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HomeMy WebLinkAbout064-320-00264-32-2 TERRY LOGUE 20 Corning Ct, PP#4,lot 2, Magalia Permit#;q65j8OB,P,E,M(new COW 64-32-2 B.L. HAVIIAND 6413 corning Ct, lot 2,.jPP#4, Magalia Contr: Illumination Ele, Magalia Permit#588-83E(percuy . a 1* ht/SF) I- 064-320-002 PERMIT#97-1706 HENSUY, Jim S' ---------- 064�LKYO-OJO -J�EN 6413 Corning Ct., Magalia Cont: Versatil.Q :�Qof* , , �,,,,f Reroof/SP R�in 0,�z 064-32-0-002 00-1870 HENSLEY, JIM 6413 CORNING CT., MAG LIA CONTR: RELIANCE PROPANE GAS LINE / HEAT STOVE r c� d' c� N �� �w PERMIT NO. 2065-80B,PE,,M PERMIT EXPIRES OWNER TERRY LOGUE CONTR. owner o �QCI�TION,(A.P. 64-32-2 u lUorning , FFV4,1ot Z, Magalia .,e 7 :k *f tl Temp. Power Po' e L1 �� Called PGIE j erv.&Erv. &E i JOB C �� FINALED S (Date) 1 - (Signature) '7 t 4� 1 Y PERMIT NO. 2065-80B,PE,,M PERMIT EXPIRES OWNER TERRY LOGUE CONTR. owner o �QCI�TION,(A.P. 64-32-2 u lUorning , FFV4,1ot Z, Magalia .,e 7 :k *f tl Temp. Power Po' e L1 �� Called PGIE j erv.&Erv. &E i JOB C �� FINALED S (Date) 1 - (Signature) '7 t M E C H A N I C A L Check List ❑ Permit ® Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ® Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1).Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. F inal ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* ❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ®,ti (6) Dissimilar metals. (7) Service regulator installed or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑� (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2) . Location. (3)'PR Valve Drain. ❑ F inal [] D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas: (1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 CK 0 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT_,Io _ Cn EQ(J,) & (location) BUILDING PERMIT NO. A;P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: - (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER. APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) [/ CERT. & LABELED,WDS. C/ & SLIDING DRS; WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS -OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name GILD 17,1 kis, 1-N 1.1 0 Signature of Insulation Applicato (please print) State Contractors / ( License No. General Contractor/Owner Name L06 CUL' n AS�YGiCi ,aril ( l Signature of ease print) General Contractor/ er L-- Date �o� ��. 90 State Contrac ors License No. vcl sl ?j ` THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. pv "l >> // fid% cc/, c/4,7 JA0,vt� 11-ler"v o/t 111a CA -t DATE REMARKS OR CORRECTIONS wo G s �Oi�Rr (/��f/I 4 r� 7,9 GE Ouzo 6Q4y 4 _70' /�rJ.� - 02 o,� w c1 r5l4f Off GGo�Se Ca .vfcd 7vp' o4) lwe r Ufa cr A, AIA OTE: Anmustbe made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION• RECORD 5A% �CSetback , BUILDING 6 {q BUILDING (Cont'd) Firewall P Soil Piping U BING &4- For .- a ®' Parapets 1st Floor Main Bldg. Restroom Finishi 2nd Floor Footings _ Windows tom+ 3rd Floor Stemwall otip Siding To out —To Slab Piers r Roof Sheathing Roofing Water Piping Sewer C{ J!:, Garage Fdn. Vents Fixtures - Footings StemwaI1 - O tp - v frfp Garage Vent Insulation 2v Water Htr. Heaters t/r Slab Carport Footings Slab Prov. for ph scall; handica ed Conformance of ex.-- structure Final A IiancesIf Gas Piping& TeST--� Temp. Gas Sanitation Patio 11. rL a FIREPLACE Final j ,' 4,4' Footingsl Footing EL CTRICAL Masonry Walls ThroatN�W�Rough -% -b Reinf. Steel Final 0 -%— Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. -Pule+—' Finish Ducts %" Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME IN TA ATI N - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS wo G s �Oi�Rr (/��f/I 4 r� 7,9 GE Ouzo 6Q4y 4 _70' /�rJ.� - 02 o,� w c1 r5l4f Off GGo�Se Ca .vfcd 7vp' o4) lwe r Ufa cr A, AIA OTE: Anmustbe made on this form each time you visit the job site.) 1 L COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 Countq Center'Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT - PERMIT NO. ASS R ARCEL NUMBER ZO IN BUILDING PERMIT OWNER t J.a o u c' - TELEPHONE 972 -a/ 61- SQ. FT. OCC. BUILDING VALUATION 0 ER'S t,.