Loading...
HomeMy WebLinkAbout064-340-006- 64-34-6 Richard Miser f r� };� Sherwood Cir lot 80, PP�k4, Maga. '/ Permit #7,194-79B,P,E,M(new single family)zx - --- 64-34-6 I ARNE HAGGLUND 14195 Sherwood Circle, Mag Contr: Black Beauty Chimney Sweep { PErmit#2601-87B(wood burning stove)SF I i i 064=340=006PERMIT#97=1527 HAGGLUND, 1:4195 ,:Sherwood '.Circle/ ,Cont -.Tri -Flame. Propane (' Gas Line & Free-Standing,Htr/SF I I - cvgnq j- COUNTY OF BUTTE- DEPARTMENT OF'pEVELOPMENTSERVICES -BUILDING DIVISION 7 County 'Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �" �S ASSESSOR PARCEL NUMBER ) -ZONING BUILDI G PERMIT OWNER x T�/r / SO. FT. OCC. BUILDING VALUATION OWNER5 SS w � IU D CONTRACTOR'S NAME TELEPHONE � CONTRACTOR MA NO DRESS ,. . O CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace i Total Valuation $ ARCHITECT OR ENGINEER UCENS: NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS I Permit Fee $ I Plan Checking Fee $ BUILDING ADDRESS /11/9 I r Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCq MAP I PLUMBING PERMIT `Filing Fee 20.00 USEOFSTRUCTURE SF ZDuplex ❑ 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 s"o' \ TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Desc ibe Work: (S /�� Mobile Home S I G W 920.00 ' PERMIT FEE $ 5 ,o•'O ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceeoov oR Less 20 IA OR LESS 23.00 t LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Profesions Code, ) and my license is in full force and effect.) License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contraors License Main Service 200A To I000a 46.00 NEW CONST. / DWELLING OCCUP. OR ADDNS. \ a ACC. BUDS. SO 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC CI CUI . @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .so Ex. OCCU FIXED APES, OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole copensation, will do the work, and the structure is not intended or offered for sal 0/1, as owner of the property, am exclusively contracting with licensecontractors Mobile Home Facilities 20.00 Misc. Wiring 23.00 to construct the project. ❑ I•.am exempt, under Sec. Business and Professions We for this r I4 reason - PERMIT FEE S i WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure r workers' compensation, as provided for by section 3700 of the Labor Cie, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as requir(by Section 3700 of the Labor Code, for the performance of work for which this pelt is issued. My workers' compensation insurance carrier and policy number a Carrier Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Policy Number (The above sections need not be completed if the permit is for work a valuation �of one hundred dollars ($100) or less.) CaI certify that in the performance of the work for which this permit is ued, I shall not employ any person in any manner so as to become subjeco workers' compensation laws of California, and agree that if I should become )ject to the workers' compensation provisions of section 3700 of the Labor)de, I shall forthwith comply with hose provisions. /� Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ p, HAZ. D. FEES IMP ' FLOOD CDF PARCEL PD HD ISSUE V This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X`t, Date indicated above for which fees have been paid. _,�,4/ Signatureof Applicant ❑Owner ❑Contractor- ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition construction of structures over 3 stories in height. , ;kDate PERMIT EXPIRES ON l 11 r Dele Receipt No 1":;i N WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RAPPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11 ��VJJ 40- ^� ZONING BUILDI GPERMIT OWNER11 TYYYY o 7 / SQ. FT. OCC. BUILDING VALUATION OWNER U D SS C�- CONTRACTORS NAME - TELEPHONE CONTRALTO MA NG DRESS ^� .A J 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 C J1� e�ZdvO / i.