P�E (iztil. , MH)"-" _ f
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contr,c-� S&N Const., MagaliaF•;w% s -if -If
AP 64-26-28
GERRY GEIST ,
415 Ponderosa Way, lot 39, PP#15
contra",_Lloyd Roberts, Paradise
Permit# 44.92-74B(garage, 2decks, i
covered deckMg) jk%bA
a 4 ; _r »� "` .� 03-3689
COIVICAST-COMM,
SEE ATTACHED, PARADISE
Cont: WESTCOAST COMM
PLACE CATV POWER SUPPLY
FREPLACE
028 04-1308
DIANE
NDEROSA WAY,
NER
D DECK I
.. -
064-260-028
ANEOUS Electric Panel
ELECTRIC PANEL ON POLE
6214 PONDEROSA WAY
HOGAN,RODNEY
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 6214 PONDEROSA WAY
APN: 064-260-028
Owner:
HOGAN, RODNEY
permit No: B07-1896
Issued Date: 09/05/2007 By KCG
Permit type: MISCELLANEOUS
6214 PONDEROSA WAY
Subtype: Electric Panel
MAGALIA, CA 95954
Expiration Date: 09/04/2008
Description: REPLACE ELECTRIC PANEL ON I
(530) 873-2350
Occupancy: Zoning: R-1
Contractor
Applicant:
Square Footage:
GOODMAN SERVICES
HOGAN, RODNEY
Building Garage RemdUAddn
P O BOX 4070
6214 PONDEROSA WAY
YANKEE HILL, CA 95966
MAGALIA, CA 95954
Other Porch/Patio Total
(530)538-9350
(530)873-2350
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4528
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
GOODMAN SERVICES 673423 / C20 CIO B C36 / 06/30/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior 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 License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
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.
X 09/05/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compansation insurance carrier and policy number are;
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is or one hundred ($100) or ess.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
�
X 09/05/2007
ISSUED, 1 shall not employ any person in any manner so as to 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.
Owner's Signature Date
X 09/05/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
propert corer or am autho ' ed to act on the property owners be alf.
_ 09/05/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
me of Pe i eaj GN] Print JDate
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
f—A36wner E] Contractor OR Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
�%3T rFBUTTE COUNTY
0 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o - �� 0 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
c . y website: www.buttecounty.net/dds
010 N"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Namet
Fi a
Ne
A le-IL11
Mailing Address_-
City
State
Z'
Phone 7
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
1 Ge S
Address
C—% e
City
E-mail
Stateel A
Zi
Phone
O
Fax
E-mail
Lic. # 6,
.7 3 4(3,c3
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
State
Address
Phone
City
E-mail
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PROJECT LOCATION
AP#
PERMIT
NO.
W vl�
Brie #
Property Address J
City
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:
e e
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA I Yes
No
Occ.
Type Const.
W,
NOTES
RESIDENTIAL
PERMIT NO.
f
064-260-028 04-1 8
MATUS, DIANE
+ j 6214 PONDEROSA WAY, MAGALIA
Cont: OWNER
REBUILD DECK `
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SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
a
CHECKED
BY
j
JOB FINALED (Date)
Signaturey
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
Date
16.
Insulation
47.
Hangers -Post Caps -Anchors -Connectors
Date
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Date
59.
Card B-1 Date Card B-1
Date
60.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Brace Interior/Exterior Wall Panels
24.
Fixture & Transformer Clearance -Ins. Protection
Insulation -Walls -Ceilings
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Infiltration -Walls -Windows
26.
Size Boxes & No. of Conductors Stapled
Card B-1 Date Card B-1
27.
Romex Installed Close to Edge of Studs & C.J.
Card B-1 Date Card B-1
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
71.
Fireplace or Stove, Clearance -Hearth
Date
72.
Card B-1 Date Card B-1
Date
73.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
36.
A.C. Ducts Insulation & Support
Garage Fire Door; Swing -Landing -Closure
37.
Vent Fan, Exhaust above insulation
A.C. Duct in Garage -Damper
38.
Condensate Drain & Overflow, Size & Grade
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Plb.; Elec. & Mech. Equip. Listed for Location
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
82.
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
83.
43.
