HomeMy WebLinkAbout064-340-03164-34-31
Harold L. Welborn
:iy Elmira Cir. , lot 109., PP#F4, Magali.
Permit #1130-78B,P,E M(nDew single
family)
64 -34 -
NEW OWNER
RAY CHANDLER
I 13139 Elmira Circle, Magalia,
Contr: Servamatic Solar Sys,'Chico
Permit##1189-81P (inst. solar sys')
rF
4-340=031 02-2299
ARK DYKE BALED
139 ELMIRA CIRCLE MAGALI NTR: OWNER
ROOF COMP
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,'California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-2299
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
MARK DYKE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
R c -
21 So. 1260
CONTRACTOR'S NAME -
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is it2bo.uo
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
31.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
S
Energy Plan Checking Fee $
$
PERMIT FEE S
5 QO
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE ROOF COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
600
Main Service 200, 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 isin full force and effect. /
JjGJ r -►
License Class Lic. No. �.! f
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A I 000A
TONO
46.00
NEW CONST. DWELLING OCCU
CUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.5QFT.
=p�Ip MULTI.OLITIET
QG 7.50
3 POWERSINLE APPARATUS
G OUTLET CIR.
EX. OCCU OUTLET OR FDCTURES
20 p 1.00
BAL Q .5050
FUCED APPLNS. OR
Ex. Occup.oun.ETs RESID. En
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) d or,less.)
�. �
,,el that in,the perfornmance of the work for which this permit is issued, I shall
/not'employ any persontiin any manner so as to become subject to workers'
compensation laws'of Califor6ia, and agree that if I should become subject to the
r w6rkers'rcompensatio6 provisions of section 3700 of the Labor Code, I shall
forthwith�comply with those provisions.
X \ r/,1 r _ Date
Signature -of Applicant -. Owner ❑ Contractor ❑ Agent
V,
An OSHA permit is required for excavations over 60" deep and demolition or construction!
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 51.00
HAZ.
I D. FEES IMP
I FLOOD
I C
PARCEL I PD
HD
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 f 'r��-" ' Date 8 23-02
PERMIT EXPIRES ON 8"2303
Date
Receipt No. 361042
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-2299
ASSESSOR PARCEL NUMBER
064- 340-031
ZONING
BUILDING PERMIT
OWNER
MARK DYKE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
21 Sq. 1260
CONTRACTOR'S NAME
TELEPHONE
'
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation$ "
" O
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee - $
31,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
11411-39 VE -1 -MI -R -A CIRCLE MAGALIA GA 95954
Energy Plan Checking Fee
$
PERMIT FEE $
91 ff
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑
Describe Work: RE ROOF COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LESS
Main Service 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 ijfull rce and effect.
(� / g
License Class 4J Lic. No. �� 1 �J�
OWNER -BUILDER DECLARATION.50
1 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 ca
WORKERS' COMPENSATIO DEC ARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(ThA above sections need not be completed .if the permit is for work of a valuation
0 o undred ol1 s ($100) or less.)
!!] cer tat in e e marfce of the work for which this permit is issued, I shall
e p oy any p rs n ' I Iny manner so as to become subject to workers'
C en On laws Of a1 , la, and agree that if I should become subject to the
r rs' c mpens to pr isions of section 3700 of the Labor Code, I shall
wit c ply ith ose rovisions.
Oe)
X Date OZ� 0��
Si of Applicant- ner ❑ Contractor ❑ Agent
An OSHA permit is required fo excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To
46.00
CCUOOOA
NEW CONST. DWEWNO OCCUP. SO
OR ADDNS. ( 8 ACC. BLD S. 3.5¢x.
W:,L
= RESID MUT. LTI-OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FOCTURES g20 Q 1.00
Ex. Occup. oFlx DSPPR o) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
S
�Z'
D. FEES IMP
FLOOD
CDF
PARCEL
pp
HD
ISSUE
This permit is hereby issued under the applicable provisions
Of the Butte County Co and/or Resolutions to do work
indicated a ove for w Ich es have been paid.
ByLDate 8-23-02
PERMIT EXPIRES ON 8-23-03
Date
Receipt No. 361042
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ZY
>q/-,z,q F.imiacoz--
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9596.5 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
�%
ZONiING.-
%/ 7
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAMETELEPHONE
r'
Al
CONTRACTOR'S MAILING ADDRESS i
e : . (/ .7� y /� /`//c'(' I Fireplace
CONSTRUCTION LENDER -+
UNKNOWN
Total Valuation $
Filing Fee
LENDER'S MAILING ADDRESS
Permit Fee
$ 10.00
$
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
Penalty
Permit fee
$
$
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
!'
SF ❑` Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
��� ,/.� �f�yl
J ,
,{ Q
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: f• - %�?�// r•i icy'/' 1i/-'
Permit Fee
$ 3 6.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 7
Main set -vim i 0011 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.al
OR ADDNS. \ ACC. BLDGS.
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. /'/ 4 Classifications -JC- Y ��
❑ 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 I.OUTLET 2.5Oea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR.POWER APPARATUS 6\
NON.RESID. (SINGLE OUTLET CIR, 1
e0 @ 25¢
Ex. Occup OUTLETS OR FIXTURES BAL@100
FIXED APPLNS. OR
EX. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
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.