^�/q_ LING DR12AS u 7- ./¢ 160 CONTRA c ONT AC TOR'S NAME TELEPHONE d M_ CONTRACTOR'S MAILING ADDRESS r ' CO STRUCTION LENDER • ' Jt� UNKNOWN .. Fireplace p0 Total Valuation $ LE R'S NJAILING ADDR SS t 00 Permit Fee $ 1 AR HITECT OR ENGINEER o J'-` LICENSE NO. Plan Checking Fee ! $ Penalty 1 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee j $ a67 - BUILDING ADDRESS - - PLUMBING PERMIT Filing Fee 3.00 CA Each Trap 2.00 (o -- Repair drainage or vent piping 2.00 �r✓%J� Water piping LOT NO. Su DI VISION f1AMEPARCEL / MAP Jy- Each qas water heater or vent 2.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other 'SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK Newx Addition[] Remodel❑ Utilities❑ Installation❑ Other F] Describe work: — Permit Fee $ Contractor S`Dc is ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP ORV OR SLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OC & -1 OR AODNS. ( ACC. BLDGS. a) 20 sq ft J [� CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): ❑- I am licensed under provisions of Chapt. 9, Div. 3 of the-Businesss0@2sa and Professions Code and m license is in'full force and effect. y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI T 2,50ea NON-RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. Ex: Occup(o XTS OR FIXTURES BAL@1Cq IED PK Ex. Occup.( OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor (,N} MECHAN CAL PERMIT Filing Fee 3.00 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 w, GQ I Cooling t L'Y'Ll Hood 2.00 Ventilation permit Fee $ _ ContractorS_ 0 A iL f1� 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, osts, and expenses which may in any way accrue against id County in con equence of the granting of this permit. X Date y'�-' dV Signature of Applic nt — Owner Contractor El Agent ❑ An OSHA permit is required for excavat' ns over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh Mobile Home Installation Fee $ Land Development Fee $— D TOTAL PERMIT FEE $ -3-% R OCCUP. GROUP I TYPE OF CONST.PAR7 V/ P . I,D VVV/ 5su This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do wor ndicated above for which fees have been paid. R OFLUBLIC WORKS ��r nay (J ,axe,— PERMIT EXPIRES Date ___V Receipt No. S WHITE-D.P.W.. YELLOW -ASSESSOR, PI - SPE R, NROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 or no). 2. I (have/have not) AUC 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: _ Address KcMU SJ - City, Phone T7,-,tL64Q _ _ Contractors License No.1NAZ4 4. I plan to provide portions of this work, but I have hired the following person to coordi e, supervise, and provide the major work: Name_} abg 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 A 800E Signed: Property Social Secu number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831- and 9831and 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. COUNTY OF BUTTE — D.EPARTMENT OF PUBLIC WORKS — BUILDING DIVISION j• 7 -County Center Drive — 0rov.ille, California 95965 — Telephone 534 -4 54 1 PERMIT APPLICATION DATA SHEET 1�1 Permit No. OWNER /GK►2�� (� ��IlRI� A.P. No. --3:.- 2 r Proposed Building Use .t_ 5 Permit fee based upon: Complete Contract Price Y_ DPW Valuation rOther (explain) Building Inspector V �nt./�/�_ Dater- 11 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization ...... n .................................................... 10. Sanitation approval from fhA o. JU-'-'� Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ i�� f3. Contractors -License Information (no., name style, 5005.