Bearing Walls over Girders & Floor Nailing
84. Stucco Brown -Finish
44.
Draft Stop in Walls (rat proof)
A.C. Unit Disconnect, Electrical -Plumbing
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
• 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP041308
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of pedury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/21/2004 APN: 064-260-028-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 6214 PONDEROSA WAY MAG
Date: Contractor.
Map Index:
Description: NEW DECK (140)
OWNER -BUILDER 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: MATUS DIANE B
to its issuance, also requires the applicant for such permit to file a
6214 PONDEROSA WAY
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954-9452
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
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
Applicant: MATUS DIANE B
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
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,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I 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
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
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:
Carrier.
Total Square Ft: 0 S. F.
Policy a:
Valuation: $0.00
Census Code:
[� I certify that in the performance of the work for which this permit is
b� issued. 1 shall not employ any person in any manner so as to
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.
0
Date:
Applicant: W
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
in addition 0 the cost of
hundred thousand dollars provided for
compensation, damages as provided for in Section 3706 of the labor
—
/�
code, interest, and attorney's fees.
/� �`' ✓ ! 11 `�
CONSTRUCTION LENDING AGENCY
This pe it i hereb i sued nder th applicable provisions of the Butte County Coda and/or
Ihereby affirm that there is a construction lending agency for the
Resol ion to do o b r ch fee have been paid.% - --
_ _ _ 9�9 �^�
performance of the work for which this permit is issued (Sec 3097 Civ.)
r
Name:
BY - — -
PERMIT EXPIRES ON:
Address:
' (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 it is unlawful to alter the substance of an official form or document of Butte County. I hereby
authorize representatives of Butte County enter upon the mentioned property for inspection purposes.
rabove
Print Name: i Aa- �t/o�
� ' \ / r -r L % Signature:
�Y
Lr - 7 0 C11
Date:
Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
DATE:: 1'
APN: 1 � &O^ �/
!JY
ZONING: - j
/
NEAREST CROSS STREET.
TRACT/LOT#:
SITE ADDRESS: 2 j ��Tp S
CITY,
C �3 _
pZIP:
� p /� pp
OWNER NAME:[ 1�. �n n C�-p-
PHONE
STREET ADDRESS:
FAX:
CITY, ZIP:
�5 5
E-MAIL,
APPLICANT NAME:
PHONE
STREET ADDRESS: / _ �
FAX
CITY, ZIP:
c14
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
E-MAIL:
LICENSE NUMBER:
LICENSE TYPE
ARCHITECT/ENGINEER NAME:
PHONE
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:,
Cwv
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 fees will be required.
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 depart ent costs are not refundable.
For office -use onl :
Notes 11 _ _
�� ���� �� p sem-°
�'
Application Received by: T Date:
Receipt number: Amount Received: %
q4 '9sg' C 177 l6�.GU
/�
B. C. Building Permit 01-23-04 pg 2
� irk �.., .� ,7• JT �. ..,,w -i. `-.?k wt r.. .�.. ,NNKx;. e--A^+.� .�...c. +i;++..rrs+.. �- .•... r�..�e-.-.-.;m.�.-�,_•-...-..��.,.y�-... �.....•,,,u:�__ ��z.. r, .+.. .....
COUNTY OFI 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
OWNER: M(+L),S , IBJ ICI V1 e, ASSESSOR PARCEL NUMBER
Proposed Building Use: n �Pw ooetf Counter Technician: TIP. Date: S- '7`4'24
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.
11W) 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.
❑ 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.
❑ 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
V 15. Sanitation and site plan approval from the Environmental Health Department inif?Ghico ❑ 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........................................................................ ........
❑ - ,__21I• Fees as shown on the attached Schedule of Fees Due Sheet ...................... I.......
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.aA Policy Number ..........................................
31. Owner -Builder Verification (-.VGiven 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 Telephone Q 3 - 80 36,- awf?er and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: =i ce ?, ,VGE,,4�
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date:
Plans reviewed by: Date: Plans approved by: Date :
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Date:
5-7- 04/
Plan Check Letter
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
E.H. USE ONLY
' 'Piot Plea Anoched
Haar Plan, A had
sent to B.D..