❑,oi'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
S
Contractor
1 certify that I have read this application and state that the above informationMobile
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
�•� ; f/
X Date
Signature of Applicant — Owner �r Contractor ❑ Agent M! �
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Home Installation Fee $
TOTAL PERMIT FEE $ l�, /2r)
OCCUP. GROUP
I TYPE of CONST.
PARCEL
Pb
HD
I 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.
DIRECTOR OF PUBLIC WORKS
By J/t'% �lt-% Date 91
PERMIT EXOIRES"-Date. ! f ��-r 7.•�
Receipt No. !�,/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS T N
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAT4,0k-AND PERMIT
ASSESSOR PARCEL NUMBER 7
ZAW;Ll
ZO�IN
/`/ _
BUILD&WG PERMIT
OV$91ER
/OWWNE
TEL PHONE
SQ. FT. OCC. BUILDING VALUATION-
'S MAILING ADDRESS ,
C NTRACTOR'S NME. A
.� ,ea/�/xA ms913
T LEPHONE
7/
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION ,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 /3 n
L
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
-USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti I.ities ❑ Installation ❑ Other ❑
Describe work: Z7- 7,,171 ,5,ozwe &/,ffC/e
Permit Fee
$ aoo
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. ( DWELLING OCCUP.01)
OR ADDNS. \ ACC. BLDGS.
20 sq it
-
CONTRACTORS LICENSE LAW
I declare un er penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No -3-106 445'Classification C-3lo- sc-vii
❑ 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 CONSTFI I -OUTLET 2,50 ea
NON.R ESID BRANCH CI ITS
NEW CONSTFL (POWER APPARATUS 6�
NON-RESID. (SINGLE OUTLET CIR:•
EX. OCCUp OUTLETS OR FIXTURES BAL2t
FIXED•APPLNS.OR
Ex. Occup.(ouTLETs (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑rmit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
Lid 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
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.,
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agait said County in co of the granting of this permit.
/I
Date
Signature of Applicant — Owne 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./i
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE TOP OF PUBLIC
By
PERMIT EX a
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �d
Receipt No. 5 X220 l
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .
a'
3 t; PERMIT N0. 1139-78B,P,E,M
f??
PERMIT EXPIRES
OWNER
Harold L. Welborn
.CONTR.
owner
LOCATION (A.P. 64-34-31
75 Elmira.Cir.,'lot 109, PP#4, Magalia
}j
3�
d
st'
,
,
• 9f
Temp. Power Pole
j'
Called PG&E
Temp. Elec. Serv.
Called PG&E :2 �7 1
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
F
{
(Signatur
THIS IS TO CERTIFY THAT INSULATION NAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS.
CALIFORNIA.ADIIINISTRATIYE CODE, TITLE 25, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT:
Qjjj yap
Street o um er tract No.
EXTERIOR HALLS
glass
NanufacWrer J- M Thickness/Typa���f fi b e r R Value 1 1
CEILINGS
Blown:- Manufacturer .T - M Thickness R �No. Bags Mt./Ba22 S
Sp. Ft. Covered / -O& Value 19
FLOORS ]� 1l _ , L__-_` _ � #a -t, -A
Manufacturer 1 ��Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION MALLS
IVIFIF1LJ�e7VIY Tt,*ness/Type >/ R Value
GENERALC TRftj?R `JJ LICENSE NUMBER ; 2�o-S 3 a9'
DATE
INS/U1AA1;1t1 CONTRACTOR; Q LICENSE NUMBER 212461
BY �ma-'4. t / TITLE_ DATE /77
I
f
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDINGINSPECTION RECORD
BUILDIN,p BUILDING (Cont'd)
PLUMBING
Setback
"'X iFirewall
Soil Piping
-
Forms
?/ Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3r`d'Floor
;
StemwaII
Siding
To out
-
Slab
Roof Sheathing
Water Pi in
— Q
Piers
Roofing -
Sewer
Garage
Cr Fdn. Vents ;
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test 2f 7�� ,
Temp. Gas
Slab
Final
Sanitation
Patio
FIREP. WA CE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
4Q
Reinf. Steel
Final
Fixtures
q
79
Bond Bgarr I FIRE SPRINKLERS I Motors f i
iI
Stucco Final Sub anels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts -57- - - Underground
Interior Lath Ventilation Permanent
Door Closer, Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF EaUT_TE. — DEPARTMENT OF PUBLIC WORKS
7 County Center Driye, — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
All
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
W
X ZDate
Signature of Permi ee or Agent
Receipt No. 'l V
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date �
Building permit expires Date 3; — —2,9
BUILDING
IV
I
Owner
,�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 7S
_T -2 Q
Telephone No.
44 7
paQp I,2
Fireplace
Contractor
Total Valuation
Mai I Ing Address
Permit Fee
Plan Checking Fee &/or Penalty
lephone No.