-/ is S_ 'Q .A_ classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg.inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. r - Other /t Applicant Date Z4 Copy of plans sent Health Dept., Fire Dept., Other Date- During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: r/` (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans approved by OTHER: CnnV npw Telephone Mail Other Date ' " To� Guildin� ncpucu*eoc Fcmn� �nvt�on�encal Hcvl�h Sobjec,� Sani/acton�C)earunce ` ,` � ~/ _ �� ~`a' `�~ *� -� �� ���t°����^/�-� ~-�� O�ncr � �oca�1oo � P)ann vppcovcd �or� Sevo�e Dixoos«\ Uo}� finol �nr� . . Fioal Clcorance O.K. for� C\eor^nce (oc� —\ kedromn mobi� 0�h�r ---------' � c__-~~' � � - �� C|emance [or uJdicion o[ ` � � �u,c*+ ____ /^O'7�`��� ��� �a�cr Supplv �^--- � �acer Supply________ � �acec Supply________ 064-320-002 PERMIT#97-1706 HENSLEY,Jim 6413 Cor ning 3 Ct., Magalia Cont: Versatile Roofing Co. Reroof/SF --/�/�� 0 Ll COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville alifornia 95965 - Telephone (916) 538-754'ERMIT NO. (Rev. 12/96) APPLICAIM AND PERMIT Z '97—" / � ASSESSOR PARCELN ER c�r,�l- 3aU-UoZ ZON1 - t BUILDINGPERMIT OWNER TELEPHON �r CYC s �• 3- �yy ' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG R S 13 C Ma ' FF 4� 5 A to/ ol- r't r �, t CONTRAC O S NAME TELEPHONE a'E.c.-Q.`t/ o 0 1 ro� B'13 • �! 31 CONTRACTOR'S MPNUDRE�l6 a7� 90 / tj _' IK,� CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ .0 U ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 , G V ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS L1 Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE • Solar or heat pump water heater 23.00 SF -,,6 Duplex ❑ Mobilehome ❑ Other Water piping 15.00 Each as water heater or ent 15.00 SPECIFY TYPE OF WORK Gas piping system 1 - 5 Atlets 15.00 New ❑ Addition ❑ Remodel ❑�Ut`ilities ❑ Installation ❑ Other 19 Building sewer 15.00 Work: e. " tom' OC 9 ;I Mobile Home I S I G W 920.00 Describe PERMIT FEE $ V ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oA o_ss 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADONS. ( 8 ACC. BLOS. 3.5¢FT. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON-REsID. MULTI.OUTLET @7,50 and my license is in full force and effect. C �� POWER APPARATUS 3 SINGLE OUTLET CI License Class � y Lic. No. 7 O D �� 20 @ 1.00 OWNER -BUILDER DECLARATION Ex. Occup.OUTLET OR F—R BAI_ .so I hereby affirm under penalty of perjury that I am exempt from the Contractors License APP Ex. Occup. OUTELETS EA 5.00 Law for the following reason: Temporary Service 23.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 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 Misc. Wirina 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $ reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' : Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I Hood 4 6.50 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance c rier and policy number are: Carrier PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall OCC-OONlT.- PE TOTAL FEE $ not employ any person in any manner so as to become subject to workers' HAZ. D.FEES IMP FLOOD CDF PARCEL PD HD IS UE compensation laws of California, and agree that if I should become subject to the I I I workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions °- of the Butte County Code and/or Resolutions to do work X L� + Date `indicated above for which fees have been aid. _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent i An OSHA permit is required for excavations over 60" deep and demolition or construction) B r�YL-G�:�'/�.G! C> of structures over 3 stories in height. yt r✓� Receipt No. t� ��OlCo Ste% L'/fJdf- 156-Te,4 p�a�Date PERMIT EXPIRES ON !� �-92 2 � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date y 2 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Califo- 7. 1.95965 - Telephone I)P, WI (Rev. 12/96) APPLICATD PERMIT BUILDING DIVI N (916) 538-7 PERMIT NO, ASSESSOR PARCEL3 BER y - ao - 002-N Z. B DING PERMIT OWNER TELEPHON SO. FT. OCC. BUILDING VALUATION n,. . U OWNER'S MAILING REfS� 13 Car M'1 YY\ 0. CONTRACO SNAME TELEPHONE a r/t OO I � /� J�/`•`,�, (^J CONTRACTOR'S NG�D("�D•�{Rj$fi�, Q IT ��•[J 6 D / CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ,d ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' Energy Plan Checking Fee $ Q PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFC4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heflier 23.00 Water piping 15.00 Each gas water heater or lent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑�Uti_lities ❑ Installl�ation ❑ Other §il Describe Work: �— 70!