/11 'Am s CMZ l 4 Novi de✓oSg lii>v Z&O -0z 8
Owner Location AP#
Plan Approved for: Sewage Disposal X Water Supply: Public 'e- Private Well
Clearance for dwelling. Other Z,9' X S' uj;cle rdnek
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
OB. -I
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 improvement : YES NO 0
2. I HAVE ❑ HAVE NOT Ei 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: i 'A iV --- -13 M T L�- c,
ADDRESS: ;t I 1 FB ju e--t2-o S (�- I Au CITY: k !i
PHONE: S`3 6. S 73 3 U V . 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 ajor work:
NAME: �1 awARP-
ADDRESS: CITY: l2 A
PHONE: 7 7 (ov 6 S CONTRACTOR'S LICENSE NO. -
5.
O.5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS
A
PHONE
TYPE
OF WORK
W A 2 0 2 x !7 ( S e_
977-4069
V )- 6 5
SIGNED:
PROPERTYOWNER: �
SOCIAL SECURI'T'Y NUMBER.- -� �
DATE: - 7— 6 9
NOPE. This Owner -Builder Verifkation is requited by Section 19531 and 19532 of the
California Health and Safety CodeThis verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a budding 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 -build" 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 yourselfi 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.
If you plan to do your 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 (including materials
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.
0 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 obligations 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 au "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 tate 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.
In
I
1 C. Vi ira, C.B.O.
er, Building Inspection
NOTE: n If Owner BuilderlWomurdon is required by Section 19830 of the California Health =d Safety Code
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT -4 2
ASSESSOR PARCEL NUMBER
SEE ATTACHED
ZONING
BUILDING PERMIT
OWNER
COMCAST COMMUNICATIONS
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
4350 PELL DR SAMMM CA 998-38
CONTRACTOR'S NAME
WESTCOAST COMMUNICATIONS CI
TELEPHONE
1341-2473
CONTRACTORS MAILING ADDRESS
140 MEYERS STREET
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee $
Lu
'i'll' ,IA LOCATIONS --- SEE ATTACHED
Energy Plan Checking Fee $
PERMIT FEE S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PLACE 19 CATV POWER SUPPLIES
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 2020
Main Service 200. OR LESS 19
23.00 437.00
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. yam/
License Class C '- I o Lic. No. 1 L of % i %
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 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLAS.
SG
3.50FT.
NOµaoEslo MULTI.OUcur
@7.50
POWER APPARATUS
8 SINGLE 0UTLEr CIR.
Ex. Occup. OUTLET OR FIXTURES j
1.00
20 BALD 9 I.50
Ex. Occup. pFUT1FrS a °�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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
Policy Number
(rhe 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
workers' ompensa' provisions of section 3700 of the Labor Code, I shall
forth I h om ith se provisions.
X _ Date - �-
Signature Applicant - ❑ Owner X Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.'41ateOq
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 437.00
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
I PO
HO
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.
PERMIT EXPIRES O
Date
Receipt No.
WHITE-D.D.S.-B.D. NARY -ASSESS PLO-I&SPECTOR GOLDENROD -APPLICANT
.,:PERMIT NO. 4492-74B
P
E
M
MH
PERMIT
NO.
PERMIT EXPIRES
'OWNER Gerry Geist
�CONTR. Lloyd Robots Const., Paradise
;LOCATION (A.P. 64-26-28 )
415 Ponderosa Way, lot 39, PP#15, Magal is
S
{
y.
Y
5
i
iyF�•
1
. 3
d
i
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/ JOB
VVV FINALED
(Date)
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
Sidinci
To out
Slab
Roof SheathingZ V
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garacie Vents
Water Htr. r
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test,
Temp. Gas
Slab
Final
Sanitation
Patio
VV
/FlhtF(LAC'E
Final
Footings
Footing
ELEC IC L
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Bea
FIRE SPRINKLERS
Motors
Framin
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under roup
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
I��s -4A- - r ���
ti
PERMIT NO.
P
E
M
MH UTIL.
;PERMIT NO. 3762-74P,E
PERMIT EXPIRES
9-
OWNER G. Geist
yCONTR. S&N Construction, Magalia
.gLOCATION (A.P. 64-26-28 )
R
415 Ponderosa Way, lot 39, PP#15, Maga.
:X
{
t, l
1p
A'
i;
i1yt
A
4
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. Q
Called PG&E U.1 r7l L— -
Temp. Gas Serv.