Permit Fee
$
foe, Oa
/a g 0z
Building Address
PLUMBING
No.1 @
FEE
PERMIT FILING FEE $3.00 3,()0
n
Each Trap 7 1.50 J,0 15
ca -b
Repair drainage or vent piping
1,50
Water piping 1.50
j(arificaf 0,t11
Each gas water heater or vent 1.50
A. P. No. 6 — 3 4 — 3
J�'T
Zo
Gas piping system 1 - 5 outlets
1.50
/•,
Each additional outlet .30
FW84We
Sa
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking 04arcel Parcel M
Plans Declaration
60' R/W
Im rov ents
P
Lawn sprinkler system 2.00
� g. ans c ��
�r Pa a Approval
PI s Approval
Permit Fee
$
ls.00
is 8 1
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No. @
FEE
PERMIT FILING FEE $3.00 000
Main service 100V OR L
0000 AMP ORSLESS 5.00
Main service EA. ADD•L too AMP
2.50
Main service OVER 600V
00 AMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L too AMP 1.00
NEW CONST. DWELLING O &
OR ADDNS. ACC, BLDoS
22sgft
NEW CONSTR. MULTI.OU- L T
NON-RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
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 f:
Ex. Occup(OUTLETS OR FIXTURES)@'�
BAL@1
EX. QCCUp. FIXED APPLNS, OR 2•��
OUTLETS (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 2253 O 9- /
Classification_
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
37
$-,3,
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.
MECHANICAL
No. @
FEE
PERMIT FILING FEE $3.00 3,a,0
Heating I 4.00 ¢�m6
Cooling
Ventilation , r`-FA-� / 2,00 2, o U
Hood 2.00 2, 0 D
Permit Fee $
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
12.6 XA
TOTAL PERMIT FEE
$� 9 3 �'-
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
W
X ZDate
Signature of Permi ee or Agent
Receipt No. 'l V
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date �
Building permit expires Date 3; — —2,9
I
: A SEPTIC S`(SkEM /as SHOWN WILL MEET TRE QEQUICZ.EMEN'TS
P Coo -��--3 i QFE BUTTE Co. 1-NEAt:TH DEPAQ�1'�IENT.
ON FT 4 L.CT 109 75 ' E. L I.'RA C tRe�E . NOTE:—All Materials &Workmanship Shall Be in -ro SMMt►x, e lITy
Accorr'lcince with Recoanized Good Practices 'and
of a quality nrecc01.),md for the Specified use in the
Uniform Building, Plumbing & Machanical Codes and EO -Al.
the National Electrical Code.t A
g.�sae;Vo�R
►�! 2-1 49 39k, i this set of plans and specifications.
_ E LM1 e A C%ee.� '^P VVED �MUUTV 00aUTAINU .0. !kept on the, job at all times and it is unlewfel to
make any changes or alterations on same withoutti5
Al1`� .•CvP O+� F6 Rin,.I'/y GuRa . j EDGE PAi/I+J.G _ Dew►
written permisson from the Department of Pubt►>r
" A/c Buell BUR zt �° F x: t Work's. Conray of Butte. P�
!L J -P: i' _ 3 04 oa' g. Setback shall be from the. Kr(o Z P
The Bldg. o ASA=o�sE
5x.53 to. tt ,L ?. `4 2�'; 'side property line and 5o �4. from the
�' r gg 9 ,' conieriine of The rocid, Pei r1i i,tg a maxis
`� ' R mum of n 2 ft..eave overhang but entirely.
SCALE IIJ MtL�S
O t/z i
O"�8,,P 95 s FT j WAS::,tit of all ecsemenfs. LOC/ T1 ON MAP,
Septic system and,location of build -;.
frig, drain stub -out to be as per'
8 { -�►t �` , ; s:c,i3utte County Health Dept. Re=
t, $`� a" quirements.
o . `l. ^�F�i4'e`o , ��",�o '''0 �6 � ".c�,.do. , pARE8D1'SE. PINES P:O.A.
?:a ,v. Y AIRCWO�.;TURi4L CONTR®l.,t?NAMITtEE
u 0 F:L,00 R-99:45
1._41 �t s;r 9. s3•, 4`�` NAME k( Ir
�•:
ao o:s o a
N , �`, See Master Plan on file for building j: q�; i t 0 �y
s r y �j t' y Plans.
.DATE —
�`° APPROVED` BY
r c?OGtuc S f. ' fj)8
1000 GAL.. COUNTY ADDRESS �Z'� �s%l`Ef �'s�
32,E o _I i BUTTE
r+s�-'=- of -re�� BUILDING PARTMENI
k --~ • ��t. ^ a.. pE VF► Of'iU1��iT QNLY
0 APPRO L R T DE.
so �,�� , . ", _.,.�._r. _ � ELEVATIONS i,41JST BE •SUBMIT"i.Ek3 PRIOR
gg
aorr of : z - A P P R O VPD
TO STRUCTURAL P�P,RROlfAi..
9, ,BASE
y 9"t3.o. ��
.a. R Ey EPSMASTE,Q pt. A N 1,066
E of
ellIL01�y� $Y F+. L. WEL130Kl�-D ER- 8-2.053,69
ALTERNATE 0 _
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