� Energy Plan Checking Fee $ $ ii% l+ & a— PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP - PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF E/Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiloes ❑ Installation ❑ Other ❑ s D 'be Work:Mobile Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORueSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION i 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, Z.will do the work, and the structure is not intended or offered for sale. l, 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 OCCUP, OR ADDNS. ( & ACC. BLDS. so 3.50FT. NEW CONST. MUITI.OUTLET NON-RESID. B qNC C C S 97.50 POWER APPARATUS &SINGLE OUTLET CIR. Ex. Occup OUTLET OR FIXTURES 20 @ 1.00 g4l @ .so Ex. Occup. OUTLEEDTs REESSIo)FR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating , Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I one 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 f fo ith comply with ho provisi s. X Date Sin ur p a O e ontra -_Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction f structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 0. o-0 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit•is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. at ` Osfe FReceiptNo. ITE-D.D.S.-B.D. CANARY - ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V' OWNER -BUILDER VERIFICATION •Attention.Property Owner: An "owner -builder" builduig'perrnit has been, applied'for'in�your`:na to Ind.beanng'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 0 NO ❑ 2. I HAVE HAVE NOT D 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.. CITY: PHONE: CONTRACTOR'S LICENSE NO. .4. Iplan to provide portions of this work, but 'I have hired the following person to coordinate, supervise, and provide the major work: NAME: ' ADDRESS: .' CITY: PHONE: - - CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: + PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ 3 � y —7 (o DATE: ,-- .r l l % % NOTE: This Owner -Builder Verification.;is required by Section 19831 and 19832 of the California Health and Safety Code.. This verfcation, must be completed -and- ­ returned to, our office before"we'are permitted to issue'the permit. ,, _ OVER I OWNER BUILDER PiFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of perry improvements specified. For your protection, you should be aware that as "owner -builder' you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself. you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. Thev 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-foJowing information for yot+r-benefit and protection: t If you employ or otherwise engage any persons other than your immediate family, and :he work (including materials costs) is $300 or more for the entire. project, and such persons are ,:a� .tcens,:d as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tae 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, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Ovmcr Buildcr eriEcation"on'the rc erse sidehl %' c. t: ;s for::; so 4.a.' . e can thatyou are aware of these matters. The building permit will not be issued until the verification is returned. i rely, iCCJ�_, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Orvner-Builder In is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE BUILDINC,� DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date _7`.2�-'9? Inspector REV 10/92 - ;�. i � t :$ 1 {� �,f-��,9t .- � ,f'K � � iN •,.;�``'f''',;_., l' ti,� c. .:t,�+.r"';,,/ ,�'x,fl'F.' _ `r 4jork r or� A h S74Gr. Il e yoe 05 �. VC,� .. .. .- .- . r L� .. �- • •-..�N.y,. ... 1 `s.. � � - r . °,l . � 1':.. '2" �gY e..r , a tR1?btiT'y .. , � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOS. - j 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /� �� Vic% /, - APPLICATION AND PERMIT _ , ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER, �' -" �' ELEF'HONE �r 07VI SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / CONTRACTOR'SNAME �� � - „ -- v TELEPHONE / r 0 �^ CONTRACTOR'S MAILING ADDRESS ° jJ , -_" Jr/ 7. �.