/ = oC s Gas piping system 1- 5 Atlets 15.00 Buildingsewer 15.00 Mobile Home is G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0AORLESS 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.FOWER License Class C-3 Lic. No. rZK.5_0/ Q Q O NER-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,IF 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 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( g ACC. BEDS. 3.52FT. NEW NON-RESID. U . CT., CRR UI @7,50 APPARATUS 8 SINGLE OUTLET CI 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURJ6 BAL @ .so Ex. Occup.OUTLETs(REESID EA 5.00 Temporary Service 23.00 I 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. I 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 c ler and policy number are: Carrier S2!S4 205 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwithcom y with those rovlsions. �fiJ-Cf X /" `—_ Date _ �_ / 2.. ' % 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. MECHANICAL PERMIF Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ noc 1` -S E TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PO HD IS UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat above for which fees have been paid. By p ^Date PERMIT EXPIRES ON I Date Receipt No. ,S �r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �v � ti'Y'.-r.-. '� `i�i'J"aV"�x.^Kr's�Y�}"i .�Y: i.� i �K .. ^4Y u't :i+�FY.w �a N .. nr r. -w u .� �.. a i - t 3�s� 3 � v;, ��.- -_ COUNTY OF BUTTE MENT OF PUBLIC WORKS 7 County Center Drive - 0roville. alifor`,A.ia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ERMMITNO. ASSESSOR PARCEL NUMBER .. --- ZONING ' BUILDING PERMIT OWNER 0.0-Y h'S -f–f LA/\/ , TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS CONTRACTOR'S NAME wrrakt 6�1FC-P ?I C TELEPHONE R-7 —0 CONT ACTOR'S MAILING ADDRESS v/LLE 2—b. / /14 Fireplace C NSTRUCTION LENDER UNKNOWN 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 $ BUILDING ADDRESS , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 J Water piping 5.00 LOT NOO.. G.- SUBDIVISION NAME - 4 - PARCEL MAP Each Cias water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home TSTG FW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other Describe work:,��*�=x1; /✓?-Y (1APOR L.,,l6WT,- — 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.(DWELLING OCCUP.& OR ADONS. ACC. BLOGS. 7 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 2N__I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f rce and effect. License No `4Z Z� Classification /� Fl 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 ULTI.OUTLET 2,50 ea NON.RESID, BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES B0 50c 300 FIXED APPLNS. OR EX. OCCup. OUTLETS (RESID.) EA.Y 2.00 �•00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 permit Fee $ Z Contractor MECHANICAL PERMIT FiIingFee 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter /L101on the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, ,posts, and expenses which may in any way accrue against -said County in consequence of the granting of this permit. / - r X Date "— 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 3ttst�ro7�ries in height. Mobile Home Installation Fee $ U.,.._._.• TOTAL PERMIT FEE $ /L OCCUP. GROUP I TYPE of CONST. PARCEL PD ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 1 DIRECTOR OF�F'UBLIC WORKS �y By �� �--.ice Date � ��✓ PERMIT EXPIRES Date % rQ e Receipt NO. �J/`s WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAIiTMrzNT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca'fifornia&965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER NO �.� ASSESSOR PAR EL UM B R ZONING BUILDING PERMIT OWNER / �, TELEPHONE 5• L►r7 / OWNER'S MAILING ADDRESS CONTR CTOR'S NAME TELEPHONE L t0M 3-04 CONT ACTOR'S MAILING ADDRESS Seo E V1LLE eD• A, - SO. FT. OCC.BUILDING VALUATION Fireplace C CrNST RUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILYNG ADDRESS - Penalty i Permit fee $ 10.00 $ ,$ $ $ BUILDING ADDRESS p PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI Z VISION NAME — — PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF rV Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other yj Describe work:.' iz mil ( OIQ-iF>�%T'• — 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. DWELLING OCCUP.