Called PG&E
A�
�
JOB 2 7 S � FINALED J �I
(Date)
(Si n ure)
cv
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback /U ,//— 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 jo •_ —
Garage Fdn. Vents Fixtures
Footings Gara a Vents Water Htr.
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final ,
Footings Footing ECTR CAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Pot.
Scratch Heating Service �J� %-
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Pennanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DE'PARTMENT OF PUBLI W ;,
7 County Center briv% — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize re ntatives of the C y of Butte to enter upon the
above -me 'on pro ty nspur ses.
X Date��
ig� lure of Permit/tee or
Agent
Receipt No. �Cn /
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 PUBLIC WORKS
By Date -d-02-7
iIding permit expires Date ......................:'7'.:7J
BUI DING
OwnerSO.
FT. OCC. BUILDING VALUATION
Mailing Address
3AOGC �o O
Telephone No.
Fireplace
Contractor 6 �r4�
Total Valuation 0,6
Mailing AddressG ���
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
_3e,3-5—
Permit Fee
$
Building Address p// /)� ,.t G�.'
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
Zoning & Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
IZZ954
Sa on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Im rove ents
P
Lawn sprinkler system 2.00
B g. Plane Recd
Parce Approval
Plans Approval
Permit Fee
$
$
NEW [:]ADDITION ❑ UTILITIES ❑ OTHER®
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
�/S�i�/�� E — EC✓L� E od6 ,F_A>
Main service incl. 1 meter
_ S•E� _ ���
Additional meters, each
Sub -panel (12 or less) (more than 12)
1.00
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures b0125
Receps., switches & fix outlets 2o�z3
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of C rnia Busines & Pr ion Cod nder the name
style
tf Y(g
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
o
Temp. Power Pole 5.00
�Z�—Z__ _� l
License No, /�Classification
Misc. wiring
❑ 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
Code which requires every employer to be insured against liability
for Workmen's Compensation.
thave placed on file with the County of Butte a certificate of
I
I�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
Heating
Cooling
Ventilation
Hood 2.00
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
TOTAL PERMIT FEE
@ `
Y'
authorize re ntatives of the C y of Butte to enter upon the
above -me 'on pro ty nspur ses.
X Date��
ig� lure of Permit/tee or
Agent
Receipt No. �Cn /
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 PUBLIC WORKS
By Date -d-02-7
iIding permit expires Date ......................:'7'.:7J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO
7 County nteriDrive '— Oroville, California 95965
AC Telephone: 531 4541 t� /
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Q P Date
gnaturej of Permitee or Agent c
Receipt No./ .22 9 �,_)77
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 F PUBLIC WORKS
By ate f ZJ -7k/
uilding permit expires Date...................1c......�s..�.7`
BUILDING
Owner e �� s �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address �^
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address �j D �u
Permit Fee
Plan Checking Fee&/or Penalty
�j
ZelephoneN
Permit Fee
$
$
Building Address % j
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Z,O
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
rj
Each gas water heater or vent 1.50
/ ^�
A. P. No. - {O ^— G_
�� Zon' & ,n
Gas piping system 1 - 5 outlets
1.50
1 `^
Each additional outlet .30
Fe
W.
Sanion ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
d�
Parking
EQA tans
Parcel
Declaration
Parcel Map
60'.R/W
Improvements
Lawn sprinkler system 2.00
iq g. Plans Recd
Parc pproval
Plans oval
Permit Fee
$
�
$ �—
NEW ❑ ADDITION ❑ UTILITIES% OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
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Main service incl. 1 meter
,
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
�0® SQ FT A"!/v f L SP F
Water Heater or Space Heater
21.00
Light fixtures balld10
Receps., switches & fix outlets 70025
bol 1@ 10
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
�-
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
„W
$ 44
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.1
@
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
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
Cj
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Q P Date
gnaturej of Permitee or Agent c
Receipt No./ .22 9 �,_)77
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 F PUBLIC WORKS
By ate f ZJ -7k/
uilding permit expires Date...................1c......�s..�.7`
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