• ,^-;_t:(�:Y.� Fireplace CONSTRUCTION LENDER - UNKNOWN T0`tpl,\4aIuatio1i Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Per t,Fee_ �o,,� .��2 I� Z $ ►�� /,� r ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan ecly,rlg, .� $1 ,1 n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERIU11t`` '\ Fi�ipga s 10.00 — f Each Trap 2.00 Solar or heat pump water heater 0.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ` 5. Each qas water heater or vent 5.00 USE OF STRUCTURE SFFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets '9.00 Building sewer 5.00 Mobile Home Is 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEl Other ❑ Describe work: �!/f7ra�{i%�. { `- /lr: fi�fi > _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 " Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OR ADDNS. ACC• SLOGS. / OCCUPM , 1 �ZOsgft NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu 20950e p OUTLETS OR FIXTURES eAL@30 FIXED APPLNS. EX. Occup. OUTLETS ((RESID .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments co._ts nd enses which may in any way accrue agai st. d County Irt cbnse"qsu e o e gr ing of t��irnri.,,This X R Dat- ~/i Signature of Applicant — Own r ' Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0•' deep and demolition or construct- ion of structures over 3 storiesiin�height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ p -2'J `j OCCUP. CONST.TYPEJ I FLOOo PARCEL PID ND 1590E permit is hereby issued under sions of the Butte County Code and/or work indicated above for which i DIRECTOR OF PUBLIC BY h4 �" [ !�, .'_ ,.�' �, PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ///_ Receipt NO. WHITE-D.P.W.. YELLOW-ASeE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT ' -d Page No. of Pages 00c Qr T RA X E115M PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME q CITY, STATE AND ZIP CODC JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: —Llo Ile Provalie hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- Authorized %` Signature tions involving extra costs will be executed only upon written orders, and will become an A tions charge over and above the estimate. All agreements contingent upon strikes,. accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. Arreplaure tit froposal—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature FORM 118-3 COPYRIGHT 1960 - Available from Jn e inc., Groton, Mass. 01450 j SPG � N' � ,�.C�� /�r `/s .., '��. J� �� j SPG � N' � ,�.C�� /�r `/s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 34,/1 APPLICATLOIN AND PERMIT ASSESSOrR PARCEL MWER ' . ZONING - BUILDING PERMIT. OWNER PHONE SO. FT. -OCC. BUILDING VALUATION OWNER'S M ILI AE Sb 67` CON R CTO NAME � T EPHONE s V r CONTRACTOR'S MAILING DRESS i 5yx Fireplace 7 CONSTRUCTION LENDER . UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS •- Permit.Fee $• ' ARCHITECT OR ENGINEER -: LICENSENO. Plan Checking Fee '•$ ' Energy Pian Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ ' BUILDING ADD Es Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 ,LOT NO. 6 _ SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SF,k Duplex[] Mobi lehome❑ Other ► SPECIFY Gas piping system 1 - 5 outlets _ 5.00 Building sewer 5.00 Mobile Home S G W O.00ea' ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 'Utilities ❑ InstallatioriE] -Other ❑ r Describe work: .�%l'%O�/'��7�/lib _ -� > Permit Fee ` $ Contractor ' c ELECTRICAL• PERMIT Filin Fee 10.00. 9 ` Main service 100 S AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check -one): • + F -1I am licensed under provisions of Chapt. 