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*
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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
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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
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Temp. Power Po' e
L1 �� Called PGIE
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erv.&Erv.
&E
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JOB C ��
FINALED S
(Date)
1 -
(Signature)
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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
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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
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Ouzo 6Q4y 4 _70' /�rJ.� - 02 o,� w c1 r5l4f Off
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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
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OTE: Anmustbe made on this form each time you visit the job site.)
1
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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
'
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064-320-002 PERMIT#97-1706
HENSLEY,Jim
6413 Cor ning 3 Ct., Magalia
Cont: Versatile Roofing Co.
Reroof/SF --/�/��
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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 $
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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
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