@ OR ADONS. ACC. BLDGS. 2�zQSgft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (Check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full f rce and effect. y License No� G�'-� Classification �& ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS S NON-RESID. %SINGLE OUTLET CIR. Ex. Occup(o 20@50Q OR FIXTURES sALO 300 FIXED ED APPLNS, OR Ex. O�jccup. OUTLETS (RESID,) EA.) 2.00 .0c> Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Z o� 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 Countyot Butte to enter the above-mentioned property for inspection purposes. I also agree sav ,indemnify and keep harmless the County of Butte against all liabilitie , judgments, osts, and expenses which may in any way accrue id ounty in con equencq. of he granting of this permit. Date Signature o Applicant — Owner❑ Contractor) Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovverr,3 stories in height. Mobile Home Installation Fee $ Op TOTAL PERMIT FEE $ Z z__, 4CCUP. GROUP TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under Bions of the Butte County Code and/or +vork indicated above for which DIRECT R O UBLIC 3y 3ERMIT EXPIRES Date 3-7 the applicable provi- resolutions to do fees have been paid. WORKS at ,%-C� Receipt NO. /✓d�>�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "`^".'E"'"'}t.^rn`Yry�1rJt.: :a'Y,�nw.^n+11""' NY!W4i."r-'2''9N:idY4TTL'+i�dF....� 1?Y'.:wstW^.'e"fr ;rorrY.r•+.•yy.:_....r, „g..... .. .f_., 064-32-0-002 00-1870 �,.,• y' _ jjENSLEY, ]IM 6413 CORNING CT., MAGALIA CONTR' RELIANCE PROPANE GAS LINE / HEAT STOVE I OFFICE COPY Address GAS Meter B Date o2 ELECTRIC Meter-- �,te COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,[yR'I'NO. (Rev. 12/96) APPLICATION AND PERMIT v ASSESSOR PARCEL NUMBER 064-320-002 ZONING BUILDING PERMIT OWNER y. Jim Hensley TELEPHONE 373-7762 SO, FT, OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 6413 Corninn Ct.. Mnr.alia. CA 95954 I CONTRACTOR'S NAME Relinnep Prnnnnea TELEPHONE A77 7740 CONTRACTORS MAIUNG ADDRESS 6426 Skyway, Paradise, CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6413 rorninQ Ct.. Maeelia, CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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: Gas Line/Neat Stove. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 �r PERMIT FEE $ 55. VV ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service zo.A 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 r Lic. No. 737 �� 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 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 is issued. 1 G -,'I have and will maintain wokkers"compensation Insurance, as required by Section 3700 of the Labor Code, forVtKe performance of work for which this perrM is issued. My workers' compensation insurance carrier and policy number are: Carrier 15.19- t -1'F- Ir, + cI I Policy Number 2,lL_ (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. % X /' _51— Date 'P, GG Signature of Applicant!'❑ Owner ❑ Contractor ,O -Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Main Service 200A To I000A 46.00 NEW CONST. DWELUNo occuP. so OR ADDNS. ( a Acc. aLos. 3.50FT; N RE IDT MUL 1 NIRLETQUITI 97.50 POER APPARATUS aSINWGLE OUTLET CIR. 20 OUTLET OR FIXTURES O I °O Ej(, OCCU 2L 00 Ex. Occup. pigqa,p°ER,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANI AL PERMIT Filing Fee 20.Q.0, Heating Cooling Hood 6.50 Ventilation PERMIT FEE $''J' " Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE it)Liu r TOTAL FEE $ HA2. p. FEES IMP I FLOOD I CDF I PARCEL I PD I HD ISSOE r 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. (1111a444_--_Dateof BY /- �- �f•'r 1 PERMIT EXPIRES ON fox 1, '(Date) ReceiptNo. fit'"t� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .;. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541MbNO. (Rev.12/9 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-320-002 ZONING BUILDING PERMIT OWNER Jim Hensley' TELEPHONE 873-7762 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 6413 Corning Ct., Magalia CA 95954 CONTRACTOR'S NAME Reliance Propane TELEPHONE 872--7740 CONTRACTORS MAIUNG ADDRESS 6426 Skyway, Paradise. CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6413 Corning Ct.. Ma2alia, CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 5d Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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: Gas Line/Heat Stove Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600OR LE Main Service zo.A VOR 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. ���3/C 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OwELLINc OCCUP. OR ADDNS. ( a Acc. BLDs. s0 3.5¢FT: NoµR6IDT MULTI -OUTLET 97,50 POWER APPARATUS E SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES .00 SAL @ I. 0 Ex. Occup. oFlUXT TAP Es1o1FR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. 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' compor}satjon insurance carrier and policy number are: Carrier 5T -i7 -e F✓n -1 MECHANICAL PERMIT Fling Fee 20.00 Heating hearer 5.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number F4/(, - %o lJn r1'oac0,0'] `2 (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forth c ply with theprovisions. X Date Pi z1% __ Si ture of Applica Owner ❑ Contractor gent 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 $ Occ CONST. TYPE 70.00 TOTAL FEE $ HA. Z. D FEES IMP I FLOOD I CDF I PARCEL I PD HD This permit is hereby issued under of the Butte County Code and/or indicate bove for h fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �Q ate Q Dafa Receipt No. 302381 $70.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 1 2/96),_ ; APPLICATION AND PERMIT ASSESSOR PAitEL NUMBER _ _5c �/ ZONING BUILDING PERMIT OWNER r, J n M �P5/e TELEPHONE -776 7- SO. FT. OCC. _ BUILDING VALUATION OWNERSNO ADDRESS cG/nr/f 0- CONTRACTOR'S e 14,? " C TELEPHONE X77- 77yd CONTRACTORSNG ORESS 6 1A Z CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation b NG ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAfUNG ADDRESS Plan Checking Fee $ BUIL.OiNG ADDRESS C'�,C'q Energy Plan Checking Fee $ $ PERMIT FEE t LOT NO. SU8DNtSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF�Duplex ❑ Mobilehome ❑ Other svECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition Cl Remodel ❑ Udl'Ities ❑ Installation ❑ Other ❑ Describe Work:t7 ��j/�l e l �2�9 Sf c��/� T Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.0 Mobile Home I S I G W 920.00 PERMIT FEE $ — ELECTRICAL PERMIT Fling Fee 20.00 Main Service z60o0V oA LEss 23.00 . Receipt No. WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. Dwa.uNG OCCUP. 3.5¢so. OR ADONS. ( 6 AGC. BLOS. FT. NEW CONS MULTI -OUTLET NO N•RESID. @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRURES RAL ® 1,50 FL1E0 APPINS. OR EX. Occup. OUTLETS .=. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee $ °" CONST.TYPE� TOTAL FEE $ HAZ. D. iEES IMP FLOOD CDP PARCEL I PO I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON era 71 IL :f, q :%Od bob "r "ca Ap "Otp�yMX{VP{wVk� alk `�� l.."'�„ ...,�t44 ,... , +fi� y y"'�,'' G':4 1I4 . \5°ft � �"A, �i"`f ?,. �M {yri��t .. 14 � P L Hj I al 01'1�� "41 mm X Z T M- RIM!" M-011 ffli , I �) '': � t I I 6i�l i ti, G42 e me [LOIN I A 7 .7')4f,i� I H ''I" I Al oo -7- vz 4(* DRAWN 10Y ""I CHECK 00 IV, PC T "S"'PTIM IDATr- Z#1604 �7 0 HT N" H, .1 E C SA M, U, E L ----------- ............... (I N y Dip, t: L 815- 00 k L V',. 1 (, I � I I I I I , I , I - - I .-- -I" - SA M U' P A, U [L,' A'9 Oft T "9' Ilk mw� 77-7--7- C*AWHEIYC-- JOB NOIZ �e, c # 4 S A M U E'L A U L A A C,'H,l T IXYf qU` oksc-A 6.H� . . . . . . CoOVnIaHT Y'W �E CW5 lt�rdley OEVISIONO IPTI R" It 1 7 �7' --�jl HOM188 FOR LIVING' INC. 14 � 1 DhAWN. tly tHECKED BY rot P 1 , S A U �P 'A U �A R C �H T,EC T tQ JOBNOI.-72-�Gl SHEEt -NO. TYPE = AFYISIONi DATE bESCMPTION 11 o4u Il .1&o .7 7 0A). t3 Toey, 6 nr+!9 DRAWN OV,— CHE TYPE 4N -4, - hip I LY S",-FOR� A U L ITI, S A M,,'U kk D A� AC -H LT NG� COPYR 0 T 4� I DATE h9Vj6jj)NS DATC MdAIPTIO