9, Div. 3 Of :.the Business and Professions Code and my license' is in -full force.and effect.. License No. Classification 1. .. - El. I, as the owner, or my employees with wages as their sole'compen- sation, will do the work,and the structure is not,inte_nded or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ti ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 , New �oNsrR(A h2sgft 'TBI U OUTLET NON -REBID-' BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200030 FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities15.00 Mise. Wiring 15.00 Permit Fee $ ' Contractor WORKMEN'S COMPENSATION INSURANCE, I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less.: ❑ I have placed on file with .the County of Butte Building Department a Certificate of Workmen's Compensation Irisurance or a Certificate of Consent to Self -Insure. iU I shall, not employ any person in any manner so as to become subject to the W. C. laws of California. Not IceApplicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code; you must forthwith comply with such provisions or this permit shall be deemed revoked. - MECHANICAL PERMIT Filing Fee 10.00 Heating . Cooling Hood - 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction,, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j'udQments. co is nd penses which may in -any way accrue agai d County I o ce o e gr ing of thi' rmit. %� ' Dat ��� Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and demolition or,construct- ion of structures over 3 stories in height. ' Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $- occOP. CONST.TYPE FLOOD PARCEL PD ND 39UE This`permit'is hereby issued under sions of the Butte County. Code and/or work' indicated -above for which DIRECT R F PUBLIC BY . PERMIT EXPIRES Date.- the applicable provi- resolutions to do fees have, been aid. p WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT `•"r Temp. Polder Pole i t Called PG&E K lec. Serv. '�%ed o7,R PG&Eas Serv. ed PG&E FINALED(Date) F- �� )s (Signa ure) RESIDENTIAL 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 (location) BUILDING PERMIT NOJ7/9,- W6 P Fes. A.P. 'NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not"applicable) INSULATION: GLAZING: - Slab Edge 42A Single Glazed A✓1� Fdn. Walls Aj A Special (Insulated) Floors CERT.•& LABELED WDS: Walls & SLIDING DRS. ice. Ceiling/Roof .1,9 WEATHERSTRIPPED DRS. .Ducts r/ BACK DAMPERED FANS f Circulating Pipes (— INTERMITTENT IGNITION DEVICES'" APPROVED"HEATER CERT.'APPPLIANCES- 1, " APPROVED WATER HEATER_ 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'<���,-� (please print) Signature of . Insulation Applicator .State Contractor License N�q�-� General Contractor/Owner Name (please print) Signature �of General Contractor/Owner ��, ��� Date 3 �a State Contractors License No.' 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. Scratch Heating �Z ' d ® Service Brown Cooling p 4W Temp. Pole 2 Finish Ducts /— ._?o —,Yo 6> Underground V Interior Lath 't' 'Y' Ventilation 7, a Permanent a—"-46 Door Closer O 7 Final i Yr,a Final +� n1 MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal S Water Piping 7i ixt% C rc/ ftn Gas Piping J SAOBILEHOME INSTALLA................... Support Elec. Continuity �C Water Piping Drainage Gas Piping DATE / REMARKS OR CORRECTIONS o23-�O Ole !%D!// `p✓.[/4. �,L ��OJS� G� 9Q/t�Lr6 7 �LE4/L C�£Cl� (� 1;;,P�1�rf5- 401q;,v, a/£l>G- ku�s> y,��/e: Cl �n ,L 4V4� L?-. four al i %l/� o.J c Ca���� ���5�- ,✓��q, - Ole ToCite- we- 19 ho V/ d F /Ga/," >•'3C�.. f 1,6,t /iaf 41a /1�>/.:"7 `tod�r ove y > °/C , i �r rE t. , 7e% dpi. ti �l T `c r� Js £ (/� w :�&w 4.) /�br•� �Jl,� 9 �'� �ux�s , © j aKrF W Cr /iG 44GfPS 6tmua( 114v 7G7 levet cot �ELLCO(/d' .sf z, V, dL-£ / o as E,C, cL ei704Ce-- £S -C- 6><0: / '� E h/// S<J�d�ac vcf�� �iY6 ��c�+-sS c 7 C ✓7�a e��rz�sf 4�C f�su�/di NrpCT�7i�s & b gate p� SU, .*x Oa &C frG y A6VA" V-X,10,�i�X1!%Vf M i� 'VU el - 72-a'111T R A/G lr m� £ Ed i ! m TcC you v lit t ! j site.) ® v�� se" y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - _ Q > Firewall li —j'o Soil Piping % !92,'r" Forms _ Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings _ 6 Windows -2 : O I 3rd Floor Stemwall - Sidin O i0 To out — O Slab Roof Sheathing - I Water Pi in - c7 'I,^ Piers / o 4& Roofing Sewer ----------- ----------Gara Garage a Fdn. Vents - 2 —Y'O c9 Fixtures Footings Stemwall - J70 4& yo Garage Vents Insulation Water Htr. Heaters ' A y� Slab Carport Footings Prov. for hysicall handica ed y Conformance of ex. structure Appliances Gas Piping & Test Tem ._Gas ' W 44 Slab Final - 7-7--,rG Gnit I Patio 06clz FIREPLACE Final '�LFootin s -Z FD Footing X23- ELECTRICAL I II Masonry Walls Throat / - O Rough -- e !S;f.e, Relnf. Steel JL -T- J7 o Final 2 1s Fixtures e9 u1 Bond Beam FIRE SPRINKLERS Motors c.7 yl Framing 22-A) (A) Test Water Htr. Stucco Final Subpanels J� v Mesh MECHANICAL Grd. Fault Prot. -o a �r Scratch Heating �Z ' d ® Service Brown Cooling p 4W Temp. Pole 2 Finish Ducts /— ._?o —,Yo 6> Underground V Interior Lath 't' 'Y' Ventilation 7, a Permanent a—"-46 Door Closer O 7 Final i Yr,a Final +� n1 MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal S Water Piping 7i ixt% C rc/ ftn Gas Piping J SAOBILEHOME INSTALLA................... Support Elec. Continuity �C Water Piping Drainage Gas Piping DATE / REMARKS OR CORRECTIONS o23-�O Ole !%D!// `p✓.[/4. �,L ��OJS� G� 9Q/t�Lr6 7 �LE4/L C�£Cl� (� 1;;,P�1�rf5- 401q;,v, a/£l>G- ku�s> y,��/e: Cl �n ,L 4V4� L?-. four al i %l/� o.J c Ca���� ���5�- ,✓��q, - Ole ToCite- we- 19 ho V/ d F /Ga/," >•'3C�.. f 1,6,t /iaf 41a /1�>/.:"7 `tod�r ove y > °/C , i �r rE t. , 7e% dpi. ti �l T `c r� Js £ (/� w :�&w 4.) /�br•� �Jl,� 9 �'� �ux�s , © j aKrF W Cr /iG 44GfPS 6tmua( 114v 7G7 levet cot �ELLCO(/d' .sf z, V, dL-£ / o as E,C, cL ei704Ce-- £S -C- 6><0: / '� E h/// S<J�d�ac vcf�� �iY6 ��c�+-sS c 7 C ✓7�a e��rz�sf 4�C f�su�/di NrpCT�7i�s & b gate p� SU, .*x Oa &C frG y A6VA" V-X,10,�i�X1!%Vf M i� 'VU el - 72-a'111T R A/G lr m� £ Ed i ! m TcC you v lit t ! j site.) ® v�� se" y COUNTY OF BUTTE - GEPARSiMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 7 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X <l s 4! /'�/ �-- Date/ 2 --- Signature of Permitee or Agent Receipt No. z� 3 93 5 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. DIR TOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING / Owner f Gt} j�f2� l"1 /5� J� SO. FT. OCC. BUILDING VALUATION ZZ Mailing Address & 3 s!� k7�¢� 4 � 2& o ob >Z b t S C Telephone No. 7-7 N 2 -LI fj 1 ® O Contractor Mailing Address Fireplace d0 . v 0 Total Valuation eq710 &0 Telephone No. Permit Fee /310 . O 0 Building Address '15,Sl 2Lo 00� G/%CGCG PI an Checki ng Fee &/or Penalty (-,Sg^. dA Permit Fee 95 .. v 0 /% S PLUMBING No.1 @ FEE . PERMIT FILING FEE $3.00 9 • D Each Trao O 2- 0• o c3 PP tl LD j g D 1 Repair drainage or vent piping 1.50 A. P. No. 'Zoning & Planning Water piping6 2• ®a . Each gas water heater or vent 1.50 F W. a Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement - Each additional outlet .30 Building sewer 5.00 l�In Parcel p roval Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑permit Fee $ Zs'di $ ZS ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 .8b Main service 600V OR L 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L. 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING UC.W 120s OR A.D.S. ( ACC. BLDGS. /!i qft 3.Srz 5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW REST 0. MULT I.OU L T NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS 9 / NON-RESID. (SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTIIRES) g L 1� 0¢ FIXED APLNS Ex. -Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Mi c� r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 `� $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to -be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. PERMIT FILING FEE $3.00 3.0d Heating Oa Cooling Ventilation Hood 2.00 6 Permit Fee $ %3 •dd $ /3 oz I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $� TOTAL PERMIT FEE $'1- 6 l- 9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X <l s 4! /'�/ �-- Date/ 2 --- Signature of Permitee or Agent Receipt No. z� 3 93 5 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. DIR TOR OF PUBLIC WORKS By Date Building permit expires Date